An Evaluation of a Community Collaboration Approach to Psychosocial Rehabilitation

ABSTRACT

This article reports on the results of a multiagency collaboration demonstration project that was designed to replicate the salient features of an exemplary practice, single-agency program of psychosocial rehabilitation for persons with serious mental illness (SMI). The community collaboration extended over two phases for 2 years and involved over 20 mental health service providers. The demonstration project itself was designed to be a replication of the Village Integrated Services Agency (Village ISA) of Long Beach, California. Additionally, this article reports the results of a rigorous evaluation of the project. The treatment group outcomes were substantially superior to all control group measures at or beyond the 0.05 level of significance. With due regard for limitations imposed by a small sample size (n = 50), the project demonstrates that the replicated model of intervention can be effectively implemented through a collaborative organizational structure involving a coalition of agency service providers.     

Introducing Asset-Based Models of Social Justice into Service Learning: A Social Work Approach

Increased attention is being given to university–community partnerships. Among such partnerships is service learning, a pedagogical model that integrates experiential community service activities and academic learning. Traditional service learning models often diverge from social work methods that embrace strengths, empowerment, antioppressive principles, and citizen-driven approaches. This article presents the integration of a progressive service learning model into a graduate-level social work macro practice course. The model gives explicit attention to respecting the dignity and worth of the individual by sharing power and developing collaborative relationships between students and community residents where both are serving and learning together.     

Understanding and influencing urban residents’ knowledge about wildland management in Austin, Texas

Due to increasing exurban settlement around Austin, Texas and subsequent land use changes, the City of Austin Wildland Division faces competing pressures from residential communities regarding land and wildlife management actions. Current environmental education and outreach efforts in Austin focus on developing environmental literacy about the city’s wildland areas adjacent to exurban settlement as well as their management program. The desired outcome is to promote more positive perceptions and motivate pro-environmental behaviors that are consistent with the city’s wildland program. We conducted a mail survey of 1,000 residents living near the urban wildlands to better understand factors that influence residents’ proficiency in four knowledge domains: karst aquifers, endangered species, rangeland ecology, and the city’s management program. Regression analyses identified positive associations between local newspaper readership and residents’ environmental knowledge of karst aquifer geology, rangelands, and city’s wildland program. Previous engagement in environmentally oriented education programs or organization was positively associated with all four knowledge domains. Some strategies for information dissemination about the wildlands include the use of local newspapers and homeowners association newsletters. Newer, younger residents are the suggested target audience for initiating a proposed environmental education and outreach program. Such programs should incorporate both local environmental organizations and homeowners associations.     

Stigma,AIDS, and HIV Prevention in Africa: Reports from Community Organizations Providing Prevention Services

ABSTRACT

The AIDS epidemic in Africa remains a serious health crisis. Nongovernmental organizations (NGOs) in Africa play a critical role in the delivery of HIV prevention services. An important barrier to their HIV prevention efforts is stigma directed at persons living with HIV/AIDS. In order to understand how stigma affects HIV prevention programming, we conducted in-depth qualitative interviews with NGO directors in 29 African countries. Qualitative analytic approaches were used to identify key themes. Substantial discrimination and stigmatization of HIV-positive persons was reported. HIV-positive women were particularly likely to suffer negative social and economic consequences. The stigma associated with HIV interfered with disclosure of HIV status, risk-reduction behaviors, and HIV testing, creating significant barriers to HIV prevention efforts.

Interventions to reduce AIDS-related stigma in Africa are urgently needed. Reducing the burden of stigma is critical to fighting the epidemic in Africa and could play an important role in global HIV reduction.     

VIA's visual voices: the awareness of a dedicated audience for voices in patient video narratives

First the authors examine the concept of ‘voice’ in one model of participant media research (PMR) giving special attention to parallel variables of hearing, begging questions about the ‘listening’ component of any communication process. Second, they describe the use of a research programme entitled Video Intervention/Prevention Assessment (VIA) and a series of ongoing video narrative projects with chronically ill young people at Children's Hospital Boston. Young people were asked to show how they see their own illness-centred lives by using videocam technology. Third, ‘visual voices’ as found on the videotape results are examined through Thompson's five kinds of voice used by participants living with spina bifida, cystic fibrosis and, in one case, obesity. We conclude that knowledge and anticipation of what we have termed ‘a dedicated audience’ is one of the primary variables in the elicitation of voice and the overall value of participant media research.

… [one] main characteristic of illness narratives is that they formulate and express a central aspect of being ill in modern society, namely the difficulty of giving voice to both suffering and to the lifeworld context of illness. (Hyden 1997 Hyden, L. 1997. Illness and narrative. Sociology of Health & Illness, 19(1): 48–69. [Crossref], [Web of Science ®] , [Google Scholar], 64)     

Photography as a pedagogical tool for shedding light on ‘bodies-at-risk’ in physical culture

In Western countries, given current global public health imperatives around obesity, the lack of engagement with and compliance to normative health-related physical cultures is a concern for young people of ethnic minority backgrounds (particularly females) and low socio-economic class. These groups represent cohorts of young people more likely to be physically inactive and unhealthy compared to other groups, and thus are framed as ‘bodies-at-risk’ or portrayed as a ‘problem’ by neoliberal projects of the body in public health. What remains hidden in the enterprise of the fit body produced by a Western physical culture of healthism, however, is how sport and physical and health education in schools continue to reproduce inequalities of gender and race/ethnicity that heavily bear upon some young people's bodies in local sites. To problematise the body-at-risk discourse, this visual participatory ethnographic research conducted in inner-city, state-funded schools in the Midlands region of the UK, aimed to reveal the visual dimensions of embodiment as expressed by young people of different ethnic backgrounds in the local contexts of their lives. Student-researchers used digital cameras to create visual diaries entitled Moving in My World to express their thoughts, feelings and ideas, and to ‘speak for themselves’ about their knowledge of their own bodies, sharing their embodiments. What moving in their worlds meant to young people varied significantly based on differences of cultural background, gender negotiations and opportunities for, and choices in, their engagement with physical activity. The student-researchers’ visual diaries captured a heterogeneity of meanings about the moving body that young people construct and represent in their creation of the hybrid physical cultures of their daily lives.     

Framing authoritarian legitimacy: elite cohesion in the aftermath of popular rebellion

ABSTRACT

Protest activity presents a significant threat to state legitimacy in nondemocratic settings. Although authoritarian regimes rely heavily on coercion, state officials must also justify their authority to both the public and other elites. Previous work has shown how elites vilify challengers to legitimize repression, but scholars have yet to examine how state officials engage in meaning work to prevent elite divisions from forming in light of popular challenges to regime legitimacy. In this study, we examine elite framing processes in a case of popular resistance to a 1953 currency reform in Communist Czechoslovakia. Using archival material, we trace the inter- and intra-organizational processes through which officials construct legitimacy claims by explaining and adjudicating blame for the popular rebellion. Results indicate that authoritarian rulers relied on a variety of discursive mechanisms to generate consensus among subordinate elites and protect regime legitimacy. We conclude by discussing implications for research on authoritarianism and social movements.     

Becoming an Academic: Early vs. Later Professional Experiences

Abstract

This paper investigates the relevance of both formal training and current career conditions for the professional activity of an academic. We focus on the socialization of a sample of Ph.D. sociologists submitting papers for publication. Using regression procedures, we relate productivity of the training faculty, current publication pressures, sex, and year of degree to publication-related activity. We find that current publication pressures is a better predictor of professional activity than is productivity of the training faculty. In addition, sex appears to mediate professional socialization experiences.