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Van Breda, A.D. (1995). Cycles
of deployment. Navy News,
14(May), 10.
This popular article summarises the paper that was published in Social Work
/ Maatskaplikewerk in 1997.
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Van Breda, A.D. (1995). Facing
routine father absences.
Milmed, 11(3), 19-20.
This popular article summarises the paper that was publised in Social
Work / Maatskaplikewerk in 1997.
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Van
Breda, A.D. (1993-1996). Emotional
Cycles of Deployment in the South African Naval Family.
Collection of unpublished research reports and papers. Simonstown,
South Africa: South African Military Health Service, Institute for
Maritime Medicine, Social Work Department.
This report contains several reports addressing various aspects of
resilience to deployments among the South African Navy. The report
includes qualitative research, social surveys, theoretical reports on the
use of family therapy in the Navy, etc.
A descriptive sample-survey was conducted on 68 married men and women
in which the husband is a sea-going member of the South African Navy, in
order to explore their experiences of routine Naval separations. The
various emotional and relational changes experienced by these subjects
over the cycle of deployment were elicited, described and then compared
for differences between groups. The most significant overall differences
were found when groups were defined according to rank, unit or capacity to
adapt to role changes. Subjects with lower ranks, from units with frequent
and unpredictable deployments or who experienced difficulty with
husband-wife role changes presented as experiencing the most difficulty
with separations. Men and women presented markedly similar pictures. These
results confirm the results of international studies, and may be relevant
to all forms of father absences. Implications for practice and further
research are discussed.
Appendixes nine to twelve comprise various summaries of this study
which were submitted to C Navy, Navy News, Milmed and Social
Work/Maatskaplikewerk for publication. No new information is included
in these papers. They highlight various aspects of the original study that
are relevant to the reader.
Appendix thirteen presents a research paper which investigated the
factors which help men and women cope more effectively with deployments.
The samples were drawn from sailors and their wives on the SAS
DRAKENSBERG, under the captaincy of Captain P. Barnard. This paper was
submitted to the University of Cape Town as part of the author’s honours
degree in clinical social work in 1995.
Appendix fourteen contains a clinical academic paper concerning the use
of four models of family therapy with naval families, viz. the structural
model of Minuchin, strategic rituals, narrative therapy and
psychoeducation. This paper was submitted to the University of Cape Town
as part of the author’s honours degree in clinical social work in 1995.
Appendix fifteen comprises a study conducted in 1996, which assessed
the social and family functioning of almost 500 members of the South
African Navy, drawn from five units in Simonstown. The results of the
study which were presented to each unit, as well as the tables containing
the analysed data are included.
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Van Breda, A.D. (1997). The
development of the Deployment Resilience Seminar. Masters Thesis, University of Cape
Town, South Africa.
A primary stressor in the South African Navy is the
routine deployment of men to sea. This requires repeated adjustments of the
family system, decreasing family well-being, which in turn decreases the morale,
productivity and retention of sailors. This dissertation describes and critiques
the process of developing an occupational social work intervention to assist
families in resisting the stress of deployments, that is, to increase their ‘deployment
resilience.’
The study began with four years of problem analysis, comprising an analysis
of clinical work, a literature review, a sample survey of the experience of
sailors and their wives of naval deployments, an investigation of factors
associated with effective coping and a social survey of naval employees. The
resultant data were reviewed and seven factors associated with deployment
resilience were identified and operationalized. These factors included emotional
containment, presence of social supports, financial preparedness, adjustment of
children, a ‘husband-aware’ family structure, a secure and progressive
marital relationship and positive attitudes towards the navy and deployments.
A one day seminar to enhance these seven factors was designed, the process of
which is described. The first complete trial implementation of the Deployment
Resilience Seminar is described and evaluated. The seminar was attended by 34
individuals, representing 18 couples, from one of the Navy’s ships. The
implementation was, on the whole, successful, although some changes were
required. The seminar was rated as helpful by subjects, who completed a seminar
evaluation immediately after the seminar and two months thereafter. Pre-seminar
and post-seminar assessments of participants were conducted at a two month
interval using three scales: the Heimler Scale of Social Functioning, the Family
Assessment Device and the Deployment Resilience Scale (being developed by the
author). T-tests of the 24 participants who returned both sets of questionnaires
indicate that the seminar was successful in enhancing the social and family
functioning and deployment resilience of participants. Participants who actively
implemented changes based on the seminar evidenced substantially greater
improvements than those who did not.
Implications of the seminar for military and civilian communities and areas
requiring ongoing design and development are discussed. Recommendations to naval
management to reduce the risk of deployment stress are suggested.
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Van Breda, A.D. (1997). Jung
& Tiso exchange dreams: An exploration of the use of Jungian
dream analysis in psychotherapy with Black African clients. Available: http://www.cgjungpage.org/index.php?option=com_content&task=view&id=181&Itemid=40 [September 2006].
The purpose of this essay is to explore the possibilities of using
Jungian dream analysis as a platform for conducting psychotherapy between
a white African therapist and a black African client. The essay is
structured as two autonomous, but correlated papers. The first presents a
Jungian perspective on dreams, particularly as constructed in a white,
western world view. The second paper presents an African perspective on
dreams, using material derived from Mongezi Tiso, a Xhosa igqira
with whom Dr Vera Bührmann did much research on Xhosa
psychotherapeutic/healing practices. This juxtaposition of Jung's views
and Tiso's views (representing African views) demonstrates more
convergences than divergences, suggesting that Jungian dream analysis may
well provide a helpful psychotherapeutic framework for the white African
therapist and black African client. The essay concludes with a brief guide
to the technique of Jungian dream analysis, although it is not
the purpose of the essay to equip the reader to conduct such analysis.
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Van Breda, A.D. (1997). Experience
of routine husband absences in the South African Navy. Social Work/Maatskaplike Werk,
33(2), 154-164.
A descriptive sample-survey was conducted on 68 married men and women
in which the husband is a sea-going member of the South African Navy, in
order to explore their experiences of routine Naval separations. The
various emotional and relational changes experienced by these subjects
over the cycle of deployment were elicited, described and then compared
for differences between groups. The most significant overall differences
were found when groups were defined according to rank, unit or capacity to
adapt to role changes. Subjects with lower ranks, from units with frequent
and unpredictable deployments or who experienced difficulty with
husband-wife role changes presented as experiencing the most difficulty
with separations. Men and women presented markedly similar pictures. These
results confirm the results of international studies, and may be relevant
to all forms of father absences. Implications for practice and further
research are discussed.
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Van Breda, A.D. (1998). Developing
resilience to deployments. Paper presented at the conference on
Police Officials as Victims of Trauma and Crisis, 25-26 February
1998, Technikon South Africa, Johannesburg, South Africa.
Many families are subjected to the crisis of the routine separation of
a family member. Military practitioners and police officials are two
examples of professions which require the regular separation of an
individual from his/her family system. This paper describes and critiques
the process of developing an occupational social work intervention to
assist families in resisting the stress of deployments, that is, to
increase their ‘deployment resilience.’ The presenter will explain the
various factors which impact on the experience of separation, using
international literature, his own clinical experience and research studies
in the South African Navy. Seven clusters of factors which are associated
with deployment resilience will be highlighted. He will then describe the
process of developing a one-day, multiple couple psychoeducational
programme which fosters these factors. Trial implementations of the
Deployment Resilience Seminar are evaluated with regard to effectiveness
and client satisfaction. The utilization of the seminar with couples and
families experiencing such separations is explored. Recommendations are
proposed to organizational management to reduce the stress of such
separations.
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Van Breda, A.D. (1998). Improving
deployment resilience: Guidelines for families. Salut, 5(12), 48-49.
This popular article provides guidelines to families on how they can
increase their resilience to the stress of military deployments.
Eight primary factors that influence deployment resilience are identified,
viz : emotional cycles, attitudes, support networks, financial
preparation, family structures, separation and children, and the marital
relationship. A range of guidelines are proposed for families.
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Van Breda, A.D. (1999). Improving
deployment resilience: Guidelines for managers. Salut, 6(1), 48-49.
This popular article provides guidelines to military managers on how
they can improve the resilience of their employees and families to the
stress of deployments. Ten ways of improving deployment resilience
are proposed, viz: (1) redressing recruitment practices, (2) increasing
the use of the contract system, (3) running personnel development
programmes proactively, (4) rotating personnel through deployment posts,
(5) facilitating the predictability of deployments, (6) increasing support
systems for families, (7) reducing the frequency of deployments, (8)
ensuring mechanisms for maintaining contact with families during
deployments, (9) providing the impression that management cares, and (10)
increasing the utilisation of social work programmes.
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Van Breda, A.D. (1999). Parallels
between Jungian and Black African views on dreams. Clinical Social Work, 27(2), 141-154.
This paper seeks to address the clinical difficulty of working
psychodynamically with black African clients in South Africa. The paper
explores the points of convergence and divergence between Jungian dream
theory and black African dream theory. In many respects, these two
frameworks are remarkably similar, suggesting that Jungian dream work
could serve as a basis for psychodynamic therapy with black African
clients. The author proposes that this dream work could bridge the
historical gulf between white African (clinical social worker) and black
African (client). Guidelines for cross-cultural dream analysis are
suggested.
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Van Breda, A.D. & Govender, S. (1999). Responses
of soldiers to post-counselling for organisation-initiated HIV
testing in the South African National Defence Force. Paper presented
at the 3rd All Africa Congress of Armed Forces and Police Medical
Services, 24-28 October 1999, Pretoria, South Africa.
Obtaining feedback directly from soldiers who have been post-counselled
for HIV/AIDS is an important dimension of research into HIV/AIDS in the
armed forces. This paper presents key findings from a national study into
the responses of soldiers to HIV post-counselling in the South African
National Defence Force in April 1999. The sample comprised soldiers found
to be unfit for an international peacekeeping exercise for various medical
reasons, including HIV/AIDS. Counsellors completed a structured
questionnaire at the end of each counselling interview. Results of the
study indicate that sound knowledge of HIV/AIDS and positive attitudes
towards safer sex are associated with negative HIV status. Results also
point to the importance of adequate briefing of soldiers involved in
organization-initiated HIV testing. Emotional responses towards HIV
testing and counselling, including resistance to hearing the test result,
denial, the request for confirmatory testing and the support systems
soldiers would make use of, are described in the paper. Guidelines for the
psychosocial management of organization-initiated testing of soldiers,
particularly soldiers involved in international operations, are given.
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Van Breda, A.D. (1999). Developing
resilience to routine separations: An occupational social work
intervention. Families in Society, 80(6),
597-605.
Many
families are subjected to the routine separation of a family member.
Business executives, sales representatives, military employees and
politicians are just a few examples of professions that require the
regular separation of an individual from his/her family system.
This paper describes a new occupational social work intervention
which assists families in resisting the stress of separations, that is,
which increases their ‘separation resilience’.
The paper describes eight dimensions which are associated with
separation resilience. A
one-day, multiple couple, psychoeducational programme which fosters these
factors is introduced. A
trial implementation of this Separation Resilience Seminar is evaluated
with regard to client satisfaction and effectiveness.
Recommendations for ongoing research and development and social
work practice guidelines are proposed.
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Van Breda, A.D. (2000). Violence
against women and children.
Salut, 7(8), 38-39.
This paper presents the results of a large study conducted to address
the prevention of violence towards women and children in the SA Department
of Defence. Three samples participated in the study: 1,769 male
military employees, 977 female military employees and 462 wives of
military men. Extensive results are presented which show a high rate
of domestic violence and child abuse in military families, ranging from
10% to 37% depending on the sample and the type of violence. It was
also found that a large percentage of men endorsed patriarchal statements.
The study found a high rate of co-occuring violence - if one person in a
family is being abused, the likelihood that another is also being abused
is much higher.
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Van Breda, A.D. (2000). Violence towards women in the SANDF. Paper presented at the Deputy Minister of Defence's Conference
on Women in Peace, 3 August 2000, Pretoria, South Africa.
This paper presents the results of a large study conducted to address
the prevention of violence towards women and children in the SA Department
of Defence. Three samples participated in the study: 1,769 male
military employees, 977 female military employees and 462 wives of
military men. Extensive results are presented which show a high rate
of domestic violence and child abuse in military families, ranging from
10% to 37% depending on the sample and the type of violence. It was
also found that a large percentage of men endorsed patriarchal statements.
The study found a high rate of co-occuring violence - if one person in a
family is being abused, the likelihood that another is also being abused
is much higher.
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Van Breda, A.D. (2000). The
practical value of strategic direction. Administration in Social Work, 24(3), 1-16.
Strategic
planning has been imported into social work from the business sector.
The Business Plan is a key component of strategic planning and is
typically used by management to steer an organization through times of
environmental turbulence. This
paper argues that the Business Plan is relevant not only for the
management structure of an agency, but also for the individual workers
within that agency. After
presenting the theory of the Business Plan and the plan of his own agency,
the author presents the results of a small study (29 social workers).
This study found significant positive relationships between the
feeling of making a significant contribution to the Business Plan, job
satisfaction, energy and motivation for work, commitment to the
organization and perceived client satisfaction.
The author discusses the resultant implications and practice
recommendations.
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Van Breda, A.D. (2001). Resilience
theory: A literature review. Pretoria, South Africa: South
African Military Health Service. Available: http://www.vanbreda.org/adrian/resilience.htm
Resilience theory, although it has been evolving
over the past 70-80 years, has enjoyed a renaissance in the past two or
three decades. What started as an enquiry into the childhood roots of
resilience has grown into a broad, dynamic and exciting field of study.
Resilience theory currently addresses individuals (both children and
adults), families, communities, workplaces and policies. There are few
domains of life that have not been touched in one or other way by
resilience theory, including the military community.
This document serves to review the wealth of
literature on resilience and to provide a consolidated summary of this
literature. Close to 500 sources are cited in this document, published
between 1945 and 2001, and drawing from books, academic journals, masters
and doctoral dissertations, released government and military reports,
training and family manuals, popular magazines and unreleased research
reports. The comprehensive review addresses:
- Individual resilience (including resilience in
children, salutogenesis, sense of coherence, thriving, hardiness,
learned resourcefulness, self-efficacy, locus of control, potency,
stamina and personal causation),
- Family resilience (including family stress
research, Hill's ABCX model of family stress, family strengths
research and the various models of family resilience developed by
McCubbin and associates - Double ABCX Model, FAAR Model, T-Double ABCX
Model and the most recent Resiliency Model of Family Adjustment and
Adaptation),
- Community resilience (including social support
systems and a number of cutting edge writings in this newly evolving
field),
- Resilience-based policy (again with the latest
thinking on the integration of resilience theory into policy
formulation, and with a detailed section on work-life or work-family
policies as an example of resilience-based policy),
- Resilience theory in social work (including an
historical review of social work's inconsistent alliance with
resilience theory, the newly evolving strengths perspective and the
narrative and solution-focused therapies of Michael White and Steve
DeShazer),
- Cross-cultural perspectives on resilience, and
- Deployment resilience (including a detailed
review of literature pointing towards families developing the
resilience to resist the stress of military separations).
This review does not aim to provide a synthesis of
these various fields of study, but rather to bring together in one place a
range of writings and perspectives on resilience and strength that have
not previously been seen together in one document.
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Kruger, A. & Van Breda, A.D. (2001). Military
social work in the the South African National Defence Force. Military Medicine, 166(11),
947-951.
The transformation of the South African National Defence Force has
prompted a critical reassessment of the Directorate of Social Work. As a
result, the Directorate realised the need for a formal Business Plan in
order to align the profession strategically with the core business of the
military system. After completion of the Business Plan, the need for a
unique military social work practice model was identified. Such a model
should present social workers with a strategy for the achievement of the
goals and objectives of the Business Plan. The Practice Model rests on two
key concepts: binocular vision and practice positions. Since the onset of
the transformation process in the SANDF, these two documents have
reflected the changing milieu within which social work is practised. The
main concepts of these documents are presented.
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Van Breda, A. D. (2002). Racism
in the SANDF (letter to the editor). SA Soldier, 9(11),
8-9.
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Van Breda, A.D. (2002). The
utilisation of resilience theory in military social work. Paper presented at the 34th International Congress on Military
Medicine, 15-20 September 2002, Sun City, South Africa.
Resilience
is a broad term that pulls together a wide range of theories and models,
including salutogenesis, thriving, community capacity and the
strengths-approach in social work. Social work, including military social work, has long been
dominated by a pathogenic focus, in which the emphasis is on the
development and treatment of pathology. Resilience theory has been much
discussed by South African military social workers and there is an
increasing belief that the resilience approach offers a more valuable and
impactful conceptual foundation to military social work practice.
This paper provides an overview of resilience theory, based on a
detailed review by the author of over 500 documents on resilience theory. Resilience theory is discussed at individual, family and
community levels. Emphasis is
given to the application of resilience theory at organisational level and
also in the military context (with particular reference to deployment
resilience).
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Van Breda, A.D. (2002). Social
health assessment of soldiers' operational readiness. Paper presented at the 34th International Congress on Military
Medicine, 15-20 September 2002, Sun City, South Africa.
The
comprehensive or holistic health assessment of soldiers’ readiness for
participation in a military operation has, over the past two years, become
an integral part of the military health service in South Africa.
One dimension of this assessment is a social health assessment,
conducted by the Directorate Social Work.
This paper introduces the Resilience Model that is used in this
assessment. The process through which soldiers go during the social
health assessment – entailing group preparation, verbal group
administration of the an assessment instrument, scoring of the instrument,
individual assessment interviews and a final social health status
recommendation – is described. The
value that an assessment of this nature adds to the military organisation
is outlined and further developments required in the social health
assessment process are detailed.
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Van Breda, A.D. (2002). Family
violence in the South African National Defence Force. Paper presented at the 34th International Congress on Military
Medicine, 15-20 September 2002, Sun City, South Africa.
Based
on instruction from the President of South Africa, the South African
National Defence Force initiated a study, under guidance of the Director
Social Work, into family violence in the military community.
A large, representative sample was drawn from the entire military
community, stratified into three sub-samples: male employees (1769
respondents), female employees (977 respondents) and military wives (462
respondents). Parallel measuring instruments were used for the three
sub-samples. The results
indicate the broad prevalence of family violence in the military and
identify a number of risk factors. Of
special note are the coincidence between different forms of family
violence, notably wife battering and child abuse by one or both parents.
Also of interest are those variables that did not increase the risk
of family violence, such as deployments.
Recommendations emerging from this study are presented and a number
of issues for social work practise will be emphasised.
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Van Breda, A.D. (2002). Military
social work research in South Africa. Paper
presented at the 34th International Congress on Military Medicine,
15-20 September 2002, Sun City, South Africa.
Social
work, a profession that has a core value of service to clients, has
perhaps not promoted research and theory development as much as some other
professions. In the South
African Military Health Service, however, the Directorate Social Work has
demonstrated its commitment to and value of research through the
establishment of a Social Work Research & Development (R&D)
department in 1997. This
paper describes the development of that department.
The original vision of and need for such a function are
highlighted. Several key
projects undertaken by the department over the five years are discussed,
and the value added to the rendering of social work services to a military
community is outlined, with particular regard to the relationship between
military social workers and senior military clients.
Guidelines are provided for the establishment of military social
work research centres.
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Van Breda, A.D. & Potgieter, H. (2002). Social
concerns for peace support operations. Paper presented
at the 34th International Congress on Military Medicine, 15-20
September 2002, Sun City, South Africa.
Peace
Support Operations (PSO) place unique demands on military members and
their families. This paper
presents the results of a study conducted in two infantry units in the
South African National Defence Force. The sample comprised 739 soldiers (about half of the
population) and 104 military wives. Action
research techniques were used with small groups of respondents to collect
information about the problems families experienced regarding PSOs and
solutions families saw for these problems.
The resultant problems were content analysed into 39 problem
categories grouped in 14 themes. Key
problems included difficulties in maintaining communication between
families and soldiers during PSOs, concerns about the impact of PSOs on
families and difficulties in managing family finances during PSOs.
A set of 15 recommendations was derived from the study, all of
which were accepted by the South African Defence Staff Council. The utilisation of the study by the SANDF during PSOs will be
highlighted.
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Van Breda, A.D. (2002). The
Heimler Scale of Social Functioning: A partial validation in South
Africa. British Journal of Social Work,
32(8), 1089-1101.
This
paper offers new information on the reliability and validity of the
Heimler Scale of Social Functioning (HSSF), based on a sample of 8 561
soldiers in the South African National Defence Force. The HSSF is a
55-item questionnaire, developed in the United Kingdom, designed to
measure social functioning as a whole, as well as a number of specific
areas of social functioning. The HSSF shows inadequate levels of
reliability (Cronbach Alpha and Standard Error of Measurement) at Subscale
and Index levels, but good reliability at whole-scale-level. The HSSF also
does not demonstrate adequate item-level construct (factorial) validity
and criterion-related (known groups) validity, although adequate construct
validity at scale-level was found. Reasons for the poor reliability and
validity of the scale are explored and suggestions made for enhancing the
scale’s performance.
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Roestenberg, W. & Van Breda, A.D. (2003). 'Ecometrics'
- Dynamic new direction in accountable social work practice. Paper presented at the Joint Universities Conference, 7 October
2003, University of South Africa, Pretoria, South Africa.
This paper addresses the role of ecometric instruments (standardised
measurement tools) in social work assessment and practice. The paper
described the progress that has been made in promoting accountability in
assessment practice. The paper outlines the initiatives of the South
African Council for Social Service Professions regarding the regulation of
assessment technologies. A view of the future regarding assessment
technology is also presented.
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Van Breda, A.D. (2004). Ensuring
relevance and sustainability through monitoring and evaluation. Paper presented at the National Conference for Social Service
Professions, 25-27 October 2004, St Georges Hotel, Pretoria, South
Africa.
South Africa – particularly the
domain of social services – has limited human and financial resources
with which to address tremendous and often intractable social problems.
Within such a context, it is imperative that every Rand that is
spent makes a difference. The
challenge is how to determine whether we are, in fact, making a
difference.
Monitoring
and evaluation (M&E) is an applied field that endeavours to answer
this and other questions:
-
What is our
input into our social development programmes?
-
Are they
run according to process specifications? Are they of a high standard?
-
Are we
reaching the number of people and outputs that we hope to?
-
Are we
reaching our outcomes of changing people’s behaviour and
improving their quality of life?
-
Are we
having an impact on the foundation of society?
This paper will provide a practical
introduction to M&E, based in part on the author’s own
experience of developing an M&E system for a national HIV programme.
The value of M&E in ensuring that programmes are relevant
(achieving the intended outcomes) and sustainable (ensuring the
money and resources are well utilised) will be emphasised.
The paper will highlight the centrality of partnerships,
cooperation and alignment in M&E.
The costs and expertise required for M&E will be mentioned.
The
emphasis of the paper will be on equipping participants with sufficient
core knowledge about M&E that they will be able to design or
refine an M&E plan in their domain of responsibility.
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Van Breda, A.D. (2004). Multicultural
Scale Development in Social Work.
Doctoral Dissertation, Rand Afrikaans University, South Africa.
This study serves to expand the
work of A.C. Faul on scale development in social work to incorporate the
demand for multiculturalism. Ecometrics
– the measurement of ecosystems – is a steadily growing field in South
Africa. To date, however,
scale development has assumed that the ecometrics will be practiced in a
monocultural context. This is
obviously not the case in South Africa. Consequently,
the research goal is to design a process model for the development of
social work scales for multicultural use in South Africa.
As a secondary objective, the study aims to test this model in
practice, through the development of a multicultural scale that accurately
measures the social health of military employees/families.
A number of issues underlying the
technical aspects of multicultural scale development are first explored,
including issues of the characteristics of ecometrics; the meaning of the
term culture; the emic-etic debate; cultural equivalence; and bias,
fairness and standards in ecometrics.
Thereafter, a process model for the development of multicultural
ecometric scales is introduced and five main phases are described:
analysis, design, development, evaluation, and diffusion & adoption.
Each of these phases is further decomposed into main moments and
steps, each of which is described at both theoretical and technical
levels.
In order to test this process
model in the real world, a new multicultural, multilingual,
multidimensional, systems-oriented, salutogenic scale was created, called
the Military Social Health Index.
In the analysis phase, the need for the scale was analysed and the
innovation requirements determined and contracted with the client.
A theoretical framework – family resilience theory – was
identified and explored, resulting in the development of an assessment
model that underlies the scale. The
cross-cultural comparability of the constructs was assessed and each
construct was operationally defined, using facet maps.
In the design phase, a
multicultural, multilingual team of social workers generated close to 200
items, as well as instructions, using a multifocus approach, in which
items were generated in four languages simultaneously (English, Zulu,
Setswana and Afrikaans). Only
items that could be expressed equivalently across languages were accepted.
This resulted in an initial instrument, comprising 175 items (plus
16 demographic items), covering seven constructs, in four languages, at an
average reading level of Grades 6-7.
During the development (or field
testing) phase, the instrument was reviewed by a group of social workers
for content relevance, translation equivalence, item formulation, etc.
Thereafter it was reviewed by focus groups of soldiers in the
SANDF. Finally, the
instrument was subjected to an analysis of linguistic equivalence.
In response to each review, changes were made to the instrument.
In the evaluation phase, the Military
Social Health Index was completed by 4171 uniformed soldiers, of whom
951 were casework clients of military social workers. Convenience sampling was used, but because the data were
collected by approximately 100 social workers across the country, the
participants represent a highly diverse group of soldiers.
Data were subjected a series of analyses at concept-level,
item-level and scale-level, culminating in the establishment of clinical
cutting scores. The
validation of four of the seven scales is reported.
Overall the results of this phase show that the Military Social
Health Index is reliable and valid both within and across the four
target cultures (African Xhosa, African Setswana, Coloured Afrikaans and
White Afrikaans). Only the
known groups validity, and consequently the clinical cutting scores,
performed poorly.
The
study is concluded with a review and evaluation of the newly developed
process model for multicultural scale development in social work.
A number of adjustments to the model are proposed.
The candidate concludes by arguing that the integration of
multiculturalism into ecometrics is essential for the sustainability of
ecometrics in this country.
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Van
Breda, A.D. (2005). Monitoring
and evaluation of your HIV/AIDS workplace programmes. Paper
presented at the Workplace Soluation for HIV/AIDS Master Class, 9
March 2005, Indaba Hotel, Fourways, South Africa.
This
presentation covers the core theory of monitoring and evaluation (M&E)
in HIV workplace programmes, illustrated with practical examples from the
South African Department of Defence.
The presentation will address a detailed working definition of
M&E; the standard international M&E model; the process of
establishing an M&E plan in an organisation; the defining of programme
components and objectives; the determination and definition of indicators;
the collection of M&E; and the utilisation of M&E data for
programme planning. Tools,
used in the SA DOD’s HIV programme, are provided in this package.
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Van
Breda, A.D. (2005). Steps
to analysing multiple-group NGT data. The Social Work
Practitioner-Researcher, 17(1), 1-14.
The
Nominal Group Technique (NGT) is gaining popularity among social workers
as a research tool that is consonant with action research, participatory
research, community development, the developmental approach,
practice-based research, qualitative research, etc.
The NGT has many advantages over other data collection methods and
is accessible and simple to use. However,
when collecting NGT data from more than one group the researcher has the
difficult task of trying to integrate separate sets of NGT data into one
consolidated set. This
technical paper provides step-by-step guidelines for analysing
multiple-group NGT data, using a combination of qualitative (content
analysis) and quantitative (ranking) data analytic techniques.
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Van
Breda, A.D. (2005). Gender
issues in HIV prevention. Paper presented at the First
National Military Social Work Conference, 8 September 2005,
Kopanong, Benoni, South Africa.
HIV prevention efforts are typically focused
primarily on reducing sexual risk behavior.
In the South African Department of Defence (DOD), such efforts are
augmented by attention to the relationship between gender and HIV risk,
through the Gender Equity Programme.
This paper draws on data from two large-scale, national studies,
conducted within the DOD, that form part of the Department’s monitoring
and evaluation of its HIV and AIDS programme.
These data reveal significant associations between gender and HIV
risk. Women emerge from the data as sexually conservative, lacking
in self-protection beliefs and behaviors, and colluding with patriarchal
and gendered paradigms. Men
emerge as sexually aggressive, patriarchal and with limited regard for the
sexual rights of women. The
centrality of gender in HIV risk and prevention is emphasized.
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Van
Breda, A.D. (2005). Monitoring
and evaluation workshop. Paper presented at the First
National Military Social Work Conference, 8 September 2005,
Kopanong, Benoni, South Africa.
The social work profession, like many health professions in the
developing world, is increasingly under pressure to produce evidence that
the scarce resources allocated to the profession are adding value and
making a difference. Monitoring
and evaluation (M&E) is a powerful conceptual framework and tool-kit
to assist social workers in responding to this pressure.
This M&E Workshop will address the following topics: a
detailed working definition of M&E; the standard international M&E
model; the process of establishing an M&E plan in an organisation; the
defining of programme components and objectives; the determination and
definition of indicators; the collection of M&E data; and the
utilisation of M&E data for programme planning. The
workshop will provide participants with conceptual tools, practical
exercises and actual tools that can be customized for use at unit,
regional and national levels.
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Van
Breda, A.D. (2005). Access
to television as a social indicator for HIV prevention.
Paper presented at the Sixth Joint Population Conference, 26-30
September 2005, University of the Free State, Bloemfontein, South
Africa.
Problem
Under Study.
The measurement of the outcomes of HIV prevention programmes at
national level is complex and expensive.
The identification of affordable and meaningful indicators is an
important, though challenging element of the management of HIV prevention
programmes. Objectives. The objective of this study is to explore the utility of
‘Access to a Television Set’ as an HIV prevention indicator.
Background. The SA DOD conducts an annual HIV KAP (Knowledge, Attitudes
and Practices) Survey within the DOD community.
One of the indicators included in the 2004 survey – at the
recommendation of the Department of Social Development – was access to a
television set. Method.
The Behavioural Surveillance Survey method, as recommended by
FHI and UNAIDS, was followed. A
national 10% sample of the employed DOD population was invited to complete
a self-administered questionnaire addressing a range of HIV issues.
6.8% of the DOD (n=5,082) returned an adequately completed
questionnaire. Items were
combined into indicators and analysed using the chi-square test.
Significance was set at p < .05.
Results. Of the
36 indicators measured, 27 (75%) yielded statistically significant
differences between those who had access to TV and those who did not.
In every case, those who had access to TV evidenced a more
desirable response than those without – this is true for the knowledge,
attitude and behavioural indicators, as well as self-reported STIs.
Conclusions. It
would seem that having a television set is associated with better
knowledge of HIV/AIDS, more positive attitudes towards safer sex, lower
risk behaviour and reduced likelihood of reporting STIs.
This indicator is affordable and simple to measure.
It may help HIV prevention programme planners determine where to
invest scarce effort and resources. Limitations.
This study is based on self-reported data within the military
context (where, by definition, all respondents are self-employed).
These results do not necessarily represent those of the general
population of South Africa. Contribution. A novel HIV prevention proxy indicator, which has been
proposed by the Department of Social Development, has been empirically
tested and found to be promising.
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Van
Breda, A.D. (2006). Enhancing
the measurement properties of the Heimler Scale of Social
Functioning through extending its response range. Social
Work/Maatskaplike Werk, 42(1), 44-53.
Scale
developers, faced with an instrument that has inadequate reliability and
validity, may seek ways to enhance the measurement properties of that
instrument through means other than redesigning the instrument.
In response to the recommendation of a published validation study
using the Heimler Scale of Social Functioning (HSSF), this paper presents
comparative validation data for the original three-point response range
version of the scale and a new five-point response range version.
Three samples of one thousand soldiers in the South African
National Defence Force are used for this study.
Increasing the response range of the HSSF improved the reliability
of the scale, but had only a very small impact on the instrument’s
construct and criterion-related validities.
The author concludes that the content validity of the HSSF may be
flawed and recommends a revision of the item sample of the instrument.
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Van
Breda, A.D. (2006). HIV
KAP study: Key findings for the SAMHS. MilMed, 22(1), 15.
This popular article, written for health care personnel in the SA
Department of Defence, addresses the HIV KAP (knowledge, attitudes and
practices) survey that was conducted in 2004, and which was the third
replicated study since 2001. The study showed that there was an
increase in awareness of HIV prevention programmes, an increased readiness
for behavioural change, improved attitudes towards condom use and a
stabilisation of self-reported HIV and STI symptoms. A number of
specific findings are also reported, regarding programme rollout,
knowledge of mechanisms of HIV transmission, knowledge of preventing
occupational exposure to HIV, condom knowledge and use, knowledge of
antiretroviral therapy and sexual risk behaviour. Six
recommendations are made.
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Van Breda, A. D. (2006). What
do our members know about HIV and AIDS? SA Soldier, 13(11),
34-35.
This is a popular article published in a military magazine in South
Africa, summarising the results of the HIV KAP (knowledge, attitudes and
practices) survey conducted in 2006. A cross-sectional research
design was followed in this study, which is the fifth KAP survey since
2001. A sample of 2,721 was obtained, representing 3.7% of the DOD
population. Results show significant improvements in 18 of 30
indicators, less than the 21 improvements in 2004. The data suggest
that programme effectiveness is dropping off. Seven recommendations
are made.
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Van
Breda, A.D. (2006). Sexual
behaviour in the DOD. Task
group report presented at the
National Conference on Women in Defence, 25 May 2006, Kopanong,
Benoni, South Africa.
This is the report of a task group that I facilitated, addressing the
question, "How does sexual behaviour in the DOD impede the movement
of the SA DOD towards the goal of a minumum of 30% women's
representivity?" Twenty-six people participated in the task
group. The task group identified (1) obstacles towards the 30% goal,
(2) contextual issues that would either facilitate or impede goal
attainment, (3) groups of stakeholders who are impacted by or desire to
see a change in sexual risk behaviour, (4) a statement of the desired
results, (5) seven action plans to deal with the issue, and (6) a range of
measures to monitor progress.
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Van
Breda, A.D. (2007). Implications of developmental social
welfare for occupational social work. Paper presented at the
ASASWEI (Association of South African Social Work Education
Institutions) Conference 2007, 3-4 September 2007, Johannesburg,
South Africa.
The goal of social development is
the synchronisation of economic and social development. Within this framework, much attention is given to poverty
alleviation and job creation, which are seen as crucial for the holistic
development of a nation. This
perspective appears to exclude the field of occupational social work,
which, by definition, works with people who are already employed.
There has, in response to this,
been considerable debate among occupational social workers regarding the
relevance of developmental social welfare for occupational social work.
Much occupational social work, and particularly social work within
Employee Assistance Programmes, is not well aligned with the principles of
the developmental social welfare approach as articulated in the White
Paper for Social Welfare (1997).
This
paper endeavours to articulate what a developmentally-oriented
occupational social work practice could look like.
Six main implications of developmental social welfare for
occupational social work are explicated, viz (1) working across the
micro-messo-macro continuum, (2) increasing participation in decision
making, (3) empowering vulnerable groups, (4) promoting economic
development among the working population, (5) generating meaningful work,
and (6) mobilising a conducive working milieu.
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Van
Breda, A.D. (2007). Women in operations: A qualitative
investigation. Paper presented at the Third National Conference
on Women in Defence, 16 August 2007, St George Hotel, Pretoria,
South Africa.
This is a presentation on a qualitative study on the experiences of
women in the SANDF who have had operational experience. The analysis of
data yielded a range of key themes: the military career, woman role
models, leadership abilities, liberation from patriarchy, accommodating
women's needs, sexual harassment, training and gender discourses.
Recommendations address: the faces of women, recruitment of women,
overcoming patriarchy, training, nurturing the military career, ablutions,
sexual harassment and the promotion of gender discourses.
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Van
Breda, A.D. & Potgieter, H.H. (2007). Measuring people's
tendency to create a favourable impression of themselves. Social
Work Practitioner-Researcher, 19(2), 95-113.
The
tendency of participants to provide an inflated impression of themselves
in research and psychosocial assessment situations compromises the
validity of the data collected.
It is particularly noticeable when the research is not anonymous,
where the study theme is sensitive or where the assessment is high stakes.
This tendency, known as ‘impression management’, is defined as
“the processes of adapting to situational demands to create a favourable
impression in order to obtain a desired outcome”. This paper reports on
the design and validation of a ten-item, multilingual, ecometric
instrument titled the ‘Impression Management Index’ (IMI). The
validation showed that the IMI has levels of reliability, construct
validity (convergent and discriminant), known groups validity and
concurrent validity that are at least comparable with two well-established
instruments. The IMI can be distributed within other scales during social
research or psychosocial assessment as a means of determining the degree
to which impression management is active.
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Van
Breda, A.D. (2007). The mission-focus of three congregations. T.E.E.
Journal, 7, 58-79.
As
part of an assignment for the Theological Education by Extension course
‘Doing Ministry for a Change’, a study was conducted to assess the
relative strengths and growth areas in three diverse congregations, in
order to increase their mission-focus.
Data were collected from approximately 20 leaders in each
congregation using a self-administered, summated rating scale.
Data were analysed at both item and subscale levels.
The comparative results indicated striking differences between the
three congregations.
Congregation 1 emerged as hesitant about moving out into the
mission field, preferring to establish a healing Christian community into
which people could be drawn.
Congregation 2 was assessed as being pregnant with potential to
move out of the church building and into the community, but still needing
to take that final step.
Congregation 3 had already moved out into the mission field
and emerged as being strong on both building the Christian community and
expanding the Kingdom of Christ.
Recommendations for each congregation are made.
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Van
Breda, A.D. (2007). Stimulating the possible selves of township children
in South Africa. Public lecture given at the University of Applied
Science, 4 December 2007, Erfurt, Germany.
In
1986, Markus and Nurius published a seminal paper entitled “Possible
Selves” in which they proposed that our current behaviour is motivated
in significant part by our possible selves.
“Possible selves represent individuals’ ideas of what they
might become, what they would like to become, and what they afraid of
becoming” (Markus & Nurius, 1986, p. 954).
Drawing on this theory, Dr Van Breda developed a group-based
intervention for adolescent orphans and vulnerable children living in a
township in South Africa, called the Futures Group.
The aim of the group was to stimulate the adolescents’ vision for
their possible future selves.
It was hoped that this vision would result in a more focused effort
in school work and a greater sense of optimism and preparation for the
future. This lecture will provide an introduction to the theory of
Possible Selves, outline the Futures Group programme, discuss the
challenges of targeting a future orientation among young people in South
Africa, and make recommendations for improving possible selves
interventions.
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Van
Breda, A.D. (2008). Designing questionnaires for use in
multicultural contexts. Social Work/Maatskaplikewerk, 44(1),
1-17.
The
measuring instruments (scales and questionnaires) used in social work
practice and research are often poorly designed, with little regard for
the challenges of the culturally diverse society within which we work.
This paper argues that instruments should be purposely developed
for use within multicultural contexts.
Practice guidelines for the design of such instruments are
described and illustrated with the development of the Military Social
Health Index, a multilingual social work scale developed for South
Africa’s multicultural context. Empirical
evidence is mobilised to demonstrate that the design processes are
effective in producing culturally reliable and valid instruments.
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Van
Breda, A.D. (2008). The Military Social Health Index: A partial
multicultural validation. Military Medicine, 173(5), 480-487.
Routine
military deployments place great stress on military families.
Before South African soldiers can be deployed, they undergo a
comprehensive health assessment, which includes a social work assessment.
The assessment focuses on the resilience of the family system, in
order to estimate how well the family will cope when exposed to the stress
of deployments.
This paper reports on the development and validation of a new
measuring tool, the Military
Social Health Index,
or MSHI.
The MSHI is made up of four scales, each comprising 14 items, viz
Social Support, Problem Solving, Stressor Appraisal and Generalised
Resistance Resources.
An initial, large-scale, multicultural validation of the MSHI
revealed strong levels of reliability (Cronbach Alpha and Standard Error
of Measurement) and validity (factorial, construct, convergent and
discriminant).
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