Pachedu‐Zenzele in the Diaspora: Promoting Sexual Health Amongst Zimbabweans in England

Migrants have been found to be at enhanced risk for the Human Immune Deficiency Virus (HIV) in comparison with settled populations. As they migrate, they often bring with them their traditions and cultural values, which may influence the ways they access or make sense of health promotion interventions in the host country. In the diaspora, should they experience compromised citizenship, marked by an unresolved immigration status, some may need to remain invisible and this may include not accessing or presenting late for vital health care interventions. Addressing the needs of such invisible populations is key to health promotion work and paramount to public health interests. This paper describes how ever‐changing “traditions”, in particular the notions of Pachedu and Zenzele, were harnessed to develop ethically grounded sexual health care interventions amongst Zimbabweans in Luton, Bedfordshire, England. These interventions were delivered in mundane settings that formed some of the key everyday networks of this population. The reinvention of “tradition” for the purposes of delivering health and social care interventions has been one of the cornerstones of health promotion interventions in Africa, where the rates of HIV are some of the highest in the world. The concept of Pachedu harnessed confidentiality in the delivery of sexual health interventions with Zenzele calling for communal involvement in such initiatives. A key point that resulted in the success of this intervention was partnership work between statutory providers and the local Zimbabwean population throughout the project’s life span. Rather than being construed as passive recipients of health and social care interventions, local Zimbabweans and their statutory partners were engaged in mutual capacity building initiatives. Local Zimbabweans were also engaged and consulted throughout, from the conceptualization of the project, delivery, monitoring, and dissemination of the findings.     

Pensioners and the Minimum Income Guarantee: Observations from Recent Research

This article summarizes some of the data collected via the 1999/2000 Northern Ireland Life and Times Survey. The absence of any counterpart in Northern Ireland to the British Family Resources Survey has resulted in a dearth of basic information on the financial and allied circumstances of pensioners in this part of the United Kingdom. The authors review the data obtained on levels and sources of income, health and receipt of core disability benefits and the extent of non-take-up of the Minimum Income Guarantee. The authors locate the data within the broader debate about the new directions of pension policy in the UK.     

Implementing a Multidimensional Poverty Measure Using Mixed Methods and a Participatory Framework

Recently, there have been advances in the development of multidimensional poverty measures. Work is needed however on how to implement such measures. This paper deals with the process of selecting dimensions and setting weights in multidimensional poverty measurement using qualitative and quantitative methods in a participatory framework. We estimate the multidimensional poverty measures developed by Alkire and Foster for a particular group: persons with psychiatric diagnoses in the United States. To select relevant dimensions and their relative ordering, two discussion groups are convened: one consisting of persons with lived-experience expertise and the other consisting of people with mental health service provision or research expertise. Several methods are used to convert dimension rankings into weights. The selection and ordering of dimensions differed between the two discussion groups, as did the resulting poverty measures. For instance, the poverty headcount using the dimensions and weights of the ‘lived experience’ group ranged from 20.61 to 26.96% as compared to a range of 18.62–33.19% using those of the ‘provider/researcher’ group. One of the main results of this study is that the Alkire Foster method is sensitive to the selection of dimensions and the methods used to derive rankings and weights. It points toward the limitation of relying exclusively on small scale qualitative methods for the selection and ranking of dimensions. In addition, the participatory framework used in this study was found to be essential in interpreting results, in particular with respect to the limitations of the data set in measuring relevant dimensions.     

Decision‐making under uncertainty in child protection: Creating a just and learning culture

The argument is made for having a positive error culture in child protection to improve decision‐making and risk management. This requires organizations to accept that mistakes are likely and to treat them as opportunities for learning and improving. In contrast, in many organizations, a punitive reaction to errors leads to workers hiding them and developing a defensive approach to their practice with children and families. The safety management literature has shown how human error is generally not simply due to a “bad apple” but made more or less likely by the work context that helps or hinders good performance. Improving safety requires learning about the weaknesses in the organization that contribute to poor performance. To create a learning culture, people need to feel that when they talk about mistakes or weak practice, there will be a constructive response from their organization. One aspect of reducing the blame culture is to develop a shared understanding of how practice will be judged and how those appraising practice will avoid the hindsight bias. To facilitate a positive error culture, a set of risk principles are presented that offer a set of criteria by which practice should be appraised.     

The Role of Financial Fragility and Financial Control for Well-Being

Social Indicators Research - Financial fragility is recognized as a substantial issue for individual well-being. Various estimates show that between 46 and 59% of American adults are financially...     

Interrupting Trauma and Advancing Development: Considering Parent Education in Contemporary Psychoanalytic Treatment

This paper centers on the exploration and utilization of a contemporary, psychoanalytically-based parent education perspective aimed at interrupting intergenerational trauma. It highlights The Parenting Process, an integrative model of parent education that is at once educational and therapeutic. This model is explored in light of a third listening stance based on James Fosshage’s listening perspectives concept. This paper underscores and illustrates through clinical material the benefits of playing with implicit and explicit communication across various sensory modalities.     

Domestic Violence and Children with Disabilities: Working Towards Enhancing Social Work Practice

Abstract

Globally, domestic violence, where a family member, partner or ex-partner attempts to physically, sexually or psychologically dominate or harm the other, is now recognised as one of the most entrenched and pervasive forms of violence in society. Nevertheless, internationally and in Australia, the occurrence of domestic and other forms of violence in families affecting children with a disability is poorly understood. The present article examines the information available on domestic violence and children with a disability. Through the use of case studies drawn from a large disability organisation in New South Wales, Australia, practice issues with families where domestic violence affects a child with a disability are drawn out for social workers to consider. These considerations are designed to enhance practice in this field.