Ergonomics evaluation of a government office building

An ergonomics team from the US Army Center for Health Promotion and Preventive medicine evaluated 465 video display terminal (VDT) workstations in a Government office building over an 18-day period. Each workstation evaluation involved an assessment of the worker, the chair, the desk, the keyboard, the pointing device, the monitor, and the office environmental conditions. The team also collected worker pain and injury information. The problems seen during the evaluation were characteristic of most office environments where VDT workstation furniture was purchased before the advent of mouse-driven software. The majority of furniture evaluated was not designed to meet the demands of intensive mouse use for prolonged periods of time. Much of the workstation furniture was not adjustable, chairs lacked adequate back support, and workers assumed non-neutral postures. As a result, more than 35% of the workers evaluated complained of on-the-job pain. New office furniture that is adjustable, adequate desk space and storage space were among the solutions recommended by the ergonomics team.     

The development of an evidence based assessment protocol for intimate partner violence in the U.S. Army

The importance of conducting evidence based assessment has been widely acknowledged by many professions, including social work. In this study, the U.S. Army, in partnership with University researchers, developed an evidence based assessment protocol to assist the individual social worker in conducting his/her assessment of intimate partner violence. The protocol development process involved posing answerable research questions about intimate partner violence assessment content and method and then adhering to the steps of evidence based practice to answer those questions. Key to the protocol development process was the partnership created between researchers and practitioners as part of an expert panel.     

Kinematic analysis of post office employees' workstations

This study analyzed a post office clerk's tasks, comparing two workstation models. The clerk was facing the client in one, and seated at 45 degrees to the counter in the other. We analyzed the most frequent tasks and those presenting the most critical points: 1) payment of a postal order; 2) accepting a registered letter, breaking them down into subtasks. We used an optoelectronic system for kinematic analysis, and calculated the range of motion of the trunk and arms in the three spatial planes. The 45( position required less torsion of the trunk and head when using the printer, placed to the left of the employee. A larger worktop improved the workstation, leaving more room for equipment and allowing the worker to sit frontally to the monitor. However, this solution involved a shorter distance between the worker and the client with longer extension of the shoulder and elbow and less trunk flexion. These findings suggested a modification in the layout that shortens the distance between the worker and client.     

Individualized functional work evaluation and vision: a case study in reasonable accommodation

A case study is provided where functional capacity evaluation, work place assessment, and driver rehabilitation assessments were combined to produce an individualized functional work evaluation. A human rights complaint was launched by worker who alleged that her employer had determined that her vision impairment rendered her incapable of meeting her job demands, which could not be 'reasonably accommodated'. An evidence based practice approach and clinical reasoning process utilized by the assessor in developing an individualized evaluation is described. The individualized evaluation developed by the assessor is consistent with the clinical trend towards the inclusion of direct observation of actual occupational performance, in making a determination of work ability. The resulting individualized evaluation was integral to the Human Rights Tribunal in determining whether the worker's limitations could be "reasonably accommodated.'     

Clinical services to persons with AIDS: The parallel nature of the client and worker processes

Social workers working in the area of AIDS confront individuals struggling with a plethora of issues and problems related to an AIDS diagnosis.Especially important to this work is the interplay of themes between the worker and client; a parallel process emerges that provides both insight and potential dilemmas for the social worker. While the worker may attempt to maintain a posture of disciplined subjectivity, she is confronting in the professional relationship a situation that intimately touches the core of her own identity.Through a case presentation from practice in an AIDS clinic, this paper will examine the parallel nature of the client and worker processes. Key issues will be identified and potential responses will be considered.     

Contesting identity of Taiwanese home-care workers: Worker,daughter, and do-gooder?

One of the administrative dilemmas in home-care delivery is that an appropriate and trusting relationship between the home-care worker and the client must be developed; yet this relationship is not readily visible to service managers. Setting up organizational processes for building allegiance and turning the home-care worker into an ideal one become major administrative tasks for home-care managers. Within such organizational context, the home-care worker is then faced with the issue of developing her own identity. This study lays out the Chinese particulars of what being a home-care worker is all about on the ground in Taiwan. In the Chinese context of family and cultural prerogatives around filial daughter and doing good, being a worker (agency perspective) and being a daughter (client's desire) are both problematic. Many home-care workers view themselves as a do-gooder portrayed by the Buddhist discourse of karma. The findings suggest that administrative tasks, client, and worker relationship may appear similar on the surface but the dynamics are quite different.     

Creating space to think and feel in child protection social work; a psychodynamic intervention

Professionals working with families in difficulty require a structured space to consider their work. As organisations and the systems within and across them become more sophisticated it seems that less attention is being paid to the emotional and psychological aspects of working with families than to the paperwork and processes that surround the work. Systems psychodynamic theory and the methodical reflective practices it underpins offers a suitable framework in which to consider practicing and researching in this emotionally complex field. This paper describes one aspect of a small doctoral study designed to provide a sustained reflective space (Work Discussion Group) to Irish child protection social workers in order to closely explore the reality of their practice experience. This paper explores one worker’s experience of bringing a written account of her work with a family to the WDG. Findings suggest that her work was undertaken in a climate concerned with efficiency, certainty and the reduction of risk. This climate evoked anxiety and reduced opportunities for reflective and considered practice. The work discussion group provided containment for this worker’s anxiety and allowed her to make sense of this anxiety and its accompanying defences and to move closer to working with this family.     

Staying with it: A case study

Abstract

This is a case study which illustrates some of the conflicts and dilemmas facing local authority social workers in child protection. The worker had to learn to understand and deal with his feelings about a client, who was at different times unable to communicate verbally, sexually procative and seductive, hostile and aggressive. For the client there was a gradual shift from acting out her fears and fantasies about men, to being able to verbalise and trust the worker.

The worker moves towards an understanding of the client's problems and also of his own difficulties in dealing with the case. He believes that his personal involvement was of value to the client.     

Interview with Susie Orbach,Ph.D., C.S.W.

An interview with Susie Orbach highlights the trajectory of her career and current thinking on body image issues and eating disorders. Dr. Orbach’s work in this area as a clinical social worker, psychoanalyst, best-selling author and social activist has spanned three decades. In this interview she reflects on her earlier books, Fat is a Feminist Issue and Hunger Strike: An Anorectic’s Struggle as a Metaphor for Our Age, and discusses her current work and perspectives within the context of contemporary culture.     

A Journal of Family Social Work conversation with Monica McGoldrick,LCSW

Monica McGoldrick and Judith Siegel converse about Monica’s decision to become a social worker, her interest in families, key people who influenced her along the way, and the inspiration for her work on ethnicity in family therapy.     

Beginning Practice in Child Protection: A Blended Learning Approach

Statutory child protection is arguably one of the most complex and challenging areas of work within the welfare sector. In the state of Victoria, Australia, the child protection service is delivered by a state government department, the Department of Human Services, employing over 900 staff. A significant proportion of its recruitment is achieved through employing new graduates from a diverse educational base (e.g. social work, psychology and welfare). This convergence of circumstances, inexperienced workers with a variety of professional education backgrounds, beginning work in a complex, highly scrutinised professional domain, creates a unique challenge for in‐service educators responsible for induction. The ‘Beginning Practice in Child Protection’ programme is an attempt to meet this challenge, employing multi‐modal learning resources, interactive skills based clinics combined with workplace learning opportunities structured to deliver just‐in‐time messages. In addition, on‐line ‘virtual vignettes’ that support learning at the employee workstation are utilised. Evaluation findings suggest this programme is successful in achieving its aims of a supported introduction to the work, increasing worker confidence and satisfaction while leading to quality knowledge and skills acquisition. This paper will establish the context for child protection practice in Victoria, describe the programme designed to address the need, before highlighting key messages arising from an independent evaluation.     

Spirituality and Ethics in Long-Term Care

Abstract

The issues of spirituality and ethics are evoked in a case of an 89-year-old woman resident in a nursing home who refused nutrition and hydration. Clergy representing Catholicism, Protestantism, Judaism, Hinduism and Islam were asked to respond to questions regarding the choice to end life and spiritual resources to help the patient. The clergy agreed that the patient is in a spiritual crisis but her autonomy should be respected, and spiritual resources should be expended to enhance meaning. The ethical dilemma for the social worker, as for the clergy, is whether to support the patient's freedom to end her life or persuade her to continue to live. The dilemma is based on conflicting social work values of self-determination and the preservation of life. Three ethical principles are in conflict: respect for autonomy, the duty to prevent harm, and beneficence. At the end of the process of ethical deliberation, the social worker must be prepared to accept the patient's decision.     

The impact of sight loss in social work practice

This article intends to familiarize the social worker with the various definitions of blindness and sight loss, common obstacles faced by persons with sight loss, general therapeutic issues, when and how to use self-disclosure of a disability, and the ways in which the social worker can use his or her disability, specifically sight-loss, as an instrumental therapeutic tool with clients. Case examples will be provided to illustrate effective interventions and the various ways in which a disability may impact a client or clients. In addition, a brief discussion of various theoretical approaches to understanding disabilities is outlined.     

Expert witness evaluation of posttraumatic stress disorder (PTSD) and return to work

This author was hired by a defendant's attorney as an expert witness in the evaluation of a plaintiff who filed a lawsuit for the loss of her job and concomitant income due to posttraumatic stress disorder (PTSD) symptoms acquired after sustaining a traumatic injury. This writer evaluated her symptoms, level of function, roles, and interests using a variety of assessments. This case study is a report of the evaluation. The results indicated that the plaintiff developed adequate coping mechanisms to manage her symptoms of PTSD in order to function in her diverse and chosen roles of worker, mother, care giver, wife, family member, volunteer, home maintainer, and religious participant even though she did not return to her prior place of employment. Because of these results, the case was settled out of court in the favor of the defendant.     

Injured and Silenced: Working with Workers' Compensation Claimants and Their Families

It is not uncommon for rehabilitation and workers' compensation systems to treat the injured worker as either a passive victim or a mischievous malingerer. Much ofthe literatureregardingrehabilitation ofpeople with chronic pain and soft tissue injury speaks of paralysis and powerlessness as if the injured person is a piece offlotsam buffeted about by the socialforces of WorkCare (and other compensation systems), the employer and the medical legal systems. This paper will review the pertinent literature and demonstrate the lack ofobjective supportfor a ‘blame-thevictim’ attitude. The importance of the injured person playing an active role in his/her rehabilitation will be emphasised through a systematic analysis ofthe impact ofthe WorkCare scheme on the injured worker and their treatment. In this light, a systems based approach to therapy with injured workers and their families will be outlined.     

Using Yoga Interventions to Enhance Clinical Social Work Practices with Young Women with Cancer

It is widely published that physical, psychological, and social stressors adversely affect many individuals who are diagnosed with cancer, influencing their experience of treatment and perhaps, the quality of life after treatment is complete. No one is prepared for this battle, yet most patients are forced to make split-second decisions that are critical to their care. This case study highlights the mindfulness approach taken by one social worker to help a young woman during her journey with cancer. By guiding her through gentle yoga postures, yoga breathing, and meditation this patient learned how to take back some measure of control in her recovery, address her illness-related stress, and possibly enhance the quality of her life during treatment. As more clinicians combine conventional best practices with complementary healing therapies, they may provide tools any patient can use to instill hope and promote wellness during this most challenging time and beyond.     

Low wages and high unemployment rates: The role of social interactions in hiring discrimination

The purpose of this paper is to explain why low-wage workers with identical qualifications to higher-wage workers are more exposed to unemployment. Each worker is considered to belong to a social group (defined according to his/her gender, age, and nationality). We assume that workers experience both productive interdependencies and social interactions within the firm. Also inter- and intra-group interactions determine worker productivity, and frictions on the labor market limit the hiring of the most productive workers. Consequently, externalities acting both within the firm and in the labor market can lead to a higher rate of unemployment for low-wage workers.     

The Impact of Sight Loss in Social Work Practice

Abstract

This article intends to familiarize the social worker with the various definitions of blindness and sight loss, common obstacles faced by persons with sight loss, general therapeutic issues, when and how to use self-disclosure of a disability, and the ways in which the social worker can use his or her disability, specifically sight-loss, as an instrumental therapeutic tool with clients. Case examples will be provided to illustrate effective interventions and the various ways in which a disability may impact a client or clients. In addition, a brief discussion of various theoretical approaches to understanding disabilities is outlined.     

Potential and Possibility: Psychodynamic Psychotherapy and Social Change with Incarcerated Patients

In the present paper, Pierre Bourdieu’s theory of symbolic power is used to illustrate how the practice of psychodynamic psychotherapy in a prison-based mental health treatment program constitutes both a psychological and sociological intervention, congruent with clinical needs of this particular population. The author draws from psychodynamic theory, Bourdieu’s framework and her experience as a clinical social worker with the California Department of Corrections and Rehabilitation.     

Identity Management among Indonesian and Filipina Migrant Domestic Workers in Singapore

This study examines how the identities of migrant domestic workers are likely to be endangered and how these individuals struggle to reconstitute them. It is largely based on an interview and observational study with Indonesian and Filipina domestic workers in Singapore. Inspired by the sociological discussion of Goffman and Ishikawa, the study reveals how each migrant domestic worker manages her identity in her specific social context. This study shows that domestic workers contrive tactics to negotiate their situations, given that domestic work is considered a low prestige occupation and workers tend to be divested of the usual “identity kit” to make up their identity front. Specifically, to compensate for their discredited status, domestic workers attempt to reconstitute their damaged identity, obtain a new identity kit, recall previous social and family roles, or anticipate a future identity. They also attempt to acquire new skills and increase their value, so they can identify themselves as more than “just a maid.” They obtain additional roles in an attempt to change how they feel about themselves, to alter the meaning of being a domestic worker, and to redefine their relationships with others either by individual struggles or through collective activities. This study also points out a possible pitfall of identity management among the actors. The mechanism of identity politics might lead to an erosion of value, alienation from other domestic workers, and a strengthening of conventional stereotypes and generalizations regarding ethnicity, nationality, and gender. In this context, how non‐governmental organizations play a role in mitigating the pitfalls of identity management among domestic workers is also examined.