Questioning the professionalization of recovery: a collaborative exploration of a recovery process

While the recovery concept strongly resonates in clinical mental health care today, it first arose in service user-led contexts. A major risk of this professionalization shift is that recovery primarily becomes defined by treatment providers. This study aims to keep the debate on recovery alive through a collaborative exploration of Pete’s recovery process by means of a bricolage approach. This resulted in an idiographic portrait of Pete’s experiences of recovery and treatment, clustered around four themes: life rebuilding, identity, continuity of care and the role of drugs. His experiences illustrate a number of contradictions in the operationalization of the recovery ethos in today’s mental health care; whilst recovery appears as a hopeful vision of empowerment, it also risks being reduced to a tokenistic model that fails to address the social realities of people in recovery and in which the assumption that mental illness is chronic is still latently present.     

Defining Women's Global Political Empowerment: Theories and Evidence

Although women's access to political power has increased tremendously, nowhere are women equal to men in their influence over and exercise of political authority. Scholarship on women's political empowerment is uneven and incomplete. This article interrogates ‘women's political empowerment’, considering its definition, measurement, and application. First, we establish that academics and practitioners have not articulated a clear definition of women's political empowerment. To fill this gap, we put forward a new definition that conceptualizes women's political empowerment as a transformative process. We then review existing social science literature on women's political empowerment. We argue that scholars must expand research to develop a broader vision of women's political empowerment and develop measures that capture this breadth.     

Spirituality-Based Social Work Values for Empowering Human Service Organizations

Abstract

This paper is based on three premises: (1) Spirituality is seen as an asset from which the client system draws its innate strengths to empower itself, (2) Just as it is important for social work clients to build on individual spiritual strengths to overcome personal challenges, it is equally crucial for human service organizations to implement spirituality-based professional values in organizational contexts, and (3) Spirituality issues need to be examined from the perspective of macro social work education. Based on these premises, the goal of this paper is to construct a conceptual framework that links spirituality-based social work values to empowerment strategies that can be employed in macro social work practice. Adding to the existing dimensions of social work knowledge relating to spirituality, this paper examines spirituality as empowerment issues. Also, the author explores spirituality-centered social work skills, focusing on organizational management and leadership skills.     

"Like the Secret Service Isn't It". People with Learning Difficulties,' Perceptions of Staff and Services: mystification and disempowerment

Seven people with learning difficulties were interviewed using unstructured, conversational interviews, about their perceptions of staff in services they use. Three major themes emerged, which were perceptions relating to the physical presence and absence of staff; the emotional impact of interactions with staff; and the political impact of interactions with staff. It was found that the participants had only superficial knowledge of staff identities and roles, and of service systems and structures, and consequently lacked the knowledge and awareness necessary to negotiate what these roles might be, or even that negotiation might be possible. It is argued that this lack of knowledge and awareness is due not to any lack of ability on the part of the participants, but the assumption by staff and service providers that this is the case. These findings are discussed in relation to Kieffer's (1984) developmental model of empowerment, and empowerment issues generally.     

The Power Behind Empowerment: Implications for Research and Practice

The 1990s have been called theempowerment era, yet growing evidencesuggests that empowerment programs often fail to meetthe expectations of both managers and employees. Toprovide a better understanding as to why empowerment programs often fail andto suggest how such failures may be averted, we examinethe power behind empowerment. Ironically, although powerand empowerment are inextricably linked, much of the work on empowerment in the businessliterature has been devoid of any discussion of power.We present a four-dimensional model which shows themultifaceted way in which power works. In it, we observe the similarities and differences in the waysthat different theorists have approached the study ofpower, notably those ascribing to mainstream , critical, and Foucauldian perspectives. We then use this power model as a lens with which to examineempowerment practices in business. This analysissuggests a number of possible reasons for the failure ofbusiness empowerment programs and provides directions for future research and practice which mightaddress these shortcomings.     

Transforming a Charity Organization into a Social Justice Community Center

Recent budget cuts at the federal, state, and local levels of government are seriously affecting human service programs in America. Those most affected have the least political and economic power: the poor, homeless, and hungry. To respond to these cutbacks and their service implications, this paper describes an attempt to transform a traditional micro-oriented, casework agency, located in one of the poorest neighborhoods of a large Northeastern city, into a progressive community center that advocates for political empowerment at the grassroots level.     

Empowering Alliances in Pursuit of Social Justice: Social Workers Supporting Psychiatric-Survivor Movements

This article reviews historical and current examples of harmful and forced treatments as well as scientific discrimination that have been applied to people diagnosed with mental illness. It discusses anti-psychiatric social action in North America from 1970 to the present. A review of social work's foundations in social justice, empowerment, and person-in-the-environment perspectives highlights the congruencies and communal benefits for both the social work profession and psychiatric-survivor movements. Through this discussion, it is apparent that the professed values of the social work profession are actually more compatible with psychiatric-survivor movements than with any allegiances to the biomedical model of psychiatry.     

Psychodynamics and empowerment in community mental health

Abstract

This paper examines the relationship between empowerment philosophy and psychodynamic principles and practices, as it applies to community mental health work. It suggests that as empowerment philosophy is more a system of values than a model of mental health and illness, it cannot in itself act as a framework for understanding and working with disturbed people. I suggest ways of disentangling the often fraught relationship between the two frameworks by identifying the contribution I see each as able to make to the task of providing services which sustain people in the community, and attempt to articulate the elements of a practice model consistent with both sets of principles.     

The Collaboration as Empowerment Claim: The Case of Visual Social Research

This article uses the case of visually based collaborative social science research to explore the problem of inequality between researchers and research subjects in social science research. This dilemma is ever present for social scientists researching topics where the research subject represents a group experiencing social exclusion. The paper uses the claim of those social scientists that argue that collaboration between researchers and research subjects can diminish the inequality problem by empowering research subjects. Through this interrogation of the “collaboration as empowerment claim,” as an ideal type construction the paper argues that (i) it pays insufficient attention to the knowledge frameworks and incentive structures around which research projects are carried out and disseminated, (ii) it does not interrogate the fact that the claim of empowerment as outcome is made by those in the researcher role, and (iii) it does not explicitly document the research subject's own assessment of a collaboration/empowerment link. The paper moves beyond the insights drawn from the visual case to point to their implications for other areas in which collaboration research is claimed as a means to empower research subjects and by implication to diminish researcher/research subject inequalities.     

Family Mediation in Ireland

Using domestic violence support services as a case study, this paper examines how the ascendancy of neo-liberalism has individualised and pathologised public issues. Four perspectives are identified that have been influential in understanding the causes of domestic violence, determining responses to it and measuring the effectiveness of support services. These four perspectives may be categorised as: (i) victim-blaming; (ii) social movement; (iii) empowerment; and (iv) pathologising. From analysing the standard outcome measures currently used for government-funded accommodation programs, the author contends that the pathologising perspective dominates. This is partly attributable to the inherent methodological and ethical issues in evaluating programs of this nature. However, it is primarily driven by the ascendancy of a neo-liberal, managerialist ideology that has depoliticised and clinicalised domestic violence. This has effectively silenced structural analyses of domestic violence and displaced feminist service models.     

Empowerment revisited—social work,resistance and agency in black communities

The struggles of black communities in Britain are well established in modes of empowerment that shape and direct their social welfare activities. This legacy of empowerment continues to be expressed in social action orientated strategies found in many black community based groups and organisations. The introduction of anti-racist and multicultural approaches in the empowerment process has been useful in highlighting the ways in which black communities have been disempowered through social work policies and practice. However, the experiences, values and interpretations instituted by black communities themselves are often marginalised in the public realm. These considerations draw attention to the ways in which empowerment is largely defined by professionals and policy makers who have considerable influence in shaping and directing the life chances of black families and communities. These insights provide important ways to address marginalisation through publicly affirming and recognising the specific experiences, cultures, social realities and contributions of black com­munities. This paper examines concepts of empowerment in social work and maintains that the profession has ignored black communities’ interpretations, cultural antecedents, experiences and values as a source of new perspectives and ideas for practice. These new approaches can assist social workers and policymakers in responding to the changing needs of black communities.     

Organizational Development and Information Systems

Summary

The experience of a human service organization which made the commitment to computerizing their client records early in the 1980s is described. The development of this system was plagued by several difficulties due, in part, to the fact that personal computer LAN technology was fairly new and few consulting companies had direct experience with these types of applications. As well, for certain human service organizations the 1980s was a time for reconceptualizing how services were provided based on the ideologies of consumer empowerment, community integration and normalization. This shift translated into new ways of making service decisions, hence new needs for information and strategies for its use.     

Whistleblowers: an essential resource for the sustainable prevention of risks in sociotechnical systems

Our world of industry and technology has, over the years, has seen undeniable successes in terms of safety and reliability. But major catastrophes and dramatic accidents continue, even today, to cause major human and material losses and to threaten the environment with pollution on a massive scale. Could these disasters and these accidents have been foreseen and avoided? Would it have been possible to anticipate their occurrence by detecting signals of potential hazards? It is unsettling to notice, through retrospective analysis of such events, that warnings had been issued long before the catastrophe or accident took place. This raises several questions, which we will attempt to address in this paper. Why are whistleblowers often not listened to, threatened, or simply ignored? Why are their warnings viewed as "bad omens" instead of essential resources to ensure safety? Do whistleblowers stand idly by, or do they implement individual and collective strategies to make themselves heard? Which managerial and organizational conditions are conducive to developing empowerment in whistleblowers? Based on four case studies, we attempt to address these questions, and offer a first level of analysis and explanation by proposing and defining two new concepts: operative resilience and strategic resilience.     

Discursive and institutional intersections: women,health and law in modern India

While important foci of feminist legal jurisprudence have highlighted the patriarchal bias in the areas of legal theory, sexuality, race, and violence, an important area that has received little attention is the interface between health law, gender, and power, particularly in the context of post-colonial societies. This paper explores these concepts in contemporary India, the underlying idea being that health is as much an issue of violence as violence is an issue of health, and both carry critical implications for the gender power configurations in society. This discussion is framed in the interstices between the Indian state and the women's movement that have interfaced in fashioning law as a critical instrument of social change and women's empowerment. Several assumptions foreground this paper: Firstly, culture is the ground upon which gender and power dynamics play out in any society. Secondly, law is also taken to be one of the sites of cultural engagement and is very much embedded in and the product of prevailing values, norms, and practices; it is not outside culture. And lastly, although this paper is India-specific, it raises issues which have cross-national resonance, particularly in the South Asian context.     

Dialogue and Challenge: Involving Service Users and Carers in Small Group Learning with Social Work and Nursing Students

This paper examines the rationale for service user and carer involvement in professional education and reflects on an initiative in which social work and nursing students undertook a sequence of joint learning in relation to mental health theory and practice. Central to this initiative was the promotion of opportunities for dialogue, both between students from different professional disciplines and between students, service users and carers. To enable this, much of the learning took place in small groups facilitated by either a service user or a carer.

Evaluation of this initiative indicated that, for the majority of social work and nursing students, learning from this shared experience had a major impact on their professional development. However, a small but significant minority found it hard to enter into a dialogue with others on a basis of equality and a sharing of their human as well as their professional experience. Some students indicated that they would have preferred a focus on acquiring more specialist professional knowledge and skills. This raises important issues in relation to the changing expectations of professionalism and professional education—and what really makes someone ‘fit for practice’.     

A Trauma-Informed Model for Empowerment Programs Targeting Vulnerable Youth

Youth-led program development, organizing, research, and health promotion have been identified as an important practices for community practitioners. Since such practices target vulnerable youth, it is critical that such empowerment programs are trauma-informed. This paper addresses trauma, its potential impacts, and cultural differences in understanding trauma as well as the assumptions of empowerment and youth-led programming. The relationship between health and empowerment is described as well as how youth empowerment programs can specifically target symptoms of powerlessness, low self-esteem and interpersonal difficulties, commonly experienced by youth living in socially toxic environments. Implications for program development, research, and policy are considered.     

Promoting Empowerment Among LGBTQ Youth: A Social Justice Youth Development Approach

Lesbian, gay, bisexual, transgender and queer-identified (LGBTQ) youth are a population with a unique set of service needs. Existing research on effective service methods with LGBTQ youth is limited. Youth empowerment holds potential as an approach that can impact well-being among youth who face discrimination. The current study explores the relationship between the social justice youth development framework (Ginwright and James, New Directions Youth Dev 96:27–46, 2002) and youth empowerment in a sample of LGBTQ youth. Multiple regression analysis of data collected through a community-based youth program identified critical consciousness and community engagement as significant predictors of empowerment. Findings suggest that programs that promote these factors among LGBTQ youth using the social justice youth development framework may enhance empowerment thereby increasing other aspects of well-being.     

Introducing Asset-Based Models of Social Justice into Service Learning: A Social Work Approach

Increased attention is being given to university–community partnerships. Among such partnerships is service learning, a pedagogical model that integrates experiential community service activities and academic learning. Traditional service learning models often diverge from social work methods that embrace strengths, empowerment, antioppressive principles, and citizen-driven approaches. This article presents the integration of a progressive service learning model into a graduate-level social work macro practice course. The model gives explicit attention to respecting the dignity and worth of the individual by sharing power and developing collaborative relationships between students and community residents where both are serving and learning together.     

Building Trauma Informed Practice: Appreciating the Impact of Trauma in the Lives of Women with Substance Abuse and Mental Health Problems

ABSTRACT

This paper examines the lifetime interpersonal abuse experienced by a substance abuse treatment sample of 1,955 women with co-occurring disorders. Substantial rates of intimate and community-based interpersonal abuse and other life stressors are documented. Regression analysis shows that while trauma severity is significantly related to trauma distress, its impact on psychological symptom distress and drug severity is quite modest. The implementation of a trauma informed approach featuring trauma-specific treatment, service integration and consumer empowerment is described as a promising practice model for assisting women seeking help in substance abuse treatment programs.     

Linking Citizen Participation to Empowerment Practice

Abstract

The author examines the social work literature on citizen participation and empowerment in order to identify key concepts that can be used to define empowerment-oriented community practice. A historical overview of the emergence of citizen participation and empowerment in the practice literature is presented, along with an overview of similar innovations and concepts related to social service delivery: the use of informal help and the Independent Living Movement. This literature is used to develop a model of empowerment practice that focuses on the importance of participatory decision-making structures in community-based organizations.