Minimising Coerciveness in Coercion: A Case Study of Social Work Powers under the Victorian Mental Health Act

The balance between care and control in mental health social work is one of constant tension. In the State of Victoria, Australia, the Mental Health Act 2014 gives coercive powers to social workers employed by public mental health services. These include the power to decide if a person needs to be assessed by a psychiatrist, to “take” a person using bodily restraint, to enter premises, and to search and seize a person’s belongings. This paper applies a doctrinal analysis to examine the law, then argues that the use of these powers by social workers, where safe, may be less restrictive than when they are used by police or paramedics. The exercise of these powers may be less traumatic and stigmatising to the people who are subject to them, and social workers may be both legally and ethically obligated to use coercion when appropriate.

IMPLICATIONS

• More social work literature on the coercive powers under mental health legislation is needed as well as more guidance on using these powers for social workers in practice.

• In some circumstances, these coercive powers may be better exercised by social workers than by other professionals.

• Social workers should carefully consider their legal and ethical obligations to use these powers in some circumstances.

     

Ending reassessment for employment and support allowance for some disabled people in the UK

In October 2016 the newly appointed UK Secretary of State for Work and Pensions, Damian Green, announced that some disabled people receiving Employment and Support Allowance would not face reassessment for their financial support to continue. This article critically engages with this announcement in the context of the publication of Improving Lives. The Work, Health and Disability Green Paper shortly afterwards.     

On the learning journey: what helps and hinders the development of social work students’ core pre-placement skills?

The development and assessment of core skills, including communication skills, are essential prerequisites before social work students are judged ready for practice placement. This paper presents qualitative data from the first year of a three-year study of an undergraduate module taught jointly to undergraduate and postgraduate students on two qualifying programmes at a university in England. The study considers the impact of video recording in a ‘skills laboratory’ on social work students’ skills development, and compares this with other feedback mechanisms at the pre-placement ‘Readiness for Direct Practice’ threshold for the different student groups. Responses from 88 students to two questions on factors they identified as the most helpful/least useful for core skills development were collected, using the same questionnaire at three stages of the module. These were analysed using a grounded theory approach. A separate, quantitative analysis showed that assessment outcomes for undergraduate and postgraduate students were not statistically different. In contrast, this qualitative analysis showed that while there was common value for students from self-observation using video, there were key differences in learning preferences between undergraduates and postgraduates in relation to feedback. While undergraduates valued peer support in group work, postgraduates preferred feedback from authoritative, independent and credible sources.     

Firearm presence and storage practices in North Carolina homes

Firearms injuries are a leading cause of injury and death in North Carolina, including suicide, homicide, intentional assault, and unintentional injuries. Research has demonstrated that the presence of a firearm in a household increases the risk for homicide and suicide. This study examined two firearms-related risk factors, the presence of a firearm in the household and risky storage practices (loaded and unlocked), using the 2011 North Carolina Behavioral Risk Factor Surveillance System (BRFSS). We hypothesized that among household firearm owners, those who keep unlocked loaded firearms would be varied by demographic variables and also by tendencies for more risk-taking behaviors such as smoking and drinking. Results showed that those who were more likely to keep firearms in or around the home were male, older age, White race, married, with some post high school education, and with higher income. There were no differences by region, age, race, education, or income among those who kept firearms loaded and unlocked. Risky storage practices were related to social conditions such as marital status and number of adults and children in the household. The presence of firearms was lower among those who lived alone; however, among those with a firearm in the household, 42% of single adult households keep a loaded and/or unlocked firearm in the house, and up to 30% of households with children do as well. Behavioral risk factors such as smoking, binge drinking, and not using a seatbelt when driving a car were also related to firearms possession and storage conditions.     

Promoting resilience and emotional well-being of transgender young people: research at the intersections of gender and sexuality

Within lesbian, gay, bisexual and transgender (LGBT) research there is increasing health-related scholarship on trans lives, with a growing awareness of the impact of health inequalities on trans well-being. The aim of the paper is to provide greater understanding of transgender young people’s views of what is needed to promote their emotional well-being and resilience by undertaking specific analysis of data collected as part of wider research with young people (n?=?97). The study utilised participatory qualitative methods with a cross sectional design generating data via a focus group with trans youth (n?=?5), followed by thematic analysis. Findings suggest that both individual and collective capacities or resources enable and sustain resilience and well-being for trans young people. The adversity trans youth face is present in school, the community and in healthcare, but they are able to find places where they feel safe and connected to others. Practitioners, teachers and school nurses are well positioned to facilitate structural change in alliance with trans youth to promote resilience. Research results were utilised to inform health improvement, commissioning and service delivery.     

The Impact of the Earned Income Tax Credit on Marriage and Divorce: Evidence from Flow Data

While considerable research focuses on the anti-poverty and labor supply effects of the Earned Income Tax Credit (EITC), relatively little is known about the program’s influence on marriage and divorce decisions. Furthermore, nearly all work in this area uses stock measures of marital status derived from survey data. In this paper, I draw upon Vital Statistics data between 1977 and 2004 to construct a transition-based measure of marriage and divorce rates. Flows into and out of marriage are advantageous because they are more likely to capture the immediate impact of policy changes. Controlling for state-level characteristics and sources of unobserved heterogeneity, I find that increases in the EITC are associated with reductions in new marriages, although the estimated effect is economically small. I find no relationship between the EITC and new divorces. These results are robust to alternative estimation strategies, data restrictions, and the inclusion of additional policy and demographic controls.     

Understanding Global Demographic Convergence since 1950

Is the world converging to a single demographic regime? Or are groups of countries following distinct paths through the process of demographic transition? The answers to these questions are pivotal to our understanding of the nature and mechanisms of population change. They are also key elements for deriving the assumptions that should underlie population projections. There has been considerable interest in global demographic convergence during the last decade, with most work drawing on statistical methods that are widely used in economics. This article takes a different approach to most of the existing literature, examining the fertility and mortality trajectories over time that various appropriately defned world regions have followed. The data suggest that five distinct regional histories can be traced in mortality, and three in fertility, and that global convergence has moved more rapidly and unambiguously in fertility than in mortality.     

Go home, gay boy! Or, why do Singaporean gay men prefer to "go home" and not "come out"?

Anglo-American ontologies posit that gay men should come out to match their outer selves with their inner ones. In Confucianized Singapore, however, gay men refrain from coming out to their parents to avoid shaming their families. Instead, they couch their homosexuality in kinship terms and "go home" with their boyfriends (Chou, 2000). "Going home" gains familial acceptance, but it does not challenge mainstream discourses of homosexuality. By examining how Singaporean gay men negotiate their sexuality with their families, I question the validity of coming out and going home as both ontological discourses and strategies.