The Generational Equity Debate

This article discusses the generational equity debate in the United States-including its origins and the functions it serves. This debate has emerged in the context of concerns over the aging of the population, budgetary crises, growing health care costs, increased poverty among children, growing economic inequality, and declining faith in institutions. By potentially fragmenting support for Social Security and other social programs, the generational equity approach to framing public policy issues may serve the interests of those conservatives wishing to shrink and restructure the American approach to social welfare. However, the possibility exists that this debate could serve also as a forum to advance progressive ideas about universal access for persons of all ages to income and health benefits and employment opportunities.     

The generational equity debate: a progressive framing of a conservative issue

This article discusses the generational equity debate in the United States--including its origins and the functions it serves. This debate has emerged in the context of concerns over the aging of the population, budgetary crises, growing health care costs, increased poverty among children, growing economic inequality, and declining faith in institutions. By potentially fragmenting support for Social Security and other social programs, the generational equity approach to framing public policy issues may serve the interests of those conservatives wishing to shrink and restructure the American approach to social welfare. However, the possibility exists that this debate could serve also as a forum to advance progressive ideas about universal access for persons of all ages to income and health benefits and employment opportunities.     

Accompaniment in a Mexican immigrant community: Conceptualization and identification of biopsychosocial outcomes

Taller de Jose (TDJ) offers accompaniment in a Mexican neighborhood in Chicago, helping service participants navigate health, judicial, and social service systems. Using a community-based participatory approach, the current study conceptualizes the accompaniment service and identifies psychosocial outcomes. Focus groups with service participants and staff were conducted, using a grounded theory approach. The data provides support for a conceptual model of accompaniment based on interdisciplinary knowledge in ministry, social work, and public health; and a consideration of social context, values, and outcomes such as increased social support, knowledge of community resources, and improved self-efficacy.     

An educational model for child welfare practice with English-speaking Caribbean families

Implemented in New York City, the Child Welfare Fellowship Project is an international collaboration between social work educators in the United States and Jamaica, the West Indies, the public child welfare agency, and selected community-based agencies. This model educational program prepared selected Masters of Social Work (MSW) Fellowship students for exemplary child welfare practice with English-speaking Caribbean families by providing enhanced programs designed to support culturally competent skill development and a preventive approach to child welfare practice. These educational enhancements, combined with academic course work, increased professionalism, self-efficacy, and culturally competent skill development among participants and averted foster care placement for families seen over the duration of the project.     

The roles of family,neighborhood, and school contextual factors on social work minority students’ educational aspirations and integration

This study examined the significance of three macro social determinants (i.e., family, neighborhood, and school factors) on the educational aspirations and integration of social work minority undergraduate students using a qualitative study of 40 interviews. Two research questions were raised: (1) how did family, neighborhood, and school contextual factors account for the participants’ postsecondary education in social work, a study that places more emphasis on the attainment of humanitarian goals over future economic outlook? and (2) what roles did family, neighborhood, and school play in shaping these participants’ postsecondary educational aspirations and integration? Overall, educationally resilient participants received strong family support but also encountered social roadblocks, stigmatization, and racial discrimination in the mainstream culture. Ironically, these social challenges also served as the major driving forces that inspired them to pursue their postsecondary education and major in social work. The findings of this study urge the general public and higher educational settings to develop more cultural sensitivity, validate unique contribution, and promote equality of cultural diversity among minority social work students.     

Student commitment and purpose in a private secondary school

Research on public education often concludes that low achievement is partly caused by a lack of student commitment to an educational goal. This study investigates the sense of academic purpose among students in a private secondary school where all graduates go to college, and explores the mechanisms of student commitment built into the social organization of the school. Results show that educational commitment among students develops from intensive face-to-face interaction in a primary community, the sense of history and tradition resulting from continuity in students' educational experiences, and the substantial power students have over their own school lives. These results add qualitative information to the debate over differences between public and private education, and suggest ways to improve public schools.     

MEDICAL SOCIOLOGYAND PUBLIC HEALTH: PROBLEMS AND PROSPECTS FOR COLLABORATION IN THE NEW MILLENNIUM

Medical sociology and public health share many of the same concerns in the study of social and cultural factors that affect the health of the population. Differences in theoretical approaches, methodological procedures, conceptualization and measurement, and research objectives, however, often serve to limit the potential for collaboration between the two disciplines. Sociologists possess many of the theoretical models and analytical techniques needed in public health for the study of the impact of socioeconomic status, poverty, inequality, differentials in power, and social and cultural differences on disease outcomes and health status. Although in the past, public health professionals were dependent primarily on the theoretical and analytical models offered by epidemiology and social psychology, current trendsin public health research have opened a wider variety of opportunities for sociologists to contribute to public health research. Public health has reached a crossroads that leads in two directions: a broad approach that addresses the sociocultural foundations of health and a more narrow approach focusing on more proximal risk factors such as individual lifestyles or health risk behaviors. This article presents a review of the factors that led to this crossroads in public health and offers suggestions as to how sociologists might take advantage of the opportunities afforded by the broader approach to public health that is gaining momentum among some public health practitioners. Medical sociologists are uniquely equipped to assist public health in recapturing its historical commitment to social justice in the maintenance of health for the entire population.     

‘Moving In’: Difficulties and Support in the Transition to Higher Education for In-service Social Care Students

This paper reports on the difficulties and supports experienced by social care practitioners within the educational institution during their transition to higher education. A life transition such as entering higher education causes stress for individuals and social support is essential in successfully dealing with this stress (Anderson et al., 2012). Fifteen social care practitioners were interviewed twice during and once at the end of their first academic year in college. Findings indicate that participants were reluctant to approach staff for help despite anxiety about classes and assignments. Discussion and debate in class helped learning and contributed to feelings of being valued. ‘Moving in’ was a slow process with a physical and emotional impact for which they were unprepared. Student peers were a source of emotional and cognitive support but developing relationships took time. By the end of the transition phase participants noted changes and gains in themselves and their work practices. Recommendations are made to aid the transition to higher education for in-service social care practitioners.     

Skilled Labour Migration and Positive Externality: The Case of Turkish Engineers Working Abroad

This study aims at exploring potential positive externalities of skilled labour migration from Turkey and highlighting social policies targeting “brain drain to brain gain” strategies in the case of Turkish engineers living abroad. Based on case study and further investigations, the skilled labour migration among Turkish engineers can be defined as a “brain over‐flow.” The main structural reason of this situation is discrepancy between educational and employment policies. Data indicate that it can be obtain positive externalities from skilled labour migration under certain conditions. Ninety per cent of all participants intended to give support to development practices in Turkey, even if they were not returning (n‐130). Only 10 per cent of all participants didn’t intend to give any kind of support. Cooperative projects, establishment of networks, forums and consultancy services to Turkish companies, were the most mentioned support manners. To realize these proposals, it is essential to develop active public policies aiming at a “brain drain to brain gain” approach, for short‐ and long‐term periods.     

Advocacy strategies for health communication

This article presents a new way of using advocacy communication strategies for health communication. The traditional perspective on advocacy, promoted in mainstream public relations and marketing circles, is being replaced by a more interactive and integrated view on the role of advocacy communication. Newer theoretical and applied contributions to the health communication field support the need to explore (a) a broader understanding of the role of communication to promote and sustain health behavior; (b) a broader social scientific approach to public health as a social construct and the social determinants of health with stronger emphasis on health policies and management such as governance, accountability and leadership; and (c) policy perspectives that deal with resource allocation, human resources and capacity building, enabling environments for health communication, and recognition of the value and contribution of health communication to public health.     

A multimodal intervention for grandparents raising grandchildren: results of an exploratory study

This article describes the results of an exploratory study of a multimodal, home-based intervention designed to reduce psychological stress, improve physical and mental health, and strengthen the social support and resources of grandparents raising grandchildren. The six-month intervention included home visits by registered nurses, social workers, and legal assistants; the services of an attorney; and monthly support group meetings. The intervention resulted in improved mental health scores, decreased psychological distress scores, and increased social support scores. Participants also experienced improvement in the level of public benefits received and in their legal relationships with their grandchildren. Implications of these findings for practice are highlighted.     

Development & maintenance of social support among aged out foster youth who received independent living services: Results from the Multi-Site Evaluation of Foster Youth Programs

This study uses secondary data from the Multi-Site Evaluation of Foster Youth Programs, a randomized controlled trial of four independent living programs for youth in foster care. The subject of this investigation is the Life Skills Training Program (LST) of Los Angeles County, CA. We had three interrelated aims: (1) Evaluate the effectiveness of the LST program as compared to services as usual on the change in social support over time; (2) Examine the differences over time in social support by race and ethnicity among LST participants; and (3) Investigate the explanatory value of prosocial activities, educational involvement, current living arrangement, employment, victimization experiences, placement instability, and behavioral health symptomology on changes in social support over time among LST participants. We employed multilevel longitudinal modeling to estimate growth in social support over three time points (baseline, first follow-up, and second follow-up) among 482 youth (n = 234 LST; n = 248 control). We found a significant reduction in social support across the three time points. But, there was no difference in the social support trajectory between the LST and control groups. In addition, no racial/ethnic difference in the social support trajectory was detected. Results underscore the need to critically examine how independent living programming is intended to increase social support and whether modifying these practices can improve promotion and maintenance of social support for youth who age out of foster care.     

Reluctant participation – the experiences of adolescents with disabilities of meetings with social workers regarding their right to receive personal assistance

The aim of this study was to improve understanding of the experiences of adolescents with disabilities concerning meetings that affect their possibility to receive personal assistance in Sweden. Qualitative inductive content analysis was used to describe their experiences. Overall adolescents were found to be reluctant to participate in meetings. Two main approaches could be discerned – taking part and taking part by proxy. The adolescents who took part in meetings tried to adapt their self-presentation to fit with the social workers’ requirements by presenting their worst self, giving requested information, using support and raising their voices. The adolescents who choose to participate by proxy were either being involved or not being involved. Being involved implied involvement before and/or after the meeting. The meaning of participants’ strategies was examined through a social constructivist lens. The results indicate that ‘performing disability’ during the meetings is a prerequisite for obtaining personal assistance. In its current form adolescents’ participation is reduced to tokenism and this raises questions about how to implement a child perspective.     

Educational potential of e-social work: social work training in Spain

ABSTRACT

Information and communication technologies (ICTs) have enhanced peer communication and contributed to social change and, as such, have become an essential tool in the initial training and professional development of future social work practitioners. In the new millennium, it is particularly important to provide the foundations for delivering appropriate interventions in the fields of social education, social services, healthcare and development cooperation. To face these new challenges, training programmes in the framework of the European Higher Education Area should facilitate the acquisition of skills and competencies through curricula based on ongoing assessment which promote creativity and educational innovation. Through a systematic and comprehensive review of the scientific literature, this article examines the educational potential of e-social work in Spain and the training needs of social workers from an interdisciplinary approach. A critical debate is presented throughout the paper to encourage reflection among professionals. The study highlights the importance of the acquisition of digital skills through the development of educational intervention programmes using the latest technological media and resources with a view to serving citizens in these new spaces of interaction.     

Work stress and alcohol effects: a test of stress-induced drinking

Drawing on both tension reduction and social learning theories, we hypothesized that work stressors lead to increased distress, which in turn promotes problematic alcohol use among vulnerable individuals. Vulnerable individuals are hypothesized to possess few personal and social resources for responding adaptively to work-related stressors and distress and to hold positive expectancies for alcohol's effects. We tested our model in a random sample of 574 employed adults, using a combination of path analytic and hierarchical moderated regression techniques. Results revealed no support for a simple tension reduction model of work stress-induced drinking and only limited support for a social learning model. We conclude that a much more circumscribed view of the etiologic role of work stress in problematic alcohol use is indicated.     

Fostering employability among youth at-risk in a multi-cultural context: Insights from a pilot intervention program

Recent studies indicate that the transition from school to work is a critical juncture in shaping the professional future of youth at risk. This period may thus serve as a window of opportunities for fostering employability among these youths and, thereby, for promoting their social mobility. However, systematic evaluations of intervention programs aimed at fostering employability among at-risk adolescents—and especially in a multi-cultural context—are relatively few. The current study describes the strengths and weaknesses of a pilot, nation-wide, multi-cultural, holistic intervention program, aimed at fostering employability among at-risk adolescents before they actually enter the labor market. The program integrated efforts in three main domains: cultivating work-related skills, fostering personal and interpersonal skills, and providing a supportive personal and group climate. During the years 2011–2013, the program was operated in 40 localities in Israel and in three culturally different sectors: The Jewish-Israeli majority sector in the periphery, the Ultra-Orthodox Jewish minority sector, and the Israeli-Arab (Muslim) minority sector. The current study describes the results of an evaluation study that accompanied the implementation of the program in nine representative localities (117 adolescents, ages 14–19) during 2012.Overall, the functioning of the adolescents (as evaluated by the professional program instructors) improved in all examined work-related domains: personal-emotional functioning, work-related functioning, CV writing ability, and future education prospects. Regression analyses highlighted several factors as predictive of improvement in the different employability-related domains, most notably, having a working father, being active in group meetings, having no Internet connection at home, helping other participants in the program, and being involved in selecting the topics of a professional course. Importantly, this improvement was linked with the cultural affiliation of the participants, and participants from the different sectors indicated different factors as contributing to their advancement.The results of this evaluation study suggest that intervention programs for promoting employability among at-risk adolescents should integrate a holistic and flexible national model with adaptations by local steering committees, whose members are from the same cultural group as the participating adolescents. Such a strategy will enable each unique community to tailor the local operation of the program to the culturespecific needs of—and to maximally utilize the resources available for—the different sectors in a multi-cultural society, while establishing a dialogue and reciprocal learning in national forums. A dilemma has been identified, however, with respect to increasing the local involvement of the national committee to provide the local committees with different viewpoints.     

Public attitudes toward child maltreatment in Israel: Implications for policy

Objective

The public view of the severity of social problems and their perceptions of how effectively they are being addressed have a major impact on public policies and resource allocation. The present study focuses on public attitudes toward child maltreatment. It examines perceptions of child maltreatment as a social problem, and attitudes toward prevention and treatment strategies in cases of child abuse and neglect.

Methods

A survey was conducted among a representative sample of 812 Israeli adults: 688 Jews, and 124 Arabs. Fifty additional Ultra-Orthodox Jews were added for comparisons among Jewish participants.

Results

The participants tend to view violence and alcohol consumption among youth as a more serious problem than parental maltreatment of children. Low-income participants tend to view child maltreatment as a more serious problem than did high-income participants. Jewish participants (except for ultra-Orthodox Jews) view child maltreatment as a significantly more serious problem than did Arabs and Ultra-Orthodox Jews. Most of the participants believe that parents who maltreat their children should be punished, but they should be taught how to refrain from maltreatment, and learn to change their behavior. Many participants believe that the courts do not sufficiently punish parents who maltreat their children. In their assessments of the quality of professional work, the highest evaluations are given to services provided by physicians and social workers, whereas the lowest evaluations are given to judges and police. Most of the participants (70%) believed that social workers play an important role in protecting children.

Conclusions

The survey findings have implications for enhancing public awareness of child maltreatment as well for policy making in the area of child abuse and neglect. The differences in the perceptions of participants based on their religious, cultural and economic background toward child maltreatment should be further studied and addressed in policy and interventions in this area.     

Children's lives and rights under lockdown: A Northern Irish perspective by autistic young people

By June 2021, children and young people had experienced two periods of lockdown and home learning in Northern Ireland. The detrimental impact of these periods of indefinite confinement is wider reaching than reported educational stagnation, with the fundamental rights of childhood: play; rest; and leisure; all adversely implicated. Autistic children's experiences of Covid-19 have been largely absent from current crisis and recovery discourse. This is the first published study to directly and specifically involve autistic children both as research advisors and as research participants in a rights-based participatory study relating to the pandemic. Drawing on concepts of ableist childism and epistemic injustice, this article presents, through Photovoice, the emotional, social and educational experiences of post- primary aged autistic young people in Northern Ireland during the first 2020 lockdown of the Covid-19 pandemic. The project was grounded in a child rights-based approach and was guided by a group of four autistic young advisors aged 11–15. The paper concludes by arguing that government responses to the pandemic, as experienced by autistic young people, act as forms of oppression that prioritises and further embeds normative non-autistic structures and responses under the guise of public health necessity.     

Understanding men's health and illness: a gender-relations approach to policy, research, and practice

Men's health has emerged as an important public concern that may require new kinds of healthcare interventions and increased resources. Considerable uncertainty and confusion surround prevailing understandings of men's health, particularly those generated by media debate and public policy, and health research has often operated on oversimplified assumptions about men and masculinity. A more useful way of understanding men's health is to adopt a gender-relations approach. This means examining health concerns in the context of men's and women's interactions with each other, and their positions in the larger, multidimensional structure of gender relations. Such an approach raises the issue of differences among men, which is a key issue in recent research on masculinity and an important health issue. The gender-relations approach offers new ways of addressing practical issues of healthcare for men in college environments.     

Learning to Care

Practice simulation exercises involve interaction with people who portray standardized clients in typical social work practice contexts. They are followed by feedback from these “clients” and from peers and instructors. This article delineates the conceptual background and previous use of this educational methodology and illustrates its application within a graduate health social work practice class. A preliminary evaluation found enthusiastic endorsement of this approach among students, with very strong agreement that all three components of the project-interaction with simulated clients, receipt of feedback, and participation as observers-prove useful. Practice simulations can allow transformative learning for participants and provide a useful classroom method for incorporating conceptual foundations into practice behaviors.