Triangulating perspectives to inform the development of a smartphone application for foster,kinship, and adoptive parents

Abstract

This article describes the initial phase of a user-centered, inductive process for informing the development of a smartphone application (app) to complement an in-person trauma-focused knowledge and skills training class for child welfare resource parents (i.e. foster, kinship, and adoptive parents). Based on the participatory design approach for technology development, a qualitative study was designed to capture and triangulate relevant knowledge and opinions from resource parents, training instructors, and parenting education experts. The most prevalent themes emerging among these stakeholder groups included the need for a simple app interface and the potential for the app to (1) cultivate connection, affirmation, and combat resource parent feelings of isolation; (2) reinforce in-class knowledge and support skill practice at home; and (3) monitor resource parent, child, and family progress over time. Detailed findings are presented, including direct quotes from focus group and interview participants and elaboration on the prevalent themes, which may benefit others in the early stages of human services app design and contribute to the creation of guidelines for the development of technology-based human services interventions.     

A comprehensive health service evaluation and monitoring framework

ObjectiveTo develop a framework for evaluating and monitoring a primary health care service, integrating hospital and community services.MethodA targeted literature review of primary health service evaluation frameworks was performed to inform the development of the framework specifically for remote communities. Key principles underlying primary health care evaluation were determined and sentinel indicators developed to operationalise the evaluation framework. This framework was then validated with key stakeholders.ResultsThe framework includes Donabedian's three seminal domains of structure, process and outcomes to determine health service performance. These in turn are dependent on sustainability, quality of patient care and the determinants of health to provide a comprehensive health service evaluation framework. The principles underpinning primary health service evaluation were pertinent to health services in remote contexts. Sentinel indicators were developed to fit the demographic characteristics and health needs of the population. Consultation with key stakeholders confirmed that the evaluation framework was applicable.ConclusionData collected routinely by health services can be used to operationalise the proposed health service evaluation framework. Use of an evaluation framework which links policy and health service performance to health outcomes will assist health services to improve performance as part of a continuous quality improvement cycle.     

Personal resilience and identity capital among young people leaving care: enhancing identity formation and life chances through involvement in volunteering and social action

This study explored identity capital and personal resilience among care leavers and young people in care engaging in social activities through volunteering. Care leavers and young people in care are disadvantaged developmentally by lack of identity resources and an accelerated transition to independence. This study analysed material from semi-structured interviews to explore the Identity Capital Model and theories of individualisation, agentic identity development and resilience in explaining the identity resources of young people transitioning out of care. The analysis identified links between the exploration opportunities of volunteering with the development of agentic individualisation and enhanced identity capital. The findings indicate that developmental processes may be enhanced through supported and personalised volunteering opportunities to aid vulnerable young people transitioning out of care. Young people leaving care can make substantial gains particularly in social capital, personal resilience and identity capital. This study indicates that volunteering opportunities for this group of vulnerable young people may assist in compensating for the lack of resources often experienced by care leavers when transitioning to adulthood.     

Positive Manhood Development: A Look at Approaches and Concerns from the Frontline

This mixed methods study, using the perspectives of administrators and frontline workers, identified the key developmental needs of African American boys involved in manhood development programs. Five conceptual themes emerged: values and behavior; men needed for guidance; successful organizations; economics and systems; and stable quality parenting. Themes from the conceptual clusters are compared to themes in the positive youth development literature, specifically the 40 developmental assets framework proposed by the Search Institute. The resulting distinctive ecological focus is rarely discussed in the youth development literature and may have implications for youth development interventions that target positive African American manhood development.     

Long-Term Care Planning as a Cultural System

Abstract

This paper treats long-term care planning from a cultural perspective, that is, as a cultural system in which components of long-term care interlock culturally and therefore meaningfully. In the introduction and background sections, we provide a context in which long-term care planning may be viewed, based on the finding that relatively few people take advantage of long-term care planning and insurance; we also discuss some earlier work on long-term care from a psychological perspective that emphasizes themes of imagination and self-efficacy. We then examine long-term care from a cultural perspective by identifying and explicating five broad themes that help us better understand the meaning of long-term care planning to Americans. Finally, we use these themes to suggest some important social policy correlates.     

Children with Special Health Care Needs

Abstract

The health care model presented in this paper is a non-linear, systems approach to service delivery. The model was a by-product of three ethnic-specific conferences that were convened to discuss strategies for improving access to care and the quality of services provided to children with special health care needs (CSHCN) from diverse cultural backgrounds. The model evolved as insights regarding the common values and norms held by parents, health care providers, and cultural representatives were shared. Content analysis was used to identify core themes identified by participants. These themes were incorporated into a model that included the following elements: community-based, culturally competent, health-oriented, resiliency-focused, and family-centered care. At the fourth Consensus Conference, selected participants from the previous ethnic specific conferences reviewed the proposed model and deemed it a vehicle for facilitating health care service utilization by culturally and linguistically diverse CSHCN and their families.     

My Room,My Home,My Self

Abstract

The material culture of home cannot be supplanted in its entirety when moving into an aged care facility. When the time comes, the decision of what to take and what to leave behind is not simple. This article presents the balance between practical and emotional considerations in the choice and presence of personal objects in the rooms of residents. Intersubjective relationships between material objects in the room and the people who enter that space is viewed through a narrative lens. In this way, it is the materiality of the room-as-home for the self, which is key. Three major themes relating to the objects in the room of the older person were found to be: 1. Safety, 2. Family, and 3. Home. These themes emerged from ethnographic research in an aged care setting. Participants included residents, their families, care staff, and management of the facility. The article contributes to understandings of material objects as carriers of identity and meaning in an aged care facility.     

Hispanic and African American Youth

SUMMARY

This exploratory, qualitative study of 28 (10 Hispanic and 18 African American) former foster care youth attempts to capture the essence of their quest for self-sufficiency. While research on former foster care youth continues to highlight the problems confronting them after they emancipate from care, the depth of their struggles is often lost in the aggregation of statistics. The numbers themselves often fail to capture the hardships, isolation, hope, and despair many of them may face as they attempt to adjust to life after foster care. Furthermore, existing research often regards emancipated youth as a homogeneous population. Interviews with these respondents of color were coded to determine the themes and stories they held. The themes emergent from these interviews were: the importance of people in the independent living programs; vagueness in recalling the content of the independent living programs; family conflict; housing instability; regrets, fears, and lessons learned; and future goals. Implications for culturally sensitive practice and research are drawn from these data.     

The continuum of dependent family care: a theoretical explanation and model

ABSTRACT

Caring for dependents with disabilities and how this type of care differs from the care of typically developing dependents has largely remained unaddressed in the work–family literature, partly because of a lack of theoretical development on the concept of dependent family care. Studies examining dependent family care often apply a life course perspective, missing key disability factors influencing dependent family care demands and need for resources. This article develops a theoretical framework of dependent family care that accounts for both typical care, which follows the life course trajectory, and exceptional care, which follows a disability trajectory. We position dependent family care as based on a continuum, achieved by adapting life course theory, family adjustment to chronic illness, ecological systems theory, stigma theory and the social model of disability into a model. We explain how dependent family care occurs and what contributes to whether one is engaging in typical or exceptional care. We draw broad constructs representing predictors of different types of dependent family care. We provide specific examples to illustrate how one might test theoretical propositions, an agenda for further research and discuss implications for family–work–community research and practice.     

Health and Well-Being for Late Middle-Aged and Old Lesbians in a Rural Area

Abstract

Previous research on lesbian health care has drawn primarily from samples of young lesbians living in metropolitan areas. Through face-to-face interviews with twenty-one lesbians aged 54 or older and living in rural communities, this exploratory, naturalistic inquiry begins to fill a gap in the literature by examining the health care experiences of older, rural lesbians. Five themes emerged from the narrative data: issues of access; good health/good care; open to her own diversity; family and community; and visions-ideals and fears. We present these themes through informant quotes and discuss implications for policy and practice.     

Healthy Sexual Development: A Multidisciplinary Framework for Research

ABSTRACT

A group of Australian researchers from a range of disciplines involved in studying children's sexual development developed a framework for researching healthy sexual development that was acceptable to all disciplines involved. The 15 domains identified were: freedom from unwanted activity; an understanding of consent; education about biological aspects; understanding of safety; relationship skills; agency; lifelong learning; resilience; open communication; sexual development should not be “aggressive, coercive or joyless;” self-acceptance; awareness and acceptance that sex is pleasurable; understanding of parental and societal values; awareness of public/private boundaries; and being competent in mediated sexuality.     

Young people leaving care in England,Northern Ireland,and Ireland

This paper explores the transitions of young people, aged 16-18, leaving state care in England, Northern Ireland, and the Republic of Ireland. It is based substantially upon the findings from collaborative research which developed in stages between 1991 and 1999 - and is still ongoing. Four substantive areas are discussed. First, the legal framework of the three jurisdictions: the Children Act 1989, the Children (Northern Ireland) Order 1995 and the Child Care Act 1991; second, the research context within the three child care systems; third, the findings from the three related projects; and, finally, the key themes and issues arising from the research studies.     

The Mediating Effect of Resilience Between Social Support for Exercise and Resident Satisfaction in Assisted Living

This study examined whether residents' level of resilience mediated the relationship between social support for exercise from staff and resident satisfaction in assisted living. This was a secondary data analysis using baseline data from a function-focused care intervention study including 171 residents from four assisted living facilities. Using structural equation modeling, we found that mood and social support for exercise from staff were the only variables associated with resilience. Mood, gender, cognition, and social support for exercise from staff directly influenced resident satisfaction and explained 31% of the variance in the model. Implications for future research and practice are discussed.     

Theories of Global Poverty

ABSTRACT

In September 2000, participants in the United Nations Millennium Summit made a commitment to alleviating global poverty and inequality through the Millennium Development goals. This historical pledge has raised public and academic awareness of the issue of global poverty. In light of this interest, this literature review seeks to clarify the issues surrounding global poverty by focusing on the developed world and the developing world. Given the substantial amount of interdisciplinary research on global poverty, it can be organized into at least four areas: poverty definitions, units of measurement, theories concerning resources, and findings on effective interventions. It is clear that context influences these four areas and the resulting theories relate to: (1) inclusion, exclusion, and access; (2) individual rights and responsibilities versus community focus; (3) human capital theories, structural poverty, and resource inequality; and (4) theories of welfare versus theories of development. This analysis of these four theoretical domains concludes with a conceptual framework for understanding of global poverty and the influence of the social environment on human behavior.     

An International Review of the Long-Term Care Workforce

Abstract

The developed world's population is aging, due to trends of increased life expectancies and decreased fertility rates. These trends are predicted to increase demand on long-term care services. At the same time, the long-term care workforce is in shortage in most of the developed world. Moreover, such shortages are expected to increase due to parallel socio-demographic factors. The increase in demand for long-term care, coupled with shortage in supply of care workers, has promoted some attention from policymakers. The current paper provides an international review of institutional arrangements for long-term care in different developed countries and in particular explores different strategies used or proposed to resolve the shortage in the long-term care workforce.     

Constructing a global understanding of the social ecology of leaving out of home care

Engagement with globalisation is growing in the field of youth transitions from out of home care. This includes cross national exchange of research, policy and practise, regional advocacy networking and global policy development. Furthering this emerging international child welfare perspective requires extending it to countries in the developing world and building conceptual frameworks which encompass a social ecology of care leaving, including its global dimension, the latter needs to address not only the needs, expectations and rights of care leavers but also the theories of change underpinning service design and delivery. Such a model is presented combining resilience and social capital as personal assets situated within a social ecology of support. To illustrate how this provides a means to help engage with the experience of countries where there appears to be very little information available on care leaving, a small scale South African initiative is considered. SA-YES is a youth mentoring project for young people leaving a variety of out of home placements. Planned as a three-year pilot, initial results are encouraging but require more rigorous evaluation focusing on program process and outcomes, quality of interpersonal relationships and synchronisation with cultural expectations and policy environment.     

What survivors want: Understanding the needs of sexual assault survivors

Objective: Sexual assault is a pervasive crime on our college campuses and many survivors do not seek post-assault resources. This study will explore components of alternative interventions to consider in the development of campus-based interventions for sexual assault survivors. Participants: Three stakeholder groups including survivors (n = 8), healthcare providers (n = 6), and advocates (n = 19) were recruited from May 2014 to December 2014 from two university campus communities using flyers and purposive sampling. Methods: A qualitative study design utilized semi-structured interviews and semi-structured focus groups with survivors, healthcare providers, and advocates. Results: Five themes emerged to consider for future campus-based sexual assault interventions: (a) culture of caring, (b) one-stop shop, (c) validation, (d) survivor control and agency, and (e) confidentiality. Conclusions: Although accessible and effective options for post-assault care do currently exist, participants described alternative future interventions that were either (a) print materials or (b) technology-based.     

First Nations youth redefine resilience: listening to artistic productions of ‘Thug Life’ and hip-hop

In recent decades, resilience research has striven to atone for the Eurocentric nature of research conducted with Canada's Aboriginal populations. It has been cautioned, however, that if resilience research fails to account for Aboriginal population's diversity, it risks culturalized images and pan-Aboriginalism. Definitions of resilience should be framed within community-specific models, recognizing dynamic subjects interacting in multiple social worlds. In partnership with six Saskatchewan First Nations communities, our work seeks to understand what resilience means to youth who live on-reserve. We draw on findings from two community-based projects developed with the Battleford Agency Tribal Chiefs First Nations. These projects used arts-based and mixed-methods to identify community strengths and barriers surrounding youth resilience. Although study findings show the influence of family, programming, and culture, our model is emended to show the importance of youth's own definitions of resilience, even when these may appear antithetical to conventional norms. Drawing on the youth's artistic pieces, evolving themes focus on hip-hop culture and Thug Life; showing youth creating a place to belong when they are experiencing a lack of belonging. Within the framework of listening to youth-driven resilience, we put forward an alternative model of reaching youth using positive elements of Thug Life and hip-hop.     

Interpretative Phenomenological Analysis of Soldiers’ Experiences of Being Married and Serving in the British Army

ABSTRACT

Research suggests certain aspects of military life, especially operational deployments, may negatively impact military marriages. However, much of this research is from the United States and uses deductive quantitative methods. Qualitative research investigating the lived experiences of forming and maintaining marriages was conducted with six male U.K. Army personnel. Semistructured interviews were analyzed, using Interpretative Phenomenological Analysis, identifying five themes, each representing different dilemmas the soldiers’ had to balance to maintain successful marriages and Army careers. These five themes are best understood as practical, emotional, and cultural dilemmas that can be alleviated with practical and emotional methods; such factors could be used to build resilience in soldier’s marriages. These possible resilience factors could shape the content of interventions to increase resiliency in military marriages.     

Social Work Education in the Urban Scene

This paper describes one possible approach of integrating the key areas of racism and sexism into the human behavior sequence. It is suggested that power relations among people has become a unifying concept of human behavior in modern society, replacing the Freudian libido. Under this conceptual umbrella the relationship between men and women, between races, between social classes, and between helping professionals and their clients can all be examined. General principles of human behavior, such as aggression theories, childhood socialization, defense mechanisms, role theory, verbal and nonverbal communication, and other themes can be introduced to support the basic framework.