INCOME SECURITY—THE FUTURE

The following article is a shortened version of a paper presented at a conference on social security at Monash University in August 1974. Australia is, as Mr. Wryell said in introducing his paper "in a sense at the crossroads as far as social security is concerned". Several important inquiries have been made into a range of social security questions—on poverty, oh compensation and rehabilitation, on superannuation—and the reports are currently being discussed. Mr. Wryell's article outlines the existing Australian provisions, factors to be kept in mind in reviewing them, and proposals for variation—some of them involving fundamental changes in philosophy and approach—which have been put forward in the various reports. He emphasises that, as a public servant, his function was limited to providing factual information about the issues under review.     

Combining generalist and specialist social work in activation policies: A participatory action research

In the last decades, activation policies and practices aimed at getting people off benefits and into work have been at the forefront of social policy. One of the challenges of activation practices is that social services with a narrow specialist focus fall short in supporting vulnerable target groups. A growing body of social work literature recognises that both generalist and specialist social works play an important role in supporting vulnerable target groups that face wicked problems. We conducted a participatory action research on how specialist social workers may adopt the principles of generalist social work in counselling and guiding people with multiple and complex needs towards the labour market.     

Social Structure and Social Relations

This paper replies to Porpora, King, and Varela's responses to my earlier paper “For Emergence”, focussing on the relationship between the concepts of social structure and social relations. It recognises the importance of identifying the mechanisms responsible whenever we make claims for the emergence of causal powers, and discusses the mechanism underlying one case of social structure: normative institutions. It also shows how critical realism reconciles the claims that both social structures and human individuals have emergent causal powers that combine to produce actual social events.     

Tensions and contradictions in Australian social policy reform: compulsory Income Management and the National Disability Insurance Scheme

This paper explores contemporary contradictions and tensions in Australian social policy principles and governmental practices that are being used to drive behavioural change, such as compulsory income management. By means of compulsory income management the Australian Government determines how certain categories of income support recipients can spend their payments through the practice of quarantining a proportion of that payment. In this process some groups in the community, particularly young unemployed people and Indigenous Australians, are being portrayed as requiring a paternalistic push in order to make responsible choices. The poverty experienced by some groups of income support recipients appears to be seen as a consequence of poor spending patterns rather than economic and social inequalities. By contrast, Australia's National Disability Insurance Scheme (NDIS) has been constructed as a person centred system of support that recognises the importance of both human agency and structural investment to expand personal choices and control. Here we look at the rationale guiding these developments to explore the tensions and contradictions in social policy more broadly, identifying what would be required if governments sought to promote greater autonomy, dignity and respect for people receiving income support payments in Australia.     

Children living with parental substance misuse: A cross‐sectional profile of children and families referred to children's social care

Parental substance misuse is a significant public health and children's rights issue. In the United Kingdom, social workers frequently work with children and families affected by substance misuse. However, relatively little is known about this population, particularly at point of referral to children's social care. This paper reports on the largest known study of parental substance misuse as a feature of children's social care work in England. The paper provides a cross‐sectional profile of 299 children living with parental substance misuse and referred to children's social care in one local authority in England. Data were collected from social work case files at the point of referral to social care about the child, family, the wider environment, and parental substance misuse. The findings show that children affected by parental substance misuse frequently had other support needs relating to their well‐being and mental health. Children were also likely to be experiencing other parental and environmental risk factors. The significant historical—and in some cases intergenerational—social care involvement for some families indicates potential issues with the capacity of services to meet needs. Recommendations for practice are discussed with a particular focus on the need for early, comprehensive support for children and families.     

IN SEARCH OF WHAT IS RIGHT: THE MORAL DIMENSIONS OF THE DRUG DEBATE

The protagonists in the drug debate are talking past one another. While some argue that the drug debate is a health and social issue and should primarily be analytical and based on empirical evidence, others, explicitly or implicitly, treat it as a moral issue: overwhelmingly, in Australia, based on Christian beliefs. The aim of this paper is to set out a framework for the debate which explicitly recognises its moral as well as its empirical and analytical dimensions. It is hoped that greater transparency will facilitate the debate and may help the formulation of common positions. Heroin maintenance is used as an example to illustrate the arguments.     

Environmental shifts for social work: A principles approach

Miller SE, Hayward RA, Shaw TV. Environmental shifts for social work: A principles approach The social work profession is rooted in a history of addressing the needs of vulnerable populations. Generally, however, this history has not extended to issues relating to the natural environment. Building on a framework of environmental justice, this article proposes a shift from the artificial separation of the social and natural environments in its person‐in‐environment focus to an expanded holistic understanding of the dynamic interplay between human society and the natural environment. It examines issues surrounding environmental and ecological justice, and proposes a principles approach to move the profession towards a paradigm of environmental justice using as its template the 17 Principles of Environmental Justice adopted by the First National People of Color Environmental Leadership Summit in the USA in 1991. It discusses the value of these principles in enhancing social work's capacity to address issues of environmental concern. It proposes that, with greater awareness of the effects of environmental issues on high‐needs populations, the profession would be better able to balance environmental and human concerns.     

The mediating role of the Ombudsman in the protection of human rights

The findings of the study discussed in this article indicate that the respondents are aware of the power of the economy over social issues in all social affairs in our society. They see the networking role, professional knowledge and leadership skills of the Ombudsman as core competencies in solving problems pertaining to human rights brought about by increasing social inequality. Complex problems regarding human rights demand coordination between national and international governmental and non-governmental organisations because human rights are becoming a central dimension of international affairs today.     

Intensity and persistence of individuals' social exclusion in Australia

We construct a measure of social exclusion that recognises its multidimensionality at the individual level, including its potential variability in intensity at a point in time and in persistence over time. We distinguish seven dimensions or domains of social exclusion: material resources; employment; education and skills; health and disability; social; community; and personal safety. For each of these seven domains, several indicators of social exclusion are produced. Our exclusion measure identifies 20 to 30 per cent of the Australian population aged 15 years and over as experiencing ‘marginal’ or worse levels of exclusion at any given point in time. However, there is considerable variation in both the extent and persistence of exclusion among the excluded. We further find that, although there are commonalities in the demographic composition of the socially excluded and the income poor, there are also some important differences. For example, persons 65 years and over represent a much smaller share of the most ‘excluded’ group than they do of the ‘poorest‘; and – adopting a household‐level measure of exclusion – children represent a larger share of the excluded than they do of the poor.     

“It's not all tied up with bureaucrats and funding”: Autonomous volunteer participation in the rural resettlement of refugees

This paper reports on a study that explored the experiences, perceptions and motivations of a new type of autonomous volunteer emerging in modern society, in particular, those working to assist in the rural resettlement of refugees in Australia. The volunteers filled a gap left by under resourced government and community services. In‐depth semi structured interviews revealed that their motivation was due in part, to the lack of bureaucratic' red tape'. Their drive to address social issues was based also in part on values to see social justice expressed in their community. Some challenges and tensions due to cultural differences were identified. Questions for community development and social capital are raised. Implications are raised for volunteer groups' and resettlement organisations' policy and practice to enhance the resettlement process for both the host community and those with a refugee background.     

Self-determination and Paternalism in Community Care: Practice and Prospects

Correspondence to Dr Chris Clark, Senior Lecturer in Social Work, Adam Ferguson Building, George Square, Edinburgh EH8 9LL, Email: Chris.Clark{at}ed.ac.uk Summary Self-determination is long established as a key principle ofsocial work ethics, but has seldom been the subject of empiricalresearch. This article reports on a qualitative study of theprinciples and beliefs of community care social workers in alocal authority. It is shown that, while workers retain strongattachment to traditional ideas about self-determination, theyalso appreciate that paternalistic intervention is sometimesjustified. The more recently fashionable concept of empowermentappears to have had little useful impact. The paper argues that,while the persistence of self-determination is a strength ofsocial work and should be defended, traditional practice ethicsare weak on the political issues embedded in community care.Five key issues are identified: the threat to individualizedservice under care management; the problematic determinationof mental competence; social ambivalence about the extent offamily responsibility for dependent adults; the threat to equityarising from variable interpretations of self-determination;and the excessively elastic interpretation of empowerment.     

Critical Realism and the Limits to Critical Social Science

The paper assesses the aims and arguments of critical social science and the reconstructions of it provided by critical realist philosophy. It argues that attempts to derive normative conclusions on the basis of explanatory critiques of social phenomena are flawed in several important respects. Accounts of critical social science standardly underestimate the problems of justifying critical standpoints and finding alternative social forms which generate fewer problems than those they replace, and hence lead to net improvement. By arguing that value positions can be derived from explanatory critiques, the philosophical reconstructions make light of the normative issues raised by proposals for social change. They also ignore the question of the feasibility of alternative systems and the prevalence of structures which generate both good and bad effects. While the reconstructions succeed in defending critiques centering on straightforward cases of false beliefs or the frustration of universal human needs, in others, where culturally-specific needs and issues of social responsibilities are involved, they fail to recognise the need to address prior normative questions. It is therefore argued that the aims and claims of critical social science need to be moderated and its dependence on normative discourse properly acknowledged.     

中国吸毒与艾滋病状况调查的综述和评论

社会发展进程势必伴随着新的许多社会问题的产生和解决。自20世纪80年代以来,吸毒和艾滋病的传播逐渐成为危及公共健康、社会治安和社会控制的焦点问题。针对这些问题,国内学者和政府机构展开了一系列的调查研究工作,以便为缓解这些社会问题,增进社会治理的成效寻找有效途径。本文将回顾这些研究,并由此反映这一研究领域中所取得的最新进展。文章把研究的落脚点放在与吸毒人群的艾滋病传播风险相关问题的文献评述上,以期为展开艾滋病防范和对吸毒人群的矫治等方面的工作提供一定的理论帮助。     

中国吸毒与艾滋病状况调查的综述和评论

社会发展进程势必伴随着新的许多社会问题的产生和解决。自20世纪80年代以来,吸毒和艾滋病的传播逐渐成为危及公共健康、社会治安和社会控制的焦点问题。针对这些问题,国内学者和政府机构展开了一系列的调查研究工作,以便为缓解这些社会问题,增进社会治理的成效寻找有效途径。本文将回顾这些研究,并由此反映这一研究领域中所取得的最新进展。文章把研究的落脚点放在与吸毒人群的艾滋病传播风险相关问题的文献评述上,以期为展开艾滋病防范和对吸毒人群的矫治等方面的工作提供一定的理论帮助。     

Calling the Question of “Possible Dying” Among Nursing Home Residents

Abstract

Glaser and Strauss reported decades ago that in order for a person to be treated as dying, he/she must be defined as dying. Defining nursing home residents as “dying” can be complicated because most residents are in advanced old age with multiple chronic conditions. Using a social construction theoretical framework, this study looks at the step before the declaration of dying, that is, the consideration of the possibility of dying. This qualitative study is a secondary analysis of prospective data collected during 16 months of fieldwork on behalf of 45 nursing home residents whose health was considered declining. The purpose of this paper is to build understanding about the social construction of “possible dying” by reporting triggers that can call the question of possible dying and stimulate a discussion about the nursing home resident's status, prognosis, care options, and preferences. These triggers include: Health status decline; noncompliance with diet or medications; available medical interventions not being well suited for the residents; and family consideration of an out-of-town trip. The paper also reports barriers (family, staff, and disease process) and facilitators to calling the question of possible dying, including families having a sense of treatments they would like to avoid and having the opportunity to talk through options. Findings are discussed in light of basic assumptions of social construction. Implications for social workers include helping residents, families, and staff anticipate and address the possibility of dying, and to reflect these discussion in care plans, as well as the need to be available to help residents and family members with psychosocial issues related to living and dying in the nursing home setting, including the profound issues that can be provoked or exacerbated by resident health status decline and possible dying.     

Susceptibility to Emotional Contagion

Abstract

This article reports a psychometric evaluation of a measure of susceptibility to emotional contagion, designed to measure the degree to which a person is vulnerable to “catching” and sharing the emotion experienced by another. The scale was examined to test its application to depression, burnout, and impairment among practicing social workers. Data from a probability sample of 751 practicing social workers were collected in an anonymous survey about social workers' health and work issues. The sample was split to conduct exploratory and confirmatory factor analyses. The factor analyses resulted in a revised scale that demonstrated acceptable internal consistency reliability, good content validity, excellent factorial validity, and preliminary construct validity. Susceptibility to emotional contagion was related to burnout, depression, and professional impairment. Future recommendations are made and this instrument may be a useful tool for the identification, prevention, intervention, and education of social workers at risk for depression, burnout, and professional impairment.     

Calling the question of "possible dying" among nursing home residents: triggers, barriers, and facilitators

Glaser and Strauss reported decades ago that in order for a person to be treated as dying, he/she must be defined as dying. Defining nursing home residents as "dying" can be complicated because most residents are in advanced old age with multiple chronic conditions. Using a social construction theoretical framework, this study looks at the step before the declaration of dying, that is, the consideration of the possibility of dying. This qualitative study is a secondary analysis of prospective data collected during 16 months of fieldwork on behalf of 45 nursing home residents whose health was considered declining. The purpose of this paper is to build understanding about the social construction of "possible dying" by reporting triggers that can call the question of possible dying and stimulate a discussion about the nursing home resident's status, prognosis, care options, and preferences. These triggers include: Health status decline; noncompliance with diet or medications; available medical interventions not being well suited for the residents; and family consideration of an out-of-town trip. The paper also reports barriers (family, staff, and disease process) and facilitators to calling the question of possible dying, including families having a sense of treatments they would like to avoid and having the opportunity to talk through options. Findings are discussed in light of basic assumptions of social construction. Implications for social workers include helping residents, families, and staff anticipate and address the possibility of dying, and to reflect these discussion in care plans, as well as the need to be available to help residents and family members with psychosocial issues related to living and dying in the nursing home setting, including the profound issues that can be provoked or exacerbated by resident health status decline and possible dying.     

Feminism and Male Scholarship: The Treatment of Women and Gender in Social Policy Texts

This paper reports the results of a study of sixty selected British and Australian academic texts on social policy and the welfare state. The purpose of the study was to investigate changes over the last fifteen years in the ways in which the position of women and gender-related issues are dealt with by feminist and non-feminist writers in the social policy field. Differences in the levels of feminist awareness in the various texts are found to be associated with the sex of the author, the type of book, the date of publication, the country of publication, and the socio-political and intellectual context in which the various texts were produced.     

People, Land and Sustainability: Community Gardens and the Social Dimension of Sustainable Development

Community gardens vary enormously in what they offer, according to local needs and circumstance. This article reports on research and experience from the USA. The context in which these findings are discussed is the implementation of Local Agenda 21 and sustainable development policies. In particular, emphasis is given to exploring the social dimension of sustainable development policies by linking issues of health, education, community development and food security with the use of green space in towns and cities. The article concludes that the use of urban open spaces for parks and gardens is closely associated with environmental justice and equity.     

Stress and Pressures in Mental Health Social Work: The Worker Speaks

Two-thirds of councils with social services responsibilities(CSSRs) took part in a UK survey of mental health social workers.A one in five sample of front line workers was drawn, and 237respondents completed a questionnaire and diary about theirwork context and content, and their attitudes to their work,their employer, mental health policy and the place of mentalhealth social work in modernized mental health services. Thequestions, that called for free-text responses, were completedin detail and at length. This paper reports the results of aqualitative analysis of these responses using NVIVO software.The paper is structured around the themes emerging from theanalysis: pressure of work; staffing matters; job satisfactionand well-being; recruitment and retention issues; and beingvalued. The conclusions are that the social workers value faceto face contact with service users, and that their commitmentto service users is an important factor in staff retention.The most unsatisfactory aspects of their work context arisefrom not feeling valued by their employers and wider society,and some of the most satisfactory from the support of colleaguesand supervisors. Without attention to these factors, recruitmentand retention problems will remain an unresolved issue.