The front lines of domestic violence. Training model for rural EMS personnel

1. Domestic violence is a major public health problem requiring committed, coordinated community response. 2. Domestic violence is a significant cause of morbidity and mortality for women and children in the United States. 3. EMS personnel play a frontline role in the critical response and prevention of domestic violence. 4. EMS education and training are requisite for safe, effective responses to domestic violence in rural communities.     

International Adoptee Identity and Community: Emerging Lessons Learned from Adoptee Experts

Abstract

With tens of thousands of international adoptees placed in the United States since the 1950s, several critiques of the current structure of international adoption have begun to emerge. These critiques highlight the challenges many adoptees face around issues of identity and community. Their stories have also given us insight into oppressions that have prevented their voices from being heard in a more significant way. Community-based participatory research over 7 years of postadoption service work has given the author valuable insights into the current state of international adoption, the challenges faced by adoptees, and what can be done to improve conditions for current and future adoptees. This conceptual article synthesizes the opinions of adoptees into an analysis of the challenges they face and offers possible solutions to move forward. The concepts in this article can be used as groundwork for further discussion around the needs of the adoptee and how they can be addressed by the adoption industry. Specifically, the article calls for the emergence of adoptee identity and community as a valid response to the oppression experienced by many international adoptees.     

The Life Course: A Sociological Introduction

Abstract

Recognition of the deleterious effects of domestic violence on women's mental health has highlighted the potential benefits for women of collaboration between mental health and domestic violence services. Yet the different histories, knowledge bases, and organisational cultures of the mental health and domestic violence sectors present formidable challenges to the development of effective collaborative work. This article draws on a large research enquiry, involving four separate but related studies, which explored aspects of collaboration between these two service sectors. It focuses particularly on data collected in interviews with practitioners from mental health and domestic violence services who were participants in an action research study (one of the four studies), which was aimed at discovering the factors that contributed to enhanced collaboration and the benefits of this for women who experience both domestic violence and mental health issues.     

Domestic Violence and Child Protection: Partnerships and Collaboration

Abstract

The interface between the child protection and domestic violence sectors is often problematic, in that the two sectors operate relatively independently, with little integration. However, it is widely recognised that these sectors need to work more closely to enhance both women's and children's safety. This paper explores the processes needed for the child protection and domestic violence sectors to develop collaborative partnerships that lead to the provision of higher-quality responses to both women and children. Drawing on collaboration theory, a number of barriers to the development of successful partnerships are described, and applied to initiatives that seek to develop integrated approaches between child protection and domestic violence services. It is concluded that there is much scope for the two sectors to work closely together, but that the development of integrated responses involving both child protection and domestic violence services will take a significant commitment, level of determination, and stamina from both parties.     

Elder Abuse: Risk Factors and Use of Case Data to Improve Policy and Practice

ABSTRACT

Countering the generally reactive community approach to prevention and treatment of elder abuse, this study employs analysis of local elder abuse case data to estimate the incidence of elder abuse, neglect, and exploitation and to measure the risk factors, including co-location of other forms of abuse, that predict elder abuse in Miami-Dade County, Florida. The authors also compare the model of intervention used in Florida and elsewhere to best practice models that incorporate elements of domestic violence treatment models. They present a series of specific recommendations for improving local abuse data-collection, analysis, and training so that local policy makers, planners, and practitioners can make proactive, community-specific, culturally-sensitive preventive efforts effective. The findings and recommendations have direct relevance for policy and practice in any community in the United States.     

Interdisciplinary Social Work and Law

Collaboration between social workers and lawyers has been of particular interest to schools of social work due to the increasing frequency with which social workers intervene with clients involved in the legal system. This article presents an educational model specifically designed to teach the interdisciplinary knowledge and skills necessary to work effectively with domestic violence. The model provides training in collaborative practice between social workers and lawyers while integrating domestic violence content with the relevant legal regulations and procedures and social work interventions. The article describes course content, teaching techniques, and student assessment, and discusses special challenges of interdisciplinary collaboration.     

Warrantless Arrest in Domestic Violence

Abstract

Legislators in the United States have responded to domestic violence by passing laws to criminalize domestic violence without empirical support of the effectiveness of this intervention. This research examines policy implementation and domestic violence arrest rates to determine the effectiveness of such legislation in Virginia. The implementation of written domestic violence policies and training for law enforcement officers was expected to increase domestic violence arrest rates. The findings show a positive impact of law enforcement training on felony (repeat offender) domestic violence arrest rates. The findings are relevant for social workers involved in policy and resource allocation for domestic violence interventions.     

Constructing collaborative processes through experiential learning: Participatory planning in Kaymaklı, Turkey

Prevalent discussions in urban planning focus on collaboration. However, they do not explain the underlying processes that allow collaborative work. This paper argues that experiential learning processes can help construct and maintain collaborative platforms in urban planning. To show this, the paper uses the participatory planning of Kaymaklı, a small agricultural and touristic town in the internationally well-known cultural landscape, the Cappadoccia region. This entails the second stage of a two-year long Participatory Action Research project initiated by a local civil association in collaboration with the Municipality of Kaymaklı. The paper presents how the local capacity for collaboration is built through the development of local knowledge in a practice-based training programme. The attention is particularly directed to the pedagogic design of the training programme, the shared knowledge that came out of it, the affects of the programme on the collaborative capacity of participants, and their future collaborative action.     

Challenges of Interdisciplinary Collaboration

Abstract

The realities of the 1990s, which include reduced funding and resources, the public's impatience with bureaucratic rigidity, and the empowerment of families who want timely and appropriate services, have created a favorable climate for collaborative, interdisciplinary practice. Collaborative, family-centered practice models are being promoted by family/child advocates and professionals. Yet child and family services, for the most part, continue to be provided in traditional ways using individual treatment and categorical services. However, federal child mental health funding is supporting community-wide, collaborative practice in twenty-one sites scattered across the United States. One site, in rural northeastern North Carolina, is unique as it includes a graduate-level, interdisciplinary academic component [East Carolina University's (ECU) Social Sciences Training Consortium (SSTC)] to train and support service providers and families, and to prepare master's level graduates to work in such innovative programs. Called PEN-PAL [an acronym for Pitt-Edgecombe-Nash (three NC counties) Public Academic Liaison] this university/interagency collaborative effort works in partnership with families to coordinate public and community services into a seamless system of care for children with severe emotional disturbances. This article is based upon a qualitative study of SSTC faculty members, and it chronicles the successes and difficulties encountered by faculty in the first year of a five-year collaborative process.     

Conflicting Agendas: The Politics of Development Aid in Drug‐Producing Areas

When international development policy prioritises goals determined by the donor's domestic policy concerns, aid agencies not only fail in their development objectives but can also generate conflict in the recipient country. In the Bolivian Chapare, where the United States is driven by the need to demonstrate success in controlling cocaine production, policies to eradicate coca leaf have led to programmes with limited development impact that increase conflict both locally and nationally. In contrast, the European Union's successful collaboration with local governments which began in 1998 provides insights into generating sustainable development and de‐escalating conflict in drug‐producing regions worldwide.     

Conducting research on violence in Asian American communities: methodological issues

Conducting culturally competent research is a challenge as the United States becomes increasingly multicultural. When conducting research on violence in Asian American communities, researchers need to consider how culture, race, and ethnicity influence definitions of concepts, and methodological issues such as research designs, sampling, developing and translating instruments, ethical issues, recruiting research participants, supervising and training interviewers, and disseminating findings. Examples from the authors' research studies on community violence in the Khmer community, domestic violence in the Chinese American community, and dating violence in Asian American groups are extrapolated to highlight various themes. A commitment to a research program that collaborates with the community under study and cultural experts is vital at every stage of the research process.     

A Collaborative Student Affairs and Faculty Health Assessment and Intervention Initiative

Abstract

The authors describe a collaborative partnership forged between faculty and student affairs staff to improve student health at a large urban university. They examine skills and reward structures of each constituency and the stages of the collaboration in the context of 2 theoretical models. A comprehensive data collection and dissemination process in the campus community provided goals for the initial stage of the partnership, leading to implementation of campus initiatives that use the reciprocal skills of each stakeholder. Outcomes of the collaboration included (1) a working relationship between faculty and student affairs staff, (2) increased dialogue with high-level administrators, (3) more coordinated campus efforts to decrease high-risk drinking, (4) use of outcome measures for implementing and evaluating health programs, and (5) an opportunity for interdisciplinary research. The authors offer suggestions for implementing the process on other campuses.     

Disabled citizens as researchers – Challenges and benefits of collaboration for effective action and change

ABSTRACT

This article reports on the evaluation of an initial pilot for a collaborative research project undertaken in an English county between a service user-led Coalition of Disabled People, the local authority and local university. The project sought to map the assets and resources for/of disabled people in their local community as well as needs and gaps, to inform the Coalition’s strategic planning and raise awareness of disability issues across the county.

The article discusses an inclusive, co-productive approach using participatory action research. It focuses on experiences from the pilot stage of the project and considers how the authors worked together with the required knowledge exchange and power-sharing to recruit and train researchers with expertise from their personal experience of disability. Recruitment ensured they had relevant qualities and skills that could be developed, to increase their confidence, knowledge and skills set as researchers. They then undertook photo-elicited, semi-structured interviews with other disabled people, analysed findings and created photographic exhibitions for dissemination and awareness raising.

Demonstrating a commitment to emancipatory research and collective action for change, the discussion considers the promotion of shared values within the research team, and explores the benefits and challenges encountered during the process and how the particular stages were managed to achieve the beneficial outcomes of the pilot. The article seeks to add to the literature of participatory/emancipatory action research for social work.     

Children of adult consumers of mental health services: Towards principles of practice

Abstract

This paper discusses the development of a peer support and advocacy Network, Young Mothers for Young Women. The Network evolved through a participatory action research project into young mothers experiences of violence. Through the Network, young women participate in a community development approach to violence reduction. As part of the Network, young women offer peer support to other young women. Network members also engage in ongoing community education and advocacy about issues, such as poverty, isolation and sexism which increase young womens vulnerability to violence. An important aim of this paper is to make visible the dialogue between social workers and young women on which the Network relies. This paper is motivated by the concern that as social work enters an era of increasing accountability it is critical that workers articulate the often invisible role they play in facilitating participatory processes.     

A Collaborative Approach to Service,Learning, and Scholarship

ABSTRACT

This article describes a research course that was a collaborative endeavor between a school of social work and a community organization. This project was guided by learning, service and scholarship goals. Specifically, the participants in this course provided a pro-bono evaluation for a community benefits district. The benefits district solicited assistance from the authors, with the caveat that district members not be involved in the data collection and analysis. The authors situate this project on a continuum of traditional versus participatory research, and propose a “mixed” model for collaborative university-community efforts. The authors suggest ways of engaging students in “real world” research that benefits the community and facilitates their own training as macro social work practitioners. Factors that facilitate and hinder such a project are also discussed.     

Creating Ethnicity: East European Jews and Lithuanian Immigrants in Chicago

Abstract

By focusing on East European Jewish and Lithuanian ethnic groups in the United States, this paper offers a three stage model for understanding the process by which assimilating groups create their ethnicity: Stage One, ethnic community and participatory organizations; Stage Two, individual perpetuation and representational organizations; Stage Three, informal behavior and residual symbols. The model considers the impact of both cultural and structural variables, instead of treating them as rival claimants to primacy. In applying the model to data gathered in the groups' Chicago communities, we found that despite particular divergencies, both groups presented a similar response to the United States, enabling their members to maintain a dual ethnic identity beyond the tightly-knit ghetto and urban village.     

Navigating the “Sea of Goodwill”: Lessons from Regional Veterans Collaboratives

ABSTRACT

Veterans and military families face a complex set of challenges transitioning to civilian life. Following in a tradition of community collaboration and collective impact, we believe that a coordinated community-based approach can help ease this transition. Our comparative case study suggests that veteran collaborative efforts should be based on best principles including a neutral and natural convening organization; the presence of credibility, respect, and trust; resources to administer and facilitate; and using data for planning and implementation. Looking forward, these collaboratives need to address issues of scale, formalizing and broadening their scope to identify and achieve and evaluate their impact.     

Can social workers and police be partners when dealing with bikie-gang related domestic violence and sexual assault?

Welfare and criminal justice systems manifest different goals, cultures, values and working methods. In Australia, the welfare sector has a culture of empowerment and concern for victims’ rights, within which social workers focus on social justice and social change. In contrast, the criminal justice sector (police) is patriarchal and para-military in structure, focusing on enforcing and maintaining community order and safety. These differences can create tension when social workers and police need to work as partners in response to violence against women, in particular violence against women from bikie gangs. This article addresses the issue of partnerships between social workers and police when working with abused bikie-gang women. It presents the findings of recent research into social work practice with such women in South Australia, in conjunction with a brief exploration of the international literature on social work and police cultures, and partnerships. It concludes that whilst there is a great need for genuine collaboration and partnership between social workers and police in the complex context of domestic violence with links to organised crime, the cultures and mandates of these different professions make this difficult.     

Sexual and Family Violence: Overcoming Barriers to Service Access for Aboriginal and Torres Strait Islander Clients

ABSTRACT

Despite the fact that Aboriginal and Torres Strait Islander communities typically experience a high prevalence of sexual and family violence, service responses have mostly been culturally inappropriate and ineffective. This article reports on a collaborative, participatory research project aimed at exploring barriers to service access by Aboriginal and Torres Strait Islander clients when they have been affected by sexual and family violence. The findings reveal multiple barriers to service access, including justice system deterrents, social taboo, shame, and a lack of culturally appropriate services. The article highlights the importance of recognising and addressing the complex interplay of historic, social, and cultural factors influencing service access.     

“We don't want to talk about that”: Overcoming barriers to rural aging research and interventions on sensitive topics

Geographical, economic, social and cultural barriers to accessing services in rural areas are widely reported. Less widely discussed are dilemmas posed by individual and community reluctance to address sensitive health issues. This article, focusing on the highly sensitive area of mental health, and employing a participatory action approach, describes the natural history of a project, the Mental Health and Aging Initiative (MHAI) to enhance awareness of mental health issues in rural Kentucky-Appalachian communities and overcome the reluctance of individuals in these communities to seek assistance. Funded by the United States Department of Agriculture (USDA), MHAI involved an educational intervention to improve knowledge about mental health and aging in rural Appalachian counties. The need to overcome significant community reluctance to engage in discussion of mental health resulted in significant modification of the protocol. The intervention was grounded in recognition of four key aspects of the local situation: (1) the need to understand the sensitivity of mental health as an element of rural culture; (2) the critical role of local community leaders as points of entry, acceptance, and action; (3) the need to overcome social stigma and reframe the topic of mental health in a more positive light; and (4) the need for methodological innovation in developing an empowering educational action plan oriented toward community-wide long-term impact. The intervention model that emerged from these considerations was based on engaging community leaders, providing educational and technical resources, and nurturing the acceptance by individual rural residents of responsibility for monitoring community mental health. This motif became a central theme in a strategy designed to facilitate culture change and acceptance of mental health as a community concern. It involved active engagement of community representatives in defining and implementing an intervention consistent with participatory action research as a means of empowering rural residents in monitoring and addressing sensitive health care issues. Given that many issues in rural health are difficult to address because of such sensitivity, the approach described is considered to have application in other contexts.