Emergency department social work in the UK and Sweden: evaluation by older frequent emergency department attenders Kuratorsarbete på akutmottagning i förenade kungadömet Storbritannien och Sverige: en utvärdering utifrån brukarperspektivet hos äldre mångbesökare på akutmottagningen

Social work based in hospital emergency departments (EDs) in Sweden and the UK reflects a wider European social/health care policy trend. A key focus is on diverting older frequent ED attenders from ‘inappropriate’ hospital re-attendance or emergency admission, because of social care problems. However, previously there has been no evaluation of the significance of ED social work for health and well-being, from the standpoint of older frequent ED attenders themselves. In a preliminary way, our paper provides this through drawing on a small scale Swedish/UK study. Its comparative account of service user feedback underscores the importance of ED social work as a facet of European social work. It indicates that ED social work contributes to the quality of care within emergency departments, acts as a key access point to social services, and can promote both short and longer-term health. At the same time, some serious shortcomings emerge. These include under-developed referral systems, and limitations to community based services following ED social work assessment, which reflect the under-resourcing of social care provision in both countries. Moreover, service users’ experience in both Sweden and the UK reveals the risk of ED social work with older frequent ED attenders being used as a substitute for follow-up medical/nursing care when that is also required.     

The use of animal-assisted therapy in psychiatric nursing: the story of Timmy and Buddy

A therapy session gone wrong and a therapy dog in training having a bad day combined to remind those of us who work daily with people who have chronic, severe mental illnesses that our idea of what is successful is not always true. This is the story of how a tiny dog acting in a nontherapeutic way helped a young man learn how to get along better with other human beings, as well as how a nurse who thought she knew better learned a lesson about conflict resolution in human-animal relationships.     

Women and Pensions: Time for a Rethink

This paper presents the results of a research project conducted in Northern Ireland, which focused on women and pensions. The paper suggests that, in the broader rethink of pensions policy in the UK, which is now clearly needed, central consideration should be given to constructing policies which more clearly relate to the needs and circumstances of women.     

Abused Latina Women's Perceptions of Their Postdivorce Adjustment

This qualitative study explores the postdivorce adjustment of battered Latina immigrants. Three focus groups were conducted. Data were analyzed utilizing a grounded theory approach. Five conceptual themes were unearthed including: (a) intimate partner violence (IPV) as the precipitator for divorce; (b) motivations for leaving; (c) the impact of the Latino culture on marriage, separation, and postdivorce; (d) immigration and other legal and social issues; and (e) postdivorce/post-IPV experiences. Implications for practice are drawn.     

The Interrelationship Between Program Development Capacity and Readiness for Change Among Small to Mid-Sized Nonprofits

ABSTRACT

Based on survey data from 396 small to mid-sized nonprofit organizations operating within Southeast lower Michigan, this article examines the relationship between program development capacity and readiness for change and the predictors of these two components of capacity building among small to mid-sized nonprofits. It uses a simultaneous equation approach as the basis for examining the relationship between program development capacity and readiness for change. The findings indicate that program development capacity and readiness for change are mutually enforcing processes and that the levels of program development capacity and readiness for change are predicted by two distinct sets of predictors.     

II. The social and economic adjustment of a group of special class graduates 1

Doctoring Together, a Study of Professional Social Control. Eliot Freidson. (Chicago: The University of Chicago Press, 1980.)

Object Relations and the Developing Ego in Therapy. Althea J. Horner, Ph.D. (New York: Jason Aronson, 1979.)

New Developments in Foster Care and Adoption. Ed. John Triseliotis. (London, Boston: Routledge &; Kegan Paul Ltd., 1980).

Transference Neurosis and Transference Psychosis: Toward Basic Unity. Margaret I. Little. (New York: Jason Aronson, 1981.)     

Who has Housing Affordability Problems? Disparities in Housing Cost Burden by Race, Nativity, and Legal Status in Los Angeles

Housing costs are a substantial component of US household expenditures. Those who allocate a large proportion of their income to housing often have to make difficult financial decisions with significant short-term and long-term implications for adults and children. This study employs cross-sectional data from the first wave of the Los Angeles Family and Neighborhood Survey collected between 2000 and 2002 to examine the most common US standard of housing affordability, the likelihood of spending 30 % or more of income on shelter costs. Multivariate analyses of a low-income sample of US-born Latinos, whites, African Americans, authorized Latino immigrants, and unauthorized Latino immigrants focus on baseline and persistent differences in the likelihood of being cost burdened by race, nativity, and legal status. Nearly half or more of each group of low-income respondents experience housing affordability problems. The results suggest that immigrants’ legal status is the primary source of disparities among those examined, with the multivariate analyses revealing large and persistent disparities for unauthorized Latino immigrants relative to most other groups. Moreover, the higher odds of housing cost burden observed for unauthorized immigrants compared with their authorized immigrant counterparts remains substantial, accounting for traditional indicators of immigrant assimilation. These results are consistent with emerging scholarship regarding the role of legal status in shaping immigrant outcomes in the United States.     

Using social support for LGBTQ clients with mental illness to be out of the closet,in treatment,and in the community

ABSTRACT

Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) individuals are often faced with societal challenges that can lead to mental health or substance abuse issues. They may be misunderstood or mistreated when seeking services because of a lack of training in offering culturally sensitive treatment by service providers. A program, the Rainbow Heights Club, was developed to support LGBTQ individuals with a mental health diagnosis. All of the members are in treatment for their mental health and/or substance abuse problems, but prior to the development of the program did not have a place to feel accepted, supported, or have a sense of community. Members were surveyed determine if Rainbow Heights was helpful in maintaining themselves in the community. Results indicated that 75% of members are more consistent in following prescribed treatments, keeping them free from inpatient hospitalization, and 79% reported being clean and sober since coming to the Club.