“Mapping Social Justice”: Integrating Policy Practice Across the Curriculum

ABSTRACT

The National Association of Social Workers and the Council on Social Work Education identify social justice as a guiding principle of the social work profession, yet there is little consensus in the field of what the term actually means and how it can be achieved. Master of Social Work programs are likewise struggling with how to educate students on social justice and prepare them to engage in macro-level advocacy after graduating. This article examines how one student-led social justice initiative at a school of social work is seeking to increase student engagement in macro-level social justice work through the use of targeted advocacy alerts. This article explores the project’s development, implementation, first-year feedback, and modifications made to provide other MSW programs a blueprint to adopt their own version of the project. Findings suggest that the targeted alert model may be successful in engaging clinical MSW students in social justice advocacy.     

U.S. Latinas' Knowledge and Attitudes toward Mammography: Meta-synthesis

Breast cancer is the leading cause of cancer death among Latinas in the United States. The primary purpose of this meta-synthesis was to integrate findings on qualitative studies related to Latinas' knowledge, attitudes, and perceptions regarding breast cancer and its prevention through mammography. After applying inclusion criteria, eleven studies were located. Results were organized around four areas of inquiry that cross-cut primary studies: 1) Latina participants' knowledge of breast cancer and its prevention; 2) barriers for regular mammography; 3) facilitators that encouraged such screening; and 4) recommendations on how to provide screening for Latina women.     

Family group decision making: Measuring fidelity to practice principles in public child welfare

This study describes the development and validation of a short, self-administered fidelity measure used to capture the perspectives of a range of individuals participating in a family group decision making conference. Exploratory factor analyses suggested either a two or a three factor solution. Findings from confirmatory factor analysis supported a three factor model that includes sets of practices yielding: (1) Productive Decision Making; (2) Family Group Inclusion; and (3) Professional Supportiveness. These results provide direction to public child welfare practitioners and policymakers about the importance and the feasibility of attending to multiple perspectives in assessing program delivery.     

The disability–poverty nexus and the case for a capabilities approach: evidence from Johannesburg,South Africa

Debates about the relationship between poverty and disability continue and are important in that they contribute to policies regarding how best to address the needs of disabled people living in conditions of poverty. Increasingly, researchers have begun to use Sen's capabilities approach in understanding disability. However, the approach has not been adequately applied to understand the nature of the poverty and disability nexus, particularly in developing contexts. This article seeks to address this gap by reporting on evidence from a study conducted in eight of the poorest wards in Johannesburg. Using the capabilities lens we demonstrate the ways in which both poverty and disability compound one another to limit the capabilities of people. The findings point to the need for broad-scale as well as targeted social development policies and programmes to address the consequences of poverty and disability.     

Hoarding in the Community: A Code Enforcement and Social Service Perspective

ABSTRACT

Hoarding behaviors endanger individuals and their communities. Although there is a growing literature on clinically referred and elderly hoarders, there is limited information about hoarding behaviors beyond these contexts. This study examines the frequency, characteristics, and outcomes of cases involving hoarding encountered by code enforcement officials and social service staff. Prior to an in-service training, 236 social service staff members completed a 43-item survey about their experiences with cases involving hoarding. Respondents reported encountering between two and three cases per year. Although these hoarding cases were estimated to cost more than $3,700 in cleaning fees, 83% of respondents reported having received no prior training on dealing with hoarding. Survey responses suggested that hoarding situations were difficult to resolve and involved multiple community agencies. Collectively, hoarding behaviors appear to be a problem regularly encountered by social service members, who often serve as the initial point of contact. Along with increased training, future research is needed to develop and evaluate collaborative interagency protocols to manage this multifaceted problem. Empirically informed interagency protocols may facilitate the timely referral of community hoarders to mental health professionals and may lead to improved outcomes.     

Psychosocial Care in Nursing Homes in the Era of the MDS 3.0: Perspectives of the Experts

Meeting psychosocial needs of nursing home residents is increasingly regarded as a critical component of care, and the nationally-mandated nursing home care screening instrument— the Minimum Data Set (MDS) 3.0—was modified and implemented in 2010 to promote better assessment of psychosocial needs and health. Recognizing the importance of psychosocial well-being among nursing home residents, and the promise of MDS 3.0 for improving psychosocial care, this article reports recommendations derived from a conference of stakeholders representing diverse disciplines and organizations regarding next steps following MDS 3.0 screening. Results relate to seven areas of psychosocial care and address cross-cutting recommendations to improve psychosocial care.     

Dementia spousal caregivers and past transgressions: Measuring and understanding forgiveness experiences

ABSTRACT

The transition from “wife” to “caregiver” for a cognitively impaired husband can be an overwhelming experience. Communication patterns change and small conflicts can grow, at times bringing angry feelings and new burdens. Engagement with forgiveness processes may benefit wives by lowering resentment over past tensions, restoring trust, and enhancing the overall caregiving experience. This study examined the utility of the Enright Forgiveness Inventory (EFI) within a sample of caregiving wives. Our intent was to better understand this population’s experience with forgiveness when other contextual factors were likely to influence this process. Forgiveness scores on the EFI were positively related to the cognitive status of the care recipient, a particularly important finding for clinical intervention, and inversely related to marital distress and state anxiety.     

Toxic stress in children and youth: Exploring the role of community-based programming to support health and well-being in the United States

Children and youth exposed to toxic stress are at a greater risk for negative outcomes on health, well-being and occupational performance. Focus groups were conducted to gain understanding of the experiences and perspectives of youth at-risk who were currently receiving services from a community-based agency in a small city in the Western United States. Participants discussed acquiring life skills through agency programming including social skills and coping/self-regulation skills. Participants also reported a positive culture of the agency, expressing feelings of safety, trust and supportive relationships. Community-based programming may be in a pivotal position to provide services and supports that act as buffering protection against the effects of toxic stress.     

When Beauty Brings Out the Beast: Female Comparisons and the Feminine Rivalry

Research on competition amongst women has largely focused on relational aggression amongst adolescents, but less explored are women’s understandings of the origins of competition as it relates to comparisons amongst women and feminine ideals. Drawing on semi-structured, in-depth interviews with 30 collegiate women, we find young women’s stories constructed comparisons and competition amongst women as never-ending and seemingly natural, although they point to restricted societal expectations of femininity as its origin. Women drew from the interrelated topics of perfection-seeking, media portrayals, relationships, and consumerism to explain how they and other women negotiated feminine ideals. Even if participants understood these actions as ultimately undermining their self-image, they still perceived achieving goals of femininity as connected with perfection and happiness. We define such ongoing comparisons and competition as a feminine rivalry, as women perceived other women as direct competitors and thus understanding of the nature of the competition. We conclude by considering how college-aged women’s negotiations of feminine ideals to seemingly bolster or secure their social positioning in a hierarchy of femininity, at times in contradictory ways, offers additional insight into connections between interpersonal dynamics, expectations, and stereotypes of women.