Divergent Views of Clients and Professionals Darling, Rosalyn Benjamin; Hager, Mark A.; Stockdale, Jami M. ...
Journal of social service research,
01/2002, Letnik:
28, Številka:
3
Journal Article
Recenzirano
This article presents the findings from a study comparing the responses of human service providers and service users to a community needs assessment survey. The analysis of data from this study ...provided strong support for the hypothesis that providers would see their clients as more needy than the clients would see themselves. The analysis also suggested support for a second hypothesis that professionals and clients would emphasize different needs. In particular, although both groups of respondents emphasized information/access and material support issues, the groups differed markedly in their perceptions of need for formal support services and services to address social participation concerns. In general, the professionals were more concerned than their clients about personal and family problems, whereas the clients were more concerned with universal human needs, such as access to public libraries and recreational facilities.
Understanding the leisure perspectives of preadolescent boys with developmental coordination disorder (DCD) requires more than documenting time-use patterns. This study explored the use of the ...Personal Projects Analysis for Children (PPA-C) to improve depth of understanding about personally meaningful leisure participation for this population. Sixty boys with DCD and 113 boys without DCD completed the PPA-C. Boys with DCD reported significantly fewer personal projects involving physical activities; fewer friends with whom to complete personal projects; more solitary leisure projects; and fewer personally meaningful personal projects in total than the comparison group. The PPA-C findings provided ecologically sensitive and personally salient information about leisure time participation from the perspectives of boys with and without DCD. The low frequency of self-reported social and physical activity personal projects for boys with DCD has not been previously detailed in this way. Occupational therapists are challenged to be vigilant regarding restricted leisure portfolios and expectations about activity participation in boys with DCD, with further research and advocacy for balanced portfolios of personally meaningful leisure.
Health and rehabilitation providers are adopting empowering approaches to increase consumer involvement in the service process. This practice trend has evolved in response to the emergence and ...adoption of consumer-driven models in health care. However, the processes of enabling opportunities for consumers to participate as partners in rehabilitation are difficult and complex. The purpose of this study was to develop a theoretical understanding of the strategies, actions, and interactions between consumers and providers that supported consumer involvement in vocational rehabilitation processes. Data from a grounded theory study involving in-depth interviews with a sample of seven consumers and seven providers were analyzed using the constant comparative approach and Glaser's analysis criteria. A conceptual model of how consumer participation is enacted emerged. Consumer and provider interactions focused on optimizing environments to support consumer partnering and self-direction through establishing shared expectations, advancing consumer potential in practice, and persistently pursuing goals in the community. Opportunities to enhance consumer participation in the social context, practice settings, and the community are elaborated.
A 2-year ethnographic study of a clubhouse for people with long-term mental illness involved club members in particpatory research. The study explored questions of what is research and who drives it. ...A critical perspective on the social organization of knowledge and power inequities between participants was highlighted. (SK)
