scholarly journals Navigating and Negotiating Health and Social Services in the Context of Homelessness: Resistance and Resilience

2021 ◽  
pp. 1-14
Author(s):  
Sue-Ann MacDonald ◽  
Philippe-Benoit Cote
Keyword(s):  
Social Inequality ◽  
Social Services ◽  
Service User ◽  
Professional Relationships ◽  
Service Users ◽  
Structural Constraints ◽  
Institutional Practices ◽  
Health And Social Services ◽  
Stigma Resistance

In this article, we draw upon a case study exploring social inequality and homelessness in homeless-oriented services in a large health and social services centre in Montreal, Quebec, Canada. We take up professionals’ (working in homelessness services) and service users’ (people experiencing homelessness) (N=12) perspectives exploring slippery notions of empowerment/disempowerment using a stigma, resistance, and resilience lens. We mobilize the concepts of navigation and negotiation to better understand participants’ experiences of stigma and the dialogical tensions in empowerment/disempowerment constructs moving beyond simple worker/service user dichotomies of powerful/powerlessness. We explore the more nuanced ways professionals and people who experience homelessness (often described in passive terms) understand these tensions and the dynamics at play within professional relationships, systems, and structural constraints. We unpack professionals’ “silent practices” in their effort to “empower” service users and resist institutional forged by neoliberal pressures. We make the case that systemic and structural constraints manifested in institutional practices push people experiencing homelessness to adopt strategies of resilience.

scholarly journals Personsentrert omsorg i praksis: Fire perspektiver på støttekontakttjenesten i demensomsorgen - en case studie design

2018 ◽  
Vol 14 (2) ◽  
Author(s):  
Aud Johannessen ◽  
Kirsten Thorsen
Keyword(s):  
Social Services ◽  
Study Design ◽  
Qualitative Studies ◽  
Good Service ◽  
Health And Social Services ◽  
Case Study Design ◽  
People With Dementia

The number of people with dementia is increasing rapidly and will result in a growing demand for varied health and social services. Support contact is a potential service with positive implications, but it has yet to be explored fully. The aim of this study was therefore, to explore these questions: 1) Will the support contact service be a favorable service for people with dementia? 2) How is the service experienced by patients with dementia, their carers, the support contacts, and the municipality’s administration of the service? 3) What experiences do those involved have of the service, and what do they regard as essential for a good service? A case-study design with qualitative studies of the involved illustrates the concept. The study concludes that support contact can be a highly appropriate service for people with dementia and their carers, and eventually can be coordinated with other services. 

Establishing working relationships in online social work

2016 ◽  
Vol 18 (3) ◽  
pp. 307-325 ◽  
Author(s):  
Guido van de Luitgaarden ◽  
Michelle van der Tier
Keyword(s):  
Social Work ◽  
Service User ◽  
Psychosocial Problems ◽  
Working Relationships ◽  
Service Users ◽  
Working Relationship ◽  
Online Chat ◽  
Service Workers ◽  
Work Education

Summary This article reports on an empirical case study into the process of establishing a working relationship between social workers and service users in an online social work service. Workers were using an online chat application to interact with young people, who sought professional help for various types of psychosocial problems. Two chat conversations and one interview of each of five research participants were analysed in terms of the way in which the working relationship between the service user and the online social worker was established. Thus, a total of 10 chat conversations and five interviews were included in this study. Findings Subjects were shown to be particularly focused on the process of addressing the issues with which the service users were trying to cope. As a consequence, limited effort was observed with regard to shaping the working relationship in such a way that the service user gained control over the course of the conversation. Applications As the medium influences the process of establishing a positive working relationship, it is argued that the worker should be able to understand the implications for the manner in which online conversations are conducted. Social work education is called upon to facilitate the acquiring of the knowledge and skills needed for such. It is suggested that more research into service users’ expectations regarding the working relationship within online social work could provide additional insights for the further improvement of these types of services.

scholarly journals Development of accreditation standards for interprofessional education: a Canadian Case Study

2021 ◽  
Vol 19 (1) ◽  
Author(s):  
Ruby E. Grymonpre ◽  
Lesley Bainbridge ◽  
Louise Nasmith ◽  
Cynthia Baker
Keyword(s):  
Social Services ◽  
Interprofessional Education ◽  
World Health ◽  
Major Influence ◽  
Education Programs ◽  
Health And Social Services ◽  
Accreditation Standards ◽  
The World ◽  
Health Social Services

Abstract Background Academic institutions worldwide are embedding interprofessional education (IPE) into their health/social services education programs in response to global evidence that this leads to interprofessional collaborative practice (IPC). The World Health Organization (WHO) is holding its 193 member countries accountable for Indicator 3–06 (‘IPE Accreditation’) through its National Health Workforce Accounts. Despite the major influence of accreditation on the quality of health and social services education programs, little has been written about accreditation of IPE. Case study Canada has been a global leader in IPE Accreditation. The Accreditation of Interprofessional Health Education (AIPHE) projects (2007–2011) involved a collaborative of eight Canadian organizations that accredit pre-licensure education for six health/social services professions. The AIPHE vision was for learners to develop the necessary knowledge, skills and attitudes to provide IPC through IPE. The aim of this paper is to share the Canadian Case Study including policy context, supporting theories, preconditions, logic model and evaluation findings to achieve the primary project deliverable, increased awareness of the need to embed IPE language into the accreditation standards for health and social services academic programs. Future research implications are also discussed. Conclusions As a result of AIPHE, Canada is the only country in the world in which, for over a decade, a collective of participating health/social services accrediting organizations have been looking for evidence of IPE in the programs they accredit. This puts Canada in the unique position to now examine the downstream impacts of IPE accreditation.

Creating Innovative Public Services by Fostering Conflicts

2016 ◽  
Vol 5 (1) ◽  
pp. 1-12 ◽  
Author(s):  
Paula Rossi ◽  
Pasi-Heikki Rannisto ◽  
Jari Stenvall
Keyword(s):  
Social Services ◽  
Public Service ◽  
Public Services ◽  
Critical Realism ◽  
Public Administrators ◽  
The Public ◽  
Health And Social Services ◽  
Public Sector Leadership ◽  
Service Perspective

This article presents a case study focused on the conflicting logics of multiple actors involved in planning, organizing and providing health and social services in an innovative way. The aim was to empirically approach the experiences of the actors coping with the complexity of the multiple, often contradictory logics, concluding with a theoretical approach on how the leadership could strengthen the development of innovative public services. Data consisted of documents, observations and interviews and was analyzed through a critical realism approach. The purpose of this qualitative case study was to increase the understanding of the leadership as a constraining and an enabling force when developing innovative public services in a networked environment. As a result, two conflicting institutional logics were found: the costs-based logic of the public administrators and politicians, and the service-based logic of the citizens and public service producers, and the needs to consider the service perspective, new hybrid practices and changing meanings given to cooperation in public sector leadership are covered.

scholarly journals “Communitas in Crisis”: An Autoethnography of Psychosis Under Lockdown

2021 ◽  
pp. 104973232110252
Author(s):  
Alison Fixsen
Keyword(s):  
Mental Health ◽  
Social Interactions ◽  
Social Services ◽  
Social Isolation ◽  
Psychiatric Ward ◽  
Service Users ◽  
Social Distancing ◽  
Health And Social Services ◽  
Socially Constructed ◽  
Acute Psychiatric Ward

In this article, I use autoethnography to examine time spent on an acute psychiatric ward during the COVID-19 lockdown. I employ the device of “communitas in crisis” to emphasize the precarious nature of this experience and the extent to which, for myself at least, informal social interactions with fellow patients and “communitas” were significant features of my hospital experience and subsequent discharge. I suggest that a lack of emphasis on inpatient to inpatient relationships in the recovery literature is an omission and a reflection of psychiatry’s authority struggles with both service users and professionals, along with a general perception of psychosis as individual rather than as a socially constructed phenomenon. I also suggest that, especially in the wake of greater social distancing, mental health and social services should safeguard against psychological and social isolation by creating more spaces for struggling people to interact without fear or prejudice.

scholarly journals Co-producing Psychiatric Education with Service User Educators: a Collective Autobiographical Case Study of the Meaning, Ethics, and Importance of Payment

2019 ◽  
Vol 44 (2) ◽  
pp. 159-167 ◽  
Author(s):  
Sophie Soklaridis ◽  
Alise de Bie ◽  
Rachel Beth Cooper ◽  
Kim McCullough ◽  
Brenda McGovern ◽  
...  
Keyword(s):  
Service User ◽  
Service Providers ◽  
Organizational Structures ◽  
Psychiatric Education ◽  
Service Users ◽  
University Of Toronto ◽  
Study Approach ◽  
Education Data ◽  
Mental Health Service User

Abstract Objective Co-production involves service providers and service users collaborating to design and deliver services together and is gaining attention as a means to improve provision of care. Aiming to extend this model to an educational context, the authors assembled a diverse group to develop co-produced education for psychiatry residents and medical students at the University of Toronto over several years. The authors describe the dynamics involved in co-producing psychiatric education as experienced in their work. Methods A collaborative autobiographical case study approach provides a snapshot of the collective experiences of working to write a manuscript about paying service users for their contributions to co-produced education. Data were collected from two in-person meetings, personal communications, emails, and online comments to capture the fullest possible range of perspectives from the group about payment. Results The juxtaposition of the vision for an inclusive process against the budgetary constraints that the authors faced led them to reflect deeply on the many meanings of paying service user educators for their contributions to academic initiatives. These reflections revealed that payment had implications at personal, organizational, and social levels. Conclusion Paying mental health service user educators for their contributions is an ethical imperative for the authors. However, unless payment is accompanied by other forms of demonstrating respect, it aligns with organizational structures and practices, and it is connected to a larger goal of achieving social justice, the role of service users as legitimate knowers and educators and ultimately their impact on learners will be limited.

Developing and Implementing Is: A Case Study Analysis in Social Services

1997 ◽  
Vol 12 (4) ◽  
pp. 305-321 ◽  
Author(s):  
Lesley Riley ◽  
Gill Smith
Keyword(s):  
Social Services ◽  
Health Informatics ◽  
Social Care ◽  
Study Analysis ◽  
Case Study Analysis ◽  
Health And Social Services ◽  
The Social ◽  
Participative Design ◽  
Is Projects

Many organizations fail to implement or reap the benefits of information systems (IS) projects. The social care sector is not yet a great user of information technology (IT) and the thinking about IS is generally less well-developed than, for instance, in the health care sector. Research in health informatics indicates that there are special problems in creating integrated solutions and achieving the uptake of systems. This project was therefore undertaken with the benefit of experience of previous projects in health and social services and in the expectation that attention to participative design and people factors would be the key determinants of success. The paper describes the outcomes and draws conclusions about the special characteristics of IS projects in social services.

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