Research Note: An Attempt to Classify Adolescent Parasuicide Attempters

Correspondence to David Gilliland, Principal Social Worker, The Royal Belfast Hospital for Sick Children, 180 Falls Road, Belfast BT12 6BE. Summary This paper examines some of the literature available on thesubject of adolescent suicide attempts. It discusses the extentto which it is possible to identify sub-groupings within groupingsof young people who took overdoses. It suggests on the basisof the study undertaken (and in reference to other studies)that it may be possible to identify sub-groupings. The paperalso discusses in detail a study carried out examining characteristicsof two groups of young people—one who had been admittedto hospital following a single overdose attempt, and a secondgroup who had several admissions to hospital following repeatedoverdose attempts. The implications of these findings are discussedin terms of the possibilities of identifying young people whoare at an increased risk of repeating an overdose attempt, andthe issues for practitioners and service managers are identified.     

Responding to Youth Crime in Scotland

Correspondence to Bill Whyte, Director, Criminal Justice Social Work Development Centre for Scotland, School of Social and Political Studies, University of Edinburgh, Flat 1FR, 31 Buccleuch Place, Edinburgh EH8 9LJ. E-mail: B.Whyte{at}ed.ac.uk Summary Scotland’s Children’s Hearings deal with young peoplewho offend within an integrated system dealing also with youngpeople in need of care and protection, on the assumption thatthe difficulties of both groups have similar roots in multiplesocial disadvantage and social adversity (Whyte, 1998a). A government-fundedstudy, one of the first since the system’s inception in1971, was commissioned to examine the social characteristicsof over 1,000 children and young people referred for offenceand nonoffence reasons. This paper describes the characteristicsof 465 of the young people who were referred specifically foroffending. It provides the first ‘official’ datain twenty-five years on young people in the system. The studyfound that most of those referred for offending had characteristicsstrikingly similar to those referred for nonoffence reasons,as predicted when the system was first established, and similarto those present in the general literature on young offendersfrom other jurisdictions. The study poses fundamental questionstaken up by the Scottish Executive’s review of youth crimeon how best to design systems and develop social interventionsthat can address offending and social disadvantage in an integratedway.     

Cost and Stakeholder Views: A combined approach to evaluating services

Correspondence to Jackie Powell, Department of Social Work Studies, University of Southampton, Highfield, Southampton SO9 5NH Summary This paper focuses on the decision-making process at a strategiclevel in the context of implementing a ‘community care’policy for older people with mental health problems. It is basedon the findings of an evaluative study of the implementationof one district health authority's strategy for the decentralizationof its mental health services for older people. The study wasan attempt to develop an evaluative approach which acknowledgedthe importance of cost, but also the need to include the viewsof the several ‘interested parties’, not least thosewho used the service. The reconciliation of what might be seenas the conflicting interests of the wider public for a carefulutilization of resources with the individual's needs for anaccessible and responsive service represents a major challengefor planners, managers and practitioners within the public sector.This paper argues the need for dialogue as the basis for partnershipbetween those with a primarily financial focus to their workand those more intimately concerned with individual needs.     

Huntington's Chorea and the Young Person at Risk

Correspondence should be sent to J. R. Korer, Mental Health Research Unit, Manchester University, Department of Psychiatry, Stopford Building, Oxford Road, Manchester M13 9PT. Summary Social workers increasingly find themselves involved with familiesin which one or more individuals suffer from genetic disease.Huntington's chorea is such a condition and has serious implicationsfor other individuals, both in the nuclear and extended family.This paper explores some of the likely responses of young peoplein such families and how they can best be helped. A social workerneeds to be aware of the differing responses to varying degreesof risk and how young people in the situation can be advisedand helped. It follows on from an earlier study (Korer and Fitzsimmons,1985) which looked more specifically at family life within thesefamilies.     

Going missing from residential and foster care: linking biographies and contexts

Summary The findings discussed here derive from a Department of Healthfunded study into young people who go missing from foster andresidential placements. We found going missing to be a widespreadphenomenon especially, though not exclusively, in residentialcare. The risks encountered by young people included involvementin offending, substance misuse, rough sleeping and sexual exploitation,including prostitution. However, patterns of going missing werecomplex. Different patterns were identified for those who wentmissing to be with friends or family as compared to those whoran away, the latter group tending to place themselves at greaterrisk. Those who went missing repeatedly were at risk of increasingdetachment from substitute carers and school and were more likelyto have offended in the past. However, these longer-term risksdiffered significantly from those who had first gone missingfrom home when compared to those first missing from substitutecare. The complex motivations that prompt young people to gomissing are also discussed and the balance between individualand environmental factors in explaining this phenomenon is explored.     

Adolescents in Crisis: on Hypothesizing with Minimal Information

Summary This paper suggests some of the questions that practitionersshould ask themselves when faced with an adolescent in crisis.It is important that professionals have available a number oflevels for conceptualizing behaviour if they are to make senseof complex information. Minimal information from a referralis given to demonstrate our approach. We consider some issuesconnected with change in systems; symptomatic behaviour in alife cycle context; agency contexts as they affect professionalhelp; and adolescent development in the context of marital breakdown.The practitioner is encouraged to develop hypotheses, whilehaving very few facts which in the light of further contactmay be developed, or discarded in favour of hypotheses morerelevant to the particular family. We warn against the equal,but different dangers of approaching each new family eitherwith a totally open mind, or with fixed ideas concerning whatit ‘must be about’. We do not argue that it is betterto have little or no previous history (although too much historycan become part of ‘the problem’), but that workersalways have more information, from the very start, than theymay realise.     

Children in Need? Listening to Children whose Parent or Carer is HIV Positive

Correspondence to Kay Tisdall, University of Edinburgh School of Social and Political Studies, Adam Ferguson Building, George Square, Edinburgh EH8 9LL, UK. E-mail: K.Tisdall{at}ed.ac.uk Summary International attention is being brought to the global HIV/AIDS epidemic. In contrast, HIV and AIDS risk being forgottenissues for those living in Scotland. Yet in 2002, numbers ofreported infections have begun to rise. Children and young peopleare even more likely to be affected by parental HIV now, asparents live longer and are able to have more children. Verylittle is known in Scotland about affected children and whethercurrent service provision meets their needs. This research projectsought to address certain of these gaps, by gathering quantitativedata from service providers and qualitative data from interviewing28 affected children and young people. The research found adearth in policies and services, and a failure to audit need.HIV education in schools did not acknowledge that pupils mightbe living with parents who had HIV illness. Children and youngpeople tended to be very involved in the health care of theirparent but none of them received direct support from healthworkers. On the whole the children and young people did notenjoy support from statutory social workers but appreciatedthe support and activities provided by workers in the voluntarysector.     

Adolescent and Young Adult Male-to-Female Transsexuals: Pathways to Prostitution

Correspondence to Dr Ronit D. Leichtentritt or Dr Bilha Davidson Arad, Bob Shapell School of Social Work, Tel Aviv University, Ramat Aviv, Tel Aviv 69978, Israel. E-mail: ronitl{at}post.tau.ac.il Summary The current study aims to reveal the experiences of young male-to-femaletranssexuals who work as prostitutes in Israel, providing astage where the voice of this marginal group may be heard, aswe believe social workers need to know more about the realityof these young people’s lives before they can offer meaningfulresponses. The study was guided by two main questions: (1) Whataccounts do young male-to-female transsexuals who work as prostitutesprovide for their involvement in the sex industry? and (2) Whatare their experiences as young transsexuals engaged in prostitution?Using the life story interview and thematic analysis, two mainthemes were revealed: (a) what I ran away from or was thrownout of; and (b) why I became a prostitute, how I became professionalizedand why I continue to work as one. The first theme focuses ontranssexualism; the second on prostitution. Yet, these two themesare intertwined: from the respondents’ perspective, prostitutionis a price you must be willing to pay if you want to achievegender transformation at the beginning of the twenty-first centuryin Israel. Practical implications and further research are recommendedto better inform social workers assisting this high-risk population.     

Differential Assessment of Residential Group Care for Children and Young People

Summary Twelve qualitative variables frame the production of outcomesin residential group care for children and young people. Theseare used to examine contemporary themes in social care practicewith children and families. This assessment typology offerssocial workers, managers, researchers and policy-makers bothvalid and reliable baseline measures for use in evaluating residentialservices for children and young people. The typology also providescomparative interval measures for use in longitudinal evaluationsof quality. Close attention needs to be given to the impacteach of these variables has on the quality of residential groupcare services offered to children, young people and their familiesor significant others.     

Participation in social,leisure and informal learning activities among care leavers in England: positive outcomes for educational participation

Against a background of research and national statistics that consistently show that educational participation and achievement of young people in and leaving care is significantly lower than is the case for the non‐care population, previous research has shown the positive impact that social, leisure and informal learning activities can have on the educational participation and achievements of young people, and particularly those from disadvantaged backgrounds. The UK: Care Matters Green Paper stated that involvement in leisure and social activities can have a positive impact on the self‐esteem of young people in and leaving care and upon their educational attainment and later success in the labour market. This paper reports on the English results of a cross‐national study of young people from a public care background and their pathways to education in Europe. Using case study examples it explores the impact that social, leisure and informal learning activities can have on educational participation and educational pathways of young people in and leaving care. The paper argues that, in view of these findings, encouraging and supporting young people in and leaving care into these types of activities should be a priority for social care professionals, carers and teachers.     

Are Young People in Correctional Institutions Different from Community Students Who Have Never Been Convicted?: Differences in Internalizing and Externalizing Behaviours

Correspondence to Byoungduk Sohn, Department of Social Policy and Social Work, University of Oxford, Barnett House, 32 Wellington Square, Oxford OX1 2ER, UK. E-mail: byoungduk.sohn{at}linacre.ox.ac.uk Summary By comparing the prevalence of emotional and behaviour healthproblems among institutionalized juvenile offenders with thatamongst a non-offending sample of adolescents, this study indicatescommon characteristics of the perceived emotional and behaviouralproblems, and describes risk factors pertinent to persistentjuvenile offending. Familial backgrounds, behavioural and emotionalmeasures were collected through self-report surveys. Resultsshowed that young people in secure units claimed significanthigh levels of emotional and behavioural problems and that thoseproblems were associated with their disadvantaged familial socio-economicbackgrounds and perceived parenting factors. Various policyimplications are recommended to tackle problems amongst thesedisadvantaged young people in correctional institutions in Korea.In particular, for those working with young people in correctionalinstitutions in the UK, the findings highlight the importanceof culturally relevant programmes.     

Adolescents Who Sexually Abuse and Residential Accommodation: Issues of Risk and Vulnerability

Summary This article, arising out of quantitative and qualitative researchstudies conducted by the authors, begins with a brief overviewof current knowledge about male adolescent sexual abusers andassociated policies, procedures and services. A particular concernraised by professionals and welfare agencies, who are strugglingto develop appropriate responses to young sexual abusers, concernsthe circumstances and problems of young people who are placedin residential accommodation as a result of their sexually abusivebehaviour, often where there are also child victims of sexualabuse. The vulnerability of young sexual abusers and the riskthey pose to others is considered in the light of the findingsof qualitative research by one of the authors into the constructionand control of children and their sexualities in residentialchildren's homes. This research suggests that the inadequateways in which sexual behaviour in children's homes is perceivedand managed, serves to compound the problems of both the sexuallyabusive and non-abusive adolescents placed there. The findingsfrom both authors' research are then theorized within broaderconceptual frameworks about the nature of childhood, childhoodsexuality and institutionalization and its links with peer sexualabuse.     

Understanding 'Going Missing': issues for social work and social services

Correspondence to Malcolm Payne, Professor of Applied Community Studies, The Manchester Metropolitan University, 799 Wilmslow Road, Didsbury, Manchester M20 8RR. Summary Recent research about young people and adults who ‘gomissing’ raises important issues for social work and thesocial services. Large numbers of young people go missing eachyear, becoming vulnerable to exploitation and at risk of committingcrime and suffering from other social difficulties. Adults leavebehind families with practical and emotional difficulties. Adefinition of ‘going missing’ should focus on absencefrom social expectations and responsibilities. Five groups ofmissing person are identified: runaways, pushaways, throwaways,fallaways and takeaways, reflecting different social situationsin which going missing occurs. It is argued that going missingis one of a range of choices which people in difficulties maymake, depending on their approach to problems in their livesand the availability of opportunities. Effective local co-ordinationto focus on reasons for going missing, on reunions and returnsto residential care or home, and to provide emotional and practicalhelp to people ‘left behind’, are required, providedthat care is taken to protect people who go missing becausethey are subject to abuse and violence.     

Adoption Advice: A New Service

Summary In the summer of 1975, Barnardo's Yorkshire divisional officelaunched an adoption advice service for anyone with any problemsrelating to adoption. At that time there was no service of thiskind in operation and people with adoption problems had no focalpoint to which to refer for help and advice. The following articledescribes the thinking on which this project is based and describesthe type of problems with which the counsellor had to cope andthe necessary information and social work skills which wereneeded to assist the people using the advice service. This discussioncovers the period from the inception of the Adoption AdviceService to 31 December 1975.     

Help for Those Bereaved by Suicide

Summary Thirty-one people widowed by the suicide of a spouse were askedabout their needs following the bereavement. All had needs ofsome kind, most of them being met by relations. Nevertheless,more help could easily have been given by professional people.We make proposals here aimed at increasing the awareness ofthose who cope with the aftermath of suicide. They could domore to ease the burden for survivors.     

运动休闲的渊源及其激励效应

对休闲时间,大部分人都处于放任随性的状态,缺乏理性的规划。爱因斯坦说过：人的差异在于业余时间。随着休闲时代的到来,提高人们休闲生活的质量是现代生活方式的重要内容。研究运动休闲,从价值观和价值取向上,引导人们积极进行运动休闲,有助于养成个体健康的生活方式,培养休闲性的创新意识,并将休闲运动作为人力资本投资的形式,以鼓励社会网络支持运动休闲,有利于促进和谐社区的建设。     

Ambiguity and User Involvement: Issues Arising in Assessments for Young People and their Carers

Correspondence to Peter R. Day CRSP, Department of Social Sciences, Loughborough University of Technology, Loughborough, Leicestershire LE 11 3TU. Summary Issues for service users and professional staff arising fromcontemporary community care policies emphasizing user involvementare reviewed. Against the background of a key expression ofthese policies, the Disabled Persons' Act of 1986, methods ofproviding assessments involving young people with learning disabilitieswere analysed. Problems identified for further study includeddifficulties arising for young people due to lack of experienceand immaturity, the low expectations of their parents or carers,problems arising from the culture of services and how assessmentsmay be developed which provide seriously disabled users themselveswith ways of expressing their wants and needs.     

An Innovative Project for Young People in Care Who have been Sexually Abused

Correspondence to Willm Mistral, The Mental Health Research and Development Unit, 3 East, 2.10, University of Bath, Bath BA2 7AY,UK. E-mail W.Mistral{at}bath.ac.uk Summary Professional awareness of child mental health problems and sexualabuse has increased greatly over the past 20 years, and thisis especially true for young people under the care of socialservices. The current paper provides an overview of the researchliterature on needs and service provision in this area. It goeson to describe an innovative interagency project in Dorset whichoffers flexible, fast track intervention packages to lookedafter young people with a profile indicating sexual abuse, whohave been reluctant to engage with conventional child and adolescentmental health services. The paper includes preliminary resultsfrom an evaluation of this project and discusses the implicationfor future service provision.     

Professional Advocacy as a Force for Resistance in Child Welfare

Correspondence to Jane Dalrymple, University of the West of England, Glenside Campus, Blackberry Hill, Stapleton, Bristol BS16 1DD, UK Summary The development of child and youth advocacy is a relativelyrecent phenomenon, increasingly recognized by both practitionersand politicians as a way of establishing communication spacesfor young people who are looked after in state care. Literatureto date has focused on the development and underpinning principlesof child and youth advocacy, which is a necessary starting pointfor establishing good practice. However, while policy and legislationpromote the view that young people are actively involved indecision making, their advocates can be placed in a passiveposition, effectively denying young people a position as socialactors. This paper argues that the problemitizing of independentadvocacy as unprofessional can serve to further marginalizeyoung people and render advocates impotent. It suggests thatwhile it is structurally necessary for adults to take on theadvocacy role, this must be undertaken in a way that activelyresists the oppression of young people. Through considerationof accounts of advocacy activity, by way of illustration, thepaper takes the debate beyond the principles of participation,empowerment and rights to a consideration of strategies thattake into account the complexities of advocacy practice in childwelfare.     

Stress in Social Services: Mental Wellbeing, Constraints and Job Satisfaction

Correspondence to Margaret Coffey, Liverpool Hope University College, Room AEW 098, Hope Park, Liverpool L16 9JD, UK. E-mail: coffeym{at}hope.ac.uk Summary The public sector is facing an impending shortage of staff,because young people no longer want to work in it and nearlya third of its workforce is over 50 years of age. Staff workingwithin the public sector report that stress is the biggest singlefactor affecting their decision to leave. This research notereports the findings of a recent study carried out in two socialservice departments in the north-west of England. The primaryaim of the research was to explore work-related stress, usinga ‘problem diagnosis tool’ to understand the stressorsexperienced by social services staff, and to inform the developmentof interventions aimed at reducing and/or eliminating them.This study used in-depth interviewing to develop a questionnaireincorporating a variety of measures to assess potential stressorsand mental well-being. The questionnaire response rate was 33per cent (n = 1234) and the results demonstrated statisticallysignificant differences between staffing grades. Staff workingwith children and families reported the highest levels of absenteeism,poorest well-being, and highest level of organizational constraints.Job satisfaction was low compared with established norms forvarious occupational groups. This grounded research baselineis a crucial step to inform specifically designed and targetedinterventions, which can be effectively evaluated from thisbaseline position.