LGBTQ Topics and Christianity in Social Work: Tackling the Tough Questions

In 2014 the North American Association of Christians in Social Work (NACSW) convention offered a workshop whose abstract stated coverage of controversies, ethics, governmental policies, and faith related to reparative therapy. In this workshop, presenters expressed support for using reparative therapy at clients’ requests. In response to this, a member of the Caucus of LGBT Faculty and Doctoral Students in Social Work (LGBT Caucus) organized a letter with over 120 social work faculty and practitioner signatures and submitted it to NACSW expressing concern that reparative/conversion therapy was offered as a viable mental health treatment at a professional social work conference, and requesting that future proposals regarding LGBT issues be reviewed for ethical and culturally sensitive practice. Simultaneously, Shelley Craig of the CSWE Commission on Sexual Orientation and Gender Identity Expression (CSOGIE) convened a caucus group for dialogue around larger religious issues in social work education and accreditation. Several NACSW members were also concerned about the reparative therapy workshop and supportive of an opportunity to work with CSWE in support of LGBT populations. Monthly collaborative conference calls between the LGBT Caucus and NACSW board members have resulted in a revision of NACSW convention and journal review practices, the development of a FAQ document addressing these issues, and continuing discussion of the ongoing work needed in this area of practice

LGBTQ Topics and Christianity in Social Work: Tackling the Tough Questions

In 2014 the North American Association of Christians in Social Work (NACSW) convention offered a workshop whose abstract stated coverage of controversies, ethics, governmental policies, and faith related to reparative therapy. In this workshop, presenters expressed support for using reparative therapy at clients’ requests. In response to this, a member of the Caucus of LGBT Faculty and Doctoral Students in Social Work (LGBT Caucus) organized a letter with over 120 social work faculty and practitioner signatures and submitted it to NACSW expressing concern that reparative/conversion therapy was offered as a viable mental health treatment at a professional social work conference, and requesting that future proposals regarding LGBT issues be reviewed for ethical and culturally sensitive practice. Simultaneously, Shelley Craig of the CSWE Commission on Sexual Orientation and Gender Identity Expression (CSOGIE) convened a caucus group for dialogue around larger religious issues in social work education and accreditation. Several NACSW members were also concerned about the reparative therapy workshop and supportive of an opportunity to work with CSWE in support of LGBT populations. Monthly collaborative conference calls between the LGBT Caucus and NACSW board members have resulted in a revision of NACSW convention and journal review practices, the development of a FAQ document addressing these issues, and continuing discussion of the ongoing work needed in this area of practice

The Effects of an Immigration Raid 147 Families in Society

Many unauthorized immigrants regularly enter the United States in search of employment. A substantial number of these individuals come from impoverished countries and look to the United States as a path toward prosperity. Unfortunately, many unauthorized immigrant workers suffer exploitation from their employers and are at risk of becoming victims of worksite raids. This exploratory study examines the effects of a raid of an unauthorized immigrant worksite in Postville, Iowa. Interviews with key informants provide an inside perspective of the effects of the raid on children, adults, and the community. Participants offered suggestions on how to improve current policies that may violate immigrants' human rights. The results advance the knowledge base for social work in provision of services and advocacy for immigrant populations. IMPLICATIONS FOR PRACTICE Response teams integrated within community structures can help reduce the effects of enforcement raids by improving service and resource delivery in the immediate aftermath. Social work professionals can assist in the community planning to ease the negative psychosocial consequences of enforcement raids. Planning ahead can also assist in lessening the intensity of secondary trauma reactions for community volunteers

The antikaon nuclear potential in hot and dense matter

The antikaon optical potential in hot and dense nuclear matter is studied within the framework of a coupled-channel self-consistent calculation taking, as bare meson-baryon interaction, the meson-exchange potential of the J\"ulich group. Typical conditions found in heavy-ion collisions at GSI are explored. As in the case of zero temperature, the angular momentum components larger than L=0 contribute significantly to the finite temperature antikaon optical potential at finite momentum. It is found that the particular treatment of the medium effects has a strong influence on the behavior of the antikaon potential with temperature. Our self-consistent model, in which antikaons and pions are dressed in the medium, gives a moderately temperature dependent antikaon potential which remains attractive at GSI temperatures, contrary to what one finds if only nuclear Pauli blocking effects are included.Comment: 30 pages, 8 figures, references added. Accepted for publication in PR

Maternal mental health:a key area for future research among women with congenital heart disease

In this viewpoint, we respond to the recently published national priorities for research in congenital heart disease (CHD) among adults, established through the James Lind Alliance Priority Setting Partnership, with specific attention to priority 3 (mental health) and priority 5 (maternal health). Our recent policy impact project explored how maternal mental health is currently addressed in adult congenital heart disease (ACHD) services in the National Health Service, identified gaps and discussed possible ways forward. Our multidisciplinary discussion groups, which included women with lived experience of CHD and pregnancy, cardiology and obstetrics clinicians and medical anthropologists, found that while pregnancy and the postnatal period increase the mental health challenges faced by women with CHD, current services are not yet equipped to address them. Based on this work, we welcome the prioritisation of both mental health and maternal health in ACHD, and suggest that future research should focus on the overlaps between these two priority areas

Surgical rates for Crohn’s Disease are decreasing: a population-based time trend analysis and validation study

Objectives: Temporal changes for intestinal resections for Crohn’s disease (CD) are controversial. We validated administrative database codes for CD diagnosis and surgery in hospitalized patients and then evaluated temporal trends in CD surgical resection rates. Methods: First, we validated International Classification of Disease (ICD)-10-CM coding for CD diagnosis in hospitalized patients and Canadian Classification of Health Intervention coding for surgical resections. Second, we used these validated codes to conduct population-based surveillance between fiscal years 2002 and 2010 to identify adult CD patients undergoing intestinal resection (n=981). Annual surgical rate was calculated by dividing incident surgeries by estimated CD prevalence. Time trend analysis was performed and annual percent change (APC) with 95% confidence intervals (CI) in surgical resection rates were calculated using a generalized linear model assuming a Poisson distribution. Results: In the validation cohort, 101/104 (97.1%) patients undergoing surgery and 191/200 (95.5%) patients admitted without surgery were confirmed to have CD on chart review. Among the 116 administrative database codes for surgical resection, 97.4% were confirmed intestinal resections on chart review. From 2002 to 2010, the overall CD surgical resection rate was 3.8 resections per 100 person-years. During the study period, rate of surgery decreased by 3.5% per year (95% CI: -1.1%, -5.8%), driven by decreasing emergent operations (-10.1% per year [95% CI: -13.4%, -6.7%]) whereas elective surgeries increased by 3.7% per year (95% CI: 0.1%, 7.3%). Conclusions: Overall surgical resection rates in CD are decreasing, but a paradigm shift has occurred whereby elective operations are now more commonly performed than emergent surgeries

Female Genital Mutilation: perceptions of healthcare professionals and the perspective of the migrant families

<p>Abstract</p> <p>Background</p> <p>Female Genital Mutilation (FGM) is a traditional practice which is harmful to health and is profoundly rooted in many Sub-Saharan African countries. It is estimated that between 100 and 140 million women around the world have been victims of some form of FGM and that each year 3 million girls are at risk of being submitted to these practices. As a consequence of the migratory phenomena, the problems associated with FGM have extended to the Western countries receiving the immigrants. The practice of FGM has repercussions on the physical, psychic, sexual and reproductive health of women, severely deteriorating their current and future quality of life. Primary healthcare professionals are in a privileged position to detect and prevent these situations of risk which will be increasingly more present in Spain.</p> <p>Methods/Design</p> <p>The objective of the study is to describe the knowledge, attitudes and practices of the primary healthcare professionals, working in 25 health care centres in Barcelona and Girona regions, regarding FGM, as well as to investigate the perception of this subject among the migrant communities from countries with strong roots in these practices. A transversal descriptive study will be performed with a questionnaire to primary healthcare professionals and migrant healthcare users.</p> <p>Using a questionnaire specifically designed for this study, we will evaluate the knowledge, attitudes and skills of the healthcare professionals to approach this problem. In a sub-study, performed with a similar methodology but with the participation of cultural mediators, the perceptions of the migrant families in relation to their position and expectancies in view of the result of preventive interventions will be determined.</p> <p>Variables related to the socio-demographic aspects, knowledge of FGM (types, cultural origin, geographic distribution and ethnicity), evaluation of attitudes and beliefs towards FGM and previous contact or experience with cases or risk situations will be obtained.</p> <p>Discussion</p> <p>Knowledge of these harmful practices and a preventive approach from a transcultural perspective may represent a positive intervention model for integrative care of immigrants, respecting their values and culture while also being effective in eliminating the physical and psychic consequences of FGM.</p

DNM1 encephalopathy: A new disease of vesicle fission.

ObjectiveTo evaluate the phenotypic spectrum caused by mutations in dynamin 1 (DNM1), encoding the presynaptic protein DNM1, and to investigate possible genotype-phenotype correlations and predicted functional consequences based on structural modeling.MethodsWe reviewed phenotypic data of 21 patients (7 previously published) with DNM1 mutations. We compared mutation data to known functional data and undertook biomolecular modeling to assess the effect of the mutations on protein function.ResultsWe identified 19 patients with de novo mutations in DNM1 and a sibling pair who had an inherited mutation from a mosaic parent. Seven patients (33.3%) carried the recurrent p.Arg237Trp mutation. A common phenotype emerged that included severe to profound intellectual disability and muscular hypotonia in all patients and an epilepsy characterized by infantile spasms in 16 of 21 patients, frequently evolving into Lennox-Gastaut syndrome. Two patients had profound global developmental delay without seizures. In addition, we describe a single patient with normal development before the onset of a catastrophic epilepsy, consistent with febrile infection-related epilepsy syndrome at 4 years. All mutations cluster within the GTPase or middle domains, and structural modeling and existing functional data suggest a dominant-negative effect on DMN1 function.ConclusionsThe phenotypic spectrum of DNM1-related encephalopathy is relatively homogeneous, in contrast to many other genetic epilepsies. Up to one-third of patients carry the recurrent p.Arg237Trp variant, which is now one of the most common recurrent variants in epileptic encephalopathies identified to date. Given the predicted dominant-negative mechanism of this mutation, this variant presents a prime target for therapeutic intervention