How are we doing? Results of receiving family-driven feedback on alliances between families and residential treatment staff over time

Developing working alliances and actively engaging families is essential for youth success in residential treatment. Ideally, these alliances can be fostered by sharing feedback with residential staff about their alliances with families over time to encourage more family engagement and better outcomes for families of youth in treatment. This study measured alliances between families and residential treatment family workers and assessed the effectiveness of an unobtrusive method of sharing working alliance feedback with residential treatment staff. Results revealed that family members rated the working alliance higher than family workers, and that these discrepancies in scores converged over time. In addition, higher family member ratings of the alliance predicted higher family functioning, and longer time in treatment resulted in higher family functioning scores. Lastly, receiving feedback about the working alliance resulted in higher family member ratings of the alliance with their family worker.     

Youth homelessness and self identity: a view from Canada

ABSTRACT

This paper is based on the analysis of data collected from the National Canadian Homeless Youth Survey and addresses the question: why do some youth who received support from social service agencies that cater to the needs of homeless youth self-identify as being homeless while others do not? According to self-report survey data obtained from 1103 young people from over 50 youth homeless service centres from across Canada, findings show that youth who self-identified as being homeless shared several backgrounds and current situational characteristics not common among youth in the sample who did not consider themselves to be homeless. The findings illustrate the importance of past trauma and the intensity of day to day hardship in self-identifying as a homeless young person.     

Validation of interaction-based egocentric elicitation using ecological momentary assessment with young adults currently or formerly homeless

IntroductionSocial network changes are common as individuals transition from homeless to Supportive Housing. Egocentric approaches to elicit network members have been utilized with young adults experiencing homelessness to better understand such socio-environmental contexts; however, such approaches are subject to recall bias. Momentary measurements of one’s social network via Ecological Momentary Assessment (EMA) can support in understanding the accuracy of egocentric elicitation methods.ObjectiveTo examine who is elicited using an interaction-based approach in egocentric social network analysis among currently homeless and formerly homeless young adults residing in Supportive Housing and explore which alters are reported in interactions and how often are they reported when egocentric network analysis is embedded in EMA.MethodsThe present study utilizes interaction-based elicitation embedded within Ecological Momentary Assessment (EMA) in two sub-samples: currently homeless young adults (n = 72) and formerly homeless young adults residing in Supportive Housing (n = 118).ResultsMost egos interacted with three of their top five alters, while only 8.9% interacted with all five. Conversely, only 2% of egos reported that they did not interact with any of their top five. Several differences in alter characteristics were identified by housing status. Alters indicated as being more supportive are elicited first and alters elicited first are interacted with the most.ConclusionsEMA findings suggest that a cross-sectional social network survey of top five alters will results in an ordered list, with the most important/frequent alter being named first and trend downward. Results have implications for future study design involving egocentric network analyses. Present findings indicate qualities of alters present and thus, offer plausible “best practices” when utilizing network elicitation methods, particularly interaction-based methods.     

Safe Spaces: Gay‐Straight Alliances in High Schools

In activists’ circles as in sociology, the concept “safe space” has been applied to all sorts of programs, organizations, and practices. Few studies have specified clearly what safe spaces are and how they support the people who occupy them. We examine one social location typically understood to be a safe space: gay‐straight alliance groups in high schools. Using qualitative interviews with young adults in the United States and Canada who have participated in gay‐straight alliances, we unpack this complex concept to consider some of the dimensions along which safe spaces might vary. Based on interviews with participants, we derive three interrelated dimensions of safe space: social context, membership, and activity.     

Urban homelessness: The negotiation of public spaces

Homeless people usually live in the urban public space. Properly, public space does not belong to any peculiar social group. Public space is designed to let people circulate, and its borders change quickly. Homeless people who live in the public space break up its rules and transform it into their private environment. That is why homeless are often considered “unbearable people” by others. If homeless people want to go on living in the public space they must learn to be invisible to the others. If they want to survive in their “privatized” public space they must not intrude in everyday life routines. This article tries to visualize the symbols which flexibly define the borders between public and private space.     

Young persons as epistemological agents in social work assessment and intervention

SummaryLiterature debates whether young persons' participation in social work decisions is tokenistic in nature or it empowers them to shape their world. By and large, young persons deemed at risk remain the targets of intervention. This paper aims to underscore the need to move beyond soliciting young persons' voice merely in order to corroborate information provided by adults and professionals in social work assessment and intervention. Instead, it explicates the philosophical foundation for social workers to treat young persons as knowledgeable agents capable of contributing to professional knowledge.FindingsThrough reinterpretation of a published case study on children of sex worker mothers in India, this paper highlights how young persons are active agents of their own lives even in extreme dire situations. These children of sex worker mothers were capable of advocating for their own rights as well as that of their mothers. Through the secondary analysis of data, we illustrated the dynamic process of knowledge construction by young persons.ApplicationBy paying attention to the young persons' capacity as knowledgeable agents we propose social workers to intentionally incorporate their knowledge in their practice.     

Prevalence and correlates of diabetes mellitus among homeless veterans nationally in the Veterans Health Administration

Abstract

Background: Homeless people are at high risk for many chronic medical conditions although their risk of diabetes has not been well studied. Current epidemiological studies of diabetes prevalence among homeless adults have been based mostly on self-report data not supported by clinical assessments.

Objectives: To determine the prevalence and risk factors for diabetes mellitus (DM) among homeless veterans in the Veteran Health Administration (VHA).

Methods: The sample included 3?464?364 veterans with documented body mass indexes (BMI), 137?720 (4%) of whom had been homeless. Logistic regression models were used to determine the odds of having DM among homeless veterans compared to non-homeless veterans. Bivariate and multi-variate analyses were then used to identify potential risk factors for DM among homeless veterans.

Results: The prevalence of DM in homeless veterans was 19%. Homeless veterans with DM, compared to those without it were older, more likely to have a BMI?>?40 and more likely to have DM-related co-morbidities.

Conclusions: There is a high prevalence of DM among homeless veterans in the VHA compared to previous reports for homeless adults (8%). Tailored approaches to improve access to DM screening, prevention, and treatment could benefit homeless veterans.     

Psychosocial characteristics and service needs of Canadian suburban male youth at risk for homelessness

Homeless youth represent a tremendously underserved population. Using participatory research methods, a self-report needs assessment was conducted with 187 male, suburban youth (16 to 18 years old) who were homeless or were vulnerable to homelessness. Over half of the participants indicated that they had been or currently were homeless, and generally reported serious problems regarding mental health, self-esteem, delinquency, substance use, family relationships, traumatic experiences, and scholastic achievement. Approximately one-third of the participants reported no service use (despite endorsing a variety of needs). The most common type of service used was therapy or counseling, particularly for those individuals who had been on probation. Implications of research findings, including recommendations for services to address the needs of the study population, are discussed.     

Mechanisms for Building Working Alliances in Clinical Supervision

While social workers and researchers acknowledge the importance of a positive working alliance between service providers and clients, less is known about mechanisms for developing working alliances between supervisors and supervisees. The Alliance Building: Learning to Engage (ABLE) model was developed to measure and enhance the supervisory relationship. The ABLE model consists of a tool for continuous measurement of the supervisory working alliance as well as several research supported resources. This two part study assessed the reliability and validity of the ABLE supervision tool (ABLE-S), and then a randomized control trial pilot study was conducted to determine if the use of ABLE in supervision improves the professional quality of life and occupational self-efficacy for supervisees. Analyses revealed the ABLE-S tool is a reliable and valid form for measuring supervisory working alliance, but the use of ABLE in supervision did not have a significant effect on supervisee outcomes compared to the control group. The findings suggest additional training on proper implementation of ABLE and expanded measurements to capture several confounds inherent in the supervisory context are needed in future studies. Practical implications of using ABLE include effective strategies for promoting positive supervisee development and reducing negative effects of stressful work environments that often exist in the social service field.     

My Life in Huddersfield: Supporting Young Asylum Seekers and Refugees to Record Their Experiences of Living in Huddersfield

A project was undertaken with the aim of developing resources that would improve service delivery to asylum seeker children and young people by improving social worker training within the new social work degree. Funding was acquired to work with a group of children and young people. The workers engaged with them in a range of activities, designed to enable the expression of feelings in relation to immigration and asylum seeking. Participants were told they would be working towards producing resources for the training of health and social care staff. This became a strong motivating factor in the engagement of the young people and resulted in the production of teaching resources and a number of changes to the degree curriculum at the University of Huddersfield.     

A comparison of risk factors for sexual victimization among gay, lesbian, bisexual, and heterosexual homeless young adults

Although high rates of sexual victimization have been reported among homeless youth, less is known about whether the risk factors vary for gay, lesbian, and bisexual youth compared to heterosexual youth. Based on a sample of 172 homeless young adults ages 19 to 26, results revealed that depressive symptoms, prostitution, and having friends who traded sex were significantly associated with higher levels of sexual victimization. Gay, lesbian, and bisexual young adults experienced more sexual victimization compared to heterosexual young adults. A test for interactions revealed that the effect of sexual orientation on sexual victimization was moderated by trading sex and having friends who traded sex. Finally, there is support for partial mediation of the effects of sexual abuse, neglect, and depressive symptoms on sexual victimization through other risk factors.     

The variation in family background amongst young homeless shelter users in Denmark

This article analyses variation in the family background of young homeless people in a cohort of young Danes. The study is based on administrative data for individuals who were 18 years old in 2007 and their parents. Homelessness is measured by shelter use over a five-year period. Data also cover education, employment, mental illness, substance abuse problems and placement outside home in childhood for the young persons, and education, employment, civil status, mental illness and substance abuse problems for their parents. A cluster analysis identifies two groups, each comprising half of the young shelter users. In the first group, social marginalisation is transmitted between generations, as most parents have low education and mental illness or substance abuse problems, and are unemployed. In contrast, the young people in the second group come from wider socioeconomic backgrounds, with few of their parents having mental illness or substance abuse problems. These young people develop psychosocial problems and become homeless without strong predictors from their family background. Amongst the young shelter users from families with severe social problems a higher share are in the Not in Education, Employment or Training group. They also have more shelter stays, compared to young shelter users from families with fewer social problems.     

Policing the Homeless: An Ethical Dilemma

The homeless challenge police to reconsider their social role, the constituency they serve, the alliances they should form, and the activities they should engage in. This paper considers three conceptions of the police role — law enforcement, order maintenance, and social peacekeeping — and indicates how they impinge on treatment of the homeless. The moral challenge posed by the homeless favors the peacekeeping conception, but the inadequate resources available to police make it essential that they consider alliances with social service organizations, and even some form of collective lobbying or public conscientization.     

Insights on Professional Identification and Licensure from Community Practice Social Workers

ABSTRACT

This article describes a qualitative study designed to explore both how community practice social workers identify professionally and to examine their view towards professional regulation. Thirty-five MSW-level social workers in a large metropolitan region who self-identified as community practice social worker participated in in-depth interviews. The respondents shared their views regarding professional identification as social workers and the impact of professional identity on their work as community practitioners. Approximately half of the respondents indicated that they only sometimes or never identify as a social worker. The respondents were generally critical of the licensing burden placed upon them as community practice social workers.     

Unexpected barriers in return to work: lessons learned from injured worker peer support groups

Some workers who are injured at work have unexpectedly prolonged absences from work. Experiences of workers who constitute a disproportionate cost to the return-to-work system and the systemic and compliance-related barriers they encounter during the process of returning to work are reported. A qualitative interview based study was conducted with 37 members of three injured worker peer support groups in a Canadian province. Four dimensions of peer support were identified: worker experience of being misunderstood by system providers, need for advocates, social support, help with procedural complexities of the workers' compensation, and health care systems. Peer support constitutes a partial return-to-work solution for workers with injuries, but injured workers encounter an uneven playing field. Injured worker peer support group needs and activities show us that sensitivity to structural and social issues may lead to better return-to-work outcomes.     

Policing the homeless: An ethical dilemma

The homeless challenge police to reconsider their social role, the constituency they serve, the alliances they should form, and the activities they should engage in. This paper considers three conceptions of the police role — law enforcement, order maintenance, and social peacekeeping — and indicates how they impinge on treatment of the homeless. The moral challenge posed by the homeless favors the peacekeeping conception, but the inadequate resources available to police make it essential that they consider alliances with social service organizations, and even some form of collective lobbying or public conscientization.     

Reliability and validity of the Vulnerability Index-Service Prioritization Decision Assistance Tool (VI-SPDAT) in real-world implementation

This study examined the reliability and validity of the Vulnerability Index-Service Prioritization Decision Assistance Tool (VI-SPDAT), a widely-used assessment of the health and social vulnerabilities and housing needs of individuals experiencing homelessness. Homeless Management Information System data were obtained for 1495 individuals who were administered the VI-SPDAT between 2014 and 2016. Subsamples were selected for reliability and validity assessments. Results suggest there are challenges to the reliability and validity of the VI-SPDAT in practical use. VI-SPDAT total scores did not significantly predict risk of return to homeless services, while type of housing was a significant predictor. Vulnerability assessment instruments have important implications for communities working to end homelessness by facilitating prioritization of scarce housing resources. Findings suggest that further testing and development of the VI-SPDAT is necessary.     

美国《离家出走和无家可归青少年法案》综述研究

《离家出走和无家可归青少年法案》是美国在流浪儿童救助领域最为重要的法律之一。它的出台标志着美国联邦政府在制度与经费上全面介入了流浪儿童救助领域。也体现出美国社会对于流浪儿童的观念从“麻烦制造者”向“社会问题受害者”的转变。该法案包括三项主要救助计划,在美国流浪儿童的生活、教育、健康、就业等方面发挥了积极作用,但也存在导致部分流浪儿童更为边缘化的风险。     

Family histories and multiple transitions among homeless young adults: Pathways to homelessness

This study explored the early family histories of homeless young adults, the types and number of transitions they experienced, and their pathways to the street. Intensive qualitative interviews were audio taped and transcribed with 40 homeless young adults 19 to 21 years of age in the Midwest. Findings show that family backgrounds were generally characterized by substance use, child maltreatment, and witnessing violence, all of which provide social context for understanding why so many of these young people opted to leave home in search of an alternative living situation. The current findings also reveal that while some young adults ran away from home as adolescents, others were “pushed out” (i.e., told to leave), or removed by state agencies. Current study findings illustrate that young adults' trajectories are marked by multiple living arrangements such as home, foster care, detention facility, and drug rehabilitation. Overall, study results show that young adults' family histories place them on trajectories for early independence marked by multiple transitions and numerous living situations, culminating in lack of a permanent residence to call home.     

Social work students’ professional and personal exposure to social work: an Australian experience

General career research suggests that many factors may influence how people select a career, including information about or exposure to the career. The focus of this paper is upon how exposure to a social worker personally (e.g. friend or family) or in a therapeutic capacity (e.g. received social work therapy) may influence the decision to become a social worker, when compared to other disciplines. The results showed that 63% of 64 social work students had personal and/or professional exposure to social work prior to making a career decision. When compared to other students (n?=?447) the social work students were significantly more likely to have accessed social work services (themselves or a family member). The influence of a friend who was a social worker and working with a social worker was noteworthy for mature-aged students. These results highlight that every interaction social workers have with the community provides valuable information about the profession and gives insight into social work as a career. Additionally, the results suggest that the increase in numbers of social workers and the influence of that exposure to a social worker have resulted in an increase in the use of social work services by students, and may continue to rise in the future.