The article examines a values conflict between a client's family system, the client's social worker, and the United States government. A practice case illustrates how the Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA) of 1996, commonly known as welfare reform, has forced immigrants to become American citizens, and thereby has caused strife and emotional distress to immigrants and their families. A citizenship choice conflict is analyzed through a values classification model. The social worker, who is caught in the middle of the conflict, must decide whether or not to uphold his clients decision not to become a citizen. A discussion follows, which explores the social worker's ethical dilemma, its outcome, and its justification.
In 2012, the Centers for Disease Control and Prevention (CDC) began to de‐emphasize and de‐implement multiple evidence‐based HIV prevention practices that had been around for 20 years, thus changing the scope of implementation across the globe. The authors provide evidence how existing interventions (e.g., CDC HIV interventions) may influence implementation of interventions that came after the program was discontinued. De‐implementation is an ecological event that influences, and is influenced by, many parts of a system, for instance, implementation of one type of intervention may influence the implementation of other interventions (biomedical and/or behavioral) after a long‐running program is discontinued. Researchers and policy makers ought to consider how de‐implementation of behavioral interventions is influenced by biomedical interventions mass‐produced by companies with lobbying power. The scientific study of de‐implementation will be inadequate without consideration of the political climate that surrounds de‐implementation of certain types of interventions and the promotion of more‐profitable ones.
This study uses qualitative data from individual interviews with low-income, African American women (n = 92) between 19 and 35 years of age who participated in 12 two-hour sessions of a family-focused HIV prevention intervention. The study explores influences on three domains. At the individual domain, development of personal attributes and the perceptions that program staff was fair toward racial minorities appear to influence participation. At the program domain, staff friendliness and monetary incentive also influenced participation. At the social domain, influence of friends and emotional support influenced participation. Training staff to confront racism and to develop a culturally competent and friendly environment has the potential to increase attendance among participants at high risk for HIV exposure.
In: Journal of HIV/AIDS & social services: research, practice, and policy adopted by the National Social Work AIDS Network (NSWAN), Band 3, Heft 2, S. 5-25
The literature on male-to-female transgender (MTF) individuals lists myriad problems such individuals face in their day-to-day lives, including high rates of HIV/AIDS, addiction to drugs, violence, and lack of health care. These problems are exacerbated for ethnic and racial minority MTFs. Support available from their social networks can help MTFs alleviate these problems. This article explores how minority MTFs, specifically in an urban environment, develop supportive social networks defined by their gender and sexual identities. Using principles of community-based participatory research (CBPR), 20 African American and Latina MTFs were recruited at a community-based health care clinic. Their ages ranged from 18 to 53. Data were coded and analyzed following standard procedure for content analysis. The qualitative interviews revealed that participants formed their gender and sexual identities over time, developed gender-focused social networks based in the clinic from which they receive services, and engaged in social capital building and political action. Implications for using CBPR in research with MTFs are discussed.
Communities with histories of oppression have shown great resilience. Yet few health interventions focus on structural oppression as a contributor to health problems in these communities. This paper describes the development and active ingredients of Community Wise, a unique behavioral-health intervention designed to reduce substance use frequency, related health risk behaviors, and recidivism among individuals with a history of incarceration and substance abuse residing in distressed and predominantly African American communities. Community Wise, developed through the collaborative efforts of a board of service providers, researchers, consumers, and government officials, is a 12-week group intervention that aims to address behavioral-health problems by raising critical consciousness in distressed communities.
Objectives International Community-Based Participatory Research (CBPR) is vulnerable to contextual, political, and interpersonal issues that may hamper researchers' abilities to develop and sustain partnerships with local communities. This paper responds to a call for systematizing CBPR practices and to the urgent need for frameworks with potential to facilitate partnership building between researchers and communities in both "developed" and "developing" countries. Methods Using three brief case examples, each from a different context, with different partners and varied research questions, we demonstrate how to apply the International Participatory Research Framework (IPRF). Results IPRF consists of triangulated procedures (steps and actions) that can facilitate known participatory outcomes: (1) community-defined research goals, (2) capacity for further research, and (3) policies and programs grounded in research. Conclusions We show how the application of this model is particularly helpful in the planning and formative phases of CBPR. Other partnerships can use this framework in its entirety or aspects thereof, in different contexts. Further evaluation of how this framework can help other international partnerships, studying myriad diseases and conditions, should be a focus of future international CBPR.
English This article presents a five-step model for establishing participatory research reflecting the principles of collaboration between researchers and community partners. Theoretical discussion is illustrated from experience gained in the preliminary phases of an international research project on HIV/AIDS work in Brazil. The congruence with social work values is noted. French Cet article présente un modèle en cinque étapes d'établissement d'une recherche participative. Ce modèle reflète des principes de collaboration entre chercheurs et partenaires communautaires. L'expérience de la phase préparatoire d'un projet de recherche internationale en lien avec le travail se le VIH/SIDA au Brésil en illustre les fondements théoriques. La congruence avec le travail social est notée. Spanish Se presenta un modelo de cinco fases para establecer investigación participativa, modelo que refleja los principios de colaboración entre los investigardores y los miembros de la comunidad. La teoría se ilustra con la experiencia derivada de las fases preparatorias de un proyecto de investigación internacional sobre el VIH/SIDA en el Brasil. Se destaca la congruencia de tal proyecto con los valores éticos del trabajo social.