Walking the Tightrope: Directing a Student Health Center at a Research Institution With an Academic Medical Center

Reporting lines for directors of student health centers (SHCs) at colleges and universities are a matter of continuing interest for those of us who must follow them. SHC directors at institutions with academic medical centers face a greater number of reporting choices that also have the potential of being more politically charged. The author describes his experience at 2 such institutions and offers some cautious advice.     

How first-generation students learn to navigate education systems: a case study of First Graduate

Students from underrepresented groups who seek to become the first in their family to attend college confront economically and racially stratified education systems. This article reports findings from an evaluation of First Graduate, an organization that offers college advising, mentoring, tutoring, and case management to first-generation students starting in seventh grade. We highlight three systems that youth say they encountered on their pathway to college: open enrollment, course taking, and college admissions. We describe how youth navigated these systems and the roles that adults played in support. Our conclusion discusses implications for how after-school programs can support first-generation students.     

Meta-analysis: a case study

This article raises some questions about the usefulness of meta-analysis as a means of reviewing quantitative research in the social sciences. When a meta-analytic model for SAT coaching is used to predict results from future studies, the amount of prediction error is quite large. Interpretations of meta-analytic regressions and quantifications of program and study characteristics are shown to be equivocal. The match between the assumptions of the meta-analytic model and the data from SAT coaching studies is not good, making statistical inferences problematic. Researcher subjectivity is no less problematic in the context of a meta-analysis than in a narrative review.     

The case conference revisited: a systems view

To disentangle clients from a social service network that has turned into a web, the author suggests a method: case conferences that include staff members of involved services, and a role: the systems-oriented case manager. As the coordinator of the client's social service network, the case manager would mediate the overt and convert conflicts that often exist among the professionals who are involved simultaneously with the client.     

The curious case of case study: a viewpoint

Abstract

This paper focuses on microethical issues concerning interactions in which the process of informed consent occurs. It draws on research analysing the biographies and future hopes of 15- to 17-year-old girls and boys participating in targeted youth/educational programmes in the Helsinki area. The ethical challenge explored here is how to negotiate with the young interviewees on expanding the research setting towards a longitudinal and cross-generational approach, which also means expanding the data produced on their already well-reported lives. The paper highlights the power relations between adult researcher and young research participant, the contextual nature of gaining informed consent, and the conflict involved in trying to avoid hounding an over-surveilled group while still tracking their whereabouts and revisiting them for a follow-up interview.     

The changing landscape of public service delivery systems for disabled people in China: a Shanghai case study

This article will consider the current development of an emerging contract culture for the delivery of social services and its impact on disabled people in China. The discussion is based on an original qualitative study in Shanghai. The past 30 years have seen dramatic changes in China, which in parts have led to improvements in the lives of disabled people. The China Disabled Persons’ Federation (CDPF) became a key player in delivering these changes with the government. However, the CDPF is being criticized by disabled people for being too bureaucratic and not being effective enough in its delivery of services. One of its responses is to work with newly emerging not-for-profit organizations (NPOs) of and for disabled people. The CDPF has now begun to contract the delivery of some services to such NPOs. It is hoped that this may improve their effectiveness but the development of a contract culture in the delivery of services for disabled people may also be seen to pose a threat.     

Global Hakka: a case study

This paper is based on a case study of a small group of Hakkas who have left the village-town of Beruas in the state of Perak on the west coast of the Malaysian Peninsula to make their homes overseas – mostly in cultures which are very different from the Hakka environment in which they grew up. It looks at: the reasons why they left their hometown; how they identify themselves in their new place of residence; who they married; their offspring in relation to the their mother tongue (Hakka) and traditions; how they see the future of ‘Hakka culture’ and the social and cultural costs of living overseas and marrying outside the dialect.     

e-Social work in practice: a case study

ABSTRACT

This paper presents a theoretical reflection on e-social work by considering a case study: an intervention programme with vulnerable people, included in the services catalogue of a non-governmental organization (NGO), Zaragoza Red Cross Assembly. This programme cares for older people with a home assistance system mediated by information and communication technologies (ICTs). The digital convergence of the Spanish Red Cross and the digitalization of internal processes were accelerated by the use of ICTs as a tool in the aftermath of the 2008 crisis: first, to manage bureaucratic matters; second, to coordinate professionals and third, to interact with users. The text is divided into five sections including an introduction and final remarks. The first section describes the intervention programme and its evolution from a traditional social work vision to an e-social work perspective. The second section describes and analyses the intervention programme and the incorporation of ICTs in this NGO, over more than two decades. The third section describes professional contributions to the implementation and adaptation of social work to new social and technological circumstances and users’ requirements based on these intervention experiences.     

Feedback in a multiethnic classroom discussion: a case study

This article focuses on teaching about and for cultural diversity. More specifically, we look at the manner in which different types of teacher feedback either support or hinder student interaction and student learning. We identified seven types of feedback that were used in classroom discussions with 14–15-year-old students. The discussions and the feedback in these discussions provide insight into teaching about cultural diversity and also the impact of specific content that is focused on a sensitive topic. In this case, content of discussions related to a homework assignment about fear in different contexts.

Artikeln berör undervisning för och om kulturell mångfald. Mer specifikt studerar vi vilka typer av feedback som förekommer i en klassrumsdiskussion mellan elever i årskurs 8 och 9 och vad de innebär för elevers lärande. Vi identifierade sju typer av feedback. Sex av dem stödde elevernas lärande medan en av dem motverkade det som undervisningen syftade till. Diskussionen och den feedback som gavs av läraren under lektionerna bidrar med insikt om undervisning om kulturell mångfald, liksom om den inverkan ett särskilt innehåll kan ha. I det här fallet var innehållet i diskussionen relaterat till en läxuppgift om rädsla i olika kontexter.     

Accommodating diverse clients' needs in evaluation capacity building: A case study of the Tobacco Control Evaluation Center

In this case study, we detail and analyze how the Tobacco Control Evaluation Center (TCEC), an evaluation technical assistance center that serves approximately 100 local tobacco control organizations in California, endeavors to build capacity among the state-funded local providers it serves by using evaluation capacity building activities with an utilization-focused evaluation framework. We call this a "blended approach" and describe these methods. Satisfaction and demand for TCEC services are documented to provide measurements for evaluation capacity building. Final evaluation report scores from two intervention cycles (2004-2007 and 2007-2010) submitted to the California Health Department, Tobacco Control Division are also assessed and compared. These measures demonstrate an increase in evaluation capacity by local projects under TCEC's purview.     

Case study as a research method to study life histories of elderly people: Some ideas and a case study of a case study

The article explores conditions under which life history interviewing, based on case study research, may become a valuable research instrument. Validity and reliability of case study as a form of qualitative research are discussed. It is shown that neither triangulation nor internal consistency methods can guarantee a single interpretation. As an example a case study of Zina, an immigrant from Russia, is used, and two explanations of her behavior are proposed. The choice between them is made through construction of a holistic image of Zina, which essentially means introduction of a new dimension—theory, worldview—as a criterion of validity and reliability of case studies. Relations of a case study to a theory are discussed, and the conclusion is made that a case study enables a researcher to utilize the most the diversity of life histories of elderly people.     

Disabled academics: a case study in Canadian universities

Though Canadian universities are legally required to accommodate disabled employees, disabled faculty still experience difficulties navigating neoliberal performance standards and medicalized conceptualizations of disability. Drawing on data from a qualitative study with Canadian university faculty, this paper explores the experiences of five disabled academics. Our analysis draws on post-structural understandings of neoliberalism, discourse, disciplinary power, and governmentality, as well as Rosemarie Garland-Thomson’s concepts of the fit and misfit. Though the sample is small, this analysis suggests universities pose disabling contexts for academics. Disability is cast as individual responsibility, leaving disabled academics navigating accommodations without institutional support. The normative academic constructed through a discourse of efficiency and productivity is the measure against which disabled academics are evaluated, requiring self-governance to produce themselves as ‘good enough’ academics. Although higher education environments are increasingly diverse, disabled academics are still having to prove their right to exist in academia, hindering their abilities to participate fully.     

The closing of a social HMO: a case study

A social health maintenance organization (SHMO) integrates acute and long-term care and provides an extended-care benefit for elderly who are at risk of institutionalization. This article reports findings from a case study of the termination of the Group Health SHMO in Minnesota. Interviews were conducted with social workers and at-risk elderly who had been receiving long-term care through the SHMO. The case study examines the post-SHMO transition and the process of replacing SHMO care coordination and longterm care services. Most of the elderly and their caregivers indicated they were "losing ground"--that is, they were paying more or getting less care. Some were paying more for less care. Because they tended to switch to private-pay arrangements and to rely more on informal care, it appears that their care system became much less stable after the closing of the SHMO.     

Involving constituents in agency priority setting: a case study

Many government agencies have "constituents" who believe the agencies should hear and consider their needs and desires in establishing program priorities. This article describes how one involves interested constituents (consumers, industry, medical professionals, and state organizations) in the agency's annual priority-setting process. This participation has produced a number of beneficial results-some expected and some unexpected.     

Return migration from Australia: a case study

"The study investigates the departure from Australia of former settlers who arrived during the 1980 calendar year. The 1980 settler arrival cohort [consists] of 75,167 visaed migrants.... The study has three main aims: (i) to analyse departures from Australia of the 1980 settler arrival cohort with a view to gauging the success of Australia's immigration program in retaining settlers; (ii) to examine the retention rates of settlers with respect to characteristics...including age, sex, marital status, country of last residence, and settler eligibility category; and (iii) to consider implications of the findings." Australia's present immigration policy is discussed, previous research on return migration from Australia is summarized, and a detailed analysis of the departure data is presented. "This study found that by August 1984, 12.4 per cent of non-refugee settlers who arrived in Australia during 1980 had departed permanently but that only 0.6 per cent of the 1980 refugee cohort had done so." These figures represent a decline in immigrant departure rates since the 1960s and early 1970s. Small differences in departure rates by place of birth, age, and marital status, which may have demographic consequences if sustained over time, are noted. (SUMMARY IN FRE AND SPA)     

The role of empathy in case management: a pilot study

Little research has been done on the benefit of empathy for social workers in the actual practice of their profession. This prompted an exploration of the interplay between empathic ability and the skills practitioners draw on for case management. Two cohorts of social work students, in their final semester, reflected on an authentic social work scenario and suggested a plan for intervention before completing a scale measuring empathy. The results revealed that different dimensions of empathy, to a varying degree, underpin the process through which students come to a decision on how to intervene. The findings provide empirical support for the assumption that empathy plays an essential role in the practice of social work. They also suggest the need for further investigation, particularly given the potential use of increased knowledge on what determines the skills needed to take on the oftentimes complex and demanding reality of social work.     

Women's working conditions in hospital cleaning: a case study

Hospital cleaning work, as health care work, is mainly performed by women all over Europe. Hospital cleaning activities represent a poorly studied sector although very important also for patient's health. We applied the Method of Organizational Congruencies to study cleaning work in three typical hospital units (Emergency Room, Haematology, General Medicine) of a roman University hospital where 198 women cleaners work. We analyzed the 731 technical actions performed in the three shifts and the related Organizational Constraints (OC). Working outsourcing, no occupational risks training, washing personal equipment at home, standing, long walking, early morning and night shift in emergency room, high monotony (>10 actions per hour) contact with biological and chemicals materials, risk conditions of accidents, artificial lights, hot microclimate and working in a cure setting represent the main Organizational Constraints. Differences among the three Units are discussed together with the importance of considering cleaning hospital as a preventive action towards hospital clinical risk.     

Merging nonprofit organizations: Analysis of a case study

This article presents a case study of merging among nonprofit organizations that provide social and community services. The study sheds light on the dynamics and problems of merging nonprofit organizations, whose espoused ideology focuses on promoting the well-being of their clients. The author describes and analyzes a merger in metropolitan Jerusalem, Israel, and highlights the potential problems that may ultimately undermine its success. This merger is the outcome of an ongoing power and political struggle. The analysis focuses on the organizational ideologies and culture as well as the strategies and structure of the merging organizations. In addition, the author deals with the underlying motives for merging, the driving and restraining forces, and the implications of merging nonprofit community services organizations with other social and human services organizations.