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The Vital Role of Social Workers in Community
Partnerships: The Alliance for Gay, Lesbian, Bisexual,
Transgender and Questioning Youth
Michael P. Dentato • Shelley L. Craig • Mark S. Smith
Published online: 25 June 2010
� Springer Science+Business Media, LLC 2010
Abstract The account of The Alliance for Gay, Lesbian,
Bisexual, Transgender,
and Questioning (GLBTQ) Youth formation offers a model for
developing com-
munity-based partnerships. Based in a major urban area, this
university-community
collaboration was spearheaded by social workers who were
responsible for its
original conceptualization, for generating community support,
and for eventual
staffing, administration, direct service provision, and program
evaluation design.
This article presents the strategic development and evolution of
this community-
based service partnership, highlighting the roles of schools of
social work, aca-
demics, and social work students in concert with community
funders, practitioners
and youth, in responding to the needs of a vulnerable
population.
Keywords GLBTQ youth � Sexual orientation � Community-
based partnerships �
Empowerment � Participatory action research
Introduction
A rich history of collaboration exists between community and
university-based
social workers in the conceptualization, development, and
administration of service
partnerships. As means for establishing these partnerships,
participatory action
M. P. Dentato (&)
School of Social Work, Loyola University Chicago, 820 North
Michigan Avenue, 12th Floor,
Chicago, IL 60611, USA
e-mail: [email protected]
S. L. Craig
The Factor-Inwentash Faculty of Social Work, University of
Toronto, Toronto, Ontario, Canada
M. S. Smith
School of Social Work, Barry University, Miami Shores, FL,
USA
123
Child Adolesc Soc Work J (2010) 27:323–334
DOI 10.1007/s10560-010-0210-0
research is recognized as a preferred methodology for gathering
necessary data about
community needs, and the utilization of an empowerment
perspective is seen as a
complementary lens for guiding practice. Participatory action
research involves a
collaborative process that attends to the engagement of, and
reflective dialogues
concerning, ideas and viewpoints that have been excluded or
privileged in traditional
research processes (Guishard 2009), thus suggesting
empowerment as a preferred
practice approach. Additionally, such collaborations offer a
venue through which
academics and social work researchers can influence
practitioners’ understanding of
and willingness to use evidenced based practice (Bellamy et al.
2008).
Social workers have historically worked within communities as
practitioners,
researchers, and advocates for policy change serving vulnerable
and oppressed
populations: this has, by necessity, involved efforts to develop
partnerships among
organizations. In order to best meet the identified needs of
groups of individuals and
oppressed communities, social workers often have to first
mobilize, sustain, and stabilize
various groups in order to accurately access micro, mezzo, and
macro level strengths.
Such collaborations are vital to sharing assets, building
organizational infrastructure,
raising visibility, and developing individual and community-
level resilience. Commu-
nity partnerships comprised of mostly non-profit and public
organizations are often
created to address complex health and human services needs
(Ferguson 2004). Such
partnerships or coalitions are based on the premise that
leveraging resources and sharing
information can enable participating organizations to strengthen
their capacities to
serve, while improving community health (Provan et al. 2005).
Community-based partnerships have gained social capital due to
the fact that
collaboratively, service users and providers can exert
significant influence on
service and practice standards, often making inroads in a power-
saturated field.
Thus, fostering alliances with other service users and providers
is advantageous
(Houston 2002). Such an approach is considered a way to
efficiently deliver
services, engage in community planning, encourage disparate
providers to work
together, and build capacity (Agranoff 2003). However, because
this type of capital
is best maximized when it is collectivized or pooled, it must be
utilized strategically.
For social workers engaged in developing community-based
collaborations, the
empowerment perspective can be most useful as an important
conceptual
foundation. Historically, empowerment-based social work has
influenced public
institutions, voluntary organizations, proprietary sites, sectarian
institutions, secular
agencies, unions, corporations, and private practices (Simon
1994). Similarly,
participatory action research has emerged as an important
approach in helping social
workers gather trustworthy data that is sensitive to the lived
experiences of
community residents. The fundamental importance of
participatory action research
methods and the use of an empowerment perspective will be
examined with regard
to implications for social work practice and building
community-based partnerships.
The Vital Role of Social Workers
Social workers pursue social change with and on behalf of
vulnerable and oppressed
individuals and groups of people (NASW Code of Ethics 2008).
In the same regard,
324 M. P. Dentato et al.
123
there are multiple ways in which social workers can engage in
community-based
partnerships; for example, providing direct practice (i.e., mental
health counseling),
facilitating program development, initiating policy change, and
seeking diversified
sources of funding to sustain partnership infrastructure. In order
to promote
competence in assuming these multiple roles, it is vital that
undergraduate and
graduate social work students be placed in field internships
within organizations
involved in community-based partnerships. Social work
undergraduate and graduate
programs would do well by offering such learning experiences
to demonstrate the
skills needed for collaborative efforts in program design,
implementation, and
development strategies (Merzel 2007).
Additionally, social workers would benefit from ongoing
training and profes-
sional development on how to tune into and contend with
potential barriers in their
work with client systems. These barriers may present as actual
or perceived
interference with client networks and may be the result of
fractured supportive
systems, or systems that have lost effectiveness due to
becoming fossilized and
irrelevant. Conflict can also occur when social workers harbor
private definitions of
their purpose, means, or criteria for determining successful
outcomes (Simon 1994)
that do not align with those of the community or constituent
organizations. Such
interference will likely cause friction and dysfunction between
the social worker and
community collaborators while undermining the critical long-
term development of
community-based partnerships.
As underscored by Freire (1993) a true commitment to
individuals and the larger
community involves the transformation of the reality by which
oppression occurs.
His theory of transformative action is predicated upon affording
vulnerable or
oppressed individuals, communities, and organizations a
fundamental role through-
out the process. In essence, social workers should challenge
fatalistic ideas, such as
assuming that change is impossible or that people are incapable
of knowing what is
best for them (Houston 2002), and remain steadfast in their
commitment to
including vulnerable populations in the program design,
implementation, and
research efforts within community-based partnerships. Lastly, a
key role of social
workers involves ensuring open access to needed information,
services, and
resources along with equality of opportunity and meaningful
participation in
decision making for all people (NASW Code of Ethics 2008).
The Empowerment Perspective
Solomon (1976) introduced the concept of ‘‘empowerment’’ in
social work as the
process by which people increase power on the personal,
interpersonal, political,
and economic levels in order to take action to gain more control
over the conditions
of their lives (Boehm and Staples 2004). The empowerment
perspective offers a
clear practice lens through which the multiple positive
implications of participatory
action research and the development of community-based
partnerships can be
conceptually linked. An empowerment perspective helps
individuals and groups
overcome social barriers to self-fulfillment within existing
social structures, thus
rejecting the transformational aims of radical and critical theory
and the
The Vital Role of Social Workers in Community Partnerships
325
123
emancipatory aims of feminist and anti-discrimination theory
(Payne 2005). Much
of the philosophical origins of the social work movement can be
understood through
an examination of the term ‘empowerment’ and the
empowerment perspective,
which has had a direct impact on the social, political,
socioeconomic, and other
aspects of work with vulnerable populations. From an
empowerment perspective,
the key to rectifying inequitable life conditions is the inclusion
of those who are
excluded from the social process so that they can contribute to
the building of
political, economic, and social structures which are more
participatory and inclusive
in nature (Hossen 2005). However, this a complicated task, as
multiple factors and
challenges are involved.
In empowerment-based social work with organizations and
communities,
collaboration closely resembles the ‘‘alliance’’ between social
worker and client.
This working alliance hinges upon three elements which
include: (a) a shared sense
of urgency concerning the problems confronting the client; (b) a
conjoint
commitment to problem solving in as democratic a manner as
possible; and (c) a
shared emphasis initiated by the worker on the common
humanity of all, despite
what may be marked distinctions in social class, race, life
chances, and education
(Reynolds 1951; Freedberg 1989; Simon 1994). These three
elements of empow-
erment-based social work are clearly demonstrated in the case
example of The
Alliance for GLBTQ Youth. We will further explore the three
facets of this
framework after a discussion about participatory action
research.
From an empowerment stance, the perspectives of practitioner
and researcher can
be unified—so that research methodologies and approaches
better fit the realities of
practice rather than artificially dismembering practice in order
to fit outmoded and
incongruent models or research (Pieper 1985). A self-identity
commonly held by
contemporary social workers involved in empowerment work is
that of the
facilitator—one who helps forge pathways to greater power and
personal agency for
clients, members, and constituents (Simon 1994). As a process,
empowerment is
associated with situations in which individuals and groups are
moving from relative
powerlessness to increased power—for example, participating in
decisions that
affect their vital interests when previously such participation
was denied or made
unavailable (Boehm and Staples 2004).
Participatory Action Research
Participatory Action Research (PAR) has been championed by
social workers
interested in developing accurate knowledge about marginalized
populations
because of its attention to the nature of relationships occurring
‘inside’ the research
process, as well as its focus on contributing to the social good,
community well-
being, and social justice (Cochran et al. 2008). Furthermore,
PAR encourages
introspection and examination of the social interdependencies
among researchers
and those researched (Boser 2006; Maiter et al. 2008). Social
workers involved in
The Alliance for GLBTQ Youth worked in such an
interdependent fashion while
holding a firm commitment to the key social work tenets of
empowerment,
reciprocity, self-determination, mutuality, and consensus
building throughout the
326 M. P. Dentato et al.
123
process of developing the community-based partnership. Such a
‘‘reciprocal
dialogue,’’ in which an individual researcher and community
participants commu-
nicate as equals has the potential to help avoid or resolve
certain ethical problems in
research (Trimble and Fisher 2006; Yassour-Borochowitz 2004;
Maiter et al. 2008).
Further, the manner by which a social worker negotiates,
engages, and facilitates
research with the community at the center of the project is key
to producing strong
outcomes. The style of engagement helps determine the quality
and nature of the
relationship, the depth of the emergent data, and the extent to
which the researcher
is regarded as a trustworthy ally capable of sharing and
articulating any aspect of
participants’ world views (Genat 2009). Ultimately, the sine qua
non of authentic
collaboration is ongoing reciprocity of effort, ideas, resources,
and, most important,
respect (Simon 1994). This third element of the empowerment
perspective utilizing
a ‘‘shared dialogue’’ underscores the ‘‘shared emphasis
initiated by the worker on
the common humanity of all’’ (Reynolds 1951; Freedberg 1989;
Simon 1994).
Based on a professional code of ethics, standards, principles and
values, social
workers are likely to exemplify the attributes necessary for
building community-
based partnerships, while enhancing the delivery of services and
creating research
opportunities, all while advocating for vulnerable populations.
In sum, the choice of research paradigm becomes important
(Burrell and Morgan
1979; Hassard and Kelemen 2002; Walji 2009) when
establishing and developing
community-based partnerships. Ideally, collaborative
community-based research
should highlight reciprocity, contribute quality and richness in
feedback, and
inform, clarify, and contribute to the enhancement of all
involved (Deetz 1996;
Walji 2009). These outcomes are characteristic of both PAR
processes and
empowerment goals. Such a collaborative, collective, and
comprehensive process
clearly illustrates the fundamental role of multiple partners and
the key influence of
social workers in developing community-based partnerships.
The linkage between
the role of social workers, the empowerment perspective, and
PAR will be further
examined in the following case example.
The Alliance for GLBTQ Youth
Typically, community agencies that provide services that
specifically respond to the
needs of gay, lesbian, bisexual, transgender and questioning
(GLBTQ) youth must
also engage in ongoing advocacy (Morrow 2004). Social
workers in these agencies
who provide services to GLBTQ youth often must utilize their
advocacy skills,
especially in working with other traditional and non-traditional
service providers so
as to better ensure that an adequate continuum of care is
provided. By training and
working alongside personnel within these agencies, social
workers can improve
service delivery to the GLBTQ community (Morrow and
Messinger 2006). The
Alliance for GLBTQ Youth is a community-based service
partnership that emerged
from the advocacy efforts of social workers in one metropolitan
area who regularly
experienced such gaps in service and were frustrated by the
absence of care
continuity. The collaboration stemmed from the grass roots
level intervention of
community members, funders, and community-based
organizations seeking the
The Vital Role of Social Workers in Community Partnerships
327
123
stabilization and expansion of services for GLBTQ youth. The
tasks of mobilizing
community members, engaging in PAR to assess community
needs, developing a
collaborative strategy for initiating a new partnership, as well
as the staffing,
administration, and evaluation of service outcomes, were all
handled by social
workers coming together from community-based organizations,
local schools of
social work, faculty members, and students.
For the social workers and various community partners involved
in the initial
discussions and planning, the overall mission of the service
partnership immediately
became clear. The mission was to create and implement a
continuum of care for
GLBTQ youth, their families, and communities. The first
element of an
empowerment perspective—‘‘a shared sense of urgency
concerning the prob-
lems’’—clearly describes this initial period of community
organization (Reynolds
1951; Freedberg 1989; Simon 1994). The primary course of
action was to bring the
various service providers together on a monthly basis, build
bridges, and start the
planning process. Such service providers included organizations
that focused on
school-based education and prevention programs, mental health
counseling, crisis
intervention, HIV/AIDS services, alcohol and substance abuse
programs, recrea-
tional and social activities, among others.
Despite great promise and good intentions, developing
community alliances can
be fraught with challenges, as community collaborations are
difficult to initiate and
even more challenging to sustain (Berberet 2006). One early
challenge for the
Alliance for GLBTQ Youth was the initial positive response by
administrators of
agencies and organizations engaged in the project and the
subsequent failure to
ultimately delegate the direct work to program staff. The
commitment and ‘‘buy-in’’
to the project varied by organization; consequently, social
workers found that
leveraging resources and utilizing political influence were key
factors in unifying
cohesion among individual group members as well as among the
larger group as a
whole. Other challenges involved either external constraints,
such as lack of
funding, or involved internal factors, such as conflicts arising
between individuals.
Many of the internal conflicts were motivated by competition
among the non-profit
organizations with long histories of vying with each other for
funding, clients, and
community status (Libby and Austin 2002). Social workers had
to examine issues of
trust and assist partnering organizations with long-standing
positive and negative
relationships in either re-establishing trust through the
collaborative process or
address fractures and dysfunction along the way.
The Alliance for GLBTQ Youth experienced considerable
challenge with
attempting to link unique and idiosyncratic organizations with a
wide range of
infrastructure development. These agencies had varied levels of
financial support,
histories of failed attempts at collaboration, service duplication,
and a ‘‘limited’’
number of GLBTQ youth that they were reaching through
service provision.
Ironically, the social workers found that the potential appeared
quite unlimited for
collaboration and expansion of services for underserved GLBTQ
youth clients. To
address these concerns, open and frank dialogues were initiated
between Alliance
program staff and the community-based partners on topics as
varied as the need for
increased service provision, meeting contractual requirements,
or the likelihood of
funding cuts. Quite often these intense dialogues took great
time, multiple attempts,
328 M. P. Dentato et al.
123
and effective negotiation among partners through several phone
calls, face-to-face
meetings, emails, and the use of clear communication and
critical consensus
building skills, so that ultimately a decision was formed
underscoring the mission of
the partnership as the guiding principle shaping present and
future actions.
In order to develop trust, especially among marginalized
communities, there are
moments in which the credibility of the project and the
researchers are tested
(Maiter et al. 2008), and these conversations occasionally led to
contentious
crossroads. Inherent throughout these critical moments was the
instrumental role of
social workers as brokers, bridge-builders, and negotiators,
navigating delicate
conversations with the youth, service providers, funders and
Alliance staff members
through a multitude of varied modes of communication and/or
meetings. Building
consensus and creating an open dialogue and process proved
instrumental for mid-
course evaluation and adjustments to the project, and
emphasized the importance of
empowerment, active participation, relationship-building and
effective collabora-
tion. This second instrumental element of the empowerment
perspective—
consensus building—underscores the need for ‘‘a conjoint
commitment to problem
solving in as democratic a manner’’ as possible (Reynolds 1951;
Freedberg 1989;
Simon 1994).
The social workers initiating the community-based partnership
engaged in a
12-month planning grant initiative focused on establishing the
partnership and
developing organizational components such as generating a
mission statement and
governance plan. The research process included a broad-based
youth survey,
convening multiple focus groups with GLBTQ youth and
providers, conducting
local, state, and national key informant interviews, on-site visits
to exemplar and
model programs, and undertaking a comprehensive literature
review. This extensive
participatory research process culminated in a multi-year, multi-
million dollar
implementation grant provided by a local community funding
source. The initial
development of community cohesion utilized the elements of
empowerment
practice through fostering shared responsibility.
The decision-making process throughout the planning and
implementation
processes occurred in an open manner at monthly partnership
meetings, through
various partnership committee telephone conference calls, mass
emails sent to all
partners, and through the dissemination of messages from
administrators and
partners when dialoguing with their staff, youth, and the greater
community. Such
participatory decision-making has been found to be a key
ingredient of success of
such community partnerships (Mizrahi and Rosenthal 2001).
Several formal and
informal strategies were utilized by the leadership of the
Alliance for GLBTQ
Youth that included: (a) adherence to the consensus decision-
making model; (b) the
use of ad hoc committees; and (c) formal documentation of
process. Early on in the
formation of the Alliance, the governance committee
recommended the use of a
consensus model as the primary decision-making model. This
meant that decisions
were made through full participant agreement. In the instances
when everyone was
not in full consensus, a dialogue was initiated and persisted
until everyone was in
complete agreement. For a few decisions there appeared to be
degrees of agreement
and disagreement and the strong board leadership took the time
to ensure that
nuances were articulated. Reservations expressed by members
did not necessarily
The Vital Role of Social Workers in Community Partnerships
329
123
mean that consensus was thwarted. Instead the concerns became
part of the charge
to staff members or committees while formalizing action plans.
For some
challenging decisions, particularly those involving funding,
differences of opinion
were frequently found. The board leadership then formed ad hoc
committees
consisting of those who had expressed the most concern. This
committee was
charged with reporting back a plan of action at the next
partnership meeting.
Finally, in a strategy designed to nurture the equitable decision-
making model of
the community partnership, the leadership insisted on formal
documentation of all
decisions. This was done through extremely detailed minutes as
well as formal
written policies, bylaws, and memoranda of understanding. All
written documen-
tation was circulated during the monthly meetings and copies
were kept in a binder
at the office. This allowed for open access to the decision-
making strategies by the
community partnership as well as by any interested member of
the community.
Such participatory approaches to decision making can be viewed
as positive because
decisions are more likely to be grounded in the relevant issues
because stakeholders
are making them (Dotterweich 2006) and can lead to enhanced
levels of trust and
result in future collaborations. Such an example of the
empowerment perspective
through the decision-making process might be important to
further assess, as it has
been shown to be essential to the goals and outcomes of shared
governance models
(Anthony 2004; Erickson et al. 2003; Larkin et al. 2008).
Consumer and community input, including direction and
feedback from all the
various interested constituencies such as youth, agency staff,
administrators, as well
as with staff from the multiple funding sources in the project
was fundamental to the
success of this partnership as well. Croft and Beresforf (1994),
argue that a
participative and empowering approach is valuable because
people want and have a
right to be involved in decisions and actions taken in relation to
them. One early
success from utilizing this approach stemmed from the
invitation of several
community-based funders to the table to provide input,
direction, and feedback in
the planning and implementation processes. Their participation
in the early
development of the partnership ultimately led to an invitation
from a local chapter
of The United Way for an application for funding to cover one
specific service area
of the developing partnership.
Constituent involvement reflects the democratic value base of
social work,
increases accountability, makes for more efficient services, and
helps to achieve
social work goals. It also helps to challenge institutionalized
discrimination by
broadening the role of a community in such a project. These
feedback loops were
created through the relationships established and maintained by
the social work
researchers and practitioners who facilitated the initial dialogue
and meetings.
Community stakeholders were able to voice their opinions and
give their responses
in a series of 24 community meetings that incorporated a range
of 6–31
participants. During these meetings the governance and other
leadership documents
were created and cohesion was further fostered. As articulated
by Croft and
Beresforf (1994), the community stakeholders’ view of
participatory practice
involved four elements, which included: (a) empowerment,
which involved
challenging oppression and making it possible for people to take
charge of matters
which affect them; (b) control for people in defining their own
needs and having a
330 M. P. Dentato et al.
123
say in decision making and planning; (c) equipping people with
personal resources
to claim power by developing their confidence, self-esteem,
assertiveness,
expectations, knowledge and skills; and (d) organizing their
agencies to be open
to participation.
An interesting note about the definition of community with this
project was with
regard to the addition of the use of ‘‘Q’’ in the acronym for The
Alliance for
GLBTQ Youth. Throughout the design of a youth survey about
various aspects of
their lives and behaviors, lengthy discussions about
inclusiveness took place among
adults and youth alike. While some youth reported that they
remained uncommitted
to specific self-identities based on the accepted social
definitions for the continuum
of sexual orientations and felt more comfortable with a broader
set of choices than
the typical ‘‘gay, lesbian, bisexual, or transgender’’ terms
widely used, adults also
felt strongly about offering such a myriad of options and
believed ‘‘GLBT’’ was
sufficiently inclusive. However, it also became clear that a
significant number of
youth were more comfortable being defined ‘‘loosely’’ with
regard to their sexual
orientation and appreciated the decision to use ‘‘Q’’ for those
still questioning their
identity. This adolescent self-identification aligns with Savin-
William’s perspective
articulated in The New Gay Teenager (2005) regarding youth
and their objection to
being ‘‘neatly categorized.’’ Therefore, with a commitment for
empowerment of
youth regarding self-disclosure and identification, all providers,
staff, and youth
alike eventually agreed that the use of the ‘‘Q’’ should be
included in community
definitions.
Ultimately, the various service providers acted as key
stakeholders in the service
partnership, motivated in part by opportunities for receiving
funding for services
(i.e. individual, family, and group mental health counseling,
prevention education,
recreational and social events), but also participating through
consensus-based
decision processes at monthly board meetings, involvement in
the selection/
interview process for new Alliance staff, and active engagement
in strategic
planning processes. Fundamentally, establishing partnership
relationships promoted
mutual respect, increased communication and collaboration, and
helped to achieve
organizational objectives (Baston 2004; Larkin et al. 2008).
Additionally, the social workers who acted as integral members
of this
collaboration, whether serving on the board, as the project
director, staff members,
or as research consultants, all felt strongly about the need to
closely align The
Alliance for GLBTQ Youth with local universities. This was
essential not only to
strengthen the potential for research opportunities and develop
undergraduate and
graduate field placement opportunities, but also to lend greater
credibility to the
partnership. Contact was established with the administration of
local schools of
social work, field placements were established, and ongoing
collaborative efforts
continue to actively engage additional social work faculty and
students with the
partnership.
At The Alliance for GLBTQ Youth, agency providers, staff, and
most
importantly, youth remain vital elements of service provision,
program adminis-
tration, and board leadership. Growth of the project remains
strong as providers
continue to bring additional organizations to the table, and most
importantly, new
youth into the service continuum of care. This case example
vividly describes the
The Vital Role of Social Workers in Community Partnerships
331
123
key role of social workers in developing community-based
partnerships, the use of
the empowerment perspective in working with vulnerable and
oppressed popula-
tions, and the critical involvement of community-based
organizations collaborating
with universities and social workers while promoting advocacy
for vulnerable
populations.
Moving Ahead
In developing and sustaining community-based partnerships,
social workers’
mediating relationship with vulnerable populations and the
organizations that serve
them can provide a vital link between grounded research efforts
and informed
responsive service provision. An objective of social service
research is to provide
helpful information about the complex and oftentimes ill-
defined problems
practitioners encounter every day (Pieper 1985). As illustrated
throughout this
discussion, the empowerment perspective and collaborative
processes of PAR can
effectively inform the fundamental role of social workers in
developing and
sustaining community partnerships for vulnerable populations
such as GLBTQ
youth. More effective partnerships require a foundation of trust
among stakeholders,
including researchers, administrators, frontline staff, recipients
of services, and
concerned members of the community (Fantuzzo et al. 2006).
Furthermore, it may
be beneficial to further examine the perceptions, definitions and
overall impact of
trust among partners in such collaborations through future
research and writing.
As community partnerships are being explored within the
curricula of other
helping professions, it may also be beneficial for schools of
social work to explore
the integration of such learning opportunities into their BSW
and MSW programs
(Epstein and Sanders 2006). Academics may serve as catalysts
for community
partnerships by suggesting that instead of merely looking to
communities for
research participants, that universities provide sustainability
and longevity to
strengthen community partnerships (Milofsky 2006). Positive
actions have been
taken by individual professors at various colleges and
universities who, indepen-
dently, designed courses on school, family, and community
partnerships or added
relevant readings to existing courses in education, sociology,
psychology, and social
work (Epstein and Sanders 2006). Educators may continue to
define unique
opportunities for academia to partner more strongly with the
practice community to
strengthen mutual learning opportunities.
As illustrated by the case example of The Alliance for GLBTQ
Youth, social
workers can provide a vital role in integrating and managing the
various methods
necessary to build effective community-based partnerships. The
Alliance for
GLBTQ Youth is an example of an evolving partnership,
exemplifying the vital role
of integrating the interests of community-based organizations,
social workers, social
work students, and schools of social work in responding to the
needs of vulnerable
populations. Such an example underscores the full extent and
positive impact of
utilizing an empowerment perspective inherent in such
collaborative efforts, leaving
much room for further exploration and development of
community-based partner-
ships among similar populations.
332 M. P. Dentato et al.
123
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http://www.socialworkers.org/pubs/code/code.asp
Copyright of Child & Adolescent Social Work Journal is the
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B.V. and its content may not be copied or emailed to multiple
sites or posted to a listserv without the copyright
holder's express written permission. However, users may print,
download, or email articles for individual use.
#L3
Go to http://store.samhsa.gov/product/SMA11-4629 within the
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On the right hand side of the page, download the digital version
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The Vital Role of Social Workers in CommunityPartnerships T.docx

  • 1. The Vital Role of Social Workers in Community Partnerships: The Alliance for Gay, Lesbian, Bisexual, Transgender and Questioning Youth Michael P. Dentato • Shelley L. Craig • Mark S. Smith Published online: 25 June 2010 � Springer Science+Business Media, LLC 2010 Abstract The account of The Alliance for Gay, Lesbian, Bisexual, Transgender, and Questioning (GLBTQ) Youth formation offers a model for developing com- munity-based partnerships. Based in a major urban area, this university-community collaboration was spearheaded by social workers who were responsible for its original conceptualization, for generating community support, and for eventual staffing, administration, direct service provision, and program evaluation design. This article presents the strategic development and evolution of this community- based service partnership, highlighting the roles of schools of social work, aca-
  • 2. demics, and social work students in concert with community funders, practitioners and youth, in responding to the needs of a vulnerable population. Keywords GLBTQ youth � Sexual orientation � Community- based partnerships � Empowerment � Participatory action research Introduction A rich history of collaboration exists between community and university-based social workers in the conceptualization, development, and administration of service partnerships. As means for establishing these partnerships, participatory action M. P. Dentato (&) School of Social Work, Loyola University Chicago, 820 North Michigan Avenue, 12th Floor, Chicago, IL 60611, USA e-mail: [email protected] S. L. Craig The Factor-Inwentash Faculty of Social Work, University of Toronto, Toronto, Ontario, Canada M. S. Smith
  • 3. School of Social Work, Barry University, Miami Shores, FL, USA 123 Child Adolesc Soc Work J (2010) 27:323–334 DOI 10.1007/s10560-010-0210-0 research is recognized as a preferred methodology for gathering necessary data about community needs, and the utilization of an empowerment perspective is seen as a complementary lens for guiding practice. Participatory action research involves a collaborative process that attends to the engagement of, and reflective dialogues concerning, ideas and viewpoints that have been excluded or privileged in traditional research processes (Guishard 2009), thus suggesting empowerment as a preferred practice approach. Additionally, such collaborations offer a venue through which academics and social work researchers can influence practitioners’ understanding of and willingness to use evidenced based practice (Bellamy et al.
  • 4. 2008). Social workers have historically worked within communities as practitioners, researchers, and advocates for policy change serving vulnerable and oppressed populations: this has, by necessity, involved efforts to develop partnerships among organizations. In order to best meet the identified needs of groups of individuals and oppressed communities, social workers often have to first mobilize, sustain, and stabilize various groups in order to accurately access micro, mezzo, and macro level strengths. Such collaborations are vital to sharing assets, building organizational infrastructure, raising visibility, and developing individual and community- level resilience. Commu- nity partnerships comprised of mostly non-profit and public organizations are often created to address complex health and human services needs (Ferguson 2004). Such partnerships or coalitions are based on the premise that leveraging resources and sharing information can enable participating organizations to strengthen
  • 5. their capacities to serve, while improving community health (Provan et al. 2005). Community-based partnerships have gained social capital due to the fact that collaboratively, service users and providers can exert significant influence on service and practice standards, often making inroads in a power- saturated field. Thus, fostering alliances with other service users and providers is advantageous (Houston 2002). Such an approach is considered a way to efficiently deliver services, engage in community planning, encourage disparate providers to work together, and build capacity (Agranoff 2003). However, because this type of capital is best maximized when it is collectivized or pooled, it must be utilized strategically. For social workers engaged in developing community-based collaborations, the empowerment perspective can be most useful as an important conceptual foundation. Historically, empowerment-based social work has influenced public
  • 6. institutions, voluntary organizations, proprietary sites, sectarian institutions, secular agencies, unions, corporations, and private practices (Simon 1994). Similarly, participatory action research has emerged as an important approach in helping social workers gather trustworthy data that is sensitive to the lived experiences of community residents. The fundamental importance of participatory action research methods and the use of an empowerment perspective will be examined with regard to implications for social work practice and building community-based partnerships. The Vital Role of Social Workers Social workers pursue social change with and on behalf of vulnerable and oppressed individuals and groups of people (NASW Code of Ethics 2008). In the same regard, 324 M. P. Dentato et al. 123
  • 7. there are multiple ways in which social workers can engage in community-based partnerships; for example, providing direct practice (i.e., mental health counseling), facilitating program development, initiating policy change, and seeking diversified sources of funding to sustain partnership infrastructure. In order to promote competence in assuming these multiple roles, it is vital that undergraduate and graduate social work students be placed in field internships within organizations involved in community-based partnerships. Social work undergraduate and graduate programs would do well by offering such learning experiences to demonstrate the skills needed for collaborative efforts in program design, implementation, and development strategies (Merzel 2007). Additionally, social workers would benefit from ongoing training and profes- sional development on how to tune into and contend with potential barriers in their work with client systems. These barriers may present as actual
  • 8. or perceived interference with client networks and may be the result of fractured supportive systems, or systems that have lost effectiveness due to becoming fossilized and irrelevant. Conflict can also occur when social workers harbor private definitions of their purpose, means, or criteria for determining successful outcomes (Simon 1994) that do not align with those of the community or constituent organizations. Such interference will likely cause friction and dysfunction between the social worker and community collaborators while undermining the critical long- term development of community-based partnerships. As underscored by Freire (1993) a true commitment to individuals and the larger community involves the transformation of the reality by which oppression occurs. His theory of transformative action is predicated upon affording vulnerable or oppressed individuals, communities, and organizations a fundamental role through-
  • 9. out the process. In essence, social workers should challenge fatalistic ideas, such as assuming that change is impossible or that people are incapable of knowing what is best for them (Houston 2002), and remain steadfast in their commitment to including vulnerable populations in the program design, implementation, and research efforts within community-based partnerships. Lastly, a key role of social workers involves ensuring open access to needed information, services, and resources along with equality of opportunity and meaningful participation in decision making for all people (NASW Code of Ethics 2008). The Empowerment Perspective Solomon (1976) introduced the concept of ‘‘empowerment’’ in social work as the process by which people increase power on the personal, interpersonal, political, and economic levels in order to take action to gain more control over the conditions of their lives (Boehm and Staples 2004). The empowerment
  • 10. perspective offers a clear practice lens through which the multiple positive implications of participatory action research and the development of community-based partnerships can be conceptually linked. An empowerment perspective helps individuals and groups overcome social barriers to self-fulfillment within existing social structures, thus rejecting the transformational aims of radical and critical theory and the The Vital Role of Social Workers in Community Partnerships 325 123 emancipatory aims of feminist and anti-discrimination theory (Payne 2005). Much of the philosophical origins of the social work movement can be understood through an examination of the term ‘empowerment’ and the empowerment perspective, which has had a direct impact on the social, political, socioeconomic, and other
  • 11. aspects of work with vulnerable populations. From an empowerment perspective, the key to rectifying inequitable life conditions is the inclusion of those who are excluded from the social process so that they can contribute to the building of political, economic, and social structures which are more participatory and inclusive in nature (Hossen 2005). However, this a complicated task, as multiple factors and challenges are involved. In empowerment-based social work with organizations and communities, collaboration closely resembles the ‘‘alliance’’ between social worker and client. This working alliance hinges upon three elements which include: (a) a shared sense of urgency concerning the problems confronting the client; (b) a conjoint commitment to problem solving in as democratic a manner as possible; and (c) a shared emphasis initiated by the worker on the common humanity of all, despite what may be marked distinctions in social class, race, life
  • 12. chances, and education (Reynolds 1951; Freedberg 1989; Simon 1994). These three elements of empow- erment-based social work are clearly demonstrated in the case example of The Alliance for GLBTQ Youth. We will further explore the three facets of this framework after a discussion about participatory action research. From an empowerment stance, the perspectives of practitioner and researcher can be unified—so that research methodologies and approaches better fit the realities of practice rather than artificially dismembering practice in order to fit outmoded and incongruent models or research (Pieper 1985). A self-identity commonly held by contemporary social workers involved in empowerment work is that of the facilitator—one who helps forge pathways to greater power and personal agency for clients, members, and constituents (Simon 1994). As a process, empowerment is associated with situations in which individuals and groups are
  • 13. moving from relative powerlessness to increased power—for example, participating in decisions that affect their vital interests when previously such participation was denied or made unavailable (Boehm and Staples 2004). Participatory Action Research Participatory Action Research (PAR) has been championed by social workers interested in developing accurate knowledge about marginalized populations because of its attention to the nature of relationships occurring ‘inside’ the research process, as well as its focus on contributing to the social good, community well- being, and social justice (Cochran et al. 2008). Furthermore, PAR encourages introspection and examination of the social interdependencies among researchers and those researched (Boser 2006; Maiter et al. 2008). Social workers involved in The Alliance for GLBTQ Youth worked in such an interdependent fashion while
  • 14. holding a firm commitment to the key social work tenets of empowerment, reciprocity, self-determination, mutuality, and consensus building throughout the 326 M. P. Dentato et al. 123 process of developing the community-based partnership. Such a ‘‘reciprocal dialogue,’’ in which an individual researcher and community participants commu- nicate as equals has the potential to help avoid or resolve certain ethical problems in research (Trimble and Fisher 2006; Yassour-Borochowitz 2004; Maiter et al. 2008). Further, the manner by which a social worker negotiates, engages, and facilitates research with the community at the center of the project is key to producing strong outcomes. The style of engagement helps determine the quality and nature of the relationship, the depth of the emergent data, and the extent to which the researcher
  • 15. is regarded as a trustworthy ally capable of sharing and articulating any aspect of participants’ world views (Genat 2009). Ultimately, the sine qua non of authentic collaboration is ongoing reciprocity of effort, ideas, resources, and, most important, respect (Simon 1994). This third element of the empowerment perspective utilizing a ‘‘shared dialogue’’ underscores the ‘‘shared emphasis initiated by the worker on the common humanity of all’’ (Reynolds 1951; Freedberg 1989; Simon 1994). Based on a professional code of ethics, standards, principles and values, social workers are likely to exemplify the attributes necessary for building community- based partnerships, while enhancing the delivery of services and creating research opportunities, all while advocating for vulnerable populations. In sum, the choice of research paradigm becomes important (Burrell and Morgan 1979; Hassard and Kelemen 2002; Walji 2009) when establishing and developing community-based partnerships. Ideally, collaborative community-based research
  • 16. should highlight reciprocity, contribute quality and richness in feedback, and inform, clarify, and contribute to the enhancement of all involved (Deetz 1996; Walji 2009). These outcomes are characteristic of both PAR processes and empowerment goals. Such a collaborative, collective, and comprehensive process clearly illustrates the fundamental role of multiple partners and the key influence of social workers in developing community-based partnerships. The linkage between the role of social workers, the empowerment perspective, and PAR will be further examined in the following case example. The Alliance for GLBTQ Youth Typically, community agencies that provide services that specifically respond to the needs of gay, lesbian, bisexual, transgender and questioning (GLBTQ) youth must also engage in ongoing advocacy (Morrow 2004). Social workers in these agencies who provide services to GLBTQ youth often must utilize their
  • 17. advocacy skills, especially in working with other traditional and non-traditional service providers so as to better ensure that an adequate continuum of care is provided. By training and working alongside personnel within these agencies, social workers can improve service delivery to the GLBTQ community (Morrow and Messinger 2006). The Alliance for GLBTQ Youth is a community-based service partnership that emerged from the advocacy efforts of social workers in one metropolitan area who regularly experienced such gaps in service and were frustrated by the absence of care continuity. The collaboration stemmed from the grass roots level intervention of community members, funders, and community-based organizations seeking the The Vital Role of Social Workers in Community Partnerships 327 123
  • 18. stabilization and expansion of services for GLBTQ youth. The tasks of mobilizing community members, engaging in PAR to assess community needs, developing a collaborative strategy for initiating a new partnership, as well as the staffing, administration, and evaluation of service outcomes, were all handled by social workers coming together from community-based organizations, local schools of social work, faculty members, and students. For the social workers and various community partners involved in the initial discussions and planning, the overall mission of the service partnership immediately became clear. The mission was to create and implement a continuum of care for GLBTQ youth, their families, and communities. The first element of an empowerment perspective—‘‘a shared sense of urgency concerning the prob- lems’’—clearly describes this initial period of community organization (Reynolds 1951; Freedberg 1989; Simon 1994). The primary course of
  • 19. action was to bring the various service providers together on a monthly basis, build bridges, and start the planning process. Such service providers included organizations that focused on school-based education and prevention programs, mental health counseling, crisis intervention, HIV/AIDS services, alcohol and substance abuse programs, recrea- tional and social activities, among others. Despite great promise and good intentions, developing community alliances can be fraught with challenges, as community collaborations are difficult to initiate and even more challenging to sustain (Berberet 2006). One early challenge for the Alliance for GLBTQ Youth was the initial positive response by administrators of agencies and organizations engaged in the project and the subsequent failure to ultimately delegate the direct work to program staff. The commitment and ‘‘buy-in’’ to the project varied by organization; consequently, social workers found that
  • 20. leveraging resources and utilizing political influence were key factors in unifying cohesion among individual group members as well as among the larger group as a whole. Other challenges involved either external constraints, such as lack of funding, or involved internal factors, such as conflicts arising between individuals. Many of the internal conflicts were motivated by competition among the non-profit organizations with long histories of vying with each other for funding, clients, and community status (Libby and Austin 2002). Social workers had to examine issues of trust and assist partnering organizations with long-standing positive and negative relationships in either re-establishing trust through the collaborative process or address fractures and dysfunction along the way. The Alliance for GLBTQ Youth experienced considerable challenge with attempting to link unique and idiosyncratic organizations with a wide range of
  • 21. infrastructure development. These agencies had varied levels of financial support, histories of failed attempts at collaboration, service duplication, and a ‘‘limited’’ number of GLBTQ youth that they were reaching through service provision. Ironically, the social workers found that the potential appeared quite unlimited for collaboration and expansion of services for underserved GLBTQ youth clients. To address these concerns, open and frank dialogues were initiated between Alliance program staff and the community-based partners on topics as varied as the need for increased service provision, meeting contractual requirements, or the likelihood of funding cuts. Quite often these intense dialogues took great time, multiple attempts, 328 M. P. Dentato et al. 123 and effective negotiation among partners through several phone calls, face-to-face
  • 22. meetings, emails, and the use of clear communication and critical consensus building skills, so that ultimately a decision was formed underscoring the mission of the partnership as the guiding principle shaping present and future actions. In order to develop trust, especially among marginalized communities, there are moments in which the credibility of the project and the researchers are tested (Maiter et al. 2008), and these conversations occasionally led to contentious crossroads. Inherent throughout these critical moments was the instrumental role of social workers as brokers, bridge-builders, and negotiators, navigating delicate conversations with the youth, service providers, funders and Alliance staff members through a multitude of varied modes of communication and/or meetings. Building consensus and creating an open dialogue and process proved instrumental for mid- course evaluation and adjustments to the project, and emphasized the importance of
  • 23. empowerment, active participation, relationship-building and effective collabora- tion. This second instrumental element of the empowerment perspective— consensus building—underscores the need for ‘‘a conjoint commitment to problem solving in as democratic a manner’’ as possible (Reynolds 1951; Freedberg 1989; Simon 1994). The social workers initiating the community-based partnership engaged in a 12-month planning grant initiative focused on establishing the partnership and developing organizational components such as generating a mission statement and governance plan. The research process included a broad-based youth survey, convening multiple focus groups with GLBTQ youth and providers, conducting local, state, and national key informant interviews, on-site visits to exemplar and model programs, and undertaking a comprehensive literature review. This extensive participatory research process culminated in a multi-year, multi-
  • 24. million dollar implementation grant provided by a local community funding source. The initial development of community cohesion utilized the elements of empowerment practice through fostering shared responsibility. The decision-making process throughout the planning and implementation processes occurred in an open manner at monthly partnership meetings, through various partnership committee telephone conference calls, mass emails sent to all partners, and through the dissemination of messages from administrators and partners when dialoguing with their staff, youth, and the greater community. Such participatory decision-making has been found to be a key ingredient of success of such community partnerships (Mizrahi and Rosenthal 2001). Several formal and informal strategies were utilized by the leadership of the Alliance for GLBTQ Youth that included: (a) adherence to the consensus decision- making model; (b) the
  • 25. use of ad hoc committees; and (c) formal documentation of process. Early on in the formation of the Alliance, the governance committee recommended the use of a consensus model as the primary decision-making model. This meant that decisions were made through full participant agreement. In the instances when everyone was not in full consensus, a dialogue was initiated and persisted until everyone was in complete agreement. For a few decisions there appeared to be degrees of agreement and disagreement and the strong board leadership took the time to ensure that nuances were articulated. Reservations expressed by members did not necessarily The Vital Role of Social Workers in Community Partnerships 329 123 mean that consensus was thwarted. Instead the concerns became part of the charge to staff members or committees while formalizing action plans.
  • 26. For some challenging decisions, particularly those involving funding, differences of opinion were frequently found. The board leadership then formed ad hoc committees consisting of those who had expressed the most concern. This committee was charged with reporting back a plan of action at the next partnership meeting. Finally, in a strategy designed to nurture the equitable decision- making model of the community partnership, the leadership insisted on formal documentation of all decisions. This was done through extremely detailed minutes as well as formal written policies, bylaws, and memoranda of understanding. All written documen- tation was circulated during the monthly meetings and copies were kept in a binder at the office. This allowed for open access to the decision- making strategies by the community partnership as well as by any interested member of the community. Such participatory approaches to decision making can be viewed
  • 27. as positive because decisions are more likely to be grounded in the relevant issues because stakeholders are making them (Dotterweich 2006) and can lead to enhanced levels of trust and result in future collaborations. Such an example of the empowerment perspective through the decision-making process might be important to further assess, as it has been shown to be essential to the goals and outcomes of shared governance models (Anthony 2004; Erickson et al. 2003; Larkin et al. 2008). Consumer and community input, including direction and feedback from all the various interested constituencies such as youth, agency staff, administrators, as well as with staff from the multiple funding sources in the project was fundamental to the success of this partnership as well. Croft and Beresforf (1994), argue that a participative and empowering approach is valuable because people want and have a right to be involved in decisions and actions taken in relation to them. One early
  • 28. success from utilizing this approach stemmed from the invitation of several community-based funders to the table to provide input, direction, and feedback in the planning and implementation processes. Their participation in the early development of the partnership ultimately led to an invitation from a local chapter of The United Way for an application for funding to cover one specific service area of the developing partnership. Constituent involvement reflects the democratic value base of social work, increases accountability, makes for more efficient services, and helps to achieve social work goals. It also helps to challenge institutionalized discrimination by broadening the role of a community in such a project. These feedback loops were created through the relationships established and maintained by the social work researchers and practitioners who facilitated the initial dialogue and meetings.
  • 29. Community stakeholders were able to voice their opinions and give their responses in a series of 24 community meetings that incorporated a range of 6–31 participants. During these meetings the governance and other leadership documents were created and cohesion was further fostered. As articulated by Croft and Beresforf (1994), the community stakeholders’ view of participatory practice involved four elements, which included: (a) empowerment, which involved challenging oppression and making it possible for people to take charge of matters which affect them; (b) control for people in defining their own needs and having a 330 M. P. Dentato et al. 123 say in decision making and planning; (c) equipping people with personal resources to claim power by developing their confidence, self-esteem, assertiveness,
  • 30. expectations, knowledge and skills; and (d) organizing their agencies to be open to participation. An interesting note about the definition of community with this project was with regard to the addition of the use of ‘‘Q’’ in the acronym for The Alliance for GLBTQ Youth. Throughout the design of a youth survey about various aspects of their lives and behaviors, lengthy discussions about inclusiveness took place among adults and youth alike. While some youth reported that they remained uncommitted to specific self-identities based on the accepted social definitions for the continuum of sexual orientations and felt more comfortable with a broader set of choices than the typical ‘‘gay, lesbian, bisexual, or transgender’’ terms widely used, adults also felt strongly about offering such a myriad of options and believed ‘‘GLBT’’ was sufficiently inclusive. However, it also became clear that a significant number of youth were more comfortable being defined ‘‘loosely’’ with
  • 31. regard to their sexual orientation and appreciated the decision to use ‘‘Q’’ for those still questioning their identity. This adolescent self-identification aligns with Savin- William’s perspective articulated in The New Gay Teenager (2005) regarding youth and their objection to being ‘‘neatly categorized.’’ Therefore, with a commitment for empowerment of youth regarding self-disclosure and identification, all providers, staff, and youth alike eventually agreed that the use of the ‘‘Q’’ should be included in community definitions. Ultimately, the various service providers acted as key stakeholders in the service partnership, motivated in part by opportunities for receiving funding for services (i.e. individual, family, and group mental health counseling, prevention education, recreational and social events), but also participating through consensus-based decision processes at monthly board meetings, involvement in the selection/
  • 32. interview process for new Alliance staff, and active engagement in strategic planning processes. Fundamentally, establishing partnership relationships promoted mutual respect, increased communication and collaboration, and helped to achieve organizational objectives (Baston 2004; Larkin et al. 2008). Additionally, the social workers who acted as integral members of this collaboration, whether serving on the board, as the project director, staff members, or as research consultants, all felt strongly about the need to closely align The Alliance for GLBTQ Youth with local universities. This was essential not only to strengthen the potential for research opportunities and develop undergraduate and graduate field placement opportunities, but also to lend greater credibility to the partnership. Contact was established with the administration of local schools of social work, field placements were established, and ongoing collaborative efforts continue to actively engage additional social work faculty and
  • 33. students with the partnership. At The Alliance for GLBTQ Youth, agency providers, staff, and most importantly, youth remain vital elements of service provision, program adminis- tration, and board leadership. Growth of the project remains strong as providers continue to bring additional organizations to the table, and most importantly, new youth into the service continuum of care. This case example vividly describes the The Vital Role of Social Workers in Community Partnerships 331 123 key role of social workers in developing community-based partnerships, the use of the empowerment perspective in working with vulnerable and oppressed popula- tions, and the critical involvement of community-based organizations collaborating with universities and social workers while promoting advocacy
  • 34. for vulnerable populations. Moving Ahead In developing and sustaining community-based partnerships, social workers’ mediating relationship with vulnerable populations and the organizations that serve them can provide a vital link between grounded research efforts and informed responsive service provision. An objective of social service research is to provide helpful information about the complex and oftentimes ill- defined problems practitioners encounter every day (Pieper 1985). As illustrated throughout this discussion, the empowerment perspective and collaborative processes of PAR can effectively inform the fundamental role of social workers in developing and sustaining community partnerships for vulnerable populations such as GLBTQ youth. More effective partnerships require a foundation of trust among stakeholders,
  • 35. including researchers, administrators, frontline staff, recipients of services, and concerned members of the community (Fantuzzo et al. 2006). Furthermore, it may be beneficial to further examine the perceptions, definitions and overall impact of trust among partners in such collaborations through future research and writing. As community partnerships are being explored within the curricula of other helping professions, it may also be beneficial for schools of social work to explore the integration of such learning opportunities into their BSW and MSW programs (Epstein and Sanders 2006). Academics may serve as catalysts for community partnerships by suggesting that instead of merely looking to communities for research participants, that universities provide sustainability and longevity to strengthen community partnerships (Milofsky 2006). Positive actions have been taken by individual professors at various colleges and universities who, indepen-
  • 36. dently, designed courses on school, family, and community partnerships or added relevant readings to existing courses in education, sociology, psychology, and social work (Epstein and Sanders 2006). Educators may continue to define unique opportunities for academia to partner more strongly with the practice community to strengthen mutual learning opportunities. As illustrated by the case example of The Alliance for GLBTQ Youth, social workers can provide a vital role in integrating and managing the various methods necessary to build effective community-based partnerships. The Alliance for GLBTQ Youth is an example of an evolving partnership, exemplifying the vital role of integrating the interests of community-based organizations, social workers, social work students, and schools of social work in responding to the needs of vulnerable populations. Such an example underscores the full extent and positive impact of utilizing an empowerment perspective inherent in such
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