Abstract The act of knowing is a critical determinant of what is known, yet there are limits and potential violence inherent in all ways of knowing. Social workers have an ethical responsibility to understand our means of knowing and our knowledge claims – both shape the work we do. Conspicuously under-represented as creators of/commentators on how they are represented, people with intellectual disabilities have had little/no control over what or how they are known. These ethical and epistemological concerns were the focus of this arts-informed qualitative study. The purpose was an interrogative encounter with one way of knowing – how public photographic imagery of people with intellectual disabilities influences knowledge about them. It was concerned, however, to come to this knowledge through an inquiry into how labelled people would, themselves, interpret and respond to these representations, and how they might use photography to trouble disabling images and non-disabled (social work) knowing. Theoretically framed by a critical disability lens, the work was influenced, too, by Derrida’s essay on photography, “The Right of Inspection”. The other regarding aspect of the philosophy of Emmanuel Levinas, his concern with our ethical responsibility to the alterity of the Other, most powerfully informs the work. Four adults with intellectual disabilities accepted the invitation to participate in this project. First, they critically engaged with a selection of public photographic images. In a unique methodological turn, they then transformed the images to reflect their critique. Interpretive analysis of the critiques and transformations identified four thematic ideas. Participants’ critiques were insightful and profound; transformations provocative and disruptive. Challenging dominant assumptions – and demanding non-disabled others re-think intellectual disability and people so labeled – the critiques and transformations also respond to the social/political/ideological/psychological ramifications of photographic imagery on the lived experience of intellectual disability. Through the work, participants confront non-disabled responses to public photographs and to labeled people, challenging non-disabled others to question their knowledge, attitudes, and behaviours. The work also raises questions about research and people with intellectual disabilities: the possibilities for voice and empowerment through inclusive research strategies and visual methodologies, and the transformative potential of dialogic encounters between people with and without intellectual disabilities.

Resilience and post trauma responses often coexist, however, for the past decades, the trauma paradigm has served as the dominant explanatory framework for human suffering in post-conflict environments, while the resilience of individuals and communities affected by mass violence has not been given equal prominence. Consequently, mental health interventions in post-conflict zones often fail to respond to local realities and are ill equipped to foster local strengths. Drawing primarily from trauma, feminist and structural violence theories, this study strengthens understanding of adult resilience to traumatic exposure by examining the resilience of Quechua women in the aftermath of the political violence in Peru (1980-2000), and their endurance of racially and gender-targeted violence. The study uses a cross sectional survey to examine the resilience and posttraumatic responses of 151 Quechua women. Participants were recruited from an urban setting and three rural villages in Ayacucho, Peru. The study examines the associations between resilience, past exposure to violence, current life stress and post-trauma related symptoms as well as the individual and community factors associated with the resilience of Quechua women. In doing so, this study makes a unique contribution by simultaneously examining posttraumatic responses and resilience in a post-conflict society, an area with a dearth of research. Results indicate that resilience was not associated with overall posttraumatic stress related symptoms, but instead higher resilience was associated with lower level of avoidance symptoms and therefore with lesser likelihood of chronic symptoms. Findings also demonstrate that enhanced resilience was associated with women’s participation in civic associations, as well as being a returnee of mass displacement. Lower resilience was instead associated with lower levels of education, absence of income generated from a formal employment and the experience of sexual violence during the conflict. These results were triangulated with qualitative findings, which show that work, family, religion, and social participation are enhancing factors of resilience. The study highlights the courage and resilience of Quechua women despite persistent experiences of everyday violence. The importance to situate trauma and resilience within historical processes of oppression and social transformation as well as other implications for social work practice and research are discussed.

The present study examined the subjective experiences of individuals living in the community with a severe or persistent mental illness receiving services from the Sunnybrook Program of Assertive Community Treatment (SunPACT). The researcher employed McCracken’s (1998) Long Interview Method to interview a sample of 8 clients from SunPACT. The aim of this research was to explore client perspectives on their experiences of SunPACT and their perception of its impact on their quality of life. The findings from this study overlapped with the literature, as well providing new and vital information in the implementation and monitoring of quality of care of an ACT model. This research demonstrated that clients experience the effects of their treatment differently, and therefore, understanding client feedback is imperative to understanding how to maximize treatment benefits and provide effective services. Specific details about their experiences are outlined. Implications for social work practice are discussed.

Doctor of Philosophy / School of Family Studies and Human Services / Karen S. Myers-Bowman / The focus of this qualitative case study was to examine the qualities and characteristics present in a successful resource family who parents high-risk teenagers. Perspectives were gathered from the resource parents, their birth children, a foster teen living in their home, and professionals that work with these resource parents. Utilizing Family Systems Theory and content analysis of the data, themes were identified as contributing to the success of this resource family. Themes identified were inclusion, communication, boundaries, humility, and a willingness to be hurt as well as positive attitude. Implications of these themes are discussed with the literature, theory, and the use of the pre-service training that resource parents are provided. A perspective was gained from both inside and outside the resource family for analysis. A discussion around implications of these findings as well as the need to explore additional areas is outlined.

Master of Arts / Department of Sociology, Anthropology, and Social Work / Nadia Shapkina / In the current climate of proliferating nonprofit organizations and demanding social service needs, volunteers play a crucial role. This study looks at career volunteers, who, unlike other types of volunteers, identify with their work as if it were a paying occupation. It examines personal narratives and experiences through interviews in two Kansas communities and in-depth participant observation in one Kansas homeless shelter to find unique identity formation in the way that career volunteers make sense of who they are and what they do. These volunteers show a tendency to reject modern frames around the concepts of work, home, and volunteerism. Instead, they integrate life categories, lending an often counter-cultural conception of identity and meaning to their lives’ work.

This research examines how childcare policy in Ontario, Canada assists and constrains low-income urban women’s strategies of provisioning for their children. Childcare policy refers to the range of programs that assist families in reconciling paid work and parenthood. In Ontario, Canada, these programs include childcare fee subsidies, tax deductions, parental leave policies, child benefits/allowances and a program regulating live-in caregivers. Provisioning is used to capture an array of daily work-related activities (e.g. paid, unpaid and caring labour) that mothers perform to ensure their children’s survival and well-being. The qualitative study, based on individual semi-structured interviews with 20 low-income mothers living in an urban community, found that women carry out various activities in provisioning for their children. Some of these are familiar and visible activities such as providing domestic caring labour, engaging in the labour market, and undertaking volunteer work in the community. Others are less visible tasks such as sustaining their health and that of their children, making claims/asserting their rights, and ensuring safety. Low-income urban mothers provision under numerous constraints. A continuous shortage of money and childcare issues are at the core of these constraints. The study also found that the mothers encounter a variety of barriers in the community, such as a limited availability of social and community services and a high level of violence/criminal activity in their neighbourhoods. Issues related to poor health, an inadequate diet, or the necessity of caring for children with special needs further constrain women’s lives. Limited English language skills, racial barriers, and the struggles of adapting to a new country add to the multi-dimensional barriers facing low-income urban mothers. The research indicates that mothers use a variety of strategies to counter these barriers; however, these strategies cost women in terms of their time as well as their physical, mental and emotional energy. Childcare policy assists to a certain extent by providing some support to low-income mothers. Enhancements to the existing policies have potential benefits; however, they are like patches on a leaky bucket. Ultimately, the bucket needs to be replaced with a new way of envisioning family responsibilities, work and childcare.

Recent research has found high rates of abuse in gay male relationships; however, little is known about their lived experience. This study aims to explore (1) the social construction of abuse in gay male relationships, (2) its discursive effects on clinical practice and (3) the lived experience of gay men involved in abusive relationships. This study included three sets of data. Using a discourse analysis, articles published in popular queer media and academic literature were analyzed to understand the social construction of partner abuse. Three focus groups, with 16 service providers, were conducted to examine the discursive effects of partner abuse on clinical practice. In-depth interviews with 21 gay men involved in partner abuse were conducted to understand their lived experience. Transcripts of the focus groups and interviews were reviewed in detail to highlight themes and concepts. Analysis revealed that gay male partner abuse is not a self-evident or natural category but, rather, socially constructed. Current discourse created two opposite categories (the victim who is powerless and helpless; the perpetrator powerful and evil) that both informed and limited the way in which service providers saw and, thus, worked with gay men involved in partner abuse. Yet, as shown in the analysis, the lived experience of partner abuse does not always fit neatly into the rigid victim and perpetrator roles. Instead, the roles are frequently unclear and contradictory. We social workers need to be aware of the discursive effects of gay male partner abuse and critically examine how they impose certain assumptions on us. Instead of seeking a “true” experience of partner abuse, we need to help these men search for meaning within the events that are relevant to them, regardless of how they fit into the normative discourse of gay male partner abuse.

This study identifies the extent to which neighbourhood socioeconomic trends are related to intentional and unintentional child injuries in Toronto, Ontario. Children living in lower socioeconomic status (SES) neighbourhoods have often been found to face a higher injury death and morbidity rate than more well‐off children. A likely explanation is an increase in the unequal exposure to injury-promoting environments on the basis of the income polarization (a declining middle income group). However, the strength of the inverse relationship between SES and injury is related to a number of factors, including the SES indicator chosen by the researcher. Hence, a goal of the study is to determine whether neighbourhood socioeconomic trends toward income polarization have predictive power in explaining variation in injury rates in young children aged 0-6, over and above more typical measures of SES and neighbourhood disadvantage. Census data were used to determine socioeconomic trends. Neighbourhoods (census tracts) were divided into three distinct categories based on neighbourhood change in average individual income: neighbourhoods that have been improving, declining, and those displaying mixed trends. This analysis of neighbourhoods was merged with geo-coded hospital-based emergency department data to calculate rates of overall injuries, falls, burns and poisoning. The predictive power of neighbourhood socioeconomic trends on injury was compared to more typical neighbourhood disadvantage measures such as income (high, medium, low), neighbourhood employment rates, education levels, and housing quality from the 2006 census. Socioeconomic trends contributed significantly to injury outcomes, but the contribution of other neighbourhood disadvantage indicators was higher. Housing in need of repair and individuals with no university degree in a neighbourhood were positively correlated with three of four outcomes. A high immigrant population in a neighbourhood was negatively correlated with three of four outcomes. Neighbourhood socioeconomic trends had slightly more predictive power than the more typical measure of SES (high, medium or low income). Researchers should carefully consider their socioeconomic status measures when predicting injury outcomes.

The study was conducted in northern Ghana to determine the scope of male partner violence (MPV) against women, identify the factors associated with this problem as well as point out the health implications of MPV. In a sample of 443 married women drawn from outpatient populations across six district health centers we found that nearly 7 out of 10 women have experienced some MPV: 62% have experienced psychological violence; 29% have experienced physical violence; and 34% have experienced sexual violence. A multiple regression analysis showed that male controlling behavior, number of children, presence of concubines, partner appreciation, and very good health significantly predicted Total Violence. The results showed that the more controlling a husband is the more likely his wife is to experience severe violence and that more children in the marriage is associated with more violence for the women. Marriage duration was significantly positively correlated with violence, indicating that the longer the time since a woman got married, the more likely she experiences violence. Husband’s education was significantly negatively correlated with violence, indicating that husband education has a decreased effect on violence. Logistic regression and ANOVA models identified a number of socio-demographic factors as significant correlates of MPV. These include couple’s unemployment, particularly husband unemployment, being young – under 30 years and being younger than the husband, presence of concubines, being Muslim or Traditional, living in a rural setting, husband alcohol use, being a healthy woman, and not being appreciated by the husband. We found that MPV is associated with physical and mental health difficulties among women. Some 47 women reported having sustained multiple injuries, including sprains, broken bones and teeth, cuts, and burns. Mental health difficulties among these women included partner phobia, sleep deprivation, and thoughts of suicide. We make recommendations that call on government and other stakeholders to initiate policy that provides services to women experiencing MPV and that implements education and campaign programs to eventually eliminate MPV in Ghana generally.

Objectives: Concerns have been raised that child welfare systems may inappropriately target poor families for intrusive interventions. The term “neglect” has been critiqued as a class-based label applied disproportionately to poor families. The objectives of the study are: to identify the nature and frequency of clinical and poverty-related concerns in child neglect investigations and to assess the service referral response to these needs; to examine the contribution of poverty-related need to case decision-making; and to explore whether substantiated cases of neglect can be divided into subtypes based on different constellations of clinical and poverty-related needs. Methods: This study is a secondary analysis of data collected through the 2008 Canadian Incidence Study of Reported Child Abuse and Neglect (CIS‑2008), a nationally representative dataset. A selected subsample of neglect investigations from the CIS‑2008 (N = 4,489) is examined through descriptive analyses, logistic regression, and two-step cluster analysis in order to explore each research objective. Results: Children and caregivers investigated for neglect presented with a range of clinical and poverty-related difficulties. Contrary to some previous research, the existence of poverty-related needs did not influence case dispositions after controlling for other relevant risk factors. However, some variables that should be, in theory, extraneous to case decision-making emerged as significant in the multivariate models, most notably Aboriginal status, with Aboriginal children having increased odds of substantiation, ongoing service provision and placement. Cluster analyses revealed that cases of neglect could be partitioned into three clusters, with no cluster emerging characterized by poverty alone. Conclusions: The majority of children investigated for neglect live in families experiencing poverty-related needs, and with caregivers struggling with clinical difficulties. While poverty-related need on its own does not explain the high proportion of poor families reported to the child welfare system, nor does it account for significant variance in case decision making, cluster analysis suggests that there exists a subgroup of “neglected” children living in families perhaps best characterized by the broader notion of social disadvantage. These families may be better served through an orientation of family support/family welfare rather than through the current residual child protection paradigm.