Early intervention and holistic,relationship‐based practice with fathers: evidence from the work of the Family Nurse Partnership

This paper seeks to add to the literature on working with fathers by focusing on early intervention. It draws on research into fathers involved in a home visitation service delivered by the Family Nurse Partnership in England and evaluates the men's experiences of the intervention. The vulnerability of fathers was striking and many were helped to develop their practical skills and confidence in caring for their babies. The intervention was effective because of the quality time that was invested in developing relationships with fathers (as well as mothers), the focus on their strengths as well as areas for improvement and the skilled, therapeutically oriented, holistic approach through which the service was delivered. The ‘early’ nature of the help was crucial to its success because of how it so effectively tapped into the men's redefinition of themselves as caring fathers during pregnancy and following the birth. We argue that there is important learning here for social care and health services in general about how to engage men and promote fathers' capacities to care for their children.     

Organizational strengths and challenges of Kenyan NGOs serving orphans and vulnerable children: a template analysis

This qualitative study of Kenyan non-governmental organizations (NGOs) identified strengths and challenges associated with service provision to orphans and vulnerable children (OVC). From September to December 2006, data were collected by Kenyan research assistants in 34 NGOs in Nairobi and Eldoret. In-depth interviews were used to explore the perceptions of directors and staff in relation to organizational strengths and challenges in serving OVC. Structuration theory and template analysis were used to identify higher-order codes related to strengths and challenges of human agents, organizations and societal forces. Emergent themes and supporting interview quotations are presented to highlight common patterns across organizations, including strengths such as staff commitment, client outcomes, and resourceful communities, as well as challenges such as lack of staff, funding, and parental involvement. Through the analysis we uncover insights about the recursive relationship between micro and macro realities in Kenyan NGOs and the accompanying human and social transformations that result from providing services to OVC.     

What social workers do in performing child protection work: evidence from research into face‐to‐face practice

Little research has been done into what social workers do in everyday child protection practice. This paper outlines the broad findings from an ethnographic study of face‐to‐face encounters between social workers, children and families, especially on home visits. The social work practice was found to be deeply investigative. Children's bedrooms were routinely inspected and were the most common place where they were seen alone. A high proportion of children were not seen on their own because they were too young and the majority of the time was spent working with parents and children together. Small amounts of time were spent with children on their own and some first encounters were so rushed that social workers did not even introduce themselves to the child. This arose from two key factors: firstly, organisational pressures from high workloads and the short timescales that social workers were expected to adhere to by managers and Government; secondly, practitioners had varying levels of communication skills, playfulness and comfort with getting close to children and skills at family work. Where these skills and relational capacities were present, social workers were found to have developed deep and meaningful relationships with some children and families, for whom it was apparent that therapeutic change had occurred.     

The nightmares of the heteronormative

Abstract

Race and sexuality have always intersected in African‐American racial formation. In this article, I argue that this intersection has inspired certain epistemological, political, economic and cultural formations. In terms of epistemology, American sociology and African‐American literature have historically addressed the connections between race and sexuality. Both were interested in the ways that African‐American racial formation transgressed ideal heterosexual and patriarchal boundaries. As far as cultural formations were concerned, such transgressions materially and symbolically aligned African‐American racial formation with homosexuality. Attending to the political and economic effect of this alignment, I maintain that it helped to articulate African‐American racial difference and worked to exclude African‐Americans from the privileges of state and capital. Thus, the article argues that African‐American racial subordination can best be understood as it converges with heteronormative and patriarchal modes of regulation and exclusion. After showing how the most prominent sociology during the 1940s (Gunnar Myrdal's American Dilemma: The Negro and American Democracy) marked African‐Americans as pathologically heterosexual, I go on to read James Baldwin's Go Tell It on the Mountain to determine how the alignment between blackness and homosexuality suggests alternative and oppositional epistemological, cultural and political practices.     

Attitudes Toward Advanced Licensing for Macro Social Work Practice

ABSTRACT

Trends in clinical licensing and a renewed energy to strengthen macro practice are raising questions about the appropriateness of licensure for macro social work practice. This article presents findings from an online survey of macro social work educators and macro social work practitioners exploring their attitudes toward an advanced-level macro social work license. Faculty and practitioner responders agreed that there is a role for advanced-licensing of macro social work practice; however, the lack of a collectively strong response reflects a current state of ambivalence toward advanced-level licensing for macro practice. Implications from these findings on contemporary social work are discussed.     

Social control correlates of arrest behavior among homeless youth in five U.S. cities

This study identified homelessness, substance use, employment, and mental health correlates of homeless youths' arrest activity in 5 cities. Two hundred thirty-eight street youth from Los Angeles, Austin, Denver, New Orleans, and St. Louis were recruited using comparable sampling strategies. Ordinary least squares (OLS) regression results reveal that being arrested for criminal activity is associated with length of homelessness, history of juvenile detention and incarceration, receiving income from theft, substance abuse, and mental illness. Arrests are also associated with interactions between lack of formal employment income and receiving income from theft and between drug and alcohol abuse/ dependency. Understanding the health and situational factors associated with homeless youths' delinquent activity has implications for providing more comprehensive health, mental health, and substance abuse services.     

The Effect of Competition on Recovery Strategies

Manufacturers often face a choice of whether to recover the value in their end‐of‐life products through remanufacturing. In many cases, firms choose not to remanufacture, as they are (rightly) concerned that the remanufactured product will cannibalize sales of the higher‐margin new product. However, such a strategy may backfire for manufacturers operating in industries where their end‐of‐life products (cell phones, tires, computers, automotive parts, etc.) are attractive to third‐party remanufacturers, who may seriously cannibalize sales of the original manufacturer. In this paper, we develop models to support a manufacturer's recovery strategy in the face of a competitive threat on the remanufactured product market. We first analyze the competition between new and remanufactured products produced by a monopolist manufacturer and identify conditions under which the firm would choose not to remanufacture its products. We then characterize the potential profit loss due to external remanufacturing competition and analyze two entry‐deterrent strategies: remanufacturing and preemptive collection. We find that a firm may choose to remanufacture or preemptively collect its used products to deter entry, even when the firm would not have chosen to do so under a pure monopoly environment. Finally, we discuss conditions under which each strategy is more beneficial.     

Socially disadvantaged women's views of barriers to feeling safe to engage in decision-making in maternity care

BackgroundAlthough midwifery literature suggests that woman-centred care can improve the birthing experiences of women and birth outcomes for women and babies, recent research has identified challenges in supporting socially disadvantaged women to engage in decision-making regarding care options in order to attain a sense of control within their maternity care encounters.ObjectiveThe objective of this paper is to provide an understanding of the issues that affect the socially disadvantaged woman's ability to actively engage in decision-making processes relevant to her care.Research designThe qualitative approach known as Interpretative Phenomenological Analysis was used to gain an understanding of maternity care encounters as experienced by each of the following cohorts: socially disadvantaged women, registered midwives and student midwives. This paper focuses specifically on data from participating socially disadvantaged women that relate to the elements of woman-centred care-choice and control and their understandings of capacity to engage in their maternity care encounters.FindingsSocially disadvantaged women participants did not feel safe to engage in discussions regarding choice or to seek control within their maternity care encounters. Situations such as inadequate contextualised information, perceived risks in not conforming to routine procedures, and the actions and reactions of midwives when these women did seek choice or control resulted in a silent compliance. This response was interpreted as a consequence of women's decisions to accept responsibility for their baby's wellbeing by delegating health care decision-making to the health care professional.ConclusionThis research found that socially disadvantaged women want to engage in their care. However without adequate information and facilitation of choice by midwives, they believe they are outsiders to the maternity care culture and decision-making processes. Consequently, they delegate responsibility for maternity care choices to those who do belong; midwives. These findings suggest that midwives need to better communicate a valuing of the woman's participation in decision-making processes and to work with women so they do have a sense of belonging within the maternity care environment. Midwives need to ensure that socially disadvantaged women do feel safe about having a voice regarding their choices and find ways to give them a sense of control within their maternity care encounters.