Investigating Diversity in Social Work Doctoral Education in the United States

ABSTRACT

Despite its emphasis on social justice, social work in the United States has not always attended to issues of diversity in doctoral education. This article examines the state of the discipline’s research on traditionally underrepresented students in U.S. doctoral social work programs. An analysis of relevant peer-reviewed articles from social work journals revealed that this research has focused on demographic trends, degree motivation, student barriers, existing supports, and career navigation. Diversity in U.S. doctoral social work education is vastly understudied with the majority of scholarship focusing on ethnoracial difference. The limitations of this study are discussed, and future research directions are proposed including the need to examine various kinds of social differences and a wider range of support initiatives.     

The Psychosocial Context of Bereavement for Older Women Who Were Caregivers for a Spouse With Advanced Cancer

The psychosocial context of bereavement for older women who were caregivers for a spouse with advanced cancer was explored qualitatively with 13 older women. Interviews and diaries were analyzed using constant comparison. The psychosocial context emerged as the intrapersonal : exhaustion, loneliness, pain, and recovering physical health; the interpersonal: finding a new way through both supportive and difficult relationships; and the community/societal: a loss of identity, pressure to move on, financial concerns, and relying on formal supports. The psychosocial context of bereavement for older women who were caregivers is uniquely challenging and must be considered when providing care and programs of support.     

The Intersubjective Action of Case Advocacy and Engagement in a Working Alliance

This article presents a viewpoint for explaining the positive associations between case advocacy and the engagement in a working alliance of low‐income single mothers at‐risk for physical abuse of their children. Utilizing narrative vignettes from a qualitative study about clinical social workers’ experiences in engaging this population, the article suggests that client/worker partnerships in case advocacy enhanced opportunities for client/worker mutuality and for worker capacities to experience and communicate empathy to their clients. Theoretical constructs from Daniel J. Stern’s infant research and neuroscience are then applied to suggest an intersubjective framework for understanding what occurred.     

Geriatric Enrichment in Social Work Education: Lessons Learned from the GeroRich Projects

The Geriatric Enrichment in Social Work Education (GeroRich) initiative was a critical step in addressing the national shortage of social workers interested in gerontological practice. Sixty-seven social work programs participated in the 3-year GeroRich project designed to infuse gerontological content into the BSW and MSW curriculum. This study analyzed the lessons learned by participating institutions about the curriculum enrichment effort. Five themes emerged from the qualitative analysis of GeroRich final reports: (a) obtaining faculty buy-in and faculty development, (b) increasing student interest and engagement, (c) developing community partners, (d) developing interdisciplinary linkages, and (e) facilitating institutional commitment and sustainability. The findings from this study provide valuable information on the implementation of curricular enrichment efforts in gerontology that can benefit social work and other health care disciplines.     

System Effects on Educational Achievement: A British–American Comparison

Societal variations in the organization of educational institutions are thought to affect the distribution of students into levels of educational achievement. This paper analyzes the diverging achievements of British and American cohorts as they pass through secondary and post-secondary education. The ways students' locations in the systems' structures deflect their achievements are charted, and the cumulative effects of those deflections between the ages of 16 and 28 are estimated. Despite the more stratified and standardized organization of the British educational system, and despite its sharper differentiation between academic and vocational credentials, the cumulative deflections during these years are greater in the United States. Explaining this outcome requires an understanding of both organizational and normative differences between the two systems.     

The educational experiences of young people with sickle cell disorder: a commentary on the existing literature

Sickle cell disorder (SCD) is a chronic illness that in England disproportionately affects marginalized ethnic groups, but has yet to feature extensively within educational or disability research. This review of existing literature makes the case for a sustained developmental research programme around SCD, disability and education. There are potentially life-saving decisions that could be made by teachers in caring for a child with SCD. The place of the school as a venue for health screening with respect to vision, hearing and dental care is also complicated by SCD. The lack of a formal school policy to address the combined episodic and longer term school absences correlated with SCD clearly disadvantages a group of pupils whose academic potential may already have been curtailed by teacher expectations based on their ethnicity. Both the physical and social milieu of the school could be adapted so that the environmental triggers of severe painful episodes associated with SCD are greatly reduced. Systems of pastoral care and health education elements of the school curriculum need to be attuned to the challenges and opportunities for learning that SCD raises. SCD may be considered as a resource for education across a range of national curriculum subjects, could bring an anti-racist dimension to subjects such as mathematics, biology, history and geography and could challenge a number of prevailing disabling and racist discourses in wider society. In short, SCD could be one bridge to more inclusive education for pupils of marginalized ethnic groups.     

Childrearing,Self‐Control,and Crime: Additional Evidence*

Gottfredson and Hirschi's model of caregiving to produce high self‐control is examined using survey data from a city population of adults. The data permit assessment of the predictive ability of all three elements of the regimen, separately and in com‐bination. While a combination of the elements of the specified model and some of the individual components prove to be statistically significant predictors of self‐control, the coefficients are only modest ones. In addition, the sequential model of crime production set forth by the theorists proves to be questionable. These findings add to an emerging body of research suggesting that self‐control may be dependent on things other than the childhood caregiving regimen identified in self‐control theory.     

Same same but different? Comparing institutional performance in the long-term care systems of Japan and South Korea

Responding to a rapidly aging population, Japan and South Korea introduced social insurance-based long-term care systems (LTCSs) in 2000 and 2008, respectively. Korea studied and took up key features of Japan's system while evolving along its own trajectory in line with its healthcare system. The aim of the present study is to unpack the broad category of ‘social insurance’ to explore how distinct system inputs and designs in Korea and Japan related to outcomes in performance measured in terms of coverage, quality of care, and sustainability. In doing so, the study serves as an important starting point for advancing a new stream of social policy research on the comparative performance of LTCSs. Our findings demonstrate that despite adopting a common system type, differences in implementation of the social insurance model (particularly in terms of financing and governance) contributed to divergent performance, with Japan outperforming Korea on most indicators during the observed period. This bears contrary implications for policymaking in the two countries: Whereas Japanese policymakers are faced with the challenge of promoting quality while containing spending, in Korea greater investment is required to strengthen the workforce and build up community care.     

Comparing long-term care systems: A multi-dimensional,actor-centred typology

Like other fields of social policy, the organization of long-term care (LTC) varies temporally and geographically. The present article aims to advance the comparison of LTC systems worldwide by proposing a conceptual framework to analyse variation, putting a special focus on analysing the role of public and private actor types. In a precluding literature review of existing LTC typologies, we find that there are various promising classification approaches, but with an overwhelming concentration on European countries and often constructed in-transparently and superficially. Building on the concept of the care/welfare mix, we develop a multi-dimensional, actor-centred typology of LTC systems. In doing so, we employ the methodological procedure of theoretically constructing a typological attribute space. We argue that three dimensions, that is service provision, financing and regulation, are crucial for differentiating types. Furthermore, we chose an actor-centred approach, asking who bears the main responsibility in each dimension. Five relevant types of corporate actors are distinguished: state, societal actors, private for-profit actors, private individual actors, and global actors. Finally, we present and discuss the resulting attribute space and further illustrated the typology's use by exemplarily classifying three countries.     

Managing professional identity within a changing market environment: New Zealand optometrists’ responses to the growth of corporate optometry

ABSTRACT

This research investigated the effects of changes in the market environment for optometry services and products on the professional identity of New Zealand optometrists. It explored three issues. First, ways participants’ location within either the independent or corporate sectors shaped their professional identities. Second, ways potential ethical conflicts between participants’ healthcare and retailing identities were resolved. Last, participants’ opinions concerning the future of their profession. Twelve male and fourteen female optometrists were interviewed. Nineteen participants worked within independent optometry practices. Seven worked within practices that were part of international optometry chains. Six participants were recent graduates, the rest experienced optometrists. All participants identified primarily as healthcare professionals. All recognised that practising optometry within a commercial market created the possibility of ethical conflicts between healthcare and business imperatives. There were differences in the ways participants managed this boundary, with participants working within corporate optometry seeming more comfortable with the business aspects of their profession. All participants thought the profession was changing and several suggested that the future of independent optometry was limited. The article concludes that recent changes within the market environment of optometry have heightened tensions between optometrists’ medical and entrepreneurial identities and contributed to changing work patterns within the profession.