Appendix B: A Guide to Staff Self-Awareness

SUMMARY

Norway has been a leading nation when it comes to lesbian, gay, and bisexual (LGB) rights. With the majority of LGB people enjoying a high quality of life, Norway has turned its attention to a minority of the LGB population experiencing a clustering of chronic and other life cycle-related problems. A number of needs assessments have been initiated in order to determine how to meet these challenges. The needs assessments underscore the importance of social networks for health and well-being. An important action is, therefore, to provide arenas for network building. Partnerships between public, private, and voluntary sectors would facilitate these arenas. Existing health, social, and labor market public services need to be sensitized to LGB issues and particular challenges.     

Building Culturally Sensitive Assessments for Transgender Clients: Best Practices for Instrument Development and the Adaptation Process

ABSTRACT

This article focuses on best practices for developing, adapting, and using assessments with transgender clients. The historical context of gender minorities in counseling is discussed, outlining the bias and stigma that has been attached to transgender identities. Due to this historical bias, most assessments use heteronormative language and were not developed for use with gender minorities. As such, we used the guidelines put forth by the American Counseling Association (ACA), the Council for Accreditation of Counseling and Related Educational Programs (CACREP), and the Association for Lesbian, Gay, Bisexual, and Transgender Issues in Counseling (ALGBTIC) to present a guide for developing and adapting assessments for the transgender population. Finally, the authors discuss the clinical application of using a trans-sensitive assessment process for counselor educators and clinicians.     

Young Adult Suicide and Sexual Orientation

ABSTRACT

The current project focused on the suicidal ideation and risk potential of young adults (N = 312) and explored scores on self-report measures of suicidal ideation inclusive of various sexual orientations. Results suggest that the Lesbian, Gay, and Bisexual (LGB) youth surveyed (N = 73) differ in their display of suicide risk with significantly higher Beck Hopelessness Scale (BHS) and Suicide Probability Scale (SPS) scores. Social support served as a mitigating factor relating significantly to lower levels of hopelessness and suicidal ideation, especially among those LGB participants. The SPS held a significant relationship to suicide attempt in the past year, while the BHS held a significant relationship to suicide attempt in the past six months. Implications for counselors serving young adults are addressed, including specific suggestions to enhance counselor education and supervision related to suicide assessment and LGB counselor competency.     

Research Note—Multiple Time Point Course Evaluation and Student Learning Outcomes in an MSW Course

ABSTRACT

Evaluation methods play a key role in measuring student learning outcomes. Yet traditional assessments focus on assessing student satisfaction with instructors or courses rather than their progress toward competencies. In addition, the common pretest-posttest assessment is problematic because of response-shift bias. Although multiple time point assessment is suggested, very little is known about its application and potential in social work education. This research note examines how student self-assessments of their progress on core competencies in an MSW-level social work course change across three time points (pretest, posttest, retrospective test). The findings suggest that students underrated and overrated their competencies at the pretest. We argue that using multiple time point self-assessment addresses this internal validity threat and should be considered in social work course evaluation.     

Ecometrics: Toward a Science of Assessing Ecological Settings, With Application to the Systematic Social Observation of Neighborhoods

This paper considers the quantitative assessment of ecological settings such as neighborhoods and schools. Available administrative data typically provide useful but limited information on such settings. We demonstrate how more complete information can be reliably obtained from surveys and observational studies. Survey-based assessments are constructed by aggregating over multiple item responses of multiple informants within each setting. Item and rater inconsistency produce uncertainty about the setting being assessed, with definite implications for research design. Observation-based assessments also have a multilevel error structure. The paper describes measures constructed from interviews, direct observations, and videotapes of Chicago neighborhoods and illustrates an "ecometric" analysis—a study of bias and random error in neighborhood assessments. Using the observation data as an illustrative example, we present a three-level hierarchical statistical model that identifies sources of error in aggregating across items within face-blocks and in aggregating across face-blocks to larger geographic units such as census tracts. Convergent and divergent validity are evaluated by studying associations between the observational measures and theoretically related measures obtained from the U.S. Census, and a citywide survey of neighborhood residents.     

The School Experiences of Same-Sex Attracted Students in the 14- to 19-Year-Old Secondary Sector in England: Within and Beyond the Safety and Tolerance Framework

SUMMARY

This article examines the social and political context within which lesbian, gay and bisexual (LGB) youth find themselves and, in doing so, a number of key issues are identified which have profound implications for the functions and responsibilities of schools in the United Kingdom. This article also considers how one secondary school and one Sixth Form College in south-east England are facilitating the gradual visibility of LGB students within a framework of safety and tolerance. In addition, attention is focussed on homophobic victimization identified by students and their experiences when disclosing sexual identity. Methods of data collection are outlined including focus groups with adolescent LGB identifying students, and a questionnaire survey distributed to 116 students (both heterosexual and LGB). Methodological issues are considered together with the difficulties of accessing same-sex attracted respondents and the ethical considerations which emerge as a consequence. Implications for policy and practice within the 14- to 19-year-old secondary sector and the possibility of moving beyond the framework of safety and tolerance are examined.     

Emerging Strategies for Risk Assessment of Sexually Abusive Youth: Theory,Controversy, and Practice

SUMMARY

Clinicians and other professionals evaluating, managing, and treating sexually abusive youth are frequently called upon to offer judgments regarding risk for sexual reoffense. There are currently no empirically validated methods for accurately classifying risk among this population. Therefore, those faced with this task have an obligation to consider the research on the assessment of risk and recidivism. Five methods of risk assessment are reviewed, and four scales are discussed, with directions on how to obtain them. These include the Juvenile Sex Offender Assessment Protocol (JSOAP), the Protective Factors Scale (PFS), and Estimate of Risk of Adolescent Sex Offender Recidivism (ERASOR).     

A Preliminary Examination of Specific Risk Assessment for Sexual Offenders Against Children

Specific risk questions concerning sexual offending, such as risk of offending against male victims given identified female victims, have seldom been discussed in the child sexual abuse literature. Two approaches to specific risk questions are described: (a) conditional probability calculations, and (b) the development of risk assessment instruments. It is concluded that specific risk questions should be addressed by the use of established instruments for assessing risk of general sexual recidivism rather than by the development of additional specific risk assessment instruments. Research supporting risk assessment instruments and cautions about their use are discussed. Finally, the application of risk assessments for sexual offenders and assessments of risk to siblings of incest victims is discussed.     

Lesbian, gay, and bisexual homeless youth: an eight-city public health perspective

This article reports on results of a one-day public health survey conducted in six states by homeless youth providers to measure and compare risk factors between lesbian, gay, and bisexual (LGB) homeless youth and non-LGB homeless youth. This article intends to inform the child welfare field on existing gaps in services and areas where more training and technical support is necessary in providing services to homeless LGB youth. The findings point to substantial differences within the homeless youth sample and demonstrate that in addition to the public health risks young people face merely by being homeless, the risks are exacerbated for those who self-identify as lesbian, gay, or bisexual. The article informs child welfare providers and policymakers about the substantial vulnerability of LGB youth beyond that of non-LGB homeless youth and the need to fund programming, training, technical assistance and further research to specifically respond to the complex needs of this population.     

Grandparents Raising Grandchildren: Perceived Neighborhood Risk as a Predictor of Emotional Well-Being

Little is known about the living conditions of grandparents raising grandchildren and how such environments may impact their emotional well-being. Using a probability sample of 465 grandparent caregivers, multivariate analyses showed no statistically significant main effect between grandparents' perceived neighborhood conditions and their emotional well-being. However, a statistically significant interaction effect indicated that increasing levels of perceived neighborhood risk decreases grandparents' emotional well-being among permanent, rather than non-permanent, grandparent caregivers. Findings are discussed, and practice implications suggest neighborhood conditions should be addressed in psychosocial assessments protocols used to understand the needs of this underserved population.     

Caregiving and Care Receiving Among Older Lesbian,Gay, and Bisexual Adults

Abstract

A survey research design was used to examine caregiving, care receiving, and the willingness to provide caregiving among lesbian, gay, and bisexual (LGB) older adults recruited from community groups. More than one-third reported receiving care from people other than healthcare providers in the last five years; more than two thirds provided care to other LGB adults. Those who had given care were more likely than non-caregivers to give care in the future. The gender and sexual orientation of recipients of future help affected participants' willingness to provide care, as did their education level and style of coping. Participants willing to provide care to older LGB adults perceived such experiences to be less burdensome and more personally rewarding than those who were un-willing to provide care.     

Intimate Partner Abuse of Older Men: Considerations for the Assessment of Risk

SUMMARY

Intimate partner abuse among older persons, though less common than among the general population, is a significant concern. Drawing from the intimate partner abuse and elder abuse literatures, this paper presents considerations for the assessment of risk for intimate partner abuse perpetrated against older men, with reference to the prevalent gendered view of abuse between intimate partners. Potential victim and perpetrator risk factors specific to this context are discussed and existing risk assessment tools are introduced. Implications and future research directions are discussed with regard to the application of risk assessment technology to this context.     

Asking About Sexual Orientation During Assessment for Drug and Alcohol Concerns: A Pilot Study

ABSTRACT

An assessment tool was designed to assist service providers in identifying lesbian, gay and bisexual (LGB) clients who present for assistance related to substance use concerns. Items were designed to facilitate self-disclosure of the individual's sexual orientation and identify concerns of LGB clients that will be relevant to treatment planning for substance use concerns. Therapists in general assessment and LGB-specialized services of a large treatment agency were trained to use the tool. This paper presents client and therapist comments made during the pilot study regarding the use and value of the assessment tool.     

From a culture of homeownership to generation rent: housing discourses of young adults in Spain

Across many advanced economies, changing housing dynamics have destabilized traditional adulthood transitions. This article examines how such transformations, especially in the aftermath of the economic crisis, affect fundamental societal expectations and aspirations surrounding tenure choices and home leaving. Through a series of discussion groups and interviews among young adults in Spain – a salient context of embedded homeownership culture – the study reveals how the crisis has undermined life-course transitions and upended discourses surrounding tenure norms. Homeownership has transformed from a dominant symbol of stability and security to one of dispossession and financial risk. Conversely, where pre-crisis discourses dismissed rental, the tenure is portrayed as providing more security in the face of necessary flexibility. Our research reveals that, although traditional ‘homeownership culture’ has not disappeared from the collective imaginary and appears nuanced by social class, it has become increasingly detached from leaving the parental home. The paper exposes the extent to which dominant housing discourses may be upended even within the context of a particularly embedded Southern European homeowner society. We contend that when housing dynamics are coupled with underlying transformations in aspirations and norms, there may be significant societal outcomes.     

Portfolio assessment in a collaborative program evaluation: the reliability and validity of a family literacy portfolio

Evaluations increasingly use open-ended assessments, such as portfolios, to gather information about program impact. Portfolios, however, present challenges in achieving acceptable levels of reliability and often lack evidence to support validity. This article describes the components of a portfolio assessment system developed in a collaborative evaluation of a family literacy program. Staff of a family literacy program and two evaluators collaborated to develop the assessment and the tools that frame the review of the portfolios. Rubrics, exemplar portfolios, portfolio logs, and lists of ‘look-fors’ were developed to guide raters in the scoring and to improve the reliability of scores and validity of decisions about the program. Inter-rater reliability for the portfolio assessment was 0.79 for holistic scores and 0.74 for analytic scores. With respect to validity, holistic and analytic scores correlated with criterion measures from 0.50 to 0.59, providing initial evidence of a common construct.     

“You Have to Be Strong to Be Gay”: Bullying and Educational Attainment in LGB New Zealanders

SUMMARY

Lesbian, gay and bisexual (LGB) persons in New Zealand are highly vulnerable to bullying, although bullying appears to have evolved from physical to primarily verbal abuse. Data from the Lavender Islands national study of 2,269 LGBs in New Zealand suggest that coming out early as LGB appears associated with lower levels of educational attainment, which in turn is associated with bullying and verbal assault. LGBs with higher educational attainment are more satisfied with an LGB identity than those with lower educational attainment. The data suggest that the consequences of bullying and assault may be longer term and more far-reaching than even the psychological challenges found in the literature. Consequences may include lower lifelong levels of satisfaction with an LGB identity, and an early coming out “penalty” in education. Quantitative data are supported by the unprompted narratives of respondents who expressed difficulties within the high school environment. The study also found relatively high levels of teacher discrimination and verbal assault reported by high educational attainers. In general, LGB educational attainers may perhaps be more appropriately called “educational survivors.”     

Coping strategies used by LGB older adults in facing and anticipating health challenges: A narrative analysis

ABSTRACT

Given that lesbian, gay, and bisexual (LGB) older adults face notable health disparities compared to their heterosexual counterparts, there is a need for understanding how LGB adults cope with health challenges in late life. The current study analyzes narratives from nine LGB adults age 65 and older living in an urban area in the Southeast United States. Participants spoke of coping strategies related to health promotion behaviors, shifting perspectives of health and body, trusting in spirituality for comfort, and accepting the end of life. We discuss implications for social services professionals who work with older LGB adults and for future research.     

Psychological Wellbeing Among Same‐sex Attracted and Heterosexual Parents: Role of Connectedness to Family and Friendship Networks

Increasing numbers of lesbian, gay and bisexual (LGB) adults are entering into parenthood. Previous studies indicate many of these parents receive little or no support from their families of origin due to family members' negative attitudes toward homosexuality. This study looks at the extent to which LGB parents report a lower sense of connectedness to family of origin and friendship networks than heterosexual parents and whether this has an impact on psychological wellbeing in either of these groups. Data were derived from two studies of parents: Work, Love, Play, a study of Australian and New Zealand LGB parents (n=324); and the Longitudinal Study of Australian Children, a population‐based study of young children and parents (n=6460). Structural equation modelling was used to explore the relationships between: parent sexuality and family/friendship connectedness, family/friendship connectedness and psychological wellbeing, parent sexuality and psychological wellbeing. LGB parents reported feeling less connected to their families of origin but more connected to their friendship groups than heterosexual parents. Counter to previous studies, we found no difference in the psychological wellbeing of LGB parents compared to heterosexual parents when examining the direct effect of sexuality on psychological wellbeing. Clinical implications for counsellors and family therapists are discussed.     

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.     

Conducting Research Among Older Lesbian,Gay, and Bisexual Adults

Gerontologists and developmental researchers have neglected the study of sexual orientation among older adults. The apparent assumptions are either that it does not exist or that it is not necessary to know; consequently, older lesbian, gay, and bisexual (LGB) adults remain invisible groups with the exception of a relatively small number of studies using convenience samples. This article examines some conceptual, practical and ethical challenges involved in designing and conducting research among older LGB adults. The limitations and emphases of extant research and the challenges in conducting such research are examined. The design of two studies that focused on mental and physical health and on care-giving among older LGB adults are discussed to suggest ways of meeting the challenges.