Gender-Specific Barriers to Self-Sufficiency Among Former Supplemental Security Income Drug Addiction and Alcoholism Beneficiaries: Implications for Welfare-To-Work Programs and Services

ABSTRACT

This study examines barriers to economic self-sufficiency among a panel of 219 former Supplemental Security Income (SSI) drug addiction and alcoholism (DA&A) recipients following elimination of DA&A as an eligibility category for SSI disability benefits. Study participants were comprehensively surveyed at six measurement points following the policy change. Generalized estimating equations were used to examine full-sample and gender-specific barriers to economic self-sufficiency. Results indicate that access to transportation, age, and time are the strongest predictors of achieving self-sufficiency for both men and women leaving the welfare system. Gender-specific barriers are also identified. Future research needs to assess the generalizability of these results to other public assistance recipients.     

Attached to Income Support Programs for the Elderly:

Although there is every evidence that the degree of stigma attached to income support programs for the elderly has been decreasing, only about one-half of the elderly individuals who are eligible participate currently in the Supplemental Security Income program (SSI). The present study explores issues of stigma as perceived by low-income elderly persons who were not receiving Old Age Assistance payments in 1973-a year before SSI went into effect. The results of regression analysis indicate that their attitudes toward issues of stigma are statistically nonsignificant predictors of whether they would contact social security ofiice in 1974 to inquire about their eligibility for SSI benefits. The data source for the present study is the Survey of the Low-Income Aged and Disabled (SLIAD) conducted in 1973 and 1974 by the Social Security Administration with the cooperation of the Bureau of the Census.     

Gender Identity and Social Services: Barriers to Care

ABSTRACT

Transgender people seek social services for a variety of reasons. This literature review highlights needs assessments and social science research articles (N = 30) from the last 16 years that demonstrate the many ways in which social services are further revictimizing transgender people. Studies indicate that transgender people often encounter ignorance, hostility, and transphobic environments while attempting to access social services, and these environments can dissuade transgender people from gaining needed care. Suggestions are made to address these inequalities and include simple measures that social service agencies can begin with to make their services more transinclusive. Future research should address the bias in social services more directly and also develop a clear plan of action and best practices to help agencies remove discrimination from social service settings.     

Interconnections among Homelessness,Family Separation,and Mental Health: Implications for Multi-Sectoral Social Services

This qualitative study explored the interconnections among the phenomena of homelessness, family separation, and mental health and substance abuse issues within the social services, geographic, and infrastructure context of northern Ontario. In-depth semi-structured interviews were conducted with thirteen participants. Findings revealed the effects of colonization in the form of poor and overcrowded housing conditions in the northern First Nations, difficulties in obtaining affordable and suitable housing in northern towns and cities, reliance on the scarce social services for survival, and valiant attempts to cope with the cold climate of northern Ontario. All participants reported multiple and intergenerational experiences of separation from family due to involvement of child welfare system, placement in residential schools, death of family member(s), flooding, and epidemics. Participants described their lifelong struggles with mental health and substance abuse issues. All three phenomena were tied together in various configurations of causes and consequences. The implications include the need for critical examination of the historical policies and practices, early intervention for mental health and substance abuse issues, greater support for youth transitioning out of care, creation of a continuum of housing options, collaboration across multiple social services sectors, and incorporation of Indigenous worldview and practices in the mainstream services.     

Veterans’ Use of Programs and Services as They Transition to Civilian Life: Baseline Assessment for the Veteran Metrics Initiative

Abstract

A substantial minority of veterans struggle as they reintegrate into civilian life, reporting problems with vocational attainment, legal/financial/housing challenges, physical and mental health conditions, and social/interpersonal issues. While there are thousands of programs and services offered to veterans, little is known about which ones they use. In the current exploratory study, veterans separated from active duty in the prior three-months (48,965) were invited to complete a survey. Two primary questions were addressed: What programs/services did veterans use to assist in their reintegration to civilian life? What specific components/attributes of those programs did veterans report using? A total of 9566 veterans completed the survey. Approximately, two-thirds of veterans used at least one program to enhance their well-being, while one-third reported using multiple programs across multiple domains. Veterans primarily sought assistance for employment and educational advancement. Fewer veterans sought assistance for legal/financial/housing, health, and social functioning challenges. Social service providers and policy makers should be aware of the resources veterans use as they reintegrate into civilian life. Future research should examine factors that predict the use and nonuse of veteran reintegration programs, how use changes over time, and what factors predict program/service use, particularly among veterans at risk for poor transition outcomes.     

Barriers and Enablers to Safeguarding Children and Adults within a Disability Services Context: Insights from an Australian Delphi Study

Research conducted in the 1990s revealed the tragic irony that exposure to the disability support system, and particularly to its institutional forms, was a major risk factor related to the neglect and abuse of children and adults with a disability. Subsequently, a range of policies have been introduced to minimize risk. However, recurring events of abuse and neglect in the disability services sector in high and middle income countries demonstrate that processes geared to safeguard children and adults with a disability from abuse and neglect remain insufficient. To establish the wider fabric of organizational factors that contribute to effective safeguarding practices within the Australian disability support sector, a modified online Delphi study was conducted, capturing the views of disability services staff and managers (n = 249) regarding barriers and enablers to effective safeguarding. This study identified issues concerning organizational culture, management practice, workforce development, client capacity building and contextual factors. During Round Two of the Delphi, participants were asked to rate the categorized enabler statements according to importance on a 10‐point Likert scale, to ascertain the degree of consensus. A total of 262 of the statements were regarded as important or very important. The Delphi result highlighted the considerable gap between the wider systemic and cultural processes that, in the eyes of disability services staff and management, contribute to good safeguarding practice and the safeguarding measures currently in place. The article calls for a holistic approach to safeguarding that addresses procedural issues and to the transformation of the wider systemic and cultural fabric of an organization.     

Measuring Volunteerability and the Capacity to Volunteer among Non‐volunteers: Implications for Social Policy

As volunteering and its benefits gain global recognition, social policymakers can sustain and increase volunteering through social policy, legislation and other types of involvement. A key performance practice is to measure the rate of volunteering based on the percentage of the population that volunteer or the number of hours donated. The focus of this article, however, is on the capacity to volunteer by non‐volunteers as well as by volunteers. The concept and theory of volunteerability (an individual's ability to overcome related obstacles and volunteer, based on his or her willingness, capability and availability) offers a richer understanding of how people can be assisted to overcome barriers to maximize their volunteer potential and thus increase volunteering. The article details the definitions and benefits of volunteering and covers examples of related social policy, as well as explaining the concept of volunteerability and how it can be measured using existing and new scales. Based on a mixed methods study in Australia, the article offers specific measures to examine the concept of volunteerability and reveals important differences between volunteers and non‐volunteers. The article also details major barriers to volunteering and how social policies can be developed to overcome them.     

Mistrust and Self-Isolation: Barriers to Social Support for Older Adult Methadone Clients

Objectives: The purpose of this study is to explore barriers to the use, maintenance, and expansion of social supports in older adult methadone clients. Methods: The data for this analysis were derived from a qualitative study of the needs of aging methadone clients. Data were collected through face-to-face interviews with 24 methadone clients over the age of 50. Results: A lack of trust was identified as a principal barrier to the use, maintenance, and expansion of the social supports of older adult methadone clients. Causes of this mistrust include issues associated with aging, past traumatic experiences, and difficult personal relationships. Implications: These findings imply that addressing the issue of self isolation and recognizing the reason older adult methadone clients engage in this behavior is a key element in getting this specific population to use, maintain, and foster healthy social supports. A common phrase echoed throughout the interviews is that a person cannot trust anybody. Because of this mistrust, some clients keep to themselves by electing to self-isolate and decline to use, maintain, or foster new relationships. As a result, these individuals are less likely foster and/or engage in healthy social relationships, which are a key component of substance abuse treatment and abstinence maintenance.     

The Managers of Social Work: The Experiences and Identifications of Third Tier Social Services Managers and the Implications for Future Practice

John Lawler, University of Bradford Management Centre, Emm Lane, Bradford, West Yorkshire BD9 4JL Summary The article draws on the results of a research project whichexplored management in social services departments from theperspective of third tier managers within those organizations.The article outlines some of the major current debates withinsocial services management and discusses the experiences andidentifications of those managers who were part of the study.The results indicate a fragmentation at this level of management—afragmentation of experience, attitudes and management approaches.The implications of this and other findings are considered asthey affect the areas of: research development; policy development;social work management; social work practice; and social workeducation.     

Fitness and Fatness in Relation to Health: Implications for a Paradigm Shift

Health care professionals most often approach health promotion for large persons in the context that health improvement can be attained only through weight loss. Unequivocal acceptance of the notion that thinness equals health and fitness has been the only health intervention strategy available for many large men and women. The apparent ineffectiveness of traditional diet and exercise programming to reduce body weight has caused many health care providers, obesity researchers, and lay persons to challenge the further use of diet and exercise for the sole purpose of reducing body weight in the large person. A brief survey of the most popular dieting techniques used over the past 40 years shows that most techniques cycle in and out of popularity, and that many of these techniques are hazardous to health. Data from the scientific community indicate that diet and exercise programs for weight loss are ineffective in producing reduced weight maintenance after a period of 3 to 5 years. On the other hand, there are data indicating that overweight men and women can become healthy without losing significant amounts of weight. Furthermore, epidemiological studies indicate that fitness, not fatness, is related to disease and mortality. Any intervention strategy for the obese should be one that promotes the development of a healthy lifestyle. The outcome parameters used to evaluate the success of such an intervention should be specific to disease risk and symptomatologies and not limited to medically ambiguous variables like body weight or body composition.     

Comparative perspectives on changes to Canada's paid parental leave: Implications for class and gender

In 2001, Canada extended the length of time parents could claim benefits. When combined with maternity benefits, a total of 50 weeks of benefits is available for qualifying parents. This places Canada at the forefront of liberal welfare regimes in benefits for new mothers and parents. However, an examination of the nature and impact of these changes suggests that they further exacerbate gender and class divisions in access to, and take-up of, these benefits. A discussion of major trends in parental leave policies in Europe identifies the types of changes that are most likely to reduce the gender and class inequalities apparent in current policies.     

Maternal Accuracy and Behavior in Anticipating Children's Responses to Novelty: Relations to Fearful Temperament and Implications for Anxiety Development

Previous research has suggested that mothers' behaviors may serve as a mechanism in the development from toddler fearful temperament to childhood anxiety. The current study examined the maternal characteristic of accuracy in predicting toddlers' distress reactions to novelty in relation to temperament, parenting, and anxiety development. Ninety‐three two‐year‐old toddlers and their mothers participated in the study. Maternal accuracy moderated the relation between fearful temperament and protective behavior, suggesting this bidirectional link may be more likely to occur when mothers are particularly attuned to their children's fear responses. An exploratory moderated mediation analysis supported the mechanistic role of protective parenting in the relation between early fearful temperament and later anxiety. Mediation only occurred, however, when mothers displayed high accuracy. Results are discussed within the broader literature of parental influence on fearful children's development.     

Heterogeneous Perspectives in Coalitions and Community-Based Responses to Sex Trafficking and Commercial Sexual Exploitation: Implications for Practice

ABSTRACT

Despite increases in community-based coalitions to address sex trafficking and commercial sexual exploitation (CSE), and the coinciding ideological debates surrounding sexual commerce, few studies have examined the dynamics between and perspectives among coalition members. This paper aims to explore 1) coalition members' perspectives on religion, politics, feminism, sex trafficking/sex work, neoliberalism/neo-abolitionism and 2) the impacts of such perspectives on coalition members' anti-trafficking/CSE work. Drawing from a larger qualitative study, 24 in-depth semi-structured interviews were conducted with current and former coalition members in an urban Midwestern city. Findings suggest varied religious identities, which challenged some providers in coordinating services for the lesbian gay bisexual transgender queer/questioning (LGBTQ) community or women with a history of or considering abortions. Providers generally identified as democrat as well as feminist in some way, but had conflicting views of sexual commerce. These competing ideologies created challenges for cohesive coalition action. Consequently, it may be essential to facilitate intergroup dialogues addressing diverse perspectives, come to consensus on goals, or develop subgroup goals in order to create a functioning inter-agency response. Future studies should explore such dynamics across multiple coalitions nationwide and the impact such perspectives may have on survivors engaging in services.     

Assessing the Barriers to Achieving Genuine Housing Choice for Adults with a Learning Disability: The Views of Family Carers and Professionals

It has been reported that the capability of adults with a learningdisability to choose their housing is too often impeded by theviews and actions of their family carers and involved professionals(McGlaughlin and Gorfin, with Saul, in press). This study furtherexplores these apparent barriers to providing genuine housingchoice for adults with learning disabilities. It discusses findingsfrom a series of focus groups which explored family and professionalviews about housing and choice. The views expressed indicatethat risk is a fundamental concern for both professionals andfamilies when considering more independent housing for thisgroup. Although opportunities for choice were generally supported,many argued for the need to assess the ability to make informeddecisions. There were also examples of problematic relationshipsbetween professionals and carers, creating a barrier to choice.Carers need involvement, information and support during thedevelopment of housing plans if the needs of the primary serviceusersare to be met. The barriers identified have to be removed ifservice-users are to truly become the focus of decisions andbe enabled to make genuine informed choices.     

Perceptions of Difference Between Aging and Disability Service Systems Consumers: Implications for Policy Initiatives to Rebalance Long-Term Care

This study explores service professionals' perceptions of how and why older adults and younger persons with disabilities are different consumers and clients within the long-term care service sector. Data are from 2004, early in the history of federal long-term care rebalancing initiatives, reflecting perceptions at that time. Findings suggest professionals working within aging, developmental disability, and physical disability service networks believe significant distinctions exist related to age of clients and nature of service required and how it is delivered. Overall need for greater professional and organizational capacity to support provision of service to both aging and disability populations is reported.