Working to untangle the multiple interests and “truths” that manifest in decision-making in youth shelters, I draw on the Foucauldian perspective of governmentality as an alternative means of problematizing “youth homelessness” in Canada. Tracing interdiscursivity between levels of authority, I use critical discourse analysis to deconstruct federal and Ontario government, and Toronto youth shelter discourses. Aiming to normalize the problematic, I uncover tensions between crime control and human resource development within each level of authority. Further, usurping attention to employment and housing, mental illness and youth criminality are taking over as dominant discourses. Moreover, the discursive production of “needy” and “helping” subjectivities is serving to depoliticize and individualize institutionally structured relationships, thereby limiting the depth of citizenship permitted poor, racialized and gendered young people. Concealing ongoing neo-liberal restructuring, therapeutic community-based governance is thus justified over action to address the roots of youth homelessness.

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.

Parents raising children with Attention-deficit/hyperactivity disorder (ADHD) experience high levels of parenting stress, especially when ADHD is accompanied by comorbid Oppositional Defiant Disorder (ADHD/ODD). Children with ADHD experience difficulties with their executive functions in such areas as inhibition control, working memory, and emotional regulation. Despite evidence linking ADHD with parenting stress, and ADHD with executive function difficulties (EFDs), there is little research exploring whether EFDs within an ADHD population are associated with parenting stress. This dissertation’s main objective is to determine whether parent-reported and teacher-reported childhood EFDs are associated with elevated levels of parenting stress. A secondary data analysis was completed on a cross-section of parent and teacher completed psychiatric assessment measures for children (n=243) diagnosed with ADHD. Measures included the Behavior Rating Inventory of Executive Function, the Conners’ Parent Rating Scale and the Parenting Stress Index, Long Form. A number of important findings were produced; key of which was the finding that a strong association exists between parent-reported EFDs and Child Domain parenting stress. Consistent with prior ADHD research, difficulties with emotional control and inhibition were found to be potent predictors of Child Domain parenting stress. To a lesser degree, children’s difficulties with initiation and self-monitoring were associated with Child Domain parenting stress, suggesting that daily hassles pose challenges for parents, especially when the child attends a new school. Also important was the finding that parent-reported oppositionality partially mediated the relationship between EFDs with emotional control, inhibition and shift, and Child Domain parenting stress. Despite teachers’ reports that children displayed more severe behaviours than were reported by parents, teacher-reported EFDs were not significantly associated with Child Domain parenting stress, with a few exceptions. Although not a well-explored concept within the literature on ADHD and parenting stress, parental acceptance of the child emerged as source of Child Domain parenting stress and a potential focus for assessment and treatment. Findings from the current study suggest that early identification and intervention with emotional control difficulties and ODD are vital due to their strong association with clinically significant levels of Child Domain parenting stress.

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.

Working to untangle the multiple interests and “truths” that manifest in decision-making in youth shelters, I draw on the Foucauldian perspective of governmentality as an alternative means of problematizing “youth homelessness” in Canada. Tracing interdiscursivity between levels of authority, I use critical discourse analysis to deconstruct federal and Ontario government, and Toronto youth shelter discourses. Aiming to normalize the problematic, I uncover tensions between crime control and human resource development within each level of authority. Further, usurping attention to employment and housing, mental illness and youth criminality are taking over as dominant discourses. Moreover, the discursive production of “needy” and “helping” subjectivities is serving to depoliticize and individualize institutionally structured relationships, thereby limiting the depth of citizenship permitted poor, racialized and gendered young people. Concealing ongoing neo-liberal restructuring, therapeutic community-based governance is thus justified over action to address the roots of youth homelessness.

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.

Parents raising children with Attention-deficit/hyperactivity disorder (ADHD) experience high levels of parenting stress, especially when ADHD is accompanied by comorbid Oppositional Defiant Disorder (ADHD/ODD). Children with ADHD experience difficulties with their executive functions in such areas as inhibition control, working memory, and emotional regulation. Despite evidence linking ADHD with parenting stress, and ADHD with executive function difficulties (EFDs), there is little research exploring whether EFDs within an ADHD population are associated with parenting stress. This dissertation’s main objective is to determine whether parent-reported and teacher-reported childhood EFDs are associated with elevated levels of parenting stress. A secondary data analysis was completed on a cross-section of parent and teacher completed psychiatric assessment measures for children (n=243) diagnosed with ADHD. Measures included the Behavior Rating Inventory of Executive Function, the Conners’ Parent Rating Scale and the Parenting Stress Index, Long Form. A number of important findings were produced; key of which was the finding that a strong association exists between parent-reported EFDs and Child Domain parenting stress. Consistent with prior ADHD research, difficulties with emotional control and inhibition were found to be potent predictors of Child Domain parenting stress. To a lesser degree, children’s difficulties with initiation and self-monitoring were associated with Child Domain parenting stress, suggesting that daily hassles pose challenges for parents, especially when the child attends a new school. Also important was the finding that parent-reported oppositionality partially mediated the relationship between EFDs with emotional control, inhibition and shift, and Child Domain parenting stress. Despite teachers’ reports that children displayed more severe behaviours than were reported by parents, teacher-reported EFDs were not significantly associated with Child Domain parenting stress, with a few exceptions. Although not a well-explored concept within the literature on ADHD and parenting stress, parental acceptance of the child emerged as source of Child Domain parenting stress and a potential focus for assessment and treatment. Findings from the current study suggest that early identification and intervention with emotional control difficulties and ODD are vital due to their strong association with clinically significant levels of Child Domain parenting stress.

As the United States is in the midst of a proclaimed time of economic distress it is essential to identify the methods which families demonstrate skills of survival. This study is based on the premise that African-Americans have a self-made kin support system and culture which provide resources and skills for the betterment of the family unit. A quantitative methods design is used to identify and prioritize the resources and behaviors utilized by African-American families in time of declared economic crisis. Through the Africultural Coping Skills inventory this study identifies that African-American families within the Metropolitan Atlanta, Georgia area use a great deal of the identified cultural-specific coping mechanisms. In addition, results from the modified version of the Satisfaction with Life Scale demonstrate that the study participant, who served as their African-American family representative, perceived their well-being as positive. A thorough analysis of the study's resulting data and a discussion are provided alongside review of concepts from Afrocentric theory and resource exchange theory. Several recommendations are provided as a result of this analysis and discussion. Recommendations are also provided in hopes of ensuring that continuous efforts are made to document and expose the positive attributes found within African-American family and culture are noted as a natural form of resilience.

This randomized-controlled pilot study explored the impact of a pretreatment, telephone engagement intervention on adolescents’ (ages 13-19) initial mental health service attendance (i.e., the first 3 counseling sessions) and four secondary outcome variables (i.e., autonomous/ controlled treatment motivation, self-efficacy, and working alliance). Twenty-seven adolescents received the engagement intervention and completed assessments and 24 adolescents completed assessments only. Both groups completed follow-up assessments 6 weeks after study enrollment. Associations between the outcome variables and initial treatment attendance were explored. The extent to which demographic variables (i.e., age, gender, race, immigration status, and residence in low income neighbourhoods), psychological distress, and self-reported barriers (i.e., mismatched treatment expectations and external demands) were associated with treatment attendance was also explored. The primary findings from this pilot study indicated that adolescents who received the engagement intervention had greater initial treatment attendance (M=2.11, SD=1.01) than the assessment only group (M=1.54, SD=1.22), but the difference only approached significance. Moreover, no significant between-group differences in the secondary outcome variables were found. Paired samples t-tests were used to examine changes in autonomous/controlled treatment motivation and self-efficacy within groups between baseline and follow-up. The results of the paired samples t-tests indicated that that the experimental and control groups both demonstrated a significant decrease in controlled motivation at follow-up. In addition, the control group demonstrated a significant decrease in autonomous treatment motivation at follow-up. Post hoc analyses, using correlation and linear regression analyses, explored the associations between initial attendance and the secondary outcome variables, psychological distress, self-reported barriers, and demographic variables. A negative association between age, self-reported barriers and initial attendance was found. A positive association was found between working alliance and initial attendance. While the majority of adolescents who participated in this research lived in low income neighbourhoods and nearly half were second generation immigrants, these demographic variables were not associated with initial treatment attendance. Although the engagement intervention had a medium effect on initial treatment attendance, this difference was not statistically significant. Future research with a larger sample size and longer follow-up is needed to determine the effectiveness of the engagement intervention.