Emancipatory Social Work? Opportunity or Oxymoron

Correspondence to Department of Social Work, Exeter University, St Luke’s Campus, Heavitee Rd., Exeter EX1 2LU. E-mail: w.j.o.jordan{at}exeter.ac.uk Summary This paper explores the extent to which social work can be saidto have espoused a consistent and distinctive set of principlesand values, particularly against the background of adaptationto the changing ideological agendas of government over the past25 years. Against the context of globalization, it traces aquickening pace of individual rather than collective progressas the touchstone of public policy, with an increasing relianceon coercive measures to discipline those who fail to make thenecessary or successful efforts on their own behalf. Socialwork's roots in nineteenthcentury individualism leaves it particularlyvulnerable to co-option into this agenda but, the paper argues,approaches which pay lip-service to autonomy, choice and empowerment,which actually deal in rationing, risk assessment and enforcement,will end in frustration and failure. A way forward exists ina renewed emphasis upon the social dimension of problems andtheir resolution, together with a re-investment by social workersin the notions of membership, mutuality and democratic solidaritythrough which individual well-being can be negotiated.     

Child welfare privatization: quantitative indicators and policy issues

The purpose of this study was to demonstrate the development of safety, permanency, and child well-being indicators by using administrative data sets as well as by using these indicators as tools for evaluating Florida's Community-Based Care (CBC) initiative. Longitudinal data from 37 counties including 4 counties that implemented community-based care were examined in this study. The results of the study indicated that the overall performance of CBC counties is at least as good as the performance of their comparison run by the state counties. The findings that emerged from this study may provide important lessons for developing a performance measurement system in the child welfare field.     

The effect of 6 months training on leg power, balance, and functional mobility of independently living adults over 70 years old

Where strength training has been used in conjunction with functional-task training in older people, not only have there been improvements in leg strength but also improved function has been measured (e.g., Skelton & McLaughlin, 1996). Many studies use participants from care homes rather than community dwellers. We investigated changes in leg power, balance, and functional mobility in community-dwelling sedentary men and women over 70 years of age (n = 6 for training group [TR]; n = 10 for control group [CN]). Progressive training took place over 24 weeks using seated and nonseated exercise. For TR, leg power increased 40%, from 108 +/- 40 to 141 +/- 53 W (p < .01); dynamic balance increased 48%, from 22.3 +/- 7.9 to 33.1 +/- 6.1 cm (p < .01; functional reach); and functional mobility increased 12%, from 7.46 +/- 1.32 to 6.54 +/- 1.41 s (p < .05; timed walk). CN showed no significant change. In conclusion, a community-based exercise program led to large improvements in leg-extensor power, dynamic balance, and functional mobility.     

What is it like to work for a pharmaceutical company? Interview by Barbara J. Linney

Is working for a pharmaceutical company a career option you've thought about pursuing? In this column, Barbara Linney interviews physician executive Edward A. Kaufman, MD, about his 20-year experience working in the pharmaceutical industry. He talks about how he held a series of jobs for SmithKline Beecham's clinical labs business and lived in a number of places. He describes his background and how it made him an attractive candidate for the position, why he sought out the pharmaceutical industry, the nature of the work, and some of the projects that he has been involved in. He gives examples of physicians who have joined the executive ranks at GlaxoSmithKline and what made them such high-caliber candidates for top leadership positions.     

Providing mental health services to older people living in rural communities

Rural dwelling elders who experience mental health problems often have difficulty finding help since rural communities often lack adequate mental health service providers. This paper reports on the initial phase of a 5-year, interdisciplinary clinical research study that is testing the effectiveness of providing a home delivered, therapeutic psychosocial intervention, aimed at improving the emotional wellbeing and the quality of life of medically frail elders who live in rural communities. In the early phases of this study, the clinical research team encountered a number of interesting and often unanticipated challenges as it attempted to recruit study participants and provide services to them. In this article, we examine these challenges and share what we have learned so far about providing mental health services to elderly persons living in rural environments.     

Social Work, Merit and Ethnic Diversity

This paper concentrates on the issues of merit and diversityin social work. The principal focus is ethnic diversity, usedas an example to illustrate a wider point about diversity. Itis clear that ethnic diversity in particular has become a majorpolitical objective across the public sector as part of the‘community cohesion’ initiative. Several benefitshave been identified and linked to the achievement of ethnicdiversity in the workforce; many of these have appeared in socialwork debate. The argument here is that while diversity has transformativepotential, it must be located within a more radical agenda ifit is to be successful. As a profession with a radical threadto its pedigree, social work is well placed to take this agendaforward.