Contribution analysis to analyze the effects of the health impact assessment at the local level: A case of urban revitalization

The health impact assessment (HIA) is a tool used to estimate the potential impact on health of non-health-related proposals prior to implementation. While it is increasingly used in Quebec, Canada, studies have not analyzed its medium-term impacts and potential long-term impacts. We conducted a contribution analysis using in-depth interviews with key stakeholders, as well as documents, observation and images related to HIA in order to analyze its impacts on the revitalization of road infrastructure, parks and green spaces, and residential housing. Our analysis not only reflects on the decision-making process through the adoption and implementation of HIA recommendations, but also on the link between actions implemented in the field and health outcomes.     

Rural gentrification and the processes of class colonisation

The term rural gentrification is examined and contrasted with contemporary debates over urban gentrification. A common root, in the displacement of a working-class populace by middle-class incomers, is identified and also criticised. Attention is drawn to debates current within urban studies concerning the definition of gentrification as a process of capital investment or as a means to purchase particular lifestyles, the role of reproductive work and service provision, and the possibility of diverse types of gentrifiers and processes of gentrification. The paper investigates, through a substantive study of households in four villages in Gower, whether some of these arguments can illuminate understandings of rural gentrification. Claims that gentrification is necessarily associated with home owners acting as capitalist developers or with an emergent service class are questioned and the possibility of ‘marginal gentrifiers’ is raised. It is also suggested that asymmetries in class positions of householders may be constitutive of rural gentrification. Finally it is argued that comparative work should be undertaken to draw out both the commonalities and differences between rural and urban gentrification and also within gentrification in various rural localities.     

Rethinking Gentrification and the Right to the City: The Process and Effect of the Urban Social Movement against Redevelopment in Tokyo

This article focuses on the anti‐redevelopment movement in Shimokitazawa, an area adjacent to the central Tokyo metropolitan area, to analyze resistance to the gentrification‐like phenomenons in Japan. In recent years there has been an increase in the number of international comparative studies on gentrification, and an inductive analysis based on an understanding of the various contexts of each city is needed. This article takes on this task, referring to the key concept of the right to the city, which has been used as a framework for understanding anti‐gentrification movements. In doing so, I aim to reveal the bias in existing gentrification research. In Shimokitazawa the rights to enjoy the culture of the city and the rights to speak out about the state of the city were newly recognized. The evolving debate on this area shows that these rights should be widely shared not only by landowners and residents but also by visitors. However, these rights are not adequately captured by existing conceptions of the right to the city. Shimokitazawa's anti‐gentrification movement provides an opportunity to participate in an autonomous movement. Notably, the opposition movement has been using its newly acquired voice to create alternative public spaces. The emerging trend of urban social movements that recognize and bring to light the potential value of urban space offers insights for guidelines for the future development of urban society.     

Toward a Holistic View of Health and Health Promotion in Social Work with People with Disabilities

Abstract

The individual medically oriented model of disability suggests that people with disabilities seldom achieve health and wellness because of their impairments and disabilities. This paper provides an alternative to the tendency in social work to focus on the medicalization of disability without a due consideration of the social context. It draws insights from the social model that asserts disability is a form of social restriction encountered by people with disabilities and that social barriers of disability must be removed through collective action. Also, this model posits that people with disabilities can be healthy if the barriers preventing good health are removed. However, medical aspects of a person with a disability should not be forsaken entirely. Therefore, this article proposes a holistic view that converges insights of the individual and social models toward a better understanding of health issues for people with disabilities. It shows the implications for social work that follow from the convergence.     

Mental Health Difficulties and the Support Needs of Social Work Students: Dilemmas,Tensions and Contradictions

There are a growing number of students in higher education who experience mental health difficulties and have support needs. The behaviour of small numbers of students on social work programmes indicates also a need to examine the mental health difficulties and needs of social work students. There is only limited factual information on this topic. It is rarely discussed or written about. There is a danger of discriminating against those experiencing such difficulties, especially black or female students. Yet, at the same time, undertaking a social work programme is a demanding experience, as is doing social work itself. Furthermore, on courses leading to a professional qualification, such as social work, there is an obligation to protect the rights of, and assess possible risks to users, as well as to support students. Programmes should give particular attention both to the mental health difficulties and support needs of social work students at selection, during the programme itself and upon conclusion of the programme at a wide range of levels, both within the higher education system and outside that system.     

The embedded landscape of gentrification

This paper promotes the idea of embedded gentrification. Gentrification is immersed in latent industrial and ethnic settings. Employing visual, interview, and ethnographic data collected from a multi‐year study of the Williamsburg, Brooklyn neighbourhood in New York City, it rethinks the relationship of gentrification to the existing social and built environment.     

‘Health in all Placements’ as a Curriculum Strategy in Social Work Education

The convergence of health and social perspectives that aim to improve the quality of life of individuals, groups and communities through advancing the social determinants of health provides an important context for social work education. The adaptation of global initiatives such as Health in All Policies (HiAP) to a `health in all placements' approach in social work education is suggested as a curriculum initiative to support learning about health inequalities and enable students to locate their practice in the social, political, environmental and economic context of health and wellbeing. The integration of this approach with principles of social justice, social inclusion and the theoretical framework of transformative learning in field education is also discussed. It is argued that the approach supports the inclusion of global and local perspectives in social work curricula and pedagogical imperatives in higher education.     

When Bourgeois Utopias Meet Gentrification: Community and Diversity in a New Urbanist Neighborhood*

Abstract

Scholars have recently begun to explore how social and politically liberal gentrifiers make sense of the classed and racial inequalities linked to gentrification. In this article I ask how residents of one new urbanist “bourgeois utopia”—the Mueller Development in Austin, Texas—experience and give meaning to their neighborhood in a context of gentrification. Drawing on 31 in-depth interviews I explain how new urbanism has reimagined and marketed “diversity” and “community” to middle-class and wealthy consumers and provides these to affluent people as neighborhood amenities. I show how residents draw on diversity ideology and multicultural capital to neutralize what they see as their neighborhood’s role in gentrification. In doing so this article adds to our theoretical understanding of how contemporary urban development exploits pursuits for the social good as rhetorical tools to assuage privileged guilt while promoting profitable enterprises.     

Health Inequalities at the Heart of the Social Work Curriculum

Efforts to reduce the widening gap between the health and social well-being of people within and between countries have become an urgent priority for politicians and policymakers. The Rio Declaration called on governments worldwide to promote and strengthen universal access to social services and to work in partnership to promote health equity and foster more inclusive societies. This paper contributes to international debates about the role of social work in promoting social justice by reducing social and health inequalities. Despite clear commitments to promote good health, there is a notable absence of a social determinants of health perspective in international social work curricula standards. The current review of social work education in England presents a timely opportunity to integrate such a perspective in teaching and learning and to disseminate this more widely. Employing the concepts of downstream and upstream interventions, the first part of the paper examines the distinctiveness of the social work contribution to this global agenda. In the second part of the paper, we consider how the content of learning activities about health inequalities can be incorporated in international social work curricula, namely, human rights, using Gypsy and Traveller families as an exemplar, inter-professional education and international perspectives.     

Social motivation and health in college club swimming

ABSTRACT

Objective: Participation in recreational sport clubs on campus is a popular student activity nationwide. These sport-based organizations provide a host of benefits within recognized dimensions of health and wellness. Understanding participants’ motives for engaging in these types of activities can provide insight in design and delivery and enhance participant health. This study focuses on outcomes related to the social motivations for participation in a recreational sport swim club and their potential relationship to social health. Participants: Current members of recreational swimming clubs were contacted for participation in the study from March-April 2016. Methods: A Leisure Motivation Scale (LMS) survey was sent electronically to 196 collegiate swim clubs nationwide. Aggregate and multivariate analyses from 1011 responses were conducted to examine the social motivation and motivational differences of participants. Results: Social motivations emerged as the predominate motivational construct, indicating important implications for social health improvement through participation. Demographically, results indicated no statistically significant differences in social motivation factors based on participant gender, and statistically significant differences within participant race, university affiliation and practice frequency. Conclusions: Impacts of these findings are important for practitioners and participants when evaluating the potential these programs have to influence participant social health.     

‘Lesbian migrants in the gentrified valley’ and ‘other’ geographies of rural gentrification

This paper explores the migration and cultural consumption practices of lesbian households within processes of rural change. Taking forward Phillips’ (2004. Progress in Human Geography 28, 5–30) discussion of neglected geographies of rural gentrification, and building upon Halfacree's (2001. International Journal of Population Geography 7, 395–411) critique of dominant conceptualisations of rural in-migrants, the paper presents empirical findings from a qualitative study of lesbian households in Hebden Bridge, West Yorkshire. This follows up an earlier study of rural gentrification (Smith and Phillips, 2001. Journal of Rural Studies 19, 457–469). Lesbian households are shown to be a significant group that socially and culturally (re)produce distinct constructions of rurality, and act as gentrifiers via their migration, residential, and consumption practices. Many parallels to the migration processes of non-lesbian gentrifiers in Hebden Bridge are revealed, with the alternative cultural structures of Hebden Bridge being a key factor. We therefore argue that lesbian households should not be ‘othered’ within discourses of rural gentrification. The discussion emphasises the value of focussing upon neglected socio-cultural groups in robust ways, in order to shed light on the wider lifestyles and experiences of diverse rural populations, and to deepen understandings of other geographies of rural gentrification.     

Review of Australian Health Related Social Work Research 1990–2009

Abstract

Social workers form a critical component of the Australian health workforce. While their roles as practitioners are very strategic within the health system, less clear is their contribution to health research. This paper reviews the published record of social work research in Australian health from 1990–2009 in order to discern the patterns of the social work contribution to new knowledge in health. The results of this review indicate a tendency to focus on discursive commentary rather than empirical research as well as a less-than-expected focus on client studies. Given the rise of evidence-based practice, there are potentially serious implications for social work in terms of how it positions itself as a contributor to new knowledge within the health field.     

Rural gentrification and linked migration in the United States

Although gentrification is a process commonly associated with urban landscapes, rural areas in advanced economies have also experienced gentrification over the past two decades. Largely based on case study approaches, the Rural Studies literature describes transformations in the housing market, changed cultural attitudes toward the environment, political conflicts surrounding land-use planning, and heightened class polarization as outcomes of rural gentrification. The analysis in this paper extends our understandings of rural gentrification in two fundamental ways. First, drawing on US census data from 1990 and 2000, the paper systematically examines gentrification in nonmetropolitan counties across the United States and develops a methodology for identifying areas with similarly strong evidence of gentrification. The second section of the analysis compares the geographic distribution and socioeconomic change in gentrifying counties with the rest of nonmetropolitan America emphasizing the changes in the baby boomer and Latino populations. In so doing, the analysis opens up new possibilities for comparative analysis of gentrification both between and within countries, connects our understandings of rural gentrification to other processes of globalization playing out within rural space, and argues for work on rural gentrification to more explicitly integrate questions surrounding race and ethnicity alongside questions of class.     

Project Discovery: Social Work Research @ Southern Health

Abstract

The health sector uses a “person-in-environment” perspective reflected in multidisciplinary teamwork to understand and influence human lives. This standpoint accords closely with social work's knowledge and theory base, recognising that material, economic, political, organisational, and social structures interact, creating a complex array of factors impacting on individuals and families. Practice research activities are an effective way of exploring social work's particular contribution to health service provision. We describe and critique various models of practice research reported in the literature. A unique model of practice research that we are developing is discussed. Called Project Discovery: Social Work Research @ Southern Health 18 June 2011, this model demonstrates ways in which practice research may exemplify theoretically-driven and service-based research and in so doing advance social work's knowledgebase.     

The mental health dimension in the new social work degree: starting a debate

The Mental Health in Higher Education Project (mhhe) aims to increase networking and debate about the learning and teaching of mental health, both within and across the disciplines and professions in higher education. Despite the recent prominence that has been given to mental health in terms of policy development and new practice models, there has so far been little discussion as to what should constitute the mental health component of the new social work degree that is currently being introduced in England. This paper sets the context for the debate and reports on the outcome of an mhhe workshop on this theme held at the 2003 Social Work Education Conference in Warwick.     

Recovery capital: what enables a sustainable recovery from mental health difficulties?

There is increasing international interest in recovery approaches in mental health—and this connects with an emerging focus within European social work around promoting capability and sustainability. Research at a population level would suggest that social factors rather than medical interventions are the main determinants of recovery from mental health difficulties—but this is not yet reflected in social work practice, which can still be dominated by biomedical perspectives and a focus on risk management. Drawing upon and extending analyses of social and other forms of capital, this paper outlines the basis for a new paradigm for mental health social work that is specifically oriented towards enabling the development of personal efficacy and social capability—an approach that is explicitly focused on achieving longer-term sustainability rather than shorter-term problem solving.     

Independent Mental Health Advocacy: A Model of Social Work Advocacy?

ABSTRACT

Advocacy has received less attention in social work research than other aspects of social work practice. This paper draws attention to two tensions in social work advocacy; between worker-led advocacy and person-led advocacy, and between individual advocacy and system level advocacy. We argue that human-rights-based social workers must choose a person-led approach over a worker-led approach while advocating with both systems and individuals. This argument is made by drawing on findings of an evaluation of Independent Mental Health Advocacy (IMHA) in Victoria, Australia. It is shown that social work training had not prepared social workers for rights-based, person-led advocacy and that social workers in public mental health services were struggling to maintain the rights of people in their services even with assistance from IMHA.

IMPLICATIONS

• Independent Mental Health Advocacy (IMHA) is a model of advocacy influenced by social work theory and delivered in part by social-work-trained advocates.

• Social work training is not preparing social workers for person-led, human-rights-based advocacy.

• Public mental health social workers are struggling to maintain the rights of people in mental health services even with the support of external advocacy services.

     

Advocacy strategies for health communication

This article presents a new way of using advocacy communication strategies for health communication. The traditional perspective on advocacy, promoted in mainstream public relations and marketing circles, is being replaced by a more interactive and integrated view on the role of advocacy communication. Newer theoretical and applied contributions to the health communication field support the need to explore (a) a broader understanding of the role of communication to promote and sustain health behavior; (b) a broader social scientific approach to public health as a social construct and the social determinants of health with stronger emphasis on health policies and management such as governance, accountability and leadership; and (c) policy perspectives that deal with resource allocation, human resources and capacity building, enabling environments for health communication, and recognition of the value and contribution of health communication to public health.     

Minimising Coerciveness in Coercion: A Case Study of Social Work Powers under the Victorian Mental Health Act

The balance between care and control in mental health social work is one of constant tension. In the State of Victoria, Australia, the Mental Health Act 2014 gives coercive powers to social workers employed by public mental health services. These include the power to decide if a person needs to be assessed by a psychiatrist, to “take” a person using bodily restraint, to enter premises, and to search and seize a person’s belongings. This paper applies a doctrinal analysis to examine the law, then argues that the use of these powers by social workers, where safe, may be less restrictive than when they are used by police or paramedics. The exercise of these powers may be less traumatic and stigmatising to the people who are subject to them, and social workers may be both legally and ethically obligated to use coercion when appropriate.

IMPLICATIONS

• More social work literature on the coercive powers under mental health legislation is needed as well as more guidance on using these powers for social workers in practice.

• In some circumstances, these coercive powers may be better exercised by social workers than by other professionals.

• Social workers should carefully consider their legal and ethical obligations to use these powers in some circumstances.

     

Medicare Funded Mental Health Social Work: Better Access to What?

ABSTRACT

Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Scheme initiative (Better Access), is an Australian Federal Government scheme aiming to improve access to mental health services. Accredited mental health social workers have been involved in the delivery of services under Better Access for more than a decade. In this time, there have been significant changes in the field of mental health services, with consequent increases in size and costs for Better Access. Better Access now represents public spending of more than one billion dollars per annum, yet there is no ongoing account of its impact. In this paper we consider the policy chronology and evaluation of the program, using current available data to question the impact of Better Access on both the service system and the nature of mental health social work practice. This case highlights the importance of a clear articulation of the scope of mental health social work, and ongoing monitoring of the impact of policy in a policy environment increasingly characterised by individualised funding and service delivery structured according to the principles of New Public Management.

IMPLICATIONS

• Social workers' increasing involvement with Better Access has reshaped the scope of mental health social work practice.

• The impact of Better Access on outcomes for service users and mental health social work is not currently a focus of research attention.

• Better Access is a case study illustrating the potential of the policy context to directly shape social work practice, therefore critical engagement with the impact of Better Access is an essential professional imperative.