Working with Parents of Exceptional Children: The Need for More Careful Thought and More Positive Action

The majority of studies relating to families of handicapped children emphasise the negative emotions of the parents, particularly initial shock followed by guilt, chronic sorrow and anxiety. Rarely have these studies relied on the parents' assessments of their own reactions. As a consequence of this, there is little recognition in the relevant literature of either the wide range of parental reaction or the successful and satisfying adjustments which many parents make. A second important limitation in these studies is the absence of a theoretical framework either to test the occasional contradictions that can occur or arising out of the findings themselves.

As an alternative approach, it is suggested that a theoretical position could be developed from the concept of need recognising that the needs of the parents are distinct from those of their handicapped child, although usually consistent with them. An analysis of the research literature (Burden, 1981) has already identified five areas of need-the need for information, support, advice, access to resources and opportunities for social interaction.

It is recognised that the concept of need is a necessary but insufficient basis for an adequate theory. The notion of support coinciding with the parents' reaction to transitions in the child's life is offered as an additional factor in the family's successful adjustment. Three other variables are cited as affecting parental adjustment-individual differences in resistance to stress; the extent and nature of the child's disability and the tolerance of the community to that particular disability. In developing this theoretical framework, reference is made to some of the practical problems associated with the implementation of professional services.     

Addressing the Issue of Psychiatric Disability in Social Work Interns: The Need for a Problem-Solving Framework

Abstract

This article examines the issues that arise when field instructors encounter social work interns with psychiatric problems. The authors discuss how legal decisions and the Americans with Disabilities Act (ADA) provide the organizing framework for developing appropriate policies for addressing these situations. Findings from a survey that asked 61 field instructors about their experiences with such students and their knowledge of ADA guidelines provide additional information for policy development. Based on the survey and the legal guidelines, the authors present a problem-solving framework and recommendations to guide academic programs toward an approach that protects the rights of all parties involved.     

Assessing the Need for Higher Levels of Care Among Problem Gambling Outpatients

Most treatment for gambling disorder is provided on an outpatient basis. Only a small number of jurisdictions in North America provide higher levels of gambling treatment, such as residential or intensive outpatient (IOP) care, despite the potential need for these services. Further, there appear to be few guidelines for determining appropriate level of gambling treatment. The aim of the present study was to assess the appropriateness of higher levels of problem gambling care among clients receiving outpatient treatment. Problem gamblers and their therapists independently completed questionnaires that assessed the need and desire for residential and IOP treatment. About 42% of problem gambling outpatients noted that they would be “probably” or “definitely” willing to attend residential treatment, and about half indicated they would be equally likely to attend IOP. Therapists recommended about a third of their clients as appropriate for higher levels of care. For both client and therapist assessments, there was a significant association between desire or recommendation for level of treatment and severity of gambling and co-occurring problems. Further, therapist recommendations for level of care were significantly associated with client willingness to attend higher levels of treatment. Our data reveal the potential need for higher levels of care for problem gambling, as evaluated by clients and their therapists. Policy implications for the funding of residential and IOP treatment are discussed.     

Protecting the Inclusion of Macro Content in Generalist Practice

Maintaining the integrity of macro focused curriculum content in a generalist academic program is a central issue in social work education. The authors describe forces affecting social work education that have resulted in an increased focus on micro level practice to the detriment of macro level practice. They present a generalist curriculum model for highlighting macro focused curriculum content. The model's components include: (1) curriculum goals; (2) curriculum themes; (3) liberal arts foundation; and (4) curriculum content and learning strategies. The authors highlight the model's advantages for creating a pro-activist educational atmosphere.     

The Psychology of Working: A New Framework for Counseling Practice and Public Policy

The authors present the psychology‐of‐working perspective (D. L. Blustein, 2006; N. Peterson & R. C. González, 2005; M. S. Richardson, 1993) as an alternative to traditional career development theories, which have primarily explored the lives of those with choice and volition in their working lives. The major historical and conceptual features of the psychology of working are reviewed, with a focus on how this framework provides a more inclusive and, ideally, more just vision for the career counseling field. Implications for career counseling and a case presentation are provided to examine how this new perspective can inform counseling practice. A brief overview of public policy implications concludes the article.     

Sustaining and Strengthening a Macro Identity: The Association of Macro Practice Social Work

Macro practice focuses on community-level interventions, such as management, organizing, research, and policy advocacy. Despite social work's deep roots in this type of work, macro practice and macro practitioners often practice without support or connections with other macro practitioners, and are underrepresented in the profession. In 2006, a group of social workers, including academics and practitioners, formed the Association of Macro Practice Social Work (AMPSW). AMPSW works to strengthen the professional identity of macro practitioners, elevate the status of macro social workers, and address common concerns within the social work profession.     

Towards an Inclusive Social Policy for the UK: The Need for Democratic Deliberation in Voluntary and Community Associations

In western capitalist societies the state has become increasingly criticized for its inadequacy as a mechanism for distributing welfare inclusively. In particular, it has been criticized for its lack of flexibility in meeting the needs of increasingly plural populations, and for being too distant to enable service users to participate in the meeting of their welfare needs. Consequently, in many countries, including the United Kingdom, voluntary and community associations have been used to distribute welfare with the belief that it can remedy the defects of universal state provision. This paper suggests the voluntary and community sector can only achieve this if the organizations are democratically organized, ensuring participation from staff and users. Moreover, participation should be based around the norms of deliberative democracy. The paper argues that this form of participation will best ensure that the needs, preferences, and interests of subordinate groups are included in social policy delivery, due to the fostering of public reason.

We Need More Resources: Stories of QTPOC* Survival in the South

While men’s sexual violence against women is unarguably a social and public health issue, both nationally representative data and smaller studies tell us that rates for lesbian, gay, bisexual, transgender, and queer+ (LGBTQ+) individuals are equally or significantly higher. Despite this, there remains little structural support for LGBTQ?+?survivors. This article highlights the voices of 38 queer and trans people of color (QTPOC)-identified U.S. Southerners who have experienced sexual violence and came together across three focus groups to detail their interactions with advocates and other professionals and explore posttraumatic needs. Nearly all survivors reported that the level of awareness regarding sexual violence in their communities was limited, with most reporting that they did not successfully access mainstream services, due to concerns about homophobia, transphobia, and racism. To address sexual violence in LGBTQ?+?communities, survivors pointed to the importance of friendship and community networks “outside the system,” knowledge sharing about LGBTQ+-specific violence tactics (e.g., threats of outing a partner), and holding batterers accountable for their behavior within LGBTQ?+?circles. Findings highlight the need to move beyond “culturally competent” health care by proactively engaging LGBTQ?+?communities in education, networking, resource sharing, and anti-violence outreach.     

Preenrollment Immunization Policies of American Colleges: An Assessment of the Need for Policy Implementation

Abstract

Alcohol abuse among college students is prevalent, yet few instruments with sound reliability and validity are available to assess these problems in this population. As part of a large, baseline assessment battery for a prospective study of offspring of alcoholics, the 27-item Young Adult Alcohol Problems Screening Test (YAAPST) was given to 490 freshmen at a large mid western university; approximately 9 months later, 482 subjects completed the scale again. In addition to asking about such traditional problems as experiencing blackouts and driving while intoxicated, the YAAPST included specific items relating to college experiences (eg, getting into sexual situations that were later regretted, missing classes, and receiving lower grades than usual). The YAAPST was designed to assess these drinking consequences over two different time frames, lifetime and past year, and also to indicate the frequency of occurrence during the past year. Results indicated that the YAAPST is a unidimensional scale with good psychometric properties (good internal consistency and test-retest reliability). Three different approaches were used to demonstrate the validity of the YAAPST. Findings supported criterion validity (with interview-based alcohol abuse/dependence diagnoses as the criterion), concurrent validity (comparing the YAAPST with other drinking measures), and construct validity (correlating the YAAPST with etiologically relevant personality, motivational, and peer influence variables). The YAAPST is a promising screening instrument for alcohol problems in college students. It has excellent psychometric properties and the potential to provide a range of useful information to the clinician or researcher.     

The Politics of Regional Inequality in Ghana: State Elites,Donors and PRSPs

Through an analysis of Ghana's HIPC Fund which was established as part of the PRSP process, this article shows how aid‐financed efforts to reduce regional inequality in Ghana have failed. Dominant political elites agreed to policies reducing regional inequality in order to have access to aid funding but, once approved, these funds were allocated on quite different criteria in ways that marginalised the poorest. This analysis reinforces the growing recognition that developmental outcomes in most poor countries are shaped not so much by the design of ‘good’ policies per se, but more importantly by the power relationships within which policy‐implementing institutions are embedded. Aid donors seem unable to grasp this important lesson fully, and so their capacity to contribute to reducing regional inequality remains limited.     

Preschool Policymaking by Stealth: Application of an Alternative Framework for the Policy Process

This study uses the design and passage of universal preschool in two states, Oklahoma and West Virginia, to present an alternative framework for understanding the policy process, Policymaking by Stealth, and demonstrate its usefulness both in expanding the understanding of the politics of public preschool and as a tool for social work policy practice. An overview of the current state of preschool policy in the United States and the political history of federal preschool policy is presented first to provide context to the analysis, followed by an introduction to the analytic framework, and then a formal analysis of the policy passage processes in the two states via the lens of Policymaking by Stealth. The contributions of this new framework to the study of the policy process in general and the practice of policymaking in complex political contexts are discussed.     

21世纪青少年社会政策：框架问题

目前世界范围内发生的变迁,正在改变着青少年赖以成长的环境,使得制订成熟适切的社会政策与服务变得越来越重要.本文提出了一套旨在帮助各国、各社区创制适合于自身特殊环境的青少年政策的"框架问题".     

A Need for Post-Impact and Policy Studies: The Case of the “Shetland Experience”*

This article argues that many studies of social impacts of energy development deal with prior predictions of impact rather than actual impacts of development. Further it suggests that more attention be paid to the intervening variables of policy and planning. To illustrate the need for post-impact studies, the “Shetland Experience” is described. Shetland, where the anticipation of onshore oil development has produced policy specifically designed to avoid negative social impacts, is often referred to as a success in dealing with rapid change. However, due to lack of empirical research, it is not yet known if the policy was effective.