Carriers of the troublesome violence – the social services’ support for female victims of domestic violence

In Sweden, the social services’ responsibility for abused women has been reinforced and clarified on several occasions since the 1990s. At the same time, the knowledge of their work is undeveloped. This article analyses the social services’ support for female victims of domestic violence with a focus on organisation, based on the concepts of specialisation and specialists. The study consists of qualitative interviews with 16 social workers in 11 municipalities. The study shows great organisational variation between the municipalities, although most have some sort of specialised units or person-bound specialisation. Colleagues, training and external supervision are factors the social workers emphasise as important in working with female victims of violence, a social problem described as both special and difficult. The different forms of organisation and specialisation influence the support the social services offer abused women.     

The wide-meshed safety net. Decision-making on social assistance eligibility in Sweden

This article explores and analyses, with the help of both client and social worker data on 423 applications for social assistance in Sweden, (i) the extent to which social assistance benefits and labour market strengthening measures are granted and (ii) factors concerning clients as well as social workers that are associated with the granting of benefits. Considering (i), the results show that social assistance is granted in about 74% of cases while only 6% of applicants are granted additional labour market strengthening measures. With regard to (ii), the results indicate that the granting of benefits seems to depend on a broad spectrum of factors at both the client and the social worker levels. For example, more experienced social workers are less willing to grant social assistance while chances increase when an applicant is already registered at the local public employment service and/or social insurance office. Moreover, the granting of benefits also co-varies with more or less invariable factors at the client level: social workers are in general more generous towards women and people born outside Sweden, but rather less generous vis-à-vis single parents. The findings are discussed in terms of workfare and professionalization among social workers.     

Exposure to Client Trauma,Secondary Traumatic Stress,and the Health of Clinical Social Workers: A Mediation Analysis

While it is widely acknowledged that providing services to traumatized populations may negatively impact the mental health of clinicians, little is known about the impact of exposure to traumatized clients and secondary traumatic stress on the physical health status of clinicians. As such, the twofold purpose of this study was to: (1) document the prevalence of STS in a national (US) sample of clinical social workers, and (2) to examine the relationships between exposure to client trauma, STS, and perceived health of clinical social workers. Specifically, we sought to determine if STS mediates the relationship between exposure to client traumas and perceived health. Results indicate clinicians experience intrusion symptoms most frequently, and a significant portion report arousal and avoidance symptoms. Mediation analyses revealed that exposure to traumatized client populations indirectly influenced clinical social workers’ physical health perceptions by way of secondary traumatic stress. Findings call for increased attention toward prevention and amelioration of secondary traumatic stress symptomology among direct service providers, given both its prevalence and potential impact on physical health. Directions for future research are discussed.     

When Social Workers Are Stalked: Risks,Strategies, and Legal Protections

By virtue of their work, social workers are at risk of becoming victims of stalking. This is because social workers assist individuals who suffer from major mental health problems that may cause them to develop delusional beliefs about their therapists, and because social workers may need to exercise authority against individuals with personality disturbances that present a risk to others. Surveys suggest that 16% of social workers have been stalked at one point in their career by a client. Stalking of social workers by clients has far-reaching personal and professional implications, potentially affecting all aspects of an individual’s life. This paper reviews the nature and incidence of stalking of social workers, the legal remedies available to social workers who are victims of stalking, and strategies for protection.     

Gendered,Invisible Work in Non‐profit Social Service Organizations: Implications for Worker Health and Safety

Nonprofit organizations (NPOs) play an important role in the provision of health and social services. In Canada the nonprofit sector includes 7.5 million volunteers and employs over 1.6 million paid workers. The sector is overwhelmingly female‐dominated — women make up over 80 per cent of workers in these nonprofit services. Work performed by women has traditionally been undervalued and invisible. It has often been considered safe by researchers, employers, policymakers and sometimes even workers themselves. Although there is some indication that jobs in the restructuring social services sector can be characterized by constant demand, high stress and violence, research into the working conditions and health hazards of these types of jobs has not been a priority. Using data from a qualitative study examining work in NPOs, we trace the ways that work performed in these workplaces is both gendered and invisible. We identify three types of invisible labour. ‘Background work’ facilitates and supports more visible and recognized organizational activities. Certain organizational language obscures the full spectrum of work that takes place in the organizations and the risks it may involve. ‘Empathy work’ includes the relationship building, counselling and crisis intervention that comprise key components of social service delivery. ‘Emotional labour’ involves the management of client emotions and workers' own emotions in the process of working with clients and delivering care under conditions of scarcity and contraction. The invisibility of these activities means that much of the day‐to‐day work done in the organizations, while particularly important in the context of social service restructuring, is taken‐for‐granted and undervalued by organizational outsiders. As a result, many of the hazards present in the jobs are hidden from view and workers' health may be compromised. We argue that the invisibility and taken‐for‐grantedness of certain types of work in NPOs is reflected in, and constitutive of, particular exclusions and shortcomings of current occupational health and safety systems designed to protect the health of workers.     

The Art of Pacifying an Aggressive Client: ‘Feminine’ Skills and Preventing Violence in Caring Work

This article explores the complex interconnection between gender and emotion in the context of client‐perpetrated violence at work, focusing on interviews with and writings by Finnish nurses and social workers to discuss the ‘feminine’ emotional skills that are supposed to prevent violence. The social formation of these skills is analysed with the concept ‘emotional habitus’: emotional skills derive from the socially acquired disposition to manage emotions according to the gendered values of caring work. Emotional habitus, based on the internalized, second‐nature sense of emotional management, is shown to both persuade and enable employees to use emotional skills as assets for negotiating violence. This article discusses the potentiality for active agency enabled by skilful emotional management in violence prevention, bearing in mind the gender inequalities and internal contradictions connected to the social formation and practice of those skills.     

Old battles,new frontiers: A study of television violence and social work with children

This article describes the place of television violence in social work practice with children. It is based on interviews with twenty-one social workers who work primarily with children in schools, in community mental health agencies and in private practices. Although the influence of television violence on children has been well documented by other disciplines, there has been a general lack of attention by social work. Because television is so much a part of children's social environment and because the social environment is so much a part of social work practice this study seeks to address that lack. Grounded theory methodology was utilized to analyze the interviews.This paper is adapted from her dissertation in partial fulfillment of a doctorate at Simmons College School of Social Work, Boston, Massachusetts. The author wishes to thank the dissertation committee members, carol Swenson (Chairperson), Deanna Brooks and Margaret Rhodes for their contributions.     

Transmigration and urban social work: towards a research agenda

Many Western European countries, and especially the larger cities within these countries, are making a transition towards super-diversity. This shift towards super-diversity is also characterised by a growth of the phenomenon of transmigration, whereby people frequently move back and forth across borders. The social life of transmigrants is not only oriented towards their country of residence, but also consists of complex networks beyond boundaries. Transmigrants constantly shift between different modus operandi and between different visible and invisible, local and global networks. Many transmigrants face a high risk of social vulnerability and are overrepresented in the client population of urban social services. Although much research has been done on transmigration on the one hand, and on international social work on the other hand, the effect of transmigration on social workers and on social work practice is still under-investigated. Based on social work research in Brussels and Antwerp, the authors research the challenges transmigration poses to social work. They demonstrate that there is a difference in perspective between the translocal and transnational lives of transmigrants on the one hand versus the locally rooted practices of social workers on the other hand. Using this analysis as a springboard, they identify a number of avenues for additional inquiry in this field.     

Towards understanding the Nordic paradox: A review of qualitative interview studies on intimate partner violence against women (IPVAW) in Sweden

Intimate partner violence against women (IPVAW) is a major public health problem in countries around the world, including the Nordic region. Contrary to what would be expected, as the Nordic countries are rated among the most gender equal in the world, survey data suggests that the lifetime prevalence rates of IPVAW in Sweden and neighboring Nordic countries are among the highest in the EU. This phenomenon, which has been termed the Nordic paradox, requires elucidation. The aim of this review is to explore what previous qualitative studies, based on interviews with or field observations of victims, perpetrators, or professionals working in the area, primarily in Sweden, have to teach us about the nature of this paradox. Three interrelated themes are discussed. The first is how gender equality is perceived and addressed as linked, or not, to IPVAW in Swedish research and practice. The second is how violence tends to be othered, for example, through assumptions that violence is perpetrated by foreign rather than Swedish men. The third is how causal mechanisms of IPVAW have been described, typically with reference to norms and dynamics of masculinity, femininity, and heterosexual interaction.     

Child Protection Professionals Identifying Domestic Violence Indicators

This article presents findings from a study of 3 professional groups most frequently involved in child maltreatment cases: child protection social workers, district attorney social workers, and police detectives. The survey instrument examined the identification and concordance level of domestic violence indicators. Analysis of the research findings suggest varying differences across the 3 groups surveyed. The author discusses the importance of social work education in training professionals on domestic violence theories and assessment tools, and developing systems to assess for and address domestic violence issues, multidisciplinary approaches, and ethical practices for sharing client information.     

Social Work in the Emergency Department—Implementation of a Domestic and Family Violence Screening Program

Abstract

Women who have experienced domestic and family violence use health services more frequently than women who have not. Early identification and intervention by the health system may reduce health problems associated with domestic and family violence and lead to savings for the health sector. This study aimed to evaluate the impact of a new domestic and family violence screening program, which was based on an ecological model and introduced by a social work team in the Emergency Department of a major metropolitan hospital. The evaluation method included an audit of social work case files to assess the effect on referral rates and a survey of Emergency Department staff to obtain perceptions of the impact of the program on the staff and clients. In the 3-month period following the introduction of the program, the rate of referral to social work increased by 213%. Staff agreed that the Emergency Department is an appropriate place to ask about domestic and family violence, under certain conditions. Findings suggest that an ecological social work model provides an approach to screening for domestic and family violence that not only contributes to increased identification and supportive client interventions but may also contribute to more sustainable systemic change.     

Preventing violence in disadvantaged communities: Strategies for building collective efficacy and improving community health

ABSTRACT

Violence is a critical health issue that compromises the strength of communities and permanently damages the lives of individuals and families. The impact of violence on health and well-being is particularly devastating in disadvantaged and minority communities, leading to negative health outcomes, including premature death. However, research suggests that communities can prevent violence and negative health outcomes by developing collective efficacy, which happens when neighbors share norms and values, trust one another, and are willing to intervene to address problems. Despite the importance of collective efficacy in preventing violence and improving health, almost no research has investigated actionable strategies to build collective efficacy in disadvantaged neighborhoods. This article describes a theoretical and conceptual model that illustrates how collective efficacy impacts community violence and related health outcomes. We begin by reviewing other approaches to community violence prevention, including criminal justice and developmental approaches. We then discuss how collective efficacy works and why it matters, including theoretical and empirical research explaining collective efficacy and its impact on community violence and health. We then discuss a research-based intervention that social workers can use to facilitate collective efficacy, including our conceptual model and the key components of the intervention. Finally, we discuss implications for social workers who are working with communities to address violence and related health issues.     

Outreach approaches in the private domain: an international study

The aim of this article is to present the results of an international study on outreach approaches in the private domain in social work with a focus on moral dilemmas. The reason to start the study was to investigate if a trend in Dutch social work toward outreach approaches can be recognized in other European countries and what can be learned from other outreach practices. First, a definition of outreach approaches in the private domain was discussed. Next, data were collected by interviews with social workers in four different countries, executed by social work students and researchers. Although no evidence was found that outreach approaches in other countries than the Netherlands are increasing, many similarities were found in social workers' interpretation of their outreach work. All the interviewees emphasized that outreach approaches are intended for excluded people who are at risk or a risk and who are not in contact with social services. All workers stress the importance of gaining trust and staying in touch. A dilemma is that workers often find themselves between two fires. They tend to give priority to the relation with the client and accept that this can contradict rules of organizations or society.     

Can social workers and police be partners when dealing with bikie-gang related domestic violence and sexual assault?

Welfare and criminal justice systems manifest different goals, cultures, values and working methods. In Australia, the welfare sector has a culture of empowerment and concern for victims’ rights, within which social workers focus on social justice and social change. In contrast, the criminal justice sector (police) is patriarchal and para-military in structure, focusing on enforcing and maintaining community order and safety. These differences can create tension when social workers and police need to work as partners in response to violence against women, in particular violence against women from bikie gangs. This article addresses the issue of partnerships between social workers and police when working with abused bikie-gang women. It presents the findings of recent research into social work practice with such women in South Australia, in conjunction with a brief exploration of the international literature on social work and police cultures, and partnerships. It concludes that whilst there is a great need for genuine collaboration and partnership between social workers and police in the complex context of domestic violence with links to organised crime, the cultures and mandates of these different professions make this difficult.     

Social profile,maternal depression and welfare concerns in clients of health visitors and social workers: a comparative study

Research into the practice of health visitors and child care social workers with depressed mothers is limited. This is surprising in view of the known relationship between motherhood and depression, and the association also between child care problems and maternal depression. The study described below is the first which seeks to compare health visitor and child care social work clients/service users in relation to the issue of maternal depression. In particular, it seeks to compare the extent to which maternal depression is a feature of the work of social workers and health visitors, the relationship between maternal depression and the social composition of different client groups, the relationship between maternal depression and welfare concerns—particularly child abuse—and the extent to which such concerns lead to referral from health visitors to social workers. The research shows: (1) interesting similarities between the depressed health visitor clients and social work clients as a whole; (2) the importance of low income and absence of support in the ‘progression’ from health visitor to social work clients status; and (3) an alarming emerging gap in services provided for severely disadvantaged families with child and family care problems.     

Priorities and determinants of priorities of Swedish social workers

Priority setting is an integrated part of social work, in Sweden as well as internationally. In this article we explore Swedish social services and how social workers make priorities and what these priorities involve. By use of regression analysis we also study what circumstances are of importance for allocative precedence and what impact different distributive principles have. One primary result is that priorities are made frequently by social workers—mostly on what cases to work with next and how much time to spend on every client. Another somewhat expected result is a manifest area bias, suggesting that respondents tend to see to the interests of their own professional domain. The principle of need proved to be the most important of the distributive principles studied, while principles of capacity to benefit and economy were more endorsed by officials working with elderly and disabled than those in other sectors.     

Generating productive citizens or supporting the weak? Ambivalences and contradictions in working with young welfare recipients

Since 1990, the social investment paradigm has been gaining importance within the social policy of Western industrialised countries. Investments are made in human capital to shape productive citizens capable of satisfying the demands of flexible labour markets. This article adopts an ethnographic perspective to analyse the current transformations of everyday practice within the context of the investment paradigm. Investigating such a practice in selected welfare institutions, it focuses on the work done with young adults, a client segment of interest from a social investment perspective already owing to its age. The article explores the techniques and strategies of professional action and discusses their implications for social work, which is active in this field along with other professional groups. The findings presented here show that the action taken by social workers moves between different rationales and is shaped by various ambivalences and force fields.     

Thinking critically about cross-cultural implementation—Swedish social workers’ experiences of testing the Kids’ Club method for helping child and mother victims of intimate partner violence

There are calls for evidence-based methods for helping children to deal with experiences of Intimate Partner Violence (IPV) in many countries. Therefore, it has been commonplace to implement such methods from outside of their home country. The aim of this study is to examine Swedish social workers’ experiences of testing the American Kids’ Club method for child and mother victims of IPV. After having tested leading Kids’ Club groups, seventeen social workers at four different locations were interviewed using a semi-structured interview guide. The results indicate that the social workers generally accepted the method. This was related both to some general features of the method and to their perceiving it as somewhat flexible. According to the social workers, the method needs some cultural adaptation to better suit the Swedish social services setting, otherwise it cannot be fully accepted. Finally, they thought that successful implementation depended on an organizational structure that enabled enough children to be referred to the programme as well as either high personal commitment or an organization that prioritized the method. Based on these results, we conclude that importing an American evidence-based group method to help children exposed to IPV to Sweden demands attention to issues of cultural adaption.     

Ill health and social conditions amongst migrants and refugees—the case of Sweden

The present article delineates the state of health and socioeconomic situation of migrants and refugees in Sweden. Special attention is given to refugees. Migrants appear to have more extensive health problems and a shorter longevity span than native Swedes. The refugees constitute an especially exposed group of migrants. Experiences in the home country that relate to organised violence is a specific problem for this group. It has been estimated that 20 to 25 per cent of all adult refugees who have arrived to Sweden during the recent years have experienced torture in their native countries. Swedish migrant and refugee policy operates according to a model of decentralisation, aiming to avoid ethnic segregation in the big city areas. However, the integration policy seems, in many instances, to have had a negative affect on the situation of the refugees. During the period of time, in which the refugees wait for a residence permit, they are not permitted to work. The long period of forced inactivity—in some instances up to a couple of years—seems frequently to have aggravated the health of the refugees. In addition it appears to contribute to the ever increasing animosity towards them.     

Investigating the Readiness of Hospital Social Workers to Respond to Domestic and Family Violence

ABSTRACT

Domestic and family violence (DFV) is recognised as a health care priority. Women experiencing DFV use health services at a higher rate than the general population. Hospital social workers are an important component of a public hospital response to domestic and family violence but how prepared are they for this role? This research study explored the readiness of social workers in a Melbourne metropolitan hospital setting to respond to DFV. Results indicated that although the social workers had a knowledge base highly relevant for responding to DFV, many lacked specific knowledge of risk assessment, safety planning, legislative responsibilities, and referral pathways for support, including legal support. As a result, it was likely that they were not adequately responding, either by not recognising when they needed to, or with knowledge and confidence when they did. They also identified a range of organisational enablers, including policy, time, and safe conversation spaces.

IMPLICATIONS

• Hospital social workers have a central role to play in responding to domestic and family violence.

• Hospital social workers need to be better prepared for domestic and family violence responses.

• Social workers require ongoing training and organisational support including practice protocols and guidelines, and the provision of time and private, safe spaces for sensitive conversations to occur.

• Universities should ensure that the role of hospital social workers is considered within curriculum addressing the area of domestic and family violence (DFV).