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Social workers' approaches to ethical dilemmas
- Authors:
- GOMEZ-GARCIA Rogelio, LUCAS-GARCIA Jezabel, BAYON-CALVO Siro
- Journal article citation:
- Journal of Social Work, 22(3), 2022, pp.804-823.
- Publisher:
- Sage
Summary: The study objective was the identification of social workers' ethic profiles in their professional interventions. To conduct this pilot study, we used data from a national survey (N = 1071) carried out in Spain. The information was collected through an online questionnaire. Findings: Results show that social workers face a variety of ethical dilemmas in their professional practice. Through exploratory factor analysis, it was revealed that the underlying structure of the questionnaire consisted of three categories: direct service to individuals and families, design and implementation of social welfare policy and programmes and relationships among professional colleagues. Through latent class analysis, four unique social workers' ethical profiles were identified: professionals with minimum incidence of experiencing ethical dilemmas, professionals with low incidence of experiencing ethical dilemmas, professionals with a notable incidence of experiencing ethical dilemmas and, finally, professionals with high incidence of experiencing ethical dilemmas. A third of the social workers in the sample showed a very low probability to be conflicted by ethical dilemmas. Applications: The pilot study is expected to serve as a catalyst for discussion of social workers' ethical conduct and professional practice, to promote professional ethics training and education and to support the development of professional guidelines. (Edited publisher abstract)
The biographic and professional influences on adoption and fostering panel members’ recommendation-making
- Author:
- WEEKES Arlene
- Journal article citation:
- Adoption and Fostering, 45(4), 2021, pp.382-397.
- Publisher:
- Sage
In the UK, decisions to approve adoptive parents and foster carers and authorise adoptions rest with specialist panels. While their formal role and function are clear, there is concern that their composition and the biographies and background characteristics of members could introduce bias and influence the decisions made. This article examines the validity of these criticisms with findings from a study of eight agencies, 15 panels and 22 members. It was found that the panel system achieves its aims in terms of having a representative constitution and providing considered recommendations in a timely manner to senior managers, but that individual biography affects panel members in carrying out their role to an unexpectedly high degree, possibly leading to flawed decisions. Actions to remedy this problem, at both an individual and group level, are suggested. (Edited publisher abstract)
An attachment-based parental capacity assessment to orient decision-making in child protection cases: a randomized control trial
- Authors:
- CYR Chantal, et al
- Journal article citation:
- Child Maltreatment, 27(1), 2022, pp.66-77.
- Publisher:
- Sage
Two parenting capacity assessment (PCA) protocols, with a short parent-child intervention embedded in each protocol, evaluated the potential for enhanced parenting to orient child placement decision. Parents (n = 69), with substantiated reports of maltreatment by child protective services, and their children (0-6) were randomly assigned to one of two PCAs with either the Attachment Video-feedback (PCA-AVI) or a psychoeducational intervention (PCA-PI) as the embedded intervention component. The PCA-AVI group showed the highest increases in parent-child interaction quality at post-test. Also, at PCA completion, evaluators’ conclusions about the parents’ capacity to care for both PCA groups were associated with parent-child interactive improvements at post-test, the court’s placement decision at post-test, and child placement one year later. However, only conclusions drawn by PCA-AVI evaluators were predictive of child re-reports of maltreatment in the year following PCA. PCAs, relying on short attachment interventions to assess the potential for enhanced parenting, are promising tools to orient child placement decisions. (Edited publisher abstract)
Modeling women’s need for action in violent relationships
- Authors:
- KATERNDAHL David A., et al
- Journal article citation:
- Journal of Interpersonal Violence, 36(23-24), 2021, pp.NP12521-NP12547.
- Publisher:
- Sage
We are beginning to understand that intimate partner violence (IPV) and women’s decision-making about that violence are nonlinear phenomena. IPV and decision-making are influenced by variables feedforwarding upon themselves with multiple interconnected predictors and circularly causal relationships. Computer models can help us gain a systems perspective on these relationships and enable hypothesis-testing without engendering risk to women in these relationships. The purpose of this study was to develop a mathematical model of women’s decision-making concerning her violent relationship and assess the impact of random stress and her controllable behaviors on violence and decision-making. An agent-based model was created using data from couples with history of violence, based upon results of multiple time series of partner violence. To explore factors that may alter model results, eight continuous variable parameters were created based upon significant (p ≤ .05) but discrepant (opposite directions) results from two prior time series studies. Overall, 13 unique patterns of violence in five categories were identified, but none of these categories included his violence alone without some additional influence (i.e., marital distance leading to marital distance the following day). To assess the potential impact that random stress and behaviors under her control (arguments, forgiveness, alcohol use, violence) could have on need-for-action and actions taken, the effects of variable parameter settings on these outcomes were also assessed. While random stress had little effect on outcomes, her interventions could have an impact but were pattern-specific. Her daily participation in arguments correlated with more violence. The need-for and actually taking action were at times independent of each other. This mathematical model yielded results that generally involved her violence with or without his violence. Thus, modeling partner violence and women’s decision-making is possible, yielding diverse patterns. However, the complexity of interdependent predictors unique to each relationship means that targeted interventions will need to be couple-specific. (Edited publisher abstract)
Experiences of people with memory disorders and their spouse carers on influencing formal care: “They ask my wife questions that they should ask me”
- Authors:
- AALTONEN Mari S, et al
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 20(7), 2021, pp.2307-2322.
- Publisher:
- Sage
Background: People with memory disorders often need care and help from family carers and health and social care providers. Due to the deterioration of cognitive capacity and language skills, they may be unable to convey their thoughts and care preferences to other people. As a result, their agency may become restricted. We investigated the descriptions provided by people with memory disorders and spousal carers of their influence on care in encounters with formal care providers. Methods: Qualitative thematic analysis was used to identify, analyze, and report themes that describe encounters with professionals in different social or healthcare environments. In-depth interview data were gathered from 19 spouse carers and 15 persons with memory disorders. Findings: Three themes out of four describe how people with memory disorders and their spouse carers influence formal care: Acquiescence, negotiating care decisions, and taking control. The fourth theme describes lack of influence. People with memory disorders and their spouse carers have ways to influence care, but spouse carers identified more ways of doing so. Both either accepted and followed the care guidelines by the formal carers or took control of the situation and made their own decisions. Spouse carers also sought to influence care decisions through negotiations with formal carers. When formal carers’ decisions were experienced as inconsistent or the rationale of their actions difficult to follow, the possibilities to influence care were limited. Conclusions: People with memory disorders and their family carers are often in a disadvantaged position as they lack power over the health and social care decision-making during the illness, which is often guided by structural factors. To support the agency of people with memory disorders and to promote shared decision-making, clarification of the service structure and clearer communication between the different parties involved in care are required. (Edited publisher abstract)
Contradictions and their consequences: how competing policy mandates facilitate use of a punitive framework in domestic violence-child maltreatment cases
- Authors:
- ARMSTRONG Elizabeth Marie, BOSK Emily Adlin
- Journal article citation:
- Child Maltreatment, 26(4), 2021, pp.441-451.
- Publisher:
- Sage
Research shows child welfare cases involving caregiver domestic violence (DV) continue to produce punitive consequences for non-abusive adult victims. This occurs despite the adoption of a supportive policy framework that emphasizes perpetrator responsibility for DV-related harm to children. Risk assessment procedures have been implicated in punitive outcomes, but we know little about how they shape child welfare workers’ decision-making practice. Focusing on a state with a supportive policy framework, this paper uses grounded theory to examine how policy contradictions, procedural directives around risk assessment, and informal interventions produce punitive consequences for adult victims of DV and unmitigated risk to children. Data include state policy and procedural documents and interviews with child welfare workers describing decision-making in their most recent completed case and most recent case involving DV. Findings point to the need for active alignment of policies and procedures, greater integration of knowledge across practice areas, renewed commitments to differential response, and greater inclusion of DV specialists in child welfare settings. (Edited publisher abstract)
Child protective services guidelines for substantiating exposure to domestic violence as maltreatment and assigning caregiver responsibility: policy analysis and recommendations
- Authors:
- VICTOR Bryan G., et al
- Journal article citation:
- Child Maltreatment, 26(4), 2021, pp.452-463.
- Publisher:
- Sage
The purpose of this study was to examine the range of policy approaches used by child welfare systems in the United States to guide workers in classifying and substantiating child exposure to domestic violence (CEDV) as an actionable form of maltreatment. To that end, the researchers conducted a qualitative document analysis of child protective services (CPS) policy manuals from all state-administered child welfare systems in the U.S. (N = 41). Our findings indicate that a majority of state-administered systems (71%) have adopted policy requiring workers to demonstrate that children have endured harm or the threat of harm before substantiating CEDV-related maltreatment. Many state systems (51%) also include policy directives that require workers to identify a primary aggressor during CPS investigations involving CEDV, while far fewer (37%) provide language that potentially exonerates survivors of domestic violence from being held accountable for failure to protect on the basis of their own victimization. Based on our findings and identification of policy exemplars, this study offers a recommended set of quality policy indicators for states to consider in the formulation of their policy guidelines for substantiating children’s exposure to domestic violence that promotes the safety and wellbeing of both children and adult survivors of domestic violence. (Edited publisher abstract)
The combined roles of moral emotion and moral rules in explaining acts of violence using a situational action theory perspective
- Author:
- TRIVEDI-BATEMAN Neema
- Journal article citation:
- Journal of Interpersonal Violence, 36(17-18), 2021, pp.8715-8740.
- Publisher:
- Sage
The roles of shame and guilt, and their relationships to empathy, have not been modeled adequately as key factors in moral decision-making in the study of violence. The role of moral emotion has been neglected in existing criminological research and this study seeks to develop current explanations of the comprehensive myriad of factors that play a role in moral crime decision-making. This research will test the different roles of empathy, shame, and guilt in violence decision-making using a situational action theory (SAT) perspective. Data taken from the Peterborough Adolescent and Young Adult Development Study (PADS+), a longitudinal study with a large representative sample, provide quantitative questionnaire indices to enable comparison of a persistent and frequent violent offender subsample (N = 48) with the remaining PADS+ study sample (N = 607). A striking majority of violent offenders report that they do not think it is wrong to commit violence, and do not care about it, that is, they lack shame and guilt, and report that violence comes as a morally acceptable and natural action alternative. Furthermore, violent offenders do not register the predicament of their victims; there is a distinct lack of empathy. This article demonstrates a key finding which has rarely been explored to date; regression analyses reveal an interaction effect whereby individuals with weak shame and guilt, combined specifically with weak moral rules, are more likely to commit acts of violence. The study findings provide strong support for the SAT of the role of weak morality in violence decision-making. To reduce the possibility of crime being seen as an action alternative, moral development programs should be developed and administered in childhood. (Publisher abstract)
Assessing, consulting, reporting heuristics in professional decision-making regarding suspected child maltreatment in community healthcare services
- Authors:
- ENOSH Guy, et al
- Journal article citation:
- Child Maltreatment, 26(3), 2021, pp.291-301.
- Publisher:
- Sage
This study investigated child protection decision-making practices of healthcare-professionals in community-health-services. We examined the effect of heuristics in professional judgments regarding suspected maltreatment, as affected by the child’s ethnicity, gender, and family socioeconomic-status, as well as the healthcare-worker’s workload-stress, and personal and professional background. Furthermore, we examined how these variables influence judgments regarding suspected maltreatment and intentions to consult and report child-maltreatment. We used an experimental survey design including vignettes manipulating the child’s characteristics. Data was collected from 412 professionals employed at various community-health-service-clinics of the largest health-management organization in northern Israel. Findings show that all subjective factors have a significant effect on suspected child-maltreatment assessment, which appears as a significant predictor of later decisions regarding consultation and reporting. This study lends support to prior research indicating that healthcare-professionals’ decisions may incorporate biases, and suggests how the effects of these biases’ are mediated through a sequence of decisions. Recommendations focus on providing regular consultation opportunities for practitioners. (Edited publisher abstract)
Engaging persons with dementia in advance care planning: challenges and opportunities
- Authors:
- SUSSMAN Tamara, PIMIENTA Rebecca, HAYWARD April
- Journal article citation:
- Dementia: the International Journal of Social Research and Practice, 20(6), 2021, pp.1859-1874.
- Publisher:
- Sage
This study reports findings from a series of focus groups with persons with dementia and family caregivers intended to explore: (1) perceptions of and experiences with advance care planning (ACP); (2) concerns related to future care including, but not limited to, end-of-life care; and (3) practices that may support positive engagement with ACP. A total of 18 participants including 10 persons with dementia and eight family caregivers participated in five focus groups held in two urban cities in Canada. All focus group deliberations were audio recorded, transcribed verbatim, and analyzed in five stages using a semantic thematic approach. All participants expressed some form of engagement in ACP, but understandings were limited and divergence was expressed regarding the timing of more expansive conversations about future care. Although some persons with dementia were ready to engage in future care discussions, most preferred focusing on the present and suggested their families did not require direction. This placed families in the complex dilemma of protecting their loved ones while compromising their own needs for dialogue. Although individually focused models of ACP engagement hold promise for those persons with dementia ready to engage in future planning, our findings suggest that early engagement of families in the reflective process may go a long way in supporting ACP activation. Our findings further suggest that persons with dementia who do not have close family/friends may require extensive ACP encouragement and support from service providers. (Edited publisher abstract)