Therapeutic Communication. The Privatization of Social Services from Public to Sectarian: Negative Consequences for America's Gays and Lesbians Christopher W. Blackwell, ARNP, MSN, PhD(c) Visiting Instructor, School of Nursing Candidate for the PhD in Public Affairs
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The Privatization of Social Services from Public to Sectarian:Negative Consequences for America's Gays and Lesbians
Christopher W. Blackwell, ARNP, MSN, PhD(c)
Visiting Instructor, School of Nursing
Candidate for the PhD in Public Affairs
College of Health & Public Affairs
University of Central Florida
Therapeutic Use of Self in the Nurse-Client Relationship
- The PROWRA provision of Charitable Choice was legislated under the Clinton Administration in 1996 and has been largely embraced and expanded by the Bush Administration.
1. “Identifying and eliminating proper federal barriers to effective faith-based and community-serving programs though legislative, regulatory, and programmatic reform;
2. Stimulate an outpouring of private giving to nonprofits, faith-based programs, and community groups by expanding tax deductions and through other initiatives;
3. Pioneering a new model of cooperation through federal initiatives that expand the involvement of faith-based and community groups in the after-school and literacy services, help the children of prisoners, and support other citizens in need” (p. 9-10).
religious integrity unharmed.
religious organizations able to compete to provide?
- Food stamps
- Much, much more.
1) Homosexual recipients of social services.
2) Homosexuals who work as social service providers.
1) The Human Rights Campaign (HRC)
2) The National Gay & Lesbian Task Force (NGLTF)
3) Parents and Friends of Lesbians and Gays (PFLAG)
- Ronald Reagan (R)
- William Jefferson Clinton (D)
- Al Gore (D)
- George W. Bush (R)
- “Relational, morally compelling, and personable; provides “love,” “guidance,” and “friendship”; and helps people “transform their lives”
(Chaves & Tsitsos, 2001, p. 662).
- Flawed market surveys are one etiology for myth.
- Research regarding the socioeconomic status of gays and lesbians as a minority group suggests that working gay, lesbian, and bisexual people are no better off and in some ways are disadvantaged economically in relation to comparable heterosexual people (Badgett, 2000; Anastas, 2001; Cahill & Jones, 2002).
“There were between 1 million and 3.6
million poor gay, lesbian, and bisexual
Americans in 1996, and between 900,000 and 2.5
million in 2000” (p. 7).
- Nutritional support
- Sheltering and domestic violence sheltering
- Substance abuse addiction programs
- Most of the same services used by heterosexual
protect gays and lesbians.
- Discriminatory practices for workers and recipients.
- Largely unknown;
- Geographic constraints due to size of service area.
- Example: Substance abuse treatment programs
- Widespread discrimination to gays and lesbians
who are employed by religious social service
- Federal courts are upholding the termination of gays and lesbian Social Workers and Therapists based solely on their sexual orientation
(Cahill & Jones, 2002; Rostow, 2003).
- Alicia Pedreira
- Aimee Bellmore*
- Alan Yorker*
* - Case favorably settled in state court system; sexual orientation not basis of decision.
- Socioeconomic makeup of gays and lesbians
- Precise evaluation of number of gays and lesbians
reliant on social services
- What corrrective measures should be taken? How and why should these measures be selected?
- Which services are more likely to present more discriminatory issues?