Posted at 11.28.2018
This paper will look at the case study of Ruth, Joseph and their family. They can be Humanitarian Entrants in Australia and face many issues. Their earlier life in Southern Sudan was fraught with conflict, assault and displacement. As being a social worker examining their circumstance there are several factors which have to be considered which can impact greatly on the future. Included in these are the dominating discourse which as a sociable worker we will choose to work from. The biomedical discourse handles many factors which are evident in the task with Ruth and Joseph. Factors such as torture and stress and the repercussions psychologically which it has had and how it continues to impact on the family. This newspaper will also take a look at how the traditional western biomedical model may limit mental condition as just a brain disease and not look at all the factors that are related. When working with aiming to resettle a refugee family in a fresh country which is up to now taken off what they know, a social worker must deal with wide range of tasks. Choosing the right theory is vital. The theory which would best work with Ruth and Joseph would be Anti-oppressive. Taking a look at the anti-oppressive theory when working with new migrants can help us to understand their background and help them overcome the oppression which they have felt for such a long time. It is our role as sociable personnel to help integrate refugee people into local neighborhoods and change to a fresh culture. I will need to judge my own beliefs and attitudes when working with my CALD (Culturally and Linguistically Diverse) clients. My target will be about how these distinctions may impact or inhibit my work with Ruth and Joseph specifically our cultural variances.
Assessing clients and intervening as a Friendly Work practitioner it is essential that we pick the best discourse highly relevant to our clients needs. As Healy (2008) state governments ' the biomedical discourse is one of the most powerful discourses shaping practice contexts, particularly in health services such as nursing homes, rehabilitation services and mental health services' (p20).
Healy discusses how cultural work practitioners need to 'learn to understand' some type of the biomedical terminology (2005, p22). Whenever using clients such as Ruth and Joseph whom both have post-traumatic symptoms in varying degrees the biomedical discourse looks for to handle the complexity of the problems. Both Ruth and Joseph appear to suffer from some form of mental health problems related to their post-traumatic activities. Penhale and Parker (2008) say that difficulties with mental illness can be deepened if the person/s comes from dark or minority cultural community (p103).
The symptoms which Ruth and Joseph are experiencing are in the form of flashbacks, anxiety and fear. The National Centre for PTSD state that 'refugees frequently experience repeating losses, troubles, and changes during the exile/acculturation and resettlement/repatriation intervals' (Bolton, 2010).
When evaluating Ruth and Joseph, we must take care not to objectify them as just their illness. As a public worker we have to look at a customer from varying degrees not simply one. We have to look at a customer and their previous background in a all natural biopsychosocial way. With Ruth and Joseph, responding to their mental illness is just one of the multidimensional factors that they are experiencing. Considering them as people rather than as a sickness can help with assessing their case. STARTTS elaborate stating that 'It is essential for social staff in this field to build up a knowledge of organised assault and its results on individuals, families and societies, and also of the refugee experience of escape and surviving in refugee camps' (Bowles, n. d. ).
The biomedical discourse can also have limitations. Healy talks about how there exists potential for biomedical knowledge to contribute to interpersonal oppression (2005, p26). When working with Ruth and Joseph our practice must be about empowering them and help them conquer any oppression which they have observed. The implications which we as experts may face whenever using refugees from the biomedical model is as Healy (2008, p. 25) advises 'in discord with the all natural strategy'. As communal personnel it is our role to look at a client in a communal framework. Ruth and Joseph present with a variety of problems that stem from the trauma that they have experienced. This branches into areas of social, economical and psychological needs that require to be attended to. Ruth faces wanting to understand her way across the bureaucracy of Centrelink, Medicare and other organizations merely to get their simplest needs fulfilled. We will need to work with Ruth to beat her concern with authority which is due to her injury which she experienced in Southern Sudan. In the case study it mentions that Ruth looks afraid of all questions regarding getting a job and worries of authority in conjunction with the dialect/cultural hurdle which she experienced has resulted in her self-doubting. We need to go through the case of Ruth and Joseph from more of public level rather than medical level. 'This model does not consider the role, such as family and community play in development of health problems; thus, examination and treatment are narrowly identified ' (Pardeck and Yuen, 2001, as cited in Pardeck, 2002, p. 4).
Assessing clients whom have trauma related symptoms such as Joseph, being aware of his condition and all aspects seem to be from physical to psychological to psychological will help us to make decisions of referrals to other companies which may have to be done. It appears as though Joseph will need to visit a physiotherapist, tooth doctor and a GP to help beat his physical pain. His emotional and emotional problems range between trouble concentrating to becoming violent towards his family. The basic safety of Ruth and the kids will be produced in the initial assessment. It will need to be determined whether Ruth feels safe enough to acquire Joseph in the house with her and her children if he goes on along with his violent behaviour. Referrals may need also to be made to a psychologist or a mental health agency for Joseph.
Healy places anti-oppressive practice between strengths perspective and the postmodern tactics to reflect the normal historical lineage of theories for practice, all that have surfaced as significant affects in the formal foundation of social work since 1990's (2005, p173). Implementing an anti-oppressive platform whilst working with Ruth and Joseph, tribute must be paid to days gone by struggles and sacrifices that they have encountered. Ruth and Joseph have suffered great oppression in Southern Sudan. This oppression included imprisonment, family killed, being extracted from their home, hunger, and insufficient protection. O'Hara and Weber (2006) maintain an anti-oppressive or radical construction encourages practitioners to understand the structural context of their evaluation practice (p, 141). Some critical components of the anti-oppressive framework are the 'isms'. They are anti-racism, anti-sexism, anti-heterosexism, anti-ablism, and anti-ageism (Moore, 2003, n. d). Responding to these components of the anti-oppressive construction when evaluating Ruth and Joseph allows practice to enable and allow and support them to get more control over their lives. As Milner and O'Bryne talk about '. . . . . public work should change lives so that those oppressed may gain back control of their lives and re-establish their right to be full and active members of contemporary society' (2009, p. 23).
In a short assessment with Ruth and Joseph factors to be looked at include whether an interpreter is needed as translation will play a essential role in the evaluation process. Ruth and Joseph have definitely sought liberty from persecution because of war, assault and torture and/or other degrading treatment. STARTTS declare that 'Social staff in this field face reports of gross real human rights violations, and cannot maintain neutral opinions regarding the actions of various communities and regimes. Conversely, an example may be also subjected to the complexities of civil and international conflicts; one's own political ideologies, stereotypes and values are all challenged in this work'.
Culture plays a substantial part in anti-oppressive practice when working with Ruth and Joseph. Penhale and Parker (2008, p. 197) points out:
Cultural competence is due to an anti-oppressive method of practice and concerns the competence and understandings to work with diverse groupings, respecting and acknowledging difference whilst dealing with people to results changes which have been decided and negotiated alongside one another.
There is you don't need to be a cultural expert as such but knowing of cultural differences and how this may effect on communicating effectively with Ruth and Joseph is important. By doing some research if possible of Ruth and Joseph's Dinka culture will help whenever using evaluating their needs. Including the WYDA areas that Dinka family provides an essential support network (2008, para 5). That is important when speaking with Ruth and Joseph about their family life and functions in the family etc. Another factor to make is always to ask them what some of their expectations may be and ask them how things were done in their country. Breaking down this cross-cultural hurdle in the initial assessment can result in a far more positive results for both the social employee and Ruth and Joseph. . Thompson's Personal computers interactive style of oppression (Penhale and Parker, 2008, p. 155) shows oppression to be the constructor of personal, cultural and societal views and this the personal prejudice alone does not describe racism. Furthermore it's important that a cultural worker understands how these areas of life interact can create and recreate habits of oppression and discrimination. It is important also to notice that Ruth and Joseph's children appear to be acculturating faster therefore may need to take over the role of translators in official realms. This reversal of assignments can create stress in both parents and children and will often lead to intergenerational issue. Parents can feel just like their children have lost admiration for them and this that their power may have been undermined.
Social work practice must treat a myriad of issues when interacting with asylum seekers and refugees. In establishing themselves locally Ruth and Joseph they'll require a amount of services with which to access that may play a essential role in providing a safe community. Offering ongoing support and implementing an anti-oppressive practice
Working with CALD (Culturally and Linguistically Diverse) clients as a social work practitioner this may raise several problems with values and behaviour that i may have. I am white, Australian and a social work student. I have a different cultural individuality and am from a different country which retains different views and ideas to Ruth, Joseph and their family. Being a girl and a mother I can empathise with Ruth in regards to running a home and looking after children. Ruth has had to take over as 'brain' of the family as Joseph is apparently mentally unwell rather than fit to lead his family for the time being. She also offers a sizable family and looking after seven children can be a struggle let alone being in a new country and seeking to navigate our welfare and schooling systems. Having different cultural identities could limit my capacity whenever using Ruth and Joseph. I need to recognise that refugees have similar interpersonal, emotional, religious and financial must everyone else and become work in a culturally delicate way. As I am from the Australian culture this is another subgroup that i have membership. With all the current negative multimedia attention encircling 'asylum seekers' or 'fishing boat people' it's been hard not to form an attitude. My attitude is the fact that I think that I don't understand, and I never will, the desperation that asylum seekers must feel to obtain to put themselves and their family in such unsafe environments such as a rickety fishing boat from Indonesia merely to evade the persecution and dread that they must experience in their own country to have to flee. I know that Ruth and Joseph are Humanitarian Entrants meaning that Ruth's sister sponsored them to come and live here nonetheless they still were in fear of persecution and put through torture and trauma in their own country. As I am citizen of any country that lives in democracy I am going to never grasp but my beliefs of respect, honesty and
Another subgroup I am part of is that of a family group. I've two children of my very own and I know personally that my children is my initial support network. As stated, the Dinka culture regards their immediate family as their initial support network also. Whenever using Ruth and Joseph my worth and attitudes towards family support can boost my capacity with responding to their needs. Personally i think that it's important to work with the positives of Ruth and Joseph's situation and in this case it is their family is jointly in the main one place. Offering some family counselling would allow a safe space for the family to address any issues which have arisen, such as Joseph's insufficient connectedness with the family. Along with Joseph obtaining some therapy in regards to his mental health this would position the family in relation to healing along.
Oommen, Brian, Stephen and Komersee (2008, p. 6) state that 'An equally important strategy when employed in culturally diverse adjustments is the need for a health professional to suspend their personal biases and judgements about those for whom he or she may be planning health programs'. Much like so many areas including values, reflective practice and self-awareness
are central. I need to study and question the resources and aspect of my own power and the ways that this is exercised in my own relations with children and my children. By using reflective practice when working with Ruth and Joseph can help me maintain a level of self-awareness to be able to apply my attitudes in an appropriate manner. As there is a domestic violence concern this could be one of the areas where my value of admiration could limit my capacity whenever using Ruth and Joseph. I could overcome this limitation by looking at the all the factors and understanding that the domestic violence is something that is perpetuated of their record as displaced individuals and the trauma and torture which they have experienced. Working with a non-judgmental attitude will also help with conflicts such as local violence.