The Impact of COVID-19 on Social Work Practice in Canada
A Comparison of Urban and Rural Contexts
DOI:
https://doi.org/10.31265/jcsw.v16i2.382Keywords:
COVID-19, Canada, mixed-methods, urban and rural contexts, social workAbstract
Social workers involved in child maltreatment investigations faced considerable challenges during the COVID-19 pandemic. Interactions with children and families carried new restrictions and risks, which resulted in changes in practice. We conducted a two-phase, mixed-methods study which examined the impact of the COVID-19 pandemic on social workers who work with maltreated children from both urban and rural areas across Canada. More specifically, we examined changes in service delivery, as well as perceptions of safety, stress, worry, and how support differed between urban and rural social workers. Fifty social workers (62% urban, 38% rural) responded to the Phase 1 survey, disseminated in May 2020, with 34 (76% urban, 24% rural) responding to the Phase 2 survey in November 2020. Quantitative and qualitative data revealed that rural social workers reported more worry, stress and a greater need for mental health support, in addition to receiving less support than urban social workers during the first wave of COVID-19 cases. However, during the second wave of cases, urban social workers reported more stress, a greater need for mental health support, and receiving less support than rural social workers. Additional research is needed to further uncover the nature of the differences between rural and urban social workers, and to identify the prolonged effects of the COVID-19 pandemic on social workers.
References
Barck-Holst, P., Nilsonne, Å., Åkerstedt, T. & Hellgren, C. (2021). Coping with stressful situations in social work before and after reduced working hours, a mixed-methods study. European Journal of Social Work, 24(1), 94–108. https://doi.org/10.1080/13691457.2019.1656171
Bride, B. E. (2007). Prevalence of secondary traumatic stress among social workers. Social Work, 52(1), 63-70. https://doi.org/10.1093/sw/52.1.63
Cabarkapa, S., Nadjidai, S. E., Murgier, J. & Ng, C. H. (2020). The psychological impact of COVID-19 and other viral epidemics on frontline healthcare workers and ways to address it: A rapid systematic review. Brain, Behavior, & Immunity - Health, 8, 100144. https://doi.org/10.1016/j.bbih.2020.100144
Centers for Disease Control and Prevention (2017). About rural health. https://www.cdc.gov/ruralhealth/about.html
Centers for Disease Control and Prevention (2020). COVID-19 stats: COVID-19 incidence, by urban-rural classification — United States, January 22–October 31, 2020. Morbidity and Mortality Weekly Report, 69(46),1753. https://doi.org/10.15585/mmwr.mm6946a6
Centers for Disease Control and Prevention (2021). COVID data tracker [Data set]. https://covid.cdc.gov/covid-data-tracker/#compare-trends_newcases
Creswell, J. W., Plano Clark, V. L., Gutmann, M. & Hanson, W. (2003). Advanced mixed methods research designs. In A. Tashakkori & C. Teddlie (Eds.), Handbook of Mixed Methods in Social & Behavioral research (p. 209–240). Sage Publications.
de Jonge, E., Kloppenburg, R. & Hendriks, P. (2020). The impact of the COVID-19 pandemic on social work education and practice in the Netherlands. Social Work Education, 39(8), 1027–1036. https://doi.org/10.1080/02615479.2020.1823363
DesMeules, M., Pong, R., Lagacé, C., Heng, D., Manuel, D., Pitblado, R., Bollman, R., Guernsey, J., Kazanjian, A. & Koren, I. (2006). How healthy are rural Canadians? An assessment of their health status and health determinants. Canadian Institute for Health Information. https://secure.cihi.ca/free_products/rural_canadians_2006_report_e.pdf
Friesen, E. (2019). The landscape of mental health services in rural Canada. University of Toronto Medical Journal, 96(2). http://utmj.org/index.php/UTMJ/article/view/1181/1195
Government of Canada (2021). Coronavirus disease 2019 (COVID-19): Epidemiology update. https://health-infobase.canada.ca/covid-19/epidemiological-summary-covid-19-cases.html?stat=rate&measure=total&map=pt#a2
Kaufman, B. G., Whitaker, R., Pink, G. & Holmes, G. M. (2020). Half of rural residents at high risk of serious illness due to COVID-19, creating stress on rural hospitals. The Journal of Rural Health, 36(4), 584–590. https://doi.org/10.1111/jrh.12481
Khazanchi, R., Evans, C. T. & Marcelin, J. R. (2020). Racism, not race, drives inequity across the COVID-19 continuum. JAMA Network Open, 3(9), e2019933. https://doi.org/10.1001/jamanetworkopen.2020.19933
Kim, H. & Stoner, M. (2008). Burnout and turnover intention among social workers: Effects of role stress, job autonomy and social support. Administration in Social Work, 32(3), 5–25. https://doi.org/10.1080/03643100801922357
Lloyd, C., King, R. & Chenoweth, L. (2002). Social work, stress and burnout: A review. Journal of Mental Health, 11(3), 255–265. https://doi.org/10.1080/09638230020023642
Magill, E., Siegel, Z. & Pike, K. M. (2020). The mental health of frontline health care providers during pandemics: A rapid review of the literature. Psychiatric Services, 71(12), 1260–1269. https://doi.org/10.1176/appi.ps.202000274
McFadden, P. (2015). Measuring burnout among UK social workers: A Community Care study. https://pure.qub.ac.uk/en/publications/measuring-burnout-among-uk-social-workers-a-community-care-study
Mental Health Commission of Canada (2020). Rural and remote mental health in Canada evidence brief on best and promising practices [Issue brief]. https://www.mentalhealthcommission.ca/sites/default/files/2020-05/Rural_remote_mental_health_evidence_brief_eng.pdf
Miller, I. F., Becker, A. D., Grenfell, B. T. & Metcalf, C. J. E. (2020). Disease and healthcare burden of COVID-19 in the United States. Nature Medicine, 26(8), 1212–1217. https://doi.org/10.1038/s41591-020-0952-y
Miller, J. J., Niu, C. & Moody, S. (2020). Child welfare workers and peritraumatic distress: The impact of COVID-19. Children and Youth Services Review, 119, 105508. https://doi.org/10.1016/j.childyouth.2020.105508
Nguyen, L. H., Drew, D. A., Graham, M. S., Joshi, A. D., Guo, C.-G., Ma, W., Mehta, R. S., Warner, E. T., Sikavi, D. R., Lo, C.-H., Kwon, S., Song, M., Mucci, L. A., Stampfer, M. J., Willett, W. C., Eliassen, A. H., Hart, J. E., Chavarro, J. E., Rich-Edwards, J. W., … Zhang, F. (2020). Risk of COVID-19 among front-line health-care workers and the general community: A prospective cohort study. The Lancet Public Health, 5(9), e475–e483. https://doi.org/10.1016/S2468-2667(20)30164-X
Paul, R., Arif, A. A., Adeyemi, O., Ghosh, S. & Han, D. (2020). Progression of COVID-19 from urban to rural areas in the United States: A spatiotemporal analysis of prevalence rates. The Journal of Rural Health. https://doi.org/10.1111/jrh.12486
Racine, N., Hartwick, C., Collin-Vézina, D. & Madigan, S. (2020). Telemental health for child trauma treatment during and post-COVID-19: Limitations and considerations. Child Abuse & Neglect, 110, 104698. https://doi.org/10.1016/j.chiabu.2020.104698
Ravalier, J. M. (2019). Psycho-social working conditions and stress in UK social workers. The British Journal of Social Work, 49(2), 371–390. https://doi.org/10.1093/bjsw/bcy023
Richardson, S., Hirsch, J. S., Narasimhan, M., Crawford, J. M., McGinn, T., Davidson, K. W., and the Northwell COVID-19 Research Consortium, Barnaby, D. P., Becker, L. B., Chelico, J. D., Cohen, S. L., Cookingham, J., Coppa, K., Diefenbach, M. A., Dominello, A. J., Duer-Hefele, J., Falzon, L., Gitlin, J., Hajizadeh, N., … Zanos, T. P. (2020). Presenting characteristics, comorbidities, and outcomes among 5700 patients hospitalized with COVID-19 in the New York city area. JAMA, 323(20), 2052. https://doi.org/10.1001/jama.2020.6775
Shah, G. H., Shankar, P., Schwind, J. S. & Sittaramane, V. (2020). The detrimental impact of the COVID-19 crisis on health equity and social determinants of health. Journal of Public Health Management and Practice, 26(4), 317–319. https://doi.org/10.1097/PHH.0000000000001200
Sharifi, A. & Khavarian-Garmsir, A. R. (2020). The COVID-19 pandemic: Impacts on cities and major lessons for urban planning, design, and management. Science of The Total Environment, 749, 142391. https://doi.org/10.1016/j.scitotenv.2020.142391
Shaukat, N., Ali, D. M. & Razzak, J. (2020). Physical and mental health impacts of COVID-19 on healthcare workers: A scoping review. International Journal of Emergency Medicine, 13(1), 40. https://doi.org/10.1186/s12245-020-00299-5
Shier, M. L. & Graham, J. R. (2011). Work-related factors that impact social work practitioners’ subjective well-being: Well-being in the workplace. Journal of Social Work, 11(4), 402–421. https://doi.org/10.1177/1468017310380486
Statistics Canada (2019). Census Profile, 2016 Census. https://www12.statcan.gc.ca/census-recensement/2016/dp-pd/prof/index.cfm?Lang=E
Teo, W. Z. Y., Soo, Y. E., Yip, C., Lizhen, O. & Chun-Tsu, L. (2020). The psychological impact of COVID-19 on ‘hidden’ frontline healthcare workers. International Journal of Social Psychiatry, 0020764020950772. https://doi.org/10.1177/0020764020950772
Thomas, D. R. (2006). A general inductive approach for analyzing qualitative evaluation data. American Journal of Evaluation, 27(2), 237-246. https://doi.org/10.1177/1098214005283748
van Berkel, R., & Knies, E. (2016). Performance management, caseloads and the frontline provision of social services. Social Policy & Administration, 50(1), 59–78. https://doi.org/10.1111/spol.12150
van Dorn, A., Cooney, R. E. & Sabin, M. L. (2020). COVID-19 exacerbating inequalities in the US. The Lancet, 395(10232), 1243–1244. https://doi.org/10.1016/S0140-6736(20)30893-X
Wagaman, M. A., Geiger, J. M., Shockley, C. & Segal, E. A. (2015). The role of empathy in burnout, compassion satisfaction, and secondary traumatic stress among social workers. Social Work, 60(3), 201–209. https://doi.org/10.1093/sw/swv014
Williams, S., Bruer, K. C., Evans, A. D. & Price, H. L. (2021). The impact of COVID-19 on Canadian child maltreatment frontline workers [Manuscript submitted for publication]. Department of Educational and Counselling Psychology, McGill University
World Health Organization (2020, July). Rolling updates on coronavirus disease (COVID-19). https://www.who.int/emergencies/diseases/novel-coronavirus-2019/events-as-they-happen
Yehia, B. R., Winegar, A., Fogel, R., Fakih, M., Ottenbacher, A., Jesser, C., Bufalino, A., Huang, R.-H. & Cacchione, J. (2020). Association of race with mortality among patients hospitalized with Coronavirus disease 2019 (COVID-19) at 92 US hospitals. JAMA Network Open, 3(8), e2018039. https://doi.org/10.1001/jamanetworkopen.2020.18039