Unmet demand for short-acting hormonal and long-acting reversible contraception among community college students in Texas

Objective: To identify preferences for and use of short-acting hormonal (e.g., oral contraceptives, injectable contraception) or long-acting reversible contraception (LARC) among community college students in Texas. Participants: Female community college students, ages 18 to 24, at risk of pregnancy, sampled in Fall 2014 or Spring 2015 (N = 966). Methods: We assessed characteristics associated with preference for and use of short-acting hormonal or LARC methods (i.e., more-effective contraception). Results: 47% preferred short-acting hormonal methods and 21% preferred LARC, compared to 21% and 9%, respectively, who used these methods. A total of 63% of condom and withdrawal users and 78% of nonusers preferred a more effective method. Many noted cost and insurance barriers as reasons for not using their preferred more-effective method. Conclusions: Many young women in this sample who relied on less-effective methods preferred to use more-effective contraception. Reducing barriers could lead to higher uptake in this population at high risk of unintended pregnancy.     

What I do I understand: Teaching community work in the Australian Capital Territory

Abstract

Social work students need to develop both theoretical and practical foundations of knowledge. In a period where community practice is becoming more marginalised the Australian Catholic University subject Social Work Practice with Communities is a core component in the two year professional degree program. It combines an experience based learning approach with traditional teaching methods. Through community projects students learn real-life problem solving and gain confidence in their abilities as community workers. The paper focuses on the relationship between gaining knowledge of conceptual frameworks for community work practice and learning skills. It reviews educational considerations in teaching a subject where conceptual, practical and theoretical components are equally important for competent practice. It demonstrates how the School promotes community work.     

Exploring community stress and empowerment among stakeholders and youth in an urban community

ABSTRACT

Community-level stress, such as pervasive substance abuse and violence, can yield negative health and mental heath outcomes for youth from disadvantaged communities. Community empowerment is a process whereby community members work together to increase control in their community. This qualitative inquiry analyzed in-depth interviews with adult stakeholders (n = 17) as well as focus group interviews with token youth (n = 85) to explore perceptions of community stress and empowerment in one disadvantaged locale. Each of the 102 total participants helped interrogate the research questions: What does it mean to live in a stressed community? How might youth and adults perceive themselves capable of impacting a stressed community’s quality of life? Emergent themes, which include a nod to the utility of coalition building, are explored. Implications for policy, practice, and future research are also discussed.     

Active transportation to support diabetes prevention: Expanding school health promotion programming in an Indigenous community

BackgroundSchool-based physical activity (PA) interventions, including school active transportation (AT), provide opportunities to increase daily PA levels, improves fitness, and reduces risk of diseases, such as type 2 diabetes. Based on a community-identified need, the Kahnawake Schools Diabetes Prevention Project, within an Indigenous community, undertook school travel planning to contribute to PA programming for two elementary schools.MethodsUsing community-based participatory research, the Active & Safe Routes to School’s School Travel Planning (STP) process was undertaken in two schools with an STP-Committee comprised of community stakeholders and researchers. STP activities were adapted for local context including: school profile form, family survey, in-class travel survey, pedestrian-traffic observations, walkability checklist, and student mapping.ResultsSTP data were jointly collected, analyzed and interpreted by researchers and community. Traffic-pedestrian observations, walkability and parent surveys identified key pedestrian-traffic locations, helped develop safe/direct routes, and traffic calming strategies. In-class travel and mapping surveys identified a need and student desire to increase school AT. The STP-Committee translated findings into STP-action plans for two schools, which were implemented in 2014–2015 school year.ConclusionsCombining CBPR with STP merges community and researcher expertise. This project offered evidence-informed practice for active living promotions. Experience and findings could benefit Indigenous and non-Indigenous communities.     

Psychodynamics and empowerment in community mental health

Abstract

This paper examines the relationship between empowerment philosophy and psychodynamic principles and practices, as it applies to community mental health work. It suggests that as empowerment philosophy is more a system of values than a model of mental health and illness, it cannot in itself act as a framework for understanding and working with disturbed people. I suggest ways of disentangling the often fraught relationship between the two frameworks by identifying the contribution I see each as able to make to the task of providing services which sustain people in the community, and attempt to articulate the elements of a practice model consistent with both sets of principles.     

The dynamics of multicultural values of Banuroja community in building social integration a socio-cultural ethnographic study in Gorontalo

ABSTRACT

This research is prompted by the researchers’ concern with the problems of this nation that seem to have no end, as can be seen in the various social conflicts related to ethnicity, religion, and race, due to intolerance to the diversity of society. Therefore, it is important to build social integration in this multicultural society through the preservation of cultural values, as has been practiced by the community of Banuroja. This research aims to describe the dynamics of the multicultural values of Banuroja people in building social integration in their community. The research approach is qualitative by using ethnographic study method. The results illustrate that the dynamics of the multicultural values of Banuroja community can build social integration in society in terms of: 1) Emphasizing the identity of cultural diversity; 2) Accepting and understanding the cultural diversity; and 3) Applying the principles in a multicultural social life, e.g., sensitivity and equality.     

Mental Health Workers Negotiating Risk on the Frontline

Abstract

Following deinstitutionalisation and the shift to models of community care, mental health practice has become increasingly focused on managing the risks posed by service users. However, the effects of risk management on workers’ professional identities have not been investigated empirically in Australia. Drawing on in-depth interviews with mental health workers from Victoria, Australia, this paper explores the diverse ways in which these workers adapted the formal technologies of risk management (e.g., the completion of risk assessment screens) to their professional identities. Some workers experienced risk management technologies as constraining their interventions with clients, while others saw these technologies as providing opportunities to strengthen and enhance their professional skills. Pondering these differences, the author speculates on the emergence of a new form of professional identity in the broader context of contemporary community mental health care.     

Teaching Successful Community Practice in Social Work

ABSTRACT

This article identifies and addresses a severe problem in the management of community practice projects of students in their second and third year in the Undergraduate Social Work program at the University of Haifa School of Social Work; namely, the current binary evaluation method based on total success or failure of the project.

Using a systems approach, this study creates a framework by which to ensure effective and positive outcomes for community practice projects carried out by undergraduate social work students (Freund, Arkin & Saltman, 1999). This framework is unique in that it draws on knowledge gained from organizational and community theories, as well as instructional theories for teaching social work practice.

The proposed framework includes three components that describe the factors necessary to help transform the student's learning experience: the organization's characteristics, the student's resources, and the evaluative measures.

This inter-conceptual approach enhances the ability of the instructor, the student, and the organization to build an appropriate organizational foundation for students operating communal programs. The underlying assumption is that an integrative approach promotes a better understanding of the components essential for building and evaluating social plans conducted by social work students.     

WEB SITES

Abstract

It would be useful to better understand the personal determinants of successful interventions in the community, especially those interventions already recognized for their efficacy and efficiency, such as elder home care telesurveillance. This is a modality of health care services that transmits, via a call center on a 24/7 basis, the clinical information necessary to follow elders outside medical centers. Community health workers refer elders to this service. A qualitative research design was realized to understand why so much difference in the implementation of this service had arisen in two comparable sites previously judged receptive. The research objectives were as follows: (1) to document the personal determinants associated with telesurveillance adoption by community health workers, in two sites previously judged receptive; and (2) to point out the personal determinants that can explain successful adoption of telesurveillance. According to the Theory of Interpersonal Behavior, the results showed that habits (e.g., community health workers' knowledge of new information technologies) and perceived barriers in clinical practice were fundamental determinants in the adoption of telesurveillance.     

The Revitalization of Community Practice: Characteristics,Competencies, and Curricula for Community-Based Services

Abstract

A recent move toward community-based services on the part of direct service agencies presents a major opportunity for the revitalization of community practice. Driven by funding from major philanthropic foundations and also by recent changes in federal entitlement legislation, these efforts at system reform are designed to make services for vulnerable populations more effective, accessible, integrated, and comprehensive in the context of the local community. Although this service reorganization requires the type of methods typically found in community practice, direct service workers employed in these agencies usually have not been trained in community work. To begin to address this concern, this article uses a computerized word search to review the community practice and community organization literature. A working definition of “community-based” practice is developed. The extensive literature review yields six characteristics of community-based service delivery: (1) neighborhood-based and family-focused; (2) strengths- and empowerment-oriented; (3) cultural sensitivity and multi-cultural competency; (4) comprehensive services; (5) access to integrated services and supports; and (6) teamwork and leadership skills. The article reviews what scholars have recommended in each of these areas as a way of understanding the characteristics of community-based service delivery and the skills needed by direct practitioners working in community-based programs. The article summarizes innovative curricula and specific courses which demonstrate ways of teaching community skills to direct practice workers. Future work for community practice scholars and educators is recommended.     

The sociologist and the community developer: Autonomy and role conflict in qualitative research

Sociologists are being called upon to evaluate community development efforts in the United States at an increasing rate. These sociologists, as independent researchers, are working side by side with professional community development consultants. Based on an ongoing community development research project, which rests largely upon qualitative techniques, the roles of consultant and researcher are delineated. Methodological advantages and disadvantages of separating these roles are discussed. It is hypothesized that the presence of an independent research agent will likely produce four response phases on the part of the professional consultant during the course of the research project: (1) approval and support, (2) professional challenge, (3) apprehension, and (4) guarded acceptance. Suggestions are made regarding qualitative techniques that can minimize negative responses on the part of practitioners.     

A Two-Level Community Intervention Model for Homeless Mothers with Mental Health or Substance Abuse Disorders

ABSTRACT

This paper describes a two-tiered community intervention model in response to a call from the Center for Mental Health Services for the development of best-practice strategies for homeless mothers with mental health and/or substance use disorders and their children. This model incorporates best practice principles gained from previous research projects pitched at the system and client levels. The model has been conceptualized, presented, and funded by CMHS and is currently being implemented in a local community. This model is unique in that it develops an intervention that addresses both levels of service delivery (i.e., system and client) in a single project. Blending systems integration/wraparound service philosophy and consumer-driven/strength-based development approaches provides a model that encompasses interventions at the individual client level via supported case management, and improved coordination and collaboration at the service system level. While this model was developed for a specific community population, the approach is general inits applicability to other areas of practice.     

Community Residents as Lay Health Educators in a Neighborhood Cancer Prevention Program

Abstract

This paper describes a lay health educator model used to provide cancer education in an urban community. Using existing community-university partnerships, the project team identified and trained community residents as health educators. This paper then discusses implications of this model for promoting community-based health prevention and practice.     

Dinner together: Using experiential learning to build human connections in a social service setting

ABSTRACT

Innovative pedagogical approaches are needed to teach community practice in this time of rapid community change and political polarization. Bridging the Gap Together is an ongoing experiential learning project with undergraduate social work students and a qualitative study designed to enhance “poverty awareness” and increase social connection among members of a rural, poor community. Students express an increased and deepened understanding of poverty post-experience. Their reflections also capture an awareness of the importance of human connection and the potential of compassionate professionalism to foster its development.     

Development of Capital in Poor,Inner-City Neighborhoods

Abstract

Social work practice in poor, inner-city neighborhoods can be enhanced through assessment of individual and community needs that takes into account various forms of capital, i.e., financial, human, social, cultural, environmental, and political. This article defines and illustrates these forms of capital by reference to social science studies of the social problems in inner-city neighborhoods. Examples are provided of community interventions that focus on capital development and community building for residents in areas of extreme poverty.     

Organizing Cyberspace: Strategies for Teaching About Community Practice and Technology

Summary

The coming millennium will bring new challenges and opportunities to those who struggle for the survival of communities. The incorporation of information technology is important to the conduct and teaching of community practice. This paper discusses how technology is changing community practice and considers the implications for social work education. The paper has three parts. First, it will consider the role of information technology in changing the context for community practice. Second, it will examine the incorporation of information technology into current and emergent community practice interventions. Finally, the paper will explore ways that these issues can be taught within the community practice curriculum.     

World revolution or socialism,community by community,in the Anthropocene?

ABSTRACT

The idea of a Fifth International has been around for some time and the historical record is not encouraging. We have all been wrestling with the contradictions the Left faces. The transnational capitalist class has taken setbacks in its stride, while the Left flounders almost everywhere. No communist revolution has resulted in the capture of power by the working class. Now we are all confronted by a new, rapidly unfolding ecological crisis, the Anthropocene. I argue that the most effective response is to exit rather than attempt to overthrow capitalism and the hierarchical state by international revolution. Socialists in positions of authority in state institutions and capitalist enterprises can facilitate this process by enacting legislation that helps people to transition to new smaller-scale non-statist social units, such as producer-consumer co-operatives producing their own food and other essential services over time. Mobilizing the ideas of degrowth, anarching, and consumer-producer cooperatives in the digital age, I argue that under Anthropocene conditions democratic socialism is best constructed from the bottom up, community by community, networked in mutually nurturing relationships.     

Teaching Community Organizing

Abstract

In this article, our experiences as professor and students will form the basis of reflection on the use of innovative teaching methods in a community organizing course. Based on student evaluations and participant observation, we discuss the role of creativity in enhancing the learning experience in a case example of this one course. Findings indicate that reliance on innovative teaching methods provides students with the opportunity to exercise their creativity. In turn, this creativity has a potentially positive impact on community practice.     

Reflections on diaspora and soft power: community building among female US expats in Southern Europe

ABSTRACT

Illuminated by life stories of American women in Italy and Greece, our work examines a complex relationship between expatriate collectivity and soft power agency. The data were collected from in-depth interviews with 60 US nationals who live in Italy and Greece. Our findings show that these women shape as a strong diasporic collectivity through activities of ecological civic engagement, which, however, do not result in a successful exercise of soft power. The isolationist nature of their collectivity causes a number of diasporic mistakes and turns their chosen community project into a weak resource for soft power, a translation of which remains highly problematic. The basic mistakes that such expats make while exercising soft power are misunderstanding of the notions of community and its main building tool (civic engagement) as well as overall inability to learn the new culture quickly.     

Conducting a Hispanic Health Needs Assessment in rural Kansas: Building the foundation for community action

Healthy People 2020 states ethnic health disparities are a priority for the US. Although considerable national statistics document ethnic-related health disparities, information specific to rural areas is scarce and does not provide direction for implementing chronic disease prevention programming. Therefore, the purpose of our project was to use the Hispanic Health Needs Assessment (HHNA), a tool designed by the National Alliance for Hispanic Health (NAHH), in culturally diverse, rural Southwest Kansas. Our focus areas included: access to healthcare, heart disease, diabetes, overweight, nutrition, and physical activity.MethodsThe assessment followed six steps: (1) developing the assessment team, (2) data gathering using community member surveys, existing statistics and community leader interviews, (3) assembling the findings, (4) formulating recommendations for action at individual, institutional, community and policy levels, (5) sharing findings and program planning, and (6) sharing findings with NAHH. We identified several challenges collecting health related data in rural communities, but overall, the HHNA was a comprehensive and useful tool for guiding a community level health assessment.ConclusionThis process has provided our community partners with locally relevant statistics regarding the current status of health, health behaviors, and perceived community needs to inform resource allocation, program planning and applications for new funding initiatives.