Using Community-Based Participatory Research Strategies in Age-Friendly Communities to Solve Mobility Challenges

ABSTRACT

The number of older adults is steadily increasing in the United States and across the globe. Aging is linked to an increased risk of disability. Disabilities that limit one or more major life activities such as seeing, hearing, walking, and motor skills impact a person’s ability to drive a car. Low utilization of alternative transportation by older adults and people with disabilities may put them at risk for social isolation. Social isolation is associated with a variety of negative health outcomes. While communities are challenged to create available, acceptable, accessible, adaptable and affordable mobility options, there are widely held, inaccurate biases around older adults’ abilities to contribute to the development and improvement of alternative transportation options. Gerontological social workers are well-positioned to address this bias. This paper presents a case study of a large metropolitan county in the Midwest where community-based participatory research (CBPR) strategies were used to engage older residents to support the development of alternative transportation options supporting the tenets of environmental justice.     

An Examination of the Use of Coercion by Assertive Outreach and Community Mental Health Teams in Northern Ireland

In mental health services over recent decades, the positivemove away from hospital-based care to community-based serviceshas entailed that people with higher levels of need are beingsupported by community mental health services. This paper beginsby reviewing the literature on coercion in the field of community-basedmental health care and treatment. It is argued that the lackof a critical understanding of the concept and how it is usedby practitioners and agencies can have serious repercussionsfor the rights of service users. Using a quasi-experimental,longitudinal design, the authors then seek to test some of theideas about coercion by comparing the activities of assertiveoutreach and community mental health teams in Northern Ireland,particularly the key ideas of perceived coercion, workers’strategies and engagement with services. Key findings were thatassertive outreach appeared to be more successful at reducingperceived coercion, minimizing the need for coercive strategies,engaging high-risk clients and reducing inpatient bed use. Thesefindings are compared with other studies in this area. The authorsalso argue that there is a need for greater transparency inthe way that practitioners use coercive measures and more explicitguidance is required in this crucial area of mental health practice.     

Strengthening field education in aging through university-community agency partnership: the Practicum Partnership Program

The Practicum Partnership Program (PPP), an innovative field education model developed and implemented by six demonstration sites over four years (2000-2004), uses a structured university-community partnership, or consortium, as the foundation for designing, implementing, and evaluating internships for graduate social work students specializing in aging. This paper describes the site consortia and PPP programs, presents evaluation findings, and identifies future directions for the PPP. Student learning outcomes were positive and both students and consortia agencies reported positive PPP experiences. The PPP model underscores the value of the community agencies as equal partners in educating future geriatric social workers.     

Uncovering the potential for exurban properties and small working farms in the Midwestern United States to provide food and refuge for pollinators

Creating or restoring habitat is a well-established approach to improve pollinator populations. Rural and exurban properties might constitute a straightforward opportunity to convert land to native plants that are beneficial to pollinators given that, in Ohio, these parcels typically contain substantial lawn cover. The purpose of this study is to gauge the public’s acceptance of planting native plants on low-density rural properties. Out of 7557 properties in Butler County, Ohio (U.S.A.), that had at least ¼ acre lawn, were between 1 and 20 acres, and had a dwelling, 200 were randomly selected to receive a survey; half via the drop-off pick-up method and half via mail (for a combined 58% response rate). Pollinator beneficial plants of differing appearance, management, and pollinator service were shown in the questionnaire: Echinacea purpurea, Monarda fistulosa, Asclepias syriaca, and wildflower prairie (multiple species). Respondents were significantly less likely to be willing to plant Asclepias syriaca compared to the other plants shown. If all respondents planted what they said they would consider planting in the more accepted plants, these potentially new plantings would cover 5.4% of the 146.2 km² devoted to these rural and exurban parcels in the county. However, that proportion decreases to 1% if we only take into account those that said they would make those changes within the year. We discuss what we see as challenges and opportunities to increase pollinator plantings on exurban properties and small working farms in the Midwest. We also describe implications for voluntary habitat restoration on these private lands.

     

Parity of participation in liberal welfare states: human rights,neoliberalism, disability and employment

Governments continue to face challenges in implementing effective strategies to increase social and economic participation of people with disabilities. In a recent OECD high-level policy forum on Sickness, Disability and Work, the main policy message was the need for a culture of inclusion; with a dual focus on short-term active policy interventions and long-term structural reform. This paper examines policies in liberal welfare states that encourage people receiving disability benefits to participate in the labor market. Examples from the United States, the United Kingdom and Australia of active labor market programs aimed at moving people with disabilities from workfare are analyzed in the context of international disability rights and neoliberal discourse. The paper explores the extent to which new approaches to activation policies are facilitating parity of participation and factors that impact the effectiveness of these policies.     

Profiles of Systems Involvement in a Sample of High-Risk Urban Adolescents with Unmet Treatment Needs

This study examined profiles of involvement in four systems (education, child welfare, legal, and treatment) in a sample of 253 high-risk urban adolescents with unmet behavioral health needs. Self-report data were collected on multiple dimensions of involvement within each system, demographics, and DSM-IV diagnoses. Latent class analysis revealed four profiles: Education System: Academic and Disciplinary, Education System: Academic Only, Legal/Juvenile Justice Involved, and Multiple Systems/Child Welfare. Profiles differed based on gender and psychiatric diagnoses. Boys were overrepresented in Education System: Academic and Disciplinary and Legal/Juvenile Justice Involved, and girls were overrepresented in Multiple Systems/Child Welfare. The two education system focused classes were characterized by depressive disorders and ADHD. Youth in Legal/Juvenile Justice Involved and Multiple Systems/Child Welfare were characterized by conduct disorder and substance abuse. Implications for assessment and treatment planning for high-risk youth and for the organization of community-based behavioral health services are discussed.     

Social support networks,instant messaging,and gender equity in refugee education

ABSTRACT

This paper addresses the role of instant messaging chat groups to support teacher training and gender equity initiatives in Kenyan refugee camps. Our findings are based on survey data with refugee teachers in Dadaab and Kakuma refugee camps (n?=?203), group interviews with refugee teachers in Kakuma (n?=?21), and interviews with international instructors of teacher training programs in Nairobi, Toronto, and Vancouver (n?=?14). In our analysis, we apply amplification theory, feminist science and technology studies paradigms, and considerations of transnational approaches to understand the use of instant messaging among refugee teacher communities. Our framework explores how social and cultural norms are amplified through transnational text and instant messaging related to teacher training and in support of gender equity. Peer-to-peer group chats draw on transnational learning opportunities and expand these engagements through group chats between men and women refugee teachers across camps as well as through community engagement about gender equity initiatives in education. International instructors identify both value and hesitation in navigating the quantity and content of these communications, such as learning more about refugee teachers’ daily lives in the camps and concern about following and managing the amount of communication that can ensue over chat groups. Our work has practical implications for transnational teacher training programs in refugee camps, illuminates how mobile technology and chat groups allow women and men in the community to engage and support girls’ education, and questions how text messaging affects the lived and day-to-day experiences of women refugee teachers.     

Perception vs. reality: The relationship between low-income homeownership, perceived financial stress, and financial hardship

This research examines how homeowners and renters were impacted by the financial crisis in 2009. We build from the hypothesis that homeownership provides people a sense of stability which decreases the extent to which they feel stressed as a result of financial hardship. Our study tests whether owning a home affected either the degree to which lower-income households experienced financial hardship or the extent to which they perceived they were financially stressed. Using a sample of lower-income borrowers who obtained affordable mortgages through the Community Advantage Program (CAP) and a comparison panel of renters, we collected data on the effects of the financial crisis. From a portfolio performance standpoint, CAP loans have performed relatively well. Our analysis of the survey data finds that, although both renters and owners experienced similar levels of financial hardship, the homeowners were less psychologically stressed overall and reported feeling more satisfied with their financial situation.