▼ 

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.

MAST

Advisors/Committee Members: Williams, Charmaine, Social Work.

▼ 

This qualitative study explored the information available on abortion, contraception and parenting from websites accessible to internet users in Canada. The research questions focused on a comparison of pro-life and pro-choice websites on the discourse in Canada around reproductive rights. A textual analysis was conducted of five websites, with data analyzed using phenomenological research methodology. Themes emerged highlighting key differences between pro-choice and pro-life websites. Pro-choice websites offer accurate and up-to-date information presented in a static resource format, while pro-life websites offer value-laden and inaccurate information presented in an interactive, user-friendly fashion. The analysis highlights how the internet, as an emerging 21st century information resource, is also a site of production for reproductive rights discourse in Canada. These results have direct implications for social work practice and policy, particularly emphasizing the need for client referrals to accessible and accurate websites, and engagement with reproductive rights advocacy and public health education.

MAST

Advisors/Committee Members: Alaggia, Ramona, Social Work.

▼ 

The present study explored the experiences of victimization and immigration among immigrant youth in the Peel region in Ontario, Canada. Victimization included the experiences of bullying and ethnic discrimination in the school environment. The study utilized a phenomenological approach to investigate how immigrant youth interpreted their experiences and whether they identified victimization as bullying, ethnic discrimination or both. The effects of victimization on adaptation and acculturation were also explored. Results from individual interviews of six youth (ages 16 or 17) indicated that immigrant youth viewed bullying and discrimination as separate constructs. Themes that emerged from the interviews included the importance of language proficiency; the role of peer affiliations; and factors associated with resiliency. It was evident through their descriptions that immigrant youth face unique challenges, which include adjusting to a new culture and country of residence, establishing a new social circle, and gaining comfort in utilizing the English language.

MAST

Advisors/Committee Members: Mishna, Faye, Social Work.

▼ 

This qualitative study examined three areas of social service provision through the experiences of non-English speaking older Hispanic immigrants. These three areas included availability and accessibility of services and culturally competent practices of service providers. The qualitative approach of phenomenology was used to interview ten participants in order to explore their experiences with service provision. An analysis of the interviews pointed to the following themes: (a) experiences with services were deeply connected to issues of immigration and adaptation; (b) language barriers were especially difficult to overcome in services; (c) the role of families as primary supports needed to be reconsidered in order to offer better quality of services; and (d) culturally competent practices needed to be reinforced at the organizational level of workers, agencies and government in order to become more effective. From these themes, recommendations and implications for social work and services for non-English speaking elderly Hispanics are detailed.

MAST

Advisors/Committee Members: McDonald, Lynn, Social Work.

▼ 

Using a phenomenological design, eight (8) children from a paediatric rehabilitation hospital, between the ages of 6 and 12, were interviewed to understand their medical experiences and issues of resilience. All children were exposed to what has been defined in the literature as paediatric medical trauma, or the overwhelming experiences that can occur in medical settings. Through an iterative hermeneutic based analysis, themes emerged about their medical trauma, understanding of resilience, and ways in which they viewed themselves and their environment. Children reported their most challenging symptoms in acute care, and experiences in rehabilitation that maintained difficulties. Though children did not understand the formal term resilience, they understood the concept in simpler terms. All children identified themselves as resilient, describing and giving examples of their resilience, which are discussed throughout the thesis. This study importantly amplifies childrenâ s voices within their own care. Implications for future practice and research are discussed.

M.S.W.

Advisors/Committee Members: Alaggia, Ramona, Social Work.

▼ 

The Canadian Incidence Study on Reported Child Abuse and Neglect (Trocme, 2001) found that structural factors such as poverty, poor housing and substance misuse contribute to the over-representation of First Nations children in child welfare care and yet there is very little information on the experiences of First Nations and Non-Aboriginal children after they are placed in care. The When Everything Matters study tracks First Nations and Non-Aboriginal chlidren removed from their families between 2003-2005 in Nova Scotia to the time of reunification or to the time of data collection if the child remained in care. The characteristics of children and their families are compared to the primary aims of child welfare services provided to children and their families. Results indicate that poor families living in poor housing are graphically over-represented among all families who have their children removed. Poverty-related services were not provided to families in proportion to its occurrence. Caregiver incapacity related to substance misuse was most often cited as the primary reason for removal and although substance misuse services were provided there is a need for further child welfare training, policy and services in this area given the scope of the problem presenting in both First Nations and Non-Aboriginal families. Study findings are nested in a new bi-cultural theoretical framework founded in First Nations ontology and physic's theory of everything called the breath of life theory. Implications for theoretical development as well as child welfare research, policy and practice are discussed.

PhD

Advisors/Committee Members: Regehr, Cheryl, Social Work.

▼ 

The objective of this study was to generate a deeper understanding of the influence of pre- and post-migration traumatic experiences on refugees’ psychological distress, including historical, political and social factors. This dissertation used a multi-method design to examine the impact of trauma on the psychological well-being of refugees. Further, the design included a qualitative component to provide a contextual framework for understanding refugee psychological distress that is not limited to an analysis of a disease model alone but by also making connections to important historical, social and political events. Post-Colonial, Refugee, Trauma and Feminist theories are used as analytic lenses to explain the social structures and events contributing to refugees’ pre- and post-migration traumatic events, and psychological distress. This was an international study that spanned two continents. Sampling included 50 Sri Lankan Tamil refugee participants who lived in Chennai, India and 50 Sri Lankan refugees in Toronto, Canada. Inclusion criteria included a residency period of the last 12 months in either of the sampling sites, and participants 18 years of age or older. Participants from Toronto were recruited through social service agencies and associations, and participants from Chennai were recruited from refugee camps, and the Organization for Elam Refugee Rehabilitation. Tamil versions of the Harvard Trauma Questionnaire, the Post-Migration Living Difficulties Questionnaire, and the Symptoms Check List – 90R were utilized to measure participants’ pre- and post-migration traumatic events and psychological distress. The Harvard Trauma Questionnaire contained qualitative open-ended questions to triangulate the quantitative data in identifying and exploring the impact of contextual influences. Results showed that post-migration traumatic event scores positively predicted psychological distress, and refugee claimants living in Canada had the highest scores on pre-migration and post-migration scores. The qualitative analysis revealed themes related to civil war and resettlement as significant issues. Implications of these findings support the development of a multi-level approach within social work practice which emphasizes contextual issues, focuses on individuals, and promotes social advocacy. Recommendations for future research point to conducting longitudinal studies to assess the cumulative effects of historical, social and political factors on refugees and identify resiliencies that mobilize their capacity to survive.

PhD

Advisors/Committee Members: Alaggia, Ramona, Social 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.

PhD

Advisors/Committee Members: Neysmith, Sheila, Social Work.

▼ 

The current research utilizes a multi-level analysis of historical, clinical, situational and neighbourhood factors to predict violence severity among persons with major mental illness. In addition, it draws on the typologies of offenders proposed by Moffitt (1993) and Hodgins and Janson (2002) to explore whether different predictors of violence severity exist for early-start, persistent offenders and late-start offenders. Finally, it compares early-start and late-start offenders with major mental illness to determine if differences exist in their criminal history, clinical presentation, motive for violence, crime-scene behaviours and neighbourhood backgrounds. A retrospective chart review of a mental health court support program in Toronto, Canada is utilized to explore the correlates of violence severity. Clinical charts and supplemental arrest records are content analyzed to extract data on arrestee/offender characteristics and on crime scene behaviours and tract-level data from the 2001 Canada Census is used to identify structural features of the neighbourhood environment of arrestees/offenders at the time of their arrest. Violence severity is measured using the Cormier-Lang System of Quantifying Criminal History (Quinsey, Harris, Rice, & Cormier, 1998). In total 1806 charts were reviewed and 245 subjects were subsequently included within the analyses. Using a variety of analytic techniques, the following results were obtained: 1) offense characteristics such as victim gender, victim-offender relationship, instrumental motive, and use of a weapon were the most robust predictors of violence severity while clinical factors such as diagnosis and comorbid clinical conditions were marginally significant predictors and historical factors such as previous violence and early-start offending were not significant predictors of violence severity; 2) context-specific measures accounted for more of the explained variation in violence severity than did individual-specific measures; 3) early-start and late-start offenders did differ with respect to history of violence, presence of a comorbid clinical condition such as a personality disorder or substance abuse and current life circumstances. Implications for theory refinement, clinical practice and program development are discussed and future avenues of research are considered.

PhD

Advisors/Committee Members: Regehr, Cheryl, Social Work.

▼ 

This study contributes to the growing knowledge base on postdivorce parenting. Recognizing the need to facilitate a better understanding of what makes the postdivorce parenting dyad work or not work, this study explored how individuals sustain a parenting relationship with their former partners when the couple relationship ends through separation or divorce. To date, knowledge about couples’ relationships has been absent from clinical approaches to assisting postdivorce parenting relationships and consequently there has been no bridge between the theories and paradigms of the couples’ literature and those of postdivorce parenting. This exploratory study examined the experiences and perspectives of 20 individual parents in Ontario, Canada. Individual interviews were held with each of the participants. The study identified key themes illuminating an emerging understanding of postdivorce relationships. These key themes will assist to better understand the postdivorce parenting relationship. Findings suggest that practitioners should consider that: (a) the postdivorce parenting relationship is highly complex and the development of a “working” or “not working” relationship results from an interaction among a range of factors; (b) understanding couple’s research is essential to comprehending this complexity because, despite the couple relationship ending, former couples remain a dyad because they are parents; (c) even when the postdivorce parenting relationship is “not working”, men and women describe other aspects of their lives as successful. The study’s findings have implications for mental health professionals and legal professionals working with parents during and following the divorce process.

PhD

Advisors/Committee Members: Mishna, Faye, Social Work.

▼ 

This exploratory grounded theory study is a comparative analysis of kinship and foster care in the province of Ontario. This study sought the perspective of three constituent groups—caregivers (N=22), workers (N=14) and youth (N=9)—from both kinship and foster care constituent populations. The total number of participants was 45. This is one of the first comprehensive qualitative studies in the province of Ontario since the inception of the kinship model of practice implemented by the child welfare system in 2006. The study resonates with important practice, policy and research implications for Ontario and beyond. Recruitment for the study was generated through various child welfare organizations and a kin grandparents support network. Findings from each of the three groups include the following: (1) specialized kin workers recognize the complexities and unique needs of kinship placements; (2) foster parents and kin caregivers have very different needs related to training, financial remuneration and support; and (3) youth experience feelings of loneliness and frustration when moving to different placements, but also acknowledge the importance of relationships, particularly to their assigned worker. The analysis of these three group converges to a very simple but poignant conclusion: kinship programs are unique and require a level of intervention that is separate and discrete from the current foster care paradigm.

PhD

Advisors/Committee Members: MacFadden, Robert, Social Work.

▼ 

The purpose of this qualitative study is to explore, describe and examine how the child welfare experience affects the personal and social identities of Anishinabe participants. Contextual realities, specifically the cultural and child welfare contexts, and how participants situate themselves in those realities, are explored. A Critical Ekweism conceptual framework is used to inform the design of the study and analyze the unique experiences of participants. The framework seeks to respect and understand the unique historical backgrounds and perspectives of participants as they critically evaluate their contexts as knowers and experts of their own experiences. While participants collectively identified existing dilemmas and practices, they also decided to actively think of ways to re-address and to positively transform these dilemmas and practices. Methods of inquiry included the Aboriginal Circle paradigm that is interwoven with Phenomenological procedures. The Aboriginal Medicine Wheel was used as an organizational tool to illustrate and explain study findings, and Phenomenological procedures were used to explore the meanings participants append to their experiences. Both sharing circles and individual interviews were used to collect data from twenty-seven participants who were involved in the child welfare system at the time of the study. Some were living in Northern Ontario, others in a large city. Data were transcribed and Grounded Theory coding procedures used to analyze the data and identify themes. Four main themes emerged: Place of Understanding’, ‘Place of Disconnection’, ‘Place of Identification,’ and ‘Place of Reconnection’ to represent the sacred knowledge-making spaces where participants through the Reality Circle make sense of their contexts. The meanings that underpin each of these sacred spaces are discussed. An analysis of the meanings of these four sacred spaces further describes how participants’ personal and social identities are juxtaposed in their cultural and child welfare contexts. Of interest is how participants’ child welfare experiences affect their cultural and parenting identities. Child welfare practices are interpreted in terms of parent, social work and First Nations Community responsibilities. A diagram depicting these responsibilities is presented as the ‘Anishinabe Identity Circle.’ The study is significant for the social work profession because an Anishinabe approach to ‘doing’ social work with this particular group of participants is developed and has implications for Aboriginal-based Theory and Aboriginal-based support and policies. Even though this is a small step towards changing some of the existing practices in the Child Welfare System, it may pave the way for larger and more constructive social changes for participants and their children in the future.

PhD

Advisors/Committee Members: Neysmith, Sheila, Social Work.

▼ 

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.

PhD

Advisors/Committee Members: George, Usha, Social Work.

▼ 

Many children and their families who seek assistance for childhood behaviour disorders experience comorbid disorders, namely the presence of two or more disorders. Although comorbid disorders are recognized as a frequent clinical complication, minimal direction exists within the literature about the risk factors for comorbid conditions and how best to provide intervention services. In this study an ecological framework was used to compare the individual, family, and community environmental contexts of young girls who presented at intake at a children’s mental health centre with comorbid externalizing and internalizing disorders, and girls who presented at intake with externalizing disorders only. The treatment response to a cognitive-behavioural intervention for externalizing behaviour disorders was examined, by comparing externalizing scores over time between girls with comorbid externalizing and internalizing disorders and girls with externalizing disorders only. Additionally, internalizing scores over time for girls with comorbid disorders were examined. Results indicated that a history of abuse and a cluster of individual characteristics placed girls at higher risk to present with comorbid conditions. The results also indicated that girls with comorbid disorders experienced a reduction of both externalizing and internalizing symptoms. Only 1 in 7.4 girls, however, scored below the clinical range for both externalizing and internalizing disorders at the end of the treatment phase, in comparison to 1 in 5 girls scoring below the clinical range for externalizing disorders in the noncomorbid group.

PhD

Advisors/Committee Members: Stern, Susan, Social Work.

▼ 

Breast cancer incidence in Chinese women is rising in North America. However, a critical review of the empirical research reveals a clear under-representation of the breast cancer survivorship experiences of ethnic minority women, particularly those of Chinese origin. A breast cancer diagnosis not only disrupts a woman’s everyday life but also, and more importantly, her self-identity: who she was before the cancer diagnosis and who she becomes after the diagnosis. The purpose of this study was to understand the lived survivorship experience of Chinese women with breast cancer, in particular the way they reconstruct their self-identity while living under the constant threat of premature mortality. A hermeneutic phenomenology was employed to illuminate the essence of the lived experience. A purposeful sample of 24 Chinese women was recruited, and audiotaped face-to-face semi-structured interviews were conducted in English or Mandarin. An iterative process was carried out to identify themes and interwoven them into the four existentials of lifeworld to lend structural meaning to the lived experience. The self-identity of Chinese women living with breast cancer did not fit the current combative survivor identity and narrative as represented in the North America media. Rather, a ‘quiet’, modest and practical narrative underscoring the Chinese virtues of self-reliance, endurance, and social responsibility and harmony characterized their lived experience and self-identity. They endured unexpected major life events and accepted what life offers in an effort to move on with their lives of being a normal person again. An understanding of the way Chinese women manage the impact of breast cancer and their survivorship experience will significantly contribute to building our knowledge about this minority population within the Canadian context. In turn, this understanding will support health care professionals with the development of culturally sensitive psychosocial/supportive care services to maximize adaptation and recovery.

PhD

Advisors/Committee Members: Williams, Charmaine, Social Work.

▼ 

Since de-institutionalization, numerous community based treatment modalities have been implemented to provide treatment for individuals diagnosed as seriously and persistently mentally ill. CTOs are a recent addition to the community mental health care system designed to provide outpatient mental health services to seriously mentally ill clients and using legal mechanisms to enforce a contractual obligation to participate in those services. Although there is a growing body of literature on CTOs and other mandated outpatient treatment programs for people diagnosed with mental illnesses, the research predominantly focuses on the perspectives of service providers and family members. Little attention has been given to how clients view the experience of receiving the treatment and no attention has been given to the experience of clients who are of ethno-racial minority background. As Ontario is a racially and ethnically diverse environment in which many people of minority backgrounds are placed on CTOs. This study, utilizing a phenomenological methodology, interviewed twenty-four participants of ethno-racial minority background who are either on CTOs or have been on a CTO in the past. The focus of the study was to explore the views and lived experience of the participants regarding the treatment. The outcome of the study showed that the participants did not experience the treatment as racially motivated but felt it was necessary and beneficial. The participants discussed the impact of power in the treatment process. Implications of the study were that it would enhance the mental health literature by providing an understanding of serious mental illness among individuals of ethno-racial minority background. The study would provide insight for policy makers and practitioners on providing effective support for the marginalized.

PhD

Advisors/Committee Members: Williams, Charmaine, Social Work.

▼ 

The concepts of risk and safety are central to social work practice with survivors of violence against women, especially within the child protection system. Recent studies have highlighted how discrepancies between client and worker perceptions may create problematic conditions for developing effective intervention strategies (Dumbrill, 2006; Jenney, Alaggia, Mazzuca, & Redmond, 2005). In addition, tensions exist between movement toward improving worker-client interactions through collaboration and the use of standardized risk and safety assessments as a means of improving practice. The purpose of this research study was to explore how women’s narratives of domestic violence (DV), expressed within the context of child protection services (CPS), become translated into CPS workers’ assessments of risk and need for safety planning. Using Grounded Theory Methodology (GTM), this qualitative study used focus group and interview data to explore how both workers and clients’ experiences of the process of risk assessment and safety planning influenced the course of the intervention. What emerged is that workers and clients held similar representations about the social construction/collective representation of woman abuse and the work of CPS. For both worker and client participants the concept of ‘doing the right thing’ presented itself as an over-arching theme. This theme implies that there is a perceived ‘right way’ of addressing DV cases within CPS work and enhances understanding about the ways in which social workers and clients interact. These findings illustrate how narrative structures shape interactions that take place within the context of care and prevention, manifesting themselves in complex ways that can lead to misunderstanding the impact on children, the (un) conscious subjugation of women victims, and the absence of dialogue about the role of men in addressing DV at a system level.

PhD

Advisors/Committee Members: Mishna, Faye, Social Work.

▼ 

Families who are dissatisfied with the nursing home care of their family member may supplement their care by hiring a private companion. Families who have the financial resources pay for extra care, while families who cannot afford a private companion receive the current standard of care. Anecdotal evidence suggests that private companion use has increased over time. However, there is no research that examines private companions. The goal of this mixed methods study was to provide empirical evidence about who private companions are, what they do, and why they are needed. Andersen and Newman’s Health Service Utilization Model was used to understand private companion use. This study used both survey research and grounded theory. A mailed survey was completed by 280 of 432 family members of nursing home residents in a Toronto nursing home, yielding a response rate of 65 percent. Grounded theory principles were used to conduct interviews with 10 family members to understand why private companions were hired. Almost two-thirds of nursing home residents had a private companion. Family members reported that they paid about $475 per week for private companions who provided about 40 hours of care per week. Private companions were mostly women and immigrants. Private companions performed many activities including assisting with activities of daily living, toileting, feeding, escorting to activities, and providing social support. In the survey, family members reported hiring a private companion for reasons related to families’ needs (e.g. quality of care concerns), residents’ needs (e.g. deteriorating health); and staff recommendations. The family members reiterated these reasons in the interviews. Quality of care was the overarching theme that captured the reason for private companion use, which encompassed the following themes: inadequate staffing, unmet residents’ needs, overburdened family members, and suboptimal nursing home environment. The qualitative data emphasized the importance of building relationships with nursing home residents. The predictors of private companion use in the multivariate analysis were longer duration of nursing home stay, higher resident dependency, and family members’ concerns with quality of care. This research is among the first to study private companions, and has implications for research, policy, and practice.

PhD

Advisors/Committee Members: McDonald, Lynn, Social Work.

▼ 

Abstract There is a scarcity of programs addressing psychosocial suffering in post-genocide Rwanda. The locally-initiated models are understudied and lack legitimate support to strengthen their interventions. This study addresses this gap by exploring the Healing of Life Wounds (HLW) program and its context of implementation. HLW is a community-based program that was introduced in Rwanda in 1995 by a Rwandan, Dr. Simon Gasibirege, to facilitate mutual healing among members of the groups involved in the 1994 genocide. Using a critical ethnographic approach, a multi-method data set was obtained from two groups of participants from two separate organizations applying HLW model. One group of twenty-three community participants from one local association shared their experiences as they participated in HLW. The other group included seven experienced HLW facilitators who provided their perceptions about using HLW from an international organization operating in Rwanda. The data also included HLW documents and reflexive notes. Dialogic performance analysis was the overarching analytical approach of the different data sets. Data collection, analysis and interpretation were guided by principles of critical theories, indigenous methodologies and narrative inquiry. The findings indicate that healing psychosocial suffering in the post-conflict global South requires innovative approaches that critically address on-going psychosocial issues affecting the marginalized by giving them voice and working with them to integrate contextual healing techniques. This study suggests that healing psychosocial suffering through HLW is a consciousness-raising process by which participants gain voice, acquire new understanding of issues affecting them through the sharing of personal stories, and develop mutual support and humane identities. This development contributes to individual, group and community healing. Openness and willingness to share stories of brokenness in a trustful and supportive environment enhance HLW outcomes. The study contributes to theories of knowledge and healing practices in cross-cultural settings, and to critical interdisciplinary and transnational research.

PhD

Advisors/Committee Members: Sakamoto, Izumi, Social Work.

▼ 

Children made the subjects of sexual abuse images online have been abused offline and in addition, images of their abuse have been distributed online - images that cannot be retrieved and that circulate on the Internet indefinitely. There is a lack of knowledge regarding practitioners’ understanding of child sexual abuse images online and the effects of such images on the child victims. This study represents one of the first explorations of how practitioners working in child sexual abuse (CSA) understand online CSA images and the effects of these images, and how practitioners integrate their understanding into assessment and treatment approaches. Employing a Grounded Theory methodology, 14 practitioners from Ontario, Canada were recruited using theoretical sampling to participate in in-depth interviews to explore their understanding of online CSA images and how this understanding influenced their clinical practice. Themes that emerged indicated that the participants differed in how they conceptualized what constituted online CSA images, and that they held varying levels or degrees of concern regarding the effects on the child. Factors identified as influencing practitioners’ conceptualizations included whether practitioners viewed online CSA images as: 1) the same as conventional CSA; 2) different from conventional CSA and not as serious; 3) different from conventional CSA and as serious. The core category ‘Out of Focus’ signifies that most practitioners did not have a clear understanding of CSA images online nor were they sure about how to respond to online CSA images particularly the therapeutic issues associated with the permanence of the online images. The phenomenon of CSA images online presents new daunting challenges for practitioners working in this area. The study findings affirmed the high priority need for training that addresses factors which influence how practitioners understand and respond to CSA images online. Awareness and understanding of the phenomenon of CSA images online is essential for the development of accurate assessments and effective approaches to treatment. Findings of this study affirmed that further research exploring the potential effects of the images on the child is of vital importance. These findings are discussed as they relate to critical considerations for social work practice concerning children made the subjects of CSA images online.

PhD

Advisors/Committee Members: Alaggia, Ramona, Social Work.

▼ 

This doctoral research seeks to advance understanding about what impacts the health and well-being of urban Indigenous women in Toronto, Ontario, Canada. It is grounded in the goal of centering Indigenous women’s knowledge and revitalizing recognition of Indigenous women as leaders in the care of health knowledge, who continue to carry roles and responsibilities as knowledge and vision keepers, healers, helpers and caregivers despite the mass devastation caused by colonization. Utilizing an Indigenous research method, research circles and interviews were used to gather knowledge with twenty-three Indigenous women asking the following questions: 1) What helps you to be healthy and well here in the city? 2) What gets in the way of your health and well-being? and 3) What do you envision as needed to support your health and well-being and that of Indigenous women generally here in Toronto? The findings of the research highlight the ways in which women seek wholeness and (w)holistic health care and services in attending to their health and well-being. The stories shared speak to the rupture and fragmentation caused by colonization as experienced by the participants, specifically the disconnection and dislocation that they faced due to child welfare apprehension, adoption or violence, while emphasizing the ways in which they have or are presently navigating these challenges in relation to their health and well-being – a process of defragmentation. This thesis is also, in part, the story of how I am learning my role as a caretaker of knowledge (as I would describe the role of researcher), learning how to gather it, care for it and share it back in a good way. It is the story of what I know now, a knowledge that will continue to grow over time, with more experience to better understand the full beauty and depth of what has been shared. This thesis is a knowledge bundle of stories gathered with urban Indigenous women in the city of Toronto to help better understand what impacts their health and well-being, and what they see as needed moving forward. It is woven together with my own story of who I am, where I come from and why I came looking for this knowledge.

PhD

Advisors/Committee Members: Sakamoto, Izumi, Social Work.

▼ Foster care is designed to provide safety and security for maltreated children through a temporary, transitional home placement where a healing experience can occur through family-based care. Development of relationships and connections are encouraged between foster family members and the foster child. One of these relationships is with the sons and daughters of foster parents (herein sons/daughters). The central aim of this exploratory study was to explore the emotions of sons/daughters and how they cope with their fostering experiences. Theoretical sampling was used until theoretical sufficiency was obtained at 15 participants who were young adult sons/daughters (18-33 years) who temporarily or permanently resided outside of the current, public foster homes in Ontario. This cross-sectional, qualitative research design was descriptive and interpretative in nature through a constructivist grounded theory approach. Data collection methods included open-ended interviews, demographic questionnaires, object sharing, photographing the object, photo-feedback, and memo-writing. Initial coding, focused coding, memo-writing, theoretical sorting, and diagramming were used to analyze the data. Emerging codes and concepts within the textual data and photographs were input and analyzed using Dedoose, an evidence-informed web application data management system. Analysis of findings using a neuroscience lens, led to the identification of a foster schema - 'you can get attached, but only up until a certain point' for sons/daughters. Repeated exposure to foster siblings arriving in sons/daughters' homes, living with them, and then leaving resulted in the participating sons/daughters being apprehensive and cautious about developing relationships with new foster siblings. This fostering schema was also applied to non-fostering relationships with friends and romantic partners, as young adults. To regulate their emotions, sons/daughters tended to rely on strong, stable, and supportive relationships with their mothers. Recommendations are discussed relating to child welfare service delivery, research, and policy. Advisors/Committee Members: Robert, MacFadden, Social Work.

▼ Empirical evidence and practice wisdom indicates women simultaneously endure and resist intimate partner violence (IPV) in an effort to protect themselves - to be safe. But what does it mean to be safe? Contemporary discourses and interventions often position physical safety, and reducing the threat of future harm, to be the primary goal of women's help-seeking behaviour, and by extension, the primary feature of what it means to be safe. However, there is no evidence indicating the elimination or minimization of direct physical harm is the primary feature of feeling safe. The purpose of this study was to examine 1) women's conceptualizations of safety and 2) how safety was achieved, in order to theorize about the broader construct of safety. Underpinned by intersectional and feminist theories, and guided by grounded theory methodology, 14 semi-structured interviews were conducted with women who self-identified as experiencing IPV. Analysis revealed women who experience IPV conceptualized safety in complicated, complex, and conditional ways. A key finding of this study revealed the notion of safety goes beyond the direct, embodied harms inherent in many abusive relationships. A broader formulation of safety emerged suggesting the concept spans economic, physical, emotional, psychological, and social domains. Building conditional safety across these various domains contributed to a variety of possible safety dispositions ranging from provisional safety to considerable safety. Data suggested women feel safest when they have power to make decisions; access to information about IPV; time and space to heal; housing and economic self-sufficiency; access to unconditional support; and most importantly no ongoing experience of IPV. While working to eliminate the impacts and consequences of IPV should certainly remain at the core of social work prevention and intervention strategies, the dynamic and ever-changing sense of safety women experience over the course of an abusive relationship must be more fully considered in future practice with survivors. Advisors/Committee Members: Ramona, Alaggia, Social Work.

▼ This study explored the experiences, interpretations and cultural beliefs of older Italian immigrants who were receiving culturally specific formal homecare services through an assisted living facility in Ontario, to examine how their identity and life history influenced their experiences of receiving care.The current study builds on the existing body of knowledge about Canada's older Italian immigrants, in particular their caregiving traditions and current need for formal care. This research study employed phenomenology to explore the subjective experiences of Canadian Italian older immigrants who were receiving formal homecare services to capture the personal meanings and interpretations of their immigration experiences, as they related to their need for formal homecare services. Interviews were conducted with 25 older Italian immigrants over the age of 75 that were receiving culturally specific homecare services. The participants shared their immigration stories, fears, work history, healthcare challenges and descriptions of arrival, family, losses, and life in Canada. The Life Course Framework was selected to guide this research study, to represent the process of aging and human development that continuously occurs across the life span. The Social Identity Theory was also used to provide additional guidance in understanding the social, cultural and historical influences of their life histories, as they related to their living arrangements in an assisted-living facility in Ontario and need for caregiving services. Three major themes emerged: 1. the importance of communication and relationship building in the provision of care and the barriers in accessing health care services, 2. retaining identity and control, and 3. facing an uncertain future. These themes reveal the importance of language, cultural practices and residential location. At the micro level, these findings demonstrate the importance individuals assign to their immigration history and cultural traditions. At a macro level, the findings reveal the need to provide cost-effective care that enhances the physical and mental well-being of individuals. These findings also reflect the importance assigned to the home environment and the need for workers to develop relationships with clients that are reflective of their cultural needs. Social workers have the ability to appreciate the historical context of Canada's immigrants; to develop policies in support of their cultural practices, traditions and acculturative interests, and the ability to appreciate the aging process and the associated need for formal services. As Canada's multicultural population continues to grow, social workers will be increasingly challenged to deliver culturally competent healthcare services. The findings are intended to offer additional guidance into the meaning of culture and its importance in furtherance of these goals. Advisors/Committee Members: Faye, Mishna, Social Work.

▼ Abstract Understanding the needs of families and in particular spouses of people with early-onset dementia (e.g., those who develop a dementia under the age of 65), has become increasingly recognized as an area of importance by the healthcare community because of the negative biopsychosocial consequences to patients and families. However, there is a dearth of research about the experiences of younger spousal caregivers. The goal of this qualitative, grounded theory study was to understand the experiences of spouses of people who have frontotemporal dementia and early-onset Alzheimer's disease, throughout the disease trajectory. I conducted semi-structured interviews with 30 participants; 17 had partners with frontotemporal dementia and 13 had partners with early-onset Alzheimer's disease. Spouses were recruited with the intention of capturing various stages of the caregiving career. The participants ranged all the way from spouses of people who were newly diagnosed, to individuals who had already been placed in long term care. Three themes emerged from the data analyses initially: (1) issues related to life-stage, (2) disease invisibility and (3) living with continuous uncertainty. These themes led to a fourth theme of caregivers feeling like they were falling through the cracks of the healthcare and social support systems since there are no appropriate services/policies set up for younger people affected by dementia. Finally, a core theme of surviving chronic crises emerged as spouses described how they coped with the continuous challenges related to their partner's dementia. Spouses live through series of crises that they need to constantly manage, leading to a feeling that they are barely surviving. The most common coping strategies that spouses employed through the illness trajectory included: advocacy, reframing, self-care and spirituality. Over the caregiving trajectory, spouses adapted to the impact of having a partner with early-onset dementia. The applicability of the findings is that they point to the timing, to the types of clinical interventions and to policy initiatives. Advisors/Committee Members: McDonald, Lynn, Social Work.

▼ Nonoffending mothers of children who have been sexually victimized have historically borne the burden of blame in professional and public discourse. Notwithstanding strong empirical evidence to the contrary, attributions of maternal culpability for the inception and maintenance of abuse dynamics have been socially manufactured through hegemonic paradigms of deficient mothering. While insinuations of conscious or unconscious maternal collusion may have dissipated since early psychoanalytic and family systems eras, the legacy of mother-blame lives on in present day child welfare policies and practices through the ideologically- and institutionally-entrenched doctrine of failure to protect. With the intent of unearthing gender-based power asymmetries in contemporary child welfare system responses to child sexual abuse, this doctoral study applied feminist critical discourse analysis to investigate discursive constructions of blame and failure to protect, as enacted, reinforced, and resisted through the powerful language of child welfare policy and practice texts. In this multimodal, problem-oriented, social advocatory approach to critical social science research, descriptive, interpretive, and explanatory analyses of semiotic data were conducted to expose transparent and opaque orders of discourse that legitimize particular relations of power and authority in child welfare operating to the detriment of women and children. Anchored in neoliberal modes of governing, child-centric notions of best interests, and hierarchical structures of power, this study uncovered dominant ideologies of gender and motherhood that function to construct women as the embodiment of sexual abuse risk, target of scrutiny and blame, and primary agent of change. Judged against naturalized schemas of good mothering in isolation of subjective lived experiences, social locations, and material conditions, failure to protect standards have an inherently disproportionate and troubling effect on women, particularly marginalized women who endure intersecting sources of oppression and adversity. Consequent formulations of child sexual abuse as a corollary of maternal inadequacies and defective instincts wrongly, albeit effectually, deflect the gaze away from sexual abuse perpetrators, nonoffending fathers, unresponsive institutions, and profound social injustices. Mothers are fundamental to the collective goal of promoting children’s safety and recovery in the aftermath of sexual abuse. Prevailing child welfare narratives that blame and shame paradoxically impede maternal capacities for support and protection and, thus, compromise children’s best interests. Gendered child welfare discourse has proven itself to be remarkably impervious to change. This study effectively problematized and destabilized its stronghold on child welfare policy and practice by unmasking and denaturalizing the ideological content of textually mediated discourses, building a persuasive case for social and institutional reform grounded in a solid epistemic and evidentiary… Advisors/Committee Members: Allagia, Ramona, Social Work.

▼ Homophobic name-calling abounds in schools, especially at the high school level. Driving much of this research is the negative impact of anti-gay language and epithets on lesbian, gay, bisexual and trans (LGBT) identified students, students with LGBT parents and guardians, and students overall. Studies in the US, UK, and Canada report regular use of phrases such as ‘that’s so gay’, ‘faggot’, and the word “gay” itself to denote something or someone with little to no value. However, a dearth of research looking at the prevalence of homophobic language at the middle school level exists. Furthermore, there is even less research looking at the relationship between homophobic and sexist language use. Using a mixed methods explanatory sequential design, this three-paper dissertation explored homophobic and sexist language use in middle school, specifically investigating, among other things, how often and under what conditions grade seven and eight students use these types of language. A stratified random sample of middle school students (n=488) completed a survey that included the Homophobic Content Agent Target Scale (HCAT). The newly developed Sexist Content Agent Target Scale (S-CAT) explored sexist language. Students reported their frequency of homophobic and sexist language use in five relationship domains including friends, strangers, and antagonists. As well, five focus groups explored more deeply students’ perceptions and understandings of homophobic and sexist language use at school. A number of important findings were produced including the prevalence of homophobic name-calling prior to high schools as well as the strong association between homophobic and sexist language use. These empirical findings join the literature that has long conceptually linked sexism and homophobia, whereby their interlocking nature manifests in name-calling experiences of middle school students. Students (boys in particular) as either agents or targets of sexist language had increased likelihood of being agents or targets of homophobic language. Given the often contentious nature of anti-homophobia education, the hesitancy of school staff to intervene regularly (even in the presence of this language), the findings presented here suggest anti-sexist education as another means to address homophobic language, thereby contributing to creating and maintaining more positive learning environment for all students. Advisors/Committee Members: Mishna, Faye, Social Work.

▼ 

Critical social workers emphasize activism for social justice, and acknowledge that global justice movements can inform the evolution of social work practice. Yet, scholarship on community practice and citizen participation has shown varying levels of attention to the interests and context of racialized populations. This dissertation engages this discussion by developing an understanding of what activism comes to be for migrant communities who experience social injustices across local, national and transnational scales. I draw upon a framework of citizenship, racialization and spatiality to problematize conditions of resistance through the 2009 Tamil diaspora protests in Canada. Through a Critical Discourse Analysis of print media and key informant interviews, I explore the following: (1) What are the ideologies underlying media representations of the movement in Canada? (2) How can social work researchers ethically represent the resistance movements of others? (3) Why and how does race frame the production of suffering and spectacle through protest? (4) How can we unpack representations of racialized local groups who protest an issue unfolding elsewhere? This project highlights the challenges experienced by racialized communities' in their struggles towards citizenship, social justice and decolonization. Chapter 1 presents the context of the 2009 Tamil diaspora protests, the conceptual framework, and methodology guiding this study. In accordance with the Factor-Inwentash Faculty of Social Work's 3-paper dissertation format, Chapter 2, 3 and 4 are stand-alone papers geared towards different peer-review journals. Chapter 2 problematizes how we should represent contested resistance movements in the age of terrorism. Chapter 3 examines how racial logic frames the expression of protesters' suffering, and the construction of the Canadian public's racial apathy. Chapter 4 explores how national media discourses racially and spatially mark protesters as "others," "outlaws," and "outsiders." The findings of this interdisciplinary study demonstrate how resistance by racialized groups in a white settler state is distorted by the indirect and direct representational politics imposed by a hegemonic West. In Chapter 5, I offer implications for social work theory, practice and education to reconsider the boundaries of social justice, incorporate a conceptualization of transnational activism as citizenship, and forefront the politics of protest.

2016-11-30 00:00:00

Advisors/Committee Members: Bhuyan, Rupaleem, Social Work.

▼ This study explores how the post-1997, redeveloped Ontario Works welfare system, together with the economic and social conditions in northern Ontario, influenced the administration and delivery of social assistance. In particular, this research aims to expand the limited knowledge of welfare in northern rural and non-metropolitan contexts and to increase understanding of how economic and social conditions influence the provision of the Ontario Work program. Using a constructivist grounded theory methodology, the experiences of Ontario Works program deliverers were drawn upon to foster an increased understanding of issues commonly encountered when providing social assistance to northern Ontario residents. Data were gathered over two primary periods through in-depth interviews, and follow-up interviews conducted throughout a several year data collection and analysis process. Forty-three northern Ontario Works program deliverers comprised of Ontario Works managers, supervisors, and caseworkers from across northern Ontario participated in the study. The analysis of the data reveals that northern Ontario Works program deliverers experience a multitude of resource constraints arising from local northern conditions as well as those situated within the welfare system. Research participants across northern Ontario reported that northern areas had limited economic capacity to provide adequate social services and infrastructure necessary to support the fulfillment of social assistance employment objectives. This study also found that social assistance employment objectives were compromised by limited local control over decision-making, under-resourcing within the Ontario Works program, and â urban-centricâ funding arrangements that disadvantaged northern areas. In addition, northern Ontario Works program deliverers reported substantive barriers to employment due to extremely low human capital among welfare recipients. Moreover, findings indicate that these constraints are compounding. In other words, northern Ontario Works program deliverers frequently encountered multiple and simultaneously occurring resource barriers. The result was described as intensifying resource deficiencies and inhibiting efforts to facilitate sustained labour market attachment among welfare recipients. Advisors/Committee Members: Mishna, Faye, Social Work.

▼ Over the last decade, family courts have seen an increase in the number of parent-child contact problems and allegations of alienation. Children resisting or refusing contact with a parent post-separation pose considerable challenges to the mental health professionals tasked to work with them. Reintegration therapy (RT) has recently evolved to help ameliorate parent-child contact issues and alienation. However, little is known about what consensus exists on RT, or how it is defined and delivered by mental health practitioners. Limited evidence exists on treatment models, or evaluations of RT, and no standards or practice guidelines are available for the treatment of parent-child contact issues. The purpose of this study was to: 1) Explore how RT is defined and practiced among experienced mental health professionals in Canada and the United States; 2) identify underlying theory informing practitionersâ understanding of the issues and on clinical practice in RT; and 3) use findings for practice recommendations to advance knowledge for clinical practice with this population. To this end a hermeneutic, phenomenological design was chosen to elicit thick descriptions for a phenomenological analysis and theme development. A purposive sample of fourteen (14) practitioners was obtained. Initial analysis revealed substantial variance among practitionersâ training, underlying theoretical frameworks, clinical approaches and service delivery models utilized. Three distinct themes/subthemes emerged from in-depth analyses representing a measure of consensus among respondents. First, RT is generally viewed as a therapeutic process to help improve family relationships as a whole. Second, participants identified frequently used assessment criteria necessary for determining suitability for RT. Finally, agreement on overall treatment goals for families participating in RT was identified. These study findings illustrate the need for more and better-developed training in RT, integrated theory development, and the creation of best practice guidelines based on scientific and rigorous evaluation preferably using a longitudinal approach. Advisors/Committee Members: Alaggia, Ramona, Social Work.