Participation of Disabled Children and Young People in Decision Making Within Social Services Departments: A Survey of Current and Recent Activities in England

A survey of all social services departments in England was undertakenin order to identify and investigate current work concerningthe participation of disabled children within decision makingregarding their own care and in service development. Developinga culture of, and good practice in, children’s participationis integral to government policy. Results demonstrate that disabledchildren are being involved in a range of decision-making areas;however, participation is not yet embedded or sustained acrossall social services departments, and the involvement of disabledchildren at a higher strategic level is still rare. The participationof disabled children needs further development including moreevidence on which factors can support and promote disabled children’seffective participation.     

Fostering Children and Young People on Remand: Care or Control?

Remand foster-carers can provide placements for children andyoung people awaiting trial or sentence within criminal courts.The role of fostering children and young people on remand isin some ways more complex than fostering other children, asremand foster-carers have to bridge the divide between providingthe care of the welfare system and the control of the criminaljustice system. This paper considers the ways in which a smallsample of remand foster-carers attempted to manage these tensionsand incongruities and tried to reach a balance between careand control. The paper identifies two main ‘parenting’approaches adopted by remand foster-carers, and comments onthe appropriateness of each to meet the needs of children andyoung people on remand, whilst still achieving the requirementsof the criminal justice system.     

Using Audio Documentary to Engage Young People Experiencing Homelessness in Strengths-Based Group Work

Little information exists on the use of audio-based activities in groups as a means to engage young people’s strengths. This article presents findings from a study that employed a coconstructed audio documentary group to explore homeless youths’ experiences in a music studio, their attached meaning, and whether studio and group involvement engaged youths’ strengths. Four young people and the author met over the course of 12 sessions to collaboratively develop, record, and produce an audio documentary. Young people successfully produced a coconstructed audio documentary and their involvement in the studio and the group engaged their strengths.     

Risk Management Paradigms in Health and Social Services for Professional Decision Making on the Long-Term Care of Older People

Risk management systems and structures are developing rapidlywithin UK health and personal social services. However, therisk management strategies of organizations need to take intoaccount the conceptual frameworks used by professionals. Thisgrounded theory study used data from nineteen focus groups andnine semi-structured interviews (ninety-nine staff in total)to explore perspectives on risk and decision-making regardingthe long-term care of older people. Focus group participantsand interviewees comprised social workers, care managers, consultantgeriatricians, general medical practitioners, community nurses,occupational therapists, home care managers and hospital dischargesupport staff. Social work and health care professionals conceptualizedrisk and its management according to six paradigms that appearedto be in a state of reciprocal tension: (i) Identifying andMeeting Needs; (ii) Minimizing Situational Hazards; (iii) Protectingthis Individual and Others; (iv) Balancing Benefits and Harms;(v) Accounting for Resources and Priorities; and (vi) Warinessof Lurking Conflicts. The effective translation into practiceof risk management strategies needs to address the complex andoften contradictory issues facing health and social servicesprofessionals.     

Social Group Work for Young Offenders with Learning Disabilities

ABSTRACT

Despite the high incidence of learning disabilities among young offenders, research suggests that young offenders with learning disabilities do not receive interventions that address their learning disabilities. Group treatment approaches for young offenders typically utilize a cognitive-behavioral orientation. Cognitive behavioral techniques have been found to be effective with the young offender population by targeting their faulty thinking. However, cognitive behavioral treatment is less effective with youth who have academic delays. Individuals with learning disabilities may have difficulties with the cognitive tasks used in cognitive behavioral treatment. This paper describes a treatment group, with illustrations, adapted for young offenders with learning disabilities, combining cognitive-behavioral and mutual-aid principles.     

Risk Perceptions and Alcohol Consumption among Young People

Swedish cross-sectional survey data on young individuals was used to analyse the determinants of perceived risks of alcohol use and how these perceptions relate to drinking behaviour. Three major conclusions were drawn: (1) that people overestimate the risks of alcoholism, (2) that these risk perceptions fall substantially with age, but nevertheless imply risk overestimation, and (3) that education about alcohol, narcotics and tobacco leads individuals to perceive risks more correctly and to have lower risk beliefs. An additional finding was that individuals with higher perceived risks were less likely to consume alcohol. Equations were estimated both separately and simultaneously.     

Risk, Mental Disorder and Social Work Practice: A Gendered Landscape

Whilst the importance of gender for social work practice, riskand mental health has been recognized theoretically for sometime, few attempts have been made to explore this area empirically.This paper presents findings from a mixed-methods study of socialwork practice in relation to mental health service users perceivedto be ‘high-risk’. Findings suggest, first, thatthe concept ‘high-risk’ was gendered because theprimary focus in social work practice was on the risks posedby male service users to others. Second, female social workersin the present study were found to have more female serviceusers from their caseloads who had been defined as ‘high-risk’compared with their male counterparts. The paper goes on toexplore this apparent congruence between female social workersand female service users and highlights how the management ofrisk could be considered gendered because it reflects a worker’s(perceived) capacity in cultural terms to ‘decode’the nature of the risks that their clients face as genderedsubjects. The paper demonstrates how the intersections betweenrisk, mental disorder and social work practice can thereforebe understood as a gendered landscape. It concludes by highlightingthe implications of these findings for social work practiceand research.     

Do They Know What They are Doing? Risk Perceptions and Smoking Behaviour Among Swedish Teenagers

Cross-sectional survey data on Swedish adolescents aged 12–18 was used to analyse perceived risks of smoking-related lung cancer, the determinants of these risk perceptions, and how these perceptions related to smoking behaviour. Three major conclusions were drawn: (1) that both smokers and non-smokers overestimated the risks of lung cancer, (2) that these risk perceptions fell substantially with age, but nevertheless implied risk overestimation, and (3) that individuals with higher perceived risks were less likely to be smokers but that risk beliefs had no effect on the number of cigarettes smoked.     

Socio‐Economic Factors and Mental Health of Young People in India and China: An Elusive Link with Globalization

Globalization and its related social, cultural, and economic changes have significant mental health outcomes for young people. However, mental health disorders among youth are seldom included in the range of problems linked to globalization. It is imperative that these multifaceted associations are considered in light of the substantial and increasing burden of disease caused by mental illness, particularly in Asian countries, which are comparatively young and in next few decades will be the major sources of the growth of world’s young population. The evidence reviewed in this study makes an argument that globalization has increased [relative] poverty and deprivation, social and income inequality, migration, occupational stress, educational competition, and educated unemployment in India and China. Simultaneously there is evidence which shows that these variables are causally linked with mental health of young people. Altogether, these phenomena are accompanied by higher rates of suicide among lower class, migrant, and student youth. This substantiates the proposition that globalization has significant consequences for the mental health of young people. Some interventions for debate and discussion are considered.     

Young Mothers and the Care System: Contextualizing Risk and Vulnerability

Although the UK has the highest levels of teenage pregnancyin Western Europe, and while adolescent mothering has receivedconsiderable recent attention from researchers, there is a paucityof research literature about the particular experiences of youngwomen who become mothers in or following local authority care.Findings from our empirical study reveal the significance ofrisk and vulnerability faced by a group of fifty-five youngmothers following their exit from care. This paper exploresthe impact of risk and vulnerability and also highlights thatalthough pregnancy may not be a planned activity, young womendemonstrate choice and rationality in their decision to becomemothers.     

Regulation and Risk in Social Work: The General Social Care Council and the Social Care Register in Context

The 2000 Care Standards Act led to the setting up the GeneralSocial Care Council (GSCC) as the new governing professionalbody for social workers and other social care employees in England.¹The GSCC published national Codes of Practice for social carestaff and their employers in 2002, whilst 1 April 2003 saw theintroduction of the Social Care Register. The stated aim ofthese developments is to protect the public, improve the qualityof care offered by social workers and increase public confidencein the profession. However, such intentions disguise the increasein regulatory control that the GSCC and social care employershave gained over the workforce—intrusions that have metrelatively little criticism. By locating these developmentswithin a broader social context, one in which risk and its managementare at the forefront of contemporary social policy and practice,this paper argues that underlying the debate is a climate offear and distrust in which there is a tendency to view peopleas either vulnerable, dangerous or both. Such a degraded viewof the subjects of social work also pertains to social workersthemselves, who are simultaneously seen as assessors of risk,at risk and as a risk.     

Professional Perspectives on Decision Making about the Long-term Care of Older People

With the increasing pressure on social and health care resources,professionals have to be more explicit in their decision makingregarding the long-term care of older people. This groundedtheory study used 19 focus groups and nine semi-structured interviews(99 staff in total) to explore professional perspectives onthis decision making. Focus group participants and intervieweescomprised care managers, social workers, consultant geriatricians,general medical practitioners, community nurses, home care managers,occupational therapists and hospital discharge support staff.The emerging themes spanned context, clients, families and services.Decisions were often prompted by a crisis, hindering professionalsseeking to make a measured assessment. Fear of burglary andassault, and the willingness and availability of family to helpwere major factors in decisions about living at home. Serviceavailability in terms of public funding for community care,the availability of home care workers and workload pressureson primary care services influenced decision ‘thresholds’regarding admission to institutional care. Assessment toolsdesigned to assist decision making about the long-term careof older people need to take into account the critical aspectsof individual fears and motivation, family support and the availabilityof publicly funded services as well as functional and medicalneeds.     

United We Stand? Partnership Working in Health and Social Care and the Role of Social Work in Services for Older People

The concepts of ‘partnership’ and ‘collaboration’have become amongst the most critical themes of ‘new’Labour’s social policy, particularly in respect of thedelivery of health and social care. Although the terms are rarelyprecisely defined and hence have become problematic to analyse,in most understandings successful partnerships rely upon goodsystems of inter-professional collaboration. Through revisitingthe extensive literature on the sociology of the professions,and the nature of inter-professional working, this paper willargue that effective collaborative working within health andsocial care is hard to achieve, particularly in the light ofthe vast differences in power and culture between various occupationalgroupings, and the inherently competitive nature of professionsjostling for territory in the same areas of activity. It suggeststhat these issues cannot be resolved unless they are properlyunderstood; a rhetorical appeal to the unmitigated benefitsof ‘partnership’ alone will not produce more effectivejoint working. In addition, it notes that an appropriate rolefor social work in the context of partnership working has yetto be defined and proposes specific tasks and values that distinguishthe social worker from other related professionals.     

Young People, Housing Benefit and the Risk Society

This paper draws on debates about the risk society to examine the impact of the single room rent, a restriction in the housing benefit scheme that applies to single people under 25 living in privately rented housing. Drawing on qualitative interviews in six localities in England, the paper examines young people's ability to gain access to and afford privately rented accommodation while receiving housing benefit. It argues that the single room rent restriction has not only cut their housing benefit entitlement but also created more uncertainty for young people. Consequently, it has enhanced rather than ameliorated the risks faced by young people on low incomes in the private rental housing market.     

Making a home, finding a job: investigating early housing and employment outcomes for young people leaving care

This paper presents findings from a new study of outcomes for young people leaving care funded by the Department for Education and Skills. It reports findings for a sample of 106 young people in relation to progress made in housing and employment some 12–15 months after leaving care. The generally poor employment outcomes of care leavers are acknowledged, but ingredients that make for success are also highlighted, including the value of settled care and post‐care careers, sound career planning and, significantly, the value of delaying young people’s transitions from care. Early career paths also interconnect with how young people fare in housing, in developing life skills and with other problems in their lives after leaving care. Housing outcomes were more encouraging and predominantly shaped by events after leaving care, and faring well in housing was the factor most closely associated with positive mental well‐being in young people. Some groups that are at risk of faring badly are identified, including young people with mental‐health problems, young people with persistent offending or substance misuse problems and, in some respects, young disabled people. The implications of these findings for leaving care services are considered.