Restructuring Long-Term Care in Spain: The Impact of The Economic Crisis on Social Policies and Social Work Practice

ABSTRACT

Care needs of the aging population are increasing in Southern European countries. The purpose of this article is to explore the implications of meeting these needs while taking into account the recent economic crisis, which has deeply affected countries such as Spain. This study is part of a European project (ISCH COST Action IS1102) and is based mainly on qualitative information that focuses on in-depth interviews with social service workers (n = 19) who provide the service and program recipients or their caregivers (n = 14). In addition, two discussion groups were conducted with professionals (n = 9) and program volunteers (n = 5), as well as a workshop/discussion group (n = 28) with politicians, service providers, and participants. Six thematic premises were identified with differing views being highlighted relevant to the participants' roles in the program. Future research should explore social service strategies to deal with the increase in care needs as well as community-based responses.     

An Exploratory Study of Soldiers' Attitudes Toward a Matched Savings Program in Korea

ABSTRACT

This study explores the possibility of implementing a saving program for military soldiers in Korea. Over the past decade, asset-based programs have been expanded in Korea. Using a vignette method describing a military matched savings program and logistic regression, this study examines soldiers' attitudes toward a matched savings program. This study with a final sample of 224 soldiers in a Brigade in Korea found that 67% of survey participants are willing to join a savings program. In addition, most soldiers expect the program to have a positive impact on their military life, saving habits, and life after army service. A logistic regression analysis found that family relationship, duty type, rank, and age are significantly related to a soldier's willingness to join the program. The study provides policy and practice implications in that a military savings program may help soldiers to adapt to army service and prepare for life after army service. This study concludes with possibilities for future research when examining soldiers' attitudes toward a military savings program.     

Implementation of Active User Principle: Learning from the Czech Social Services Reform

ABSTRACT

The active user principle introduced in Czech social services by the new Act on Social Services (2007) was expected to induce change of the prevalent paternalistic nature of social service provision. This study examines the relationship between clients and social service workers in social service facilities designed for people without shelter. From 2001 to 2008, instrumental case studies were examined from three different shelter facilities using qualitative interviews (with 17 members of staff) and document analysis. The findings indicated that neither the frontline workers nor the managers could always understand how to implement this principle. Response patterns and the effect it had on recipients are examined. These findings imply that such a profound change needs to be supported with proper explanation, professional training, and practical application skills. Directions for further application and future research are suggested.     

Perceived Benefits of VFW Post Participation for Older Adults

Older adults, as active members of the Veterans of Foreign Wars (VFW), describe multiple benefits of participation in the organization to their overall well-being. This qualitative study examined the perspectives of 20 active participants of a VFW Post and its Ladies Auxiliary. Findings indicate that, for the study participants, the VFW serves as a primary source of cross-generational influence, emotional support, and meaningful activity and provides a safe and secure environment for members. This article provides valuable information that social work researchers and practitioners can use to help increase older adults' civic engagement and address service gaps.     

How do we capture 15 years of complex and meaningful data about young people's lives?

Abstract

This paper describes the development of a method of data collection, which captures the complexity of living situations, family dynamics and key life events of teenagers. This ‘Life History Calendar’ was adapted from earlier life history calendar methods for a multidisciplinary intergenerational study. The new calendar is able to record details of 15 years of teenage participants’ lives and can be administered to teenagers and their parents to show changes over individual lives and difference between individuals in a cohort. Referring to some preliminary data, we show that the calendar is a practical and effective method of data collection, which will be useful to researchers and practitioners working with young people and their families.     

New Zealanders returning from overseas: how their experiences of xenophobia could help us respond to superdiversity

ABSTRACT

This article draws on qualitative interview data with 42 New Zealanders returning to New Zealand after living overseas, finding they feel more like a ‘migrant’ than someone coming ‘home’. This is in part because New Zealand people and institutions demonstrate an intolerance to difference, theorised here as a form of xenophobia that inhibits the economic, social and political integration of participants. However, the same experiences and ideas that lead many New Zealanders to frame returnees as an ‘out-group’ can be regarded as a national resource. The article concludes that we should embrace – not ignore or disparage – returnees' awareness of integration issues, transnational networks and cross-cultural experiences as we attempt to maintain social cohesion in an increasingly superdiverse world.     

Using Photovoice to Identify Service Needs of Older African American Methadone Clients

ABSTRACT

This article presents findings from a photovoice project designed to identify service needs of older-adult African American methadone clients, as well as their current barriers to and supports for abstinence. The project involved 10 participants (aged 53 to 63 years old) recruited from a methadone maintenance program in a large Northeastern U.S. city. Thematic analysis techniques were used to analyze participants’ narratives of their pictures. Transportation emerged as a significant challenge to accessing services, and caregiving was a motivation for remaining abstinent. Future research should use similar participatory methods and engage a broader group of aging people struggling with substance abuse.     

A Qualitative Case Study on Recovery and Personal Growth in Korean Drug Addicts

ABSTRACT

In recent years, crimes related to drug smuggling and production have gradually increased in Korea. This qualitative case study explores the experiences of Koreans recovering from drug addiction and identifies specific details and mechanisms of recovery. For this purpose, participants were selected based on criteria such as engaging in social activities after recovery from addiction for 3 years or more. Next, one-on-one in-depth interviews were conducted with five voluntarily consenting participants. Data were analyzed using the within-/cross-case analysis suggested by Creswell. Substantial personal growth took place in the recovery process for drug addicts. Nineteen themes were identified as manifestations of personal growth through within-case analysis. Four common themes were then derived through cross-case analysis. These four common themes were “reconnection with reality,” “embracing the essence of one's own existence,” “reconstructing oneself in social relations,” and “self-love.” The study's results suggest that a recovery program needs to be developed wherein the program not only enables drug addicts to reflect on their current existence but also allows them to develop their specific coping skills. Future research should be broadened to consider the social support mechanism and viewpoints of people including family and local community members in close contact with drug addicts.     

Message in a Bottle

Abstract

This qualitative study explores the meanings of taking antidepressant medications as well as their impact above and beyond their psychopharmacological action. The data were collected from face-to-face, audiotaped interviews with eleven people who took antidepressant medication and were engaged in psychotherapy with a non-physician therapist. My analysis yielded themes that clustered around five categories: (a) stigma and antistigma, (b) dependency, (c) biology and depression, (d) choice, control, power, and social systems, and (e) antidepressants and psychotherapy. Implications for practice and training are discussed.     

Redefining Success: A Qualitative Investigation of Therapeutic Outcomes for Noncompleting Drug Court Clients

ABSTRACT

Utilizing a convenience sample from a drug court program, the authors investigated the benefits of treatment for noncompleting drug court clients (n = 30). Using an as-treated design, the qualitative investigation assessed whether noncompleters received any benefit from their drug court experience. In-depth interviews were conducted to determine both benefits gained and reductions in harm that occurred as a result of drug court participation. Data analysis was guided by the grounded theory method. Outcomes of coding indicated that participants' motivation and self-efficacy were enhanced through the intervention. Further, participants reported that their relationships with family, therapists, or peers were improved as a result of their involvement with drug court. Individuals in the study sample reported abstinence or decreased substance use, as well as improvements in employment and/or educational attainment. Participants’ perceptions of barriers to program completion were also noted. Study outcomes suggest that expansion of a harm reduction approach in social service practice may have utility for drug-abusing populations. Limitations of the research, including lack of generalizability, are discussed. Further research of harm reduction effects with a larger, heterogeneous sample size is recommended.     

Children forever: The search for origins among Chilean adults who were adopted

There has been a global increase in the number of adults who were adopted 1 1 To make the text more readable, we use the term “adult adoptee” rather than our preferred term “people who were adopted.” We prefer the latter term because it does captures our understanding that adoption is a practice and a life experience and not necessarily a permanent fixture of the identities of people who were adopted.
searching for their origins. This trend has promoted the interest of social sciences researchers, as well as carry out the obligations of states to provide specialized services. In this article, we present some results from the first qualitative study that explores the experiences of some Chilean adults who were adopted and searched for their origins in Chile through the National Service of Minor's Search for Origins Program. The narratives of the participants show that, in spite of legislative changes, a series of barriers and contradictions continue to exist, which make it difficult to guarantee the right to know one's origins. The legal and technical frameworks and practices analysed show how difficult it is to dismantle the “clean break” principle. They also highlight the persistence of the image of adoptees as “minors” who need the “protection” of their parents or professionals. We discuss the different challenges to be considered by researchers, practitioners, and policy‐makers involved in adoption policies and practices.     

Implementation of a Community-Based Approach to Dementia Care in England: Understanding the Experiences of Staff

ABSTRACT

Given the increasing numbers of people living with dementia, it is imperative that new, practical solutions are found to the issues faced by this group of people and their families. This article draws on findings from a qualitative study that explored the implementation of a community-based project to support people living with dementia in one local area in England. This approach has different names; in the United Kingdom it is Shared Lives or adult placement, which would be most comparable to family care in Europe and adult foster care in the United States. Interviews were conducted with 14 staff connected to the Shared Lives project. Interview data were coded using the normalization process theory constructs of coherence, cognitive participation, and collective action. Supportive program factors identified were a dedicated staff member and resources, and the availability of specialist knowledge and skills. Detriments to program success included lack of understanding about the service, perceptions it was a poor fit with existing practice, and wider organizational issues that negatively affected normalization of the intervention. Suggestions for future research go beyond staff opinions, stressing the importance of using a wider range of stakeholders and incorporating measurement of outcomes for people using the service.     

Express yourself? Ease to express one’s identity mediates the relationship between national belonging and mental health

ABSTRACT

A number of studies have reported a positive relationship between levels of national identification and well-being. Although this link is clear, the relationship is likely influenced by a number of other variables. In the current study, we examine two such variables: age and the ease with which people feel they can express their identity in the national context. Participants were drawn from three waves (2008–12) of the biannual New Zealand General Social Survey (NZGSS). The NZGSS consists of a number of questions related to well-being. The current study utilised the questions related to one’s sense of belonging to New Zealand, ease to express one’s identity in New Zealand, and mental health. When controlling for physical health, standard of living, and several demographic control variables, there was a clear relationship between one’s sense of belonging to New Zealand and mental health. Further, this relationship was stronger for older than younger participants. Finally, the ease with which participants felt they could express their identity in New Zealand partially mediated the relationship. Future research should elucidate which specific aspects of their identity people feel is constrained in the national context.     

Community Service Use by Older Adults: The Roles of Sociocultural Factors in Rural–Urban Differences

ABSTRACT

This study examined the influence of sociocultural factors in explaining the rural–urban differences in home and community-based service (HCBS) use among older adults. Survey data of 228 older adults living in Alabama were analyzed. Sociocultural factors included participants’ perceptions of service availability, attitudes toward seeking formal help, informal support, and religious behaviors. Rural older adults were less likely to use HCBS than their urban counterparts (p < .05). An interaction effect between perceived service availability and church attendance was found. These findings suggest a need for collaborations between community aging services with religious organizations to ensure existing programs are accessible to older adults living in rural areas. Future research based upon large probability samples is needed to shed more light on the relation between church attendance and service use.     

John Coltrane and Me

Abstract

In this essay, I consider the role that cultural objects play in one's personal development by taking a closer look at the relationship between people and the creative products of their fellows. As a launching point to this study, I examine my own relationship with the music of two jazz icons, Ornette Coleman and John Coltrane, viewing the differences in my reactions to, and uses of, their musical offerings over times as a reflection of my own personal growth. My contention is that under the right conditions people can use cultural objects to reconnect with disavowed aspects of their experiences.     

Appalachian Women: A Study of Resiliency Assets and Cultural Values

ABSTRACT

There is scant literature addressing Appalachian women, their resiliency, and their cultural values. The purpose of this phenomenological study was to explore what constitutes resiliency for Appalachian women. The following research questions were explored: (a) Are Appalachian values reflected in Appalachian women's perceived resiliency during their school-age years, ages 5–18; and (b) if so, which Appalachian values emerged in these women's external and internal developmental assets? Ten Appalachian women were interviewed and asked to reflect on developmental assets during their school-age years. The study results indicated a relationship between developmental resiliency assets during youth as they corresponded with nine Appalachian values. The results indicate that Appalachian women's cultural values foster their strengths and resilience. This study supports the significance of practitioners acknowledging the importance of cultural values in counseling strategy. Implications and suggestions for future research are suggested     

Effects of the war on marriage relationships 1

Abstract

This article discusses the major themes that emerged from a Smith College School for Social Work student's Master's thesis, “Communication Styles in Wind River Native American Clients and the Therapeutic Responses of their Clinicians”. The project explores differences in communication styles between Wind River native people and Anglo‐Americans. Secondly, it seeks to discover therapeutic approaches and styles that are effective with Wind River native people.

Semi‐structured, exploratory interviews were conducted with ten clinicians who worked with Native American clients on the Wind River Reservation in Wyoming. The participants included mental health care professionals and paraprofessionals from the following professions: psychology, social work, counseling, nursing, and community action.

The findings of the research revealed the importance of understanding cultural differences in human interaction and meaning making as conveyed in communication style. As clinicians, these complex and often subtle differences play a crucial role in our ability to establish a therapeutic alliance and conduct sensitive, effective therapy. Many theoretical models, such as psychodynamic, cognitive and behavioral, family systems, ecological, constructionist, and narrative theories support the successful approaches discussed in the article.     

Children's participation in child protection—How do practitioners understand children's participation in practice?

Children's participation is essential to achieve good outcomes for children involved in child protection systems. Despite this, research has consistently found children report low levels of participation, are poorly consulted and feel inadequately involved in decisions about their lives. To explore how practitioners understand children's participation, 18 in-depth interviews were conducted with statutory child protection practitioners in Australia. The interviews explored the ways child protection practitioners understand children's participation. Our findings show practitioners conceptualize children as rights holders and believe it is essential to hear directly from children about their needs and wishes to keep them safe. Practitioners identified the importance of transparent processes and decisions. Different understanding of participation emerged, with some participants talking about children as their central focus but not discussing meaningful participation of the child. It appeared that children's participation relied largely on the views and skills of individual workers, as well as their ability to incorporate meaningful participation in limited time and in complex practice environments where children's safety is a primary concern. Systemic changes to address time barriers, training practitioners to understand and implement participatory practice, and seeking children's input into service design, will support consistent and meaningful participation.     

The Effects of Parenting Stress,Perceived Mastery,and Maternal Depression on Parent–Child Interaction

ABSTRACT

The purpose of this study was to test a model that delineated the interrelationships among parenting stress, perceived mastery (defined as the belief that one's life chances are under one's own control), maternal depression, and parent–child interaction. A secondary data analysis of the Fragile Family and Child Well-Being Study was conducted, using a sample of 2,650 mothers. Results suggest that parenting stress undermines one's sense of perceived mastery which, in turn, resulted in depression. Moreover, the results also indicated that parenting stress directly affected maternal depression and parent–child interaction. There was no support for the hypothesis that parenting stress undermines one's sense of perceived mastery which, in turn, resulted in depression, which affected one's parent–child interaction. Implications of these findings for professionals working with mothers of young children are discussed. Future research should test this model using other forms of parenting behavior.     

Mental Health Service Utilization Among Frail,Low-Income Elders

Abstract

This study was conducted to determine the extent to which service providers in a community-based care program accurately identified and referred elders with symptoms of depression. Interviews were conducted with 79 frail, low-income elders, with the CES-D used to gauge depressive symptomatology. Reviews of their case files were then conducted to determine first, the extent to which case managers recognized depressive symptoms and second, the extent to which respondents who screened with significant symptoms were referred for mental health services. Results suggest an imperfect association between CES-D scores and case managers' perceptions and referrals. Less than 1/3 (31%) of those who screened for depression received counseling.