Evaluating the Effectiveness of Faith-Based Welfare Agencies

Abstract

This study examines the methodological challenges associated with conducting research on faith-based organizations. The arguments advanced are based on a group of comparative case studies conducted by the authors on secular and faith-based providers in three different social service domains: (1) transitional housing, (2) parent education, and (3) residential substance abuse treatment programs. All case studies utilized the same research protocol. The study identifies the lessons learned from comparative case study research on faith-based organizations when a similar protocol is implemented to examine a variety of social service domains and provider types.     

Faith-Based Programs and the Role of Empirical Research

Abstract

After some decades of being subject to neglect or contempt, faith-based social care programs are receiving increased attention and resources enabling them to undertake a greater role in the national network of human services. Faith-based programs receiving public support can expect to be rightly scrutinized by the public, in terms of their ability to attain professed program goals. The tools of conventional empirically-oriented program evaluation research have tremendous potential to help demonstrate the effectiveness of faith-based programs, which will justify their receipt of ongoing support from public funds. Negative research findings can be properly scrutinized by the faith-based community of service providers to help make tough, data-based, decisions on funding priorities. Several examples are described, illustrating how various types of faith-based programs have profitably participated in program evaluation studies.     

How Do They Fit?

Abstract

Despite public policies that promote an increased role for faith-based organizations in the delivery of publicly supported services, insufficient attention has been paid to assessing how service delivery by faith-based and secular providers might differ. This study considers the issues involved in evaluating the role of faith-based organizations within the broad context of a community's social service offerings. Criteria are developed for assessing role differences by comparing the types of services, delivery approaches, and service locations offered by different types of providers. The approach is then illustrated using a large sample of social service providers in Los Angeles County. Important role differences are revealed. Faith-based organizations offer fewer and different types of services than their secular counterparts. The results suggest a modest and focused role for faith-based organizations in social service delivery, but one that is complementary to the efforts of secular providers. The methodological issues raised by such analyses are highlighted.     

Spiritual Mechanisms Underlying Substance Abuse Behavior Change in Faith-Based Substance Abuse Treatment

ABSTRACT

Despite increasing interest in “faith-based” substance abuse treatment and HIV risk reduction interventions, there is little systematic evidence of the efficacy of explicitly spiritual interventions. However, fundamental to effective interventions is an explicit conceptualization of mechanisms underlying behavior change. This paper discusses the definition of faith-based organizations, specifically as they relate to substance abuse treatment programs, briefly reviews relevant behavior change theories to identify key variables underlying change, presents an integrative conceptual framework articulating linkages between spiritual intervention components, behavior change processes and substance abuse outcomes, and discusses how the mechanisms identified in our model can be seen in commonly used substance abuse interventions. Overall, the paper suggests that what happens in “faith-based” programs may not be so different from processes taking place in good social work practice in the addictions field.     

Factors Affecting Subjective Weil-Being for Rural Elderly Individuals

Abstract

A cross-sectional survey design was used to examine the relationships between spirituality, religiousness, social support, and the subjective well-being in a sample of 215 elderly individuals in the rural counties of West Virginia and North Carolina. The Brief Multidimensional Measures of Religiousness/Spirituality (BMMRS) was used to measure various domains of religiousness/spirituality, including daily spiritual experiences, values/beliefs, forgiveness, private religious practice, religious/spiritual coping, and religious support. Multivariate analyses found social support was positively related to life satisfaction and spirituality/religiousness was inversely related to depression. These findings provide health/mental health care providers and social workers with information that can increase their awareness of and sensitivity to services or programs that are congruent with religious/spiritual values and beliefs in order to enhance quality of life among rural elderly individuals.     

Belief Systems in Faith-Based Human Service Programs

Abstract

Using a grounded theory design and methods, 65 key informants in 15 faith-based organizations having promising programs in four urban areas were interviewed. Respondents were asked what makes their direct service programs faith-based. A story emerges, motivated by mission-driven visions tied to forces beyond local programs and steeped in deep traditions. A major implication of the findings is that in teaching people about the various practices of diverse religious groups, we are only giving them the visible elements. While the expressed values of acts and faith are integral in the faith-based discussion, they do not tell the full story. The deep drivers of human behavior and practice are found in the specific beliefs and interpretations of individuals who are involved either as leaders or participants in faith-based organizations. For many of these individuals in faith-based organizations, mission and accountability to God trumps secular or professional expectations.     

Executive Orders for the Faith-Based and Community Initiatives

Abstract

Debate surrounding the Faith-Based and Community Initiatives draws both fire and praise as the Bush Administration continues to promote the federal funding of partnerships among state and local government and faith-based service providers. President Bush has endorsed religious groups as valuable partners in delivering services that address social problems through a series of Executive Orders. The intent of this article is to further our understanding of the history related to these executive decisions, the different conceptualizations for defining and classifying faith-based organizations, the issues surrounding faith-based organizations, and the legislative effort to make the faith-based initiative a permanent statutory feature.     

Faith-Based and Community Initiative

Abstract

President Bush's Executive Orders to establish Centers of Faith-Based and Community Initiatives have encouraged the use of faith-based organizations (FBOs) as service providers in a range of federally funded programs. New federal rules and regulations are removing barriers so that FBOs can participate in these programs. Yet, there is no centralized information system that accumulates data related to performance standards or outcome measures. This article analyzes the scope and scale of services provided by FBOs and the diverse approaches to studying the outcomes from these services.     

Social Service Research and Religion

Abstract

Development of accountability standards to demonstrate cause and effect relationships are gaining rapid advancement in the field of social sciences. Many governmental agencies, foundations, and other funders have developed approaches that require organizations to utilize science-based programs and incorporate evaluative methods to show improved outcomes and cost benefits to society. This article will examine the need for increased accountability in developing effective interventions by faith-based organizations in the delivery of social service interventions. Recently, there has been a strong movement toward governmental funding for faith-based institutions to provide social services, although there has been inadequate scientific data to demonstrate that approaches implemented are effective in meeting needs or yielding favorable outcomes. Similarly, many faith-based organizations provide innovative and effective programs that could serve as model programs if there was appropriate empirical evidence. This article will discuss how rigorous evaluative approaches such as randomized clinical control trials can produce scientific data on program effectiveness. We will use a case example in the field of drug and alcohol treatment to illustrate these points.     

Setting the Context

Abstract

This paper provides an overview of assessing the effectiveness of newly legislated social policies. In an era of growing public reliance on faith-based social services, it is imperative to be accountable and assess the efficacy and effectiveness of this set of providers. It discusses the paucity of such attempts and the complications involved in measuring effectiveness of social programs, especially when religion is involved. It then reviews the contributions provided in this volume and draws conclusions for future Studies.     

A Faith-Based Alternative Youth Education Program

Abstract

Community-based and faith-based programs are on-going partners in the social welfare mix which characterizes U.S. welfare provision. In the face of calls for more rigorous research on the capacity and impact of faith-based and community-based programs which use public funds, the research community must gain sophistication in addressing methodological issues inherent in participatory designs for the study of such programs. This article describes concerns which arose while implementing participatory research during a federally-funded, intensive 10-month long case study of a faith-based alternative education program for at risk youth. The project was funded through the Department of Health and Humans Services, Administration for Children and Family. The challenges to data collection are presented and suggestions for doing participatory research in similar settings are discussed.     

Finding Congregations

Abstract

The need to assess the effectiveness of faith-based social interventions is pressing. On the one hand, politicians and pundits claim that faith-based organizations are impressively successful and inexpensive. On the other hand, critics claim that faith-based organizations lack the capacity to carry out social services. However, rigorously-collected empirical data is just beginning to appear and is still in short supply, particularly congregations. In this paper, we discuss some critical methodological and conceptual problems that arise from years of academic neglect of faith-based social service provision. We demonstrate how our attempt to create a comprehensive account of congregation-based social services in Philadelphia necessitated defining even such basic terms as “congregation” and devising novel methods for identifying and gathering information from congregations.     

The Effectiveness of Faith-Based Welfare-to-Work Programs

Abstract

This essay first highlights three major challenges of measuring program effectiveness. It concludes effectiveness can best be conceptualized in terms of program outcomes and that such outcomes-while difficult to measure-can be measured with sufficient accuracy to justify the effort. These considerations are then illustrated by data gathered from 17 Los Angeles welfare-to-work programs and their clients in order to assess the comparative effectiveness of faith-based and secular programs. The essay concludes that no one type of welfare-to-work program was more effective across the board than any other type of program. Instead, the different types of programs seemed to be especially effective in certain specialized areas. The faith-based programs were especially effective in providing welfare recipients with emotional support and a sense of having a sympathetic, understanding base of support. The for-profit providers were especially effective in providing needed training in marketable job skills and help in finding employment. The essay concludes by discussing two public policy implications that flow from this type of program specialization.     

Detecting and Decomposing the “Faith Factor” in Social-Service Provision and Absorption

Abstract

Faith-based provision and reception of social services may yield results that differ either randomly or persistently (via “fixed effects”) from the outcomes achieved under non-faith-based, but certainly not value-free, administration of these services. Yet attributing raw differences in performance to unobservable factors assumed to derive from “faith” should be a last resort. Instead, the objective of analysis should be to identify any such factors and their cost and strength operationally so that they can become a managed part of any program offered by existing providers or entrants.

These factors, or the cost effectiveness of employing them, could differ between secular and faith-based providers. Then members of the two groups optimally would use a different mix of means even if they were to pursue precisely the same ends. Yet program design and operation by both groups would stand to benefit from knowing the keys to their relative performance in particular areas of social service with particular groups of clients. Comparing the outcomes of experiments based on random assignment may provide little help in that regard. Micro-simulations may provide a superior approach to tightening the link between input-based model predictions and continuous learning from outcomes.     

Testing Faith

Abstract

The U.S. federal government, through Charitable Choice, has opened public funding for the delivery of social services to faith-based organizations (FBOs) more than ever before. This increased access to governmental funding at all levels has led to a closer examination of the evidence base on the effectiveness of the services provided by FBOs, and the capacity of FBOs to respond to data needs for accountability and program improvement efforts. This paper discusses the current status of evaluation research on FBO services and the emerging data needs among faith-based providers. Promising avenues for enhancing the current understanding of outcomes of FBO services are explored such as (1) adopting outcome measurement practices in use within the current nonprofit sector, and (2) developing more rigorous research designs tailored to the special contexts of faith-based services. The paper suggests an agenda in which FBO operators, funders, and evaluators work together to move forward in improving the evidence base on faith-based services.     

Building a Faith-Based Human Service Agency

Abstract

Interest in faith-based organizations has increased substantially since the Bush administration made them a priority in the presidential campaign of 2000 and established a special office in the White House to promote their involvement in government supported human services. The primary goal of this initiative is to encourage faith-based organizations, usually understood to mean congregations, to engage their members in supporting services to those most in need. While most research on faith-based organizations is limited to the past decade or two, very little is known about how they operate. This case study of Community Ministries of Rockville, Maryland (CMR) is designed to address this issue. CMR differs from most faith-based organizations in that it neither represents a single congregation nor the traditional faith-related social service agency like Catholic, Jewish, or Lutheran Social Services. The case study features the twenty-five year history of the Executive Director of a faith-based human service organization supported by twenty congregations. It concludes with the identification of major challenges and lessons learned.     

The Impact of Hopelessness and Hope on the Social Work Profession

Abstract

Burnout and turnover are detrimental to social service organizations, social service providers and clients. Very often organizational characteristics are part of the cause for burnout. Burnout in a job can lead to hopelessness for social service providers and begin a vicious cycle of continued burnout and increased hopelessness. Knowing the characteristics of hopelessness can help social welfare institutions nurture their employee's level of hope thus impacting the way the social service providers work with their clients.     

Educating for cross-disciplinary collaboration: Present trends and future possibilities

Abstract

Like other service providers, social workers periodically seek to harness different professional skills and insights in order to make a more comprehensive response to client needs. Unfortunately, cross-disciplinary relationships are hard to establish and maintain, due to structural and cultural barriers. Education and training programs can be used as tools to inculcate the knowledge, skills and attitudes on which successful collaboration depends. The targeting of undergraduate students is controversial. Since they have yet to develop a sense of professional identity, these students may resist pressures to trust and share. This paper contends that it is reasonable to begin instruction at the undergraduate level, and explores possibilities for curriculum development and research.

In summary

Like other human service providers, social workers must come to grips with industrial realities of the early 21st century. As part of this process, they must reappraise their role relationships with other service providers. On some matters at least, it may be possible to transcend traditional rivalries, and develop new forms of partnership and alliance. Education and training programs have a useful role to play in developing the knowledge, skills and attitudes on which successful cross-disciplinary work depends.     

Exploring the Hidden Nature of Gambling Problems among People Who Are Homeless

Abstract

Although people with gambling problems are now recognised to be among those groups of people at increased risk of homelessness, little research has explored their experiences. This qualitative interpretive study explored the experiences of people who were homeless and had gambling problems, and the housing and gambling service providers assisting them. In-depth interviews were conducted with 17 service users and 18 service providers. A key finding was that gambling problems among those experiencing homelessness are often hidden; few people presented to housing services admitting to gambling problems. Shame, stigma, and identity issues were described as the main reasons service users did not disclose their gambling activities. The research highlighted that the relationship between service providers and service users was infused with power imbalances and shaped by social discourses and policies that demand self-responsibility and hinder information sharing between service providers and service users.     

Developing Family-Centered Models of Genetic Services

Abstract

This article reports the findings of an exploratory, multi-method study conducted for a state health authority to examine stakeholder perceptions of existing genetic services and service ideals using survey and focus group methodologies. A web-based survey of medical providers and allied health professionals (N = 567) examined the knowledge needed by service providers to deliver competent genetic care. A second web-based survey of programs (N = 15) viewed as potential partners in the delivery of genetic services was conducted to explore the potential for interagency coordination, the family-centered nature of these services, existing training, and general agency ideals and values. Focus groups were also conducted with 4 groups of families and 3 groups of service providers to explore their perceptions of current and ideal services. The strategies yielded important information around service needs, resource issues, barriers to service, psychological issues, and education and information needs related to the delivery of genetic services. Implications for professional education, especially social work education, are also covered.