The important role of mass media in the diffusion of accurate information about AIDS.

This paper explores the vital role of mass media in diminishing the lack of consensus among those at risk for AIDS and those who treat them. It examines the perceptions of these groups with regard to the seriousness of the AIDS threat, what people at risk are really doing to protect themselves and others, and the accuracy and objectivity of media reports about AIDS. Results indicate that there is a disarming lack of consensus among those people who can do the most to influence the spread of AIDS. Results also indicate that those people at greatest risk for AIDS and for spreading the disease distrust the accuracy and objectivity of the media. The authors argue that consensus is required for a concerted fight on AIDS and that the mass media offer an effective avenue for encouraging it. They also explore methods for regaining media respect among high risk groups with regard to AIDS reporting.     

A grassroots prototype for trauma-informed child welfare system change

The development of trauma-informed child welfare systems (TICWSs) that advance individual agency practice to target transformation of the system as a whole has been conceptualized but not documented. A grassroots effort to build a TICWS with key participants (e.g., Department of Human Services, Community Mental Health, Family Court, schools) in nine Michigan communities provides a field tested model for implementation. This article described what emerged as the core elements for a TICWS, which includes (1) development and support of a project champion, (2) trauma identification, (3) comprehensive assessment of traumatic impact, (4) evidence based trauma treatment, (5) establishing a common trauma language, and (6) trauma-informed decision-making. Several new instruments for assessing aTICWS are identified. Lessons learned are highlighted for consideration of communities seeking to develop TICWSs.     

Public hospitals: an assessment and plan for the future.

We are currently living in very difficult times for most health care providers. Even though we have always known it, the fact that resources for health care are limited is now abundantly apparent to consumers, health care providers, fiscal intermediaries, government (local, state, and federal), health care planners, and policy makers. Hospitals, especially, are being severely pressured to reduce resource consumption and costs. Conditions that are difficult for nonpublic hospitals are critical for public hospitals in general and nearly fatal for rural public hospitals. Fortunately, nonpublic hospitals are beginning to realize for the first time that their future depends, to a significant degree, on a strong and financially healthy public hospital system. If the public hospital, the hospital of last resort, closes, medically indigent patients will have to be treated in nonpublic hospitals, with the resultant medical, financial, economic, political, and social consequences. Therefore, the importance of public hospitals has to be even better recognized and appreciated and these institutions actively supported in order for the private and total health care systems to be successful.     

Recent challenges to traditional assumptions about homosexuality: some implications for practice

During the last decade there has been a change in professional attitudes toward homosexuality reflected in the development of new models of treatment. Rather than offering a cure the aim is to help homosexuals adjust positively to their orientation. Such attitudinal change on the part of the practitioners has not, in the main, questioned the fundamental assumptions of theories which seek to explain homosexuality. Recent theoretical inquiry into homosexuality, however, has done this, posing an important challenge to the traditionally held view that people have an essential sexuality that is either homosexual or heterosexual and which remains fixed and unchanging throughout their lives. This paper addresses some of the more important clinical implications of these recent developments, in particular, the suggestion that "the homosexual" as a certain type of person is an "invention." In addition, the therapeutic value and difficulties associated with an acknowledgement that sexual preference and identity may change over time are considered. Finally, there is consideration of what the goals should be in the case of the person who seeks professional help in changing from a homosexual to a heterosexual orientation.     

Female Adoptees’ Experiences Balancing Relationships With Biological and Adoptive Mothers Post‐Reunification

Using a feminist postmodern perspective and the sensitizing concept of split loyalties from Contextual Theory, the primary purpose of this qualitative study was to develop a better understanding of how adult female adoptees from closed adoptions negotiate relationships with their adoptive and biological mothers post‐reunion. We conducted semi‐structured individual interviews with nine adult female adoptees, ages 28–52, who were adopted prior to the age of two. Six were Caucasian, three were African American, and the average age at reunion was 29. Grounded theory techniques were used to code the qualitative data, in particular the constant comparative method of analysis. Four main categories emerged: (a) Negotiating Mother–Daughter Relationships, (b) Relating to Mothers Equitably, (c) Loyalty, and (d) Adoptees’ Emotional Needs. Our findings suggest the adoptive mother–daughter relationship has a salient effect on adoptees’ relationships with biological mothers post‐reunion. Loyalty to the adoptive mother seems to influence the evolving relationship and closeness displayed toward the birth mother. Adult female adoptees from closed adoptions described struggling with managing their two mother–daughter relationships and need clinical help addressing their own emotional needs.     

Do you see me? The complex experiences of women of color MSW students

Universities have increased the number of female students of color. However, inconsistency remains in terms of the number of women of color in positions of power and privilege. This discussion attempts to forward the dialogue about the challenges as well as the resilience of female students of color based on the experiences of four female African-American students in a graduate social work program at a predominantly white institution (PWI). Participants shared their daily experience of isolation and exclusion in their graduate programs compared to their experience in Historically Black College or Universities (HBCUs). Participants also discussed the divide that exists in institutions, as well as the sustaining forces and implications for education and research.     

Comparing Opinions of People with Developmental Disabilities and Significant Persons in their Lives Using the Individual Supports Identification System (ISIS)

Fifty-two people with developmental disabilities were interviewed using the Individual Supports Identification System (ISIS). This study reports on persons with developmental disabilities, served by the State of Washington Division of Developmental Disabilities, and includes persons whose onset of disability was prior to 18. To be eligible for services, an individual must have a disability that falls within one of the following categories: (1) mental retardation; (2) cerebral palsy; (3) epilepsy; (4) autism; and (5) other types of central nervous system impairment closely related to mental retardation. Interviews were conducted with two groups. The first comprised individuals with developmental disabilities and the second, significant persons in the life of each participant in the first group. A significant person was considered to be someone known by the individual with disabilities for more than 6 months, spending more time with him or her than others. In addition, the significant person must like the individual with disabilities, and have his or her best interests in mind. Seventy-five per cent of significant persons interviewed were parents. Significant persons also responded to a series of ISIS questions. Responses from the individual with disabilities and from the significant person in his or her life were compared in order to determine similarities and differences in perspective. Comparisons focus on issues pertaining to friends and relationships, living environment and daily care needs.     

Assessing small community groups

Many community groups in the UK do micro-project work to help families and young people in low-income neighbourhoods. This paper establishes a common set of criteria for assessing the effectiveness of small community groups and uses these as basis for developing an evaluation tool for community groups and those working with them. It draws on the literature to identify those factors that are seen to be important to the functioning of community groups, where necessary adapting these to smaller groups. These criteria are then ‘tested’ on a small number of community groups across the UK, using a participative approach and questionnaire to explore these issues with each group. Our framework appears to capture all the key aspects of the groups we visited, although some of the assessment criteria need to be interpreted carefully, helping to refine our own understanding of what makes a good community group. This approach is a useful way for community groups to identify their own strengths and weaknesses and, if developed further, has potential applications in the evaluation of capacity-building schemes.