The thesis is a qualitative study from critical theory perspectives to enhance understanding of how systemically mainstream organizations marginalize social work practice with ethno-racial minorities. It also explores strategic implications for systemic change based on field research findings. Ten social workers from Edmonton – the provincial capital city of Alberta, Canada - participated in investigative dialogues for the thesis field research. These research participants’ workplace stories lend themselves to explore three questions: what does marginalization of practice with ethno-racial minorities look like in mainstream organizational settings; what is there to understand about it as a systemic issue and what the research findings imply for change strategies. A critical analysis of dialogic data thematically identifies everyday work issues that describe how practice with ethno-racial minorities is kept at the operational and service-delivery fringe of individual workplaces. These thematic findings point to broader issues of the mainstream human service organization sector. These broader issues further highlight how the practice marginalization of concern in this thesis is a systemically constructed issue. These broader issues are mainstream benevolence, social work as an employment regime, multicultural service delivery as a thrill and clientization of ethno-racial minorities. In consideration of these sector-wide issues, implied change strategies reveal three thematic directions for systemic transformational change: (i) continued dialoguing involving concerned social workers and ethno-racial minority community leaders, (ii) community social work to build and foster coalitionary activist work and organizations, and (iii) participatory research involving a community sharing concern of the practice marginalization issue so as to build a strong knowledge-base to support and empower broad-base activist endeavour to effect change about mainstream human service organizations. / Social Work / D. Phil. (Social Work)

This study explored and described the experiences of Eritrean immigrants regarding utilisation of healthcare services in Indianapolis. Qualitative descriptive phenomenological design was utilised. Data were collected using a semi-structured interview format, on eight conveniently selected Eritrean immigrants, living in Indianapolis. Data were analysed using Interpretive Phenomenological Analysis Framework for data analysis. Three superordinate themes emerged from data analysis: Healthcare financing system, Positive side of healthcare services and Challenges related to utilisation of healthcare service. All these factors have an impact on the utilisation of the Healthcare services by Eritrean immigrants. Recommendations have been put forward to advocate for policy change regarding financing of healthcare services for immigrants and improved healthcare services to accommodate cultural diversity. Further research should be conducted on ways of improving utilisation of healthcare services by Eritrean immigrants in Indianapolis. / Public Health / M.A. (Health Studies)

Text in English / Disasters are global phenomena, often occurring without warning and with physical and psychological consequences among those affected. In May 2008, refugee and migrants living in South Africa were exposed to xenophobic violence, which may be described as a human caused disaster using the Shultz, Espinel et al. (2008) definition of disaster. Refugee and migrant women were particularly vulnerable during this time due to heightened risk for exposure to violence and pathology. During 2014, a mixed methods convergent study was conducted in Johannesburg to determine the presence of acute stress disorder symptoms (ASD), posttraumatic growth (PTG) and experiences of xenophobic violence among refugee and migrant women. One hundred and three refugee and migrant women completed a selfadministered questionnaire, while semi-structured individual interviews were conducted with a sub-set of 22 women.The quantitative results showed a positive, linear association between moderate ASD-total symptoms, as assessed by the Stanford Acute Stress Reaction Questionnaire (SASRQ) (Cardeña, Classen, Koopman, & Spiegel, 2014) and moderate posttraumatic growth-total, assessed by the posttraumatic growth inventory (PTGI) (Tedeschi & Calhoun, 1996). All ASD symptom subscales were predictors of posttraumatic growth. The qualitative results from both the SASRQ open-ended responses and semi-structured responses showed that refugee and migrant women were adversely affected by the xenophobic violence, with a prevailing fear that the xenophobic violence would re-occur. There was convergence in the quantitative findings and the qualitative findings for the pathological and adaptive outcomes. Policymakers must address xenophobic violence by working towards prevention of this type of violence. In instances where policies fail to address or prevent xenophobic violence, disaster programmes should consider xenophobic violence in disaster planning. Further to this, mental health intervention programmes should not only focus on alleviating ASD symptoms but also emphasise enhancing PTG. / Psychology / M.A. (SS (Psychology))