 Advances in Applied Sociology  2013. Vol.3, No.1, 61-68  Published Online March 2013 in SciRes (http://www.scirp.org/journal/aasoci)                      http://dx.doi.org/10.4236/aasoci.2013.31008   Copyright © 2013 SciRes. 61  Outside the Cage: Exploring Everyday Interactions between  Government Workers and Residents in a Place-Based   Health Initiative  Naomi Sunderland  School of Human Services and Social Work, Griffith  Health  Institute, Griffith University,   Meadowbrook, Australia  Email: n.sunderland@griffith.edu.au    Received October 15th, 2012; revised November 20th, 2012; accepted November 30th, 2012  This paper presents an ethnographic case study of the daily lived experience of place by government  health and community workers in a place-based chronic disease initiative (PBI) located in a disadvan- taged peri-urban area in Australia. The case study focused on the place at which the PBI staff members  interfaced with the community informally as opposed to the deliberate interactions described in the formal  community engagement strategy. Subtle social phenomena, such as social positioning and the contrasting  cultures of bureaucracy and community, generated outcomes that were the antithesis of those sought by  the PBI. If these characteristics of place are not attended to during the development of PBIs, we risk rec- reating existing social divides and jeopardizing the potential of these initiatives to build community ca- pacity. This case study provides an important conceptual-theoretical understanding of the place-based ap- proach, which can augment existing empirical studies of place. The findings are also relevant for those  who are exploring the physical co-location of diverse professional groups in socially disadvantaged  neighbourhoods. It also exposes the inherent complexity of “place” and the futility of poorly designed  bureaucratic responses.    Keywords: Place-Based Initiative; Bureaucracy; Community; Culture; Habitus; Proximity; Ethnography;  Lived Experience  Introduction  The district manager of the government health district is sit-  ting working in his office. He hears a commotion and yelling  from outside the eastern wall of his office which is made en-  tirely of glass and partially covered by blinds. He looks out to  see a man smashing his female companion’s head against a  brick wall on the walkway outside the office. The district man-  ager runs outside through the secured sliding glass doors of the  building to intervene. A female colleague who worked in the  office at the time said, “There was nothing else he could do!”  A female researcher and a female government employee are  walking to their car following a meeting at the government  office, which is located in the same building as several commu-  nity services (i.e., child protection, probation and parole, reha-  bilitation, and employment services). As they walk to their car,  they see a group of young men in “street” clothing leaning  against a brick wall talking. The young men do not look at the  women. They keep talking to each other as the women ap-      proach. The government employee says to the researcher,  “Should we cross the road, these guys might be chroming1”.      A female researcher, a government health promotion officer  and the PBI Manager are conducting formal interviews for a  team leader position in the PBI when a child screams. The  screaming continues and intensifies, “Daddy, Daddy, I don’t  want to go”. Looking out the boardroom window, the occupants  watch as a child safety worker carries the screaming child into  the office next d oor and locks th e security doors. Tw o other child  safety workers hold b ack the father who even tually throws up his  hands and walks away. The boardroom is silent for a few more  minutes, followed by some discussion about how  this is a regular  occurrence. The interviews continued.   Program leaders and the Manager of a place-based health coa-  lition are having a formal monthly team meeting inside the go-  vernment build ing. The progra m leaders are  all employees of th e  government health department. They are wearing semi-formal  corporate style clothing suitable for office work and public  meetings. The meeting room features a long boardroom table.  An eastern wall made entirely of glass overlooks a walkway that  circles the building and contains entrances to the various com-  munity services in the building. There is a commotion and  swearing outside the meeting room. The PBI Manager says,  “Are those unhappy people outside?” Another of the meeting  participants leans over and closes the blinds. Several of the  people outside stare into the meeting room as he closes the  blinds.   Increasingly it is clear that people’s health and wellbeing is  determined not by individual actions alone but by complex  individual, social, political, economic, and environmental de- terminants of health (CSDH, 2008; Marmot et al., 2010; Schulz  & Northbridge, 2004). Strategies for addressing these complex  “social determinants of health” (SDOH) have been recognised  internationally both as a way of preventing ill health in the  future and addressing pervasive health inequities between peo-  ple who experience positive social circumstances and those   1“Chroming ” is a colloquial term for sniffing substa n ces in ae r o so l  cans.   
 N. SUNDERLAND  who do not (CSDH, 2008; Marmot et al., 2010). Researchers  have shown that health advantage or disadvantage tends to  cluster in distinct geographical areas due to localised social and  environmental factors such as the affordability of housing and  other services such as transport; cultural, socio-economic, and  physical mobility; and the presence of supportive social net-  works and relationships (see for example, Baum & Palmer,  2002). As a result, policy makers have developed a string of  government funded “place-based” initiatives (PBIs) or “health  action zones” (see for example, Bradford, 2005) that are de-  signed to tackle place based SDOH. These PBIs attempt to  effect positive change across complex SDOH such as healthy  public policy, built environments, pollution, access to facilities  and services, income and employment, crime, and social in-  clusion (Schulz & Lempert, 2004; Schulz & Northbridge,  2004).  While there is growing support for PBIs internationally, there  is less acknowledgement of the inherent complexity of imple-  menting PBIs in neighbourhoods that experience significant  social and economic disadvantage and diversity. In particular,  there is little discussion of the challenging nature of place based  work for health promotion workers. The purpose of this article  is hence to examine the nature and reality of PBIs from the per-  spective of the health promotion workers who implement them.  To do this, I present an ethnographic case study of interesting  and unexpected social interactions and boundaries between go-  vernment PBI workers and local community members at a gov-  ernment service building in a peri-urban PBI targeting chronic  disease in Australia. I draw on a range of theoretical concepts  from existing literature to aid in interpreting the phenomena  encountered during the case study that may in turn usefully  inform future PBIs (Farmer, Munoz, & Threlkeld, 2012: p.  185).  Background  In parallel with international PBI policies and investments,  researchers across the fields of social geography, urban and  community studies, sociology of health, and health promotion  have developed innovative theory and methods to examine the  deterministic relationship between place and health (see for  example, Brodsky, 1996; Carpiano, Kelly, Easterbrook, & Par-  sons, 2011; Caughy, O’Campo, & Patterson, 2001). Farmer and  colleagues (2012) for example, adopted social geography the-  ory to emphasise the heterogeneity and dynamism of places that  health planners and researchers often label using misleading  static and homogenising categories such as “peri-urban”, “re-  gional”, and “remote”. Farmer et al. (2012) argue instead for a  dynamic conception of place and health that understands  “place” as the crossing in time and space of various forces and  flows (including people, economic opportunities, natural re-  sources, social assets, politics, cultural mix, infrastructure and  history), and so as defined not only by the local but also by  relatedness to other places.  Such a conception of place and health is obviously amenable  to the complex SDOH view of health in international policy.  Following Massey (2005), Farmer et al., (2012) further empha-  sise the “throwntogetherness” of place that “unites a host of  human and nonhuman features in time” including “people and  health services, and also family, work and social networks, lo-  cal and distant community and business organisations, govern-  ment, policy and regulatory arrangements” (p. 187).  Broader literature on space and place emphasises that people  participate in places and spaces for different reasons and with  differing levels of familiarity and connection (Tuan, 1977: p. 6).  Likewise, the social relations that comprise places “are never  still; they are inherently dynamic” (Massey, 1999: p. 2). As  such, people may have both complex and ambivalent feelings  about place (Tuan, 2005: p. 7). In shaping and being shaped by  our experiences, places become interwoven with individual and  collective identity and belongingness where “people collective-  ly imbue physical space with meaning that transforms it into a  socially and emotionally significant location—a “place” (Hochs-  child Jr., 2010: p. 622). Likewise, place identities are created  and recreated through “meaningful social interaction and inter-  connectedness at the locale” (Hochschild Jr., 2010: p. 622).  “Cultures of place” then are not universally shared experiences  for all people who frequent a place but, rather, general patterns  of relating and experience that lead to shared meaning making  (Martin, 2002: p. 112).  Despite the “throwntogetherness” of place, place participants  produce and reproduce known expectations for experience  within that place and “observable social orders” for specific  activities such as how to line up for buses or wait for appoint-  ments (Sharrock, 1995; McHoul, 2009: p. 18). Health research-  ers have also identified that class related SDOH cluster within  specific geographic areas and places. Singh-Manoux and Mar-  mot (2005), for example, identified intergenerational class so-  cialisation and resulting “habitus” and social positioning as key  SDOH that determine health outcomes across many generations  of families. Singh-Manoux and Marmot (2005) applied Bour-  dieu’s theory of habitus to explain the way that “social struc-  tures, through the processes of socialization, come to be em-  bodied as schemes of perception that enable individuals to live  their lives, leading societies to reproduce existing social struc-  tures” (Bourdieu, 1984; Singh-Manoux & Marmot, 2005: p.  2129). They contend, as a result, that “norms on healthy be-  haviour” are conditioned through socio-economic contexts  throughout our life course (Singh-Manoux & Marmot, 2005: p.  2129). The social environment is hence paramount in defining  and perpetuating class-related health behaviours, attitudes, and  beliefs that are available to individuals. In order to “belong” to  a certain social class and related social places, then, individuals  exhibit—both consciously and unconsciously—the material  cues (such as dress and habits) and dispositions that identify  them as part of the relevant social group (see also Weyers,  Dragano, Richter, & Bosma, 2010).  Health researchers have sought to document the complexity  of place and health outlined above using a range of innovative  methods including: geographical information systems mapping  of relevant SDOH and health outcomes statistics ( see Dennis Jr.,  Gaulocher, Carpiano, & Brown, 2009; Gudes, Kendall, Yigit-  canlar, Pathak, & Baum, 2010); systematic observational stud-  ies that document physical environments (see Caughy et al.,  2001; Cohen et al., 2000; Craddock, 2000; Raudenbush &  Sampson, 1999); narrative studies of place based experience of  health and wellbeing (see Dennis Jr. et al., 2009; Parry, Mathers,  Laburn-Peart, Orford, & Dalton, 2007); and ethnographic stud-  ies of the lived experience of local SDOH (see Burbank, 2011;  Schulz & Lempert, 2004; Sunderland, Bristed, Gudes, Boddy,  & Da Silva, 2012). Despite the significant above mentioned  advances, current literature under-represents one of the key fac-  tors that influences how a PBI is enacted: namely the prepar-  edness or otherwise of health workers to operate collaboratively  Copyright © 2013 SciRes.  62   
 N. SUNDERLAND  and in situ with the communities that experience significant  disadvantage (see Broadhead & Fox, 1990: p. 323; Moore,  2009). PBIs typically involve the generation of a partnership or  coalition among providers in the government, non-government,  local council authority, and community sectors. Although this  connection to local organisations is a defining feature of PBIs  (i.e. based in and with place as opposed to being imposed upon  place), the connection to the local community can often be li-  mited to formal (i.e. deliberate and controlled) bureaucratic  modes of engagement. As shown in this study, this focus on  formal partnerships leaves an intensely under-recognised spec-  trum of informal and incidental engagement that occurs con-  tinuously as a result of the physical proximity of PBI workers  to their local comm un ities.  Case Study  Background   Given the nature of place outlined above, PBIs are inherently  complex social interventions. As Massey (2005), indicated, cul-  tures of place encompass various cultures of ethnicity, organi-  sations, families, language groups, and professions that are  “thrown together” in space and time. This case study occurred  as part of my research with a complex PBI targeting chronic di-  sease prevention in an intensely diverse health service district  in Australia. The PBI district is classed as experiencing signifi-  cant “socioeconomic disadvantage” (ABS, 2006) and residents  experience complex interlocking SDOH such as low income,  unemployment, crime, violence, and relatively high incidence  of preventable chronic disease. It is one of the most culturally  and linguistically diverse health service districts in its state and  is known to function as a first “port” for refugees and migrants  to Australia (ABS, 2006). The Australian Bureau of Statistics  attributes net migration into the area to the availability of rela-  tively low or unskilled employment in the area, low income  housing, and pre-existing culturally and linguistically diverse  communities in the district (ABS, 2006). I was part of an inter-  disciplinary research team that worked with the PBI team as  collaborators over a period of four years. Our research was  funded by a combination of Griffith University and Australian  Research Council (ARC) funding.   The venue for this particular case study was the PBI central  administration office and the community services building  within which it is located. It was a venue worthy of study for at  least two main reasons. First, it was chosen by the founding  employees of the PBI so they could be located in close physical  proximity to the “community”  with which they would be work-  ing. They made this decision in an attempt to break down per-  ceived divisions and tensions between the central funding  agency for the PBI (a state government health department), and  local non-government health and community service providers  who were voluntary partners in the PBI. Second, the venue is  worthy of study because of the significantly personal (private  and potentially sensitive) nature of the services that are pro-  vided to community members in the building and the resulting  culture that surrounds them. In addition to the PBI central ad-  ministration office, the building houses: Adult Mental Health  Services; Legal Aid; Probation and Parole; Employment ser-  vices; Hearing services and equipment providers; Child safety  services; Indigenous youth employment services; and State  multicultural services.  I was initially invited to observe regular PBI team meetings  at the case study venue to document knowledge sharing across  the PBI’s teams and networks as part of the broader ARC and  Griffith University funded research. This included a focus on  how the PBI engaged with local communities. This case study  of the PBI office building emerged somewhat unexpectedly  from my observations of these meetings after I observed sig-  nificant “insider-outsider” incidents and dynamics—such as  those described in the preface to this paper—between PBI team  members and local community members at the case study ve-  nue. Case study participants hence opportunistically included  the three male and five female state government health depart-  ment employees who participated in the observed meetings and  who were located in the central PBI administration office (n=8).  These participants were not engaged in direct service provision  and did not have direct professional contact with local commu-  nity residents as part of their daily tasks. Their contact with ex-  ternal parties was almost solely  comprised of contact with other  service providers in the district. Hence their only regular con-  tact with community members was through daily incidental in-  teractions at the case study ven ue.  Approach  The overarching aim of this case study was to document and  interpret government health workers’ daily lived experiences of  implementing a PBI in a known area of socio-economic disad-  vantage. In particular, I wanted to explore the PBI office build-  ing as an interface between PBI workers and local community  members. The case study method aligned with interpretive  approaches to research which frame both the building itself and  the social relationships enacted within it as meaningful discur-  sive resources upon which human agents both draw and con- tribute to in making sense  of their experience s (Pink, 2007a). Al l   elements of the social interaction can be seen as active and  dynamic “meaning-making” resources including, for example,  signs, documents, clothing, hairstyles, facial features, expressions,  language, and general demeanour (see Goffman, 1959). Pink’s  (2007a, 2007b) visual ethn ography informed data collection, em-  phasizing the role of visual data in creating durable representa-  tions of the meaning-making resources present at a given time  in a given social space. This method was ideal for investigating  the ways in which built environments interacted with social  relationships to create and recreate shared meaning and experi-  ence.  I initially conducted data collection during my observation of  monthly PBI team meetings over a period of 12 months be-  tween 2008 and 2009 (approximately 24 hours of meeting ob-  servation in total). Once I observed an initial “insider-outsider”  dynamic between PBI staff and community members outside  the building during team meetings, I began to conduct additio-  nal unstructured observations and interviews with meeting par-  ticipants opportunistically before or after meetings to ask them  about the dynamics I was observing. I was already in a routine  of taking semi-structured field notes during and after every  meeting I observed and extended this for the purposes of the  case study. I routinely shared my notes with the Chair of the  meeting via email to gather her feedback on my observations  and provide insider knowledge and explanations wherever she  saw fit. If the Chair responded to my observations via email, I  copied and pasted her response into my original observations  document and referred to them as part of my ongoing collection  Copyright © 2013 SciRes. 63  
 N. SUNDERLAND  of research data. I also began to take a small camera with me to  meetings and took random photographs of public spaces in and  around the building to create a “personal record of spatial and  social relationships” (Knoblauch, Baer, Laurier, Petschke, &  Schnettler, 2008). I later took additional purposive photographs  that expressed particular observed patterns of interaction or  meaning making.  I adopted a theory-driven approach to interpret the phenom-  ena I observed during the case study. This consisted of me at-  tempting to explain the phenomena using theoretical concepts  from the existing literature and then coding observation notes  and photographs in reference t o these concepts (see for example,  Carpiano et al., 2011; Ryan & Bernard, 2003; Singh-Manoux &  Marmot, 2005; Snow, Morrill, & Anderson, 2003). I then ap-  plied a series of more structured analysis questions during this  process including: What is observable about social interactions  within this place? Do the photographs support, contradict or  complement the perspectives observed in meetings? Can these  patterns be explained using any thematic concepts (i.e. theore-  tical concepts that are applicable to observed phenomena)?  Based on the outcomes of this questioning, I identified the key  “thematic concepts” (i.e. the most frequently coded) that could  be used to describe and interpret the observed social phenom-  ena at the case study venue. I discuss these key thematic con-  cepts in the following section.  Outcomes  Three concepts from the existing literature effectively de-  scribe the insider-outsider dynamics I observed at the PBI of- fice building. These include: 1) cultures of bureaucracy and  community ; 2) habi tus a nd socia l positioning; and 3) proximity.  In particular, I found that these concepts described both the  social boundaries I observed between PBI workers and local  community members at the case study venue and the broader  dynamics—such as proximity—that PBI workers experience in  significantly disadvantaged areas. I discuss the case study out-  comes in reference to these conc epts below.  Contrasting  C ul tures o f Bureaucracy and    Community   The first observable boundary that divided those inside and  outside the window at the PBI building was the contradiction  between the cultures of bureaucracy and community and re-  sulting “insider-outsider” demarcations of space in the building.  Scribner and colleagues (1999) usefully described this pheno-  menon:  … it is useful to view community and bureaucracy as occu-  pying opposite ends of the organizational spectrum. Within the  Gemeinschaft/Gesellschaft theoretical framework (14), “com-  munity (Gemeinschaft) may be experienced through kinship,  through living in the same neighborhood, or through gathering  with others in community of the mind” (15)… In contrast to  relationships experienced in community settings, Gesellschaft-  type relationships are often contractual in nature, serve to achi-  eve some goal or benefit, and are representative of relationships  formed within bureaucratic organizations (Scribner et al., 1999:  p. 135).  The symbolic features “inside” the PBI office were typical of  bureaucracy and government within Australia (for example:  office furniture, filing cabinets, desks, chairs, computers and  partitions). The physical parts of the PBI office that were most  visible to the outside world were the secure doors, warning  signs, and meeting rooms or offices located on the walkway  (see photographs). When community members looked through  the glass, they saw a group of professional people in profes-  sional clothing engaged in discussions around a boardroom  table, or sitting at a computer desk. The relationships commu-  nity members witnessed inside the office were not of a social  nature, although these may of course have been present. Rather,  the relationships were systems-oriented, work-related, contrac-  tual in nature, largely conducted between the hours of 8 am to 5  pm from Monday to Friday.  By contrast, the symbolic features of the “outside” world  were those of the local community or, at least, those sub-groups  of local community that attended the building on a regular basis.   The relationships among people who grouped together outside  were those of friendship and family, in all their positive and ne-  gative forms, that were not limited to business hours and work-  ing days. They were relationships of place and kinship that en-  dure and find their home in the geographic locations mapped by  the PBI strategic documents. Although the PBI was designed to  be finite in its duration and presence, these community rela-  tionships went on indefinitely. People from outside were not  welcome in the PBI office unless they had an appointment to  participate in some aspect of the administration of the PBI,  which was rare.  The cultural cues for maintaining an insider-outsider culture  at the building were clear. The sign shown in Image “D” hangs  on the secure sliding doors into the PBI office and Image “E”  hangs on the main public entrance to the building as well as on  the toilet doors prohibiting members of the public from using  the public toilets allegedly due to previous “vandalism”. A for-  mal letter from the building owner hangs on the toilet doors jus-  tifying and notifying of a decision not to allow public access to  the toilets. All doors to the toilets and offices are protected by  coded locks with passwords or buzzers that allow acceptable  visitors to gain admission with approval from the PBI recap-  tionist. Although there are necessary safety and security justifi-  cations for restricting access to the building, these precautions  reinforce the culture of place that keeps insiders and outsiders  apart. The signs are notable because they are a powerful cue to  all people entering the building that: 1) there have been some  problems associated with people using the building as a public  space; 2) that [some] people who frequent the building are the  kind of people who vandalize public toilets; and 3) [some] peo-  ple inside want to keep other people out.  A more complex history of the toilets at the building emer-  ged through an informal interview with one of the team mem-  bers. The team member stated that the “real” reason for secur-  ing the public toilets was because a community member had  committed suicide in the toilets. The team member had per-  formed cardio-pulmonary resuscitation on the community  member with another colleague from the PBI office. The team  member said that because the PBI office was labelled as a state  health department office, the security officer had turned to the  PBI for assistance when the community member was found  unresponsive in the toilets. Others in the PBI office were pre-  sent in the toilets and surrounding hallway until the ambulance  arrived.  A male team member i ndependently reported t he same  incident, but added that it had happened within the first two  weeks of the PBI moving into the building “just before Christ-  Copyright © 2013 SciRes.  64   
 N. SUNDERLAND  mas”. The male participant said he had a feeling of “woah what  a way to start” following the incident.  Habitus and Social Positioning   A second significant boundary between insiders and outsid-  ers was habitus and social positioning. Habitus refers to the  way in which a person’s (or group’s) access to social, economic,  cultural, and other forms of capital are inscribed upon them in  discernable ways (Bourdieu, 1990). According to Bourdieu, the  social, political, economic, and cultural spaces of our present  and past are evident the dispositions we display. Social posi-  tioning relates to social dynamics that reach beyond place.  Lindemann’s (2007) concept of social positioning further iden-  tified the categories of social stratification that are inscribed  upon us, namely, “age, gender, ethnicity, education, status on  the labour market and income”. These categories all affect a  person’s perceived and lived position in social hierarchy. She  argued that income, for instance, determines an individual’s  perceived sense of their position in social hierarchies. In her  words, “[t]he subjective social position depends not only on the  objective characteristics but also on how people experience  society, the way they perceive their position in comparison with  others, and what they imagine their position would be in future”  (Lindemann, 2007: p. 54).  Although it is obvious that the people working in the PBI of-  fice were diverse in terms of their own experiences and origins,  it was also clear that those outside the window differed substan-  tially from those inside. The people inside the PBI office inhab-  ited different social, political, economic, and cultural spaces to the  people outside the office. There was little observable about the  culture of the place that would allow either the insiders or out-  siders to develop more than cursory impressions of one other.  As Goffman (1959) observed, when thinking about social po-  sitioning as a barrier to engagement and understanding, it is  important to recognize that it is intertwined with stereotypes  and lived experience—both positive and negative. If proximal  engagement between people does not occur in a PBI setting,  there is nothing to challenge the stereotypes that social posi-  tioning conjures. For example, when a community member  punched the window of the meeting room, it provoked in-  tensely negative engagement from the meeting participants.  Neither those outside nor those inside moved any closer toward  an appreciation of the other as a result of this interaction, or any  other interactions. Hence, there is no conciliatory social or mo-  ral engagement despite the close physical proximity. The po-  tential for social positioning to produce stereotyped and distant  interactions was further evidenced when a female PBI em-  ployee came upon the group of young men talking and leaning  against the fence. Her reaction was unexpectedly one of fear  which prompted her to cross the street. She invoked a stereo-  type that the young men were chroming and would be danger-  ous, even though there was no indication to support this view.  Proximity  The suicide incident in the PBI building’s toilets was a pow-  erful and intense ex ample  of the ext reme proxi mity  be twee n the  government employees and community members in this venue.  In this case, the team member who provided assistance to the  community member had extensive clinical experience via which  she could interpret and manage the experience. For most gov-  ernment employees engaged in bureaucratic work, the require-  ment to provide medical attention would be highly unusual and  stressful. Team members who did not have clinical back-  grounds also attended the scene but were unable to assist. With-  in the first two weeks of commencement, this incident was a di-  rect and confronting example of the challenges that were faced  by the communities at the centre of the PBI and the degree to  which PBI team members would potentially be engaged in  those challenges.  Other incidents and experiences reported by team members  shaped their experiences of place in the PBI. For instance, team  members reported during informal interviews that the health  department had arranged for them to have physical self-defense  training so they could disarm a threatening person if they  moved into the building. Several building-wide “lock-downs”  had occurred in response to threats of violence made toward  child protection workers housed in the building. A bullet hole  was once found in the window of the PBI meeting room and  there had been several “ram raids2” on the building. Most sig-  nificantly, there had been a murder around the corner from the  building. An armed security officer patrolled the main public  entrance to the building at all times. There was a secure area  under the building used to transport children and others safely  to and from the building without the need to interact with  members of the public. After hearing about the range of inci-  dents that occurred in the PBI building, and seeing the range of  bureaucratic steps taken in response to those incidents, it be-  came clearer how an inside-outside culture had developed. It  also raised my awareness of the complex and often contradic-  tory interplay between physical and moral proximity between  staff and community members in PBIs. In short, physical pro-  ximity did not appear to invoke moral proximity (i.e. an appre-  ciation of the “other”). In the above examples it appeared, rather,  to create the opposite effect of creating moral distance and even  fear.  Although it was often not acknowledged by the PBI team  members themselves as meaningful or significant, I observed  that the PBI team was constantly interacting with community  members in informal and incidental ways within the shared  spaces of the building (e.g. walkway) and via the permeable  interface of the office windows. This was largely due to the  physical layout of the building. The Eastern-facing walls of the  office were made of glass, covered by blinds that were kept  partially or fully open. The office was on the first floor of the  building which featured a wrap-around walkway providing  access to two public entrances. There was a relatively high  amount of pedestrian traffic on the walkway consisting of com-  munity membe rs who were accessing the range of services pro-  vided in the building as well as friends and family members  who accompanied them. Almost every desk within the office  had a view of the outside walkway. Community members often  congregated in small groups on the walkway to wait for friends  or family or appointments. There were smoking areas on the  footpaths that surrounded the building.  As a result of the physical layout of the building, the com-  munity member s, who were by all acc ounts the raison d’être of  the PBI, were literally just outside the window. Introna (2001)  observed that proximity to others in geographical and social  space brings an unavoidable obligation to respond to them in  2Slang term used to denote the process of breaking into a building with a  motor vehic le. Copyright © 2013 SciRes. 65  
 N. SUNDERLAND  a moral way (see Introna, 2002, 2001; Levinas, 1998; Silver-  stone, 2003). Introna (2002) argued that our moral obligation to  others becomes most visible and strongest when we come “face  to a face” with another person in our physical and social set-  tings (i.e., we are allowed to see that individual for who he or  she is, in all of his or her vulnerability and humanness). In con-  trast, the further away we are from another person in physical  and social proximity, the easier it is to ignore that person or  people. Despite this “natural” obligation to others, I observed  that there were many aspects of social life (e.g. stereotypes and  prejudice) that prevented PBI workers and commu nity  membe rs  from coming “face to a face” wi th each other. During meetings,  for example, significant social boundaries had been constructed  to divide those inside the window from those outside. The only  observed acknowledgement of the community members was  negative verbal and non-verbal responses to perceived “antiso-  cial” behaviors (e.g., swearing, shouting, physical violence, a  community member punching the meeting room window).  Through the artificial barriers created by the ability to close the  blinds, the labelling of behavior and the solidarity of the “in-  siders”, potential for mutual engagement and naturalistic under-  standing of local community based on physical proximity in  place was lost.  Photographic observation of place—selected images  Image A. Main entrance to community services building in  which PBI central administration office is located.        This image shows the main entrance to the PBI administra-  tion building which also houses several other community ser-  vices including: probation and parole; child protective services;  and employment services. The building itself is set high off the  street. An armed security guard stands just inside the sliding  glass windows at the top of these stairs. The windows display a  number of A4 laminated warning signs to members of the pub-  lic including Image “E” which advises community members  that there is no access to toilets in the building due to vandalism.  The image also shows community members sitting on the walls  waiting which is typical of this venue.  Image B. Walkway and meeting area outside PBI office.        This image shows the walkway that surrounds the building  and its proximity to the PBI offices. PBI staff members’ desks  are located against or facing the windows shown in this image.  Groups of community members frequently congregate along  these walkways while they wait for appointments. There are no  waiting areas inside the building and only those with appoint-  ments are allowed inside. The meeting room pictured from  inside the building in Image “C” overlooks this walkway just  around the corner from where this image was taken. The bike  pictured in Image “F” was located on the walkway during a  subsequent photo-observation data collection.  Image C. PBI meeting room overlooking walkway. Bullet  hole was found in this window.        This image shows the meeting room where program leader  meetings were observed for 12 consecutive months in year one  and the final quarter of years 2 - 3. The walkway outside is  clearly visible through the windows and sound is audible  through the glass from outside. During an unstructured inter-  view, one participant told me that a bullet hole was found in  this window during the early period of the PBI. This is also the  window that a community member punched during one of the  observed meetings. PBI staff can close off the view to outside  by closing the blinds on the windows. It was notable that the  blinds were kept open during meetings until the incidents re-  ported in this paper occurred (e.g. community member punch-  ing window, verbal arguments outside, and so on).  Image D. “This is not a clinic” Sign displayed on secure  sliding glass doors that lead into PBI office.        This sign is displayed on the sliding glass doors leading into  the PBI office (Image “B”) as another artefact of the insider-  outsider culture that exists at the PBI building. The statement  that “no bags or money are kept on these premises” infers that  those outside looking in may be interested in knowing this fact  (i.e. interested in stealing). Also the statement “this is not a cli-  nic” indicates that because the government health department  logo is displayed on the sign outside the PBI offices that some  community member may have, or may be expected to have  mistaken, the office for a medical clinic. Overall the message of  this sign can be interpreted as “keep out” and “we are not here  to help you”.  Image E. “Due to constant vandalism there is “No” public  toilets available in this building” Sign displayed on main en-  trance to building.  Copyright © 2013 SciRes.  66   
 N. SUNDERLAND      This sign was located at the top of the stairs pictured in Im-  age “A”. The sign is accompanied by a formal dated business  letter from the building manager advising that toilet access is no  longer available due to “repeated” acts of vandalism including  “removal of toilet seats”. The nearest toilets at Station Road  were a considerable distance away. The building manager’s  prohibiting community access to the toilets then appeared to me  as quite an extreme measure. The bureaucratic and authoritative  tone of the letter was distinct and clearly positioned the build-  ing as being in control of those who are embedded in a formal  bureaucratic way of operating. This is reinforced in the sign  pictured above which refers in a general way to “constant van-  dalism”.  Image F. “Which Bank? They’re all bastards!” Sticker on  bike parked on walkway outside PBI offices.        This bike is an example of the discursive resources on offer  to both insiders and outsiders at the PBI building (i.e. “us ver-  sus them”). The “which bank?” sticker is an intertextual refer-  ence to an advertising campaign run by the Commonwealth  Bank of Australia throughout the 1990s-2000s which posed the  question “which bank?” to which people would enthusiastically  answer “the Commonwealth Bank!”. The alternate answer on  this bike of “they’re all bastards” echoed the almost stereotypi-  cal hostility that existed between some community members  outside the PBI windows and those inside. It appeared that  community members automatically identified PBI workers as  “them”. Note the spelling errors in the graffiti on the bike (“to  rite” instead of “too right”).  Conclusion  PBIs are complex endeavours because they join in collabora-  tion those who live in and care about the place experiencing the  intervention and those who do not. The social spaces within a  place that are claimed by a PBI can be close, local, and familiar  to some and distant, professionalised, and work-oriented to  others. This means that participants’ experience, use, and valu-  ing of place and the PBI in general are inherently different even  though all parties might be united under a common social aim  or vision. Great degrees of variability, ambivalence, and ambi-  guity toward place can thus exist within a PBI.  This case study provided insight into the capacity of PBI  staff members to connect with and understand local places and  the people who inhabit them. Rather than promoting in-place  engagement, the co-location of PBI staff members in this com-  munity service building [re]produced a defensive insider-out-  sider culture that limited opportunities for informal and inci-  dental knowledge sharing. The culture at the building also pre-  cluded opportunities for PBI staff to move beyond their bu-  reaucratic roles by reinforcing existing social boundaries and  deflecting attention and appreciation away from the particular-  ity of the immediate community in  which they were embedded.  These observations could be applied to the more appropriate  and sustainable development of PBI interventions in future.  Although this study focused on the patterns of experience  (i.e., culture) in a specific place (i.e., the PBI building), they are  not likely to be contained to this venue. Rather, the dynamics  revealed in this case study could potentially apply in any setting  where professional workers who are embedded in cultures of  bureaucracy meet local residents who are embedded in cultures  of community, pa rticularly  when they also herald from substan-  tially different social contexts and backgrounds. Indeed, a sig-  nificant finding of the case study was that fundamental pre-  existing social stratifications between “insiders” and “outsid-  ers” were recreated (and in fact exacerbated) through the me-  dium of this administration building. Ironically, the result of  placing the PBI within the local community was the antithesis  of the community engagement intentions of the PBI staff. The  study has indicated the need for future research on PBIs to ex-  plore the role played by the concepts identified through this  case study. Specifically, it is necessary for PBI organizers to  more critically explore the place at which they intersect with  the community, seeking and managing instances of insider-out-  sider cultures and divides created by social positioning. These  concepts are likely to apply to all services placed in areas that  are experiencing significant social disadvantage.  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