Julie King

The Lived Experience of Families Living with Spinal Cord Disability inNortheast Thailand

Abstract The experience of disability in the global South remains relatively underreported in spite of the greater focus on disability as both an impediment to development and frequently as a result of development. This article reports a qualitative study using ethnographic techniques undertaken in the province of Khon Kaen in Northeast Thailand. The primary participants were men who had experienced a severe spinal cord injury at a time when they were breadwinners, a role which is significant in the context of a modernising state that is an active participant in a global economy. The experiences, constructions and beliefs of these men, their family carers, and other informants illustrate the complex ways in which social and cultural factors interact with the opportunities, challenges and constraints of the transition modernity. The findings, interpreted according to the ‘three bodies’ approach, illustrate the intersection of colonising effects, governmentality and resistance, and embodied experience in a cultural context.

Distress, Coping, and Posttraumatic Growth in Refugees From Burma

Refugees flee their countries of origin due to supreme hardship and threat to life, frequently having witnessed mass atrocities. This research is embedded in a salutogenic paradigm that emphasizes strength and adjustment. Twenty-five refugees from Burma who were newly arrived in Australia were interviewed and transcripts were analyzed using an Interpretive Phenomenological Analytic (IPA) approach. In addition to themes of distress, data revealed an extraordinary adaptive capacity and highlighted strengths, both individual and collective. Specific adaptive strategies included religiousness and a sense of duty to family, community, and country. Findings have implications for policy and practice that aim to support refugees and asylum seekers.

Negotiating disability and colonisation: the lived experience of Indigenous Australians with a disability

Disability among Indigenous Australians lies at a nexus between the ongoing impact of European settlement from 1788 and the social effects of living with a disability. Colonisation, with its political, social, economic and cultural concomitants, continues to impact on Indigenous experience, extending to the institutions and services concerned with disability. There is little attention paid to Indigenous Australian disability in general, and the need to decolonise disability has recently been emphasised. Ethnographic research in Brisbane, Australia among Indigenous people with a disability (mostly related to diabetes) confirms the ongoing impact of colonisation. While this experience pervades all aspects of their lives, it also moderates their experience of living with a disability in positive ways. However, while individuals can negotiate their personal experience of disability, the decolonisation of disability services presents challenges that need to be addressed.

Enhancing the social dimension of development: Interconnecting the Capability Approach and applied knowledge of social workers:

The current interest in sustainability within international development presents an important opportunity for social work to further promote the often-overlooked social pillar of sustainable development. The dominant paradigm regarding economic systems of development and organisation has influenced not only the scope of sustainable development, but also an increasingly depoliticised vision of social work knowledge and practice. Inattention to structural determinants of social inequalities limits the scope for radical, sustained change. The Capability Approach’s recognition of poverty and development as complex, multidimensional phenomena aligns with social work values, while social work’s well-established and reflexive direct-level practice may provide the applied knowledge needed in the theory.

International student exchange in Australian social work education

ABSTRACT International student exchange is pursued by Australian schools of social work as a strategy to engage with the internationalisation agenda set by government, universities, and the profession. However, little concrete information about the nature and scope of these activities exists. The study reported here aimed to address this gap. Twenty-seven of the 30 Australian universities that offer social work programs participated in an online survey about international student exchange activities. The results indicate that a majority of schools (n = 23) do engage in such activities, with international field placements the most frequent form of exchange. Exchanges are most likely to be facilitated and managed by social work staff. The findings, and their implications for the development of good practice in international student exchange, are discussed. This research provides a “point-in-time” snapshot of international exchange in Australian social work education and a benchmark for future analyses of this expanding practice in the profession.

Knowledge Adequacy on Cervical Cancer Among African Refugee and Non-Refugee Women in Brisbane, Australia

Cervical cancer is a significant public health issue, especially in the developing countries of sub-Saharan Africa. To examine knowledge adequacy on cervical cancer and screening test among African refugee and non-refugee women in Brisbane and further examine whether the level of knowledge vary between refugee and non-refugee women. A cross-sectional survey was conducted among 254 African-born women conveniently sampled from the Brisbane local government area. The outcome measures were knowledge on cervical cancer and Pap smear. In the multivariate logistic regression analysis non-refugees were more likely than refugees to have adequate knowledge about cervical cancer. Also, non-refugee women who were older and educated beyond secondary school, were more likely to have good knowledge about Pap smear test than refugee women. Overall, knowledge level about cervical cancer is limited among the participants and non-refugee women were more likely than refugee women to have good knowledge about cervical cancer and the screening test. These findings may inform the development of health education interventions for the targeted population to improve knowledge and awareness about cervical cancer and the screening guidelines in Australia.

Barriers and facilitators of cervical cancer screening practices among African immigrant women living in Brisbane, Australia

PURPOSE To describe barriers and facilitators of cervical screening practices among African immigrant women living in Brisbane, Australia. METHOD Nineteen African immigrant women (10 refugee and 9 non-refugee) were recruited using convenience sampling. The interviews were conducted with a semi-structured and open-ended questionnaire guide. All the interviews were audio recorded and transcribed verbatim. The data was manually analysed using interpretative thematic analysis. Thematic categories were identified and organised into coherent broader areas. RESULTS Lack of knowledge about cervical cancer and Pap smear, the absence of warning signs, embarrassment, fear, concern about the gender of the service provider, lack of privacy, cultural and religious beliefs, and healthcare system factors were identified as barriers to screening. The results did not show any major differences between refugee and non-refugee women. Recommendation of the test by health professionals, provision of standardised information on the test, and preferences for female service providers were identified as facilitators of cervical screening. CONCLUSION There is a need to provide culturally appropriate approaches to cervical screening practices and to enhance cultural competence among health professionals to apply service delivery models that honour group cultures.

Restrictive practices on refugees in Australia with intellectual disability and challenging behaviours: a family’s story

Purpose - The purpose of this paper is to explore the experiences of a refugee family navigating complex disability and restrictive practice service systems. Living with disability, or caring for someone with disability can compound the disadvantage and marginalisation already experienced by refugees. The nexus between disability and refugee status, particularly intellectual disability and restrictive practices, has received little scholarly attention and almost nothing is known of people’s experiences in this situation. Design/methodology/approach - Thematic analysis of a case study is used to illustrate the experiences of a refugee family in this situation. The case study presented was part of a larger ethnographic study exploring the experiences of people of refugee background living with disability. Findings - There were numerous barriers to accessing appropriate services. The family experienced high levels of stress simultaneously navigating the resettlement process and the disability service system. They were poorly informed and disempowered regarding the care of their loved one and the use of restrictive practices. Experiences in the country of origin, employment responsibilities, and unfamiliarity with the service system were key factors in this family’s difficulty in safeguarding the rights of their family member with disability. Originality/value - This case study examines the complexity experienced when disability intersects with refugee background. Areas for additional research and significant gaps in service provision are identified. The case study clearly demonstrates the importance of understanding people’s pre- and post-settlement experiences to inform policy and service provision.

Chemical restraint of adults with intellectual disability and challenging behaviour in Queensland, Australia: Views of statutory decision makers

Background: Psychotropic medication is widely prescribed to treat mental illness. However, it is controversial when used as a chemical restraint (CR) to manage challenging behaviours (CBs) of adults with intellectual disability (ID). CR has potentially negative consequences and affects human rights. Method: Qualitative research conducted between 2014 and 2015 explored the views of ‘guardian’ decision makers appointed under unique Queensland legislation oversighting the use of CR. Results: Findings included (1) negative conceptualization of CR, (2) concerning relationships with prescribers and disability sector staff, (3) challenges to information seeking about people with ID prescribed CR and (4) problematic implementation of positive behaviour support plans. Conclusion: According to guardians, CR may be used in lieu of community supports, and prescribers sometimes diagnose mental illness to avoid CR legislative requirements. Guardians, prescribers and professionals would benefit from training that addresses the intersection between physical and mental health, CB and CR.

Human-trafficking prevention is not “sexy”: Impact of the rescue industry on Thailand NGO programs and the need for a human rights approach

ABSTRACT “Raid and rescue” operations are aimed primarily at women and children in the sex industry and have proved popular with donors supporting anti-trafficking activities of nongovernmental organizations (NGOs). The popularity of this rescue industry leads to the diversion of funding, shifting focus away from other critical aspects of human trafficking (HT). This article discusses findings from qualitative research undertaken in 2014 with staff at Thai-based NGOs. This research explored the impact of the rescue industry on the implementation of sustainable anti-trafficking prevention programs and how a human rights perspective could do a better job of protecting victims. Findings suggest that the rescue industry is attractive to donors because it caters to stereotypical assumptions about HT, produces measurable outcomes and relies on the concepts of a hero, victim, and villain. This limited view fails to respond adequately to the complexities of HT, including irregular migrants who are trafficked, who fall outside the legislative framework they require for protection. There is pressure on NGOs to adapt their programs to meet donor desires. However, participants argue that NGOs active in this space need to adopt a contextual and holistic human rights approach that recognizes individuals and accommodates the complexity of HT.