Sexual Orientation Bias Experiences and Service Needs of Gay,Lesbian, Bisexual,Transgendered, and Two-Spirited American Indians

Summary

Employing both quantitative and qualitative methodologies, this study examined: sexual orientation bias experiences among American Indians (AIs) who were gay, lesbian, bisexual, transgend-ered, or two-spirited (GLBTT-S); service provider attitudes toward AI GLBTT-S; and service barriers and needs with respect to AI GLBTT-S at one AI community-based organization. Among the 14 AI GLBTT-S surveyed, the percentages reporting various bias-related experiences were comparable or greater to those reported for non-AI GLBTT-S in other studies (e.g., 36% had been physically assaulted because of their sexual orientation). The 22 service providers surveyed revealed generally low levels of heterosexism, which was inversely related to contact and comfort with AI GLBTT-S as well as understanding of AI GLBTT-S terms. Data from 8 focus groups (7 with service providers and 1 with AI two-spirited men) yielded four main themes related to problems and barriers to service utilization for AI GLBTT-S (i.e., invisibility, discrimination, trauma, and identity) as well as ideas for community-based program planning with this population.     

Accessibility in Rural Social Service Agencies

ABSTRACT

This study explores the degree that social service agencies are aware of the ADA, the degree that agencies perceive they comply with the ADA, and the barriers these agencies face in making their services accessible. The directors of 28 randomly selected rural social service agencies in a midwestern state completed semi-structured telephone interviews. Interviews explored respondents& knowledge of the ADA, barriers rural agencies face in providing accessible services, types of accommodations they have made and degree of fit between the ADA and rural agencies. The findings suggest that while the ADA is not a significant burden for rural agencies, there is a need for enhanced training and outreach.     

Social Service Needs of Hispanic Immigrants

Abstract

Large numbers of poor Hispanic immigrants have come to the U.S. in recent years with many social service needs. This qualitative, pilot study of Hispanic immigrants in the Washington Heights community in New York City identifies their perceived needs and barriers for accessing services. Seven face-to-face interviews with community-based professionals and four focus group interviews with thirty Hispanic immigrants provide the data. Both groups of informants report many unmet service needs, especially in the areas of health care and housing. Data support the view that Hispanic immigrants often require micro-and macro-level advocacy that can best be performed by Spanish speaking social workers.     

Rural versus urban residence as an influence on grandparent caregivers’ needs for service

The present study explored the impact of rural (n = 26) versus urban (n = 49) environments on perceived needs for services among grandparent caregivers, wherein persons participated in focus groups targeting their needs and concerns and/or completed a mailed survey. While findings suggested substantial similarity across rural and urban persons in unmet needs, areas of difficulty, and service barriers, rural grandparents who reported their health to be fair or poor reported the greatest unmet needs and experienced the widest array of problem areas, while the opposite was true for urban grandparent caregivers. With few exceptions, sociodemographic factors failed to predict unmet needs, array of problem areas, and barriers. The practice and policy implications of these findings are discussed.     

Computer-based Information Systems and Human Service Organisations: Emerging Problems and Future Possibilities

Abstract

Standardised case management systems were designed to address poor outcomes for abused or neglected children. Their introduction has been controversial, with some social workers identifying them as undermining the social worker–service user relationship, and professionalism. This paper reports on a qualitative study of service users of two widely used systems in Australia: “Looking After Children” (LAC) and “Supporting Children and Responding to Families” (SCARF) (both based on adaptations of United Kingdom systems). There has been relatively little evaluation of the long-term use of these systems relevant to Australian social work. The experiences of service users can contribute to debate because they provided lived experiences of these systems and family members' inclusion is a central goal. Children, young people, and parents reported positive experiences of case-managed interventions: the goals of the intervention were usually clear, processes productive, and relationships with social workers possible. However, service users did identify barriers to participation, limitations in assessment, and described diverse experiences of interventions. While these findings challenge critics, they also suggest that LAC and SCARF could be further developed to better meet expectations of families.     

Aboriginal Women's Perceptions and Experiences of a Family Violence Transitional Accommodation Service

Abstract

This article presents a qualitative study of Aboriginal women's perceptions and experiences of a transitional housing program in South Australia that was established to assist long-term homelessness and family violence. The aim of the study was to explore the experiences and service outcomes for Aboriginal women and their children and to identify both facilitators and barriers to the effective operation of the program. Face-to-face interviews were conducted with 13 Aboriginal women and thematic analysis was used to report their collective stories. The women's stories showed individualised, flexible, and open-ended support as well as practical outcomes of stable, safe housing for themselves and their children were particularly valued. The women reported that these features of the program augmented feelings of strengthened confidence and self-efficacy. The authors argue the domestic and family violence sector has the opportunity to learn from the perceptions and experiences of Aboriginal women, particularly allowing time and commitment to working long-term with families.     

Women with disabilities in the North West province of Cameroon: resilient and deserving of greater attention

Cameroonian women living with disabilities face three‐fold discrimination as a result of their sex, perceived inability and low socio‐economic status. A needs assessment using focus groups (two focus groups, n = 24) and key participant interviews (n = 12) was conducted to explore the experiences of women with disabilities in the North West province in both urban and rural areas. The findings show that women faced both physical and attitudinal barriers, lived in poverty and felt that they lacked opportunities for gaining an education, finding employment and forming meaningful social ties. There was significant complexity of relationships, marriage and children in their lives. Participants generated ideas on changes that needed to be made for the betterment of their lives. Aspirations included increasing empowerment and education, gaining support from family and friends, increasing public awareness, adapting the physical environment and finding allies.     

Employment among unaccompanied women experiencing homelessness

ABSTRACT

Women represent one of the fastest growing segments of the homeless population and employment is often central exiting homelessness. However, little research considers employment experiences among unaccompanied women, a particularly vulnerable sub-population. This study explored how unaccompanied women experiencing homelessness (n?=?20) perceived and negotiated employment in a mid-sized community. Thematic analysis revealed four themes: limited work experience, limited aspirations, the holding pattern, and individual barriers. Findings endorse the need for Housing-First interventions to prioritize stable housing and employment-friendly shelters.     

Perceived Career Barriers and Career Decidedness of First-Generation College Students

We examined the effects of perceived career barriers on career decidedness among first-generation college (FGC) students (n = 149) and non-FGC students (n = 182) at a 4-year university (mean age = 19.3 years). Participants responded online to measures of perceived career barriers and career decidedness. Results indicated that FGC students scored higher on lack of support and lack of time and financial resources than non-FGC students. For both groups, higher levels of perceived lack of skills were related to lower levels of career decidedness, whereas greater levels of family-related responsibilities predicted higher levels of career decidedness. FGC student status moderated the association between perceived lack of time/financial resources and career decidedness. Further research is needed to investigate the differential effects of various domains of career barriers. Career counselors are advised to consider FGC students' perceived career barriers in guiding students' career exploration and decision-making.     

Health Status,Living Arrangements,and Service Use at 100: Findings From the Oporto Centenarian Study

ABSTRACT

This paper describes the sociodemographic characteristics, health status, and service use of centenarians living in the community and centenarians residing in an elder care facility/nursing home and examines their main differences. Participants were 140 centenarians from the population-based Oporto Centenarian Study (M_age = 101.2; SD = 1.6). Main findings revealed that the majority of the centenarians lived at home with their family members (57.9%). Increased health care needs, living alone, and family caregiving constraints were the most common reasons for entering a nursing home. Community-dwelling centenarians were cared for mostly by their children and were less dependent and in better cognitive health than those who resided in a nursing home. Differences were found in the pattern of health service use according to the centenarians’ residence, ability to pay medical expenses, and dependency level. Findings highlight the need for an accurate assessment of caregiving support systems, particularly family intergenerational duties, and of the factors constraining the access and use of health and social services. Policy makers may be guided by the insights gained from this research and work toward improvement of support options and removal of barriers to service access.     

Welfare Reform on American Indian Reservations

Abstract

In this article we document trends in welfare caseloads and some initial experiences of service providers and welfare recipients on reservations within Arizona under Temporary Assistance for Needy Families (TANF). We document the issues and concerns of state and tribal service providers as they implement the legislation on reservations that are often geographically isolated and which lack infrastructure, jobs, childcare and transportation. We also record experiences of women with children on reservations with the 1996 federal welfare legislation. These families experience similar barriers when trying to move from welfare to work as do their counterparts across the country; however, these barriers are magnified on reservations. The welfare recipients' barriers include: a shortage of employment opportunities on reservations; a lack of transportation and childcare facilities; low levels of education and job experience; and, individual and family problems. Poor families in Indian communities face additional barriers to employment because of their geographic isolation, lack of access to basic necessities (like telephones), as well as stereotypes and discrimination by employers due to ethnicity or personal/family histories.     

Barriers to Help-seeking for a Gambling Problem: The Experiences of Gamblers Who Have Sought Specialist Assistance and the Perceptions of Those Who Have Not

This paper presents barriers to help-seeking data as reported by users of a national gambling helpline (help-seekers, HS, N = 125) as well as data pertaining to perceived barriers to seeking help as reported by gamblers recruited from the general population (non-help-seekers, NHS, N = 104). All data were collected via a structured, multi-modal survey. When asked to identify actual or perceived barriers to seeking help, responses indicative of pride (78% of HS participants, 84% of NHS participants), shame (73% of HS participants, 84% of NHS participants) or denial (87% of NHS participants) were most frequently reported. These three factors were also most often identified as the real or perceived primary barrier to help-seeking (collectively accounting for 55% of HS, and 60% of NHS, responses to this question) and were the only barriers to be identified by more than 10% of either HS and NHS participants without prompting. It was of note, however, that participants in both groups identified multiple barriers to help-seeking (mean of 6.7 and 12.2, respectively) and that, when presented with a list of 21 possible barrier items, NHS participants endorsed 19 of the listed items significantly more often than their HS counterparts. The implications of these findings, with respect to promoting greater or earlier help-seeking activity amongst problem gamblers, are discussed.

Framing the Faculty Gender Gap: A View from STEM Doctoral Students

Drawing on 48 interviews with science, technology, engineering and mathematics (STEM) doctoral students at a private research university in the United States (US), we examine how students make sense of the preponderance of men at the faculty level despite increasing gender parity among students. Students' primary explanatory frame, historical bias, suggests that the gender gap will disappear when enough women attain their doctorates (PhDs). Competing frames include innate and constructed gender difference and the perceived incompatibility between a woman's body clock and an academic tenure clock. We argue that the frames that students use to explain the gender gap shed light on the cultural context of STEM, which is characterized by a tension between the belief in a meritocratic system and the acknowledgement of structural inequality. We suggest that men and women's preference for explanations that preclude bias, in light of women students' own experiences with sexism in graduate school, contributes to the reproduction of inequality by rendering invisible structural barriers to gender equality.     

Factors influencing dietary fat intake among black emerging adults

Objective: To determine what factors influenced dietary fat intake (DFI) among black emerging adults. Participants: Sample included 251 black emerging adults, ages 18–25 years, living in the US. Methods: This was a nonexperimental cross-sectional study based on self-report data. Results: The sample had high DFI. Factors related to DFI were gender (r_pb = ?.22, p < .001), perceived barriers for healthy eating (r = .32, p < .001), and perceived self-efficacy (r = ?.33, p < .001). These variables were also significant predictors for DFI. Gender was significantly related to DFI (b = ?5.894, p = .000). Religious commitment moderated the effect of stress on DFI. Conclusions: Gender, perceived barriers for healthy eating, and perceived self-efficacy were significant predictors for DFI. Religious commitment influenced the relationship of perceived stress and DFI. These findings may lead to interventions designed to reduce DFI and cardiovascular risks among black emerging adults.     

Eritrean Refugees’ Utilization of Antenatal Services in Israel

This study analyzes Eritrean refugee women's utilization of antenatal services in Israel by means of retrospective self‐reports surveys (N = 63) targeting women's service utilization (array of services used, frequency rates, facility rates and demographic correlates) and semi‐structured interviews (N = 10) targeting women's experienced barriers for service utilization. Findings show that Eritrean women make substantive use of the full array of services, with user rates increasing over time. However, frequency rates are low, although increasing when women have more experience with the system. Facility rates are not in keeping with the recommendations of the Israeli Ministry of Health. Interviews reveal that the barriers of work and a complex system of antenatal care limit women's frequent service utilization in the right facility, while the barrier of miscommunication limits their understanding of the services they actually utilized. Findings stress the importance of analyzing different facets of utilization and their demographic correlates.     

Views from the Frontline

Abstract

Through in-depth interviews, Kentucky welfare case managers compare their experiences working under Temporary Assistance to Needy Families (TANF) with their experiences working under Aid to Families with Dependent Children (AFDC). Interviewees unanimously agreed that TANF is more ambiguous, complex, and stressful than AFDC, both for clients and managers. Although case managers embrace the self-sufficiency goals of TANF, the strict work requirements, overwhelming paperwork and limited education and training opportunities create conflicting goals and barriers that frustrate case managers, leading to suggestions of a return to some rules of AFDC while retaining the TANF goal of independence from the welfare system.     

Understanding Weight Management Perceptions in First-Year College Students Using the Health Belief Model

Abstract

Objective: To examine weight management barriers, using the Health Belief Model, in first-year college students. Participants: First-year college students (n = 45), with data collected in April, May, and November 2013. Methods: Nominal group technique sessions (n = 8) were conducted. Results: First-year students recognize benefits to weight management beyond physical attractiveness to quality-of-life domains, including social (eg, bonding opportunities and energy to socially engage) and mental health (eg, stress management). Men believe that weight management is important for career/financial reasons, whereas women voiced that it will allow them to live a full, independent life with a high level of multitasking. Men believed that their barriers were external (eg, campus resources/programs), whereas females perceived their barriers to be internal (eg, poor time management). Conclusions: College students are challenged by weight management and want the institution to provide resources, including curriculum, to help them manage their physical activity and nutrition behaviors.     

Underemployment Versus Relocation: Coping Mechanisms of Palestinian Women in Israel with Patriarchal and Spatial Impositions

Abstract

Over the past decade, rates of Palestinian women in Israel with an academic degree have increased. However, the corresponding increase in their rate of employment has been slower, and the paucity of suitable positions is evident. The aim of the present, qualitative study was to gain insight into the barriers that educated Palestinian women face in finding employment suitable for their training, the coping mechanisms they employ in their attempt to overcome these barriers, and factors that contribute to the selection of these coping mechanisms. Towards that aim, educated Palestinian women residing in northern Israel (n?=?17) and ones who relocated to southern Israel for employment purposes (n?=?42) were interviewed using semi-structured interviews. The findings revealed three coping mechanisms with the shortage of suitable employment: underemployment, retraining, and relocation to southern Israel for employment. This study may help policymakers find ways to increase the percentage of Palestinian women working in their field of training.