Executive Leadership and Social Innovation in Direct-Service Nonprofits: Shaping the Organizational Culture to Create Social Change

Direct-service nonprofits have taken on increasing responsibility in creating social change (operationalized through the concept of social innovation) within local communities. Qualitative interviews were conducted with executive directors to determine the factors within the intra-organizational environment that support an orientation toward social innovation. Findings show that aspects related to staff engagement and development and direction by the executive leadership team are particularly important. The findings provide a conceptual model of the varying intra-organizational dynamics that support the development of a social innovation-oriented organizational culture. This research offers a focus for social work education programs to equip practitioners with the skills needed in contemporary practice.     

Transnational Movement Innovation and Collaboration: Analysis of World Social Forum Networks

In this article we first trace the ideological development and collective framing of the World Social Forum (WSF) as a non-hierarchical gathering for collaboration and networking within the global justice movement. We then analyze the consequences of organizational design, thematic resonance, and technological innovations implemented to produce more open and horizontal collaboration. We do this by conducting two-mode network analysis of organizations that facilitated sessions and workshops during two separate meetings (2003 and 2005) of the WSF in Porto Alegre, Brazil. Our findings indicate that organizational affiliations were less hierarchical in 2005, but we uncover mixed results from analyzing patterns of interaction produced by individual organizations and groups of organizations. Finally, we discuss the implications of such macro-level innovations on the dynamics of multi-organizational fields (collaboration, coalition building, and thematic resonance) and the contributions of such an approach to the study of transnational organizational networks.     

How Local Social Movement Groups Handle a Presidential Election

How do local social movement groups respond to national electoral politics? Previous studies, often based on aggregated data on public protests, focus on the effects of elections on established social movement organizations (SMOs). Some find that SMOs flourish during election years, taking advantage of the political opportunities that elections pose. Others conclude that elections hurt SMOs, siphoning members and resources. Using ethnographic, in-depth interview, and document data on new and emerging social movement groups (SMGs) in Pittsburgh for 20 months before and after the 2004 U.S. presidential election, we examine how members think about elections and whether and how groups decide to respond to national electoral campaigns. We find that SMGs vary considerably in the strategies of action or inaction they adopt, depending on their changing sense of whether the election poses an opportunity or a threat to the group and that these strategies of action are patterned in path-dependent sequences. We conclude with a discussion of the possibilities for integrating concepts of path-dependency and timing into social movement research.     

Promoting Constructive Conflict from a Conflict Transformation Perspective: The Case of Community-Based Collaboration in Korea

ABSTRACT

This article focuses on developing constructive conflict management in community-based collaborations for macro social workers. Using a conflict transformation perspective as a conceptual framework, we identified significant factors and their dynamic relationships in promoting constructive conflict in the context of 5 community-based collaborations in Korea. Hierarchical multiple regression analyses revealed that responsive coordination was a strong predictor of increased perceptions of constructive conflict. Further, a multiple mediator model indicated that open communication was indirectly associated with perceived constructive conflict by enhancing both equal decision-making and responsive coordination. We conclude by highlighting practical implications of our study.     

The Game of Contacts: Estimating the Social Visibility of Groups

Estimating the sizes of hard-to-count populations is a challenging and important problem that occurs frequently in social science, public health, and public policy. This problem is particularly pressing in HIV/AIDS research because estimates of the sizes of the most at-risk populations-illicit drug users, men who have sex with men, and sex workers-are needed for designing, evaluating, and funding programs to curb the spread of the disease. A promising new approach in this area is the network scale-up method, which uses information about the personal networks of respondents to make population size estimates. However, if the target population has low social visibility, as is likely to be the case in HIV/AIDS research, scale-up estimates will be too low. In this paper we develop a game-like activity that we call the game of contacts in order to estimate the social visibility of groups, and report results from a study of heavy drug users in Curitiba, Brazil (n = 294). The game produced estimates of social visibility that were consistent with qualitative expectations but of surprising magnitude. Further, a number of checks suggest that the data are high-quality. While motivated by the specific problem of population size estimation, our method could be used by researchers more broadly and adds to long-standing efforts to combine the richness of social network analysis with the power and scale of sample surveys.     

Poland's Contentious Elites Enter the Age of Revolution: Extending Social Movement Concepts

Scholars of social movements commonly call for the field to be broadened in various ways because movements are often intertwined with other forms of conflict and because the causes or consequences of movements may operate differently in different contexts. Important change processes that were unfolding in Poland at the time of the French Revolution provide an instructive case. Although the contemporaneous French Revolution, with its enormous quantity and variety of collective mobilizations has been a touchstone for social movement scholars, the work of Poland's reform parliament and the adoption of Poland's 1791 constitution have gotten much less attention. Poland's reform politics not only provides both instructive parallels to and differences from French revolutionary developments, but were also deeply intertwined with them and embedded with those French events in a larger, European field of contention. Perhaps one of the most intriguing aspects of the Polish reform movement is that it was largely driven by elites, something noted in Karl Marx's bemused praise. Although social movements played very much less of a role in Poland than in France, we try to show here that familiar tools of social movement analysis permit an account of those Polish events as well.     

Organizational Cultures as Holding Environments: A Psychodynamic Look at Organizational Symbolism

The traditional formulation of symbols asbundles of meaning has supported manyfine-grained analyses of organizational culture.However, it tends to obscure deeper psychodynamicelements that are essential to shaping how culture forms,develops, and dies. This paper adapts the idea ofholding environment from Winnicott, Kegan,and others to sketch the potential contribution of such a psychodynamic perspective. An illustrativecase is presented to support the argument.     

Aging in Place or Relocation: Perceived Awareness of Community-Based Long-Term Care and Services

ABSTRACT

This study used data from the Community Partnership for Older Adults Program Survey (N = 4,611) to examine associations between the perceived awareness of community-based long-term care and supportive services and the anticipation for aging in place and relocation. Respondents varied substantially in their knowledge about services and anticipation for aging in place and relocation. Perceived availability and unavailability of a series of community services was associated with the likelihood of anticipating aging in place and relocation, and awareness of the lack of visiting nurses, personal assistance, or transportation was related to respondents reporting a younger age at which they anticipated needing help to age in place or anticipating a need to relocate. Findings have implications for raising the public awareness of community-based services in addressing the needs of community-dwelling elders for aging in place and relocation.     

Medicaid Home and Community-Based Services: How Consumer Access Is Restricted by State Policies

State Medicaid programs have expanded home and community-based services (HCBS). This article compares trends and variations in state policies for Medicaid HCBS programs in 2005 and 2010. State limitations on financial eligibility criteria and service benefits have remained stable. Although the use of consumer direction, independent providers, and family care providers has increased, some states do not have these options. The increased adoption of state cost control policies have led to large increases in persons on waiver wait lists. Access could be improved by standardizing and liberalizing state HCBS policies, but state fiscal concerns are barriers to rebalancing between HCBS and institutional services.     

Hidden Epidemic

Abstract

Rates of HIV infection among the seriously and persistently mentally ill contradict the widely held belief that this population is not at high risk for HIV exposure. The literature suggests that, in part, due to pervasive misconceptions around issues of sexuality and illicit drug use, HI V-positive, mentally ill individuals are not receiving appropriate care. This article focuses on the interplay of mental illness, HIV infection, and service provision through a review of the literature and the presentation of a case study. Available services are detailed and barriers to their success discussed. The importance of comprehensive community-based services specifically designed to address the multifaceted needs of this population is highlighted.     

Medicaid Funding for Assisted Living Care: A Five-State Examination

Medicaid waiver programs financing assisted living care are examined in five states to gain insights about program implementation, accomplishments, and challenges. Documents, augmented with stakeholder interviews, are used to describe income eligibility, options for supplementing payments to facilities, risk adjustment payment levels, and participation. Needs determination and waiver-based payments are in place. Eligibility and funding levels are complicated by room and board allocations that are linked to the federal benefit rate for Supplemental Security Income. Provider participation may be diminishing. Many recipients have to accept shared occupancy as program payments are insufficient for single units.     

Giving Up: How Gendered Organizational Cultures Push Mothers Out

Explanations for professional and managerial mothers' departure from paid work concentrate on childcare and women's preferences or choices. In contrast, our study, based on in‐depth interviews with professional and managerial mothers in London, shows that women's experiences within hegemonic masculine cultures play a key role. For example, working time norms require these mothers to work exceptionally long hours, to have permeable time boundaries even if they have negotiated reduced working hours and to ‘socialize’ in the evenings. Mothers are limited in their ability to protest or implement creative working time solutions because they feel they must hide their motherhood, which in itself creates tension. Mothers who are seemingly supported to work fewer hours are sidelined to lower‐status roles for which they are underpaid and undervalued in relation to their experience and previous seniority. Unless mothers mimic successful men, they do not look the part for success in organizations.     

Accompaniment in a Mexican immigrant community: Conceptualization and identification of biopsychosocial outcomes

Taller de Jose (TDJ) offers accompaniment in a Mexican neighborhood in Chicago, helping service participants navigate health, judicial, and social service systems. Using a community-based participatory approach, the current study conceptualizes the accompaniment service and identifies psychosocial outcomes. Focus groups with service participants and staff were conducted, using a grounded theory approach. The data provides support for a conceptual model of accompaniment based on interdisciplinary knowledge in ministry, social work, and public health; and a consideration of social context, values, and outcomes such as increased social support, knowledge of community resources, and improved self-efficacy.     

Organizational Elaboration as Social Movement Tactic: A Case Study of Strategic Leadership in the first US School-sponsored Program for Gay and Lesbian Youth

This research contributes to our understanding of two central and related problems in the study of social movements: tactical innovation and strategic leadership. Focusing on the leadership history (1984–2003) of the founder and director of the first US public school program for gay and lesbian youth, called Project 10 and located in the Los Angeles, California public school system, this case study illustrates the importance of leadership agency on the part of those ‘organizing from within’. Analyses herein indicate the significance of both institutional constraints and life course circumstances in determining leadership choices. This paper maps organizational obstacles and the tactical dilemmas they produced to explain how successful strategic choices get made. The case of Project 10 indicates that institutional constraints can be overcome tactically with organizational elaboration. Additionally, hybridity, assumed in the literature to produce organizational precariousness, is shown here to be a mechanism for stability, facilitating networks and resource acquisition over time.     

Long-Term Services and Supports for Older Adults: A Review of Home and Community-Based Services Versus Institutional Care

Despite a shift from institutional services toward more home and community-based services (HCBS) for older adults who need long-term services and supports (LTSS), the effects of HCBS have yet to be adequately synthesized in the literature. This review of literature from 1995 to 2012 compares the outcome trajectories of older adults served through HCBS (including assisted living [AL]) and in nursing homes (NHs) for physical function, cognition, mental health, mortality, use of acute care, and associated harms (e.g., accidents, abuse, and neglect) and costs. NH and AL residents did not differ in physical function, cognition, mental health, and mortality outcomes. The differences in harms between HCBS recipients and NH residents were mixed. Evidence was insufficient for cost comparisons. More and better research is needed to draw robust conclusions about how the service setting influences the outcomes and costs of LTSS for older adults. Future research should address the numerous methodological challenges present in this field of research and should emphasize studies evaluating the effectiveness of HCBS.     

On Being Jewish at a Jesuit University: Reflections on Organizational Cultures

This article provides reflections on the intersection of religion, identity, occupation, and organizational culture as it occurred in my professional life.     

Inclusion of Caregiver Supports and Services in Home- and Community-Based Service Programs: Recent Reports from State Units on Aging

Caregivers have an important role in assisting frail and/or disabled individuals to maintain their independence in the community. Support to assist caregivers in this often stressful and demanding role is critical to sustaining the caregivers' health and ability to provide care. This paper reviews federal policy changes since 2000 that have expanded and enhanced services for informal caregivers. Next, data collected from State Units on Aging and other state agencies are presented to describe the extent to which caregiver services are included in home- and community-based programs under three funding streams (Medicaid waivers, Centers for Medicare and Medicaid Services–funded programs, and state-funded programs). Program characteristics, such as eligibility and consumer-directed options, are included. Finally, the accomplishments and initiatives reported by state respondents related to supporting informal caregivers are also explained. Results indicate that services for informal caregivers are receiving greater attention and are frequently offered under home- and community-based service programs by the states that participated in this study.     

Walk the Walk but Don't Talk the Talk: The Strategic Use of Color‐Blind Ideology in an Interracial Social Movement Organization

In this study, I examine the strategies interracial organizations use in the twenty‐first century, where color‐blind ideology dominates. Much theoretical work on racism examines how it has evolved during different historical periods, but this work does not address how these changing forms of racism affect social movement organizations, particularly those on the left. While the literature on color‐blind ideology has examined how it is expressed by African Americans and European Americans separately, my work investigates how color‐blind ideology operates when European Americans and people of color are working together in the same organizational setting. Studies of social movements have examined how organizational culture affects strategies but have neglected how external racist culture and color‐blind ideology impacts organizational strategies. Findings from 3 years of ethnographic data collected on an interracial social movement organization and its corresponding coalition suggest that activists in interracial organizations use racism evasiveness strategically to maintain solidarity. I conceptualize racism evasiveness as the action resulting from color‐blind ideology within a larger system of racism. While activists perceive advantages to these strategies, there are also long‐term negative consequences. Without explicitly naming and addressing racism, progressive organizations may be limited in their ability to challenge systemic racism.