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.     

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.     

Discourse and Resistance in Care Assessment: Integrated Living and Community Care

Correspondence to Mark Priestley, Disability Research Unit, University of Leeds, Leeds, LS2 9JT, UK Summary This paper illustrates how value conflicts between the competingphilosophies of community care and integrated living are playedout at a micro level. The experiences of service users in Derbyshireshow how the process of care assessment can perpetuate traditionaldiscourses of disability based on dependency, individualizationand segregation. By contrast, self-assessment within an integratedliving approach opens up new possibilities for resistance throughthe supported self-empowerment of service users. Moreover, theparticipation of disabled people in managing their own affairschallenges established cultural values about the role of disabledpeople in society.     

Dying and Bereavement, Spirituality and Social Work in a Market Economy of Welfare

Correspondence to Margaret Lloyd, School of Social Work, University of Manchester, Oxford Road, Manchester M13 9PL Summary This paper examines the contribution of social work practiceto the care of people who are dying or bereaved. It considerscurrent challenges to traditional practice arising from societaland organizational change, reaffirming the importance of thesocial work role but arguing that, in order to face those challenges,social workers must broaden their perspective to incorporatea spiritual dimension. The paper draws on a research study conductedby the author.     

Where has all the care management gone? The challenge of Parkinson's disease to the health and social care interface

Summary The delivery of health and social care has undergone massivechange in the UK in the 1990s. A key factor in the drive forreform was the failure of joint working arrangements betweenhealth and social services and the need to provide integratedcare for people who have overlapping health and social careneeds. This article draws on a research study investigatingthe community care provided to people with Parkinson's diseasein the wake of the 1990 National Health Service and CommunityCare Act. As a chronic progressive disease predominantly affectingolder people, the management of Parkinson's provides an exemplarof some of the key features of supporting people with continuingcare needs. This study found serious deficits in the assessmentand meeting of need, arising from weaknesses at the health andsocial care interface. The article concludes by consideringan approach which resources and supports the service user/carerin managing their own care pathway.     

The Impact of Character-training Courses Upon Young People: an Empirical Investigation

Summary This article reports an attempt to assess the impact of character-trainingcourses upon young people. Seventy-seven young people from aLancashire-based company were interviewed both before, and aftertheir participation on the courses. From previous studies andliterature produced by the courses, five possible effects werehypothesized: (1) That the courses increase the social competenceof trainees. (2) That following the courses young people putmore into and get more out of life. (3) Trainees subsequentlydevelop new leisure interests. (4) The courses develop leadershipqualities. (5) Following courses young people are more likelyto participate in community service. The interview scheduleswere designed to test these hypotheses. Comparisons betweenreplies received from pre- and post-trainees confirmed onlyone of the hypotheses: following their training the young peopledid develop leisure interests related to the content of thecourses. Otherwise the data collected before and after the coursesdid not follow the predicted patterns. Further analysis of thedata suggested that the courses have an additional and unintendedeffect: namely that they make young people less settled at work     

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.     

SETTING OBJECTIVES AND MEASURING ACHIEVEMENT IN SOCIAL CARE

Correspondence to Tony Bovaird, Public Sector Management Research Centre, Aston University, Aston Triangle, Birmingham B4 7EJ Summary This paper examines a systematic approach to formulating andevaluating policies for social work practice in social care.A hierarchy of aims and objectives is advocated, based on theassumption that a clear statement of desired outcomes in socialwork practice with groups of service users is required, togetherwith the establishment of indicators by which their achievementmay be measured. The purpose of the hierarchy is to generatean integrated policy for change and to give a full sense ofdirection to all staff involved, both in policy making and insocial work practice.     

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.     

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.     

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.     

A Consumer Study of Young People's Views on their Educational Social Worker: Engagement as a Measure of an Effective Relationship

Correspondence to Colin Pritchard, Mental Health Group, University of Southampton, Royal South Hants Hospital, Brintons Terrace, Southampton, SO14 0YG, UK. Summary This, the first ever consumer study of education social workers(ESWs), uses qualitative material and quantitative analysisby examining the views of 110 users of a county ESW service.Most pupils belonged to families with long-standing disadvantage;e.g. 53 per cent had unemployed fathers; over 70 per cent hadparents with disturbed personal and social relationships, 39per cent had a single parent; 30 per cent plus had mental healthproblems; and 10 per cent of parents had been in care as children,i.e. more than ten times the national average. The young people also had considerable disruption in their lives:for example 78 per cent frequently missed school; over 50 percent had school and peer difficulties; 30 per cent offended;over 30 per cent experienced bullying; 5 per cent were the subjectof child protection enquiries, 10 per cent had previously beenin care and 2 per cent had had an incident of ‘attemptedsuicide’ (50 times the national rate). They averaged sixmajor difficulties each. Despite these antecedents, 91 per cent of the young people demonstratedan ‘engaged’ relationship with their social worktrained ESW, with many examples of practical psychosocial helpbeing received. The concept of ‘engaged’ was statisticallyvalidated in the comparison of views between the ‘engaged’and ‘non-engaged’ research participants. The resultsindicate the value and effectiveness of a supportive rapport/relationshipas a vehicle to reach and to be of practical assistance to disturbedand disturbing young people.     

Patterns of Provision in Respite Care and the Children Act

Summary This article presents the findings of a three-year study intorespite care services to disabled children and discusses thesein the light of the 1989 Children Act. The aims and methodsof the research are first outlined and the various servicesincluded in the study are described. Access to services was found to be uneven, with families fromlow socio-economic groups and from black and ethnic minoritycommunities apparently having less choice. The characteristicsof users are identified: some of these varied according to typeof facility used or amount to care received. Agency records and registers were often found to be inaccurate:the Children Act will require authorities to maintain updatedregisters. New powers to charge for services may create furtherbarriers to access although requirements to take account ofchildren's racial and cultural background should extend it.The Act will help authorities regulate the amount of respitecare children receive and introduces certain safeguards. Itsemphasis on consulting young people is to be welcomed. Overall,the new legislation has the potential to improve many aspectsof respite care; its ability to do so will depend on havingadequate resources.     

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.     

Government, Social Services Departments and the Health of Children and Young People: Which Way Forward?

Summary Despite the dearth of research into the health of children andyoung people in contact with or ‘looked after’ bylocal authorities, a series of official and quasi-official reportshave begun to raise awareness of this issue. There are goodreasons to believe that this group of children will be disadvantagedin terms of health as they are in other aspects of their lives.The evidence suggests that local authorities do not live upto the standards of ‘good parents’. Current notionsof good practice are critically appraised and the article concludesthat social work is unable to do more than mitigate the effectsof Government policies which affect health and social servicesand which have lead to widening social inequalities.     

Childcare with gloves on: protecting children and young people in residential care

Summary Abuse of young people in out-of-home care has caused internationalpublic and professional concern over the last fifteen years.Although research has been undertaken to identify factors thatare likely to contribute to a safer environment for young people,little consideration has been given to the impact of abuse scandalson workers' perceptions of what constitutes abusive behaviour.This paper presents the findings of a study undertaken in threeresidential children's units in one local authority which soughtto explore this area and considers two key findings which raiseissues for the social work profession. These are, first, thatthe perception of abusive behaviour was in the main determinedin terms of the workforce's own vulnerability to allegations.Secondly, staff found it difficult to conceive of a colleagueas a potential perpetrator of abuse. The paper concludes byevaluating recent government policy documents in the light ofthe study findings.     

The Impact of New Labour Health Policy on Social Services: A New Deal for Service Users' Health?

Summary The health policies of the Labour Government of 1997–2001included an increased emphasis on social services departments'(SSDs) contribution to promoting health. Three dimensions ofthis policy shift are discussed: first, the drive towards organisationalfusion between elements of the NHS and SSDs; second, the newmechanisms for conjoint funding of health and social services;and, finally, the new policy focus on tackling health inequalitiesby combating social inequalities on a national and localitybasis. In each case, the touchstone of our analysis is the consequencesfor the health and well-being of SSD service users as membersof socially disadvantaged groups. We conclude that New Labourhas taken some steps, particularly reducing child poverty, whichwill have long lasting health and social benefits for actualand potential service users. However, inadequate funding ofSSDs undermines their effectiveness as a partner in integratedhealth and social care. As signalled by service user initiatives,SSDs potential for promoting more equal chances of health andwell-being in ill-health will also not be realised without substantialchanges to current SSD policy and practice.     

Children and young people with a hidden disability: an examination of the social work role

Summary There has been little research attention paid to the natureand extent of social work intervention with children and youngpeople with invisible impairments. The recent study describedhere found that children and young people with a hidden andstigmatizing impairment received a social work service whichwas at a minimal level. The children and young people were affectedby physically induced incontinence, and described how they facedan environment which created particular tensions. Their parentsconcurred with this overall picture and reported unmet needs.Recommendations are made about social services input, but itis recognized that the level of social services interventionavailable to these families may, in part, be a reflection ofa low priority assigned to disabled children generally. It isargued that, although such an assignment is a common picturein recent research about social services provision to disabledchildren, a change in priorities is needed which recognizesthe importance of coherent support to disabled children as ameans of improving their environment and thereby reducing families'stress levels and the likelihood of abuse or rejection.     

Personal Beliefs and the Experience of Problems: A Study in Adolescence

Summary This paper presents the results of a study of the views of across-section of young people in the 14–15 year old agegroup. It indicates how personal views and attitudes can beeffective in increasing or reducing the impact of the normalproblems of adolescence. The vital importance of a healthy relationshipwith parents is emphasised by the results.     

Partnership between the probation service and voluntary sector organizations

Summary This paper considers the development of inter-agency partnershipsbetween the probation service and voluntary sector organizationsin the early 1990s in England and Wales and reports the resultsof research by the author and their implications for youth justicearrangements outlined in the recent 1998 Crime and DisorderAct. The article outlines the development of probation partnershipsand the impact of changes to probation services, voluntary organizationsand service users which include: a shift towards purchaser-providerand contract-based arrangements; voluntary organizations takingon a role to work with involuntary clients; and the introductionof a discourse on partnerships which marginalizes small, informalvoluntary groups. These findings are then considered in relationto the Crime and Disorder Partnerships for crime preventionwhich form a crucial part of the 1988 Criminal Justice Act.The Crime and Disorder Partnerships have less emphasis on amanagerialist agenda but offer no extra resources and this articlesuggests that they may therefore not result in significant benefitsfor agencies working with young offenders.