Social work research : ethical and political contexts

Written in an engaging and accessible style, this book bridges the gap between theory and reality by discussing a range of research paradigms and placing them in the context of professional social work. It also discusses the political and ethical contexts that are intrinsic to social work practice.

Community water fluoridation : is it still worthwhile

Community Water Fluoridation (CWF) is the adjustment of fluoride concentration in community drinking water to a level that confers optimal protection from dental caries (Truman et al 2002). It is supported by many authorities as the single most effective public health measure for reducing dental caries (DHS 2007). It has consistently been shown to be effective in reducing the prevalence and severity of dental caries in populations following its introduction (NHMRC 1999). The most dramatic reductions (50-60%) were demonstrated in the earlier studies although more recent research has still shown reductions of between 30 and 50% (Truman et al 2002). Despite the strong scientific evidence for its beneficial effects and safety the issue of the appropriateness of CWF is often the focus of public debate. Proponents argue that it reduces dental caries. is safe and cost effective. and that it provides significant benefits to all social classes (Slade et al 1995: Slade et a 1996: Spencer et al 1996). Opponents question its efficacy and safety and argue that its addition to community water supplies is unethical mass medication (Colquhoun 1990: Diesendorf 1986: Diesendorf et al 1997).

More recently, however, there have been important questions raised regarding the continuing benefit of CWF over and above that produced by the widespread use of other sources of fluoride (toothpaste. mouth rinses. varnish and other professionally applied fluorides). Generally, dental caries has declined steeply in the last thirty years and many have observed that dental caries has also reduced in parts of Australia and other countries where there has never been CWF or where it has ceased. It has been suggested that because of the current low population levels of dental caries and the increase in alternate sources of fluoride, CWF no longer offers the benefits it may have in the past. Given this notion, together with the concerns of a minority subgroup of the population regarding the safety of CWF, it is valuable to examine current evidence to answer the question: Is there still a role for CWF in Australia?

This paper will firstly examine the history of water fluoridation and its mechanisms of action. Secondly. trends in dental decay experience over the last three decades with particular emphasis on social and geographical inequities in Australia will be described. We also review the current state of scientific evidence for the benefits of CWF including the contribution it makes to the reduction of oral health inequalities. In light of this we will provide a response to the question posed above.

Climate change and social inclusion: opportunities for justice and empowerment

...the greatest untapped resource at our disposal lies in the disadvantaged Australians living in our most excluded communities. (Nicholson 2007 p. 4)

The commons are where justice and sustainability converge, where ecology and equity meet. (Shiva 2005 p. 50)

Since 1990, the Intergovernmental Panel on Climate Change (IPCC) has recognised human induced climate change to be primarily a result of burning fossil fuels and land clearing (Lee 2007). Changes to the world's climate patterns have been occurring for decades, but only in recent times has climate change arrived in our collective conscious. An onslaught of extreme weather events, destruction and failure of crops, increasing levels of water restrictions, government announcement of desalination plants. proposed increase in prices for utilities such as power and water - have ushered climate change into the Australian lexicon.

The challenges for all of us are many and varied and perhaps even unimaginable. as many propose a global reduction in annual C02 emissions of between 60-80% (compared to 1990 levels) by 2050.

We are not talking just about the re-construction of our world, but about its re-invention. Ryan (2007)

How will climate change affect us? Who is most vulnerable? What will be the features of policies and strategies to combat climate change that ensure an equitable and just response across our entire society? Are our present social-cultural justice paradigms of social exclusion and inclusion adequate in addressing the impending health consequences that are likely to result from climate change, and in supporting an equitable. harmonious and fruitful life for all population groups in the future?

This paper, written in the spirit of solution-oriented research. focusing on the causes of positive health rather than the causes of disease and other problems (Robinson & Sirard 2005). explores the possibility of a paradigm shift which imagines the social inclusion of specific population groups, not as an appended extra, but integral to the design of an equitable, sustainable low carbon society of the future.

Rural primary health care workers and research : what is their present capacity?

Aims & rationale/Objectives : The main objectives of this project were to:
- conduct an audit of research skills and experience of primary health care staff in nine south western Victorian not-for-profit agencies
- identify capacity for research in five pre-identified areas
- investigate unpublished research endeavours/innovative projects taking place in the linked community organisations.
Methods : A 9-item survey was developed and will be distributed to all primary health care staff at the nine agencies via the internal email system of each organisation. The survey was developed after consultation with several agency directors, to obtain an organisational perspective on research capacity issues. Staff were also invited to take part in informal focus groups exploring key themes.
Principal findings : This study is in progress, and is expected to be completed at the end of March, 2007. Expected findings are the identification of primary health care staff's capacity for research, and discussion of relevant organisational assistance which would develop their research skills or enable continued participation in research.
Discussion : Phase 2 of the Australian PHC Research, Evaluation and Development Strategy aims to support the development and expansion of the primary health care research workforce. Findings from the current study will support this goal by assisting rural primary health care workers to identify the training and support they need to undertake quality research. The data could also be used to: a) assist the consortium to identify common research interests; b) to inform the consortium regarding the potential for collective research efforts; and c) to support funding submissions from the consortium or from individual agencies.
Implications : These findings will help to inform improved strategic planning in relation to building research capacity. The data could also be used by participating agencies to support applications for research grant funding.
Presentation type : Poster
Session theme : Building research capacity

The influence of faith-based organisations on Australian social policy

This historical overview explores the crucial and changing relationships between faith-based organisations and governments, not only in the implementation of social services but also in the formation of social policy. Historically Australian governments have left large areas of social provision to the non-government sector. For example, income support for the unemployed was not taken up by governments until World War II and income support for sole parents remained largely a responsibility for non-government organisations (NGOs) until the 1970s. Prior to governments taking responsibility for income support, most of these NGOs were religious organisations surviving on donations, philanthropic support and limited government funding. It is argued that the dominant, semi-public role of religious organisations in service delivery and social policy formation is an important but largely overlooked aspect of the Australian historical experience.

Rural-urban TBI outcomes : system design, experience and paramedic intervention

The results of this research suggest that outcomes following severe TBI are similar between rural and urban locations, and that paramedics face unique challenges when managing high-acuity low-frequency cases in rural areas.

Capital social e luta simbólica : o caso da Red Puna : uma experiência territorial de articulação social na província de Jujuy , Argentina

Na década de 1990 a noção de capital social alcançou ampla influência no âmbito das políticas públicas, aparecendo como uma nova alternativa para a promoção do desenvolvimento. Na esfera acadêmica, contudo, ainda não existe consenso sobre a conceitualização e as implicações desta nova noção nos processos sociais em geral. Por um lado, encontra-se a abordagem normativista, inspirada nos trabalhos de Putnam, que vê o capital social como um recurso utilizado pelas sociedades que contribui para melhorar a sua eficiência, promovendo o desenvolvimento econômico e melhorando o desempenho institucional e, conseqüentemente, ampliando o bem-estar social. Por outro lado, Bourdieu entende o capital social como uma das formas em que se expressa o poder, o qual é utilizado pelos agentes nas suas estratégias de reprodução. Este trabalho adota a perspectiva teórica de Bourdieu e tem por objetivo estudar o papel do capital social no processo de formação de uma organização social. Para isto, estuda-se a formação da Red Puna que é uma organização de segundo grau que articula diferentes organizações sociais nas regiões de Puna e Quebrada de Humahuaca, situadas no norte da Argentina. O método de pesquisa adotado é o qualitativo, sendo a técnica utilizada o de estudo de caso Entre as principais conclusões da pesquisa salienta-se a diversidade de usos que os agentes fazem do capital social, constituindo-se em aspecto-chave nas estratégias de reprodução social adotadas e nas relações de poder utilizadas nas suas lutas simbólicas.

A responsabilidade social como resposta do sistemas ao ambiente institucional brasileiro pós-década de 1990: O caso do Sesc

Analysis of the influences exerted by the Brazilian institutional scenario on SESC ¿ The Social Service of Commerce, focusing state-market-society relations in the 1990 decade, states the core issue of the present dissertation. It also aims to discuss the suitability of adopting corporate social responsibility oriented actions in accordance with these changes. In the first place SESC's institutional setting, and questions addressed to it, as well as pressures to which the organization has been submitted since the mid 1980's are presented to the reader. Following, elements of particular significance closely related to SESC's present institutional framework are described: the country's political redemocratization, social and organizational networks, state reform, and the like.

Da tradição ao mercado: construção social e caprinovinocultura no semi-árido

O presente estudo procura compreender como vem se dando a construção social de mercados envolvendo a caprinovinocultura nos estados do Rio Grande do Norte, Paraíba e Ceará e de que forma esse processo incide sobre temas como pobreza e desenvolvimento, tomando como estudos de caso três experiências em curso nos municípios de Mossoró (RN), Cabaceiras (PB) e Tejuçuoca (CE). A criação de caprinos e ovinos remonta à chegada dos portugueses no século XVI, sendo que a forma tradicional de criação e a piora genética de boa parte desses animais a torna pouco produtiva em termos econômicos. Em comparação aos bovinos, cuja criação na região ligar-se-ia historicamente a status social, esses animais são vistos de maneira inferiorizada. Pragmaticamente, no entanto, essa hierarquização é contraditória na medida em que a criação desses animais é mais adaptada às condições do Semi-árido. Uma cultura de resistência incide sobre o potencial econômico da caprinovinocultura na região, sendo confrontada por uma “rede de entusiastas” formada por agentes-chave ligados a um conjunto de instituições. Diagnosticando aspectos mercadológicos favoráveis, esses atores são fiéis à causa da difusão de técnicas apropriadas de criação aos pequenos agricultores familiares para que estes alcancem melhores condições de vida. Além deles, o governo federal, por meio do Programa de Aquisição de Alimentos (PAA), em parceria com alguns estados, desenvolve Programas do Leite, política pública que visa garantir mercados para os produtos da agricultura familiar e segurança alimentar para os beneficiários do Fome Zero. Nesse processo induzido, um novo arranjo vem aliando tradição e vocação regional com inovação e inclusão social produtiva de parcelas pobres da população. Entre outras constatações, entende-se que a construção de mercados socialmente orientados venha promovendo reestruturação de laços e vínculos sociais, ampliando o rol de relações a que os indivíduos se submetiam anteriormente à vivência dessas práticas.

Desafios para a formação de parcerias no serviço creche da secretaria da assistência social da PMSP

Analisa os vínculos estabelecidos entre a Secretaria de Assistência Social da PMSP e algumas Entidades Sociais para a prestação do serviço creche. Investigou-se o campo da Assistência Social e o da relação entre a esfera pública estatal e a esfera privada, sem fins lucrativos, na provisão de serviços públicos. A partir de revisão bibliográfica, de pesquisa documental e de estudo de casos, dando voz a todos que se relacionam no convênio, definiu-se parcerias como sendo relações substantivas que implicam corresponsabilidades, compartilhamento de valores e comprometimentos. Analisou-se duas creches diretas, duas conveniadas e duas indiretas, (e as respectivas Entidades Sociais), além da SAS Regional de IQ/G e SAS Central. Foram escolhidas as creches que obtiveram avaliação positiva quanto ao seu desempenho e alcance de resultados. Considerou-se que tanto os serviços prestados de forma direta quanto os conveniados podem ter qualidade e sucesso no alcance de seus objetivos, sendo necessário, em qualquer das modalidades, ter presente aspectos como: transparência nas ações, diálogos permanentes, clarificação de papéis e competências, responsabilização e compromissos com causas e com acordos. Justificam-se os serviços conveniados em razão das questões conjunturais hoje postas, e da responsabilização por parte de toda uma sociedade no enfrentamento da questão social. Justificam-se os serviços diretos pela necessidade vital da afirmação do papel do Estado na provisão de serviços públicos para garantia de serviços de forma continuada com vistas à universalização. Indicou-se, como desafio a necessidade de rever a forma como estão se dando os vínculos entre os agentes estudados, na direção do estabelecimento de parcerias, bem como o desafio da apropriação da condução da política pública pelos órgãos de assistência social, consolidando como esfera pública não-estatal a ação das Entidades Sociais.