Factor-Inwentash Faculty of Social Work
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The Factor-Inwentash Faculty of Social Work at the University of Toronto is Canada’s first school of social work. The Faculty is distinguished by its emphasis on the integration of research and practice in both the classroom and practicum education.
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Item Aesthetics of Social Work: Governing Risky Spaces and Youth Subjects through Techniques of Visuality(2012-11) Crath, Rory ; Williams, Charmaine ; Social WorkIn the wake of a rescaling of national state welfare responsibilities, urban centres, like the city of Toronto, have become new governance sightlines for managing the deleterious effects of a globalised restructuring of capitalist economies. Toronto is now trafficking its multicultural and “creative city” flare in regional and global markets to secure capital investment necessary to float its newly acquired fiscal responsibilities, including welfare and social services provisioning. And a host of local private-public partnerships have appeared as “shadow state” actors to assist in the suturing of disenfranchised communities to the operative logics of neo-liberal governance and globalised city aspirations. Social welfare and urban studies literature has not been attentive to the increasing reliance on visuality and the “aesthetic” more broadly in securing these desired social and economic outcomes. My ethnographically based dissertation picks up this analytical slack by inciting a two-fold intervention: First, I hone in on the efficacious properties of visual images produced within 3 different social policy spaces and their presumed roles in constituting the domains of social interaction and production. This analysis illustrates that different policy crafting experts understand the “aesthetic” as a remunerative technology of governance - for regulating the problematics of socio-economic and racialised difference, and for mediating rifts in the social fabric as fallout from welfare retrenchment. Second, I examine the ways in which certain normativised aesthetic sensibilities connected to neoliberal urbanism serve as both a calculative resource for re-defining certain spaces and subjects as problematic and thus controllable, and an interpellative mechanism for assembling moralized subjects around the dictates of responsibility and (self) empowerment. The dissertation argues that although these aesthetic governance strategies are resulting in a depoliticisation of communities, and a moralised segregation of compliant and non-compliant subjects played out along racialised /economic lines, there exists a level of disruption transpiring in the spaces of policy implementation. In situ attention to these disruptions, layered with a reflexive analytical restaging of these events and a critical analysis of deployed governance strategies are proposed as a grounding for social work, research and social policy praxis.Item Are Executive Function Difficulties Reported by Parents and Teachers Associated with Elevated Levels of Parenting Stress for Children Diagnosed with Attention-Deficit/Hyperactivity Disorder, with and without Oppositional Defiant Disorder?(2012-01-10) McLuckie, Alan ; Mishna, Faye ; Social WorkParents raising children with Attention-deficit/hyperactivity disorder (ADHD) experience high levels of parenting stress, especially when ADHD is accompanied by comorbid Oppositional Defiant Disorder (ADHD/ODD). Children with ADHD experience difficulties with their executive functions in such areas as inhibition control, working memory, and emotional regulation. Despite evidence linking ADHD with parenting stress, and ADHD with executive function difficulties (EFDs), there is little research exploring whether EFDs within an ADHD population are associated with parenting stress. This dissertation’s main objective is to determine whether parent-reported and teacher-reported childhood EFDs are associated with elevated levels of parenting stress. A secondary data analysis was completed on a cross-section of parent and teacher completed psychiatric assessment measures for children (n=243) diagnosed with ADHD. Measures included the Behavior Rating Inventory of Executive Function, the Conners’ Parent Rating Scale and the Parenting Stress Index, Long Form. A number of important findings were produced; key of which was the finding that a strong association exists between parent-reported EFDs and Child Domain parenting stress. Consistent with prior ADHD research, difficulties with emotional control and inhibition were found to be potent predictors of Child Domain parenting stress. To a lesser degree, children’s difficulties with initiation and self-monitoring were associated with Child Domain parenting stress, suggesting that daily hassles pose challenges for parents, especially when the child attends a new school. Also important was the finding that parent-reported oppositionality partially mediated the relationship between EFDs with emotional control, inhibition and shift, and Child Domain parenting stress. Despite teachers’ reports that children displayed more severe behaviours than were reported by parents, teacher-reported EFDs were not significantly associated with Child Domain parenting stress, with a few exceptions. Although not a well-explored concept within the literature on ADHD and parenting stress, parental acceptance of the child emerged as source of Child Domain parenting stress and a potential focus for assessment and treatment. Findings from the current study suggest that early identification and intervention with emotional control difficulties and ODD are vital due to their strong association with clinically significant levels of Child Domain parenting stress.Item At the Bottom: Migrant Workers in the South Korean Long-term Care Market(2012-08-31) Um, Seong Gee ; Lightman, Ernie ; Social WorkThis thesis explores Korean-Chinese migrant workers’ local experiences of the global phenomenon of international migration of care labour, focusing on how the care labour of migrant workers is being constructed through the intertwined social and political processes in South Korea’s shifting long-term care sector for the elderly. The thesis uses a qualitative case study method and relies on data collected through participant observation, interviews, and textual analysis during field research between November 2009 and May 2010. The analysis is based on a global economy of care framework, which understands care work as being made of products that are socially and politically constructed in the global processes. My study findings illuminate the roles and relations of the state, the employers, and the workers in producing a huge migrant workforce in South Korea’s segregated elder care labour market. The policy analysis at the intersection of elder care, labour market, and immigration policies shows that, over the last decade, the South Korean government has significantly reconstructed the boundaries of elder care work through the expansion of publicly-funded programmes for the elderly and the institutionalisation of care work in those programmes. In the institutionalisation process, the government’s ignorance about the care work performed in the private care sector has resulted in different regulations and working conditions for care workers in the publicly-funded versus the private sector. My empirical findings highlight how employers’ search for ‘cheap’ and ‘flexible’ labour and older female migrants’ disadvantageous status in the labour market have placed these workers in the less regulated private sector and their pay and working conditions at the bottom of hierarchical elder care workforce. In advocating for migrant care workers’ labour rights, this thesis challenges the current discriminative employment practices and the government’s lack of protection and regulation of care work in the private sector.Item Attending to Clinical Practice: A Phenomenological Study Exploring the Structure of Clinical Attention and its Relationship with Holistic Competence(2012-01-10) Katz, Ellen ; Bogo, Marion ; Social WorkAttention is an acknowledged component of the therapeutic relationship that is the heart of clinical work and the base of competence. The centrality of the therapeutic relationship itself has been recognized throughout the history of clinical work. The clinician’s work is based, in part, in attending to the client by actively and openly listening to the client with attention and engagement. However, attention has been lacking within mental health disciplines to what occurs within the process of clinical attention. As a result, little knowledge exists about the structure of clinical attention itself. This dissertation studied the structure of clinical attention to understand what occurs when clinicians attend to their clients in sessions. The thesis focused on the internal processes occurring within the clinician, not on actions or interventions taken in sessions. The literature review grounded the study theoretically in mind science and contemplative science, the study of reality grounded in both objective and subjective experience. The literature review also conceptualized attention in its sub processes of mindfulness, meditation, reflective practice and affect regulation, examining literature relevant to those constructs as well as to the history, philosophy and psychology of attention. The literature revealed a lack of knowledge of the structure and process of clinical attention. Using the extant literature, a new theoretical framework of attention was constructed. Attention was conceptualized as composed of levels of pre-reflective and reflective attention as related to the attention sub processes. A phenomenological methodology was used to study the structure of clinical attention in relation to holistic competence. Fourteen clinicians, all of whom met the criteria for attaining expertise in the use of attention in their clinical work, participated in an explicitation interview. Data analysis followed a modified phenomenological methodology in a series of steps as the data were grouped in invariant constituents, reduced to emergent themes and analyzed for a textural structural description from which a structural description was constructed. From the structural description was distilled the essence of clinical attention. Clinical attention was seen to consist of a dynamic and iterative process of intention and intuition. Intention and intuition were seen to be based in different attentional levels, both of which were recursively and iteratively related to attention’s construction as a process grounded in inner awareness providing the potential abilities to reflect on experience and regulate affective experience. The study concluded with a discussion of the relationship of the skill of clinical attention to a holistic competence based in levels of procedural capability focused on concrete behavioural action and meta competence focused on clinical judgment, self-awareness and self-reflection on the actions taken. The implications of the study’s findings for training clinicians in attention were discussed.Item Children's Exposure to Intimate Partner Violence (IPV): Challenging Assumptions about Child Protection Practices(2010-03-01T19:35:39Z) Black, Tara Loise ; Regehr, Cheryl ; Social WorkObjective: While child welfare policy and legislation in Canada and other regions has increasingly defined children who are exposed to intimate partner violence (IPV) as maltreated, little is known about the response of the child welfare system to children exposed to IPV. This dissertation seeks to determine the response of child protection services to reports about IPV; the outcomes of child protection investigations referred for children exposed to IPV; and what factors predict decisions made by child protection workers (e.g., court involvement, child welfare placement, closing the case, substantiation, and making a referral to other supportive services) for investigations involving children exposed to IPV. Methods: This study is based on a secondary analysis of data collected in the 2003 Canadian Incidence Study of Reported Child Abuse and Neglect (CIS-2003). Bivariate analyses and multiple multinomial regression were conducted to study the substantiation of maltreatment, and logistic regression was conducted to predict child protection workers’ decisions to keep the case open, make a child welfare placement, take the family to court, and make a referral for investigations involving children’s exposure to IPV. Results: Seventy-eight percent of the investigations involving only IPV were substantiated. The multinomial regression could not accurately classify the suspected and unfounded cases. Substantiated investigations involving co-occurring IPV were three times more likely to stay open for ongoing child protection services compared to IPV only cases (adjusted odds ratio = 2.93, p < .001). Child protection service outcomes for substantiated investigations involving co-occurring IPV were ten times more likely (adjusted odds ratio = 10.61, p < .001) to involve a child welfare placement compared to IPV only cases. The factors driving child protection worker decisions were primarily the co-occurrence of maltreatment, younger children, and emotional harm. Conclusions: Due to the expansion in what constitutes a child in need of protection, there has been an overwhelming increase in the number of referrals about children being exposed to IPV in Canada. Future analyses should explore whether policies that direct IPV cases to child welfare services is both an effective way of protecting children and a reasonable use of limited child welfare resources.Item Clinician Mandatory Reporting and Maintenance of the Therapeutic Alliance(2013-01-07) Tufford, Lea ; Bogo, Marion ; Social WorkThe objectives of this study are two-fold: (a) to delineate the factors that guide Ontario social workers’ decision-making when rendering judgments on the mandatory reporting of child maltreatment and (b) to understand how social workers maintain the therapeutic alliance with children and families following the decision to report suspected child maltreatment. The study is informed by two distinct bodies of literature: the decision-making theoretical literature within the fields of medicine, psychology, social work, and marriage and family therapy and the therapeutic alliance theoretical literature. Harnessing the advantages of online survey technology, the study surveyed registered members (n = 480) of the Ontario Association of Social Workers who provide direct service to children and families. Participants responded to prepared vignettes of suspected child maltreatment followed by Likert-scale questions (strongly agree to strongly disagree) and open-ended questions on strategies to maintain the alliance. Open-ended questions allowed respondents to offer further commentary regarding their opinions on mandatory reporting and on maintaining the therapeutic alliance. These comments added a rich source of information to the quantitative data. Multiple logistic regression analyses showed that social workers’ ethical responsibility to the College of Social Workers and Social Service Workers, their legal responsibility to the provincial mandatory reporting laws of Ontario, and consultation with peers or eliciting direction from a supervisor comprised the main factors in their decision-making around reporting suspected child maltreatment to the Children’s Aid Society. Qualitative analyses showed that social workers employ a plethora of strategies to repair the alliance following a disclosure of child maltreatment including reporting strategies, information strategies, affect regulation strategies, advocacy strategies, and resource strategies. The major limitation of the research design was the use of vignette research, which in proscribed circumstances may not reflect what the social worker does in actual practice. Design features that compensate for this limitation include (1) use of a 5-point Likert-item response of strongly agree to strongly disagree to allow respondents a range of responses; and (2) use of open-ended questions to allow respondents the opportunity to express their opinions on the issues.Item Demystifying the Commodification of Social Relations in the Ontario Child Protecton System: A Marxist Approach to Textual Analysis(2013-08-09) Preston, Susan ; Chambon, Adrienne S. ; Social WorkDemystifying the Commodification of Social Relations in the Ontario Child Protection System: A Marxist Approach to Textual Analysis Susan Elizabeth Preston Doctor of Philosophy Faculty of Social Work University of Toronto 2013 In the space of quiet and disquiet, another read is possible. Abstract Capitalism invades all aspects of society, including the welfare state. Capitalist notions of the market appear to be encroaching into social services, wherein we see the “businessology” of social work; however, little empirical attention has been given to how capitalism appears to be replicated within social services. This research aims to make the invisible visible in order to agitate for radical change in the organization and practice of social service provision. In this inquiry, focusing on the child protection system in Ontario I examine some of the documentary actualities of the ruling apparatus of regulated parenthood and childhood by exploring the textualities of the state. Specifically, through the critical lens of Marxism and feminism, and drawing on my own experience of a classed and gendered world, I critically deconstruct the regulatory texts closest to the state, the legislation of the Child and Family Services and the regulations that expand the legislative intent. I also explore the procedural document of the Ontario Risk Assessment Model as an enacted text that operationalizes the legislation and regulation. By reading and re-reading these texts, at the surface but also above and below the surface, positioning the documents in context and recalling my social work practice, I seek answers to questions of how texts replicate capital, and commodify social relations through the ruling apparatus of the state. This work queries how the text itself in its active use of language has implications for social work, in practice, in research and in education.Item The Difference between Ecological Context and Treatment Progress of Young Girls with Comorbid Externalizing and Internalizing Disorders and Young Girls with Only Externalizing Disorders(2011-02-23T15:47:15Z) Webber, Jeanine Anne ; Stern, Susan ; Social WorkMany children and their families who seek assistance for childhood behaviour disorders experience comorbid disorders, namely the presence of two or more disorders. Although comorbid disorders are recognized as a frequent clinical complication, minimal direction exists within the literature about the risk factors for comorbid conditions and how best to provide intervention services. In this study an ecological framework was used to compare the individual, family, and community environmental contexts of young girls who presented at intake at a children’s mental health centre with comorbid externalizing and internalizing disorders, and girls who presented at intake with externalizing disorders only. The treatment response to a cognitive-behavioural intervention for externalizing behaviour disorders was examined, by comparing externalizing scores over time between girls with comorbid externalizing and internalizing disorders and girls with externalizing disorders only. Additionally, internalizing scores over time for girls with comorbid disorders were examined. Results indicated that a history of abuse and a cluster of individual characteristics placed girls at higher risk to present with comorbid conditions. The results also indicated that girls with comorbid disorders experienced a reduction of both externalizing and internalizing symptoms. Only 1 in 7.4 girls, however, scored below the clinical range for both externalizing and internalizing disorders at the end of the treatment phase, in comparison to 1 in 5 girls scoring below the clinical range for externalizing disorders in the noncomorbid group.Item Diverging and Contested Feminisms in Early Social Work History in Ontario (1900-1950)(2015-03) Johnstone, Marjorie Winnifred; Chambon, Adrienne S; Social WorkAbstractThis study examines early Ontario social work history by documenting the lives of four women who contributed to the history of Ontario social work some of whom have largely been forgotten. While social work remains a female-dominated profession, both currently and historically, few historical studies have addressed this. This study attempts to equalize the views and voices of social workers by including select women who were active in the field illuminating and identifying some of the contributions of women to the debates which characterized early social work in Ontario. This study selected two women from the radical tradition with socialist/communist affiliations and as counterpoint two figures who were members of the Imperial Order of the Daughters of the Empire and who represent a conservative value system based in the tradition of British imperialism. Three guiding research questions for the study are 1) what conditions organizations and practices shaped and positioned social work as a profession in its formative years 2) how were the significant debates/discursive trajectories reflected in the organizational settings of early social work? 3) How were these ideas implicated in their practice? Did these women speak through the organizations they led or participated in? How did they contribute to the production of or alternative positions to, the competing epistemĂŠs of the time? This research provides an original contribution by elaborating a history of ideas in social work through the prism of organizational practice and key formative figures. By adopting this dual focus, I capture individual agency in life history but also the cultural shift of discourse and regimes of truth, not only within individual lives but also as a myriad of intersecting overlapping discursive (ideas) and material (practices) occurrences.Item Doing the Right Thing: Negotiating Risk and Safety in Child Protection Work with Domestic Violence Cases(2011-08-31) Jenney, Angelique ; Mishna, Faye ; Social WorkThe concepts of risk and safety are central to social work practice with survivors of violence against women, especially within the child protection system. Recent studies have highlighted how discrepancies between client and worker perceptions may create problematic conditions for developing effective intervention strategies (Dumbrill, 2006; Jenney, Alaggia, Mazzuca, & Redmond, 2005). In addition, tensions exist between movement toward improving worker-client interactions through collaboration and the use of standardized risk and safety assessments as a means of improving practice. The purpose of this research study was to explore how women’s narratives of domestic violence (DV), expressed within the context of child protection services (CPS), become translated into CPS workers’ assessments of risk and need for safety planning. Using Grounded Theory Methodology (GTM), this qualitative study used focus group and interview data to explore how both workers and clients’ experiences of the process of risk assessment and safety planning influenced the course of the intervention. What emerged is that workers and clients held similar representations about the social construction/collective representation of woman abuse and the work of CPS. For both worker and client participants the concept of ‘doing the right thing’ presented itself as an over-arching theme. This theme implies that there is a perceived ‘right way’ of addressing DV cases within CPS work and enhances understanding about the ways in which social workers and clients interact. These findings illustrate how narrative structures shape interactions that take place within the context of care and prevention, manifesting themselves in complex ways that can lead to misunderstanding the impact on children, the (un) conscious subjugation of women victims, and the absence of dialogue about the role of men in addressing DV at a system level.Item Filtered Out: LGBTQ Parents Engage with Special Needs Service Systems(2015-06) Gibson, Margaret F.; Sakamoto, Izumi; Social WorkUsing ethnographic methods, this study started from the everyday activities and narratives of LGBTQ parents of children with 'special needs'. A critical approach to intersectionality was employed to consider how certain parents, children, and families are constructed as "different" or "not fitting" in particular settings and contexts, and what consequences follow (Crenshaw, 1991; Gibson, 2013). Fifteen parents and six key informants were interviewed, all of whom were based in the Greater Toronto Area. Methods used were drawn from institutional ethnography (Smith 2005) and discourse analysis (Gee, 2005; Riessman, 2008). The study found that special needs services systems operate to `filter out' potential service users at multiple points of contact, regardless of the intentions of individual providers or the written policies of organizations. Parents encounter interpersonal and text-based, procedural barriers that discourage, deny, and defer claims. As a result, parents do extensive `systemwork' to improve the chances that their children will receive needed supports, and to fill in the gaps when they do not.This institutional reliance on parental work and the resulting framework of competition means that what children and families receive is highly variable. Parents marshal whatever financial, social, and relational resources they have in support of their efforts. Often `going private' is the only or best means of being able to secure or augment public services, however only some parents have the financial means to do so. For parents and children with fewer resources and privileges, it is more difficult to avoid being filtered out. Parents reported particular vulnerabilities and strategies related to their LGBTQ identities as they navigated special needs services. Parent narratives reflected the ways that parents both contend with and reshape dominant ways of thinking about queerness and disability. The impact of dominant notions about `desirable' children and parents could not only be seen in parents' narratives and strategies, but also in their reluctance to engage with special needs systems. This discursive background is thus another means in which parents are filtered out. These findings have implications for users, researchers, and providers of special needs service systems, particularly those who want to make special needs service provision accessible and responsive to all.Item Health Management in the Age of the Internet(2011-08-29) Berg, Kristen Andrea ; Chambon, Adrienne S. ; Social WorkThis study examines the way people use online resources within their personal healthcare practices to better understand how individuals manage their health issues in the age of the Internet. It specifically addresses the extent to which the Internet is used as an information database and associated patterns of use, whether the Internet represents a source of support or enables a supportive encounter and the implications of using the Internet as part of the health management across relationships with medical professionals and oneself. Using a sequential mixed methods design, the data was gathered within a larger multidisciplinary research project conducted in East York, Ontario. An initial quantitative analysis of 350 surveys describes Internet usage. The qualitative analysis of the 86 follow-up interviews of people recounting their personal health management processes demonstrated the importance of social networks, subjective health status and Internet user-style. The facile ability to engage with health information is transforming definitions and experiences of health and relationships with medical professionals. Examining medical encounters mindful of the aspects of trust, power, knowledge and privilege reveals an evolution to the doctor-patient relationship brought about by both information and personal empowerment. Using the Internet reinforces primary relationships and points to the development of new relationships that are sought at moments of meaningful life events or circumstances. New types of connections are being built across the Internet based on shared experiences, health concerns and health identities. Applying Actor Network Theory furthers an understanding of how search engines and online resources can emerge as actors in health information seeking and health management processes. Internet use is now a part of everyday life and is no longer limited to affluent early adopters as the gaps between those with access diminish in urban Canada. While its use is becoming intrinsically linked to health management it is not a panacea for improving health outcomes. As the populations’ collective health knowledge increases, so does the presumption that health management is a personal imperative. This notion that the achievement of good health is an individual responsibility or the theory of Healthism, frames the interpretation of the large percentage of the sample indicating they are striving to become healthier. Social workers need to acknowledge the place of the Internet within its practice and to balance the emphasis on individualized health management with the perspective that health outcomes reflect community mores. It is important for social workers to treat the Internet as a medium of relationships and for social workers to become knowledgeable about what these connections can provide in terms of support and information and what the limitations and risks of these relationships can be.Item Low-income Mothers, Provisioning, and Childcare Policy: A Vision of Shared Caring(2010-02-18T19:32:09Z) Cerny, Judy Marie ; Neysmith, Sheila ; Social WorkThis research examines how childcare policy in Ontario, Canada assists and constrains low-income urban women’s strategies of provisioning for their children. Childcare policy refers to the range of programs that assist families in reconciling paid work and parenthood. In Ontario, Canada, these programs include childcare fee subsidies, tax deductions, parental leave policies, child benefits/allowances and a program regulating live-in caregivers. Provisioning is used to capture an array of daily work-related activities (e.g. paid, unpaid and caring labour) that mothers perform to ensure their children’s survival and well-being. The qualitative study, based on individual semi-structured interviews with 20 low-income mothers living in an urban community, found that women carry out various activities in provisioning for their children. Some of these are familiar and visible activities such as providing domestic caring labour, engaging in the labour market, and undertaking volunteer work in the community. Others are less visible tasks such as sustaining their health and that of their children, making claims/asserting their rights, and ensuring safety. Low-income urban mothers provision under numerous constraints. A continuous shortage of money and childcare issues are at the core of these constraints. The study also found that the mothers encounter a variety of barriers in the community, such as a limited availability of social and community services and a high level of violence/criminal activity in their neighbourhoods. Issues related to poor health, an inadequate diet, or the necessity of caring for children with special needs further constrain women’s lives. Limited English language skills, racial barriers, and the struggles of adapting to a new country add to the multi-dimensional barriers facing low-income urban mothers. The research indicates that mothers use a variety of strategies to counter these barriers; however, these strategies cost women in terms of their time as well as their physical, mental and emotional energy. Childcare policy assists to a certain extent by providing some support to low-income mothers. Enhancements to the existing policies have potential benefits; however, they are like patches on a leaky bucket. Ultimately, the bucket needs to be replaced with a new way of envisioning family responsibilities, work and childcare.Item Neighbourhood Correlates of Child Injury: A Case Sudy of Toronto, Canada(2012-08-30) Morton, Tanya Rosemary ; Hulchanski, J. David ; Social WorkThis study identifies the extent to which neighbourhood socioeconomic trends are related to intentional and unintentional child injuries in Toronto, Ontario. Children living in lower socioeconomic status (SES) neighbourhoods have often been found to face a higher injury death and morbidity rate than more well‐off children. A likely explanation is an increase in the unequal exposure to injury-promoting environments on the basis of the income polarization (a declining middle income group). However, the strength of the inverse relationship between SES and injury is related to a number of factors, including the SES indicator chosen by the researcher. Hence, a goal of the study is to determine whether neighbourhood socioeconomic trends toward income polarization have predictive power in explaining variation in injury rates in young children aged 0-6, over and above more typical measures of SES and neighbourhood disadvantage. Census data were used to determine socioeconomic trends. Neighbourhoods (census tracts) were divided into three distinct categories based on neighbourhood change in average individual income: neighbourhoods that have been improving, declining, and those displaying mixed trends. This analysis of neighbourhoods was merged with geo-coded hospital-based emergency department data to calculate rates of overall injuries, falls, burns and poisoning. The predictive power of neighbourhood socioeconomic trends on injury was compared to more typical neighbourhood disadvantage measures such as income (high, medium, low), neighbourhood employment rates, education levels, and housing quality from the 2006 census. Socioeconomic trends contributed significantly to injury outcomes, but the contribution of other neighbourhood disadvantage indicators was higher. Housing in need of repair and individuals with no university degree in a neighbourhood were positively correlated with three of four outcomes. A high immigrant population in a neighbourhood was negatively correlated with three of four outcomes. Neighbourhood socioeconomic trends had slightly more predictive power than the more typical measure of SES (high, medium or low income). Researchers should carefully consider their socioeconomic status measures when predicting injury outcomes.Item The Social Organization of the Lives of 'Semi-skilled' International Migrant Workers in Alberta: Political Rationalities, Administrative Logic and Actual Behaviours(2013-08-02) Abboud, Rida ; Neysmith, Sheila ; Social WorkThis institutional ethnography is an inquiry into the particular migrant category of International Migrant Workers (IMW) in Canada (otherwise known as Temporary Foreign Workers). It looks at how the daily lives of IMWs who have been deemed as ‘semi-skilled’ by the National Occupational Classification (NOC) system are organized by their immigration and job status in Canada. These IMWs are working primarily in the food service, hotel or retail industries in front-line and often precarious employment in Southern and Western Alberta. The data was collected through a literature review, interviews, observations, and textual analysis. The participants that informed this inquiry are IMWs, service providers in the immigrant sector, representatives from the Alberta Government, and an immigrant recruiter/consultant. This study uses an ‘ideological circle’ (Yan, 2003), which maps out the process through which governmental ideology is filtered down to all levels of society via a set of ideas, knowledge, procedures and methods about people and processes. It provides a vehicle to identify the specific social relations that organize people in different sites. It becomes apparent through this mapping that along with the political rationalities of neoliberal criteria and the logic of globalization, and market civilization and citizenship, certain administrative logic and technologies of government such as situating IMWs as economic units in the Canadian nation-state, processes of skill codification, and devolution of immigration policies and programs, become the foundations for the ways that IMWs live their lives in Canada. In particular, we can see how and why they ‘work’ for permanent residency, how and why they become vulnerable to precarious employment in their workplace and in other ways, and how and why they become isolated through family separation. The thesis ends with a look into how social workers and social service organizations are managing ‘professional’ relationships with migrant populations whose lives are organized in the above ways, and questions whether it’s possible at all to move beyond supporting ‘bare life’ (Agamben, 1998).Item Sri Lankan Tamil Diaspora: Contextualizing Pre-migration and Post- migration Traumatic Events and Psychological Distress(2010-03-03T17:43:16Z) George, Miriam ; Alaggia, Ramona ; Social WorkThe objective of this study was to generate a deeper understanding of the influence of pre- and post-migration traumatic experiences on refugees’ psychological distress, including historical, political and social factors. This dissertation used a multi-method design to examine the impact of trauma on the psychological well-being of refugees. Further, the design included a qualitative component to provide a contextual framework for understanding refugee psychological distress that is not limited to an analysis of a disease model alone but by also making connections to important historical, social and political events. Post-Colonial, Refugee, Trauma and Feminist theories are used as analytic lenses to explain the social structures and events contributing to refugees’ pre- and post-migration traumatic events, and psychological distress. This was an international study that spanned two continents. Sampling included 50 Sri Lankan Tamil refugee participants who lived in Chennai, India and 50 Sri Lankan refugees in Toronto, Canada. Inclusion criteria included a residency period of the last 12 months in either of the sampling sites, and participants 18 years of age or older. Participants from Toronto were recruited through social service agencies and associations, and participants from Chennai were recruited from refugee camps, and the Organization for Elam Refugee Rehabilitation. Tamil versions of the Harvard Trauma Questionnaire, the Post-Migration Living Difficulties Questionnaire, and the Symptoms Check List – 90R were utilized to measure participants’ pre- and post-migration traumatic events and psychological distress. The Harvard Trauma Questionnaire contained qualitative open-ended questions to triangulate the quantitative data in identifying and exploring the impact of contextual influences. Results showed that post-migration traumatic event scores positively predicted psychological distress, and refugee claimants living in Canada had the highest scores on pre-migration and post-migration scores. The qualitative analysis revealed themes related to civil war and resettlement as significant issues. Implications of these findings support the development of a multi-level approach within social work practice which emphasizes contextual issues, focuses on individuals, and promotes social advocacy. Recommendations for future research point to conducting longitudinal studies to assess the cumulative effects of historical, social and political factors on refugees and identify resiliencies that mobilize their capacity to survive.Item Understanding and Addressing Barriers: Engaging Adolescents in Mental Health Services(2012-01-11) Spielvogle, Heather ; Mishna, Faye ; Social WorkThis randomized-controlled pilot study explored the impact of a pretreatment, telephone engagement intervention on adolescents’ (ages 13-19) initial mental health service attendance (i.e., the first 3 counseling sessions) and four secondary outcome variables (i.e., autonomous/ controlled treatment motivation, self-efficacy, and working alliance). Twenty-seven adolescents received the engagement intervention and completed assessments and 24 adolescents completed assessments only. Both groups completed follow-up assessments 6 weeks after study enrollment. Associations between the outcome variables and initial treatment attendance were explored. The extent to which demographic variables (i.e., age, gender, race, immigration status, and residence in low income neighbourhoods), psychological distress, and self-reported barriers (i.e., mismatched treatment expectations and external demands) were associated with treatment attendance was also explored. The primary findings from this pilot study indicated that adolescents who received the engagement intervention had greater initial treatment attendance (M=2.11, SD=1.01) than the assessment only group (M=1.54, SD=1.22), but the difference only approached significance. Moreover, no significant between-group differences in the secondary outcome variables were found. Paired samples t-tests were used to examine changes in autonomous/controlled treatment motivation and self-efficacy within groups between baseline and follow-up. The results of the paired samples t-tests indicated that that the experimental and control groups both demonstrated a significant decrease in controlled motivation at follow-up. In addition, the control group demonstrated a significant decrease in autonomous treatment motivation at follow-up. Post hoc analyses, using correlation and linear regression analyses, explored the associations between initial attendance and the secondary outcome variables, psychological distress, self-reported barriers, and demographic variables. A negative association between age, self-reported barriers and initial attendance was found. A positive association was found between working alliance and initial attendance. While the majority of adolescents who participated in this research lived in low income neighbourhoods and nearly half were second generation immigrants, these demographic variables were not associated with initial treatment attendance. Although the engagement intervention had a medium effect on initial treatment attendance, this difference was not statistically significant. Future research with a larger sample size and longer follow-up is needed to determine the effectiveness of the engagement intervention.Item Understanding Social Assistance in Northern Ontario: 1997-2010(2016-11) Vaillancourt, Anita; Mishna, Faye; Social WorkThis study explores how the post-1997, redeveloped Ontario Works welfare system, together with the economic and social conditions in northern Ontario, influenced the administration and delivery of social assistance. In particular, this research aims to expand the limited knowledge of welfare in northern rural and non-metropolitan contexts and to increase understanding of how economic and social conditions influence the provision of the Ontario Work program. Using a constructivist grounded theory methodology, the experiences of Ontario Works program deliverers were drawn upon to foster an increased understanding of issues commonly encountered when providing social assistance to northern Ontario residents. Data were gathered over two primary periods through in-depth interviews, and follow-up interviews conducted throughout a several year data collection and analysis process. Forty-three northern Ontario Works program deliverers comprised of Ontario Works managers, supervisors, and caseworkers from across northern Ontario participated in the study. The analysis of the data reveals that northern Ontario Works program deliverers experience a multitude of resource constraints arising from local northern conditions as well as those situated within the welfare system. Research participants across northern Ontario reported that northern areas had limited economic capacity to provide adequate social services and infrastructure necessary to support the fulfillment of social assistance employment objectives. This study also found that social assistance employment objectives were compromised by limited local control over decision-making, under-resourcing within the Ontario Works program, and â urban-centricâ funding arrangements that disadvantaged northern areas. In addition, northern Ontario Works program deliverers reported substantive barriers to employment due to extremely low human capital among welfare recipients. Moreover, findings indicate that these constraints are compounding. In other words, northern Ontario Works program deliverers frequently encountered multiple and simultaneously occurring resource barriers. The result was described as intensifying resource deficiencies and inhibiting efforts to facilitate sustained labour market attachment among welfare recipients.Item What are you in the dark? The Transformatiive Powers of Manitouminasuc upon the Identities of Anishinabeg in the Ontario Child Welfare System(2011-02-15T15:16:59Z) Cameron, Rose Ella ; Neysmith, Sheila ; Social WorkThe purpose of this qualitative study is to explore, describe and examine how the child welfare experience affects the personal and social identities of Anishinabe participants. Contextual realities, specifically the cultural and child welfare contexts, and how participants situate themselves in those realities, are explored. A Critical Ekweism conceptual framework is used to inform the design of the study and analyze the unique experiences of participants. The framework seeks to respect and understand the unique historical backgrounds and perspectives of participants as they critically evaluate their contexts as knowers and experts of their own experiences. While participants collectively identified existing dilemmas and practices, they also decided to actively think of ways to re-address and to positively transform these dilemmas and practices. Methods of inquiry included the Aboriginal Circle paradigm that is interwoven with Phenomenological procedures. The Aboriginal Medicine Wheel was used as an organizational tool to illustrate and explain study findings, and Phenomenological procedures were used to explore the meanings participants append to their experiences. Both sharing circles and individual interviews were used to collect data from twenty-seven participants who were involved in the child welfare system at the time of the study. Some were living in Northern Ontario, others in a large city. Data were transcribed and Grounded Theory coding procedures used to analyze the data and identify themes. Four main themes emerged: Place of Understanding’, ‘Place of Disconnection’, ‘Place of Identification,’ and ‘Place of Reconnection’ to represent the sacred knowledge-making spaces where participants through the Reality Circle make sense of their contexts. The meanings that underpin each of these sacred spaces are discussed. An analysis of the meanings of these four sacred spaces further describes how participants’ personal and social identities are juxtaposed in their cultural and child welfare contexts. Of interest is how participants’ child welfare experiences affect their cultural and parenting identities. Child welfare practices are interpreted in terms of parent, social work and First Nations Community responsibilities. A diagram depicting these responsibilities is presented as the ‘Anishinabe Identity Circle.’ The study is significant for the social work profession because an Anishinabe approach to ‘doing’ social work with this particular group of participants is developed and has implications for Aboriginal-based Theory and Aboriginal-based support and policies. Even though this is a small step towards changing some of the existing practices in the Child Welfare System, it may pave the way for larger and more constructive social changes for participants and their children in the future.Item When Everything Matters: Comparing the Experiences of First Nations and Non-Aboriginal Children Removed from their Families in Nova Scotia from 2003 to 2005(2010-02-18T17:36:20Z) Blackstock, Cynthia (Cindy) ; Regehr, Cheryl ; Social WorkThe Canadian Incidence Study on Reported Child Abuse and Neglect (Trocme, 2001) found that structural factors such as poverty, poor housing and substance misuse contribute to the over-representation of First Nations children in child welfare care and yet there is very little information on the experiences of First Nations and Non-Aboriginal children after they are placed in care. The When Everything Matters study tracks First Nations and Non-Aboriginal chlidren removed from their families between 2003-2005 in Nova Scotia to the time of reunification or to the time of data collection if the child remained in care. The characteristics of children and their families are compared to the primary aims of child welfare services provided to children and their families. Results indicate that poor families living in poor housing are graphically over-represented among all families who have their children removed. Poverty-related services were not provided to families in proportion to its occurrence. Caregiver incapacity related to substance misuse was most often cited as the primary reason for removal and although substance misuse services were provided there is a need for further child welfare training, policy and services in this area given the scope of the problem presenting in both First Nations and Non-Aboriginal families. Study findings are nested in a new bi-cultural theoretical framework founded in First Nations ontology and physic's theory of everything called the breath of life theory. Implications for theoretical development as well as child welfare research, policy and practice are discussed.