In their Own Right: Translating the Policy of Carer Assessment into Practice

Successive legislation has underscored the importance of assessmentsthat are sensitive to the needs of carers and take into accounttheir ability and willingness to continue caring. This papersynthesizes qualitative and quantitative findings from a continuingprogramme of carer-related research that began in 1993 and hascontinued in parallel with legislative changes. It considersthe process and characteristics of carer assessment from theperspectives of carers for individuals with a range of healthand social care needs, and practitioners. This paper exploresthe assessment of carer need over time and highlights the considerableand enduring gap between policy and practice. It considers practitioners’reluctance to offer separate carer assessments, identifies confusionrelating to the interpretation of eligibility criteria and documentsthe limited contribution of health service staff. The need foran evidence-based framework for good practice, that distinguishesbetween carer needs, service provision and carer outcomes, ishighlighted. The paper concludes by identifying key changesthat are necessary to promote future good practice, such asstaff training and information strategies and the need for practitionersto engage with carers as partners in the care process.     

Teaching Note—An Exploration of Team-Based Learning and Social Work Education: A Natural Fit

The literature on team-based learning (TBL) as a pedagogical methodology in social work education is limited; however, TBL, which was developed as a model for business, has been successfully used as a teaching methodology in nursing, business, engineering, medical school, and many other disciplines in academia. This project examines the use of TBL in a Human Behavior in the Social Environment (HBSE) class and how a convenience sample (n?=?44) of undergraduate students responds to this method of learning. The project addresses the implications for this pedagogical style as an innovative way for teaching the social work curriculum and preparing a future generation of social workers to be productive members of work-related and professional groups.     

Suffering in Silence: Child Sexual Molestation and the Black Church: If God Don’t Help Me Who Can I Turn To?

The invasion by another of a child’s inner self causes greater damage to the soul than perhaps any other type of abuse. Each year an estimated 90,000 children are victims of child sexual abuse. Many social institutions that are designed to help in healthy child development have failed to protect children from sexual abuse. The Black church is a major institution within the African American community that provides a plethora of supports for the community. However, it has also come under recent scrutiny for its failure to protect its children from sexual predators from within. The authors of this article discuss the role of the Black church, give theories to explain child sexual molestation, and make recommendations to church leaders and others for prevention and intervention of this problem. Implications for churches, human service providers, and research are also discussed.     

Exploring Physical Health of African Americans: A Social Determinant Model

The objective was to examine the relationships between socioeconomic, structural, community, and individual factors and health outcomes of African Americans in the United States using a modified version of the social determinants of health model in a nationally representative sample of 2,926 non-elderly African American adults. This empirical evidence supports the hypothesis that there is a positive relationship between socioeconomic/structural determinants and health outcomes of African Americans. Results show poor housing and low income contribute to poorer health outcomes; therefore, in order to improve the health outcome, programs are needed that provide their residents with adequate and safe housing and employment. Moreover, local, state, and federal governmental entities need to work together to rebuild and revitalize the housing in African American communities.     

Food-Related Behaviors of Women in Substance Abuse Recovery: A Photo-Elicitation Study

The aim of this multi-method qualitative study was to explore the eating behaviors and food choices of nine purposively sampled low-income women aged 29 to 40 years who were engaged in a residential substance use disorders recovery program. Findings were limited to photo-elicitation interviews with the women that focused on nutritional choices and issues outside their family context. Consensual data analysis revealed a recovery process that began with cognitive reawakening and an increased focus on and desire for healthier nutrition-related decisions and lifestyle, particularly in the area of weight gain that many of the women experienced.     

Beyond labour rights

The protection of workers worldwide is most often sought through reference to the International Labour Organization's ‘core’ labour standards. These rights are, in themselves, of great importance; that said, however, the blanket approach with respect to workers that results from the over-reliance on rights is gender-blind, and incapable of integrating the crucial normative dynamics of relational power, collective responsibility and mutual dependence into its analysis. By contrast, a normative framework based on a feminist political ethic of care allows for a clear picture of the actual, situated, interdependent lives of all people, and is particularly useful in highlighting existing gender imbalances with respect to responsibilities for care work. Globally, women bear by far the greatest responsibility for care work, and that burden has been multiplied exponentially under conditions of globalization. This article will argue that only a care-centred perspective can provide the necessary moral orientation and policy framework through which to begin to solve these problems of gender (as well as race and class) inequality related to both wage labour and paid and unpaid care work, as well as problems relating to the under-provision of care on a global scale.     

Rub Out the Past: Nostalgia and the Cut-Up Works of William S. Burroughs

Abstract

William S. Burroughs’ cut-up texts of the 1960s have been read as a representation of the author’s attempt to escape the repressive hold of nostalgic memory. I show that this reading is flawed and argue that the treatment of memory in Burroughs’ cut-up works can be more successfully read in terms of Svetlana Boym’s concept of ‘reflective nostalgia’. Through examining Burroughs’ 1965 text ‘St. Louis Return’ alongside a page from his contemporaneous ‘Black Scrapbook’, I provide a reading that counters earlier critical responses to the cut-ups: firstly, by belying the assumption that Burroughs’ use of the cut-up technique enabled the author to overcome the allure of nostalgic memory; secondly, by demonstrating the importance of the nostalgic theme across Burroughs’ body of work; and thirdly, by challenging prevailing conceptions of nostalgia as an inherently sterile and reactionary impulse.     

Risky sexual behavior in low‐income African American women: The impact of sexual health variables

In a sample of 163 low‐income African American women, we used logistic regression analyses to test for associations between (a) 5 operationalized constructs theorized in the Sexual Health Model to impact one's overall sexual health (barriers to healthy sexuality, sexual anatomy and functioning, positive sexuality, sexual health care, and cultural identity) and (b) several measures of risky sexual behavior (consistent condom use, multiple concurrent partnerships, and overall sexual risk). No significant relationship was found between acculturation and risky sexual behaviors. Having sexual difficulties was positively associated with overall sexual risk and multiple concurrent partnerships. Favorable attitudes toward condoms were positively associated with consistent condom use. Desiring or intending pregnancy was positively associated with inconsistent condom use and overall sexual risk behavior. This is only the second study linking sexual difficulties and risky sexual behavior. The exact nature of this correlational relationship needs to be studied and replicated in different and more heterogeneous populations.