Educating Social Workers for Practice in Integrated Health Care: A Model Implemented in a Graduate Social Work Program

ABSTRACT

This article introduces a curricular innovation, the Integrated Health Scholars Program (IHSP), developed to prepare master's-level social work students for practice in integrated health care settings, and presents preliminary findings related to students’ self-reported program competencies and perceptions. IHSP, implemented in a research-intensive school of social work in a large midwestern public university, includes specialized course work, interprofessional education across health science disciplines, and field practicum in integrated health care settings. Curricular components support stepwise learning and follows the British Columbia model of interprofessional education learning tiers: exposure, immersion, and skill mastery. Despite IHSPs successful development in a well-resourced, supportive environment, challenges facing our profession's ability to develop and sustain training of MSW students in integrated health care are discussed.     

The Effect of Forest Management Strategy on Carbon Storage and Revenue in Western Washington: A Probabilistic Simulation of Tradeoffs

The objectives of this study are to understand tradeoffs between forest carbon and timber values, and evaluate the impact of uncertainty in improved forest management (IFM) carbon offset projects to improve forest management decisions. The study uses probabilistic simulation of uncertainty in financial risk for three management scenarios (clearcutting in 45‐ and 65‐year rotations and no harvest) under three carbon price schemes (historic voluntary market prices, cap and trade, and carbon prices set to equal net present value (NPV) from timber‐oriented management). Uncertainty is modeled for value and amount of carbon credits and wood products, the accuracy of forest growth model forecasts, and four other variables relevant to American Carbon Registry methodology. Calculations use forest inventory data from a 1,740 ha forest in western Washington State, using the Forest Vegetation Simulator (FVS) growth model. Sensitivity analysis shows that FVS model uncertainty contributes more than 70% to overall NPV variance, followed in importance by variability in inventory sample (3–14%), and short‐term prices for timber products (8%), while variability in carbon credit price has little influence (1.1%). At regional average land‐holding costs, a no‐harvest management scenario would become revenue‐positive at a carbon credit break‐point price of $14.17/Mg carbon dioxide equivalent (CO₂e). IFM carbon projects are associated with a greater chance of both large payouts and large losses to landowners. These results inform policymakers and forest owners of the carbon credit price necessary for IFM approaches to equal or better the business‐as‐usual strategy, while highlighting the magnitude of financial risk and reward through probabilistic simulation.     

Conceptualising Generational Dynamics in Feminist Movements: Political Generations,Waves and Affective Economies

This article reviews efforts to account for dynamics of continuity, change and complexity in contemporary feminism, with a particular emphasis on the utility of the ‘generational paradigm’ of the wave metaphor. We draw on assessments of the wave classification from feminist historians, political theorists and social movement scholars to make a case for the concept of political generation as way to explore patterns of generational‐based contest and collaboration across the women's movement. While political generation allows for an assessment of the role of context in shaping the activist identities of feminists from different generations, it lacks the explanatory power to explain the continuing purchase of the wave metaphor and its function for feminist claims making. Here, we turn to work on the centrality of loss within the affective economies of feminism to explain the functions of the wave metaphor for different elements within women's movements. This analysis is grounded in a brief empirical case of the Irish women's movement characterised as highly fragmented and marked by generational dynamics.     

Reflections Regarding Future Cannabis Use Among High‐Frequency Users in a Canadian University Student Population

Cannabis is the most widely used illicit drug worldwide, and the most commonly used illicit drug in Canada, among postsecondary student populations. This cross‐sectional study qualitatively assessed 112 high‐frequency, cannabis‐using university students in Canada: It examined their subjective expectations regarding what they anticipated their cannabis use would look like in the short‐ and mid‐term future and explored factors they saw potentially contributing to changes in their prospective drug use. Results indicated that participants believe that decisions about future cannabis use will be influenced by several contextual factors, including education and employment responsibilities, intimate relationships, and peer associations. These findings help illuminate the natural evolution of cannabis use and can guide the development of interventions for high‐frequency cannabis users in the future.     

Attitudes of Black,White, and Hispanic Community Residents Toward Seeking Medical Help

With regard to racial/ethnic health disparities, a variable that has not been well explored is the person’s willingness to seek medical aid when symptoms appear. Until recently, there has been no comprehensive scale to measure these predispositions and their significance for public health. This study’s purpose was to determine whether specific attitudinal differences might constitute barriers to medical help-seeking for racial/ethnic subgroups. In a sample of 380 community residents responding to a mailed survey in the Hartford, CT metropolitan area, racial/ethnic differences were examined for four attitudinal aspects of medical help-seeking: action/intention, cynicism/fatalism, confidence in medical professionals, and fear/avoidance. Multivariate analyses controlling for other demographic, health crisis, and health insurance variables indicated that black, white, and Hispanic subgroups differed strongly on the battery of medical help-seeking attitudes. Although all groups were generally favorable to help-seeking, black and Hispanic respondents expressed more favorable, pro-help-seeking attitudes than did white respondents. Their attitudes were highly significant for action/intention and confidence in medical professionals. This study showed no evidence that racial/ethnic health disparities might result from negative predispositions as barriers to medical help-seeking.     

What Risks Are People Concerned About

An unusual questionnaire was used to explore what risks concern laypeople. It asked respondents to list, in their own words, as many risks of personal concern as they could. They then selected the five risks of greatest concern and answered a set of specific questions about each. A coding scheme was developed for categorizing these responses and was shown to have good reliability. The questionnaire was administered to a heterogeneous convenience sample of subjects. They reported a very broad range of risks of concern, which differed in plausible ways as a function of their gender and age. Females and student-age subjects were generally more concerned about the environment, whereas males and older subjects were more likely to mention health and safety risks. Both the extent of the risk-reduction actions that they reported and their expressed willingness to pay for future risk reductions were greater for risk that presented a direct personal threat (e.g., health risks) than for risks that posed a diffuse threat to the environment or to people in general (e.g., pollution). Respondents perceived themselves as bearing primary responsibility for managing threats to their own health, but generally saw government as bearing a heavier responsibility for managing environmental risks (especially for pollutants) and war. The questionnaire instrument and coding structure developed for this work are well-suited to a variety of future research applications. They provide a way to identify the risks that concern lay groups, as well as to track the evolution of those concerns over time.     

Nocturnal Omissions: Steps Toward a Sociology of Dreams

The examination of dreams should properly be a legitimate topic of sociological investigation. We argue that there are four basic principles of dream-life that suggest that dreams are external to the individual mind and are collective enterprises: 1) dreams are not willed by the individual self; 2) dreams reflect social reality; 3) dreams are public rhetoric; and 4) dreams are collectively interpretable. With the development of sociological approaches that examine topics previously defined as psychological, such as the sociology of emotion and cognition, the seemingly idiosyncratic components of these nocturnal productions should not exclude them from social analysis.     

Strategy,Technology, and Social Processes With in Professional Cultures: A Negotiated Order,Ethnographic Perspective

As an element of formal organizational structure, strategy has arisen as an icon of an increasingly organization-based society, while the application of technology to perform organizational functions has become an accepted aspect of contemporary life. Combined, strategy and technology suggest organizational orderliness, rationality, and efficiency. A variety of literatures has recognized the symbolic role of strategy and technology, as well as professional endeavor, in legitimating organizational functioning and change, wherein the vested political interests of an organization's strategic apex may be veiled by a rhetoric of objectivity and professionalism. However, this literature has remained largely theoretical in nature. An ethnographic field study of the Big 6 public accounting firms examined the interpenetration of strategy, technology, and internal social processes. It found, for example, that audit technologies were developed and unilaterally implemented by the strategic apex of the firms to achieve such stated objectives as enhancing auditor “efficiency.” However, the implemented technologies were frequently resisted, transformed, and redirected to serve the ends of the operating core, or practitioner subculture, of the firms. Thus, strategy, technology, and social process are seen as interpenetrated within the active political-social milieu that is public accounting.