Saturday, January 25, 2020
Child Abuse Interventions Within Black African Families
Child Abuse Interventions Within Black African Families Introduction Child abuse within Black African families is an important topic which has been given extensive attention in British social work research and literature to date. However, only a limited research on child abuse in African families have really considered the impact of socio-economic factors on social work interventions since the inception of the Children Act 1989 (England and Wales). Now the question is why is the issue of socio-economic status of West African families living in the UK an important factor to consider in social work intervention in child abuse cases? My aim in addressing this topic is that research works and literature show that Black children and their families are more likely than whites to be subjected to unnecessary child abuse interventions by social work agencies and other professionals (Bernard Gupta, 2006). Recent research show that in all groups, black children were over-represented on the child protection register under the category of poor parenting behaviour leading to all forms of abuse compared to white children (Bernard Gupta, 2006). This may also be seen within the context of the pathologization of Black families which, incorporates the view that black people, their socio-economic lifestyles are inherently problematic and need correcting (Singh 2006, p. 19) and therefore social workers may intervene unnecessarily in such families. Social workers on the contrary may hesitate to intervene with Black families due to being unsure whether certain parenting behaviours resulting from low socio-economic status are really an abuse or not. The potential consequences of such approach for Black families will be either that the children and their families will be unnecessarily investigated under the child protection system and may be subject to court orders, admitted to local authority care, and/or adopted, or that there will not be appropriate intervention by social workers for black children at risk of significant harm, and therefore children may continue to be harmed or even die. This is evident in recent years, where the vulnerability of some black African children in Britain has been highlighted by the tragic deaths of two African children: Victoria Climbià © (Laming, 2003) and the young boy known as Adam, whose torso was found floating in the River Thames (Sale, 2005). Also more recently, media reports of possible ââ¬Ëritual abuse of African children in Britain were fuelled by the criminal prosecution in relation to Child ââ¬ËB, who was physically abused because it was believed she was a ââ¬Ëkindokiââ¬â a victim of witchcraft possessed by the devil (Tendler and Woolcock, 2005; Thompson, 2005). In a broader context Socio-economic status is defined as: ââ¬Ëa composite measure that typically incorporate economic status, which is measured by income; social status, measured by education; and work status, measured by occupation (Dulton Levine, 1989, p.30). The three indicators are interrelated but not fully overlapping variables. In this context socio-economic status is considered in terms of economic status, defined as low income or poverty. The difficulties for majority of West African Black families who are mainly asylum seekers from poverty-stricken and war-torn countries now living in the UK are not confined only to how they may be viewed by social workers involved in child care but significantly by their child-rearing differences arising from their socio-economic backgrounds (Beranard Gupta 2006). The Framework for the Assessment of Children in Need and their Families (Department of Health, 2000) based on the ecological approach places a requirement on social workers to consider families histories, cultural and socio-economic status. Therefore the low socio-economic status of many West African families living in the UK is one big challenge for social work professionals working to safeguard and protect these children from abuse from parents responsible for their care. Therefore key information from the literature will be discussed to explore a number of issues that will help social work professionals to deploy the most appropriate and effective method of social work interventions in child abuse cases with West African families in poverty so as to protect these children from all forms of abuse. Moreover, difficulties in social work intervention in child abuse cases may arise, as explained by Korbin (2004), because the process of assessing a child abuse case is complex and parent al behaviours and child outcomes may not be the same in different socio-economic settings. Henceforth, child abuse within West African families can risk reproducing stereotypes of this ethnic minority as ââ¬Ëdeficient, thus fostering pathological viewpoint of African family relationships (Platt, 2005). This raises the question of how can social work practices direct attention to pertinent socio-economic issues framing the experiences of West African children at risk of significant harm, yet not to reproduce ideas of all West African families as deficient. These complex circumstances make social work intervention a major challenge in recent times and therefore, calls for a new perspective in terms of skills, knowledge and conceptual tools to distinguish between the styles of parenting that differ from those of the majority culture, but at the same time safeguarding and protecting children from significant harm. The dissertation has built its theoretical framework on social work theory, policy and practice and will use key conceptual framework from the social-contextual approaches to intervention. The methodology for this work was mainly qualitative and the literature search has been obtained from primary and secondary sources. The dissertation will lay out various issues regarding the social work intervention processes used for West African families with low socio-economic status. The first chapter provides literature on black African children and the child protection system. Chapter two provides a discussion on the increased complexity of social work intervention in child abuse cases involving West African families with low socio-economic status. It also analyse how socio-economic factors cultivate a particular parenting behaviours that impact on social work interventions and thus, bringing West African children living in the UK into the child protection arena. Then chapter three draws on legislations and policies regulating social work practices in the UK. It examines social work practices required to provide competent social work interventions in child abuse cases among West African families and at the same time would not compromise children safety and protection. Chapter four critically analyse the methods of interventions available to social workers to use in effecting positive change in black African community. Finally chapter five discusses the implicat ions of social work intervention made by social work professionals among West African families of low socio-economic status. Chapter one Black African Children And Child Protection Systems The Prevalence Of Black Children On Child Protection Systems There are a number of recent studies on Black families and the child protection system which suggest that these families are disproportionately represented at different levels in the child protection system. Gibbons et al (2005) study looked at the operation of the child protection system in eight local authorities in Britain. A part of their study looked at the racial background of the referred families and they found that Black families were over-represented compared with White families on referrals involving physical injury (58% vs. 42%). Black families were also more often referred for using an implement to inflict the physical injury. The researchers argue that this finding illustrates parenting differences in child-rearing, and the difficulty of deciding what forms of physical punishments are ââ¬Ëacceptable in Britain. They continued to report that the consequences of the injuries inflicted on the Black children were no more likely to be long-lasting, but what seemed unaccep table for the people who referred these children to social services was the form the punishment took. This research study raises an interesting point about child-rearing and parenting differences. Is it the case that Black families, as part of their culture of child-rearing stemming from their poverty status, use physical punishment more as a means of discipline than White families? A recent study by Ellis (2007) found that some West African parents adopted a harsh disciplinary approach with their children as they believe there is no other alternative way of instilling discipline in their children. But the vast people of the majority ethnic community could use options like keeping playing toys away from the children or not taking the children on a holiday and/or depriving them of visiting their friends as a form of instilling disciplining in the children. Ellis (2007) also noted that these punishments are likely to be meted out in a fairly public situation and, though they may be painful, they are unlikely to get out of hand and go beyond what is culturally acceptable. This would appear to support Gibbon et al (2005) findings that the consequences of the injuries to the Black children in their study were not likely to be long-lasting. Another research study by Gibbon Wilding (2005) looked at three local authorities, two of which had significant populations of Black families. One of their findings indicate that referrals around inadequate supervision of children in the two authorities show that a significant number of children referrals came from Black families with low income status than black families with medium/high income status. It could be argued that families with low income status have to strive hard to make ends means by engaging in two or more menial jobs to financially sustain the family. As a result children are inadequately supervised by the very people who are responsible for their care. Considering this kind of socio-economic circumstances, Gibbon Wilding (2005) question whether such referrals should be considered within the child protection framework, or whether it would be better to provide welfare interventions and services for such families under the children in need Act (The Children Act 1989 , England and Wales, S.17). This finding has a number of possible implications for West African children and their families, it may mean that they will remain in the child protection system for longer whilst the necessary services are identified and implemented; or perhaps that assessments and intervention services are provided but are not socio-economically sensitive, and therefore only serve to disadvantage families further. Furthermore, as part of their study, they found that proportionately more Black children were subject to child abuse investigations than White children. They found that of all the children in their study sample on the register, 60% were Black. A possible reason for this over-representation was that social work professionals working with the families had no or little understanding of the socio-economic backgrounds of these black African families (Barn et al. 2007). The researchers also found that White social workers and practitioners emphasized their lack of socio-economic awareness as a weakness when working with Black families, whilst Black social workers and practitioners argued that poverty and ethnicity were not adequately taken into account due to euro-centric child protection procedures. One might speculate whether the parents/guardians of these children refuse to cooperate with social service agencies or whether these agencies are taking a heavy-handed approach, perhaps have pathological approach towards such families. Further data shows that the number of African children in need in the sample week in 2005 is 8,000 (Department for Education and Skills, 2006a). This figure accounts for 3 per cent of the overall total, which is an over-representation inferring from the 2001 census where African children makes up 1.4 per cent of the population. A number of studies indicate that most families of children in need, regardless of ethnicity, struggle to bring up their children in conditions of poverty (Department of Health, 1995, 2001). Many West African children in need will not be drawn into the child protection system, if they are made to receive voluntary welfare support services. Thoburn et al.s (2005) review of the research into the nature and outcomes of child welfare services for black children concluded that African children are almost twice as likely to be looked after than the white majority children in the population as a whole, which then suggest, that some of these children will be accommoda ted under section 20 of the 1989 Children Act, by virtue of being raised by families of low socio-economic status. Beranard and Gupta (2006) found that in relation to the reasons for African children being involved in the child protection system, no official national data are collected on ethnicity and reasons for referral or registration on the child protection register (Department for Education and Skills, 2006b). Research data paint a complex and often contradictory picture and once again the information is often aggregated with data on other minority ethnic children. Brophy et al.s (2003) study, which separated data on different minority ethnic families, highlights an increase complexity in the cases involving African children and found that many involved ââ¬Ëmultiple concerns and allegations about parental behaviour. Arguably, there are a number of contributory factors which could be perceived as important in understanding the involvement of West African families with social work agencies and the resultant over-representation of their children in public care and in the child protection system. Broadly speaking, these range from poverty and social exclusion, to child abuse and neglect, poor social work assessments and intervention, and overt and covert racism. The Government Policies And Initiatives The Commission for Racial Equalitys submission to the DFES/HM Treasury Joint Policy Review on children and young people identifies a number of shortcomings of some government policy initiatives such as Sure Start (CRE, 2006). As is the case with many other government policy initiatives, it is expected that Sure Start Centres will be responsive to black minority ethnic needs and concerns. The commitment of such policies is questioned when there is ââ¬Ëno race equality impact assessment of the Childcare Act 2006 and only a brief mention of black ethnic minority families in the ten-year childcare strategy (CRE, 2006, p. 10). Whilst black ethnic monitoring of children in care, in need and on the child protection register now takes place at regional and national levels, there is little evidence that such information is utilized for policy and planning purposes to effect positive change. It is evident that race and welfare policy has been constrained by parochial perspectives which have tended to focus on how to deal with those in the system. For example, the policy and practice debate on ethnicity and substitute family placements diverts attention from preventive services which could help to obviate the admission of minority children into care in the first place. Similarly, preventive methods of intervention with West African families, such as Family Group Conferences, and systemic practice, as well as particular approaches such as kinship care, are less well developed (Broad and Skinner, 2005; Farmer and Moyers, 2005). Chapter Two Poverty, West African Families And Child Proctection Poverty And Child Protection All families and children for whom social work intervention is likely to be needed are also more than most subject to a range of social and economic problems and barriers. One major factor is chronic poverty which is often associated with unemployment or immigration, ethnic minority, or a single parent family. Poverty often goes hand in hand with other disadvantages and obstacles such as poor educational and employment opportunities, poor parenting, and allegations of child abuse cases. Many West African families and children problems are exacerbated by the interaction between socio-economic factors and their individual impairments and family situations. Unemployment levels are very high among West African families, who are also subject to stigma and prejudice on the part of the community. West African families living in the UK without jobs and no access to benefit and/or dependent on benefits find it hard to access credit. Poor children growing up in single-parent families suffer se rious parental disadvantage, which in turn result into social work interventions. Poverty as we all know is not even-handed. The chances of experiencing poverty are far higher with people from West Africa than with white people (Amin Oppenheim 2002). Institutional oppression is suffered by many West African people in many areas including housing ( Amin Oppenheim 2002), employment ( Chakrabarti et al. 2000), welfare state ( Sadiq-Sangster 2001), education and health which not only means that they are more likely to experience poverty and deprivation, but may also make them more susceptible to social work interventions in terms of child protection. Indeed one may expect Black children to be over-represented in child abuse statistics because their families are more open to surveillance as a result of figuring highly among indices of deprivation (Corby 1993, p.69). The relationship between poverty and child abuse has been broadly established (Thobum et al. 1993; Gibbons et al. 2005). Arguments favour the impact of poverty on child abuse shows an increasing number of child protection allegations referred into the system, and second was the proportion of cases leading to social work interventions and/or other forms of services. Numbers entering the system were hard to quantify. Whilst they showed an increase in registrations up to 1991 (Gibbons et al., 1995), no national records had been kept about referrals, and differences in recording practices and interpretation were widespread. Regarding proportional figures, the discussion was on slightly safer ground. A key finding from the 2005 research studies show that a large number of children were entered into the child protection system compared with those who were subject to social welfare procedures. Of a total number of child protection referrals, around 75 per cent were investigated and intervened, 25 per cent were subject to a child protection conference and only 15 per cent had their names placed on the child pr otection register as a result (Gibbons et al., 2005). Consequently, it was argued that the child protection ââ¬Ënet was picking up too many cases inappropriately. This finding undermines the government aim of keeping children with families and reducing the number of children that enter the child protection register. On the contrast, it is important to consider the effectiveness of the child protection system. Broadly, it seemed to be achieving as much as could be expected in terms of the limited aim of preventing further abuse to identifiable children. There are, however, identifiable shortcomings of the child protection system. Social work interventions appeared to have quite traumatic effects on families (Department of Health, 1995), often generating anxiety and uncertainty for either children or parents, or both (Farmer and Owen, 2005). Poverty And Child Welfare Services Research shows that the poverty experienced by many West African families may be better met through preventative measures rather than child protection ones. Yet despite section 17 of the Children Act 1989, which places a duty on the local authority social workers to provide support for children in need, many social services children and family teams, barely have sufficient resources to meet their duties under child welfare and children looked after. However, unless these issues are tackled, West African families who need support for their children will receive it only when there is an issue of child protection. Furthermore, using socio-economic variables such as poverty as a predictor of high-risk families (Greenland 1997) fails to acknowledge the part prejudice plays for Black people. Consequently, these indicators of child abuse are seen as failings of the individual rather than the product of social inequality (Jones 2004). A number of studies have indicated that most West African families, struggle to bring up their children in conditions of material and emotional adversity (Department of Health, 1995, 2001). For instance West African families cannot take their children on a holiday trip or meet their wishes and wants. Brophy et al.s (2003) study suggests that immigration and asylum issues, combined with financial problems, are likely to be reasons for the increased complexity for social work professionals assessing and intervening child abuse cases involving West African children. The child protection system that exists in Britain will be unfamiliar to many West African families, especially those who recently arrived, as similar state systems do not exist in most West African countries, particularly where socio-economic factors overshadow intra-familial child maltreatment and intervention into child abuse and neglect (Lachman et al., 2002; Pierce and Bozalek, 2004). Brophy et al.s (2003) study conclud es that many black West African parents saw social work assessment and intervention in child welfare cases as a complete anathema and distrust, especially where parents migrate from countries in political turmoil and where there is no existence of child welfare services. There is also concern about the quality of social workers interventions in child abuse cases. For example, it is shown that investigations of alleged child abuse tended to focus on risk assessment rather than assessment leading to social work interventions of the needs of the whole child (Thoburn et al., 2007). In particular, social workers carrying out an investigation might not pick up problems emanating from poverty or social deprivation (Farmer and Owen, 2005). However, at least superficially, social work interventions appear to contrast with section 17 responses, where research reveals high levels of satisfaction amongst parents and children receiving social work services (Colton et al., 1995; Tunstill and Aldg ate, 2000). Thus, if allegations were minor, it was suggested that the costs to families were unacceptably high, and it was by no means clear that interventions, as a social work response, was better or worse than other options. Engaging in social welfare policy addresses low socio-economic status through intervention aimed at promoting social change, while intervention aimed at the poor family or individual addresses poverty at the micro level by helping those in need to develop better coping strategies. The argument that the social work mission of pursuing social change and dealing with poverty cannot be attained by micro practice has been the source of strong and recurrent criticism against the dominance of micro practice in social work although Hugman (2008) questions the truism of this argument (Asquith et al 2005). The relationship between the mission of social work with regard to poverty and the type of social work practised poses a dilemma for social workers. A particular challenge for social work services is how to work to the required standards regarding thresholds for assessment and intervention with West African families with low socio-economic background and to safeguard and promote childrens we lfare (Platt, 2005). Poverty And Parenting Practices The literature suggest that poverty among black West African families affect the life chances of many African children and the capacity of their parents to provide adequate care and this should be considered in social work assessment and interventions involving child abuse cases. The relationship between values and child up bringing patterns illuminates the relationship between socio-economic factors and parenting behaviours (Shor, 2000). Shor (2000) suggests that parents from low social class differ in terms of the values they uphold for their children and this impact on child upbringing. It is also found that there is correlation between black African mothers with low income status using a more authoritarian approach of caring for children than mothers with high income status. Shors (2000) underpin the relationship between values and child-bearing patterns which illuminate the relationship between socio-economic factors and parenting behaviours. He suggests that parents from divers e social class differ in terms of what characteristics they value most for their children and that these differences in value contribute to differences in parenting behaviour. This variation in child-rearing attitudes based on socio-economic variables was underpinned by Shaefer and Edgerton (1995). In order to develop a sensitive knowledge of child abuse, not only across culture but also across socio-economic contexts, it is possible to draw upon knowledge from studies that look at the parenting patterns of black parents with low income. In families it is the children to whom social workers owe the greater duty of care. Children can be clear about what they need. There may be tensions between childrens needs and wishes, parents needs and wishes, the views and wishes of the wider family, of the community, other professionals, and with the requirements of the law, regulation and procedure. Even where the decision is to remove a child from a family the way social workers conduct their business can make a difference. Thus social work has to respond to parental needs- financial and social, for the sake of the children, but may need to abandon them to maintain the primacy of the childs welfare. The consequences of getting the balance wrong in either direction expose both black African children and parents to suffering and pain. Sometimes the nature of the socio-economic issue will demand decisions that appear to undermine that commitment of not putting children at risk of significant harm. Social workers have to take the decision and maintain the commitment. The Government Regulatory Policies And Poverty By the 21st century, there was a growing view that many West African children who were subjects of section 47 investigations were also eligible for services as children in need (section 17 of the 1989 Children Act). Often, such children did not receive these welfare services because of the apparent incident driven focus of child protection services. One way forward in these circumstances was to encourage local authority social work teams to conduct initial assessments, rather than child protection investigations, in borderline cases, with a view to finding less intrusive forms of social work intervention practice that address the wider developmental needs of the child. Procedures supporting such changes were first introduced by local authorities independently, and were subsequently incorporated into government guidance in England, with the expectation that all referrals of children would first be offered an initial assessment except in emergency cases or where it is suspected that a crime has been committed (Department of Health, 1999). Concurrently, a detailed framework was issued regarding the assessment of all children in need (Department of Health, 2000). The now familiar Framework for the Assessment of Children in Need and their Families was based on an ecological model of assessment, and included supporting pro formas covering the initial assessment period. Platt, (2000) in his study on refocusing initiative attracted a degree of criticism. For many health and social work professionals, there was concern that serious child protection issues might not receive an adequate response if handled outside child protection procedures (Calder and Hackett, 2003). A key factor here would be whether cases can be switched successfully from family support back into child protectionââ¬âan issue that has given cause for concern over a number of years (Laming, 2003). Parton (1996) criticized the recommendations of Messages from Research because they ignored the basic socio-economic reality for many families. Furthermore, cu rrent social expectations may support a formal response to allegations of child abuse and neglect. It is thus unreasonable to expect social workers to act alone since to do so runs counter to the dominant view of wider society. The idea that fewer investigations would mean that resources could simply be transferred to family support services is somewhat naive. The resource problems include the provision of social work time, the provision of adequate family support services, and the need to support a period of change and transition. Few would argue that resourcing levels in any of these respects have been adequate (Calder and Hackett, 2003), and the question of resources was sidestepped almost completely by Messages from Research. The difficulties of implementing such changes were highlighted more recently by Cleaver and Walker (2004) in their research on the impact of the Framework for the Assessment of Children in Need and their Families. The role of the state in these processes was also examined critically by Spratt and Callan (2004). They argued that reductions in numbers of children on the child protection register have been achieved largely as a result of modern governance and measures to promote compliance with performance targets. Whilst these achievements are laudable, they suggest, they may serve to obscure ââ¬Ëunderlying tensions in the relationship between the state and the family. The idea of refocusing has been affected by complex, often competing pressures since the introduction of the Framework for the Assessment of Children in Need and their Families. Arguably, the death of Victoria Climbià © reinforced a ââ¬Ëchild protection orientation, and may have led, in some areas, to a lowering of the child protection threshold (Laming, 2003). The Laming report, furthermore, draws attention to the professional confusions that arise from the distinctions in practice between sections 17 and 47. In circumstances such as this, the role of the social worker in any changing pattern of provision takes on parti cular importance. Chapter Three Social Work Practices History Of Social Work Practice Social work has its roots in the struggle of society to deal with poverty and the resultant problems. Therefore, social work is intricately linked with the idea of charity work; but must be understood in broader terms. The concept of charity goes back to ancient times, and the practice of providing for the poor has roots in all major world religions (www.globalvision.org. Retrieved on 14/04/2009). The term social work intervention usually describes work undertaken with individuals, families, groups and communities. In this context the term to cover the use of social work knowledge and skills when using it within a social care organisation to facilitate the provision of services and practice consistent with the Codes of Practice and with standards of service and practice, and to promote the social inclusion and life opportunities of people using services. Successful social work includes the capacity to work effectively within organisations and across organisational boundaries. In the vast majority of instances social work intervention is a collective activity not an individual activity whether as social worker employee or an independent social worker. The most common form of methods of social work intervention is Individual or family casework. Here social work is the intervention. It supports the individual or family to identify, and use, their own and their social networks exp erience and expertise as a resource for problems or difficulties may have resulte Child Abuse Interventions Within Black African Families Child Abuse Interventions Within Black African Families Introduction Child abuse within Black African families is an important topic which has been given extensive attention in British social work research and literature to date. However, only a limited research on child abuse in African families have really considered the impact of socio-economic factors on social work interventions since the inception of the Children Act 1989 (England and Wales). Now the question is why is the issue of socio-economic status of West African families living in the UK an important factor to consider in social work intervention in child abuse cases? My aim in addressing this topic is that research works and literature show that Black children and their families are more likely than whites to be subjected to unnecessary child abuse interventions by social work agencies and other professionals (Bernard Gupta, 2006). Recent research show that in all groups, black children were over-represented on the child protection register under the category of poor parenting behaviour leading to all forms of abuse compared to white children (Bernard Gupta, 2006). This may also be seen within the context of the pathologization of Black families which, incorporates the view that black people, their socio-economic lifestyles are inherently problematic and need correcting (Singh 2006, p. 19) and therefore social workers may intervene unnecessarily in such families. Social workers on the contrary may hesitate to intervene with Black families due to being unsure whether certain parenting behaviours resulting from low socio-economic status are really an abuse or not. The potential consequences of such approach for Black families will be either that the children and their families will be unnecessarily investigated under the child protection system and may be subject to court orders, admitted to local authority care, and/or adopted, or that there will not be appropriate intervention by social workers for black children at risk of significant harm, and therefore children may continue to be harmed or even die. This is evident in recent years, where the vulnerability of some black African children in Britain has been highlighted by the tragic deaths of two African children: Victoria Climbià © (Laming, 2003) and the young boy known as Adam, whose torso was found floating in the River Thames (Sale, 2005). Also more recently, media reports of possible ââ¬Ëritual abuse of African children in Britain were fuelled by the criminal prosecution in relation to Child ââ¬ËB, who was physically abused because it was believed she was a ââ¬Ëkindokiââ¬â a victim of witchcraft possessed by the devil (Tendler and Woolcock, 2005; Thompson, 2005). In a broader context Socio-economic status is defined as: ââ¬Ëa composite measure that typically incorporate economic status, which is measured by income; social status, measured by education; and work status, measured by occupation (Dulton Levine, 1989, p.30). The three indicators are interrelated but not fully overlapping variables. In this context socio-economic status is considered in terms of economic status, defined as low income or poverty. The difficulties for majority of West African Black families who are mainly asylum seekers from poverty-stricken and war-torn countries now living in the UK are not confined only to how they may be viewed by social workers involved in child care but significantly by their child-rearing differences arising from their socio-economic backgrounds (Beranard Gupta 2006). The Framework for the Assessment of Children in Need and their Families (Department of Health, 2000) based on the ecological approach places a requirement on social workers to consider families histories, cultural and socio-economic status. Therefore the low socio-economic status of many West African families living in the UK is one big challenge for social work professionals working to safeguard and protect these children from abuse from parents responsible for their care. Therefore key information from the literature will be discussed to explore a number of issues that will help social work professionals to deploy the most appropriate and effective method of social work interventions in child abuse cases with West African families in poverty so as to protect these children from all forms of abuse. Moreover, difficulties in social work intervention in child abuse cases may arise, as explained by Korbin (2004), because the process of assessing a child abuse case is complex and parent al behaviours and child outcomes may not be the same in different socio-economic settings. Henceforth, child abuse within West African families can risk reproducing stereotypes of this ethnic minority as ââ¬Ëdeficient, thus fostering pathological viewpoint of African family relationships (Platt, 2005). This raises the question of how can social work practices direct attention to pertinent socio-economic issues framing the experiences of West African children at risk of significant harm, yet not to reproduce ideas of all West African families as deficient. These complex circumstances make social work intervention a major challenge in recent times and therefore, calls for a new perspective in terms of skills, knowledge and conceptual tools to distinguish between the styles of parenting that differ from those of the majority culture, but at the same time safeguarding and protecting children from significant harm. The dissertation has built its theoretical framework on social work theory, policy and practice and will use key conceptual framework from the social-contextual approaches to intervention. The methodology for this work was mainly qualitative and the literature search has been obtained from primary and secondary sources. The dissertation will lay out various issues regarding the social work intervention processes used for West African families with low socio-economic status. The first chapter provides literature on black African children and the child protection system. Chapter two provides a discussion on the increased complexity of social work intervention in child abuse cases involving West African families with low socio-economic status. It also analyse how socio-economic factors cultivate a particular parenting behaviours that impact on social work interventions and thus, bringing West African children living in the UK into the child protection arena. Then chapter three draws on legislations and policies regulating social work practices in the UK. It examines social work practices required to provide competent social work interventions in child abuse cases among West African families and at the same time would not compromise children safety and protection. Chapter four critically analyse the methods of interventions available to social workers to use in effecting positive change in black African community. Finally chapter five discusses the implicat ions of social work intervention made by social work professionals among West African families of low socio-economic status. Chapter one Black African Children And Child Protection Systems The Prevalence Of Black Children On Child Protection Systems There are a number of recent studies on Black families and the child protection system which suggest that these families are disproportionately represented at different levels in the child protection system. Gibbons et al (2005) study looked at the operation of the child protection system in eight local authorities in Britain. A part of their study looked at the racial background of the referred families and they found that Black families were over-represented compared with White families on referrals involving physical injury (58% vs. 42%). Black families were also more often referred for using an implement to inflict the physical injury. The researchers argue that this finding illustrates parenting differences in child-rearing, and the difficulty of deciding what forms of physical punishments are ââ¬Ëacceptable in Britain. They continued to report that the consequences of the injuries inflicted on the Black children were no more likely to be long-lasting, but what seemed unaccep table for the people who referred these children to social services was the form the punishment took. This research study raises an interesting point about child-rearing and parenting differences. Is it the case that Black families, as part of their culture of child-rearing stemming from their poverty status, use physical punishment more as a means of discipline than White families? A recent study by Ellis (2007) found that some West African parents adopted a harsh disciplinary approach with their children as they believe there is no other alternative way of instilling discipline in their children. But the vast people of the majority ethnic community could use options like keeping playing toys away from the children or not taking the children on a holiday and/or depriving them of visiting their friends as a form of instilling disciplining in the children. Ellis (2007) also noted that these punishments are likely to be meted out in a fairly public situation and, though they may be painful, they are unlikely to get out of hand and go beyond what is culturally acceptable. This would appear to support Gibbon et al (2005) findings that the consequences of the injuries to the Black children in their study were not likely to be long-lasting. Another research study by Gibbon Wilding (2005) looked at three local authorities, two of which had significant populations of Black families. One of their findings indicate that referrals around inadequate supervision of children in the two authorities show that a significant number of children referrals came from Black families with low income status than black families with medium/high income status. It could be argued that families with low income status have to strive hard to make ends means by engaging in two or more menial jobs to financially sustain the family. As a result children are inadequately supervised by the very people who are responsible for their care. Considering this kind of socio-economic circumstances, Gibbon Wilding (2005) question whether such referrals should be considered within the child protection framework, or whether it would be better to provide welfare interventions and services for such families under the children in need Act (The Children Act 1989 , England and Wales, S.17). This finding has a number of possible implications for West African children and their families, it may mean that they will remain in the child protection system for longer whilst the necessary services are identified and implemented; or perhaps that assessments and intervention services are provided but are not socio-economically sensitive, and therefore only serve to disadvantage families further. Furthermore, as part of their study, they found that proportionately more Black children were subject to child abuse investigations than White children. They found that of all the children in their study sample on the register, 60% were Black. A possible reason for this over-representation was that social work professionals working with the families had no or little understanding of the socio-economic backgrounds of these black African families (Barn et al. 2007). The researchers also found that White social workers and practitioners emphasized their lack of socio-economic awareness as a weakness when working with Black families, whilst Black social workers and practitioners argued that poverty and ethnicity were not adequately taken into account due to euro-centric child protection procedures. One might speculate whether the parents/guardians of these children refuse to cooperate with social service agencies or whether these agencies are taking a heavy-handed approach, perhaps have pathological approach towards such families. Further data shows that the number of African children in need in the sample week in 2005 is 8,000 (Department for Education and Skills, 2006a). This figure accounts for 3 per cent of the overall total, which is an over-representation inferring from the 2001 census where African children makes up 1.4 per cent of the population. A number of studies indicate that most families of children in need, regardless of ethnicity, struggle to bring up their children in conditions of poverty (Department of Health, 1995, 2001). Many West African children in need will not be drawn into the child protection system, if they are made to receive voluntary welfare support services. Thoburn et al.s (2005) review of the research into the nature and outcomes of child welfare services for black children concluded that African children are almost twice as likely to be looked after than the white majority children in the population as a whole, which then suggest, that some of these children will be accommoda ted under section 20 of the 1989 Children Act, by virtue of being raised by families of low socio-economic status. Beranard and Gupta (2006) found that in relation to the reasons for African children being involved in the child protection system, no official national data are collected on ethnicity and reasons for referral or registration on the child protection register (Department for Education and Skills, 2006b). Research data paint a complex and often contradictory picture and once again the information is often aggregated with data on other minority ethnic children. Brophy et al.s (2003) study, which separated data on different minority ethnic families, highlights an increase complexity in the cases involving African children and found that many involved ââ¬Ëmultiple concerns and allegations about parental behaviour. Arguably, there are a number of contributory factors which could be perceived as important in understanding the involvement of West African families with social work agencies and the resultant over-representation of their children in public care and in the child protection system. Broadly speaking, these range from poverty and social exclusion, to child abuse and neglect, poor social work assessments and intervention, and overt and covert racism. The Government Policies And Initiatives The Commission for Racial Equalitys submission to the DFES/HM Treasury Joint Policy Review on children and young people identifies a number of shortcomings of some government policy initiatives such as Sure Start (CRE, 2006). As is the case with many other government policy initiatives, it is expected that Sure Start Centres will be responsive to black minority ethnic needs and concerns. The commitment of such policies is questioned when there is ââ¬Ëno race equality impact assessment of the Childcare Act 2006 and only a brief mention of black ethnic minority families in the ten-year childcare strategy (CRE, 2006, p. 10). Whilst black ethnic monitoring of children in care, in need and on the child protection register now takes place at regional and national levels, there is little evidence that such information is utilized for policy and planning purposes to effect positive change. It is evident that race and welfare policy has been constrained by parochial perspectives which have tended to focus on how to deal with those in the system. For example, the policy and practice debate on ethnicity and substitute family placements diverts attention from preventive services which could help to obviate the admission of minority children into care in the first place. Similarly, preventive methods of intervention with West African families, such as Family Group Conferences, and systemic practice, as well as particular approaches such as kinship care, are less well developed (Broad and Skinner, 2005; Farmer and Moyers, 2005). Chapter Two Poverty, West African Families And Child Proctection Poverty And Child Protection All families and children for whom social work intervention is likely to be needed are also more than most subject to a range of social and economic problems and barriers. One major factor is chronic poverty which is often associated with unemployment or immigration, ethnic minority, or a single parent family. Poverty often goes hand in hand with other disadvantages and obstacles such as poor educational and employment opportunities, poor parenting, and allegations of child abuse cases. Many West African families and children problems are exacerbated by the interaction between socio-economic factors and their individual impairments and family situations. Unemployment levels are very high among West African families, who are also subject to stigma and prejudice on the part of the community. West African families living in the UK without jobs and no access to benefit and/or dependent on benefits find it hard to access credit. Poor children growing up in single-parent families suffer se rious parental disadvantage, which in turn result into social work interventions. Poverty as we all know is not even-handed. The chances of experiencing poverty are far higher with people from West Africa than with white people (Amin Oppenheim 2002). Institutional oppression is suffered by many West African people in many areas including housing ( Amin Oppenheim 2002), employment ( Chakrabarti et al. 2000), welfare state ( Sadiq-Sangster 2001), education and health which not only means that they are more likely to experience poverty and deprivation, but may also make them more susceptible to social work interventions in terms of child protection. Indeed one may expect Black children to be over-represented in child abuse statistics because their families are more open to surveillance as a result of figuring highly among indices of deprivation (Corby 1993, p.69). The relationship between poverty and child abuse has been broadly established (Thobum et al. 1993; Gibbons et al. 2005). Arguments favour the impact of poverty on child abuse shows an increasing number of child protection allegations referred into the system, and second was the proportion of cases leading to social work interventions and/or other forms of services. Numbers entering the system were hard to quantify. Whilst they showed an increase in registrations up to 1991 (Gibbons et al., 1995), no national records had been kept about referrals, and differences in recording practices and interpretation were widespread. Regarding proportional figures, the discussion was on slightly safer ground. A key finding from the 2005 research studies show that a large number of children were entered into the child protection system compared with those who were subject to social welfare procedures. Of a total number of child protection referrals, around 75 per cent were investigated and intervened, 25 per cent were subject to a child protection conference and only 15 per cent had their names placed on the child pr otection register as a result (Gibbons et al., 2005). Consequently, it was argued that the child protection ââ¬Ënet was picking up too many cases inappropriately. This finding undermines the government aim of keeping children with families and reducing the number of children that enter the child protection register. On the contrast, it is important to consider the effectiveness of the child protection system. Broadly, it seemed to be achieving as much as could be expected in terms of the limited aim of preventing further abuse to identifiable children. There are, however, identifiable shortcomings of the child protection system. Social work interventions appeared to have quite traumatic effects on families (Department of Health, 1995), often generating anxiety and uncertainty for either children or parents, or both (Farmer and Owen, 2005). Poverty And Child Welfare Services Research shows that the poverty experienced by many West African families may be better met through preventative measures rather than child protection ones. Yet despite section 17 of the Children Act 1989, which places a duty on the local authority social workers to provide support for children in need, many social services children and family teams, barely have sufficient resources to meet their duties under child welfare and children looked after. However, unless these issues are tackled, West African families who need support for their children will receive it only when there is an issue of child protection. Furthermore, using socio-economic variables such as poverty as a predictor of high-risk families (Greenland 1997) fails to acknowledge the part prejudice plays for Black people. Consequently, these indicators of child abuse are seen as failings of the individual rather than the product of social inequality (Jones 2004). A number of studies have indicated that most West African families, struggle to bring up their children in conditions of material and emotional adversity (Department of Health, 1995, 2001). For instance West African families cannot take their children on a holiday trip or meet their wishes and wants. Brophy et al.s (2003) study suggests that immigration and asylum issues, combined with financial problems, are likely to be reasons for the increased complexity for social work professionals assessing and intervening child abuse cases involving West African children. The child protection system that exists in Britain will be unfamiliar to many West African families, especially those who recently arrived, as similar state systems do not exist in most West African countries, particularly where socio-economic factors overshadow intra-familial child maltreatment and intervention into child abuse and neglect (Lachman et al., 2002; Pierce and Bozalek, 2004). Brophy et al.s (2003) study conclud es that many black West African parents saw social work assessment and intervention in child welfare cases as a complete anathema and distrust, especially where parents migrate from countries in political turmoil and where there is no existence of child welfare services. There is also concern about the quality of social workers interventions in child abuse cases. For example, it is shown that investigations of alleged child abuse tended to focus on risk assessment rather than assessment leading to social work interventions of the needs of the whole child (Thoburn et al., 2007). In particular, social workers carrying out an investigation might not pick up problems emanating from poverty or social deprivation (Farmer and Owen, 2005). However, at least superficially, social work interventions appear to contrast with section 17 responses, where research reveals high levels of satisfaction amongst parents and children receiving social work services (Colton et al., 1995; Tunstill and Aldg ate, 2000). Thus, if allegations were minor, it was suggested that the costs to families were unacceptably high, and it was by no means clear that interventions, as a social work response, was better or worse than other options. Engaging in social welfare policy addresses low socio-economic status through intervention aimed at promoting social change, while intervention aimed at the poor family or individual addresses poverty at the micro level by helping those in need to develop better coping strategies. The argument that the social work mission of pursuing social change and dealing with poverty cannot be attained by micro practice has been the source of strong and recurrent criticism against the dominance of micro practice in social work although Hugman (2008) questions the truism of this argument (Asquith et al 2005). The relationship between the mission of social work with regard to poverty and the type of social work practised poses a dilemma for social workers. A particular challenge for social work services is how to work to the required standards regarding thresholds for assessment and intervention with West African families with low socio-economic background and to safeguard and promote childrens we lfare (Platt, 2005). Poverty And Parenting Practices The literature suggest that poverty among black West African families affect the life chances of many African children and the capacity of their parents to provide adequate care and this should be considered in social work assessment and interventions involving child abuse cases. The relationship between values and child up bringing patterns illuminates the relationship between socio-economic factors and parenting behaviours (Shor, 2000). Shor (2000) suggests that parents from low social class differ in terms of the values they uphold for their children and this impact on child upbringing. It is also found that there is correlation between black African mothers with low income status using a more authoritarian approach of caring for children than mothers with high income status. Shors (2000) underpin the relationship between values and child-bearing patterns which illuminate the relationship between socio-economic factors and parenting behaviours. He suggests that parents from divers e social class differ in terms of what characteristics they value most for their children and that these differences in value contribute to differences in parenting behaviour. This variation in child-rearing attitudes based on socio-economic variables was underpinned by Shaefer and Edgerton (1995). In order to develop a sensitive knowledge of child abuse, not only across culture but also across socio-economic contexts, it is possible to draw upon knowledge from studies that look at the parenting patterns of black parents with low income. In families it is the children to whom social workers owe the greater duty of care. Children can be clear about what they need. There may be tensions between childrens needs and wishes, parents needs and wishes, the views and wishes of the wider family, of the community, other professionals, and with the requirements of the law, regulation and procedure. Even where the decision is to remove a child from a family the way social workers conduct their business can make a difference. Thus social work has to respond to parental needs- financial and social, for the sake of the children, but may need to abandon them to maintain the primacy of the childs welfare. The consequences of getting the balance wrong in either direction expose both black African children and parents to suffering and pain. Sometimes the nature of the socio-economic issue will demand decisions that appear to undermine that commitment of not putting children at risk of significant harm. Social workers have to take the decision and maintain the commitment. The Government Regulatory Policies And Poverty By the 21st century, there was a growing view that many West African children who were subjects of section 47 investigations were also eligible for services as children in need (section 17 of the 1989 Children Act). Often, such children did not receive these welfare services because of the apparent incident driven focus of child protection services. One way forward in these circumstances was to encourage local authority social work teams to conduct initial assessments, rather than child protection investigations, in borderline cases, with a view to finding less intrusive forms of social work intervention practice that address the wider developmental needs of the child. Procedures supporting such changes were first introduced by local authorities independently, and were subsequently incorporated into government guidance in England, with the expectation that all referrals of children would first be offered an initial assessment except in emergency cases or where it is suspected that a crime has been committed (Department of Health, 1999). Concurrently, a detailed framework was issued regarding the assessment of all children in need (Department of Health, 2000). The now familiar Framework for the Assessment of Children in Need and their Families was based on an ecological model of assessment, and included supporting pro formas covering the initial assessment period. Platt, (2000) in his study on refocusing initiative attracted a degree of criticism. For many health and social work professionals, there was concern that serious child protection issues might not receive an adequate response if handled outside child protection procedures (Calder and Hackett, 2003). A key factor here would be whether cases can be switched successfully from family support back into child protectionââ¬âan issue that has given cause for concern over a number of years (Laming, 2003). Parton (1996) criticized the recommendations of Messages from Research because they ignored the basic socio-economic reality for many families. Furthermore, cu rrent social expectations may support a formal response to allegations of child abuse and neglect. It is thus unreasonable to expect social workers to act alone since to do so runs counter to the dominant view of wider society. The idea that fewer investigations would mean that resources could simply be transferred to family support services is somewhat naive. The resource problems include the provision of social work time, the provision of adequate family support services, and the need to support a period of change and transition. Few would argue that resourcing levels in any of these respects have been adequate (Calder and Hackett, 2003), and the question of resources was sidestepped almost completely by Messages from Research. The difficulties of implementing such changes were highlighted more recently by Cleaver and Walker (2004) in their research on the impact of the Framework for the Assessment of Children in Need and their Families. The role of the state in these processes was also examined critically by Spratt and Callan (2004). They argued that reductions in numbers of children on the child protection register have been achieved largely as a result of modern governance and measures to promote compliance with performance targets. Whilst these achievements are laudable, they suggest, they may serve to obscure ââ¬Ëunderlying tensions in the relationship between the state and the family. The idea of refocusing has been affected by complex, often competing pressures since the introduction of the Framework for the Assessment of Children in Need and their Families. Arguably, the death of Victoria Climbià © reinforced a ââ¬Ëchild protection orientation, and may have led, in some areas, to a lowering of the child protection threshold (Laming, 2003). The Laming report, furthermore, draws attention to the professional confusions that arise from the distinctions in practice between sections 17 and 47. In circumstances such as this, the role of the social worker in any changing pattern of provision takes on parti cular importance. Chapter Three Social Work Practices History Of Social Work Practice Social work has its roots in the struggle of society to deal with poverty and the resultant problems. Therefore, social work is intricately linked with the idea of charity work; but must be understood in broader terms. The concept of charity goes back to ancient times, and the practice of providing for the poor has roots in all major world religions (www.globalvision.org. Retrieved on 14/04/2009). The term social work intervention usually describes work undertaken with individuals, families, groups and communities. In this context the term to cover the use of social work knowledge and skills when using it within a social care organisation to facilitate the provision of services and practice consistent with the Codes of Practice and with standards of service and practice, and to promote the social inclusion and life opportunities of people using services. Successful social work includes the capacity to work effectively within organisations and across organisational boundaries. In the vast majority of instances social work intervention is a collective activity not an individual activity whether as social worker employee or an independent social worker. The most common form of methods of social work intervention is Individual or family casework. Here social work is the intervention. It supports the individual or family to identify, and use, their own and their social networks exp erience and expertise as a resource for problems or difficulties may have resulte
Friday, January 17, 2020
Problems Facing United States Today Essay
It is now year 2008, and after Bush administrationââ¬â¢s destructive decisions to humanity, America is now facing tremendous problems at home and abroad. à à à à à à à à à à à I consider moral standard as the problem which should be taken most seriously. Why? Because it has been in question since the Bush administration declared war against Iraq and violated not just the human rights but also the rights of the country and the rules of war. Justice was not given. Though there were a number of Americans that opposed these attacks, the effects violence has resulted to confusion on moral standards of most Americans. à à à à à à à à à à à Next is, the problem arising now in medical and social security aspects. It is a problem that should be dealt with as soon as possible for the reason that the government is spending large amount of money and that health is considered a high priority for the benefits of the citizens. There are also issues regarding the inequalities in the medicare system. The government should protect its citizens through improving this type of services. The third problem I consider to be taken with high importance are issues between the Republicans and the Democrats which constitutes the political controversies covering all other problems America is facing. There are far more important issues than the rivalries between the two parties. With this, the politicians tend to focus on such issues and controversies, rather than solving the stateââ¬â¢s problems regarding the governmentââ¬â¢s inefficient services. Following this is the failing value of dollar. As a result of this, the economy of US is under a critical condition. If not solved, this may affect their domestic and international trades. The prices of services and goods may also increase, that may result to revolutions or the failure of the standard of living of the Americans. When this happens, it may cause the less competitiveness of their market to foreign trade. à à à à à à à à à à à The fifth problem I considered is the lack of preparedness and actions for natural disasters. The whole planet is under climate change and the people are not aware of what is it all about. The natural disasters now and stronger and are not detected and reported accurately. One example is the typhoon that hit a state in US wherein hundreds of people died and the government was unprepared, so the rescue operation and the services were of low quality. Not only that, the spread of information and educating the people about natural disasters is very minimal. Next is the poor control of government spending. Like the war in Iraq which cost them millions of dollars, but they failed to give justice to both sides. Also the funds they provide for space exploration in order to compete with other countries that are advancing in that field like Russia. Another is the fund for war weapons which are not rationally used, and gives high risk to the citizens security and health. à à à à à à à à à à à The seventh problem on my list is the human rights violation abroad brought by the wars launched during Bushââ¬â¢ administration. The war violated the human rights of almost all the population consisting Iraq. Its effects are long term because it has caused and American citizens residing in Middle East can be in danger for attacks as the result of the war.à Next is the lack of help in restoring the environment which is I think is connected with the issue on lack of preparedness. This is a problem because the whole planet is experiencing climate change, and given that US is a first world country and has a high contribution in the worldââ¬â¢s pollution, I think they should launch programs and lead other countries in restoring mother nature. The ninth on my list is the problem within family relations. There is an increase in the number of partners getting a divorce, though they have institutions to help these families, still it makes their moral standards low since children of broken families are the victims. The last problem is the illegal aliens inside their territory that may cheat taxes and commit crimes causing another set of problems to the nation. References The Real Problem Facing America. January 18, 2008 retrieved from http://gopublius.com/the-à à real-problem-facing-america/ Some More Information on the National Healthcare Planââ¬â How It Can Be Done. January 18, 2008 retrieved from http://www.blogs4me.com/johnnyangel/ Importance of Your Family History to Your Marriage. January 18, 2008 retrieved from http://marriage.about.com/od/familyoforigin/a/familyhistory.htm Top Ten US Natural Disasters. January 18, 2008 retrieved from http://www.livescience.com/environment/top10_naturaldisasterthreats_us.html
Thursday, January 9, 2020
Effective Dementia Care Essay - 1562 Words
Dementia care offers support and services to an individual affected by the disease itself, which is dementia. It addresses the right and needs of the person with dementia and their families. Improving quality of life and changing attitudes towards dementia is the main goal of dementia care. Dementia care also provides quality of care, maintain dignity and promote health, security and comfort in consideration with the standard of care and ethical guidelines (Adams Manthorpe, 2003). Understanding dementia care is necessary for those health care providers who are planning to handle dementia patients. Care worker should know their duties and responsibilities and have the required knowledge and skills to establish quality care. To findâ⬠¦show more contentâ⬠¦It also shows the need for more effective treatment method to stabilize the disease process and provide quality care for dementia sufferers. To achieve effective and excellence care on dementia, biological, psychological and social approach to dementia has to consider because it provides an understanding to people with dementia and help improved health practice, treatment and support for better dementia care (Bowers Downs, 2008). Biological approach tackles the disease process of dementia, the cause of brain injury and the changes in behavior pattern of dementia sufferers. On the other hand, psychological approach to dementia involved the suffererââ¬â¢s reaction to the injury, how they accept it and deal the situation. It also covers the effect of the disease process on their communication and action in relation to others. Particularly, people with dementia, mostly feel embarrassed and depressed by their brain injury. They are often angry, agitated and frightened because of the disease but maybe it also means seeking help to avoid embarrassment and disgrace. Dementia care in social domain explains the right of the pe rson with dementia to enjoy and experience significant social interaction. Friendly environment and venues with sociable care provider that makes them comfortable and feels worthy is the focus. In addition, social identities of the people with dementia should be valued and socialShow MoreRelatedAnalysis and Description of Dementia Essay1741 Words à |à 7 PagesDementia is characterized as a condition where the mental processes of cognition and memory start to deteriorate. It is described as a syndrome that hinders the daily lives of those who have it and is characterized by memory and thinking impairment. The most common form of dementia is Alzheimerââ¬â¢s Disease and the second most common is vascular dementia. 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Although many families feel a senseRead MoreEssay On Alzheimers828 Words à |à 4 Pagessuffering from Alzheimerââ¬â¢s are seeking ways to relieve their burden and improve their quality of life. An intervention which includes community resources such as, community support groups, adult day care, respite care services and nursing homes can be excellent resources to help people with dementia and enhancing caregiver coping skills; with the early diagnosis, the patients and families can gain benefits to these programs (BrightFocus, 2015). Pharmaceutical Industry The pharmaceutical industryRead MoreThe Use Of Music And Singing On Young Adults Written By Eells ( 2014 )1649 Words à |à 7 Pageswellbeing by alleviating pain, minimizing anxiety, and diverting attention from sad experiences (Mok and Wong, 2003, cited by Eells 2014). Dementia as the article noted is a universal problem affecting over 35 million people and the number increases annually. In the UK, it is expected that over a million will be affected by 2025 (Alzheimer Society 2007). Dementia causes progressive decline in cognitive functions and complicates the impact of sensory experience by affecting communication, memories,Read MoreTechnological Approaches For Dementia Patients845 Words à |à 4 PagesTechnological Approaches to Care of Dementia Patients Dementia describes a decline in mental ability. Alzheimer disease, which damages brain cells, is the major cause of dementia. It is estimated that around 850,000 people in UK developed dementia in 2015. The risks of developing dementia will increase by the comprehensive contributions of aging, risk genes, and unhealthy lifestyles. However, the medical treatments fails to cure dementia effectively for the mechanics of how dementia is developed is tooRead MoreOverview of Dementia Essay988 Words à |à 4 PagesIntroduction Margaret is a 77 year old who has a diagnosis of dementia and type 2 diabetes mellitus. She has been recently separated from her daughter who was her primary carer and her husband who were both unable to cope with her agitated behaviour. Margaret now resides in an age care facility. Margaretââ¬â¢s mental and emotional health is a cause for concern and the family are upset and are struggling with feelings of guilt and anger. This paper with discuss the intervention professional healthcare
Tuesday, December 31, 2019
The Effects Of Bullying On The Media - 1443 Words
Bullying, specifically teen bullying, has become a worldwide predicament. Nearly ââ¬Å"30 percent of teenagers in the U.S. have been involved in bullying, either as a bully or as a victim of teenage bullyingâ⬠(Bullying Statistics, 2015). Bullying makes individuals fearful and feel unsafe in their own environment. Often times, the media discusses bullying frequently. It has become a topic that has influenced the public perception. Bullying in the media has had some negative and positive effects. It has positively shown people that bullying is not inevitable nor unstoppable. The media also shows that it is not going unnoticed in society. The negative aspects tend to stereotype individuals who are bullied have a weakness predisposing that individual to bullying because they are flawed. Furthermore, the media and literature portray bullying in movies and books to let others feel as if they are not alone in this bullying epidemic, which pushes them further into isolation. 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It includes posting rumors or gossip about a person and insulting them or sometimes it may include morphing of their photos and posting them in social media networks to embarrass them. A victim can t cyber predict the cyber bully and is difficult to know that person. A cyber bully can be any unknownRead MoreSocial Media And Its Effects On Society1564 Words à |à 7 PagesWithin recent years the Internet and computer technology have ma de great advancements, allowing for the age of social media to be born and subsequently shaped into what it is today. Social media has become so largely desirable to modern day society due to its large and easy accessibility amongst citizens. However, social networking sites such as Facebook have been found to have negative impacts on individualââ¬â¢s social and psychological well being including things such as basic empathetic social skills1Read MoreBullying Is A Growing Problem1000 Words à |à 4 PagesBullying in schools has become an increasing problem in American society. Bullying is the repetitive, aggressive behavior from one person to another. This can include leaving someone out intentionally, spreading rumors, assaulting a person physically and verbally, and threatening someone. Bullying can be executed in many different ways: online, physically, and verbally. The article, ââ¬Å"Bullying in Schools: An Overviewâ⬠, states, ââ¬Å"According to John A. Calhoun, pres ident and CEO of the National CrimeRead MoreSocial Media And Its Effects On Society Essay1396 Words à |à 6 PagesIn our modern world, the use of social media is overwhelming and second nature due to the availability. Several people all around the world possess some form of an electronic device that is capable of accessing social media, rather it be Facebook, Twitter, Snapchat, Instagram, and many more. ââ¬Å"Technologyââ¬â¢s rampant popularization over the past decade in terms of social media has meant that texting, Facebook, and Twitter have inevitable taken over as the most efficient ways of communicating with eachRead MoreCyber Bullying : The Third Leading Cause Death For American Youths901 Words à |à 4 Pagesages of 10-24. Research has identified that bullying is an environmental stress that increases the risk of adolescent suicide substantially. Approximately 20-35% of adolescents report being involved in bullying as a bully, victim or both (Litwiller Brausch, 2013). Traditional forms of bullying include; physical bullying which involves the infliction of physical harm, emotional bullying which includes verbal harassment or teasing and social bullying when someone is purposefully excluded (Novick
Monday, December 23, 2019
Abortion Should Not Be Legal - 1647 Words
One of the most highly debated topics is abortion and whether or not it should be legal. People who oppose abortion, meaning they are pro-life claim that abortion should be completely illegal with no aspects of it whatsoever; it can be a murder for the people standing against it. The other side of the argument, meaning people who are pro-choice, defend it by believing it to be a right been given to the women. They also claim even if abortion was to be illegal, it would still be practiced. Every culture and society have their own issues taking abortion into consideration. Those who need to and want to do abortion will do it no matter what the restrictions are. It would just be done in a more dangerous manner. Abortion should be illegal, since killing a life by any means is morally wrong. However, it can be justified in the case of medical complications or as a result of rape or incest. The issue of abortion has to be understood and dealt accordingly. Social issues are apparently a part of the abortion debate, that involves the concept of social justice and equality. The decisions taken in regards to abortion can be due to lack of education level, socioeconomic status as well as the religion. Some societies are restricted to the laws and regulations related to the culture. The woman needs someone to console herself as well as support her emotionally and economically, it is hard to make both ends meet especially if the family or the society are against the decision. In myShow MoreRelatedAbortion Should Not Be Legal920 Words à |à 4 Pagesworld has struggled with for ages and one thing that people are advocating around the world for is abortion. Abortion is either a procedure or pill that stops a fetus s heart. Abortion should not be legal because life beings at creation, abortions are a direct violation of the 14th amendment, and thousands of people would love to adopt a child: handicapped or otherwise. Abortion should not be legal because life begins at creation. What is creation? Some people say conception, but it actually isRead MoreShould Abortion Be Legal?1320 Words à |à 6 PagesAbortion, as you all may know, is a really popular topic. There have long been many debates between the two groups, pro-life and pro-choice. People who are pro-life believe that part of the governmentââ¬â¢s job is to protect all forms of human life. Those who are pro-choice believe that every individual should have control over their own reproductive systems. Pro-life supporters strongly believe that even an undeveloped fetus has life; it is still growing and it needs to be protected. And this soundsRead MoreShould Abortion Be Legal?1217 Words à |à 5 PagesNovember 2015 Should Abortion be Legal Among all the issues that have been fought for or against in the United States, abortion may be one of the most popular issues that Americans are passionate about. Abortion is defined as the removal of the embryo or fetus from the uterus in order to end a pregnancy. Thousands of abortions take place every single day, and yet public opinion remains at a standstill as to whether or not abortion is ethical. Everyone holds different opinions on abortion. The proponentsRead MoreAbortion Should Not Be Legal Essay1596 Words à |à 7 Pages Abortions have been performed on women for thousands of years. Abortion is the deliberate termination of a human pregnancy. Most often it is performed during the first 20 weeks of being pregnant. The controversy over whether or not abortion should be legal continues to divide Americans till this day. An important landmark case was the Roe v. Wade case, where the Court argued that the zone of privacy was broad enough to encompass a woman s decision whether or not to terminateRead MoreShould Abortion Be Legal? Essay1089 Words à |à 5 PagesWhen the word abortion is heard, it is always associated with many negative things such as murder and inhumanity. However not legalizing abortion creates a huge problem for women around the world. Having a child takes consideration, planning and preparation and if pregnancy happens without any of this, why bother to have it at all? The reasons why abortion should be legal is that it supports the fundamental human rights for women by giving them a choice, it reduces crime by reducing the number ofRead MoreShould Abortion Be Legal?1135 Words à |à 5 PagesKelsi Hodgkin Composition 1 Professor Chipps 19 October 2015 Should Abortion Be Legal A common debate in the world today involves abortion, the deliberate end of human pregnancy, and whether or not it should be legalized. ââ¬Å"Every year in the world there are an estimated 40-50 million abortions. This corresponds to approximately 125,000 abortions per dayâ⬠(ââ¬Å"Abortions Worldwide this Yearâ⬠). On one side of the argument, people are not disturbed by this grotesque number, and on theRead MoreShould Abortion Be Legal?963 Words à |à 4 PagesLegal or Illegal? Which would you prefer? Not many are willing to discuss such a gut wrenching topic, but this needs to be addressed. It is a very controversial topic with having to do with women rights and activists. Since there are two sides to every argument, there is one side such as to make abortion legal and the opposing side to keep abortions illegal. In my opinion making abortion illegal can regulate the amount of women who do get pregnant. I believe that making abortions legal will let womenRead MoreShould Abortion Be Legal?867 Words à |à 4 PagesABORTION Abortion is a deliberate termination of a human pregnancy, most often performed the first 20 weeks of pregnancy. There are series of legal, moral and ethical issues which may arise about abortion. Most arguments about abortion are often focused on political insinuations and the legal aspect of such actions. Some frequently asked questionsââ¬â¢ regarding the issue is if the practice should be outlawed and regarded as murder or should women have the right to practice it. For example, prior toRead MoreShould Abortions Be Legal?939 Words à |à 4 PagesShould abortions be legal? Abortions have been a big issue since the Roe v Wade case. There have been a lot of disagreements between the Pro-life supporters and the pro-choice supporters. Pro-life supporters feel like abortions deter murder, while pro-choice supporters believe that the women should be able to make their own decisions. I am a part of the pro-life supporters because I feel like abortions are wrong for several of reasons. Why should women get an abortion if there are other choices forRead MoreShould Abortion Be Legal?1052 Words à |à 5 PagesAbortion is a personal matter and is a very sacred and sensitive topic. The deliberate termination of a human pregnancy is what we know of as an abortion. Although abortion is considered to be immorally wrong to some people, it should be a fundamental right for women to control their own bodies. Abortions are one of the many things that everyone has an opinion on. It is one of the most controversial topics anyone will not agree upon. When abortion is discussed, people tend to assume one of two positions:
Sunday, December 15, 2019
Same-sex Marriage in the Philippines Free Essays
Most senatorial bets against same-sex marriage; Enrile is lone supporter ANDREO CALONZO, GMA NewsMarch 18, 2013 12:48pm 145 6 838 (Updated 11:17 p. m. ) Most senatorial bets for the May 2013 polls rejected the legalization of same-sex marriage in the Philippines, with Cagayan Rep. We will write a custom essay sample on Same-sex Marriage in the Philippines or any similar topic only for you Order Now Jack Enrile the only candidate expressing support for gay union, interviews conducted by GMA News Online revealed. Twenty-four of the 33 senatorial hopefuls said they are not keen on giving same-sex couples the chance to get married in the country, where over 80 percent of the citizens are Roman Catholics. Bangon Pilipinas senatorial candidate Eddie Villanueva, a religious leader who founded the Jesus is Lord Church, said he is against same-sex marriage because it is against Biblical teachings. ââ¬Å"Sabi ng Good Book, huwag gayahin ââ¬Ëyung nangyari sa Sodom and Gomorrah dahil darating ang paggunaw sa isang bansa ââ¬Ëpag ââ¬Ëyun ay ginawa,â⬠Villanueva said in an interview. Ang Kapatiran Party senatorial bet Rizalito David, meanwhile, said same-sex marriage is ââ¬Å"against natural law. â⬠ââ¬Å"Ang lalaki, ang mapapangasawa niya ay babae, at silaââ¬â¢y mag-aanak at dadami ang sangkatauhan. Yan ang naturang batas at hindi kailanman nagkaroon sa natural law na pwede ang parehong babae o parehong lalaki,â⬠David said in a separate interview. Davidââ¬â¢s party lists in its political platform a ââ¬Å"spiritual dimensionâ⬠to ââ¬Å"seek first the Kingdom of God and His righteousness. â⬠The issue on same-sex marriage recently came back to public attention with the election of a new head of the Roman Catholic Church, Pope Francis. As a cardinal, the new pontiff openly opposed a bill to legalize same-sex unions in Argentina. He even described child adoption by couples of the same-sex as a form of discrimination to the child. A chance for happinessââ¬â¢ Only one senatorial hopeful, Cagayan Rep. Jack Enrile, said he supports the legalization of gay unions in the Philippines. ââ¬Å"Letââ¬â¢s give everybody a chance for happiness. Let us not discriminate. If it is your inclination to be happy with a man, why discriminate against that? â⬠Enrile said in a separate interview. He said his view on same-sex marriage was influenced by the years he spent living in the United States. ââ¬Å"I have seen in other countries couples of the same sex who have lived very upright lives and raised children,â⬠he explained. Legal recognitionââ¬â¢ Makabayan senatorial hopeful and Bayan Muna Rep. Teodoro Casino, who did not have a categorical stand on the issue, said he is open to giving some sort of ââ¬Å"legal recognitionâ⬠to couples of the same sex. ââ¬Å"Itââ¬â¢s something I still have to study and learn. Iââ¬â¢m willing to hear both sides, what the benefits and disadvantages are. I have an open mind,â⬠Casino said. Liberal Party senatorial bet Paolo Benigno ââ¬Å"Bamâ⬠Aquino IV, who rejected same-sex marriage, meanwhile said he is open to giving ââ¬Å"some rightsâ⬠to ââ¬Å"long-termâ⬠same-sex couples. Former Akbayan Rep. Risa Hontiveros, who is also running under the administration slate, for her part said she ââ¬Å"upholds the rights of same-sex couples to form families,â⬠but added that passing an anti-discrimination bill in the country may be the proper first step towards allowing gay unions in the Philippines. ââ¬â DVM/RSJ, GMA News Donââ¬â¢t expect Obamaââ¬â¢s endorsement of same-sex marriage to have an impact here. It was a historical and an inspiring gesture, one that would galvanize a changing cultural perspective on same-sex relationships inside and outside America. Here, it would spark debates on our readiness for same-sex marriage, but donââ¬â¢t hold your breath: it wonââ¬â¢t alter anything here fundamentally. Donââ¬â¢t even think that this would suddenly lead President Aquino to push his allies in Congress to enact a law legalizing same-sex marriage. It just wonââ¬â¢t happen. This is not to say that the social attitudes and behavior of Filipinos toward homosexuality and same-sex marriage are not changing. They are, and social media has triggered a shift in how we digest controversial topics that in the past have been filtered and controlled by traditional institutions, such as the Church and our schools. Iââ¬â¢m not saying that Filipinos are now more pro-LGBT, but the overall mood is changing, and thereââ¬â¢s more openness to engage in an issue that is still otherwise considered taboo. Social media has democratized access to a wider range of narratives and stories on LGBTs and made them part of our common experiences, creating a climate that could help dismantle oppressive stereotypes about homosexuality. The bullying of LGBT kids in American schools, for instance, a Canadian transgender joining the Miss Universe, the coming out of Hollywood celebrities ââ¬â these have all catalyzed conversations here. And while we know that these happened elsewhere, we have embraced the universal elements of these stories. More importantly, social media has given us access to participate in these conversations. To respond to a homophobic slur in the past meant writing press releases or letters to the editors, the fate of which would depend on the mood of the editors. Today, Facebook and Twitter could help anyone ââ¬â the in-your-face LGBT activist, the closeted bakla, and their fag hags ââ¬â push alternative perspectives on LGBTs, and influence how opinion gatekeepers and icons see the issue. Why the difficulty? If social attitudes are gradually shifting, why then is it hard to push for LGBT rights and same-sex marriage here in the Philippines? Many would automatically blame the Catholic taliban, and how it has been trying to control our political institutions. I think it is a wrong framing of the problem, and it grants the Catholic hierarchy a degree of influence that doesnââ¬â¢t exist. The Church has no control over public opinion, as proven by the continuing popularity of the RH Bill despite the Catholic Bishops Conference of the Philippinesââ¬â¢s opposition to it and by the failure of the Catholic Church to mobilize the so-called ââ¬Å"Catholic vote. What we perceive to be the Churchââ¬â¢s political influence in fact indicates a fundamental weakness in our political institutions, a democratic flaw that makes our system beholden to interest groups like the Catholic taliban. The Church is powerful; the problem is that the state is weak. Legal recognition of same-sex partnerships, whether through marriage or civil unions, would not happen by engaging or reforming the Catholic hierarchy. It is after all the business of the Church hierarchy to be dogmatic, and we should just let it collapse under the weight of its internal contradictions. We should be engaging and reforming the state and make it modern, inclusive, and truly representative. Strategic battleground For the LGBT community, that would require a change in strategy. One, it means that LGBTs must reframe the debate on homosexuality along secular and non-religious terms. While I understand why Catholic LGBTs want to carve a more tolerant space within the Catholic faith, the more strategic battleground is in the Constitution, not the Bible. Same-sex marriage is understandably a sensitive religious issue, but it is above all about our sectarian values ââ¬â about basic fairness and our constitutional rights, about human dignity regardless of the sex of the people we love. Two, we need to be more forthright about gay love and gay sex. For many years, LGBT activists have skirted the issue of same-sex partnerships and gay marriage as a non-priority, relegating it under more crucial issues, like discrimination in schools and the workplace. This sends the wrong signal ââ¬â that same-sex partnerships are secondary and unimportant, when ironically the root of discrimination against LGBTs is the rejection of same-sex partnerships, both the sexual and romantic sides of it. We need to embrace gay sex and gay love and feel less guilty about them. A modern state, embracing gay sex and gay love. Who said that marriage is easy? ââ¬â Rappler. com (The author is coordinator of Akbayanââ¬â¢s LGBT Collective and a member of the Philippine National AIDS Council. ) BY JONAS BAGAS POSTED ON 05/11/2012 4:04 PM | UPDATED 05/13/2012 10:45 PM Updated March 2013 Quick facts on key provisions State law and/or constitutional provision limits marriage to relationships between a man and a woman: Alabama, Alaska, Arizona, Arkansas, California*, Colorado, Delaware, Florida, Georgia, Hawaii, Idaho, Illinois, Indiana, Kansas, Kentucky, Louisiana, Michigan, Minnesota, Mississippi, Missouri, Montana, Nebraska, Nevada, North Carolina, North Dakota, Ohio, Oklahoma, Oregon, Pennsylvania, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, West Virginia, Wisconsin, Wyoming California voters adopted a constitutional provision limiting marriage to relationships between a man and a woman in November 2008. This provision was challenged in federal court and ruled unconstitutional. Enforcement of this decision has been delayed pending a U. S. Supreme Court decision on the case. Supreme Court hearings are scheduled for March 2013 and a decision is expected by June 2013. State issues marriage licenses to same-sex couples: Connecticu t, Iowa, Maine, Maryland, Massachusetts, New Hampshire, New York, Vermont, Washington and the District of Columbia States allows civil unions, providing state-level spousal rights to same-sex couples: Delaware, Hawaii, Illinois, New Jersey, Rhode Island Three of these states (Delaware, Hawaii and Illinois) also have laws limiting marriage to relationships between a man and a woman. Note: In Connecticut, Vermont and New Hampshire, same-sex marriage has replaced civil unions. State grants nearly all state-level spousal rights to unmarried couples (domestic partnerships)*: California, Nevada, Oregon, Washington** **Effective June 30, 2014 domestic partnerships in Washington will be limited to couples who are 62 years of age or older. State provides some state-level spousal rights to unmarried couples (domestic partnerships)*: Hawaii, Maine, Wisconsin and the District of Columbia State legislatures have been deeply involved in the public debates about how to define marriage and whether the official recognition of ââ¬Å"marriageâ⬠should be limited to relationships involving one man and one woman or that same-sex couples should also be entitled to ââ¬Å"marriage. â⬠State legislatures have gone both ways in this debate: either enacting ââ¬Å"defense of marriageâ⬠laws and constitutional provisions or, going the opposite direction, adopting laws allowing same sex marriage. Five states have adopted civil unions for same-sex couples that provide the same legal rights as marriage. Most states have adopted prohibitions of same-sex marriage. Most states do so by adopting ââ¬Å"defense of marriageâ⬠language that defines marriage in their state constitution and/or state law in a way similar to the language in the federal Defense of Marriage Act (DOMA) ââ¬âââ¬Å"the word ââ¬Ëmarriageââ¬â¢ means only a legal union between one man and one woman as husband and wife. â⬠Other states prohibit same sex marriages or marriages between persons of the same sex or gender. Thirty states have placed that language in their state constitutions (26 of these states also have statutory provisions adopting this language). A further eight states have statutory language adopting the restrictive language. Note that this count does include California, where federal courts have invalidated a 2008 initiative that added constitutional language defining marriage as limited to unions involving one man and one woman. The challenge to that constitutional provision is to be heard by the U. S. Supreme Court in 2013. Nine states and the District of Columbia currently allow same-sex marriages. In Massachusetts, Connecticut, and Iowa, the statesââ¬â¢ highest courts ruled that the state constitution required that same-sex couples be accorded the same marriage rights as opposite-sex couples. In Vermont, New Hampshire, the District of Columbia and New York, Maryland and Washington, legislative bodies have passed statutory changes that allow same-sex marriages. In Maine, the legislature passed a same-sex marriage law in 2009, which was repealed in a voter referendum. In 2012, Maine voteres reversed course and approved a same-sex marriage statute. Same-sex marriages are currently being performed in those states. Several states have also expanded the legal rights available to spouses in same-sex relationships while also limiting marriage to opposite-sex couples with civil unions and domestic partnerships. Same Sex Marriages in the Philippines (Affrmative) Resolved: Same sex marriages should be legalized in the Philippines. Let me start with a quote. If homosexuality is a disease, letââ¬â¢s all call in queer to work: ââ¬Å"Hello. Canââ¬â¢t work today, still queer. â⬠That was by Robin Tyler. Instead of saying hey, Iââ¬â¢m pulling off a sickie today, you say hey, sorry if I canââ¬â¢t go to workââ¬âIââ¬â¢m still gay. Can you imagine that kind of situation? If so, letââ¬â¢s start asking ourselves today. Why do homosexuals have to be discriminated anyway? Do they harm you or anyone in the society you live in? Same sex marriages have been an issue in the Philippines for a long time now, but since we live in a predominantly Christian country, people simply avoid further discussion of such. According to the 1987 Constitution of the Republic of Philippines, Article 2, Section 6; the separation of the church and state shall be inviolable. Meaning, no matter how grave the social issue may be, the church can never contradict the decision of the government and vice versa. It has been widely understood that the Roman Catholic church will always be against same sex marriages considering the fact that their beliefs and principles are based from the sacred scripture. However, citizens who do not opt to engage into religious ceremonies have the option to be conjugated by means of civil wedding. It has been said under Article 7 of The Family Code of the Philippines, that marriage may be officiated by a person other than a priest, rabbi, imam or minister. Included are any incumbent members of the judiciary within the courtââ¬â¢s jurisdiction. How to cite Same-sex Marriage in the Philippines, Essay examples
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