COMMUNITY CENTRE PRACTICE — POTENTIAL AND POSSIBILITIES FOR CREATING CHANGE

It has been suggested that community centre practice offers important possibilities for addressing the complex needs of families. This paper arises from a larger study of the Aintree Community Centre. The goal of the research was to understand better the multi‐faceted ways in which community centre practice contributed to family and community change. Discussion is structured around the consideration of a single case study of a family seeking support at the Aintree Family and Community Centre. It pays particular attention to the early period of engagement between the family and staff. This focus allows us to explore the contribution which psycho‐dynamic and systemic approaches made to practice in the centre and also to think about other characteristics of centre practice that assisted the family to embark upon a journey of change. The complexity of the practitioner/client nexus and the role of the support relationship in client/family change are examined. Through this the value of community centre practice in the delivery of support to families facing complex troubles and the nature of the change process as gradually accumulative can be appreciated.     

Costs of promoting cancer screening: Evidence from CDC’s Colorectal Cancer Control Program (CRCCP)

The Colorectal Cancer Control Program (CRCCP) provided funding to 29 grantees to increase colorectal cancer screening. We describe the screening promotion costs of CRCCP grantees to evaluate the extent to which the program model resulted in the use of funding to support interventions recommended by the Guide to Community Preventive Services (Community Guide). We analyzed expenditures for screening promotion for the first three years of the CRCCP to assess cost per promotion strategy, and estimated the cost per person screened at the state level based on various projected increases in screening rates. All grantees engaged in small media activities and more than 90% used either client reminders, provider assessment and feedback, or patient navigation. Based on all expenditures, projected cost per eligible person screened for a 1%, 5%, and 10% increase in state-level screening proportions are $172, $34, and $17, respectively. CRCCP grantees expended the majority of their funding on Community Guide recommended screening promotion strategies but about a third was spent on other interventions. Based on this finding, future CRC programs should be provided with targeted education and information on evidence-based strategies, rather than broad based recommendations, to ensure that program funds are expended mainly on evidence-based interventions.     

Building the community school movement: vision, organization, and leadership

On a local level, creating and sustaining community schools requires leadership from local government, schools, businesses, and nonprofit organizations. These groups must provide the fuel and direction to move the community school strategy forward along a common vision and with strategic methods for financing. At the federal level, it must continue to build constituency for community schools if it is to succeed, although the community school movement has made great strides in recent years. There is not now a coherent federal framework to support the community school vision. The proposed Full Services Community Schools legislation would build a national constituency and legislate key principles advocated by the Coalition for Community Schools: developing districtwide community school strategies, focusing on results, and improving coordination of funding streams.     

Preparing Community Health Workers for Their Role as Agents of Social Change: Experience of the Community Capacitation Center

Current efforts to better integrate Community Health Workers (CHWs) into the health and social service systems are promising, but may be less effective if they fail to support the role of CHWs as social change agents. The way CHWs are trained influences the roles they play. In this article, we review the literature on CHW training and summarize lessons learned to date. We describe how the Community Capacitation Center in Oregon uses a combination of content, methodology, and values to prepare CHWs to make an optimal contribution to health. Recommendations for CHW training programs and policy makers are provided.     

Using theory of change as a framework for examining community context and philanthropic impact

As part of the process of examining their theory of change (TOC) and reflecting on grant making activity, one Midwestern foundation employed a multipronged strategy to assess 209 community-based mental health grants across seven years of funding. This article details the evaluation approach, which comprised these areas of the TOC: grantees’ use of evidence-based interventions, cultural competency, quality improvement, community collaboration, and use of integrated care. Inductive analyses identified grantees’ use of innovative practices, trauma-informed care, and use of validated instruments. In an iterative exercise spanning multiple years, the foundation and researchers found ways to gather information about community capacity and impact while simultaneously minimizing grantee data collection/reporting burden. Findings revealed that community agencies were improving in their uptake of evidence-based interventions and use of validated instruments. Community grantee use of trauma informed care also improved over the study period. Grantee desire to collaborate and coordinate services within the community was also strong. The research also revealed that in multiple domains (such as technology and non-profit operating costs) grantees needed support in building agency capacity. These findings shed light on which aspects of the foundation’s TOC were being addressed through funding, and which areas of the community needed additional support.     

Factors Affecting Children’s Adjustment to the Death of a Parent: The Social Work Professional’s Viewpoint

This study investigated factors affecting the adjustment of parentally bereaved children by reviewing existing literature and comparing it to observations made by professional social workers. Interviewees had between 1 1/2 and 22 years of experience in counseling bereaved children. The specific factors examined were age and sex of the bereaved child, circumstances of the death, and adjustment of remaining caregiver. Participants (n = 5) responded to an interview instrument specifically designed for this study which contained seven in-depth, open-ended questions. Participants’ replies were mostly in accordance with the literature, but also generated some new perspectives that had not been previously considered for this study and had not appeared in the literature. This study has implications for practice with parentally bereaved children and their surviving caregivers.Rebecca M. Hope, LCSW, Outpatient Clinician, New River Valley Community Services, 700 University City Boulevard, Blacksburg, VA 24060.Diane M. Hodge, Ph.D. is an Associate Professor of Social Work, Radford University, P.O. Box 6958, Radford, VA 24141; e-mail: dmhodge@radford.eduAddress correspondence to Rebecca M. Hope, LCSW, Outpatient Clinician, New River Valley Community Services, 700 University City Boulevard, Blacksburg, VA 24060; e-mail: rmhope@verizon.net     

Community mobilization, organizing, and media advocacy. A discussion of methodological issues

Community Mobilization refers to those activities that prepare communities to accept, receive, and support prevention interventions designed to reduce alcohol-involved trauma. Media advocacy refers to the strategic use of media by those seeking to advance a social or public policy initiative. Within the Community Prevention Trial, both of these activities were critical elements. This article presents the evaluation design for community mobilization and media advocacy implemented for the project. Here the authors argue for the need to include both structured and unstructured community monitoring instruments, coding of local alcohol-related news coverage, and surveying community members about the exposure to alcohol-related problems, and support for project interventions. This article also presents an audience segmentation analysis and discusses the implications of this analysis for media advocacy efforts.     

Postmigration Living Difficulties,Help-Seeking and Community Resilience in the Initial Stages of Migration: Coproducing Community Practice with Recent Irish Migrants to London

This article describes a community-based participatory action research (CBPAR) project that examined the postmigration living difficulties (PMLD), help-seeking and community resilience of recent Irish migrants to London (n = 176). The majority of respondents were young adults, in managerial or professional occupations and in good or very good health. Mixed methods indicate inadequate planning for relocation and poor social support as the main difficulties in the initial stages of migration. Community factors promoting resilience included employment opportunities, local and transnational supports, and cultural familiarity and acceptance. Community participation in the action orientated phase of this CBPAR is discussed.     

Forensic Assertive Community Treatment: Recidivism,hospitalization, and the role of housing and support

While Assertive Community Treatment (ACT) is considered an evidence-based service model, there is limited evidence regarding the effectiveness of an adaptation of the model, Forensic Assertive Community Treatment (FACT), for persons with serious mental illness who also have significant criminal justice system involvement. Using a multimethod approach, this article combines quantitative and qualitative data to review baseline information and nine-month follow-up recidivism, hospitalization, and housing outcomes for individuals enrolled in a FACT program. Findings suggest substance use, housing, and FACT team members’ support played an important role in clients’ prison reentry experiences.     

Schools uniting neighborhoods: the SUN initiative in Portland, Oregon

The SUN Community Schools Initiative is a community-driven model that allows each school community to design the programs that fit neighborhood needs in Portland, Oregon. County and city governments, local school districts, and community agencies have jointly leveraged resources to support fifty-one community schools. The program is managed by the Multnomah County Department of School and Community Partnerships. The City Parks and Recreation Bureau oversees twelve sites staffed by city employees. Strong support across political systems aligns funding and reduces the fragmentation in existing funding patterns.     

A scale to assess board member motivations in nonprofit organizations

The purpose of this study was to develop a framework for identifying the motivations of board members in nonprofit organizations. Building on previous work of board member motivations (Searle, 1989; Inglis, 1994) and motivations of direct service volunteers (Clary and others, 1998), the results of the current study support a framework consisting of six components: Enhancement of Self‐Worth, Learning Through Community, Helping the Community, Developing Individual Relationships, Unique Contributions to the Board, and Self‐Healing. We discuss contributions by the panel of experts who reviewed the instrument and by the respondents who offered additional reasons for joining the board in view of how they can add validity to scale development. Frameworks such as the one reported in this article are valuable for understanding the complex involvement of attitudes and motivations as they relate to individuals' decisions to join boards. These insights may be applied in areas such as board member recruitment, training and development, and retention.     

Program decisions : Evaluating a bird in the hand versus two in the bush

In new programs that have not reached full effectiveness, or in programs that are designed to produce future benefits (i.e., become “institutionalized”), evaluations that fail properly to assess future performance may bias decisions against the programs. For such programs, consideration of future benefits may significantly enhance the assessment of their cost-effectiveness. This paper describes an evaluation methodology based on decision theory that can take future benefits into account in evaluating a program. The methodology was applied to the Metropolitan Atlanta Crime Commission (MACC) Community Anti-Crime Project and indicated the potential for substantial future benefits subsequent to cessation of federal funding. The implications of use of this methodology and the MACC results for the overall Community Anti-Crime Program are also discussed.     

The Creation of an Unsolicited Organization: Victim Support Sweden

The aim of this study is to understand how a new nationwide nonprofit organization, Victim Support Sweden (VSS), emerged in just a few years without public or political demand. In this qualitative study, we reconstruct and follow the first years of the organization. The study is based on a content analysis of VSS’s archival documents from 1988 to 1992 and retrospective interviews with key persons. The results acknowledge the power of entrepreneurs in establishing the organization. The entrepreneurs used their skills, engagement, and backgrounds to “make sense” of the organization, even though there were no crime victims calling for support. They combined logics from adjacent fields and created a specific new “victim support logic.” Thereafter, the logic spread quickly through the entrepreneurs’ lobbying of politicians and education of local victim support volunteers.     

Putting the GRO into groupwork

Creating growthful therapeutic encounters for children, young people and adults that participate in group work programs is at the very core of what constitutes effective group work. In delivering nearly 200 group work programs over the past three years, this paper reflects on the practice principles that underpin the philosophy of the work we have undertaken within the Royal Children's Hospital Mental Health Service/Travancore School - Community Group Program and what we believe is the essence of good group work practice.     

Editorial introduction to the Special Issue

In March 2004, a major conference on community development inthe ‘new Europe’ was held in Budapest, Hungary,to mark the accession of a further ten nation states, most ofthem in the east and central European region, to the EuropeanUnion. The conference was sponsored by the International Associationfor Community Development (www.iacdglobal.org), in conjunctionwith the Combined European Bureau for Social Development (www.cebsd.org),the Hungarian Association for Community Development (kofe@kkapcsolat.hu),and the Community Development Journal (www.cdj.oupjournals.org).The initial outcome was the Budapest Declaration, the text ofwhich was included in the CDJ issue of October 2004 (39(4),423–429 – copies     

Community Land Trusts in the United States

ABSTRACT

Land trusts are a means to conserve land and/or wildlife (e.g., donating one's farm to The Nature Conservancy) or encourage affordable homeownership and local control of land. The topic of this article is the latter type of land trusts, called Community Land Trusts (CLTs), that have been touted as an innovative means to provide and preserve affordable housing. Through a synthesis of the literature, this article introduces social workers to CLTs. This includes defining Community Land Trusts, reporting on their brief history in the United States, discussing their advantages and disadvantages, and examining the limited empirical evidence. This review suggests that Community Land Trusts are an arena for future social work practice and research.     

Hospital Community Benefit in Rural Appalachia: One More Gap*

Non‐profit hospitals are important anchors in Appalachian communities, in part because of the concentration of health care dollars within these institutions. Community benefit efforts of these hospitals, therefore, have the potential to fill gaps in public health and social service provision in underserved areas with documented health disparities and access barriers. To date, however, we do not fully understand how community benefit practices vary by hospital setting. Employing hierarchical linear modeling using a multilevel mixed‐effects approach, this study analyzes data from the years 2010 to 2016 to assess community benefit practices and spending between hospitals in Appalachia and non‐Appalachian counties. Findings indicate that hospitals within Appalachian counties, and rural hospitals in this region, in particular, spent less on community benefit than hospitals, not in this region. Given the potential for community benefit to impact health outcomes and access to care, this disparity is important to state and local public health efforts and suggests the need for additional support for hospitals to engage their communities around critical health needs.     

Re-evaluating the Community Question from a German perspective

The far-reaching effects of the social systemic division of labor on the organization and contents of primary ties make the Community Question an important issue for many sociologists. This paper looks at the personal embeddedness of families in three German cities (Berlin, Hamburg, and Stuttgart) and examines the Community Question with data collected at the end of 2003. It is based on the theoretical views of Wellman [Wellman, B., 1979. The community question. The intimate networks of East Yorkers. American Journal of Sociology 84, 1201–1231], who used a network analysis perspective to conceptualize “the Community Question”. The results of this German study generally support the results of Wellman's second East York Study. However, the network structures analyzed in my study vary from the three ideal-type models. Cluster analysis shows that Wellman's typology can be replicated relatively well in Germany. In contrast to traditional discourse related to the Community Question, particular network types are not associated with low levels of social relations. Moreover, structural factors do not explain the existence of different network types. Thus, the networks are not a product of only one community model. They suggest that it is less helpful to talk about “Saved”, “Lost”, or “Liberated” communities than it is to regard communities as a mixture of strongly-knit nuclear clusters and of broader, sparsely-knit relations that provide access to different groups and their resources.     

THE IMPACT OF SUPPORT RESOURCES ON LOCAL CHAPTER OPERATIONS IN THE ANTIDRUNK-DRIVING MOVEMENT

Resource mobilization is critical for the development of social movement organizations. This study evaluates the differential impact of membership support and community organization support on the goals and operations of local chapters of Mothers Against Drunk Driving (MADD). It was found that membership support is associated with the programming goals of local chapters, that is, public awareness, victim assistance, and promoting antidrunk-driving legislation. Community organization support was only associated with youth education as a programming emphasis. In terms of organizational operations, membership support was associated with more central office contacts and increased contacts with other MADD chapters and more cooperative programming with the national central office of MADD. In contrast community organization support was associated with less contact and more disagreement with the central office on policies and less cooperation on programs.