{"title":"Sharing the Mic in Domestic Violence Program Leadership: Expanding on Dr. Perlmutter’s Call for Social Work Administration","authors":"","doi":"10.37808/jhhsa.43.4.2","DOIUrl":"https://doi.org/10.37808/jhhsa.43.4.2","url":null,"abstract":"Domestic violence (DV) work in the United States emerged as a grassroots collectivist movement and grew into more formalized programming within nonprofit social service organizations. In this commentary, co-authored by DV program leaders along with DV scholars and social work educators, we apply and extend the work of Dr. Felice Perlmutter as we reflect on the role of professionalized social work in DV program leadership. Narratives of DV program leaders highlight models of anti-oppressive, feminist and empowerment-focused leadership emerging from diverse sources of experience and education. We promote an anti-oppressive stance of “sharing the mic” to include diversity of voices and ways of learning and leading. We assert that formal social work education and training provides valuable preparation, as do lived experiences, survivor voices, and community membership. A theory of effective leadership emerges that promotes mutual","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44244924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Political Social Work: An Essential Component of the Profession","authors":"","doi":"10.37808/jhhsa.43.4.3","DOIUrl":"https://doi.org/10.37808/jhhsa.43.4.3","url":null,"abstract":"Social workers have played a key role in political settings from the profession’s historic roots to present day. Their knowledge, skills and values position social workers to practice in political settings. Social work faculty and students were interviewed to assess a) how field placements in legislative offices and participation in Campaign School and NASW-sponsored Legislative Education and Advocacy Day (LEAD) impacted students’ professional development and perspectives on political social work, and b) social work faculties’ perception of these activities in students’ social work education and necessary political social work knowledge and skills. Initial results demonstrate a high level of support for these activities among faculty and students with opportunities to further include them in the explicit and implicit social work curriculum.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42566632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Participants not Observers: Involving Beneficiaries as Co-assessors in Performance Analysis","authors":"David Campbell, Kristina T. Lambright","doi":"10.37808/jhhsa/44.4.1","DOIUrl":"https://doi.org/10.37808/jhhsa/44.4.1","url":null,"abstract":"This commentary addresses the limited attention researchers and practitioners have given to the role service beneficiaries can and do play in performance analysis in health and human service organizations. We present a six-element framework for understanding that role at the individual, program and system level. The framework contrasts approaches that treat beneficiaries as passive versus active participants in performance analysis. We apply the framework to an imagined disability services organization. Future research should assess beneficiary engagement in performance analysis more systematically, including case studies, surveys of practice, and assessments of the effectiveness of these different approaches.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"617 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70043947","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
L. Zerden, Brianna M. Lombardi, Erica L. Richman, Alexandria B. Forte, Meriel McCollum
{"title":"Addressing Burnout among the Frontline Healthcare Workforce during COVID-19: A Scoping Review & Expert Interviews","authors":"L. Zerden, Brianna M. Lombardi, Erica L. Richman, Alexandria B. Forte, Meriel McCollum","doi":"10.37808/jhhsa.44.4.3","DOIUrl":"https://doi.org/10.37808/jhhsa.44.4.3","url":null,"abstract":"Purpose: To identify the strategies and interventions U.S. health systems implemented to reduce burnout and increase employee well-being during the first year of the COVID-19 pandemic. Methods: A concurrent design included a scoping review of published literature on burnout interventions implemented for healthcare workers during COVID-19 and expert interviews with healthcare administrators involved in COVID-19 burnout response efforts (N = 5). Scoping review protocols included a-priori inclusion criteria, search terms, database selection, and data abstraction (N = 21 articles). Results: The scoping review identified eight types of interventions; spanning individual, organizational, and community systems. Qualitative data supported scoping review findings and uncovered themes related to communication, role shifting, and wellness initiatives as forms of burnout prevention and reduction. Conclusion: As COVID-19 continues, so too will worker stress, burden, and burnout. Health systems worked quickly and creatively to address the needs of the frontline healthcare workforce, yet more work is needed to sustain efforts over time. Keywords: workforce burnout, burnout prevention, front-line workforce, COVID-19, scoping review, burnout interventions","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70044006","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Relationship between Healthcare Provider Density and Diabetes Prevalence in the United States","authors":"M. Nguyen, Cassandra Brown, Na Sun, J. Brown","doi":"10.37808/jhhsa.44.3.3","DOIUrl":"https://doi.org/10.37808/jhhsa.44.3.3","url":null,"abstract":"The prevalence of diabetes varies geographically in the United States, yet little is known whether healthcare providers are located in areas most in need of diabetes care. This study examined the relationship between healthcare provider density and diabetes prevalence in the United States at the county level. We used data from the Centers for Disease Control and Prevention’s Interactive Diabetes Atlas, the Area Health Resources Files, and the American Community Survey. We used the Getis-Ord Gi* statistic to detect hot spots and cold spots of diabetes prevalence and multinomial logistic regression to examine the relationship between healthcare provider density and a county’s location in a hot spot or cold spot. Nurse practitioner density was positively associated with location in a hot spot of diabetes prevalence. Policy makers should consider using incentives to encourage providers to locate to areas with a high prevalence of diabetes.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70043962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A Study of Healthcare Services Received under Alternative Medicare Insurance Plans","authors":"Douglas Smith, S. Stout, M. Wieck","doi":"10.37808/jhhsa.44.4.4","DOIUrl":"https://doi.org/10.37808/jhhsa.44.4.4","url":null,"abstract":"An analysis of detailed medical encounter records for a random sample of one million Missouri Medicare beneficiaries reveals dramatically lower usage of medical services by individuals enrolled in Medicare Advantage Organization health maintenance programs (HMO plans) than by individuals enrolled in traditional Medicare fee-for-service (FFS) plans. Differences in usage and mix of services in five major venues (hospital inpatient, hospital outpatient, general carrier services, home health, and skilled nursing facilities) persist when we control statistically for medical condition and demographic characteristics of insured individuals, availability of medical services in the counties where they reside, and reimbursement arrangements for beneficiaries’ primary-care providers. Continuing growth in enrollment for Medicare Advantage plans is therefore expected to have a substantial impact on the resources required for delivery of healthcare services and upon the venues in which medical services for the elderly will be provided.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70043623","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Impact of Systemic Racism on Responses to and Recovery from COVID-19: A Comparative Analysis of Policy and Practice in New York City and Detroit","authors":"Simone Martin-Howard, R. Damour, Tracey Robinson","doi":"10.37808/jhhsa.44.4.5","DOIUrl":"https://doi.org/10.37808/jhhsa.44.4.5","url":null,"abstract":"When COVID-19 was first reported in the United States in spring 2020, it illuminated society to the vast inequities that racially marginalized populations face in comparison to their White counterparts. Metropolitan areas, in particular, were hit the hardest by the pandemic. New York City and Detroit, cities with large numbers of racially marginalized populations, experienced high COVID-19 test positivity rates during the pandemic’s first and second waves. It is the aim of this research note to provide policymakers, practitioners, and healthcare personnel with an overview of response and recovery efforts through an analysis of the intersection between racially marginalized groups and access to healthcare in New York City and Detroit. We propose three recommendations: 1) increased centralized data on the differences between racially marginalized populations and non-minorities; 2) additional federal funding to local health departments; and 3) the utilization of faith-based and community-based organizations as additional COVID-19 testing sites.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70043641","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
A. Santella, Alicia Bosley, I. Carillo, Daniela Fraticelli, Sarah Mulder
{"title":"“I Wanted to be Part of the Solution”: Motivations, Preparation, and Mental Health of COVID-19 Contact Tracers in the New York Metropolitan Area","authors":"A. Santella, Alicia Bosley, I. Carillo, Daniela Fraticelli, Sarah Mulder","doi":"10.37808/jhhsa.44.3.2","DOIUrl":"https://doi.org/10.37808/jhhsa.44.3.2","url":null,"abstract":"Contact tracing is a method of controlling the spread of infectious disease and limiting transmission. The sudden and pressing need for COVID-19 contact tracers has emerged due to the growing spread of the pandemic. Twenty interviews were conducted with contact tracers from the New York metropolitan area. The data was analyzed using an inductive method involving constant comparison. The six major themes included: primary motivators, perception of role, challenges of contact tracing, strengths of contact tracing, and perceptions contacts under investigation, and perceptions of mental health. Understanding the experiences of COVID-19 contact tracers has helped to identify implications to recruit, train and retain them and ensure they are satisfied and productive members of the disease investigation workfo","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70043908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Social Work’s Commitment and Leadership to Address Social Determinants of Health and Integrate Social Care into Health Care","authors":"L. Zerden, C. Galambos","doi":"10.37808/jhhsa.43.3.5","DOIUrl":"https://doi.org/10.37808/jhhsa.43.3.5","url":null,"abstract":"In light of ongoing transformations in health care policy, pressing questions have emerged concerning how to integrate social care into clinical care and what workforce and physical/digital infrastructure will be required for this integration. In response to these questions, the National Academies of Science, Engineering, and Medicine (NASEM) 2019 Consensus Study Report on Integrating Social Care into the Delivery of Health Care: Moving Upstream to Improve the Nation’s Health has challenged health and human sector leaders to systematically consider ways to integrate social care into health care delivery. Taking social work as a key profession for driving the integration of social care into health care delivery, the following article (1) outlines key components of the NASEM report and (2) articulates the necessary future steps that health and human sector leaders must take across administrative, educational, technological, and workforce arenas in order to sustainably integrate social care and health care sectors.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44415431","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Costs, Benefits and Challenges of Contingency Work in Human Service Agencies","authors":"","doi":"10.37808/jhhsa.43.3.4","DOIUrl":"https://doi.org/10.37808/jhhsa.43.3.4","url":null,"abstract":"Increasingly, professionally trained human service workers are employed on a contingency basis. This article reports findings from an exploratory qualitative study in which contingent direct service staff and permanent agency administrators were interviewed to ascertain their views on contingency work arrangements in the human services. Two broad research questions guided this inquiry: (1) what are the rationales for contingency employment from the perspectives of the staff who obtain it and the agencies that utilize it; and (2) what are the effects of contingency employment on the contingent workers and the agency? Findings are placed in the broader context of neoliberalism and its impact on the human service sector with focus on the fiscal factors that drive contingency arrangements and the fragmenting of human service work environments as a result.","PeriodicalId":15909,"journal":{"name":"Journal of health and human services administration","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47797375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}