A Survey of Australian Human Services Agency Software Usage

Human Services agencies use a wide range of software systems to manage caseloads, maintain records, deliver services to clients, and for interagency communication. Some systems are generic, such as Word or Excel, while some are specialized to the organization, such as specialized databases for tracking case notes. Some software systems are shared across organizations. We surveyed nearly 40 Australian Human Services agencies to ascertain the range of software currently in use by agencies and their opinions on it, with a view to identifying promising new Human Services applications. We interviewed representatives from a selection of smaller agencies. This resulted in detailed feedback on key issues to consider when developing and deploying new Human Services software.     

Social determinants of health in the Human Services: a conceptual model and road map for action

The Social Determinants of Health Framework is well known as a reliable way to understand and predict poor health outcomes and health inequities among individuals who are disproportionately impacted by poverty, discrimination, residential segregation, and other social problems. Since becoming recognized by the public health profession as key to addressing the root causes of poor health among these individuals, integration of social determinants of health (SDOH) interventions in the health-care industry has become a national and global priority. This essay offers a theoretical and practical explanation of the integration of the SDOH in the Human Services by proposing key recommendations and strategies for Human Services Organizations (HSOs) and providers to implement new practices, policies, and research methods that may ameliorate the conditions that create inequities in health.     

Doing Disability Research: activist lives and the academy

The relationship between the academy and the disability movement is a problematic one. Disability researchers based in the academic world who align themselves with the social model of disability face contradictory aims and values in attempting to challenge dominant modes of research production in ways that signify the importance of the agendas of disabled people. It could be argued that research that involves people with the label of 'learning difficulties' [1] creates further points of contention. In this paper we do two things. First, we re-present a paper given at a conference on the performing arts of people with 'learning difficulties', where the audience was made up of performers, workers, providers and researchers. This paper attempted to be accessible, theoretical, political and practical. Secondly, we reflect upon this paper in relation to seven points of analysis that emerge at the boundaries of disability politics and disability research. We argue throughout that real efforts must be made to bridge these boundaries in ways that augment disability theory and politics together.     

Prevalence studies of problem gambling in the United States

The rapid expansion of legalized gambling in the United States has produced tremendous demands for information about the number and characteristics of problem gamblers in the general population. This paper examines the results of prevalence studies of problem and pathological gambling that have been carried out in the United States. The discussion is largely chronological, with a focus on comparative findings from the 15 United States jurisdictions where prevalence studies have been completed since 1980. The results of diese studies verify findings from clinical and experimental studies as well as suggesting important avenues for future research. The paper concludes with a consideration of the role played by survey research in advancing the field of gambling research.The author would like to acknowledge the Connecticut Division of Special Revenues, the Iowa Department of Human Services, the Montana Department of Corrections and Human Services, the New York State Office of Mental Health, the North Dakota Department of Human Services, the University of South Dakota Business Research Bureau, the Texas Commission on Alcohol and Drug Abuse and the Washington State Lottery for funding several of the gambling surveys discussed here. A substantial proportion of the research reported here was supported by a grant (MH 44295) from the Violence and Traumatic Stress Research Branch of the National Institute of Mental Health.     

In liberty's shadow: the discourse of refugees and asylum seekers in critical race theory and immigration law/politics

This article addresses the potential that a kind of engaged research can have in current battles for social justice and in the transformation of college curricula as a way to recover the original critical spirit of ethnic studies. Building on critical race theory, I discuss the work of NGOs such as Human Rights First and Americans for Immigrant Justice on behalf of Haitian refugees and the role of literature in inspiring human rights actions that might redefine practices of citizenship and belonging. At a time when the United States recognises the rights of refugees but criminalises the search for asylum, coalition building between ethnic studies discourse, the legal academy and the community is vital to affirm and protect the internationally recognised rights of refugees. Crucial in this process is the role played by stories as a way to humanise the often impersonal topic of the immigration debate.     

Institutionalizing Public Scholarship: Lessons from Feminism and Symbolic Interactionism

This article contributes to recent debates about public sociology by considering the potential harmful consequences of seeking legitimacy for committed scholarship within academic institutions. After discussing public scholarship's place within the corporate university, we reflect on how institutionalizing “scholarship with commitment” might create routine practices and standardized expectations that could discourage organic interactions with various publics. Feminism's role in the academy exemplifies the consequences of institutionalizing committed scholarship. Drawing on insights from feminist and symbolic interactionist traditions and writing from a Canadian perspective, we discuss promising strategies for resisting the stagnation and/or habitualization of public and committed scholarship.     

Mad studies and neurodiversity: a dialogue

In this paper we explore what we consider to be the shared concerns of those neurodivergent and/or mad-identified scholars and activists who are seeking to make space for themselves within the academy. In doing so, we consider what critical questions and action people involved in these could address together in ways that move beyond identity-based politics     

Interview with Dr. Marsha Martin,US Department of Health and Human Services

With this edition, the Journal of Children & Poverty introduces a new section titled Inquiry. The purpose of this section is to highlight a series of frontline issues simultaneously facing policymakers and practitioners, as well as the burgeoning research interests of the academic community. Inquiry is not meant to be an opinion or editorial section, but rather a glimpse into what some of the journal's readership, be they academics, policymakers or practitioners, are currently thinking. This section also intends to put forth a cross-national perspective on issues that transcend national boundaries, while being deeply rooted in a country's political, economic and social history. Our hope is that the Journal of Children & Poverty's Inquiry section can provide a place for thought and reflection on the issues that affect children and their families today, as well as the bold and pragmatic solutions necessary for tomorrow. We launch Inquiry with an interview conducted on September 6, 2000 with Dr. Marsha Martin, Special Assistant to Secretary Donna Shalala, US Department of Health and Human Services. In her role as Special Assistant, Dr. Martin is assigned to work on issues at the discretion of the Secretary. Given that the Health and Human Services Agency is the only federal agency dedicated to the health and social well-being of all Americans, particularly America's families, her position requires that she work on a variety of cross-cutting issues that confront the public. She functions as the eyes and ears of the Secretary, focusing on the issues as brought to the attention of the Secretary by various constituencies, particularly those that are disproportionately or adversely affected by policy changes, as well as vulnerable populations or those with special needs. She must function in both a responsive and proactive way assuring all the while that the Department's domestic and international policies are consistent.     

HHS considers weakening HIPAA

Last month, the federal Department of Health and Human Services (HHS) issued a request for information (RFI) seeking changes in the Health Insurance Portability and Accountability Act (HIPAA), citing “regulatory burdens.” In the RFI, issued Dec. 12, HHS seeks input on how HIPAA could be changed to further the goal of “coordinated, value‐based healthcare.”     

The Economimesis of New Historicism (Or How New Historicism Displaced Theory in English Literature Departments)

The form of historicism that has had most impact in the context of literary theory in the Anglophone academy is new historicism. The label new historicism was applied to an initially American mode of literary study that emerged in the late 1970s in the context of “heated discussions” surrounding theorised forms of literary study like Marxism, feminism, psychoanalysis, structuralism, post‐structuralism and deconstruction. Having emerged in this context, however, new historicism — and the more broader forms of historicist study that have migrated across a variety of disciplines in the arts and humanities — has thrived in the Academy while interest in “theory” has declined since the 1990s. In this article I propose to look closely at the reasons for the survival and success of new historicism, even as other, more radical modes of analysis have become unfashionable.     

Linking an agency strategic review to increase knowledge management: San Francisco County Human Service Agency

Led by the agency director, the agency engaged in a Strategic Review, based on a comprehensive assessment of agency performance that identified strategies to improve organizational effectiveness through increased data-informed practice and knowledge management. The Strategic Review gathered information on staff perceptions, perceptions of external stakeholders, changing citywide and neighborhood demographics, policy mandates, and budget and workload issues. The need for the review was based upon multiple, substantial changes not addressed in the 2000 Strategic Plan, including the 2004 merger of the Department of Human Services and the Department of Aging and Adult Services, changes among the executive management team, transitions among key political entities, new policy mandates and changing budget allocations. This case study describes the Strategic Review process and content, summarizing key challenges and lessons related to addressing workload demands, fostering positive staff attitudes, balancing internal and external information needs, and integrating data use and planning processes across the agency.     

Book Reviews

Felice Davidson Perlmutter; Darlyne Bailey; F. Ellen Netting: Managing Human Resources in the Human Services: Supervisory Challenges. Oxford, Oxford University Press, 2000. 221 pp, 0 19 513707 8, £15.99     

Child day care and the employment of AFDC recipients with preschool children

In the context of recent federal initiatives to increase the affordability, accessibility, and quality of child care for the working poor, this article examines the degree to which expanding the supply of publicly subsidized child care in local communities may promote, through employment, the independence from welfare and economic self-sufficiency of Aid to Families with Dependent Children (AFDC) recipients with preschool-aged children. In a telephone survey of a random sample of 232 AFDC recipients who participated in a larger federally sponsored demonstration project in Mecklenburg County, North Carolina, many respondents reported the lack of available child care as a barrier either to employment or to the attainment of a preferred job. Although it is concluded that increases in the availability of subsidized child care should be a component of any strategy to increase the level of employment participation, continuity, and success for this population, the results underscore the need for a multi-faceted intervention strategy to reduce the welfare dependency and to increase the economic self-sufficiency of these parents. Implications for further research are suggested.The data for this investigation were collected under Authorization No. 89-3-WR-NC-008 to the North Carolina Department of Human Resources from the Division of Program Evaluation, Office of Family Assistance, Family Support Administration, Department of Health and Human Services. Additional support was provided under Grant No. 5-44232 from the University of North Carolina at Chapel Hill, University Research Council, Office of Research Services. The views and conclusions expressed in this article are those of the authors and do not necessarily represent the views or the official position of the U.S. Department of Health and Human Services or the North Carolina Department of Human Resources.He received his Ph.D. in Family Science from the University of North Carolina at Greensboro in 1981. He is a specialist in work and family linkages, policy analysis and evaluation, and survey research methodology. He served as principal investigator on the child care evaluation study that is the basis for this article.He received his Ph.D. in Library Science from the University of Wisconsin in 1982. He is a specialist in evaluation and research methodology, information dissemination and use patterns in public sector agencies, and welfare policy and initiatives. He served as project director for the study described in this article.     

Employee Assistance Program Evaluation in a Federal Government Agency

Demonstrating the efficacy of an Employee Assistance Program is an equally important endeavor in public and private sector work organizations. This paper discusses the cost-benefit and cost-effectiveness evaluation that was conducted by the U.S. Department of Health and Human Services Employee Counseling Services program. Further, it details the components of the 30 month project relative to evaluation design, data collection processes, and strategies used to maintain employee privacy while analyzing personnel data. Results of the evaluation are also presented.     

Adult protective services and animal welfare: should animal abuse and neglect be assessed during adult protective services screening?

Past research has examined links among animal abuse, child maltreatment, and intimate partner violence and demonstrated the importance of addressing the needs of both human and animal victims. We hypothesized that there might be a similar link between animal abuse and older adult welfare issues. As a first step in the earlier research was the development of a screening protocol that shed light on the link between domestic violence and animal abuse, we decided to follow a similar route to explore this new topic by asking state government representatives about their experiences, if any, with this topic. Here we report the results of a national survey of state Adult Protective Services agencies regarding their protocols for assessing animal welfare issues in the context of older adult maltreatment. We also describe a model assessment protocol we developed in collaboration with the Utah Division of Aging and Adult Services.     

SAMHSA urges treatment programs to test for HIV

Last month, the federal Substance Abuse and Mental Health Services Administration (SAMHSA) called on public health and substance use disorder (SUD) treatment providers to help make sure patients who are negative for human immunodeficiency virus (HIV) stay that way, and that those who are HIV‐positive are tested, receive antiretroviral treatment and stay “adherent” to the treatment. The directive came in the form of a “Dear Colleague Letter” from SAMHSA Director Elinore F. McCance‐Katz, M.D., Ph.D., assistant secretary for mental health and substance use for the Department of Health and Human Services.     

Older Self-Neglecters: Interpersonal Problems and the Maintenance of Self-Continuity

Past research has examined links among animal abuse, child maltreatment, and intimate partner violence and demonstrated the importance of addressing the needs of both human and animal victims. We hypothesized that there might be a similar link between animal abuse and older adult welfare issues. As a first step in the earlier research was the development of a screening protocol that shed light on the link between domestic violence and animal abuse, we decided to follow a similar route to explore this new topic by asking state government representatives about their experiences, if any, with this topic. Here we report the results of a national survey of state Adult Protective Services agencies regarding their protocols for assessing animal welfare issues in the context of older adult maltreatment. We also describe a model assessment protocol we developed in collaboration with the Utah Division of Aging and Adult Services.     

When practice and policy collide: Child welfare workers' perceptions of investigation processes

This qualitative study examines variability in practices surrounding Child Protective Services (CPS) investigations regarding the allegations of child maltreatment. Working under the auspices of a community-research collaboration with Department of Human Services officials, university researchers conducted a series of focus groups with CPS caseworkers in a state that was under court-ordered consent decree to improve child welfare investigations. Focus groups with caseworkers sought to better understand caseworkers' common investigative practices and their perceptions of best practices in conducting child welfare investigations. Two main areas were noted for improvement: (1) the need for ongoing training of CPS workers, particularly at the stage of initial intake of the allegations of maltreatment, and cross-training of police and hospital staff who regularly work with CPS, and (2) implementation of an improved risk assessment tool. These recommendations are discussed in detail.     

Trade and jobs in Europe: The role of mode 5 service exports

Over the past two decades, EU employment supported by extra‐EU exports of goods and services has increased markedly, with a shift towards jobs supported by services exported as part of manufactured goods. The authors seek further insight into this trend through the full decomposition of trade flows using a multi‐regional input–output model and the World Input–Output Database for 40 countries and 35 industries over the period 1995–2011. Their findings call for reflection by policy‐makers regarding the four traditional modes of service supply under the General Agreement on Trade in Services with a view to adequately capturing this new reality in global trade.