The conflict over the use of information technology in South Korean schools

This article examines the heated debate over the National Educational Information System (NEIS) in South Korea. The NEIS has been introduced by the Ministry of Education. It collects information on every South Korean primary and secondary school in regional databases, including information regarding health records, religious backgrounds, military service, grades, attendance and other sensitive information relating to individual pupils and teachers. Using the cultural theory developed by Mary Douglas, Michael Thompson and Aaron Wildavsky, it is shown in which particular ways the rivals in this debate have been talking past, and misunderstood each other. On the basis of this cultural theory, a possible way out of this impasse is sketched.     

Chemical Sensitivity in the Workplace

Abstract

The debate continues to rage in the medical community and amongst policy makers. This debate centers on a new disease mechanism commonly known as Multiple Chemical Sensitivity (MCS). Magill and Suruda (1998) grouped the theories of etiology of MCS into four broad categories: physical, stress, misdiagnosis, and illness belief. A new name for this illness has recently been advanced as well, toxin-induced loss of tolerance (TILT). Problems with chemical sensitivity are especially troubling for workers and their employers. Employees seeking relief under the Americans With Disabilities Act of 1990 (ADA) are requesting accommodations based on their reactions to chemicals. Employers are beset with claims for accommodations in the workplace, disability claims, and worker's compensation claims. Courts are trying to make sense of chemical sensitivity with respect to accommodations in the workplace. Court decisions regarding MCS issues are varied and oftentimes highly controversial. Primary social problems and mental health issues associated with chemical sensitivities are economic costs and loss of enjoyment of life by MCS sufferers. Economic costs are spread throughout the system; however, their major manifestations are lost worker production, increased demands on services, and the long-term costs associated with supporting a growing disabled subset of the population comprised of chemically injured workers. Social and mental health costs are seen in escalating cases of depression, divorces, behavioral acting out, isolation, anxiety attacks, and chronic medical problems.

Social workers are particularly well suited to advocate for accommodations in the workplace and for social policy change on behalf of those suffering from chemical sensitivity. Their training in systems and ecosystems theory makes them well aware of the importance of the environment on the individual. That training includes knowledge of utilizing strengths based approach to problem solving, and clinical training in mental health, which leads to empowerment for the client.     

The Recovered Memory Controversy: A Representative Case Study

The recovered memory controversy has been an ongoing debate within the mental health profession for the past two decades. Disagreement remains in the field over the veracity of “forgotten” memories of childhood sexual abuse that are recalled or recovered during therapy. At the heart of the controversy are the concepts of repression and dissociation as well as the impact traumatizing events have on the encoding of memory. This article provides an overview of the central factors in the longstanding debate and presents a detailed clinical case study involving independent corroboration of memories of childhood sexual abuse recovered during treatment, which the author believes provides additional support for the potential veracity of recovered memories.     

Conductive Education and the Politics of Disablement

Conductive Education has been characterised by some disabled academics as an intervention that is oppressive to disabled people. One of the most notable of these is Oliver. This paper describes the practice of Conductive Education and its development in the United Kingdom and explores why it came to be perceived by some from within the disabled people's movement as contrary to their interests. Oliver's position on Conductive Education is critiqued and located within the wider debate on the adequacy of the social model of disablement.     

The university as developmental space – a case for thinking differently?

Abstract

In recent years, there has been a sizeable increase in young people approaching University Counselling and Well-being Services for support in managing mental health difficulties with one research project suggesting an increase of demand upwards of 33%. Support is necessarily often targeted at those who present most ‘at risk’, but this ignores the potential positive impact that universities can have on promoting mental health for future generations, not least given that nearly half of all young people in the UK participate in Higher Education. Drawing on a case study of one UK undergraduate student, this paper will explore themes common to university students such as difficulties in transitioning from home, defensive-bonding in relationships and low self-esteem. The paper argues the need for universities and colleges to provide ongoing support for students who are ‘just about managing’ in order to enable them to flourish, both emotionally and academically.     

The Sociology of Mental Health: A Brief Review of Major Approaches

The article emphasises the importance of making sense of the theoretical debate in the sociology of mental health in order to 'position' the wide range of studies that have contributed to this field within three main approaches. The article indicates ways in which various studies have proved highly influential and continue to form the basis for research, policy and practice. Sociological concepts such as stigma continue to resonate as they highlight the sense in which negative social attitudes often make life harder for those who are already experiencing distress. The politics of risk in mental health, which has become a particularly powerful force in recent years, has made the prevailing climate more and not less stigmatising for those identified with 'mental illness'. The article concludes by arguing that the sociology of mental health continues to offer the conceptual and theoretical foundation from which negative associations can be challenged and overturned.     

Scientifically supported mental health intervention in schools: meeting accountability demands with an online resource

Legislation has been passed that holds schools increasingly accountable for the proficiency of all students, including those with mental health problems. A critical obstacle impeding the ability of schools to effectively support students is the lack of access to quick, pre-screened, and organized information about scientifically-supported interventions that effectively address youth mental health problems. A new mental health best practices database was developed and made available online that provides access to free and user-friendly information about evidence-based interventions for use in schools. School staff will be better able to meet accountability demands of legislation and to effectively respond to student mental health problems.     

Evaluation and Implementation of a Telepsychiatry Trial in the Emergency Department of a Metropolitan Public Hospital

Telepsychiatry via video conferencing is not new to mental health but has been expanding at a rapid rate over recent years. Initially it was introduced for treatment in remote and rural communities, but it is now being utilized in larger health settings due to increasing patient demand and cost-effectiveness. Emergency departments are becoming increasingly burdened, as the workforce cannot keep pace with the rising demand of patient mental health needs. While telepsychiatry has been shown to have treatment efficacy, research is still relatively new, especially within the emergency department context.     

The health outcomes of housing adaptations

In 1999-2000 a team of professionals and researchers carried out the largest research study so far undertaken with recipients of housing adaptations in England and Wales to discover how effectively the adaptations had achieved their objectives. Amongst the findings was evidence that well-designed adaptations had beneficial, and/or preventative effects on both physical and mental health; that these benefits were long-term and that they extended beyond the disabled person to help the health of other family members. The evidence presented is linked with key themes from other research to trace in detail the pathways that lead from unadapted or badly adapted housing to mental and physical ill health. It is suggested that these themes, including the meaning of home and the concept of intrusion are vital to understanding how health gains may be achieved through adaptation, and are useful and relevant to the broader debate on links between housing and health.     

Facilitators and barriers to family engagement and retention of young children in mental health care: A qualitative study of caregivers’ perspectives

This study examines facilitators and barriers that influence family engagement and retention of children in mental healthcare from the parent and caregiver perspective. Researchers recruited and interviewed parents and caregivers (n=18) from urban community health and early childcare centers. The study team analyzed the data and identified barriers to retention in care, including stigma, lack of integrated health care services,and a shortage of providers with the expertise in early childhood mental health care. Social workers, case managers, parent peers, and community support groups helped facilitate parent and caregiver engagement and retention of children in care. Education,community support programs, and integrated healthcare systems would improve access to quality early childhood mental health care.     

Working across borders to promote positive mental health and well‐being

World health reports highlight the increasing prevalence of mental health problems and the need to recognize that mental well‐being is a fundamental aspect of any health policy. The scale and cost of mental health problems mean that appropriate policies and strategies must be developed and implemented. In Ireland this is a period of substantial review and reflection on mental health policy and practice, but to date little consideration has been given to the development of a cross‐border strategy. Cooperation and collaboration has been largely dependent on the leadership of a number of individuals supported by short‐term European Union funding. This paper is informed by a study which was concerned with examining the issues associated with promoting mental health across the Irish border. Insights were provided by 38 individuals who were involved in the delivery of cross‐border mental health services in the North West region. The article argues that there is substantial support for working across borders and developing sustainable cross‐border health strategies. In the absence of a statutory all‐Ireland coordinated policy overseeing the development of mental health promotion, the sustainability of projects emerged as a key issue. The results suggest that whilst much innovative and creative work has been undertaken by committed individuals, what is now required is a strategic response from both the British and Irish governments which will ensure the needs of service users in these deprived border regions can be effectively addressed. Also, at a policy level this strategic development would be seen as a reflection of the value placed on promoting mental health and well‐being.     

Managerial audit and community mental health: a study of rationalising practices in Finnish psychiatric outpatient clinics

In many European welfare states the reform of mental health services has been accompanied by the implementation of new forms of governance, including the introduction of managerial audit systems. While such systems have been developed for ‘good causes’, such as quality assurance, financial management and monitoring staff performance, they may simultaneously produce diverse and contradictory effects on practice. The aim of this article is to examine the role of one managerial audit system, introduced in psychiatric outpatient clinics in central Finland, and assess its impact on practice. Reference is made to modernising mental health policy in the UK as that has producedsimilar practics outcomes. The research was an empirical study of practice using a mixed-method case study design involving documentary research and semi-structured interviews. Insights from Mitchell Dean's notion of governmentalisation of government were utilised in the analysis. It was found that, although the audit system primarily served administrative needs, it began to reshape practice by reinforcing certain modes of working and excluding others. The analysis of community mental health work in Finland, with similar trends in the UK, highlights the connection between documentation, resource allocation and managerial priorities that reinforce particular styles of practice. In community mental health services it would appear that the problems of professional practice have become the problems of administration.     

Clinical social work practice in the private sector: A survey

Although a great deal is known about mental health services provided by the public sector, few systematic data exist on service provision in the private sector. Despite this, the relative roles and merits of private-versus public-sector practice are issues of considerable contention within the social work profession. This survey, based on the responses of 253 social workers providing clinical services in the private sector in Colorado, sheds new light on this debate. Information reported includes the personal characteristics of providers, characteristics of clients seen, and other characteristics of practice.     

Mental Health Workforce Change Through Social Work Education: A California Case Study

The 2004 CaliforniaMental Health Services Act requires large-scale system change in the public mental health system through a shift to recovery-oriented services for diverse populations. This article describes an innovative strategy for workforce recruitment and retention to create and sustain these systemic changes. The California Social Work Education Center Mental Health Program provides stipends to master's of social work students at 17 California universities. In return, students must work for 1 year postgraduation in community mental health practice. Results of a 5-year study show that stipend recipients closely mirror the diverse demographics of the state, and 94% have remained in community mental health practice. The article also discusses lessons learned and implications for social work education in California and other states.     

Questioning the professionalization of recovery: a collaborative exploration of a recovery process

While the recovery concept strongly resonates in clinical mental health care today, it first arose in service user-led contexts. A major risk of this professionalization shift is that recovery primarily becomes defined by treatment providers. This study aims to keep the debate on recovery alive through a collaborative exploration of Pete’s recovery process by means of a bricolage approach. This resulted in an idiographic portrait of Pete’s experiences of recovery and treatment, clustered around four themes: life rebuilding, identity, continuity of care and the role of drugs. His experiences illustrate a number of contradictions in the operationalization of the recovery ethos in today’s mental health care; whilst recovery appears as a hopeful vision of empowerment, it also risks being reduced to a tokenistic model that fails to address the social realities of people in recovery and in which the assumption that mental illness is chronic is still latently present.     

Chronic care,integrated care,and mental health: Moving the needle now

Healthcare reform is currently a hot topic in the United States, and the Chronic Care Model has frequently been cited as the foundation of recent attempts to integrate mental health and physical health care. However, challenges exist to fully integrated care that have delayed adequately meeting the multiple needs of mental health service recipients. This article highlights multiple changes that can be incorporated into mental health care now, derived from the Chronic Care Model, to better meet clients’ physical and mental health needs. These changes include focusing on population-level data and incorporating technology and multidisciplinary teams in treatment and prevention efforts.     

Mental health of the oldest-old

As more individuals live past age 100, it is important for health professionals to better understand characteristics important to the mental health of the oldest-old in our society. Few studies have been conducted on mental health in this group, but current literature suggests these individuals are very resilient with respect to mental health and life satisfaction, despite their health disadvantages. In interviews in a variety of studies, participants talked of the importance of both inner and outer resources for empowerment. Greater understanding of mental health in aging can inform policy makers as they draft new legislation and programs to enhance quality of life for the oldest-old.     

Positive,Negative, and Ambivalent Interactions With Family and Friends: Associations With Well‐being

Although the relationship between social relationships and mental health is well established, debate continues about the relative importance of specific sources (spouses, children, relatives, friends) as well as of positive and negative interactions. The authors examined the associations of positive, negative, and ambivalent interactions with life satisfaction and depressive symptoms for spouses, children, relatives, and friends, using data from the 2008 Health and Retirement Study (N = 6,418). The findings generally showed positive associations between positive interactions and mental health and negative associations between negative or ambivalent interactions and mental health. These associations were most pronounced for relationships with spouses and children. Gender differences were found in life satisfaction but not in depressive symptoms. These results imply that future research on older adults needs to consider both positive and negative relationship features from diverse sources separately and in combination to disentangle their relative effects and their additive or compensatory potential.     

The Social Process Behind Inequalities in Children's Mental Health: Incorporating an Illness Career Framework

More advantaged children (both in terms of social class and racial/ethnic membership) appear protected from symptoms of mental health problem, but a pattern has emerged in which these children who tend to have better mental health are more likely to be diagnosed with certain mental health disorders. These patterns have led some researchers and professionals to wonder if the qualifications for diagnosis are culturally biased or might unfairly favor the mental health needs of more advantaged individuals in society. Evidence that White and middle‐class children are more likely to be diagnosed with certain mental health disorders raises important and legitimate concerns about the mental health profession, but this problem of social advantage leading to mental health diagnosis has often overlooked the role of social process in how children become diagnosed. Mental health diagnoses represent the culmination of a process that involves several stages and requires initiation and (often times) persistence on the part of the individual being diagnosed. This idea of process has previously been referred to as the “illness career,” and applying this logic to the study of children opens the door for renewed inquiry into understanding who is and who is not diagnosed with a mental health problem.     

Social Workers’ Observations of the Needs of the Total Military Community

Researchers surveyed licensed social workers from 5 Mid-Atlantic states to explore their perspectives on the current state of mental health and service delivery for military service workers, families, and contractors. Social workers identified needs in the following areas: mental health, physical health and wellness, social and environmental, interpersonal and family, and military-specific needs. The majority of needs were most critical during the postdeployment stage. Education related to the observed needs was reported; social workers were most interested in learning about military culture and how to coordinate resources within the community to support the total military community. Suggestions for social work education and future research are discussed.