Training,Geography, and Provision of Aging Services to Lesbian,Gay, Bisexual,and Transgender Older Adults

This research study surveyed leaders of Area Agencies on Aging (agencies) to understand their services, training, and beliefs about serving lesbian, gay, bisexual, and transgender (LGBT) older adults. Half of the existing agencies in the United States (320) participated. Few agencies provided LGBT services or outreach. One-third had trained staff around LGBT aging and four-fifths were willing to offer training; these numbers were significantly higher for urban-based agencies. Agencies that had provided staff training and urban-based agencies were more likely to provide LGBT outreach and services, to believe in addressing LGBT issues, and to receive LGBT assistance requests. Training, policy, organizing, and research implications are considered.     

Awareness of LGBT Aging Issues Among Aging Services Network Providers

Very little research exists examining the interactions between community-based aging service providers and lesbian, gay, bisexual, and transgender (LGBT) older adults. It is unclear whether mainstream aging services acknowledge the needs of this community. We asked direct care providers and administrators in the Michigan aging services network to describe their work with LGBT older adults. We found there are very few services specific to the needs of older LGBT adults and very little outreach to this community. At the agency level, resistance to providing services was found.     

Awareness of LGBT aging issues among aging services network providers

Very little research exists examining the interactions between community-based aging service providers and lesbian, gay, bisexual, and transgender (LGBT) older adults. It is unclear whether mainstream aging services acknowledge the needs of this community. We asked direct care providers and administrators in the Michigan aging services network to describe their work with LGBT older adults. We found there are very few services specific to the needs of older LGBT adults and very little outreach to this community. At the agency level, resistance to providing services was found.     

Working With LGBT Baby Boomers and Older Adults: Factors That Signal a Welcoming Service Environment

Many providers recognize the importance of creating culturally competent services for lesbian, gay, bisexual, and transgender (LGBT) older adults. Although multiple resources list steps to make professional practices more LGBT-welcoming, these resources provide no empirical data to support their recommendations. LGBT older adults (N = 327) were asked to describe what signals that a provider is LGBT-welcoming. Six of the top 10 signals related to provider behavior and suggest the importance of staff training; the balance included display of signage and rainbow flags, use of inclusive language on forms and the presence of LGBT-identified staff. Results provide evidence-based recommendations for working with LGBT older adults.     

Education and employment opportunities among staff in Aboriginal family service agencies

The purpose of the study was to describe ways that successful culture‐based Aboriginal preventive family service agencies offer employment and education opportunities for staff. Staff in three inner‐city, culture‐based Aboriginal family agencies were asked about their employment and educational opportunities. Forty‐four individuals were asked the question: ‘what employment and education opportunities have you had while in this job?’ A total of 81 unique responses were received. Participants grouped the responses into eight themes including: planning for services, promotion within the agency, specific skill development, enhanced self‐confidence, cultural awareness, teaching others, workshops as well as certified training. Differences between the experiences of study participants and the existing literature indicate that practices within culture‐based Aboriginal family agencies are distinct in relation to funding, staff mobility, strengths‐base, practical training and cultural knowledge, and that these should be understood and recognized formally in funding decisions and in future research.     

Creating Supportive Environments for LGBT Older Adults: An Efficacy Evaluation of Staff Training in a Senior Living Facility

ABSTRACT

Supportive housing later in life tends to be a key concern for lesbian, gay, bisexual, and transgender (LGBT) elders. Most senior care providers are un(der)prepared to meet the needs of older LGBT adults. This study evaluated the efficacy of a 4 hours, face-to-face, research-based, LGBT-diversity training designed to improve senior housing facility staff’s cultural competency regarding the needs of LGBT elders. Findings from this study found a significant increase in LGBT content knowledge between pre- and post-intervention assessments and a significant decrease in perceived preparedness when working with LGBT elders. These effects remained significant after controlling for staff designation, religion, educational attainment, and training session. Findings suggest that staff’s cultural competence affected their perceived readiness to address LGBT elders’ needs. Implications are related to the concept of cultural humility or the lifelong process of understanding others’ experiences based on the recognition of lack of un(der)preparedness to create a culturally supportive residential environment.     

The impact of declining resources and purchase of service contracting on private, nonprofit agencies

The increasingly precarious and vulnerable position of the private, nonprofit social service agency in an environment of government contracting and declining funding has been the subject of a number of articles over the past few years. Nonprofit agencies have been characterized as being controlled by powerful government agencies that dictate the terms and conditions of contracts, the types of services to be provided, the methods of delivery, and the price to be paid for services. One would expect to find nonprofits anxious to terminate their relationships with various units of government, and return to a more independent status. That is not happening. If anything, purchase of service contracting (POSC) with nonprofit agencies is increasing. This national study of nonprofit agencies explores the impact of declining funding from all sources (including POSC), and seeks to determine its impact on clients, staff, and organization.     

Social Service Outreach Programs Using Elderly Korean Immigrants' Church Ties

ABSTRACT

This study examined how Protestant Korean-American churches and their pastors can serve as ties between Korean seniors and agencies that offer social services. Working in partnership with the North Central Texas Area Agency on Aging (NCTAAA) and 2-1-1 services at United Way, the researcher asked 53 Korean pastors in two counties in North Central Texas to participate in the study. Each was asked about his willingness to host an outreach program. Thirty telephone surveys and 11 face-to-face interviews inquired about current services and pastor willingness to serve as gatekeepers for seniors. Translation and transportation were the top social service needs. All pastors in the study agreed that their churches should be a vehicle to provide social service information to seniors. Indeed, five churches accommodated program outreach offered by the NCTAAA and 2-1-1 services. The host churches tended to have highly structured, regularly scheduled programs (e.g., ethnic senior schools) already in place. A total of 405 Korean seniors participated in the outreach events, and 28 seniors were assisted in benefit counseling by telephone. Altogether, the results suggest that social service agencies can use the church ties of Korean seniors for program outreach.     

Older LGBT Adult Training Panels: An Opportunity to Educate About Issues Faced by the Older LGBT Community

Older lesbian, gay, bisexual, and transgender (LGBT) adults face unique issues that can impede their well-being. Although many advances have helped address these issues, there is a need for education efforts that raise awareness of service providers about these issues. This study explores evaluation data of training panels provided by older LGBT adults and the views of training participants on issues faced by the older LGBT community after attending the panels. Participants were 605 students and professionals from over 34 education and communication settings. Implications for trainings on participants and older LGBT trainers are discussed.     

The Impact of In-service Training within Social Services

Summary In-service training within social service agencies is recognizedas a key means through which staff are provided with the necessaryknowledge and skills to improve overall agency performance andachieve the objectives of social policy. Furthermore, reportsof training expenditure within social services departments inthe UK suggest increasing amounts of monies are invested insuch activity in order to meet the changing demands placed onsocial care and greater expectations for higher standards inservice delivery. Yet to what extent is the faith placed inmuch of this training by social service agencies actually justified?In short, how much do we know about the actual impact of in-servicetraining within social service organizations in terms of itachieving the aims set by policy makers? This article attemptsto answer this question in order to assist in the developmentof a far more empirically based framework for understandingtraining processes within social service agencies. A reviewof the literature for studies published between 1974 and 1997detailing an evaluation of in-service training programmes withinsocial service agencies identified only 20 such studies. Problemsassociated with both the evaluative criteria utilized and theresearch methodologies employed in these studies meant thatin many instances conclusions regarding the actual impact oftraining could only be tentatively judged. As a result, an analysisof these studies found that although training may have an impacton trainees in terms of satisfaction or knowledge gain, resultsregarding impact on behaviour are far more inconclusive. Inaddition it is not at all certain that such training will necessarilyresult in changes in performance back in the workplace. Thefindings from the review suggest far more research is requiredof sufficient rigour to underpin our knowledge in this importantarea.     

Human Services Management in Rural Contexts

The experience of managers of Social and Community Services(SACS) based in rural locations is the topic of this paper.Prompted by Richard Pugh’s article (2003, pp. 67–85),the paper identifies some of the features of managing socialwork services that are specific to rural contexts. Based onpostgraduate research, the paper briefly describes the contextof these services and the methodological approach used to collectin-depth, or thick, data. The issues of role, relationships,isolation, access to resources and training are discussed, asthese were the themes that emerged from the data. The findingsof the study suggest that rural managers’ experiencesdiffer in significant ways from those of their urban-based colleagues.These differences are relevant to understanding the nature ofmanagement in rural contexts, and the education and supportneeded by these managers.     

The complexities of cultural support planning for Indigenous children in and leaving out‐of‐home care: the views of service providers in Victoria,Australia

Indigenous children and young people are over‐represented at all stages of the Australian child protection system. Policy and legislative initiatives exist in the state of Victoria, Australia aiming to support the connection between Indigenous children and young people in state care and their culture and community. This exploratory research involved focus group consultations with seven child and family welfare agencies to investigate the impacts, barriers, benefits and limitations of cultural support planning for Indigenous young people in, and leaving care in, Victoria. Findings indicated that cultural planning was of value when it could be completed. However, various shortcomings of current systems were identified including limited resourcing of Aboriginal Community Controlled Organisations to generate plans and provide direct and secondary consultation services to implement plans, difficulty gathering information for plans and some Indigenous young people expressing disinterest in connecting to their culture and community. Complexities in the relationships between the Indigenous and non‐Indigenous agencies that aimed to support Indigenous young people in care were also acknowledged. Participants identified a number of strategies to improve outcomes, such as facilitating better relationships between agencies, promoting opportunities for ongoing cultural training for staff in mainstream agencies and improving the resourcing of Aboriginal Community Controlled Organisations to deliver planning and to support cultural connections.     

Strengthening Advocacy Coalitions: Lessons for Structure,Engagement, and Effectiveness from an IPV Coalition

Social workers who are active in the area of intimate partner violence (IPV) must understand how to structure their coalitions for maximum effectiveness. The purpose of this study was to examine the communication strategies, organizational structures, and relationships between one IPV coalition and its membership to glean recommendations for the field. The authors purposively sampled ten subjects from one state, including staff from the state IPV advocacy coalition (N = 2) and staff from the state coalition's member agencies (N = 8). After completing phone interviews with the subjects, the authors utilized directed content analysis to derive themes from the data. Study findings point to different perceptions regarding access to the coalition, flow of information to and from the coalition, the shaping of the IPV movement, and coalition structure. These differences occurred between executive versus direct practice staff, and nearby versus distant member agencies. Executives and those in nearby regions were more likely to describe a reciprocal relationship between member agencies and the coalition than were direct practice staff or those working in distant agencies. Future research should address the benefits and drawbacks of coalitions cultivating centralized versus decentralized relationships with member agencies, particularly in terms of impact on member agency social service delivery.     

Social Work Practice With LGBT Seniors

The Los Angeles Gay & Lesbian Center began providing services to LGBT seniors in 2008. Since then, the Center’s seniors program has grown to over 3,300 clients. It provides a variety of enrichment and support services with the overarching goal of empowering seniors to successfully age in place. This article outlines the service delivery program of the Center’s Seniors Services Department and describes its successes and challenges in meeting the needs of diverse LGBT seniors. It offers future directions for social work practice, policy, and research with LGBT older adults.     

Bilingual Social Workers in Mental Health Service Provision: Cultural Competence,Language, and Work Experience

Many agencies actively recruit bilingual social workers. This study presents the reactions of 10 Chinese bilingual social workers to the expectations and demands of their agencies. The study employed a qualitative design with a phenomenological approach. The participants’ responses provide insight into how they manage ethnic and cultural mental health issues in Chinese populations. This study aims to improve social service delivery for clients with limited English proficiency by identifying effective, culturally competent services. The findings suggest that when hiring bilingual social workers, it is just as important for them to be culturally competent as it is for them to be an ethnic or language match with the client base. Having all of these qualities will result in staff members who can provide more effective services by making accurate diagnoses and identifying appropriate treatment plans. In addition to employing bilingual social workers, it is important to maintain good supervision as this will allow supervisees to have a unique perspective on what is involved in providing effective delivery of services to clients with limited English proficiency. Implications for research, practice, and policy are discussed.     

End-of-Life Preparations among Lesbian,Gay, Bisexual,and Transgender People: Integrative Review of Prevalent Behaviors

Proactively making end-of-life (EOL) preparations is important to ensure high quality EOL care. Critical to preparation is the discussion of preferences with one’s primary health care providers. Lesbian, gay, bisexual, and transgender (LGBT) people often experience discrimination from health care providers that will detrimentally affect their ability to communicate their care preferences. Structural barriers, such as those based on sexual orientation and gender identity, may impede timely and quality care when one is most in need. The aim of this study was to examine the prevalence of EOL preparatory behaviors among LGBT people, with particular focus on transgender individuals. Eight survey instruments with 30 prevalence estimates found in the literature were analyzed. EOL discussions between LGBT people and their primary health care providers were rare (10%). Transgender people were found to be even less prepared for EOL; they were 50–70% less likely than their LGB counterparts to have a will, a living will or to have appointed a healthcare proxy. A need exists for future mixed-methods research focused on LGBT populations accompanied by the cultural sensitivity needed to ensure their wishes are honored at the EOL.     

Lessons Learned From the First-Year Evaluation of a Small-Scale Home Visitation Program

ABSTRACT

Home visitation programs to prevent child maltreatment are offered in many communities. Agencies in these communities want to help families in need while under increased pressure to provide effective services. Funding is limited and competitive; some agencies might choose to limit funds spent on supervision, training, and evaluation as a way to provide more direct service. In this article, we use an implementation science framework and the results of an evaluation of a small home visitation program to underscore the importance of ongoing training and supervision, attention to fidelity, and program evaluation. The evaluation included 17 families entering the program during 21 months. Evaluators visited families in their homes at the beginning of the program and again 10 months later. Like many other well-intended, small-scale programs, this one “borrowed” from evidence-based models and expanded enrollment criteria in an attempt to better serve families. Findings from the evaluation suggest that the program, as it was carried out, was not effective at reducing parenting behaviors known to be associated with child maltreatment. We offer advice to funding and community agencies based on these findings and implementation science. Future evaluation research must pay greater attention to fidelity and implementation.     

Rebuilding Communities After Natural Disasters: The 2009 Bushfires in Southeastern Australia

ABSTRACT

Through nonrandom purposive sampling, this article examines the ways three Catholic agencies offered bushfire recovery assistance after the 2009 bushfires in the Australian state of Victoria. Participants from Catholic welfare agencies (29), local and state government (8), international recovery agencies (2), and others such as clergy, church, and medical (6) were selected, and senior managers, middle managers, and workers on the ground were interviewed up to 3 times during a 3-year period. The forty-five people were interviewed a total of 74 times. Study results illustrate the importance of adaptability, flexibility, and preplanning as the core of recovery assistance. Linking with local and state government disaster management plans and developing mechanisms to inform other groups as to the services that new agencies could provide were essential for filling gaps in services and establishing cooperative ventures. Recommendations are provided but more research is needed on how other agencies can benefit from the knowledge gained in this study.     

Using Community-Based Participatory Research to Develop a Series of Core Competency Trainings Within a Developmental Disability Program

ABSTRACT

The New York State Talent Development Consortium at the Office for People with Developmental Disabilities (OPWDD) mandated developmental disability programs to train and evaluate direct service providers (DSPs) on seven core competencies. Utilizing community-based participatory research (CPBR) – an approach where clients, providers, and researchers share their knowledge and experience to identify study areas, formulate research questions, and use results to improve practice – a needs assessment was conducted by a New York-based developmental disability program to inform a training curriculum. Six focus groups were conducted from a purposive sample of 14 DSPs, and 19 managers/supervisors. Staff identified skills that corresponded with six out of seven competencies. Staff recommended hands-on training on: appropriate communication to deal with individuals with severe disabilities; professionalism; person-centered care; and education on terminology in behavioral health plans, medication, and mental health illnesses. Empowering DSPs through CBPR allows for a training curriculum catered toward staff needs, which may be well-received and utilized. The CBPR process employed may be beneficial to other agencies within the intellectual and developmental disabilities field, particularly at a time when the demand for nonlicensure providers such as DSPs is increasing, and there is a need to train them to render quality and effective services.     

'I Needed to be Told that I Hadn't Failed': Experiences of Violence Against Probation Staff and of Agency Support

Correspondence to Brian Littlechild, Division of Social Work, University of Hertfordshire, College Lane, Hatfield, Herts AL10 9AB Summary The research presented in this article was undertaken to establishthe extent of victimization of various groups of staff in thecounty of Hertfordshire's Probation Service. In particular,it aimed to examine issues of gender in relation to such victimization.Staff were invited to detail incidents which they had experienced,and what factors led them to decide what to do about such incidents.In particular, reasons for reporting—or not reporting—wereaddressed. The research also had the aim of analysing how staffviewed issues of violence from their own perspective, and theirsuggestions for improving safety at work in relation to suchviolence. The research demonstrates that, in the main, probationservice staff are safer than their counterparts in, for example,social services departments, and that they report incidentsof physical violence to a greater degree than other incidents.It highlights that sexual aggression is not uncommon, but islargely unreported. The research also shows that staff who havebeen victims have clear ideas of the support they should receive,and how agencies should respond in a positive manner to aggressors.