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.     

‘I am not poor. Poor children live in Africa’: Social identity and children's perspectives on growing up in contexts of poverty and deprivation in the Netherlands

This study focuses on problems children living in contexts of poverty face in daily life and how they perceive poverty. Findings are based on research with children (8–12 years) from impoverished areas in the Netherlands. Besides the problems as identified by the children, such as the poor quality of playgrounds and the lack of money for activities, we identified a striking paradox, namely the taboo on or denial of poverty versus the pervasiveness of poverty. To understand and handle this contradiction, we reflect on representation of children growing up in contexts of poverty through a social identity framework.     

The coping model: what is it and what might be its implications for social work practice?

This article examines whether a coping model developed as a framework for analysis of research interviews is useful in social work practice. The coping model emerged from a study involving qualitative interviews with social service clients in Norway, designed to explore how they coped with challenges in everyday lives, both on an individual level and in interacting with their environment. The model emerged from preliminary analysis and was then used in further analysis of the interview data. The study showed that the informants experienced two major challenges: (1) Unemployment and (2) living with a shortage of money over time, even though their life situations were heterogeneous. Some informants experienced potent coping strategies in finding employment and became independent of social services. Other informants experienced shortages in their capacities for work and continued to be dependent on allowances. They used their coping resources to achieve more meaningful life situations without employment. The coping model represents how coping is understood theoretically in the study and the present paper considers the model's relevance and implications for social work practice itself.     

Children and anti-poverty strategies

This paper discusses how far local authority anti-poverty strategies consider the impact of poverty on children. After outlining some findings on child poverty and linking these with current debates on children's rights, it examines a selection of anti-poverty strategies. Although examples of good practice are highlighted, the paper concludes that in general issues affecting children living in poverty are insufficiently addressed and that anti-poverty strategies should be refocused to take account of the needs and rights of children.     

ON BEING A POOR CHILD IN AMERICA

This exploratory qualitative study probed the experiences of fourteen 7–12-year-old children living in poverty. Child-centered activity-based interviewing methods were utilized. Three universal themes with eight life area specific categories emerged from qualitative data analysis. This study's findings suggest that children perceive poverty as a hurtful and detrimental factor in their lives. The findings also suggest, however, that some children living in poverty may not view their current financial situation as limiting to their future prospects, and that in spite of the hardships they themselves face, children living in poverty have tremendous compassion for children less fortunate than themselves. Finally, the study concludes that the child-centered research methods allow for children to make valuable contributions to childhood poverty research.     

Developing cultural competence for social work with families living in poverty

Social workers need to have a good understanding of the cultural contexts within which the families they are working with are living. Whilst each context will be unique in many respects, the majority of families involved with social workers will share the experience of living in impoverished circumstances. At a time when levels of family poverty are rising rapidly in the UK and many other European countries as a result of a global financial crisis followed by economic recession and major cuts in public spending, it is particularly important that social workers understand the impact of poverty on the lives of the adults and children with whom they are engaged. One of the best ways of developing an understanding of any aspect of culture is to listen to people talking about their lives. Using a combination of research evidence based on the first-hand accounts of parents and children, and analysis of selected practice examples drawn from anti-poverty social work in England, the key elements of culturally competent practice for social work with families living in poverty are identified.     

Prenatal Stress,Poverty, and Child Outcomes

It is well documented that children living in poverty experience disadvantages in virtually every area of health and mental health, development, academic achievement, and other areas, compared to their more well-off peers. Mechanisms behind these disadvantages certainly include the lack of resources of all kinds inherent in poverty, including access to health care, high-quality education, safe housing, nutritious food, and many other resources. Less well recognized is the contribution of prenatal stress to these gaps, as poor children’s disadvantages often start early in fetal life due to high stress experienced by their mothers. Animal research and emerging human research demonstrate that stress during pregnancy affects fetal brain development through the mother’s hypothalamic–pituitary–adrenocortical axis, influencing the developing stress system and other parts of the brain of the fetus. Understanding these relationships among poverty, prenatal stress, and child outcomes is important for social workers, whose policy and service provider roles provide opportunities for amelioration at both micro- and macro-levels. This paper elucidates the consequences of prenatal stress, demonstrating that the physiological stress response operates prior to birth and directly influences infant and child biological, psychological, and social well-being. First, we briefly review the well-documented disadvantages experienced by poor children. Then, we describe the physiology of stress, clarifying the often-confusing definitions and elaborating to explain unique physiological aspects of stress during pregnancy. Finally, we discuss the important role social work may play in addressing this important problem.     

Parenting in poverty: Perspectives of high-risk parents

Parents considered high risk by child protection services commonly are striving to raise children in poverty but are identified as requiring improved parenting skills. Parent perceptions of their own needs are typically not sought or elicited. This longitudinal study of 35 parents over 18 months garnered 115 in-depth interviews focusing on parent views regarding barriers to effective parenting. Analysis indicated that parents uniformly identified poverty as the primary barrier to their capacity to provide adequate care for their children. Themes elicited indicated that financially parents were living precariously close to margins of defeat. Parents accepted personal responsibility for their economic and parental failings, equating no income with bad parenting. Depression and despair associated with poverty were acknowledged to impair parenting and increase self-doubt about parenting capacity. Experiences with social services generally led to low expectations of parenting assistance. The need for improved aid for impoverished parents is discussed.     

Do families in poverty need child and family social work?

This article attempts to contribute to the historically relevant debate about the role of social work in poverty situations, focusing on the emblematic and radical question whether the poor actually need social work. In the context of the currently dominant policy framework in European welfare states, that is underpinned by the emerging paradigm of social investment, we argue that it is extremely relevant to readdress this question. Within this development, the eradication of child poverty has been considered a key target of poverty reduction strategies and child and family social work has consequently been assigned a pivotal role in the fight against the intergenerational transmission of poverty. We demonstrate that the rhetoric of social investment has found a practical implementation in social work constructing the problem of poverty in terms of education and activation of both the child and the individual parent. Based on an extensive review of literature, we discuss underlying assumptions, consequences and pitfalls of the paradigm of social investment for social work and tease out whether, and on which conditions, poor families need child and family social work.     

The role of child care social work in supporting families with children in need and providing protective services—past,present and future

This article examines the way in which child care social work with deprived families has changed and developed since the inception of Children's Departments in 1948. It is argued that between 1948 and 1970 child care social workers enjoyed a fair measure of social support. A variety of reasons are considered for explaining this—specialization, smallness of size, privacy and a consensus about the needs of children. From the early 1970s it is argued that broader societal changes, including a shift away from social solidarity towards individualism, organizational changes and the advent of child abuse as a public concern, resulted in con?icting demands on child care social workers and a subsequent loss of credibility and con?dence. The 1990s have seen a return to emphasis on family support policies which has been further accelerated in the new millennium by New Labour's stated commitment to eliminating child poverty and creating better life opportunities for all children. The implications of these new developments for child care social workers engaged in meeting the needs of children living in highly disadvantaged families are considered. Copyright © 2006 John Wiley & Sons, Ltd.     

‘What can I do’? Child welfare workers’ perceptions of what they can do to address poverty

Within the field of child welfare, critical questions have been posed about the intersecting issues of child maltreatment and poverty. The study of the quality and nature of this intersection has continued relevance in light of evidence showing the increased likelihood of maltreatment of children living in poverty. Although child welfare workers interact directly with families involved with the child welfare system, the study of workers’ perceptions of whether or not they address families’ poverty and, if so, how they go about it has not yet been conducted. The study presented begins to address this gap. Analysis from individual interviews with 30 child welfare workers revealed that they differed in their perception of whether or not poverty should be addressed by child welfare and how. Findings suggest workers do what they can despite various barriers, including families’ limitations and the fragile US social welfare safety net. Based on the findings, current practice models and policies that impact poverty and child maltreatment reduction are discussed.     

Social work intervention with Bedouin-Arab children in the context of blood vengeance.

Blood vengeance is a culturally specific phenomenon that can place Bedouin-Arab children at high risk of neglect. This case study examines the psychological and social implications of vengeance on children, the children's coping strategies, and the role of social work. The social work function includes nonauthoritarianism, strategies for forming a positive helping alliance, and various forms of culturally sensitive assessment and intervention. The study therefore yields insight into bridging the emic-etic gap in conceptualizing and responding to child neglect in a non-Western society.     

‘No,living well does not mean being rich’: Diverse understandings of well-being among 11–13-year-old children in three Ethiopian communities

Participatory research into how people living in material poverty define and experience well-being and ill-being is increasingly common in developed and developing countries. Such research highlights the importance of experiential aspects, such as being respected and able to preserve one's dignity, and having meaningful choices. Nevertheless, these findings rarely cover children's experiences and are often not contextualized or triangulated with other data. The paper will extend this exploration using data from qualitative research with a sub-sample of children aged 11–13 in three urban and rural communities, drawn from Young Lives, a long-term international research project investigating the changing nature of childhood poverty in four countries, including Ethiopia. Firstly, it addresses how understandings of a good life and what is needed to achieve one varies between communities and amongst children of different backgrounds living in those communities; for example, boys and girls and children from richer or poorer households. Secondly, the study examines how one's place in social relationships also contributes to how children perceive and understand what a good life is. The paper confirms the importance of allowing children to take at least a ‘partial role’ in measuring and monitoring their well-being (Ben-Arieh 2005, 575) and provides examples of how this might be done.     

Ambivalence and Living Apart Together in Later Life: A Critical Research Proposal

Most unattached older persons who would like an intimate partnership do not want to remarry or be in a marriage‐like relationship. A growing trend is to live apart together (LAT) in an ongoing intimate relationship that does not include a common home. We address the debate about whether LAT constitutes a new form of intimate relationship in a critical assessment of research on LAT relationships that applies ambivalence and concepts from the life course perspective. We conclude that among older but not younger adults, LAT relationships are generally a stable alternative to living with a partner, negotiated in the context of current social institutions and arrangements. We propose research questions that address later life living apart together as an innovative alternative intimate relationship. We encourage comparative work on the unique challenges of later life living apart together, their implications for other family ties, and their connection to social and cultural arrangements.     

Involving Services Users in Social Work Training on the Reality of Family Poverty: A Case Study of a Collaborative Project

In the last five years there has been an increased drive to include the perspectives and contributions of service users in social work education in the United Kingdom. In this paper we discuss the experience of one project that attempted to bring together service users, academics and practitioners to jointly develop and deliver a module that sought to examine the perspectives of families living in poverty who were in receipt of children and families social work services. Through doing this it was hoped that it would be possible to raise practitioners’ awareness of how poverty impacts on parenting and how they could develop an approach that was non‐punitive and genuinely supportive. The paper starts by exploring the context of service user involvement in social work education and then describes the development and process of this collaborative project. The paper concludes with recommendations for both projects seeking to engage service users in empowering and meaningful ways, as well as social work practice within an anti‐oppressive framework.     

Poverty,exclusion and child protection practice: the contribution of ‘the politics of recognition&respect’

The affective dimensions of poverty, including the impact of wider policy discourses and services that ‘other’ and shame people in poverty, are increasingly recognized. In response, Lister [(2013). Power, not Pity: Poverty and Human Rights. Ethics and Social Welfare, 7(2), 109–123] advocates for ‘a politics of recognition&respect’ that centralizes the voices, participation and lived experiences of those who live in poverty. This paper considers how applying Lister’s theory could improve child protection (CP) social work in England, from a human rights and social justice perspective. The paper draws on findings from an ATD Fourth World participatory research project aimed at updating the course content for a pre-existing social worker training module on poverty awareness. The project brings together families with experience of poverty and CP interventions, social work practitioners and academics.     

The Social Costs of Child Poverty: A Systematic Review of the Qualitative Evidence

This paper describes a systematic review of qualitative studies of children living in material disadvantage, which compares and confirms experiences across a pool of studies that meet predetermined quality criteria. The review found that, according to children's narratives, the costs of poverty are not only material but also profoundly social. The evidence suggests that, despite their efforts to maximise their resources, many poor children experience a gradual narrowing of their horizons, both socially and economically. In conclusion the paper suggests the need for further research from children's viewpoints, given the UK government's commitment to reducing child poverty and associated problems of social exclusion.     

Children’s Strategies for Agency in Preschool

This article is based on an ethnographic study of children’s everyday life in Swedish preschools. The ethnography is used to explore children’s strategies for influencing, defending and constructing the social order of a preschool institution. The focus of our concern is on how the children, in their interactions with each other and with the preschool teachers, manage the collective regulation and how they negotiate their participation in collective activities. There is an inherent tension between free play and the high degree of routinised and collective activities within the preschool institution. The study shows that children are active in playing at the border, acting as if the institution is the children’s place. It also shows how they draw on different strategies as resources for managing the regulations, accounting for personal autonomy and negotiating the social order. In taking a child perspective and acknowledging children as active agents, it is possible to see how they influence and shape their everyday life in a preschool context. In addition, the article illustrates individual children’s strategic and pragmatic use of resources and in doing so contribute to their own childhood and thereby become part of a social and cultural construction process.