Sex,Drugs, and Love Among the Middle Aged: A Case Study of a Serodiscordant Heterosexual Couple Coping with HIV

ABSTRACT

HIV infection attributable to injection is growing, as is the incidence among heterosexual persons. Some of the people affected are over 50, and we can anticipate a growing number of older people with substance use and HIV as primary concerns. Therefore, we need to know more about the intersections of age, addictions, and HIV. This article uses narrative analysis to examine a research interview with an African-American woman and her African-American HIV-infected male partner in order to gain insight about how a middle-aged serodiscordant drug-affected couple might struggle and succeed in the face of HIV. Implications for social work, policy and research are provided.     

Addiction Problems,Addiction Services,and Social Work in the Republic of Ireland

SUMMARY

The aim of this paper is to review policy and practice in relation to the management of alcohol and drug problems in Ireland, with a specific focus on the role of professional social work. There is a high prevalence of alcohol and drug problems in the caseloads of social workers that work within the statutory childcare and criminal justice services. Professional social work in Ireland is of comparatively recent origin and there are few social workers employed in specialist addiction posts or settings in Ireland. The profession as a whole, moreover, has not actively lobbied for a greater role in specialist services. While formal social policy on addictions has shifted in recent decades towards broad public health strategies, which reflect a pragmatic European perspective, the disease model from the United States of America continues to have popular appeal.     

Confidentiality in Substance Abuse Counseling

ABSTRACT

This paper will discuss confidentiality issues in the field of social work, specifically when working in addictions. Exceptions to the Code of Ethics and the Federal statute on Confidentiality of Alcohol and Drug Patients are discussed. Specific cases are examined around the populations of clients with HIV/AIDS and adolescence. Implications for practice and future directions are considered.     

The Role of Social Workers in the Treatment of Addictions

Abstract

This article describes the history of social workers' involvement in the treatment of addictions in the United States. Beginning with Mary Richmond, the “mother of social casework,” social workers have played an increasingly important role in the treatment of individuals with alcohol and other drug problems and of their family members. Today, social workers are important players not only in program development, administration, and treatment of chemical addictions, but also in “process” addictions, such as eating disorders and gambling. Moreover, social workers are increasingly involved in addictions research and policy arenas.     

The knowledge,skills and qualities needed for social work in a major paediatric teaching hospital

Abstract

The place of aged care in social work has long been ambiguous, if not marginal. Social work (as do other comparable professions) often displays a reluctance to place practice in this field within the core of the profession that embodies aspects of ageism in contemporary society. Working with older people is frequently characterised as ‘mundane’, ‘routine’ and even ‘not “real” social work’. This paper examines the practice implications of the current policy context. Forms of ‘indirect’ practice are identified as central to social work in aged care, and the implications of this for the standing of aged care social work in the wider profession are discussed. It is argued that ‘indirect’ practices are core to the development of the profession and so should be seen as ‘real’ social work. In conclusion, it is suggested that unless social work affirms practice with older people and their families we will fail to be congruent with our own values.     

Public Documents and Legislation: The South Australian Juvenile Courts Act, 1971, and Community Welfare Act, 1972

Abstract

This study of social work practice and disability follows the history of two fields of disability: mental illness and intellectual disability. Of particular interest are two key policy influences in the disability sector, deinstitutionalisation and normalisation. The extent to which deinstitutionalisation and normalisation have brought real benefit to people with disabilities is examined from social workers' perspectives. The implementation of these policies and practices on the daily work of social workers is discussed. This research indicates that social work practice in these two fields involves significantly different foci and approach. The study found that the similarities and differences between the two fields of practice are influenced by the historical and contemporary developments in the care and control of people with disabilities.     

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.     

The Suburban Culture of Building and the Reassuring Revival of Historicist Architecture Since 1970

ABSTRACT

In recent years there has been an international revival in the eclectic use of historical architectural styles in modern suburbs. This revival has been largely ignored. When noticed, it has often been dismissed as arbitrary, and by implication devoid of interest or significance. With reference to North American suburbs, this article argues that the historicist revival expresses popular taste. It is the product of a suburban building tradition in which commercial builders are finely attuned, and readily adapt, to consumer taste. A significant cultural trend, it has been associated ambiguously with the rise of neo-liberalism and, contingently, with the fragmentation of consumer taste. It appears to have been a coded, if contentious, expression of changing gender roles while, above all, indicating a search for reassurance in an uncertain world.     

Introduction

Abstract

The author shares some practice experience and personal reflection on her introduction to working with people with disabilities. Recognizing that the construct of “disability” is in the eye of the beholder, she shares an outline for one approach to an introductory course in working with people with physical, cognitive and developmental, and psychiatric disabilities. Common themes in practice and service delivery are discussed, as well as the unique role social workers can play in interagency collaboration.     

Aging,Disability, and Disabled Older People in India

Summary

India is witnessing a demographic revolution, leading to a considerable increase in the proportion of older people in the population. Similarly, life expectancy of both the mentally and physically disabled has improved considerably. About 5% of Indian older people have problems with physical mobility. Aging has become a gender issue in India not only because more women are surviving into old age; they are also vulnerable and disadvantaged in many ways. In most cases they are the only caregivers available for the old and disabled. Older Indians are considered a high-risk group for multiple morbidity. It is estimated that nearly four million Indians suffer from mental problems. India has around 12 million people designated as “handicapped.” However, little information is available about disabled people who grow older. The National Policy on Older Persons, which has been recently formulated, aims at providing an improved quality of life for millions of older Indians. However, the concerns of older disabled and of the disabled who grow old are still treated separately in both policy and practice.     

Alcohol Problems,Marriage, and Treatment: Developing a Theoretical Timeline

SUMMARY

While research findings over the past twenty years have consistently supported the efficacy of couples work with people experiencing alcohol related problems, in the field of practice in Ireland there is little evidence of the development of interventions based on a couples/marital perspective. This paper examines the place of marital work in the alcohol field through a review of the literature from 1950s to the present in order to discover the limitations in theory and research that might explain the reluctance of practitioners to adopt this method of intervention.     

Exploring Epistemologies: The Debate Continues

ABSTRACT

Stigma is a significant barrier to recovery and full community inclusion for people with mental illnesses. Social work educators can play critical roles in addressing this stigma, yet little is known about their attitudes. Social work educators were surveyed about their general attitudes about people with mental illnesses, attitudes about practice with people with mental illnesses, and attitudes about students with mental illnesses. On average, educators’ general and practice attitudes were not negative. However, respondents did view a student with a mental illness differently from a “typical social work student.” Findings suggest that we, as social work educators, must raise our awareness and address our own attitudes to support students and uphold our social work values.     

Building Social Inclusion for Rural Older People Using Information and Communication Technologies: Perspectives of Rural Practitioners

Abstract

The literature identifies rural, older people as at risk of social exclusion, as a result of rural disadvantage. In this context, improved access to information and communication technologies (ICTs) has potential to build social inclusion, yet current evidence shows that rural, older people are the lowest current users of technology. This paper draws on the practice and local knowledge of rural practitioners from one Victorian region in order to explore: (a) the practice issues associated with ICT use among rural, older people; and (b) the characteristics of effective practice models in the rural, social work context. An analysis of findings highlights the need to respond to the diverse skills, needs, and learning styles of older people, to demonstrate the benefits of ICTs, involve users, and build confidence. Major barriers include poor ICT usage by many rural agencies and low practitioner capacity, as well as access and resources.     

Instrumentalism,knowledge and gender in social work

Abstract

The new public sector managerialism of the 1990s has introduced a profound cultural change within social work organisations. It involves a substitution of knowledge which is primarily instrumental in character for the discursive, interpretive and reflexive knowledge on which social workers have traditionally relied in client-centred practice. This paper draws on perspectives from critical theory and psychoanalysis and argues that, despite the apparent neutrality of managerialist discourse, it is both ideological and gendered. It encourages the construction of rigid socially structured defence systems within welfare organisations and is inimical to the kind of thought which can engage with interwoven emotional and material needs to develop reparative practice. Furthermore it is in danger of undermining precisely those forms of supervision that can sustain professionals in the face of the emotional impact of relationships with distressed and damaged people.     

‘Befriend them but not be their friend’: Negotiations of youth practice in a digital age

ABSTRACT

‘You’ve gotta befriend them but not be their friend’ is how one youth worker thoughtfully described the secret to successful youth practice. This paper draws on experiences of youth workers in the United Kingdom to consider how the growth of digital technologies comes to be negotiated and articulated in professional practice. Situating these experiences alongside young people’s accounts, this article highlights a distinction between young people’s relationship with the digital and adult perceptions of youth and technology. The aim of this paper is to consider what factors contribute towards this divide and where adult perceptions come from, if not from the experiences of young people themselves. The article then goes on to discuss the potential consequences of the presence of technology and discourses surrounding the digital for youth worker’s engagements with young people in professional practice. Overall, this article argues for the enduring relevance of youth workers and physical youth centres in a digital age and joins several scholars in critiquing the chronic under-investment in youth workers and provision in the UK and beyond.     

Treatment Approaches for Child Welfare Mothers with Addiction Problems

Abstract

This paper argues that child welfare mothers with addiction problems may require specialized treatment approaches based on their gender. The prevalence of women's problems with addiction and the unique ways addictions manifest themselves in women are discussed. The literature is then used to guide a discussion on the limitations of traditional treatment approaches that have been designed for men and may be of ill service to child welfare mothers. Alternative treatments are reviewed, and suggestions for improving treatment services to child welfare mothers with addiction problems are provided.     

Helping People with Learning Difficulties into Paid Employment

Summary

Welfare to work policies have developed partly from policy rhetoric that argues employment as the best way of ensuring social inclusion for marginalised groups. In the United Kingdom, welfare to work policies for disabled people have developed within an enabling rather than a mandatory system, although organisation and practice have lagged behind. This article explores policies that provide this enabling context for facilitating the transition of people with learning difficulties from benefits to paid employment. It also explores the role of social workers, examining the degree to which their practice reflects the empowering rhetoric of the policy framework and of contemporary social work values.     

“Queer Eye” for Social Work: Rethinking Pedagogy and Practice with Same-sex Attracted Young People

Abstract

Dominant discourses on sexualities construct limited representations and understanding of same-sex attracted young people, often resulting in material and detrimental effects for young people who do not fit the heterosexual mould. Traditionally, social work theory and practice with same-sex attracted young people has relied on ethnic and essentialised models for understanding sexual difference. In the present article, the author reviews current literature on same-sex attracted young people and sexualities, arguing that key elements from queer theory invite social workers to rethink pedagogy and practice with sexually diverse groups. With its critical eye for deconstructing dominant models of sexuality, queer theory provides an alternative framework for informing social work practice. Implications for working in narrative ways with same-sex attracted young people through co-authorship are discussed.