ADOLESCENT DRUG REHABILITATION SERVICE MODELS IN HONG KONG: FROM THE PERSPECTIVE OF FRONTLINE SOCIAL WORKERS

2021 ◽  
Vol 55 (01n02) ◽  
pp. 101-115
Author(s):  
BEN KA-CHUNG TIN ◽  
JOHNSON CHUN-SING CHEUNG

This study aimed to contribute to an exploratory categorization of different adolescent drug rehabilitation service models in Hong Kong. In-depth interviews were conducted with local social workers working in the medical model setting, integrated model setting, and social model setting. There was a trend that hybrid models were used by the drug rehabilitation service providers and a shift to postmodernism was found in the current service settings.

2017 ◽  
Vol 17 (5) ◽  
pp. 659-675
Author(s):  
Denise T-S Tang

Hong Kong has recently witnessed heightened public awareness of the issues of rights, civil society and citizenship. Contested relations with the Beijing government and slower economic growth in mainland China have seen more Hong Kong citizens become involved in civic engagement and identity politics. Youth service providers thus find themselves forced to respond to a rapidly changing society and changing youth needs while being situated in institutions with their own structural constraints and work culture. The result is that occupational stress is increasingly common amongst Hong Kong secondary school teachers and social workers. This paper presents the findings of a qualitative ethnographic study involving 16 in-depth interviews with community leaders, teachers and school-based social workers. How does a changing society affect youth work in general? How does greater discussion of democracy and human rights in the public sphere affect the way that youth service providers perform youth work? What are the changing roles and responsibilities of these providers in offering support to Hong Kong youth? The research themes that emerged include changing demographics and youth scene, a democratising public sphere in relation to Chinese youth and professionalism as a youth service provider.


Author(s):  
Mary Ann Clute

Physical disability is traditionally defined by society's view of atypical function. The medical model offers information on factors contributing to physical disability, including genetics, injury, and disease. The social model of disability, however, defines the societal responses, not the physical differences, as disabling. People with physical disabilities have unique characteristics and experiences that fall into the broad range of human diversity. They belong as full participants in society. Social workers must focus on working in respectful partnerships with people with physical disabilities to change environments and attitudes. This will help build a just society that honors diversity. This entry addresses multiple factors that cause disability, from genetics to environment, as viewed through the medical model. The social model view of “the problem” is offered in comparison. It also introduces the wide diversity of people with physical disability. The entry discusses two major societal responses to physical disability. Environmental modification is one approach. A more recent approach, Universal Access, involves upfront design of environments to meet diverse needs. The final sections explain implications for social workers and lays groundwork for action. Creating access and respectful partnerships are foundations of the work ahead. It is difficult to define physical disability without situating the discussion in the model used to view and deal with human diversity. This discussion is based on the social model of disability, a view of disability that sees the environment as disabling, not the individual condition. Discussion of the medical model is offered as a contrast. (For a more complete discussion of disability models, see Mackelprang's Disability: An Overview in this publication.)


2017 ◽  
Vol 17 (4) ◽  
pp. 547-561
Author(s):  
Ruby C. M. Chau ◽  
Sam W. K. Yu ◽  
Kathy Boxall

This article contributes to the search for suitable approaches to combat social exclusion faced by disabled people in capitalist wage labour markets. Referring to policy and service examples in Hong Kong, it reviews four social exclusion approaches – the Moral Underclass (MUD), Social Integrationist (SID), Redistributive (RED) and Collective Production (COP) approaches. These approaches are explored in relation to three key issues: (1) the diverse preferences of disabled people; (2) the myth of infeasibility regarding unconventional approaches and (3) the defects of the medical model of disability. The article argues that the MUD and SID approaches are more associated with the medical model of disability and emphasise individual changes. The RED and COP approaches contain more features of the social model of disability and are in favour of social and structural changes. The COP approach stresses the diverse preferences of disabled people and supports innovative services to combat social exclusion.


Author(s):  
Sally Holland ◽  
Jonathan Scourfield

Social work is inherently political because its parameters are set by the government of the day and many social workers are employed by the state and have important legal powers through that employment. ‘The politics of social work’ focuses on some of the main fault-lines of debate about social work’s purpose and methods, including assumptions, principles, and values. The four big debates considered are individual problems vs social conditions; understanding the past vs practical help with present functioning; intervention vs non-intervention; and the medical model vs the social model. It also looks at the relationship between social work and government.


2001 ◽  
Vol 21 (3) ◽  
pp. 279-296 ◽  
Author(s):  
JACQUIE EALES ◽  
NORAH KEATING ◽  
ANNITA DAMSMA

The philosophy concerning long-term care for frail seniors has shifted from a provider-driven, medical model toward a more client-centred, social model. While this philosophy emphasises the decision-making abilities of clients and respect for their values and preferences, evidence suggests that there are difficulties in understanding and implementing the philosophy. Qualitative in-depth interviews were conducted with residents of adult family living and assisted living programmes in western Canada to better understand the elements that residents themselves felt were integral to client-centred care.Three main themes emerged from the data analysis: (1) the physical setting, people within the setting, and the community were important areas of expression of residents' values and preferences; (2) the decision about where to live influenced whether the residential care environment was congruent with residents' values and preferences; (3) contentment resulted when there was a good fit between preferences and experiences, reflecting the essence of residents' perspective of client-centred care. Choices among models of care, appropriate staffing levels and training, and recognition of family contributions may improve the practice of client-centred care.


Author(s):  
Diana K. Kwok

Professional development has been recognized as one of the strategies to effectively combat sexual prejudice and negative attitudes against lesbian, gay, bisexual, questioning/queer (LGBQ+) individuals and sexual minorities. Nevertheless, studies related to LGBQ+-inclusive training are rarely found in the Chinese Hong Kong context, where sexual prejudice still prevails without the establishment of antidiscrimination law. Sociocultural considerations, such as religious and parental influences, are obstacles to discussing the reduction of sexual prejudices, both within wider society and social work organizations, without institutional support. This paper aims to understand social workers’ perspectives on prejudice reduction training themes and perceived cultural barriers through qualitative in-depth interviews with 67 social workers. Qualitative thematic analysis yielded the following themes: (1) understanding sexuality; (2) initiating training legitimately; (3) contesting religious and cultural assumptions; (4) resolving value and ethical dilemma; (5) selecting relevant knowledge; (6) implementing diverse training strategies. The study suggests that social workers and service providers need to understand how sexual prejudice is manifested in Hong Kong through unique cultural forces. LGBQ+-inclusive content, addressing updated concepts and prejudice-free language, should be incorporated into the training curriculum. Intergroup contact, professional reflection, and experiential learning are suggested as training strategies (190).


Author(s):  
Talent Mhangwa ◽  
Madhu Kasiram ◽  
Sibonsile Zibane

The number of female drug users has been on the rise in South Africa, with statistics reflecting a rise in the number of women who attend treatment centres annually. This article presents empirical data from a broader qualitative study which aimed to explore perceptions concerning the effectiveness of aftercare programmes for female recovering drug users. The main data source was transcripts of in-depth interviews and focus groups with both service users and service providers from a designated rehabilitation centre in Gauteng, South Africa. Framed within a biopsychosocial-spiritual model, this article explores the perceptions and meanings which the female recovering drug users and the service providers attach to aftercare programmes. The findings of the research outlined the range of factors promoting recovery, alongside noteworthy suggestions for improvement in aftercare services. While acknowledging multiple influences on behaviour, this article highlights the significance of these findings in planning and implementing holistic aftercare programmes.


2010 ◽  
Vol 38 (3) ◽  
pp. 564-579 ◽  
Author(s):  
Janet E. Lord ◽  
David Suozzi ◽  
Allyn L. Taylor

The United Nations Convention on the Rights of Persons with Disabilities (the CRPD or the Convention), adopted on December 13, 2006, and entered into force on May 3, 2008, constitutes a key landmark in the emerging field of global health law and a critical milestone in the development of international law on the rights of persons with disabilities. At the time of its adoption, the U.N. High Commissioner for Human Rights heralded the CRPD as a rejection of the understanding of persons with disabilities “as objects of charity, medical treatment and social protection” and an embrace of disabled people as “subjects of rights.”The text of the Convention itself, and the highly participatory process by which it was negotiated, signal a definitive break from previous international approaches that focused on disability within a medical model framework. In contrast to traditional approaches, the CRPD embraces a social model of disability, concentrating the disability experience not in individual deficiency, but in the socially constructed environment and the barriers that impede the participation of persons with disabilities in society.


Author(s):  
Hagit Sinai-Glazer ◽  
Boris H J M Brummans

Abstract How do welfare-reliant mothers enact their agency in relationships with social workers and social services? The present article addresses this question by investigating how twenty Israeli welfare-reliant mothers expressed different modes of human agency in in-depth interviews. Results show how research participants enact agency through (i) expressing anger, (ii) seeking help, (iii) resisting and (iv) engaging in non-action. By highlighting the multidimensional and situational nature of agency, this article offers a new relational lens for conceptualising and empirically studying human agency in social work.


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