Spirituality and the Gay Latino Client

An essential element in providing social services to clients form diverse communities is an understanding of cultural norms and values. The importance of acknowledging the understanding the role of spiritual beliefs and practices in working with gay Latinos is paramount when one considers the strong influence that organized religion and alternate belief systems have had on the societal, cultural and familial lives of these clients. This article looks at the role of spirituality in working with gay Latino clients, and offers suggestions for enhanced service delivery.     

Social profile,maternal depression and welfare concerns in clients of health visitors and social workers: a comparative study

Research into the practice of health visitors and child care social workers with depressed mothers is limited. This is surprising in view of the known relationship between motherhood and depression, and the association also between child care problems and maternal depression. The study described below is the first which seeks to compare health visitor and child care social work clients/service users in relation to the issue of maternal depression. In particular, it seeks to compare the extent to which maternal depression is a feature of the work of social workers and health visitors, the relationship between maternal depression and the social composition of different client groups, the relationship between maternal depression and welfare concerns—particularly child abuse—and the extent to which such concerns lead to referral from health visitors to social workers. The research shows: (1) interesting similarities between the depressed health visitor clients and social work clients as a whole; (2) the importance of low income and absence of support in the ‘progression’ from health visitor to social work clients status; and (3) an alarming emerging gap in services provided for severely disadvantaged families with child and family care problems.     

Social work guanxi: a reflexive account of the social work relationship in the Chinese context

ABSTRACT

In a guanxi-driven acquaintanceship, the worker, the client, and the community are tied together more closely than they are in mutually agreed-upon service contracts. This paper re-examines the contemporary boundaries in the social work relationship, especially in Asian nations such as China, where ‘relationships’ are generally translated and perceived as ‘guanxi’. The indigenisation of social work must be managed with care when translating from West to East. Drawing from the experiences of community development projects in rural Hong Kong, this paper discusses how guanxi among social workers, clients and other stakeholders in Chinese communities might challenge the professionalism of social work and breach the boundaries of social work relationships.     

Using an Anti-racist Framework for Assessment and Intervention in Clinical Practice with Families from Diverse Ethno-racial backgrounds

Cultural competency and cultural sensitivity are now widely considered to be essential for clinical social work practice with individuals and families from diverse cultural, racial, and ethnic backgrounds. Failing to incorporate these concepts into clinical services can be harmful to clients, can fail to meet the needs of members of diverse ethnoracial communities, and can result in inappropriate services. Yet a sole focus on culture can obliterate our understanding of the consequences of race and racism on individuals and families. The use of a discursive anti-racist framework for assessment and intervention in practice with members of diverse ethnoracial communities is suggested and explained through the use of a case example.     

"WE DON'T PAY FOR BUS TICKETS, BUT WE CAN HELP YOU FIND WORK":

Guided by the concept of social problems work and the micropolitics of trouble perspective, we examine the discursive strategies used by social workers to conduct intake interviews with homeless clients. Trouble was a pervasive feature of these encounters: clients often requested services that diverged from the service preferences expressed by social workers. Social workers used elicitation strategies to solicit information about clients' biographies and their service needs and seminarrative raps to construct service plans with clients. Conceptualized as rhetorical devices, these strategies appear to have managed trouble in ways that articulated closely with material and nonmaterial aspects of the organizational context. We illustrate how these strategies articulated with an agency preference for consensus-style service planning and a focus on clients' recent biographies and immediate problems. Further, we show how these strategies managed the provision of scarce resources in ways that focused on remedies that could be tied to long-term client stability. We conclude by offering the outlines of a general model of the micropolitics of trouble in human service encounters.     

Servicing the body: placing glasses on the client’s head at the opticians

Various forms of service work rely upon personnel undertaking activities that necessitate close, and in some cases potentially intimate, contact with a client’s body. In this paper, we consider the ways in which opticians place and position glasses on the head of their clients and how they avoid, or at least ameliorate, the problems and sensitivities that might arise in this close encounter with the co-participant. The paper is based on the analysis of a substantial corpus of video-recordings, augmented by field work, undertaken both in UK and Denmark. The analysis draws on ethnomethodology and conversation analysis and contributes to our understanding of the interactional accomplishment of body work and embodied conduct and to the growing corpus of research concerned with ‘multimodality’ and the social organisation of service encounters.     

Cost effectiveness of an integrated service delivery model as measured by worker retention

This study sought to examine the impact of housing child welfare ongoing teams in the community, near client neighborhoods, and in a setting that also co-locates other service providers that serve the same clients. The focus was the impact of location and service integration on perceptions of worker stress and actual worker turnover. Thirty four workers from this type of setting and from a more traditional setting in two urban cities in a Southern state were interviewed. In addition turnover rates were calculated and compared. It was found that those located near clients and with staff from other agencies had better morale, lower stress levels, more positive attitudes toward clients and client contexts, knew more about the communities the clients lived in and had more chances to collaborate to solve client problems than those in a more traditional setting with co-location only with family support staff. The turnover rate was lower in the integrated service delivery setting than in either the traditional setting or the state overall. Thus, integration of service delivery benefits not only the child welfare workforce participants, but also the clients who have greater access to other service providers and to the bottom line of the agency through the retention of workers. Implications are described.     

From Mastery to Accountability: Cultural Humility as an Alternative to Cultural Competence

Cultural competency has been a long held ideal for social work educators and practitioners. However, definitions and approaches to cultural competency vary widely depending on worldview, discipline, and practice context. Within social work and beyond, cultural competency has been challenged for its failure to account for the structural forces that shape individuals' experiences and opportunities. In contrast, the concept ofcultural humility takes into account the fluidity of culture and challenges both individuals and institutions to address inequalities. This article takes a critical look at cultural competence as a concept, examining its explicit and implicit assumptions, and the impact these assumptions have on practitioners. It suggests that cultural humility may offer social work an alternative framework as it acknowledges power differentials between provider and client and challenges institutional-level barriers. The authors advocate a move from a focus on mastery in understanding ‘others’ to a framework that requires personal accountability in challenging institutional barriers that impact marginalized communities. Cultural humility, while a promising concept, has not been fully explored in social work. Therefore, the authors present a conceptual model of cultural competency along with strategic questions for providers and organizations to integrate into social work practice and education.     

Case report: a work simulation program for a manual worker with a fracture injury

Work rehabilitation programs targeting different client groups are available in nearly all major hospital occupational therapy departments in Hong Kong. Clients receiving work rehabilitation are referred from various out-patient clinics and other occupational therapists. Those clients experience limitation in work after their injuries or diseases and plan to return to work after rehabilitation. Program objectives are 1) to assist clients to reach maximum work capacity as rapidly as possible 2) to ensure clients return to work safely 3) to improve clients' work readiness. This case report describes an individualized work simulation program at a general hospital in Hong Kong provided for a typical client who is preparing to return to his worker role. Specific job analysis, goals and program rationale for the client are discussed.     

Discretionary approaches to social workers’ personalisation of activation services for long-term welfare recipients

Contemporary social policies emphasise labour market inclusion of vulnerable groups through personalisation of activation services. This article investigates social workers’ decision-making when personalising activation measures to suit each client. Data consist of case files for 16 clients participating in a Norwegian activation scheme, and interviews with the clients’ designated social workers. Using Bakhtin’s theory of dialogism, the article examines what the social workers consider in their decision-making process and the pivotal factors in their conclusions. Findings show that social workers employ two distinct approaches to personalisation, which have significantly different implications for clients’ pathways towards labour market inclusion. The first approach concentrates on clients’ personal challenges, while the second focuses on feasible short-term employment strategies. The study demonstrates how institutional and political frameworks may lead to social workers’ posing activation requirements inconsistent with clients’ needs and capabilities. It suggests further research into these interrelations to improve social workers’ ability to adapt services to individual clients.     

Informed Consent Agreements: Standards of Care for Digital Social Work Practices

The inclusion of remote digital practices (e-mail, texting, blogging, social media) to deliver social work services raises unique ethical and legal challenges for client and practitioner. Competent care necessitates providing clients with information that would materially affect clients’ decisions whether to assume the risks, benefits, and conditions associated with e-practices. As standards of care for distance service provision have not been firmly established, social workers are duty bound to be well-informed about current laws, duties, and obligations including specific rules governing the practice of social work in the states where they deliver remote services. This article identifies distinct threats to privacy and confidentiality associated with e-practices and offers suggested content for a comprehensive informed consent policy.     

Social work and artefacts: social workers' use of objects in client relations

Social workers' use of physical objects—i.e. artefacts such as paper, computers and plastic models—in client relations is rarely investigated. Most often, research focus is on interpersonal relations, user groups, professional skills and treatment methods in social work. In a study of decision-making tools and their impact on caseworkers' decision making, examples were found of caseworkers using artefacts in client relations. This paper presents these findings and discusses the purposes for which the caseworkers use artefacts. The empirical data consist of 30 qualitative interviews with caseworkers from a study of three different decision-making tools used in eldercare, employment services and child protection in Danish municipalities. The analysis shows that the caseworkers are concerned with the issue of how to justify the questions they ask clients and their assessment of clients. Job counsellors use artefacts to justify sensitive questions, for instance, questions concerning substance abuse. Family counsellors use artefacts as proof that they are guided by a model rather than making up the questions themselves. The caseworkers who grant homecare service use artefacts when rejecting an application.     

Constructing Critical Conversations in Social Work Supervision: Creating Change

Clinical social work supervision is not immune to enactments of racial and social injustice, prejudice, power and privilege rampant in our social environment and institutions. These dynamics are active in all social interactions. Most often felt on impact, these remain underground and unevenly experienced—though predominantly by people representing intersecting marginalized identities. Such real enactments can be misunderstood or avoided in social work supervision. Negative consequences not only impede learning for the supervisee and supervisor, and affect clinical understanding of client care they also perpetuate injustice based on power and social locations. Social work supervision provides space for critical analysis to identify and alter dynamics of power, privilege, and social oppression. The critical conversations (CC) model provides a framework to illuminate and examine power dynamics in order to produce change with parallel insight and action—supervisee, supervisor, and client care. Supervisee and supervisor gain capacity to engage in reflection, examine personal and professional values, hold tension and tolerate ambiguity, use one self critically, articulate ideas and insights thoughtfully and effectively, as well as inform clinical understanding of clients. The need for critical dialogue in social work supervision regarding dynamics of sameness, differences, intersectional identities, power and privilege is emphasized. Theoretical grounding is offered to elucidate how complex structural forces of oppression and privilege, cultural patterns and narratives are internalized. A definition of CC, its theoretical underpinnings and the CC model are presented with a case scenario to illuminate the application of the CC model in clinical supervision.     

Using an Anti-Oppressive Framework in Social Work Practice with Lesbians

Anti-oppressive (AOP) social work practice addresses the whole person and the practitioner relates to the client in the client's social context. AOP considers personal, institutional, cultural, and economic issues and considers how these influence individuals' behaviors and their opportunities to grow into their full potential as persons living within these oppressive contexts. Lesbians live in a world that is dominated by oppression and heterosexism that can lead to a deep sense of shame regarding their sexuality. Anti-oppressive social work involves taking and supporting action to advance both individual and structural change to improve the lives of lesbian clients.     

An islamic perspective for strengths-based social work with muslim clients

This paper examines the Islamic concept of fi?ra or ‘original purity’ in relation to the strengths perspective in social work as a basis to guide religious and culturally appropriate services to Muslim clients. Both fi?ra and the strengths perspective presuppose a positive view of humankind; people are viewed as resilient and capable of growth and development, albeit in respective Islamic and secular systems, these outcomes are towards different ends. In Islam, growth and development links to the self but, ultimately, also to one's relationship with God. In secular social work systems, individual effort and the ability to overcome adversity and become whole are key and need not necessarily be linked to a God. This paper assesses the concept of fi?ra in relation to the strengths perspective to determine a religious and culturally appropriate equivalent for working with Muslim clients within the broader context of multicultural practice.     

A Comparison of the Integration Experiences of Two African Immigrant Populations in a Rural Community

Abstract

Most U.S. migration research compares very distinct groups, such as Mexicans and Asians, and virtually ignores the small, but growing number of African immigrants. In contrast, this study describes and compares the integration experiences of two Black, East African refugee populations in a small town in the Midwestern United States. We demonstrate that Muslim Somalis and Christians from southern Sudan encounter similar structural obstacles to social and economic integration, but that their religious affiliations lead to sharply different opportunities and cultural strategies. This paper ends with a discussion of the implications of these findings for social work practice and the potential role of social workers as cultural brokers between new immigrant groups and the general public.