The Integrated Care Team: A Practice Model in Child and Family Services

The Integrated Care Team brings together representatives from each of Windermere’s service areas to create a group of highly experienced and knowledgeable professionals. This transdisciplinary team aims to provide a cohesive and effective support to service delivery staff working with individuals and families who are experiencing issues across multiple service areas. This support involves sharing of knowledge, contacts, resources and brokerage. Initial evaluation of the Integrated Care Team demonstrates strong positive outcomes for individuals and families with results that could not be so efficiently achieved through standard practice. Positive outcomes occur more quickly, more effectively, with less disruption to individuals and families and with more ease for workers than in standard practice. Workers who utilize the Integrated Care Team and representatives who sit on the Team comment on the efficacy of the approach reinforcing the value of key worker models, transdisciplinary teams, seamless service and breaking down silos between service areas; even within the same agency.     

Notes on School-Based Crime Fighting: International Lessons in Moral Education

Few communities are immune to organized crime and corruption. What has not been fully explored is how education in lawfulness can be introduced into the curriculum of primary and secondary schools to confront the influences of criminal life styles that continue to be romanticized byfactions within a community. This paper reports on such efforts in Sicily, Hong Kong, Russia, and Mexico. Each community is vigorously seeking to repel negative influences from traditional strongholds of organized crime, which continue to exert powerful and pernicious effects on those societies.

Challenging organized crime requires more than governmental regulatory responses. Civic, business, labor, religious, social, and educational organizations all have a role in mitigating the scourge of lawlessness. A central question is to consider the ways in which a civil society can foster a culture of lawfulness. Promoting a set of beliefs and mobilizing the legal norms and institutions for changing, administering, and enforcing laws will enhance and protect “quality of life” is a task that some primary and secondary schools have begun to explore. One approach involves moral education, explicitly and directly teaching children and young people about the rewards and obligations in making moral and ethical decisions. This paper examines this effort in four, distinct cultural settings.     

Globalization and Free Trade Agreements: A Profile of a Nicaraguan Factory Community

This study examines a Nicaraguan community 3 years after the signing of the Dominican Republic-Central American Free Trade Agreement (CAFTA). Qualitative and quantitative methods were used to learn how families, living in a community constructed near a US-owned factory, maintained resilience under growing negative conditions. These conditions relate to family dislocation, loss of support systems, lack of childcare, safe water, and food security, in addition to labor injustices. Although maintaining relatively high scores on a baseline resilience test, these families and others like them in Central America, demonstrate a struggle for survival in a globalized context.     

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.     

Four contexts of institutional oppression: Examining the experiences of Blacks in education,criminal justice and child welfare

ABSTRACT

Institutions are key sites of oppression. Institutional oppression is defined as the mistreatment of people of a particular group that is enforced by society and its institutions. It is a system of invisible barriers that emerge from institutional laws, customs and practices, thus producing inequities for particular groups across race, gender and class. Woven together, the web of institutional oppression is vast, cumulative and multi-faceted, including both overt and covert discriminatory practices and behaviors. Based in a critical review of the literature, the authors of this article introduce and describe four characteristics of institutional oppression that specifically impact the lives of Black Americans. Furthermore, we provide a case vignette that illustrates these characteristics of oppression. The article concludes with recommendations on dismantling institutional oppression and highlights the roles that social workers can play in collaboration with educators and other professionals.     

Cultural integration through shared learning among resettled Bhutanese women

ABSTRACT

The multidimensional needs of recently resettled refugees have been well documented and range from elevated rates of mental illness and health care challenges to difficulties accessing resources due to language and literacy barriers. These factors are largely responsible for the challenges resettled refugees face in acquiring and maintaining stable employment. It is possible that achieving financial stability through steady employment and purposeful money management may alleviate some stressors associated with the resettlement process, though research in this area that is specific to refugees is in its infancy. What is clear, however, is that a traditional approach to mental health treatment (i.e., therapy in a traditional office setting) may lack effectiveness because of the lack of attention to extraneous stressors such as poverty, transportation, and language and literacy challenges that impact resettled refugees. The purpose of this study was to qualitatively assess the impact of a group-based financial education course and social enterprise on the self-reported mental health (i.e., post-traumatic stress symptoms, depression, anxiety, and somatization) of Bhutanese refugee women resettled in the United States. The study also sought to evaluate the acceptability and overall satisfaction with various components of the intervention. This qualitative study was a follow-up to a larger quantitative study that included 65 Bhutanese women who were resettled to the southwestern United States by a large resettlement agency. The results of this study offer insights into the lived experiences of Bhutanese refugees in the United States, particularly related to cultural integration bolstered by group-based education and shared learning opportunities.     

Workplace flexibility: a model of change

The inception of When Work Works – a theoretical- and research-based model of change in promoting effective and flexible workplaces – dates back to the confluence of a number of factors in the early 1990s. One decade later, this ‘perfect storm’ of factors led to the creation of When Work Works, and two decades later, to this critical assessment of the foundation for and results of this model of change. When Work Works has used partnerships with nationwide business organizations with community chapters in combination with media coverage, educational events, the creation of tools and materials and grassroots methods to communicate well-researched information to employers that show workplace flexibility is not just a favor or perk for employees but can be a powerful strategy for promoting better outcomes for both employers and employees. The program has been responsible for implementing a rigorous award and providing numerous community-based recognition and educational events on workplace effectiveness and flexibility around the country and for assisting many employers to effectively create more flexible and effective workplaces. When Work Works has been designed around eight key principles for creating change on a national level. This paper presents the context in which When Work Works evolved, a detailed discussion of the eight principles of Families and Work Institute's model of change, its results and lessons other organizations may wish to apply in their own change initiatives.     

“Grandma,Tell Me Another Story”: Family Narratives and Their Impact on Young Adult Development

The transmission of family stories provides insight into the personal and emotional lives of individuals, and sharing stories allows older generations to impart wisdom and family values to developing young adults. The current research explored how gender variation in content and perception of family stories differentially affected identity development in young adults. Young adults from a large northeastern private university shared a written family story about a grandparent and described how that story had impacted their values, behaviors, and identity. Three hundred twenty-five stories, from 238 women and 87 men, were qualitatively analyzed. The stories had much greater impact on young adults' values and attitudes than either their identity development or behaviors. Women shared more relationship stories, whereas men most frequently relayed humorous anecdotes. In addition, women indicated stories most often taught them to be appreciative, loving, or courageous, whereas more men shared stories that emphasized having a strong work ethic or being appreciative of and respectful to others. Although family narratives have been shown to help shape the younger generation's individual identity and character, it is important to differentiate between which stories might impact different genders as they seek to discover their own sense of self.     

Social Work Practice and Education in México

Social work education and practice in Mexico has emphasized need for social change, family, and community involvement. Education includes casework, group work, and community organization with extensive field work experience that is community based. Education programs rely heavily on literature from South American countries including liberation theory such as that espoused by Paolo Friere. Social work education at the college level prepares graduates for practice, with a licencia. Social Workers in Mexico work in medical settings, children's services, rehabilitation, family services, work settings and a variety of community based programs. Mexico has begun to develop graduate education. Education in the US, Canada, Mexico and other countries could be enhanced with further exchanges of faculty, students and literature.