Participatory Action Research with Youth in Bosnia and Herzegovina

SUMMARY

Sparked by a global UNICEF initiative, Bosnia and Herzegovina launched a participatory action research process in which 75 young people in three towns explored local understandings, needs, and actions about HIV/AIDS, drug use, human rights, and other issues. This article chronicles the research process, the action recommendations generated by young people, and the current status of the project. It reflects on the commitments and efforts which are required when large, adult-directed organizations decide to promote youth participation, and on the institutional changes necessary to support sustained youth participation that benefits ordinary youth rather than a selected few.     

Community Economic Development Organizations in Montreal

Summary

This chapter explores the dilemmas facing CED intermediary organizations as vehicles for progressive social change through an analysis of an urban Canadian model from Québec called corporations de développement économique communautaire (CDEC). CDECs are democratically controlled, not-for-profit, local development organizations that oversee and support CED efforts on three main levels: (1) job skills development and “employability” services; (2) business development; and (3) development of innovative partnerships among diverse groups to plan and coordinate CED strategies in their communities. These practices are analyzed and issues inherent to them are presented using specific contributions from CED literature. This analysis shows that within such organizations, contradictory practices and directions co-exist due to pressures exerted simultaneously by market, state, and community forces.     

Reconsidering participatory action research for organizational transformation and social change

Abstract

Considering the notion of vagueness of organizational and social contexts during the processes of organizational transformation and social change, a dramaturgical model of organizations is proposed for facilitating the process of organizational transformation and learning in local and contingent contexts. Our strategy for participatory action research (PAR) is suggested for appreciating the importance of the multiple uses of research methods, hence the need to come to terms with pluralism and holism. In this paper, the design of participant-driven research, using the post-structuralist thought of Michel Foucault and Gilles Deleuze, is critically reviewed.     

Assessing local capacity to expand rural breast cancer screening and patient navigation: An iterative mixed-method tool

BackgroundDespite federal funding for breast cancer screening, fragmented infrastructure and limited organizational capacity hinder access to the full continuum of breast cancer screening and clinical follow-up procedures among rural-residing women. We proposed a regional hub-and-spoke model, partnering with local providers to expand access across North Texas. We describe development and application of an iterative, mixed-method tool to assess county capacity to conduct community outreach and/or patient navigation in a partnership model.MethodsOur tool combined publicly-available quantitative data with qualitative assessments during site visits and semi-structured interviews.ResultsApplication of our tool resulted in shifts in capacity designation in 10 of 17 county partners: 8 implemented local outreach with hub navigation; 9 relied on the hub for both outreach and navigation. Key factors influencing capacity: (1) formal linkages between partner organizations; (2) inter-organizational relationships; (3) existing clinical service protocols; (4) underserved populations. Qualitative data elucidate how our tool captured these capacity changes.ConclusionsOur capacity assessment tool enabled the hub to establish partnerships with county organizations by tailoring support to local capacity and needs. Absent a vertically integrated provider network for preventive services in these rural counties, our tool facilitated a virtually integrated regional network to extend access to breast cancer screening to underserved women.     

Contingent Hybridity: The Cultural Politics of Tepoztl‡n's Anti-Golf Movement

In order to maintain some level of local control over both ideological and material resources, local social activists construct hybrid cultures that reflect their simultaneous insertion into local, national, and global cultural discourses. Theirs is a contingent hybridity in that it reflects the specificities of their experience as well as the conscious attempts to resist the homogenizing tendencies of global discourses while not isolating themselves from those discourses. This article analyzes the conflict in the town of Tepoztl?n, Morelos, Mexico, over the construction of a golf course and the ensuing movement against the project. While emphasizing local practices and making use of local communicative networks, movement leaders were also quite adept at moving between the cultural realities of Tepoztl?n and their own experiences outside of the town in order to forge alliances with transnational organizations. As a result, many Tepoztecos now make use of such labels as "environmentalist," but do so within the embedded social and cultural structures of their community.     

Two dynamics of globalization in the context of a sports mega-event: the case of UEFA EURO 2012 in Poland

ABSTRACT

The article uses the theoretical framework of Saskia Sassen’s two dynamics of globalization in order to analyse the relations between a nation-state and a non-state global actor when applying and preparing for a sports mega-event, namely UEFA Euro 2012 in Poland. The first dynamic of globalization is created by global institutions, organizations – such as global sport organizations, regimes, and processes. UEFA used the application process, and preparation, to confirm and consolidate its role as a global governor of an increasingly important area of globalization. The way Polish public institutions accommodated the UEFA requirements illustrates the second dynamic of globalization. The context of sports mega-events – ‘organized’ by global sports organizations and ‘hosted’ by nation-states – merges the two dynamics and makes it possible to emphasize the mechanisms involved in forming the new global order, defined by the complex interplay between the nation-state and non-state actors.     

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.     

Assessing corporate planning of future sustainability initiatives in private healthcare organizations

PurposeThe research objective is to assess the corporate planning of future sustainability initiatives in private healthcare organizations.Design/methodology/approachPrivate hospital organizations have been selected using a judgmental sampling. A qualitative case study was followed in this research.FindingsThe findings shed light on corporate planning of future sustainability initiatives in private healthcare organizations.Research limitations/implicationsThe diversity of similarities and differences that has been uncovered between private healthcare organizations on corporate planning, reveals the complexity faced in trying to achieve sector-wide and or industry-wide uniformity of sustainability initiatives.Managerial implicationsThese findings offer opportunities to examine criteria to examine the corporate planning of future efforts and priorities in private healthcare sectors across countries and continents.Originality/valueThis paper distinguishes between corporate planning approaches in relation to the assessment criteria to examine future sustainability initiatives in private hospitals.     

Weighing the Success of a National Alzheimer's Disease Service Demonstration

Summary

As the need for long-term care services within the United States has grown dramatically, Congress has consistently deflected the primary responsibility for such care to state governments, local organizations, and, ultimately, the family. This paper examines the impact of the Alzheimer's Disease Demonstration Grants to States (ADDGS) program, a small federally funded initiative within the context of this trend. Although the demonstration can be deemed a huge success relative to the goals of creating new services for an underserved target population, questions are raised about the merits of the program relative to the exploding need for an effective network of long-term care services.     

Futures Festivals

ABSTRACT

This paper describes a special events strategy for mobilizing community residents of all ages to take part in a community visioning process. Through locally initiated special eventscalled “Futures Festivals”-community residents come together to share their concerns and hopes for their community. Planning for these events is driven by a collaborative process involving representatives of local community organizations and agencies. The rationale for this intergenerational model is twofold; people of different age groups often have limited opportunities to communicate with one another, and the viewpoints of youth and seniors are frequently overlooked in the community planning process. This paper profiles two Futures Festival events and other preliminary organizing taking place in western Pennsylvania communities during the summer of 2002. Findings suggest that Futures Festivals can be effective tools for broadening the circle of community residents and other stakeholders engaged in critical dialogue about community issues.     

Assessing the Effectiveness of Faith-Based Programs

Abstract

The policy debate over faidibased initiatives has prompted calls for comparative effectiveness research. Drawing examples from an evaluation of California's Community and Faith-based Initiative (CFBI), we illustrate a research strategy that takes local networks as the primary unit of analysis. This approach focuses on understanding the roles different organizations play within local service delivery networks, and on analyzing how local actors coordinate services to affect participant, organization, and system outcomes. The network perspective casts new light on policy options, and suggests that caution is necessary when using administrative data to interpret program effectiveness.     

‘Building Bridges’

Abstract

‘Building bridges’ is a metaphor we have used to describe a collaborative research process involving social work academic and senior practitioners from government and non-government child protection and family service organizations in Victoria, Australia. The purpose of the research was to develop a ‘practice-generated approach to policy implementation’ in child protection practice. The research sought to explore the appropriateness of social constructionist approaches for child protection practice that might enhance the existing risk paradigm. This article aims to critically evaluate the process of ‘building bridges’ and its outcomes, by focusing on how potential and actual differences between organizational contexts, namely universities and various service-providing organizations, may influence relationships between theory and practice. We critically reflect on our research process comparing it with idealized forms of collaborative research discussed in the literature.     

Globalization,Plague and the Local Community: Healthcare Capacity,Politics, and the Microbe War

Abstract

Severe Acute Respiratory Syndrome (SARS) is the first major international epidemic of the twenty-first century. In a few short months it spread to every continent, infected 8,096 people, and claimed the lives of 774. It hit older persons particularly hard; it killed 50 percent of the infected of that age category.

The rate of plague's spread from one country to another has greatly increased as the globalization of the world's economy has produced rapid daily transportation of people, products, plants, animals, and, of course, microbes. Each day cities are at risk for the invasion of deadly infectious diseases. While international expert agencies such as the World Health Organization stand by to help fight outbreaks, ultimately, plagues are fought in the local community.

I discuss two theses: (1) To successfully contain and fight a major epidemic the capacity of the community's health care system must be enhanced by its functional linkages to external expert and bridging organizations and systems of organizations; and (2) that the extent to which a community's health care system can draw on external expert and bridging organizations and systems is a function of the degree to which the political state in which the community is embedded facilitates for fails to facilitate) those linkages.

My focus is on Hong Kong and the cities of the People's Republic of China; they were at the epicenter of the SARS outbreak, and it was from them that the contagion spread to other countries. Findings show that plagues are not only matters of biology and health, but also matters of politics, power, and international relations.     

An exploratory study of subjective well-being in organizations–A mixed method research approach

ABSTRACT

Subjective well-being (SWB) has been widely found to have a profound impact on the individual, yet the process of its occurrence in public organizations remains unexplored. So the primary purpose of this paper is to explore the determining factors affecting the process of employee’s subjective well-being in public organizations using mixed methods research. Qualitative analysis using the grounded theory methodology reveals the effective factors that affect the process of employee’s subjective well-being in public organizations. Quantitative hypotheses are then developed based on a qualitative investigation. Survey data were collected from employees of public organizations in one of the provinces of Iran. Analysis of Moment Structure is used for data analysis. The results of the research revealed that both individual and organizational factors (as causal factors) influence the employees’ subjective well-being process (life satisfaction and positive affect). This phenomenon leads to the use of strategies which are affected by intervening and contextual factors. The consequences of this process are to change the attitude and behavior of individuals and improve the efficiency and effectiveness of the organization. This paper is among the first known to examine subjective well-being in public organizations using mixed methods research. The mixed methods approach offers a better insight to understanding effective factors affecting subjective well-being compared to the use of either a qualitative or quantitative method alone.     

Development of the Structure of the American College Health Association

Abstract

The present structure of the association since its founding is traced. Basically, the historical development traces an association founded by the directors of college and university health programs to one that now includes a broad interdisciplinary mix of directors and others at work in the field. Gradually, the governance has passed from the directors (institutional representatives) to settings where other membership components of the association have a voice, principally through the current Council of Delegates structure, which includes delegates coming from all of the major components of the association.

The sectional structure, providing organizational entities through which disciplines, program areas, and types of institutional programs may relate to the association (and principally may influence the programming of the annual meeting) has remained virtually unchanged since its creation in 1958, with the exception of the addition of the Sections on Junior/Community Colleges and Student Participation. The regional affiliate structure has changed only little since the “local sections” were originally delineated. The first such local organization, Ohio, was formed in 1925. The relationship of these organizations to the national association has changed considerably.     

Theoretical and Practical Imperatives for Reflective Social Work Organizations in Health and Mental Health

Summary

This article describes the common challenges to health and mental health organizations that require these agencies to become more “reflective” in their culture and structures. This necessitates integrating practice and research at all organizational levels. Schon's concept of reflective practice to health and mental health organizations is extended to develop the construct of a reflective organization, in which direct practitioners are integral to organizational learning through ongoing service evaluation and redesign. The theoretical and practical reasons why social work administrators and clinicians alike are obliged to integrate practice and research are discussed. University-based models of practice-research integration impede this process; Epstein's Practice-Based Research approach facilitates it.     

Matching AIDS Service Organizations' Philosophy of Service Provision with a Compatible Style of Program Evaluation

Abstract

The purpose of this paper is to outline the unique features of AIDS Service Organizations (ASOs) that should be considered when developing an evaluation strategy. It describes current evaluation approaches used by ASOs which are incongruent with the service philosophy of these organizations and the drawbacks these current evaluation efforts present. It then describes an alternative evaluation approach that better matches ASOs' philosophy of service delivery with the evaluation process. An illustrative case example is used to show how a more participatory approach can be used in an ASO and why such an approach is more likely to produce meaningful data that will be utilized for program development and refinement.     

Intergenerational Programs

Abstract

The purpose of this research was to provide an overview of the current state of intergenerational programming in one Canadian city. One-hundred and seven individuals in charge of programming in youth and seniors' organizations completed a telephone survey about intergenerational programs. More than one-third of organizations surveyed reported offering intergenerational programs, and the majority of these perceived their program to be successful. Participants added that there were no current overlaps in services, though a variety of gaps in and barriers to intergenerational programming were identified. There was also significant interest in and ideas for offering a diverse range of programs in the future. It was concluded that while interest in offering intergenerational programs was high, multiple barriers currently exist to offering such programs.     

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.