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.

     

Social Justice Advocacy Readiness Questionnaire

Summary

Social service providers of consultation, counseling, and education can benefit from determining their social justice awareness, knowledge, and skills to ensure culturally competent practice and to challenge the multiple oppressions facing clients and staff on individual, cultural, and institutional/systemic levels. The Social Justice Advocacy Readiness Questionnaire (SJARQ) provides a means to advocate for social justice with persons of multiple cultural identities, including all sexual orientations and gender identities. The SJARQ instrument contains three areas of self-assessment for social services staff: individual social justice advocacy awareness, comfort, and values; cultural social justice advocacy knowledge; and institutional/systemic social justice advocacy skills.     

Interdisciplinary Collaboration for LGBTQ Students in Foster Care: Strategies for School Counselors

abstract

Unsafe and ill-prepared school environments exist for many lesbian, gay, bisexual, transgender, and queer (LGBTQ) students in foster care. School counselors are uniquely positioned to develop safe and inclusive schools for this vulnerable student population; however, strategies for interdisciplinary collaboration and advocacy with schools, families, and systems incorporated with LGBTQ youth in foster care are limited. This article explores how school counselors can advocate across disciplines for LGBTQ youth in foster care, including K-12 education systems, family/caregivers, and social service organizations providers.     

Queering Counselor Education: Situational Analysis of LGBTQ+ Competent Faculty

Research demonstrates counselor educators often lack skills and knowledge to train counselors to become lesbian, gay, bisexual, transgender, queer and other sexualities and gender identities (LGBTQ+) competent. This study explores the process of educators integrating LGBTQ+ competencies into their professional work. Using grounded theory and situational analysis methodologies, in-depth interviews with seven LGBTQ+ competent counselor educators were conducted and analyzed. Findings suggest educators infuse personal passion for LGBTQ+ topics into their professional work, experienced discrimination and resistance across multiple domains, infuse advocacy into their work, and have a similar definition of LGBTQ+ competent counseling. Various techniques are presented to help educators infuse LGBTQ+ competency in the classroom.     

Standards of Care for Research with Participants Who Identify as LGBTQ+

ABSTRACT

The following standards of care have been developed to support the continued development of research with individuals who identify as lesbian, gay, bisexual, transgender, queer, plus individuals whose orientations differ from those who identify as heterosexual and cisgender (LGBTQ+). The guidelines presented are conceived as a working document that reflect the current state and body of knowledge that can inform and provide reference for counseling research, and can be used in the preparation and training of future researchers. The standards outlined in this document will continue to evolve as does research, LGBTQ+ communities, and the sociopolitical climate.     

LGBTQ + community organizations under neoliberalism in Ontario,Canada: Contradictions and disconnects

Abstract

This study examines the impact of neoliberal policy—which introduces competition for funding and pressure to professionalize and bureaucratize—on the working conditions and precarity of a purposive sample of southern Ontario (Canada) organizations dealing with LGBTQ?+?health. Findings from semi-structured, in-depth interviews with 20 community-based organization stakeholders and government bureaucrats confirmed that neoliberal policy pressures these organizations to professionalize and bureaucratize, while restricting political advocacy. Queer Liberation Theory’s three central tenets of anti-assimilationism, solidarity across movements, and the political economy of queer health are used to understand the situation and possible futures for third-sector organizations within the LGBTQ?+?movement.     

Communicating corporate LGBTQ advocacy: A computational comparison of the global CSR discourse

Corporations are increasingly engaging with political and social issues through corporate social responsibility (CSR) initiatives, in new areas such as lesbian, gay, bisexual, transgender, queer (LGBTQ) advocacy. Informed by institutional theory and stakeholder theory, this article systematically, comparatively, and computationally examines the intersection of LGBTQ advocacy and CSR communication. In particular, it contributes to the literature by (1) examining the global LGBTQ CSR discourse constructed by Fortune Global 500 companies (136,820 words) with semantic network analysis and structural topic modeling; (2) surveying non-profit organizations’ guidelines and comparing corporate values with them; and (3) exploring how stakeholder expectations and institutional factors influence CSR communication. Results indicate 6 corporate topics and 9 non-profit topics, which were explicated by referencing organizations’ original writing. It is further shown that stakeholder expectations and institutional factors not only affect whether or not corporations report LGBTQ efforts, but also affect what topics they highlight in CSR reports. Corporations in democratic countries with substantial stakeholder expectations emphasize areas that need high investment and exceed legal obligations.     

LGBTQ+ Youths’ Community Engagement and Resource Seeking Online versus Offline

Abstract

LGBTQ+ (lesbian, gay, bisexual, transgender, queer, etc.) youth are at increased risk for negative outcomes. Yet little is known about their engagement with communities and resources that may ameliorate risk, particularly online. Oriented by a uses and gratifications approach, this secondary analysis (n?=?4,009) of LGBTQ+ youth (aged 14–29) compares online versus offline experiences. Respondents were significantly more likely to participate in LGBTQ+ communities online. Youth were also more active, and felt safer and more supported, when participating in online LGBTQ?+?communities. Additionally, respondents sought online information, support, and resources at higher rates than offline. Increased attention toward online programming and resource development is warranted.     

Achieving Harmony from Tension: Contemporary Patterns and Pitfalls of Family Advocacy

ABSTRACT

Advocacy in illness and aging is a formidable challenge. Physical illness, financial dependence or constraint, social-emotional problems, and the changing political and demographic structure of caregiving force severe demands on intervention programs and possibilities. This paper provides an uncommon but, hopefully, reasonable framework for freeing clinicians, educators, and helping professionals from their own ideas which periodically are rendered problematic in providing successful intervention. Several illustrations of these practical problems are presented. Finally some postures for advocacy and intervention are considered.     

Navigating Intersectional Approaches,Methods, and Interdisciplinarity to Health Equity in LGBTQ+ Communities

Abstract

The broad spectrum of health services and wellness surrounding lesbian, gay, bisexual, transgender, and queer (LGBTQ+) communities operates within multiple layers of social inequities. Research using intersectionality features numerous research methods purposed specifically for clarity toward increasing health equity. Generated in the scope of various research methods (e.g., quantitative, qualitative, mixed-methods), utilizing intersectionality illustrates potential to explore complex phenomena and outcomes within LGBTQ+?communities. As intersectionality thrives on interdisciplinarity, this article focuses on three overarching purposes: (a) accentuate health equity and social justice across an interdisciplinary scope for LGBTQ+?communities, (b) highlight formative principles grounded in intersectionality, and (c) supplement recommendations for research targeting health equity.     

Exploring the relationships among practitioners’ consultation skills,competence to counsel lesbian,gay, and bisexual clients,and attitudes toward transgender people

Abstract

Consultation is an intervention that can diffuse expertise in lesbian, gay, bisexual, transgender, and questioning (LGBTQ) issues throughout systems of care. Practitioners (N?=?145) were surveyed on their lesbian, gay, and bisexual (LGB) counseling competence, attitudes toward transgender people, and consultation skills. Hierarchical multiple regression analysis identified that consultation competence significantly influenced (p?≤?.01) LGB counseling skills over and above LGB knowledge and awareness, attitudes toward transgender people, and participant demographic characteristics. The domains of LGB competence and attitudes toward transgender people were also significantly correlated within the participant sample. Implications for practice, training, and future research are discussed.     

Sustainability trends in public hospitals: Efforts and priorities

PurposeThe purpose of this study is to examine the previous and the current efforts and the priorities of sustainability initiatives in the public sector.Design/Methodology/approachThis study has been conducted in one industry, overcoming contextual bias as a judgmental sampling was used to select the public hospitals that were studied. Only knowledgeable key informants were approached and used.FindingsThe examination of the previous and the current efforts and the priorities of the sustainability initiatives revealed in this study indicate the existence of different trends in the public hospitals studied.Research limitations/implicationsThe results report the key trends that were disclosed in the public hospitals studied in their efforts towards sustainability. In particular, the results show that there appears to be a lack of guidelines and homogeneity in sustainability planning in public hospitals in Spain, accompanied by the near universal absence of the evaluation phase in respect to the outcomes of the sustainability initiatives that have been put in place in these organizations.Managerial ImplicationsThe multi-dimensional factors of sustainability initiatives provide managerial guidance to assess the previous and the current efforts and priorities. These factors also provide organizational guidance to assess the trends of an organization through time.Originality/ValueThis study contributes to a selection of factors regarding the previous and the current efforts and the priorities of sustainability initiatives applicable in public hospitals. It provides a multi-dimensional framework of factors that can be used in order to describe sustainability trends.     

Victimization and Microaggressions Targeting LGBTQ College Students: Gender Identity As a Moderator of Psychological Distress

ABSTRACT

Lesbian, gay, bisexual, transgender, and queer and questioning (LGBTQ) discrimination continues to be common on college campuses. While a number of studies have examined blatant victimization among students, little attention has been given to LGBTQ microaggressions. In this study, we examine both blatant victimization and microaggressions and their association with psychological distress among LGBTQ college students (N = 497) and look at whether gender identity moderates these relationships. Both forms of discrimination are associated with lower self-esteem and greater stress and anxiety. Victimization is more negatively associated with self-esteem among trans* students. Our findings emphasize the importance of addressing both blatant and subtle forms of discrimination targeting LGBTQ college students.     

Intersecting Sexual,Gender, and Professional Identities Among Social Work Students: The Importance of Identity Integration

ABSTRACT

Discrimination toward lesbian, gay, bisexual, transgender, and queer (LGBTQ) social work students can negatively affect academic performance and personal and professional identity development. Intersectionality is a conceptual approach that states that social identities interact to form different meanings and experiences from those that could be explained by a single identity. This study explored how the educational experiences of LGBTQ social work students in the United States and Canada influenced their professional and personal identities. Using an intersectional analysis, three major themes emerged: the need for social work programs to better promote LGBTQ identity and emerging social work professional identity integration, a lack of LGBTQ content in the curriculum, and unsupportive LGBTQ school climates. Implications for social work education are considered.     

Rape on Campus: Community Education and Services for Victims

Abstract

Rape is an issue which must be addressed by college health workers. It is prevalent on college campuses in overt and subtle forms, and requires interventions on several levels. This paper describes community and professional education and training, victim counseling and advocacy, police liaison, and medical services, all of which are provided within a context of ongoing collaboration among agencies involved.     

Patching Holes and Integrating Community: A Strengths-Based Continuum of Care for Lesbian,Gay, Bisexual,Transgender and Questioning Youth

This article describes an integrated model of service provision called a continuum of care (CoC), and illustrates the application of this approach to working with lesbian, gay, bisexual, transgender, and questioning (LGBTQ) youth through a case example. The CoC described in this article includes provision of individual and group counseling, case management, housing/family supports, socialization events, and prevention workshops, along with relevant outcomes. The relevance of a CoC model for LGBTQ youth due to the inclusion of community context and potential to empower service users is explored. Key recommendations for CoC models with LGBTQ youth include a focus on collaboration, provider education, and affirmative practice, and incorporating service user feedback.     

A Case-based Collaborative Learning Model for Teaching Advocacy

Social work graduate school programs focusing on clinical practice have traditionally attended less to the profession's advocacy role. Masters-level clinical social work students, therefore, may not receive adequate training to understand their roles in advocating for or against policies that directly impact their practice. This article proposes a collaborative learning model called ‘Advocacy Week’, which prepares students for a statewide NASW-sponsored Advocacy Day. Using case presentations prepared in collaboration with clinical and policy social work faculty, aspiring clinical social work practitioners are exposed to the relevance of advocacy. Preliminary findings suggest that graduate students exposed to this model become aware of their advocate role as part of their clinical practice, a knowledge which has implications for social work education.     

Voices from the stories untold: Lesbian,gay, bisexual,trans, and queer college students' experiences with campus climate

ABSTRACT

Twelve self-identified college students within the lesbian, gay, bisexual, transgender, and queer (LGBTQ) spectrum were interviewed on campus climate perceptions and their experiences of discrimination and isolation at their university. Thematic analysis was conducted to identify themes from the data. This process resulted in the emergence of three themes, identified as discrimination, isolation, and avoidance. The most salient experiences of discrimination and isolation reported by participants came from within LGBTQ organizations or from lesbian or gay male individuals that participants sought out for social support. LGBTQ intra-community discrimination was considered to be particularly damaging to participants' sense of belonging and involvement within the LGBTQ community. Discrimination and isolation from straight-identified organizations or individuals was reported mostly in the context of fraternities/sororities and religious organizations. Furthermore, actions by members of these latter groups caused participants to avoid these groups out of expectations of negative interactions. These results inform empirical research to bring awareness to acts of discrimination that continue to take place within the university toward LGBTQ students. Specific implications for social work practice with LGBTQ college students and future research on diverse LGBTQ populations and resources are discussed.     

Effects of Reciprocal Peer Counseling on College Student Personality Development

Abstract

Volunteer college students were trained to provide personal counseling for each other using a reciprocating “counselor-then-counselee” approach. Two different peer counseling approaches were compared with professional counseling and no counseling controls on the Personal Orientation Inventory, the FIRO-B, and two experimental scales assessing emotionality and sex-role behavior. From pre- to posttesting the counseled groups demonstrated significantly greater positive change than the controls on several variables, with the peer counseling groups showing greater gain than the professionally counseled. The approach is seen as effectively providing further movement along the dimension of de-professionalizing helping relations.