Trust and the Dilemmas of Suicide Risk Assessment in Non-government Mental Health Services

Reducing suicide rates is a national mental health priority as over 2,200 people die from suicide each year in Australia. Increasingly, nongovernment organisations (NGOs) provide services to people experiencing severe and persistent mental illnesses—a significant cohort at risk of suicide. While clinical services are generally seen as the arbiters of risk, little is known of how suicide risk assessments are undertaken in NGOs. This article reports the findings of a survey-based pilot study of 44 frontline workers in mental health-focused NGOs in Tasmania, Australia, with the aim of sketching a preliminary picture of this under-studied terrain. We identified the assessment practices utilised by workers, and the challenges and dilemmas they experienced in navigating issues of trust in suicide risk assessment in contexts where they often felt vulnerable and under-prepared. We argue that these early findings demonstrate the need for organisations to foster cultures of trust to facilitate both the activities of relationship building between practitioners and clients, and those of monitoring risk.     

Using a participatory evaluation design to create an online data collection and monitoring system for New Mexico's Community Health Councils

We present the collaborative development of a web-based data collection and monitoring plan for thirty-two county councils within New Mexico's health council system. The monitoring plan, a key component in our multiyear participatory statewide evaluation process, was co-developed with the end users: representatives of the health councils. Guided by the Institute of Medicine's Community, Health Improvement Process framework, we first developed a logic model that delineated processes and intermediate systems-level outcomes in council development, planning, and community action. Through the online system, health councils reported data on intermediate outcomes, including policy changes and funds leveraged. The system captured data that were common across the health council system, yet was also flexible so that councils could report their unique accomplishments at the county level. A main benefit of the online system was that it provided the ability to assess intermediate, outcomes across the health council system. Developing the system was not without challenges, including creating processes to ensure participation across a large rural state; creating shared understanding of intermediate outcomes and indicators; and overcoming technological issues. Even through the challenges, however, the benefits of committing to using participatory processes far outweighed the challenges.     

The Role of the Government in Addressing Social Issues in India: The Perceptions of Indian Undergraduate and Graduate Social Work Students

Using a convenience sample of 318 undergraduate and graduate social work students (193 women and 125 men) from a public university in India, this study examined the differences between Indian social work students' perceptions toward the role of government in addressing social issues in India. Using Predictive Analytics Software (PASW) 18, several statistical procedures were conducted to analyze the relationship between social work students' demographic variables and their perceptions of the government's role in addressing social issues in India. The results indicated that older social work students were more likely to perceive that the government should ensure equal opportunities for citizens. Female social work students were more likely to perceive that the government should ensure housing for citizens. BSW students were more likely to perceive that the government should ensure employment of citizens. Macro social work students were more likely to perceive that the government should ensure equal opportunities, housing, food, employment, and health insurance for citizens. The findings of this study may help social work educational administrators and faculty in India to develop a curriculum that provides social work students with the opportunity to critically examine the complex relationship between age, gender, marital status, number of children, socioeconomic status, educational status, area of concentration, and the role of the government in addressing social issues. Doing so will prepare social work students and professionals to think and engage in a manner that will allow them to challenge and advocate for a change to the status quo.     

Social Work Studies at a Haredi Women's College: Difficulties and Dilemmas

This paper examines the challenges faced by female Ultra-Orthodox students in a social work program designed for the Ultra-Orthodox community in Israel. Findings were obtained from four focus groups with a total of 32 students. The participants reported being exposed to contents that were inconsistent with the perspectives of their community, fieldwork expectations and requirements that violated strict rules of gender separation, and inconvenient scheduling of exams and field trips that did not take their religious observances into consideration. Despite the considerable distress that these matters caused, most of the students made determined efforts to cope, to learn the course material, to carry out their fieldwork assignments, and to reconcile the discrepancies between some of the contents they learned and behaviors that were expected of them and their deeply held values and ways. Implications of the findings are discussed and recommendations made.     

An integrated system of engaging social workers and community volunteers in social care for the elderly: case studies in Taiwan

Integrating volunteers into social care is widely expected but rarely successful in practice. This paper discusses how the Community Care Centre Plan organising community volunteers to provide services to the elderly in Taiwan. This plan successfully integrated social workers and volunteers in a national system to offer service in local communities, showing a systemic practice of community care and a unique case of community-based and volunteer-based service. The purposes of this paper are to introduce the programme design and to understand how to integrate the mission of social workers and volunteers’ performance. The governmental policy and requirements, the role of social workers and the provision of voluntary community service which contributed to form the system were examined in this paper.     

Did small and medium enterprises maintain better jobs during the early years of the recession? Job quality multidimensional evidence from Spain

While the literature has indeed confirmed a general tendency linking small and medium enterprises (SMEs) to a dynamic of greater job creation, there is little available evidence on what has happened to job quality since the financial crisis. Through a representative sample of 5311 employees in 2008 (first year of job destruction) and 4925 employees in 2010 (last year for which data were available), and using a two-stage structural equation model, this article empirically analyses the multidimensional determinants of job quality, by enterprise-size class, in Spain. The research has revealed three main results. First, job quality in Spain improved in all enterprises, regardless of their size, during the early years of the recession. Second, the greatest improvements were found in SMEs. Although job quality was already better in SMEs than in large enterprises in 2008, the differences between them subsequently widened. Third, this accelerated divergence was explained by the following dimensions: working conditions, work intensity, health and safety at work, and work–life balance. These dimensions were much more positive in SMEs. Employment-related public policy should therefore focus more specifically on SMEs. There are two reasons for this. First, despite the recession, SMEs have shown themselves to be key factors in the explanation of job quality. Second, by making changes to their value generation model, they could continue to drive the creation of better quality jobs.     

Blood on the tracks: Critically re‐reading a government occupational health and safety inquiry

This paper brings to light forms of interpretive closure embedded in a Government inquiry into rail industry occupational safety and heath. The paper shows how particular interpretive moves by the Inquiry had the effect of obscuring a critical analysis of economic and political relations. The analysis uses publicly available documentary data and is undertaken using interpretive and political economic forms of analysis in a multiple framework approach.     

Measurement of the subjective work environment

Abstract

This paper considers the various issues that frame the development and use of measures of the subjective work environment. It begins by questioning the role of the work environment in determining occupational health, and explores the possible mechanisms by which that environment might exert its influence. It concludes that one of the important final common pathways is psycho-physiological in nature, and is rooted in individual perception and cognition and the experience of stress. Important for this model are the concepts of mediation and moderation. The measurement of the subjective work environment has often been idiosyncratic to the study in hand, and there are few well-established measures in common use. It is argued that researchers should be careful when deciding not to use established measures and effectively ‘invent’ their own. In developing new measures, decisions have to be made concerning the nature of the measure along with its ‘granularity’ and complexity. It is also argued that it is important that researchers should follow good psychometric practice in the development of those measures. Suggestions for ‘good practice’ are discussed. Attention is drawn to the issues of reliability and validity, and this paper discusses the role of triangulation in the planning and execution of data collection and analysis. The paper ends by reviewing the recommendations made towards the development and use of measures of the subjective work environment.     

'The more things change…': Barriers to community services utilisation in Queensland

Community services are central to the lives of many elderly Australians or Australians with disabilities if they are to remain in the community. Over the past two decades, significant advances have been made in policy and associated programs, significantly improving the standards of service delivery. This research reports on the perceptions of service providers in community services for people with disabilities in six communities in Queensland. It illustrates that significant barriers to service utilisation remain, despite reform. It suggests that continuous efforts to promote service access need to be built in at the program level.     

白寿彝先生的治学与他的中国通史编纂

白寿彝先生在历史学的许多领域都取得了卓越的成就,晚年主要集中在回族史、中国史学史、中国通史等方面,并表现出总结性、成熟性和继续创新性三个特点。其中中国通史在他的学术规模中居于核心的地位,是他一生研究历史学的最高追求。他带领国内史学家,历20个春秋,终于完成体裁新颖的多卷本中国通史,实现了一个世纪中国史家的愿望,把自己的学术事业推向了辉煌的最高点。