This highly practical text surveys the myriad legal and ethical issues that social workers encounter both in daily practice and under special circumstances. Its initial section presents concepts in law and ethics that unite practitioners, researchers, and academics in the field, such as confidentiality, informed consent, and the interplay between social work and administrative and judicial systems. A selection of representative cases illustrates legal aspects involved in providing services to families, children, elders, and persons with disabilities. Also included are chapters on advocacy in social work, both in its potential to influence policy and on the global stage as part of the ongoing struggle for human rights and dignity. Among the topics covered: Confidentiality and the social worker-client relationship Liability issues for social workers in the clinical context Legal issues arising in the context of social work research The social worker and forensic social work Social worker involvement in access to school and school services Social work in the context of health care Legal issues working with immigrants, refugees, and asylees The interface between social work and human rights Legal Issues in Social Work Practice and Research is an interdisciplinary text aimed at social work, mental health, and legal professionals. It enhances the power of social work as an integrative system to support clients’ rights and agency.
Over a two-year period, author Sana Loue and her research team followed the lives of fifty-three Puerto Rican women living with severe mental illness as they coped with daily challenges in the areas of family, romantic relationships, employment, social services, substance use, and health care. The team interviewed the women and shadowed them at their homes, churches, schools, physicians' offices, family events, and other occasions in order to understand how their mental illness, their gender, their language, and their culture affected their relationships with others, their understandings of their own situations, and their hopes for themselves and their families. Sana Loue lets us see the remarkable strength of many of the women and hear in their own words about their efforts to survive, despite long histories of childhood physical and sexual abuse, partner violence, substance use, poverty, and severe mental illness. We also witness the violence that surrounds them and the HIV risk that becomes a part of their lives in their efforts to survive economically and emotionally.
This textbook provides a brief history of human experimentation and reviews various theories of ethics from which the principles and rules that govern this research are derived. All relevant international documents and national regulations, policies and memoranda are referred to extensively to assist in addressing issues that regularly arise during the course of research involving human subjects. It includes case examples and exercises and is of interest to students and experienced researchers.
Too often, cultural competence training has led to the inadvertent marginalization of some individuals and groups and the reinforcement of existing stereotypes. This text explores the concept of cultural humility, which offers an exciting way forward for those engaged in the helping professions. In contrast to cultural competence, cultural humility challenges individuals to embark on a lifelong course of self-examination and transformational learning that will enable them to engage more authentically with clients, patients, colleagues, and others. The book traces our understanding of and responses to diversity and inclusion over time with a focus on the United States. Topics explored include: Us and Them: The Construction of Categories Cultural Competence as an Approach to Understanding Difference Transformational Learning Through Cultural Humility Fostering Cultural Humility in the Institutional/Organizational Context Cultural Humility and the Helping Professional The book presents examples that illustrate how the concept of cultural humility can be implemented on an institutional level and in the context of individual-level interactions, such as those between a healthcare provider or therapist and a client. Diversity, Cultural Humility, and the Helping Professions: Building Bridges Across Difference is essential reading for the health professions (nursing, medicine), social work, psychology, art therapy, and other helping professions.
Events on local, national, and international levels have highlighted the need for joint investigation and collaboration between public health and law enforcement. Domestic violence and partner homicide, intentional infection of individuals with HIV, and the anthrax attacks of 2001 are examples that underscore the need for forensic epidemiology in the investigation of criminal acts. Forensic Epidemiology focuses specifically on the integration of the principles and methods of epidemiology with law enforcement functions in the administrative and criminal contexts. Ideal for students and professi
The discipline of epidemiology provides a methodology for perceiving the world and relating to the communities whose health and disease patterns need to be understood. Forensic epidemiology extends our understanding to community's injuries and those alleged to be responsible. This much needed resource focuses on the use of the epidemiology in the legal context, using case studies to illustrate the issues raised. This work includes discussion of: - epidemiology in the courtroom; - epidemiology, legislation and rulemaking; - law, epidemiology and community organization and advocacy; - epidemiology, law and social context. This text challenges the boundaries about what epidemiology is and how it is to be used to make a contribution to the groups it studies. In turn, a more complete understanding of the populations, diseases and the systems that underlie and shape the research is reached. This book will be of value to the student studying in public health, environmental health and medical programs, law students as well as professional researchers.
Health researchers routinely evaluate health and illness across subgroups defined by their sex, gender, ethnicity, and race. All too often, these classifications are proffered as an explanation for any differences that may be detected, for example, in access to care, frequency of disease, or response to treatment. Relatively few researchers, however, have examined what these classifications mean on a theoretical level or in the context of their own research. Assume, for example, that a researcher concludes from his or her data that African- Americans utilize certain surgical procedures less frequently than whites. This conclusion may mean little without an examination of the various underlying issues. Is there such a construct as race at all? How were whites and African-Americans classified as such? Does this finding reflect inappropriate overutilization of the specific procedures among whites or inappropriate underutilization among African-Americans? To what extent are socioeconomic status and method of payment related to the less frequent use? Are there differences in the manner in which health care providers present the various treatment options to whites and to African- Americans that could account for these differences in utilization? Are there differences in health care-seeking and health care preferences between the two groups that would explain the difference in utilization? Is the racial classification a surrogate measure for another variable that has remained unidentified and unmeasured? All too often, unfortunately, such issues are ignored or lightly dismissed with an entreaty for additional research.
This textbook provides a brief history of human experimentation and reviews various theories of ethics from which the principles and rules that govern this research are derived. All relevant international documents and national regulations, policies and memoranda are referred to extensively to assist in addressing issues that regularly arise during the course of research involving human subjects. It includes case examples and exercises and is of interest to students and experienced researchers.
This book serves as a reference for social workers, psychologists, counselors, and other mental health professionals who utilize therapeutic farm therapy with their children or adult clients. The Brief is also valuable for policy makers at state mental health agencies and legislators, who must decide how to best utilize limited funding for mental health care. Chapters focus on the development of the therapeutic farm approach, various models of therapeutic farms in the U.S. and Europe, and case studies of specific therapeutic farms.
This highly practical text surveys the myriad legal and ethical issues that social workers encounter both in daily practice and under special circumstances. Its initial section presents concepts in law and ethics that unite practitioners, researchers, and academics in the field, such as confidentiality, informed consent, and the interplay between social work and administrative and judicial systems. A selection of representative cases illustrates legal aspects involved in providing services to families, children, elders, and persons with disabilities. Also included are chapters on advocacy in social work, both in its potential to influence policy and on the global stage as part of the ongoing struggle for human rights and dignity. Among the topics covered: Confidentiality and the social worker-client relationship Liability issues for social workers in the clinical context Legal issues arising in the context of social work research The social worker and forensic social work Social worker involvement in access to school and school services Social work in the context of health care Legal issues working with immigrants, refugees, and asylees The interface between social work and human rights Legal Issues in Social Work Practice and Research is an interdisciplinary text aimed at social work, mental health, and legal professionals. It enhances the power of social work as an integrative system to support clients’ rights and agency.
Understanding Theology and Homosexuality in African-American Communities focuses specifically on helping mental professionals understand the scriptural and historical bases for the negative stance of some African American churches towards same-sex relations, and how that understanding is relevant within the context of mental health care. It provides a summary of the relevant professional literature and examples from clinical practice and/or research. This Brief is a basic reference for social workers, psychologists, counselors and other mental health professionals engaged in direct practice with African American clients and families.
This book explores, through case studies, the interplay between religion, culture, government, and politics in diverse societies on questions arising in the domain of bioethics. The case studies draw from multiple disciplinary perspectives, including history, theology, law, bioethics, public policy, science, and medicine. The text's global perspective permits a comparison of the differing approaches adopted by countries facing similar bioethical quandaries and the extent to which religion has or has not been instrumental in addressing such dilemmas. Secular and religious societies across the globe are being confronted with complex questions involving religious belief and the extent to which specific religious perspectives have in the past or should in the future be adopted as official policy. Bioethical issues involving the interplay of religion and government have become particularly notable in recent years. How these issues are resolved has major implications for individuals, healthcare providers, and the future of medical research and medical care. Topics explored among the chapters include: Homosexuality: Sin, Crime, Pathology, Identity, Behavior Medical Error: Truthtelling, Apology, and Forgiveness Refusal of Medical Treatment Medical Deportation Case Study: Nazism, Religion, and Human Experimentation The New Frontier: Cloning Case Studies in Society, Religion, and Bioethics will find an engaged audience among researchers and scholars in history, religion/theology, medicine, and bioethics interested in the influence of religion on bioethical decision-making. Students—particularly upper-level undergraduate and graduate students interested in bioethics, humanities, and theology—will find the text helpful in understanding the processes through which religion may serve as a basis for both societal policy and law and individual decision-making in health-related matters.
This volume goes beyond examining traditional mentoring agendas by comprehensively addressing contemporary issues relating to mentoring. This unique reference covers ethical and legal matters, issues pertaining to diversity, aligning learning and teaching styles between mentee and mentor, and cross-cultural mentoring. Chapters provide an integration of current mentoring literature across diverse settings, and conclude with detailed case studies of successful mentoring relationships. The book considers the theoretical underpinnings of mentoring and covers the mentoring relationship with faculty, students, and professionals in the early stages of growth. It also contains insight on how to develop and evaluate a mentoring program. Mentoring Health Science Professionals ultimately provides an invaluable blueprint for successful mentoring that considers the process, content, goals, and outcomes of modern-day mentoring in the health sciences. Key features Offers guidance for aligning mentor and mentee teaching and learning styles Discusses evaluation of and stages of growth within the mentoring relationship Examines ethical and legal issues in mentoring, such as diversity, discrimination, sexual harassment, control of the research process, evaluations, and more Highlights case studies of successful mentoring relationships Promotes the development of an organizational culture of mentorship
This book deals specifically with the historical basis for use of terms in race, gender, ethnicity, sex and sexual orientation. It brings much needed clarity to the debate by identifying the ethical issues as well as the technical challenges inherent in measuring these elusive concepts. The author expands on her work begun in Gender, Ethnicity, and Health Research by paralleling the evolution of racial and sexual categories with the development of health research. In addition, the book provides a salient guide to assessment tools currently used in measuring racial and sexual constructs, identity, and experience.
Too often, cultural competence training has led to the inadvertent marginalization of some individuals and groups and the reinforcement of existing stereotypes. This text explores the concept of cultural humility, which offers an exciting way forward for those engaged in the helping professions. In contrast to cultural competence, cultural humility challenges individuals to embark on a lifelong course of self-examination and transformational learning that will enable them to engage more authentically with clients, patients, colleagues, and others. The book traces our understanding of and responses to diversity and inclusion over time with a focus on the United States. Topics explored include: Us and Them: The Construction of Categories Cultural Competence as an Approach to Understanding Difference Transformational Learning Through Cultural Humility Fostering Cultural Humility in the Institutional/Organizational Context Cultural Humility and the Helping Professional The book presents examples that illustrate how the concept of cultural humility can be implemented on an institutional level and in the context of individual-level interactions, such as those between a healthcare provider or therapist and a client. Diversity, Cultural Humility, and the Helping Professions: Building Bridges Across Difference is essential reading for the health professions (nursing, medicine), social work, psychology, art therapy, and other helping professions.
It is clear that physical abuse is an integral component of some intimate relationships. This book addresses not the violence but our responses or lack of responses to that violation of personal integrity and the accompanying trauma. How partner violence is responded to, individually and collectively, may well determine whether the violence can be prevented or will cease once begun. This text is intended to serve as a basic resource for the student, clinician and researcher. It provides a summary of how we have responded to such violence in the past and presents potential future directions for research and prevention efforts.
Sana Loue explores the concepts of legal and epidemiological causation, the use of epidemiological data based on populations to determine causation in an individual case, and the use of epidemiological evidence in litigation, including the reliance on experts and expert witnesses. Loue provides a guide for the attorney with little or no background in epidemiological theory and for the epidemiologist contemplating a new role as an expert witness. She assumes of her readers a working knowledge of the Federal Rules of Civil Procedure and the Federal Rules of Evidence. Discussing the epidemiologist as expert witness, Loue covers the nature of that testimony, the purpose of the testimony, and the qualifications necessary to be regarded as an expert witness. She examines various legal theories of causation, primarily in the context of product liability and toxic tort, and addresses epidemiological principles and methods used in the process of causal inference. Loue also focuses on legal mechanisms used to assess causation. Her concern here is with depositions and testimony and the preparation of epidemiology experts. She concludes her study by comparing the legal and epidemiological concepts of causation, using actual legal cases as examples. Throughout the text, Loue incorporates excerpts from depositions, interrogatories, and trial testimony to provide concrete examples. She also sets up an appendix to provide nonattorney readers with an overview of the legal system. Ultimately, her goal is to foster a greater understanding between law and epidemiology.
This singular reference explores religion and spirituality as a vital, though often misconstrued, lens for building better understanding of and empathy with clients. A diverse palette of faiths and traditions is compared and contrasted (occasionally with secularism), focusing on areas of belief that may inspire, comfort, or trouble clients, including health and illness, mental illness, healing, coping, forgiveness, family, inclusion, and death. From assessment and intervention planning to conducting research, these chapters guide professionals in supporting and assisting clients without minimizing or overstating their beliefs. In addition, the book’s progression of ideas takes readers beyond the well-known concept of cultural competence to model a larger and more meaningful cultural safety. Among the topics included in the Handbook: Integrating religion and spirituality into social work practice. Cultural humility, cultural safety, and beyond: new understandings and implications for social work. Healing traditions, religion/spirituality, and health. Diagnosis: religious/spiritual experience or mental illness? Understandings of dying, death, and mourning. (Re)building bridges in and with family and community. Ethical issues in conducting research on religion and spirituality. The Handbook of Religion and Spirituality in Social Work Practice and Research is a richly-textured resource for social workers and mental health professionals engaged in clinical practice and/or research seeking to gain varied perspectives on how the religion and spirituality of their clients/research participants may inform their work.
The concept for this book came about following the publication of the volume Health Issues Confronting Minority Men Who Have Sex with Men, published by Springer in 2008. Consistent with its title, that work focused on speci?c health issues identi?ed by communities, researchers, and AIDS service providers that were and continue to be of concern . During the preparation of that volume, I received numerous telephone calls and e-mails from women in various parts of the country, asking why a book was not also being developed to address their often-neglected concerns. Accordingly,thetopicsaddressedinIdentitiesandSexualitiesofMinorityWomen were developed based on input from minority women who participated in focus groups conducted in diverse regions of the United States. These focus groups were held speci?cally to provide an opportunity for sexual minority women in minority communities to identify those issues that from their perspective are most salient and relevant to their lives. It is not surprising, in view of the variation in process by which the topics were identi?ed, as well as the differences in perspective as- ciated with differences in sex and gender, that this resulting compilation of topics departs substantially from the focus of the companion text addressing health issues of minority men who have sex with men.
This text is intended to help social work practitioners move beyond both these often-accepted constructions of sexuality and the range of methods that are available to social workers in their clinical practice. Various themes are apparent throughout each of the chapters in this volume: the range of sexual experience and expression that exists across individuals; a recognition of our society’s responses to expressions of sexuality, including the social, attitudinal, and cultural barriers that inhibit the expression of healthy sexuality and that constrain our approaches to assisting individuals with their recovery from trauma; the need to consistently and painstakingly examine our own assumptions relating to sexuality in order to be more effective with our clients; and the delicate balance that is often required when working with clients around issues of sexuality in the context of institutions, community, and societal structures.
The United States is experiencing a dramatic shift in demographics, with minorities comprising a rapidly growing proportion of the population. It is anticipated that this will likely lead to substantial changes in previously established values, needs, and priorities of the population, including health and mental health for individuals, families, and society at large. This volume focuses on determinants of minority mental health and wellness. This emphasis necessarily raises the question of just who is a minority and how is minority to be defined. The term has been defined in any number of ways. Wirth (1945, p. 347) offered one of the earliest definitions of minority: We may define a minority as a group of people who, because of their physical or cultural characteristics, are singled out from the others in the society in which they live for differential and unequal treatment, and who therefore regard themselves as objects of collective discrimination. The existence of a minority in a society implies the existence of a corresponding dominant group enjoying higher social status and greater privileges.
This important work takes as its subject one of medicine’s most pressing arenas of ethical debate. There has been a consistent interest in ethical issues arising in the context of HIV research. Ongoing international and multi-site studies and the continuing search for an HIV vaccine continue to prompt examination of how this research is conducted. Also examined are how participants are engaged in the studies and the obligations of the researchers to individual participants and their communities during the course of and following the conclusion of the research. Each chapter of this book is authored primarily by one of the editors (secondarily by the other) and is accompanied by one to two case studies.
Mood disorders, like depression, bipolar disorder, and dysthymia, are common psychological illnesses that occur worldwide and across the life-span. There is a growing consensus among mental health clinicians and researchers that culture and cultural contect are often key determinants in mood disorder prevention and outcome. It have become increasingly apparent that an appropriate understanding of culture is essential for treatments to be effective, and for optimal outcomes to be obtained by individuals suffering from these conditions. This text focuses on cross-cultural issues arising in the context of diagnosis, treatment, and research of mood disorders within diverse populations of the United States. With specific case examples to supplement the topics reviewed in each chapter, this important volume will be of great interest to all clinicians and researchers working in the area of mood disorders.
It is clear that physical abuse is an integral component of some intimate relationships. This book addresses not the violence but our responses or lack of responses to that violation of personal integrity and the accompanying trauma. How partner violence is responded to, individually and collectively, may well determine whether the violence can be prevented or will cease once begun. This text is intended to serve as a basic resource for the student, clinician and researcher. It provides a summary of how we have responded to such violence in the past and presents potential future directions for research and prevention efforts.
This text provides a foundation for the initiation of advocacy efforts and for the evaluation of their success and includes topics such as: specific strategies, grassroots advocacy efforts, formation and development of coalitions, advocacy efforts in legislatures, administrative agencies, court, and the media. It is of interest to public and urban health workers, social workers, community organizers, and legislators.
The motivation and inspiration for this book come directly from expe- ences with clients during the years that I practiced HIV-related law at the Legal Aid Society of San Diego, Inc. The issues discussed in this work reflect issues that arose on a recurring basis with clients participating in HIV research studies, with investigators calling for guidance on the legal implications of particular aspects of their proposed studies, and with research institutions and health care facilities struggling to make sense of legal maneuvers aimed at obtaining the records of their HIV-infected patients. It is impossible to thank each of these persons individually for their provocative questions and their insights. The discussion of ethical and legal issues relating to the design of clinical trials reflects questions raised during discussions with Donald J. Slymen, Ph.D. Don was one of the first researchers, in my realm of experience, to pay close attention to ethical concerns, and I am greatly appreciative of his contribution to both my professional growth and the development of various scenarios discussed in this text. The portions of this text dealing with confidentiality are the result of many hours of thoughtful discussion and analysis with Penn Lerblance, J.D., now deceased and still missed. Penn and I often participated together as presenters of in-service training programs for health prof- sionals. Penn addressed discrimination, and I focused on confidentiality.
Americans are living longer, and the elder population is growing larger. To meet the ongoing need for quality information on elder health, the Encyclopedia of Aging and Public Health combines multiple perspectives to offer readers a more accurate and complete picture of the aging process. The book takes a biopsychosocial approach to the complexities of its subject. In-depth introductory chapters include coverage on a historical and demographic overview of aging in America, a guide to biological changes accompanying aging, an analysis of the diversity of the U.S. elder population, legal issues commonly affecting older adults, and the ethics of using cognitively impaired elders in research. From there, over 425 entries cover the gamut of topics, trends, diseases, and phenomena: -Specific populations, including ethnic minorities, custodial grandparents, and centenarians -Core medical conditions associated with aging, from cardiac and pulmonary diseases to Parkinson’s and Alzheimer’s -Mental and emotional disorders -Drugs/vitamins/alternative medicine -Disorders of the eyes, feet, and skin -Insomnia and sleep disorders; malnutrition and eating disorders -Sexual and gender-related concerns -And a broad array of social and political issues, including access to care, abuse/neglect, veterans’ affairs, and assisted suicide Entries on not-quite-elders’ concerns (e.g., midlife crisis, menopause) are featured as well. And all chapters and entries include references and resource lists. The Encyclopedia has been developed for maximum utility to clinicians, social workers, researchers, and public health professionals working with older adults. Its multidisciplinary coverage and scope of topics make this volume an invaluable reference for academic and public libraries.
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