Social Inclusion as an Agenda for Mental Health Social Work

Summary

Following New Labour's election to office in the UK in 1997, policy initiatives have proliferated relating to mental health. Much of this policy innovation emphasises the social dimensions of mental health and distress, with an emphasis on employment and social inclusion. Paradoxically, this modernization of the mental health agenda comes at a time when mental health social work is struggling to establish its role and contribution within recently integrated health and social services. The paper considers whether New Labour's flagship programme, Mental Health and Social Exclusion, constitutes a “New Deal” for mental health, and whether it provides a perspective that will help mental health social work to define its distinctive contribution to integrated services.     

NEW LABOUR'S TEENAGE PREGNANCY POLICY

This chapter explores the changing governmental approach to the problem of teenage pregnancy in the UK. It argues that there has been a shift from moral traditionalism towards individualized approaches based on promoting responsibility, agency and prudent choice-making. New Labour's approach to teenage pregnancy marks a decisive turning point in governmental regulation, documenting the failure of previous approaches and establishing three distinctive discursive strategies:

1. risk management through knowledge acquisition;

2. constituting active knowing welfare citizens;

3. reconstituting blame.

The paper ends by examining how this approach forms part of New Labour's combined and contradictory project of ‘modernizing the social’ and ‘remoralizing welfare’.     

THE COMMUNITIES WE ARE REGAINING BUT NEED TO LOSE

Michael Young and Gerard Lemos’ (1997 Young, M. and Lemos, G. 1997. The communities we have lost and can regain, London: Lemos and Crane.  [Google Scholar]) text The communities we have lost and can regain has had a substantial influence on New Labour's communitarian thinking. This paper critically examines a specific aspect of New Labour's communitarian agenda, namely, its use of public housing policy to rebuild communities in order to combat social exclusion on so-called ‘sink estates’. The paper is presented in four main parts. The first part of the paper discusses how, why and to what extent ‘community’ has been lost, with particular reference to public housing estates. The second part examines why community rebuilding is now seen as the solution to the problems caused by the loss of community on public housing estates and, to this end, pays particular attention to the communitarian values that underpin New Labour's third way. The third part of the paper examines some empirical studies of community in order to highlight the key characteristics of ‘community’ and thereby develop a critical understanding of what New Labour are currently seeking to achieve. The fourth part of the paper juxtaposes this discussion of ‘community’ with a discussion of emerging socio-economic trends that have been identified in the literature on late modernity and globalization. By highlighting emerging socio-economic trends such as residential mobility into the community debate, the paper concludes by criticizing the policy of community building as ‘good for you’. Our key point is that community building restricts the residential mobility of poorer households and exacerbates (rather than combats) their social exclusion because a key indicator of social inclusion is their ability to take advantage of the social, cultural and economic opportunities that so often exist ‘elsewhere’.     

Radical/Critical Social Work with Young Offenders: Challenges and Possibilities

In the UK, particularly in England, youth crime is perceived as a serious social problem, which is always near the top of the political agenda. Since the early 1990s, ‘populist punitiveness’ (Bottoms, 1995), amounting to varying degrees of punishment and control, has been key for addressing the problem. This culminated in New Labour's flagship Crime and Disorder Act 1998 and thereafter increasing concern with anti-social behaviour. The Conservative-led coalition is continuing in this vein. It is a ‘get tough’ approach in which the role of social work has been sidelined. In this article, I argue that such an approach is counterproductive as evidenced by the riots of August 2011 in London and other major cities. Rather than notions of punishment and control being to the fore, attention should be paid to the social and economic conditions that shape young people's lives and behaviour. For social workers, this involves relationship building with young offenders and their families and this is where a radical/critical work practice comes in. It is an emancipatory practice, which resists the neoliberal present and has some vision of a more socially just and equal future world.     

Rapid Reregulation,Agricultural Restructuring,and the Reimaging of Agriculture in New Zealand1

Abstract As a member of the Cairns Group, New Zealand is an excellent case for investigation of the impacts of market-based restructuring and the emergence of new mechanisms for regulation. The paper examines how agriculture in New Zealand has been impacted by economic reforms that have fundamentally changed the nature and interrelations of regulatory arrangements and economic processes. The paper sketches the origins of New Zealand's agricultural crisis and the main features of the reforms, outlines developments in several global commodity chains (meat, dairy, apples) that since the mid 1980s have shaped regulatory and governance adjustments, and explores dimensions of a reimaging of agriculture in new conditions. The paper concludes that agri-food restructuring in New Zealand is implicated in the wider integrative project of globalization. Agriculture's reconstruction reopens the scope and terms under which New Zealand labor and households might be able to participate in the agri-food sector.     

Mark My Words! Service User and Carer Involvement in Social Work Academic Assessment

This paper discusses the involvement of service users in academic assessment as part of a second year module for social work undergraduate students at Canterbury Christ Church University in the UK. The three main tasks undertaken in partnership are detailed: designing an assessment form, assessment of student group presentations and assessment of a written reflective essay. The paper starts by identifying key questions raised by the assessor team before providing a critical commentary on the process, and identifying challenges and learning points. The experience emphasises the need for a more critical and searching approach towards service user involvement in social work education in academic assessment. Moreover, the team's experience suggests that such work is best achieved in the context of collaborative working relationships based on trust, with opportunities for team reflection and supported by training in academic assessment.     

The role of child care social work in supporting families with children in need and providing protective services—past,present and future

This article examines the way in which child care social work with deprived families has changed and developed since the inception of Children's Departments in 1948. It is argued that between 1948 and 1970 child care social workers enjoyed a fair measure of social support. A variety of reasons are considered for explaining this—specialization, smallness of size, privacy and a consensus about the needs of children. From the early 1970s it is argued that broader societal changes, including a shift away from social solidarity towards individualism, organizational changes and the advent of child abuse as a public concern, resulted in con?icting demands on child care social workers and a subsequent loss of credibility and con?dence. The 1990s have seen a return to emphasis on family support policies which has been further accelerated in the new millennium by New Labour's stated commitment to eliminating child poverty and creating better life opportunities for all children. The implications of these new developments for child care social workers engaged in meeting the needs of children living in highly disadvantaged families are considered. Copyright © 2006 John Wiley & Sons, Ltd.     

Role with the punches: the construction and representation of Amir Khan as a role model for multiethnic Britain

This article examines the rapid rise to fame of teenage British Asian boxer Amir Khan following his silver medal at the 2004 Olympic Games, and provides a critical discourse analysis of the way that he was subsequently constructed and represented by politicians and the media as a role model for multiethnic Britain. The analysis demonstrates that in the periods directly after both the 2004 Olympic Games and the 7 July 2005 London bombings, the majority of discourses about, and representations of, Khan were inextricably related to contemporary debates around multiculturalism, national identity, and religious extremism and/or deviance amongst young British Muslim men. This article argues that despite the ostensibly positive portrayals of Khan as an individual, a broader, more critical reading of these texts uncovers how they actually reproduce the contradictions and problems inherent to New Labour's policies on citizenship, community cohesion, the ‘war on terror’ and ‘diversity management’. The article concludes that the almost ubiquitous configuration of Khan as a positive role model is in danger of obscuring the continued existence of discourses and practices of racism and social exclusion in contemporary Britain.     

Cultural Education: Redefining the Role of Museums in the 21st Century

In this paper, I argue that in the face of a crisis about the value of culture, cultural education has been represented by some of its advocates as a new way of legitimising the cultural sector. It enables museums, for example, to appear more inclusive and democratic, more relevant to young people and others who do not normally visit museums, and more responsive to the needs of the society. However, defining the value of culture through an emphasis on cultural education, paradoxically, has the potential to undermine the basis of the museum's existence as a public institution. With reference to my research into New Labour's cultural policy, particularly in relation to museums, this paper highlights discourses that have given cultural education a more significant role in the cultural sector. I show how cultural education, with ‘cultural inclusion’ as its main objective, has evolved in the context of an existential crisis in the museum sector over the past 30 years, appearing to offer a means through which they can redefine their role and value in the society as anti‐elitist organisations supporting social change. I then go onto show how this apparent solution to the problem might further undermine the unique value of museums.     

Anality: News From the Front

“Anality: News From the Front” is a critical commentary on Jeffrey Guss's (this issue) paper, “The Danger of Desire: Anal Sex and the Homo/Masculine Subject” and Stephen Botticelli's “Clinical Example.” In her analysis of Guss's argument, Sedgwick situates the dangerous potential of transgressive anal desire as “a revolutionary flash-point to be sought out and exploited” and highlights what she views as Guss's underlying assumption: that “danger is now altogether a thing to be decried and avoided.” Her response to Botticelli is a lively imagined relationship to Botticelli as a therapist, based on his clinical observations documented in “Clinical Example.”     

New Labour and education

This article documents some of New Labour's education policies which, despite a rhetoric of inclusion, have largely ensured that education remains divided and divisive. Continuing faith in market choice and competition; continuing selection by private, grammar and specialist schools; a ‘diversity’ of schools with unequal intakes and resources; a standards agenda that requires more testing, assessment and centralised control of teachers and the curriculum; and a retention of an academic‐vocational divide has sharpened divisions and insecurities rather than working for the common good. Copyright © 2003 John Wiley & Sons, Ltd.     

Reforming child welfare: an integrated approach

Throughout the 1990s, child welfare systems were exposed to intense pressure. As a result, most systems have undertaken processes of reform and change. This article discusses the strategic development of New Zealand's service system in child welfare. A partnership between managerial discipline and professional leadership has been critical in the service system reform. With respect to management, a strong vision, a culture of high performance, and greater organizational stability and confidence provided the platform on which professional reforms could be established-including the knowledge framework, the service model, the practice package, and staff support. The managerial efforts that have provided the platform for the professional reforms are discussed, followed by an exploration of the professional reform package.     

Commentary: new technologies,public relations,and democracy

This commentary is based on Hiebert's keynote address given to BledCom 2004, the 11th International Public Relations Research Symposium on “New Concepts and Technologies for Public Relations, Public Affairs, and Corporate Communication,” Bled, Slovenia, July 2, 2004. It suggests that the new communication technologies can save democracy by restoring dialogic and participatory communication in the public sphere, thus preserving a role for public relations as two-way communication rather than propaganda and spin. However, the pathway ahead for public relations is strewn with landmines.     

Chrysalid Goffman: A Note on “Some Characteristics of Response to Depicted Experience”

Goffman's first substantial sociological work, his M.A. thesis entitled “Some Characteristics of Response to Depicted Experience,” has hitherto escaped critical commentary. Inspection of the thesis yields insights into the early development of Goffman's sociology. It shows that Goffman's later dismissal of positivistic and experimental approaches, his suspicion of interview methods, and his valorization of observational data have their origins in his research experiences in late 1940s Chicago while he worked toward his first graduate degree. The thesis fails to deliver the findings promised by the approved thesis proposal but succeeds as a demonstration of Goffman's methodological acuity.     

Aid and its impact on domestic change: The case of police reforms in Macedonia

This article examines the role that aid from the European Union (EU) has played in leading to change in non‐EU Member States. It particularly explores whether the EU's financial assistance has led to change in Macedonia. The question of police reforms in Macedonia, and of the EU's impact on these, are complex because of the sensitivity of such reforms in terms of the functioning of the country's multi‐ethnic democracy. Using the institutionalism approach, the article argues that the police reforms have indeed been heavily dependent on EU funding and traces the EU's role in the implementation of police reforms in Macedonia.     

Women in Politics in Post-Transitional Democracies: the chilean case

This article looks at women's participation in formal political institutions in posttransition politics. Employing the case of post-dictatorship Chile, it outlines the barriers to women's participation in the formal political arena; discusses the various strategies that Chilean women are currently employing to overcome their exclusion; and finally, examines the challenges that political women confront in promoting 'women's interests' in political institutions. Throughout the article two main arguments are advanced. First, where women's movements do not demand institutional reforms during the transition period - a time when movements enjoy influence and parties are in flux - then the barriers to women in political institutions re-emerge. In Chile, the fact that women did not demand institutional reforms, such as quotas for women in decision-making positions, is linked tothe broader strategy of the movement tomake citizenship demands based on women's 'difference'. This strategy inhibited women from demanding power (i.e. access to institutions as individuals) because this conformed to a masculine-defined notion of politics inconsistent with women's 'different' style of practising politics. A second,related argument is that a strategy based on women's 'difference' hinders women in politics frompromoting feminist goals,especially in the climate ofsocial conservatism that characterizes post-transition Chilean politics. Despite these constraints and the many challenges Chilean women in politics confront, gains are being made, as women recognize the need for, and begin to demand, institutional reforms to expand their presence in formal politics.     

Young People as Co‐producers in Policing across England. An Evaluation of the ‘Youth Commission’ on Police and Crime

This paper discusses a recent study on three ‘Youth Commission’ on police and crime projects. Professional viewpoints were interpreted to understand how they valued young people's participation and made sense of their experiences and capabilities. Framed within policing reforms, the ‘Youth Commission’ projects regard young people as co‐producers, who work in partnership with professionals to address police and crime issues. The focus is upon professionals and their relationships with young people for transformative participation and social outcomes. Working in partnerships showed interdependency but identifies further challenges if professionals do not truly value young people's participation.     

The gift-exchange and reciprocity of women in donor-assisted conception

This paper explores the rhetoric of gift‐exchange as it pertains to the donation of ovarian eggs (oocytes) and participation in surrogate pregnancy arrangements. It does so by drawing on the analysis of interviews with New Zealand women engaged in these practices. Contrary to the view that women's reproductive gift‐giving is intrinsically coercive and exploitative, the narrative accounts of donors involved in this research tend to suggest that women's moral identities as ethical subjects are created in the donative process. Despite this, many anxieties and contradictions involving the exchanges of women involved in donor‐assisted reproduction remain. This paper discusses some of these complexities in light of perceptions and theorisations of the gift relationship.     

From here to Recovery: One Service User’s Journey through a Mental Health Crisis: Some Reflections on Experience,Policy and Practice

This article documents the experiences of a service user through a mental health crisis, the experience of detention under Section 136 of the Mental Health Act, admission to hospital and eventual recovery. It gives a unique first person account of the experience of a psychotic episode together with a reflective commentary based upon the service user's auto-ethnographic analysis of both the event itself and her medical records, which were obtained post-recovery, as well as interviews with professional practitioners. The reflective commentary considers the practice of various professionals encountered during the service user's illness, treatment and recovery. The service user, whilst critical of some of the treatment she received, has engaged in a positive way with her local police force, involving herself in training sessions for officers about good practice under the Mental Health Act.