Implementing a strengths perspective in child welfare and protection: a challenge not to be taken lightly

Although it can be observed that the popularity of a strengths perspective in social work is increasing, social work researchers have articulated the necessity to gain empirical knowledge about actual social work practice that claims a strengths perspective. We explore the findings of recent research into a strengths-oriented pilot project in the field of child welfare and protection in Flanders (the Flemish speaking part of Belgium), in which we examined whether the strengths-oriented discourse in social work actually took place in the relationship between social workers and families in practice. The research reveals an ambiguous picture of the ways in which the strengths perspective can be implemented in practice, because social workers walk a tightrope between responsibilizing and governing families. We argue that the implementation process needs a conceptual and theoretical foundation that goes beyond mere eclecticism. We also argue that this demands a broadening of the focus of strengths-oriented social work from a relational to a political level, as this strengths-oriented social work practice remains situated within the broader social, economic, and political context.     

Psychiatry in the age of neuroscience: the impact on clinical practice and lives of patients

Due to the progress being made in the neurosciences, higher expectations for the use of medication, even against the patient’s will, are arising in mental hospitals. In this article, we will discuss whether the neurosciences and new psychopharmacological solutions really support patients who suffer from mental illnesses. To answer this question, we will focus on the perspective of patients and their experiences with psychiatric (coercive) treatments. The analysis of one person’s story shows that other issues besides appropriate medication are important for recovery from a mental illness. In daily life, issues such as coping, rehabilitation and social support are of major importance for a patient suffering from psychiatric disease. Thus, although progress in the neurosciences is a positive development for clinical practice, it does not mean that (coercive) medication alone will carry a patient into recovery. A patient’s recovery is dependent, not only upon the process of finding the appropriate medication and trust between the psychiatrist and the patient, but also upon relational aspects, such as being recognised as a person, belonging, accepting responsibilities, developing friendships and trusting others. These findings lead to the conclusion that dealing with psychiatric diseases is more complex than what the biomedical model of neuroscience suggests and that one should include the social context of the patient in the recovery process.     

Pre‐ and Post‐Migration Determinants of Socio‐Cultural Integration of African Immigrants in Italy and Spain

Using a unique dataset (N=2,014), we examine the pre‐ and post‐migration determinants of socio‐cultural integration among first‐generation immigrant groups in southern Europe: Moroccan and Senegalese migrants in Spain, and Egyptian and Ghanaian migrants in Italy. The results of the pooled and immigrant‐group specific regression analyses partly highlight the dominance of pre‐migration factors. Immigrants who were well‐educated and well‐informed prior to migrating and who migrate at a young age, achieve higher levels of socio‐cultural integration. Going against some hypotheses found in the literature, female gender and North African origin have a positive effect on socio‐cultural integration as opposed to male gender and sub‐Saharan origin. With regard to post‐migration factors, occupational status is the main economic determinant of socio‐cultural integration. Interestingly, being employed as such has no significant effect on socio‐cultural integration. This suggests that labour market segmentation and discrimination negatively impact upon socio‐cultural integration. The results also suggest that policies allowing immigrants to benefit from the human capital they carry across borders and achieve upward socio‐economic mobility are likely to enhance their socio‐cultural integration.     

Process evaluation of a diversity training program: the value of a mixed method strategy

Patients’ health and health needs are influenced by categories of difference like sex, gender, ethnic origin and socioeconomic status (SES). To enhance awareness of this diversity among patients and to provide holistic care for them, health professionals should first be aware of the relation between dimensions of diversity and patients’ health and health demands. This paper presents a formative process evaluation of a diversity sensitivity training programme for healthcare professionals. The training was implemented in three healthcare settings (mental healthcare, nursing home and hospital care). Mixed methods were used to monitor the implementation of the training and its effects after three years. Findings demonstrate that the training stimulated participants’ awareness, knowledge and critical attitudes towards diversity. Their motivation and willingness to take action regarding diversity was also enhanced. Yet these developments were less apparent among nursing home participants who felt less satisfied and did not develop a critical perspective on this issue. Qualitative data were helpful to explain differences between the settings. By means of the combination of quantitative and qualitative data, we can conclude that individual learning was not enough to guarantee a sensitive approach to diversity at the organizational level.     

The power of difference in inclusive research

Inclusive research involves people with intellectual disabilities actively and strives for empowerment and normalisation. Less is written about the power dynamics in a research team consisting of researchers and people with intellectual disabilities and the possible value of such collaboration. In this auto-ethnography we reflect on these aspects and the challenges along the way. We conclude that striving for normalisation can be paralysing; ‘doing the same’ is not always possible and can be disempowering for all members of the research team. Acknowledging differences and uniqueness enriches research outcomes and makes us reflect on our own, sometimes rigid, academic frameworks.     

Pioneering partnerships: Resident involvement from multiple perspectives

Resident involvement in residential care homes is a challenge due to shortcomings of consumerist and formal approaches such as resident councils. The PARTNER approach aims to involve residents through collective action to improve their community life and wellbeing. The purpose of this article is to provide insights into the process of resident involvement by the PARTNER approach from the perspectives of multiple stakeholders, including residents, volunteers and staff members. A responsive evaluation was conducted, using participant observations, semi-structured interviews with residents, volunteers and professionals (n = 16), and three focus groups. The findings show that critical elements in this process of resident involvement were the agenda-setting by residents, the formation of a cohesive resident group, the sharing of experiences and stories, the development of collective action, and the development of partnerships between residents and professionals and other stakeholder groups. Residents developed actions (gallery parties and a buddy project) to strengthen social interactions and realized these with the help of volunteers and professionals. We conclude that bringing residents together around a shared topic creates room for activism and leads to empowerment, feelings of social belonging and learning processes. We argue that it is a worthwhile enterprise to further develop structural partnership relations between residents, volunteers and staff in residential care homes.     

Social work research as a practice of transparency

Social work research is inherently normative and as such the assumptions about social problems in social work research should be open to scrutiny and contestation. But although researchers often face tussles and huge contradictions, they rarely articulate them. In this article, we report on a small research project in which a collective of social work researchers in Flanders (the Dutch speaking part of Belgium) tried to think critically through some of the questions and complexities they were confronted with in social work research, more specifically in research on poverty. Our research aim implied that we tried to discuss the choices that were made during a diversity of research projects, including making explicit the grounds on which this happened. We learned that the choices made, although they seem to be very obvious ones, often remained implicit during the different research processes. We conclude that social work research requires that researchers attempt to realize a practice of transparency. The pursuit of such a practice of transparency refers to the importance of the creation of reflexive space in research communities to collectively embrace and discuss the complexities of social work research.     

Homogenizing Responses to Different Survey Questions on the Same Topic: Proposal of a Scale Homogenization Method Using a Reference Distribution

Survey data are often used for comparison purposes, such as comparisons across nations or comparisons over time. To be effective, this would require equivalent questions and equivalent responses options to the questions. Yet there is a lot of variation in the response scales used, which, for example, differ in the number of response options used and the labeling of these options. This is the case in happiness research, and as a result most of the research data in this field is incomparable. Several methods have been proposed to transform ratings on verbal response scales to a common numerical scale, typically ranging from 0 to 10. In this paper we give an overview of the progress made in those Scale Homogenization methods over time. We describe two early methods: Linear Stretch and the Semantic Judgement of Fixed Word Value Method. Next we discuss the Semantic Judgement of Word Value in Context Method in more detail. Based on these discussions we propose a new Reference Distribution Method. We apply the Semantic Judgement of Word Value in Context and the Reference Distribution Methods to data on happiness in The Netherlands for the years 1989–2009. We show that the Reference Distribution Method produces comparable time series on different questions and that it allows discontinuities in data to be corrected.     

Relational responsibilities in responsive evaluation

This article explores how we can enhance our understanding of the moral responsibilities in daily, plural practices of responsive evaluation. It introduces an interpretive framework for understanding the moral aspects of evaluation practice. The framework supports responsive evaluators to better understand and handle their moral responsibilities. A case is introduced to illustrate our argument.Responsive evaluation contributes to the design and implementation of policy by working with stakeholders and coordinating the evaluation process as a relationally responsible practice. Responsive evaluation entails a democratic process in which the evaluator fosters and enters a partnership with stakeholders. The responsibilities of an evaluator generally involve issues such as ‘confidentiality’, ‘accountability’ and ‘privacy’. The responsive evaluator has specific responsibilities, for example to include stakeholders and vulnerable groups and to foster an ongoing dialogue. In addition, responsive evaluation involves a relational responsibility, which becomes present in daily situations in which stakeholders express expectations and voice demands. In our everyday work as evaluators, it is difficult to respond to all these demands at the same time. In addition, this article demonstrates that novice evaluators experience challenges concerning over- and underidenfitication with stakeholders. Guidelines and quality criteria on how to act are helpful, but need interpretation and application to the unique situation at hand.     

Maintaining mastery despite age related losses. The resilience narratives of two older women in need of long-term community care

The aim of this article is to examine how older people mobilise sources of strength, often denoted under the concept of resilience, to maintain mastery over their lives in the context of significant threats to their function. Departing from a relational approach to resilience, we focus on how they cooperate and interact with significant others to achieve their personal goals. This is illustrated by the narratives of two older women. The concept of resilience helps us to reflect on their stories and to gain an in-depth understanding of the mediating sources of strength older people rely on when encountering the losses associated with old age. The narratives of the women show that what on the surface appears to be a similar burden to a life or function, turned out to be interpreted and responded to in a different way. Maintaining mastery in old age is a symbolic and interactional process, and a shared responsibility for older persons and their social environment. Important mediating sources of strength that turn out to influence positively one's sense of mastery include a positive perception of one's situation, openness about one's vulnerability and responsiveness to help. In order to promote older people's sense of mastery, significant others need to approach them in a positive way, by being aware of the way support is offered, by believing in their potential and strength and by allowing reciprocity in the relationship. When these conditions are fulfilled, it becomes possible to enter into a constructive dialogue and recommendations can be developed – in terms of treatment – that are consistent with the older persons' values and expectations.