Pub Date : 2023-01-29DOI: 10.1080/10428232.2023.2173476
J. Kaitz, Sukanya Ray
ABSTRACT Women face persistent disparities in healthcare quality, access to care, and treatment rates and outcomes, with women from marginalized identities facing greater difficulties. Little is known about providers’ understanding of these disparities, despite the vital role they play. This qualitative study explored interdisciplinary providers’ (psychologists and primary care physicians) perceptions of healthcare disparities and challenges across marginalized groups of women (women of color, women with disabilities, and women from low SES, elderly, and LGBTQ backgrounds). Providers frequently focused on individual patient barriers over systemic and relational barriers. Narratives varied by provider type and when discussing different groups of women. Continued provider training and health equity approaches are needed to combat healthcare disparities for diverse women.
{"title":"Providers’ Perspectives on Women’s Healthcare Disparities and Barriers","authors":"J. Kaitz, Sukanya Ray","doi":"10.1080/10428232.2023.2173476","DOIUrl":"https://doi.org/10.1080/10428232.2023.2173476","url":null,"abstract":"ABSTRACT Women face persistent disparities in healthcare quality, access to care, and treatment rates and outcomes, with women from marginalized identities facing greater difficulties. Little is known about providers’ understanding of these disparities, despite the vital role they play. This qualitative study explored interdisciplinary providers’ (psychologists and primary care physicians) perceptions of healthcare disparities and challenges across marginalized groups of women (women of color, women with disabilities, and women from low SES, elderly, and LGBTQ backgrounds). Providers frequently focused on individual patient barriers over systemic and relational barriers. Narratives varied by provider type and when discussing different groups of women. Continued provider training and health equity approaches are needed to combat healthcare disparities for diverse women.","PeriodicalId":44255,"journal":{"name":"Journal of Progressive Human Services","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46259094","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-02DOI: 10.1080/10428232.2023.2180605
Izaak L. Williams, P. Laenui, William C. Rezentes
ABSTRACT Despite being one of the smallest racial/ethnic groups in the State of Hawai‘i (~10–21%), Native Hawaiians have persistently and disparately comprised the largest racial/ethnic group in the state public treatment system (≥43%). One outcome of Hawaiʻi’s history as a colonial subject, is that social institutions of the State became characterized by the imposition of social control emphasizing the maintenance of punishment mediated through the dynamics of state-sanctioned coercion. At both the individual and community level, implications are drawn out to hypothesize that treatment avoidance or community-wide disengagement patterns of help-seeking, is a manifest expression of collective cultural resistance to what has long been regarded by Hawaiian communities as a “haole [foreign] system” of medicine. While cultural interventions imbued with cultural sensitivities remain relevant to improving treatment care, there is a false assumption embedded within the current treatment paradigm, projecting a doctrine of repeated and prolonged calls for cultural competence and cultural humility to correct the status quo of cultural deficiencies in the publicly funded treatment system. This article proposes an alternative theory, arguing that the source of the problem is the existence of a drug treatment superstructure itself, rooted in the historical reproduction of colonial persecution and continued subjugation of Native Hawaiian identity.
{"title":"The Colonial Character of the Drug Treatment Superstructure: Theorizing Collective Cultural Resistance to Varying Manifestations of Coercive Control","authors":"Izaak L. Williams, P. Laenui, William C. Rezentes","doi":"10.1080/10428232.2023.2180605","DOIUrl":"https://doi.org/10.1080/10428232.2023.2180605","url":null,"abstract":"ABSTRACT Despite being one of the smallest racial/ethnic groups in the State of Hawai‘i (~10–21%), Native Hawaiians have persistently and disparately comprised the largest racial/ethnic group in the state public treatment system (≥43%). One outcome of Hawaiʻi’s history as a colonial subject, is that social institutions of the State became characterized by the imposition of social control emphasizing the maintenance of punishment mediated through the dynamics of state-sanctioned coercion. At both the individual and community level, implications are drawn out to hypothesize that treatment avoidance or community-wide disengagement patterns of help-seeking, is a manifest expression of collective cultural resistance to what has long been regarded by Hawaiian communities as a “haole [foreign] system” of medicine. While cultural interventions imbued with cultural sensitivities remain relevant to improving treatment care, there is a false assumption embedded within the current treatment paradigm, projecting a doctrine of repeated and prolonged calls for cultural competence and cultural humility to correct the status quo of cultural deficiencies in the publicly funded treatment system. This article proposes an alternative theory, arguing that the source of the problem is the existence of a drug treatment superstructure itself, rooted in the historical reproduction of colonial persecution and continued subjugation of Native Hawaiian identity.","PeriodicalId":44255,"journal":{"name":"Journal of Progressive Human Services","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45058714","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-02DOI: 10.1080/10428232.2023.2172784
Susan Ramsundarsingh, Micheal L. Shier
Abstract Service user experiences of oppression by human service organizations (HSOs) has long been understood through the lens of service providers, with service users largely excluded from research in this area. This qualitative study, the second phase of a mixed methods study, presents the findings of 9 focus groups (n=66) with service users from 13 different HSOs representing seven service areas (eg. Homelessness, addictions, youth) on the topic of service user experiences of oppression by HSOs. Using a semi-structured interview guide, participants were asked to share both positive and negative experiences with HSOs and recommendations to address oppression. The discussion identified important elements of the relationship between service providers and service users such as consistency, responsiveness, motivation, and competency that impact service user oppression. The findings from this qualitative phase help to develop a conceptual model of how oppression is rooted in organizations through service provider and service user interpersonal relationships.
{"title":"Interpersonal or Institutional: Understanding Service User Oppression in Social Service Organizations Through Staff Interactions","authors":"Susan Ramsundarsingh, Micheal L. Shier","doi":"10.1080/10428232.2023.2172784","DOIUrl":"https://doi.org/10.1080/10428232.2023.2172784","url":null,"abstract":"Abstract Service user experiences of oppression by human service organizations (HSOs) has long been understood through the lens of service providers, with service users largely excluded from research in this area. This qualitative study, the second phase of a mixed methods study, presents the findings of 9 focus groups (n=66) with service users from 13 different HSOs representing seven service areas (eg. Homelessness, addictions, youth) on the topic of service user experiences of oppression by HSOs. Using a semi-structured interview guide, participants were asked to share both positive and negative experiences with HSOs and recommendations to address oppression. The discussion identified important elements of the relationship between service providers and service users such as consistency, responsiveness, motivation, and competency that impact service user oppression. The findings from this qualitative phase help to develop a conceptual model of how oppression is rooted in organizations through service provider and service user interpersonal relationships.","PeriodicalId":44255,"journal":{"name":"Journal of Progressive Human Services","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2023-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42561217","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-25DOI: 10.1080/10428232.2022.2115277
Joshua R. Gregory
ABSTRACT The Freedmen’s Bureau was the first national U.S. welfare institution. This fact has not, however, motivated scholars to draw duly substantive connections between the Bureau and the welfare state. This article traces empirical patterns of labor, gender, and race from their first nationalization under the Bureau to their formative influence on the evolution of what is considered to be the welfare state. The article goes on to show the Bureau to mark the first instance of an actual U.S. welfare state. More importantly, the resulting reconceptualization suggests the Bureau to represent the only historical instance of an actual U.S. welfare state, all subsequent formations comprising merely a performative welfare state for lack of their attempt, or even intention, to fully rectify the enduring racial injustice inherited from chattel slavery. The performative welfare state, as it were, has thereby only ever prescribed systemically inequitable normativity antithetical to the notion of welfare.
{"title":"Foregrounding the Freedmen’s Bureau: A Heterodox Welfare State History","authors":"Joshua R. Gregory","doi":"10.1080/10428232.2022.2115277","DOIUrl":"https://doi.org/10.1080/10428232.2022.2115277","url":null,"abstract":"ABSTRACT The Freedmen’s Bureau was the first national U.S. welfare institution. This fact has not, however, motivated scholars to draw duly substantive connections between the Bureau and the welfare state. This article traces empirical patterns of labor, gender, and race from their first nationalization under the Bureau to their formative influence on the evolution of what is considered to be the welfare state. The article goes on to show the Bureau to mark the first instance of an actual U.S. welfare state. More importantly, the resulting reconceptualization suggests the Bureau to represent the only historical instance of an actual U.S. welfare state, all subsequent formations comprising merely a performative welfare state for lack of their attempt, or even intention, to fully rectify the enduring racial injustice inherited from chattel slavery. The performative welfare state, as it were, has thereby only ever prescribed systemically inequitable normativity antithetical to the notion of welfare.","PeriodicalId":44255,"journal":{"name":"Journal of Progressive Human Services","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2022-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49206648","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-08-09DOI: 10.1080/10428232.2022.2109359
S. Harrell
ABSTRACT Summary The social work profession in the US developed alongside and within the professionalization of policing and corrections. Social workers are credited as some of the earliest policewomen, probation officers, and juvenile correctional facility superintendents. Still, our professional relationship to corrections in Progressive Era US history is underexplored and uninterrogated. How does this entangled history escape most narratives of professionalized social work in the US? This integrative literature review explores the stories social work scholars tell about social work’s relationship(s) to corrections in the Progressive Era (1890–1930). Findings Surveying 17 peer-reviewed social work articles, I identify themes of how social work remembers and obscures our Progressive Era relationship with corrections. Articles tell a story of delinquency, social control, and progress while obscuring the history of prisonwork, wardenship, and correctional leadership. Applications Social work’s professional memory of corrections in the early twentieth century has significant consequences for policy, research, and education today. Macro-level practitioners can learn from progressive reforms, engineered and implemented by early “reformers,” that widened the net of carceral control. Further research is needed to explore social work’s correctional history, prisonwork in particular. This may be taken up in the form of archival research and oral histories.
{"title":"Social Work & Corrections in the Progressive Era: What We Remember, What We Obscure","authors":"S. Harrell","doi":"10.1080/10428232.2022.2109359","DOIUrl":"https://doi.org/10.1080/10428232.2022.2109359","url":null,"abstract":"ABSTRACT Summary The social work profession in the US developed alongside and within the professionalization of policing and corrections. Social workers are credited as some of the earliest policewomen, probation officers, and juvenile correctional facility superintendents. Still, our professional relationship to corrections in Progressive Era US history is underexplored and uninterrogated. How does this entangled history escape most narratives of professionalized social work in the US? This integrative literature review explores the stories social work scholars tell about social work’s relationship(s) to corrections in the Progressive Era (1890–1930). Findings Surveying 17 peer-reviewed social work articles, I identify themes of how social work remembers and obscures our Progressive Era relationship with corrections. Articles tell a story of delinquency, social control, and progress while obscuring the history of prisonwork, wardenship, and correctional leadership. Applications Social work’s professional memory of corrections in the early twentieth century has significant consequences for policy, research, and education today. Macro-level practitioners can learn from progressive reforms, engineered and implemented by early “reformers,” that widened the net of carceral control. Further research is needed to explore social work’s correctional history, prisonwork in particular. This may be taken up in the form of archival research and oral histories.","PeriodicalId":44255,"journal":{"name":"Journal of Progressive Human Services","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49509214","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-07-21DOI: 10.1080/10428232.2022.2101852
C. Lundy, T. Jennissen
ABSTRACT This paper is a call for social workers to engage in discussions about the future of our profession. It draws on social work history and uses examples of the contributions of radical/socialist/Marxist social workers who faced challenging times and who promoted radical responses for creating a more just society. While the paper focuses on social work specifically, it was developed against a broader backdrop of cross-disciplinary literature of radicalism and critiques of the welfare state and social policy generally. The paper focuses mainly on Canada but because the histories are closely linked, there are also examples from the USA, and Great Britain. It includes a section on the role of social work education and the importance of using critical pedagogy in preparing social workers to advance social change, social justice, and human rights. And finally, some thoughts are provided on how social work might move forward.
{"title":"Reflections on Radicalism in Social Work History: Moving Forward in a Difficult Time","authors":"C. Lundy, T. Jennissen","doi":"10.1080/10428232.2022.2101852","DOIUrl":"https://doi.org/10.1080/10428232.2022.2101852","url":null,"abstract":"ABSTRACT This paper is a call for social workers to engage in discussions about the future of our profession. It draws on social work history and uses examples of the contributions of radical/socialist/Marxist social workers who faced challenging times and who promoted radical responses for creating a more just society. While the paper focuses on social work specifically, it was developed against a broader backdrop of cross-disciplinary literature of radicalism and critiques of the welfare state and social policy generally. The paper focuses mainly on Canada but because the histories are closely linked, there are also examples from the USA, and Great Britain. It includes a section on the role of social work education and the importance of using critical pedagogy in preparing social workers to advance social change, social justice, and human rights. And finally, some thoughts are provided on how social work might move forward.","PeriodicalId":44255,"journal":{"name":"Journal of Progressive Human Services","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2022-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47895465","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-15DOI: 10.1080/10428232.2022.2063622
David O. Avruch, Wendy E Shaia
ABSTRACT Decades of social science data have illuminated how oppression and inequality on the macro levels of society can manifest as trauma and deprivation on the individual or micro level. However, clinical pedagogies within human services fields (social work, substance use disorder treatment, psychology, psychiatry) do not adequately reflect these advances. This creates barriers for service providers seeking to address socially-engineered trauma, i.e., trauma occurring in the context of oppressive macro structures such as white supremacist racism, neoliberal economic policies and cisgender-heteropatriarchy. Service provision that is structurally competent, on the other hand, exists at the intersection of macro and micro and offers both ethical and clinical advantages. Given its traditional focus on eliciting behavior change on the micro level, the therapeutic modality of motivational interviewing (MI) may not attract attention as a tool for addressing systemic social injustice. However, by integrating key elements of MI with SHARP – a framework for addressing oppression and inequality – new options for structural competence emerge. The resulting hybrid, Macro MI, offers tools to join with clients to assess the impact of structural oppression on individual problems, as well as to envision solutions that include macro systems change. Underpinning this approach is a belief that the collective work of tearing down and replacing the systems that create trauma is central to healing the wounds inflicted by oppression. Within Macro MI, activism, organizing and consciousness-raising are interventions to treat PTSD as well as tools for preventing trauma from occurring to other members of the community.
{"title":"Macro MI: Using Motivational Interviewing to Address Socially-engineered Trauma","authors":"David O. Avruch, Wendy E Shaia","doi":"10.1080/10428232.2022.2063622","DOIUrl":"https://doi.org/10.1080/10428232.2022.2063622","url":null,"abstract":"ABSTRACT Decades of social science data have illuminated how oppression and inequality on the macro levels of society can manifest as trauma and deprivation on the individual or micro level. However, clinical pedagogies within human services fields (social work, substance use disorder treatment, psychology, psychiatry) do not adequately reflect these advances. This creates barriers for service providers seeking to address socially-engineered trauma, i.e., trauma occurring in the context of oppressive macro structures such as white supremacist racism, neoliberal economic policies and cisgender-heteropatriarchy. Service provision that is structurally competent, on the other hand, exists at the intersection of macro and micro and offers both ethical and clinical advantages. Given its traditional focus on eliciting behavior change on the micro level, the therapeutic modality of motivational interviewing (MI) may not attract attention as a tool for addressing systemic social injustice. However, by integrating key elements of MI with SHARP – a framework for addressing oppression and inequality – new options for structural competence emerge. The resulting hybrid, Macro MI, offers tools to join with clients to assess the impact of structural oppression on individual problems, as well as to envision solutions that include macro systems change. Underpinning this approach is a belief that the collective work of tearing down and replacing the systems that create trauma is central to healing the wounds inflicted by oppression. Within Macro MI, activism, organizing and consciousness-raising are interventions to treat PTSD as well as tools for preventing trauma from occurring to other members of the community.","PeriodicalId":44255,"journal":{"name":"Journal of Progressive Human Services","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2022-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48724795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-04-11DOI: 10.1080/10428232.2022.2062695
Jeanette Schmid, Marie-Christine Bois
ABSTRACT Noting that scholarly journals represent a particular repository of knowledge, we use content analysis to explore the constructions of social work represented in the Canadian Social Work Review – Revue canadienne de service social over 2010–2019. This journal is the only formal bilingual (French-English), peer-reviewed social work journal in the country. Rather than broadly reflecting Canadian realities and contexts, the emerging trends imply specific regional and social work program dominance, both in terms of authorship and issues explored. In part this is related to English-French language parity having been achieved, though this has led to other unintended consequences. While the published articles represent critical discourses and qualitative approaches are preferred, many articles do not address power, oppression and representation, particularly with regard to Indigenous, racialized and gendered groups. We conclude that the journal, whilst leaning toward a critical representation of social work, also reflects mainstream, dominant views of Canadian social work, the journal thus portraying the contested nature of Canadian social work. Mechanisms that add to existing Editorial Board efforts for further strengthening a critically interrogative lens may be required. Other social work journals may want to consider the story they are telling the profession and the ways in which
摘要注意到学术期刊代表了一个特定的知识库，我们使用内容分析来探索《加拿大社会工作评论》（Revue canadienne de service social over 2010-2019）中所代表的社会工作结构。该期刊是该国唯一一份正式的双语（法语-英语）、同行评审的社会工作期刊。新出现的趋势并没有广泛反映加拿大的现实和背景，而是意味着在作者和所探讨的问题方面，特定的地区和社会工作项目占据主导地位。这在一定程度上与英法语言平等有关，尽管这导致了其他意想不到的后果。虽然发表的文章代表了批判性的话语，更倾向于定性的方法，但许多文章没有涉及权力、压迫和代表性，特别是关于土著、种族化和性别化群体的文章。我们得出的结论是，该杂志在倾向于对社会工作进行批判性表述的同时，也反映了加拿大社会工作的主流、主导观点，从而描绘了加拿大社会作品的争议性质。可能需要建立机制，在现有编辑委员会的努力基础上进一步加强批判性提问的视角。其他社会工作期刊可能会考虑他们讲述的职业故事以及
{"title":"The Canadian Social Work Review: A Canadian Character of Social Work?","authors":"Jeanette Schmid, Marie-Christine Bois","doi":"10.1080/10428232.2022.2062695","DOIUrl":"https://doi.org/10.1080/10428232.2022.2062695","url":null,"abstract":"ABSTRACT Noting that scholarly journals represent a particular repository of knowledge, we use content analysis to explore the constructions of social work represented in the Canadian Social Work Review – Revue canadienne de service social over 2010–2019. This journal is the only formal bilingual (French-English), peer-reviewed social work journal in the country. Rather than broadly reflecting Canadian realities and contexts, the emerging trends imply specific regional and social work program dominance, both in terms of authorship and issues explored. In part this is related to English-French language parity having been achieved, though this has led to other unintended consequences. While the published articles represent critical discourses and qualitative approaches are preferred, many articles do not address power, oppression and representation, particularly with regard to Indigenous, racialized and gendered groups. We conclude that the journal, whilst leaning toward a critical representation of social work, also reflects mainstream, dominant views of Canadian social work, the journal thus portraying the contested nature of Canadian social work. Mechanisms that add to existing Editorial Board efforts for further strengthening a critically interrogative lens may be required. Other social work journals may want to consider the story they are telling the profession and the ways in which","PeriodicalId":44255,"journal":{"name":"Journal of Progressive Human Services","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2022-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41960613","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-11DOI: 10.1080/10428232.2022.2050117
Marjorie Johnstone, Catrina Brown, Nancy Ross
ABSTRACT In this paper, we report on a provincial consultation in Canada, of the adoption of the CAPA model, which was designed to improve mental health service delivery to mental health stakeholders. While the delivery of mental health services in Canada is largely the purview of the medical profession, the implementation of an interdisciplinary team approach has included the social work profession as a significant part of that team, but the direction and mode of service continue to be largely determined by the assumptions embedded in the medical model. We interviewed 50 participants, conducted three focus groups, and circulated an online survey with 115 responses. We explored how the CAPA model commodifies mental health care and the impact this has on social workers employed in that system through exploring the McDonaldization categories of efficiency, calculability predictability and control. The participants were critical of the commodification of mental health service delivery and expressed how the expectations for practice were a lack-of-fit for the practice of social work. We explored the perceived strengths and barriers and our findings suggested that the rise of neoliberalism and managerialism has superimposed a business model approach to mental health services so that fiscal efficiency, parsimonious use of professional time and a focus on individual responsibility are now driving principles.
{"title":"The McDonaldization of Social Work: a critical analysis of Mental health Care Services using the Choice and Partnership Approach (CAPA) in Canada","authors":"Marjorie Johnstone, Catrina Brown, Nancy Ross","doi":"10.1080/10428232.2022.2050117","DOIUrl":"https://doi.org/10.1080/10428232.2022.2050117","url":null,"abstract":"ABSTRACT In this paper, we report on a provincial consultation in Canada, of the adoption of the CAPA model, which was designed to improve mental health service delivery to mental health stakeholders. While the delivery of mental health services in Canada is largely the purview of the medical profession, the implementation of an interdisciplinary team approach has included the social work profession as a significant part of that team, but the direction and mode of service continue to be largely determined by the assumptions embedded in the medical model. We interviewed 50 participants, conducted three focus groups, and circulated an online survey with 115 responses. We explored how the CAPA model commodifies mental health care and the impact this has on social workers employed in that system through exploring the McDonaldization categories of efficiency, calculability predictability and control. The participants were critical of the commodification of mental health service delivery and expressed how the expectations for practice were a lack-of-fit for the practice of social work. We explored the perceived strengths and barriers and our findings suggested that the rise of neoliberalism and managerialism has superimposed a business model approach to mental health services so that fiscal efficiency, parsimonious use of professional time and a focus on individual responsibility are now driving principles.","PeriodicalId":44255,"journal":{"name":"Journal of Progressive Human Services","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2022-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42764271","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-03-08DOI: 10.1080/10428232.2022.2049184
Sandra M. Leotti
ABSTRACT Current trends in women’s criminalization reflect historical patterns of racism, gender conformity, and enforcing normality. This paper traces key shifts in policy and discourse on women’s punishment in the United States from the mid 19th century to contemporary times. Additionally, this paper reflects on social work’s role in the history of responding to criminalized women and its involvement in prison reform efforts. I argue that the profession’s reform efforts on behalf of criminalized women operate as a form of carceral humanism, enabling expansion of the carceral state. To meaningfully challenge mass incarceration, social work must engage anti-carceral/abolitionist politics and praxis.
{"title":"The Keepers and the Kept: Social Work and Criminalized Women, an Historical Review","authors":"Sandra M. Leotti","doi":"10.1080/10428232.2022.2049184","DOIUrl":"https://doi.org/10.1080/10428232.2022.2049184","url":null,"abstract":"ABSTRACT Current trends in women’s criminalization reflect historical patterns of racism, gender conformity, and enforcing normality. This paper traces key shifts in policy and discourse on women’s punishment in the United States from the mid 19th century to contemporary times. Additionally, this paper reflects on social work’s role in the history of responding to criminalized women and its involvement in prison reform efforts. I argue that the profession’s reform efforts on behalf of criminalized women operate as a form of carceral humanism, enabling expansion of the carceral state. To meaningfully challenge mass incarceration, social work must engage anti-carceral/abolitionist politics and praxis.","PeriodicalId":44255,"journal":{"name":"Journal of Progressive Human Services","volume":null,"pages":null},"PeriodicalIF":2.4,"publicationDate":"2022-03-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47538371","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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