Unemployment, Age, Gender and Regional Suicide in England and Wales 1974-90: A Harbinger of Increased Suicide for the 1990s?

Correspondence to Prof. Colin Pritchard, Department of Social Work Studies, University of Southampton, Highfield, Southampton SO9 SNH. Summary The Department of Health's Health of the Nation aims at a substantialreduction in suicide; this is a ‘vote of confidence’in the effectiveness of the community psychiatric and healthservices. However, it will be shown that a number of socioeconomicchanges have occurred which may lead to increased suicide; forexample British male suicide rose in the 1980s, significantlyassociated with unemployment. Though female suicide fell substantiallyover the period, across the regions suicide rates for both menand women were worse amongst the ‘work age’ bands,16–44 years, than the older groups. In respect to therelatively poorer rates amongst younger women, this may be linkedto unemployment and their unfulfilled job expectations. If thesuicide targets are not met, it is feared that the ‘failure’will laid at the door of the community and health services.     

The Effort Involved in Finding Employment for White-Collar Offenders

Summary Ex-offenders are notoriously difficult to place into employment.However, the efforts needed to help such clients find work varyenormously and an important question to consider is whetherit is more appropriate to help a larger number of clients bylimiting the amount of placing effort for each client or tocontinue to try to assist those who prove much more difficultplacing propositions. The present study indicates some of thepotential dangers in concentrating upon short-term aid and thefindings have relevant implications for other areas of socialwork where there is a need to ration efforts made on behalfof clients. The present paper also stresses that the difficultiesof while-collar es-offenders finding work have not been fullyrecognized by other comtnentators.     

Older People and Access to Care

Correspondence to Denise Tanner, School of Health and Social Sciences, Coventry University, Priory Street, Coventry CV1 5FB, UK. E-mail: d.tanner{at}coventry.ac.uk Summary At the heart of a number of New Labour health and social policyinitiatives are stated concerns with supporting independence,preventing deterioration and extending access to services. Thisarticle examines the potential impact of these initiatives,including Prevention Grants (Department of Health, 2000b), theNational Service Framework for Older People (Department of Health,2001a), the Fair Access to Care Services Guidance (Departmentof Health, 2002a), and the Single Assessment Process (Departmentof Health, 2002b), on older people with ‘low level’needs who have increasingly been excluded from services targetedat those in high risk categories. Key standpoints for this analysisare research findings indicating what older people themselveswant from preventive services. Central messages, consistentwith those from other service user ‘groups’, arethe need for support services that enable older people to continueto exercise choice and control over their lives. New preventivemeasures are evaluated in the light of these findings and foundwanting. It is argued that recent policy initiatives are likelyto do little to widen access to support services for those withlow intensity needs, and, moreover, that the processes involvedin identifying those at future high risk will detract from ratherthan enhance citizenship. A more diffuse approach to preventionis advocated, based on mutuality, community development, andcapacity-building.     

Working in Multidisciplinary Community Mental Health Teams: The Impact on Social Workers and Health Professionals of Integrated Mental Health Care

Correspondence to Professor John Carpenter, Centre for Applied Social Studies, University of Durham, Elvet Riverside II, Durham DH1 3JT, UK. E-mail: J.S.W.Carpenter{at}dur.ac.uk Summary This study investigated the relationships between the organizationof community mental health services and professional and teamidentification, team functioning and the psychological well-beingand job satisfaction of staff working in multidisciplinary communitymental health teams (CMHTs). Staff in four districts in theNorth of England completed anonymous questionnaires on two occasions,twelve months apart. There were systematic differences in teamfunctioning, favouring teams in districts where mental healthand social care services were integrated. However, service organizationhad no evident impact on professional or team identificationor on outcomes for staff in terms of stress or job satisfaction.There were differences between social workers (n = 31) and healthservice professionals (n = 82) indicating that social workershad poorer perceptions of team functioning and experienced higherlevels of role conflict. Controlling for other factors includingthe study districts, role conflict was a significant predictorof stress and of job dissatisfaction, while role clarity promotedjob satisfaction. We conclude that support and supervision aimedat ensuring a social work contribution to multidisciplinaryworking should be provided in the course of establishing CMHTsand integrated health and social care services.     

The Mosaic of Personal Social Services: Public, Voluntary and Private

Correspondence to Joan Cooper, 2A Gallows Bank, Abinger Place, Lewes. Sussex Summary The main characteristics of each sector are outlined. A fluidsituation which lacks a planned strategy reflects inadequatephilosophical and professional debate. Social workers have acontribution to make to such a debate on the advantages andproblems arising from a mix of service provision, on their ownemployment, and on client perspective and participation. Thepaper argues that the direction of social policy is weakenedin the pluralist model, and the inequitable distribution ofservices is increased but that entrepreneurialism is greater.Laisser-faire is seen as effectively a policy decision.     

The Trans-Theoretical Model of Change: A Reliable Blueprint for Assessment in Work with Children and Families?

Correspondence to John Corden, 1 Brockfield Road, Huntington, York YO31 9DX, UK. Email: John_Corden{at}msn.com Summary In this paper, the authors consider the promotion of Prochaskaand DiClemente’s transtheoretical model of change (theTTM) to the assessment of parenting capacity, within the literaturewhich supports the Framework for Assessment. A number of criticismsof the model, originating from within its original area of applicationare reviewed, and considered in the context of the assessmentof parenting. The authors go on to raise certain questions aboutthe validity of transferring this model from the field of addictivebehaviours to that of parenting and child protection.     

Notes on Theory and Practice in Social Work: a Comparative View

Please address reprint requests to Robert van Krieken, Department of Social Work, University of Sydney, Sydney, New South Wales 2006, Australia. Summary There are still a number of problems surrounding the relationshipbetween theories of social work practice and that practice itself.This paper examines the factors underlying those problems andemphasises their roots in the failure to examine the diversityof social work theories and practices. We refer to one attemptto resolve the problems—the distinction between ‘practicetheory’ and ‘theory of practice’—pointout some difficulties with it and suggest an alternative, three-folddistinction within theorising: between (a) materialist socialtheory, (b) strategic practice theory and (c) working concepts. As an example of how those distinctions can be used, we thenbriefly discuss the work of Oskar Negt and its introductioninto the Dutch welfare context, as it was the issues raisedby that which stimulated the ideas in this paper. We concludeby arguing that only this kind of perspective on theorisingcan produce ideas which are of real use to progressive socialwork practitioners.     

Keeping Social Work Honest: Evaluating as Profession and Practice

Correspondence to Ian Shaw, School of Social and Administrative Studies, University of Wales Cardiff, 50 Park Place, Cardiff CF1 3AT Summary The central argument of this paper is that social work needsa radical alternative to existing options for evaluating practice.Social workers at present are offered three choices. They areinvited to choose between applying research, conducting researchor adopting specific forms of empirical research-based practice(for example Everitt et al., 1992; Thyer. 1993; Fuller and Petch,1995). We touch briefly on reasons why we believe none of these optionsprovides an adequate grounding for social work, referring especiallyto the growing call for social work to find new purpose throughan empirical, research-based practice. If alternative approachesare to be persuasive, they must be fashioned from the materialsof a new approach to research on social work practice—‘one that is exploratory rather than confirmatory, buildinga model of evaluation from the practitioners' own accounts ratherthan superimposing an ideal model’ (Elks and Kirkhart,1993, p. 555). The major part of this paper is taken up withevidence from research of this kind. The model of evaluatingin practice with which we conclude the paper is simultaneouslytrue to social workers' accounts of their practice, while offeringa critical starting point for evaluating and refashioning thatpractice.     

The Effectiveness of Attached Social Workers in the Management of Depressed Women in General Practice

Summary Following early reports of the feasibility and usefulness oflocating social workers in general practice (Collins, 1965;Forman and Fairbairn, 1968; Cooper, 1971) the number of attachmentsto general practice has increased markedly over the last decade(Gilchrest et al., 1978). Although there have been a numberof accounts of the increased co-operation between health carestaff (Clare and Corney, 1982) there has been a dearth of objectiveevaluations of the advantages these schemes bring to generalpractice patients. This paper describes the design, executionand outcome of a clinical trial of social work carried out ondepressed women in general practice aged 18–45. It focuseson the social workers' activities and the clients view of help:more detailed information is described elsewhere (Corney, 1981).     

Interaction Between Field and Residential Social Workers

Summary This paper is based upon collaborative project work with a socialservices department aimed at improving interaction and collaborationbetween field and residential social workers. It describes theprinciples upon which it was agreed that interaction shoulddevelop. These include notions of case-accountable staff, acollateral model of interaction between staff and the idea ofone party being identified as a prime care agent. Based on theseprinciples it sets out a model arrangement for clients enteringresidential care which recognizes the need for precision aboutthe nature of key decisions that need to be taken with clientsand the way these decisions should be taken.     

Problems in the Perinatal Prediction of Child Abuse

Summary The aim of this paper is to consider and comment criticallyupon the recommendation by some eminent authorities that effortsbe made to design and implement procedures to predict the abuseof children. My view is that this move toward prediction—‘sponsored’largely by American paediatricians—is less of a new departurethan an extension of the dominant conceptual tradition wherebychild abuse is seen as analogous to a disease. However, in spiteof its basis in a medical model, it is clear that the idea thatthe abuse of children can be accurately predicted has greatappeal for many social workers. I shall argue, however, thatserious obstacles stand in the way of prediction; that theseobstacles are insufficiently appreciated by the advocates ofprediction; and that—consequently—social workers(and others) should temper with scepticism their enthusiasmfor these developments.     

Social Work with Failure-to-Thrive Children and their Families: Part I: Psychosocial Factors

Summary The problem failure-to-thrive is described and a brief reviewof the main causal theories is provided. Part I of this studydetails an investigation of psychosocial factors associatedwith non-organic failure-to-thrive in 17 children (comparingthem with two contrast groups). There were significant differences between the groups (interalia) in the adverse temperamental attributes of the index children,problems in the mother's feeding of their children and otheraspects of their interactions and relationships. The mothersshowed no specific psychopathology but were socially disadvantagedin various ways. The implications of these findings—preventiveand therapeutic—are discussed.     

Statistical Errors in Papers in the British Journal of Social Work (Volumes 1-14)

Summary This paper examines the statistical error rate in the BritishJournal of Social Work (BJSW), volumes 1–14. Half of thepapers (n=175) contain empirical data and half do not. Fifty-nineof the empirical articles are quantitative with statisticalanalysis; they account for 17% of the papers in the first 14volumes. Thirty-nine of these papers (66%) make 57 errors, arate which is comparable to that reported in the British Journalof Psychiatry. Nineteen papers (32%) make serious errors. Examplesof the type of errors are described. The wider use of reliablestatistical advice, prior to undertaking data collection, isrecommended.     

Perceptions of Staff Supervision in the Probation Service

Summary This study collates and comments upon the views of main-gradeprobation officers in West Yorkshire on the subject of staffsupervision. It shows that a majority of officers hold positiveopinions about supervision, provided that it is related to assistingthem in their main task of helping clients. The use of supervisionas a means of administrative control over standards of workis acceptable only to a minority of officers. The article includesa detailed analysis of the content of officers' own definitionsof supervision from which many examples are quoted. It showsalso the degree of importance accorded to supervision in relationto other probation officer and senior probation officer functions.     

Enabling Adults with Learning Disabilities to Articulate their Housing Needs

Correspondence to Dr Alex McGlaughlin, Department of Social Sciences, The Nottingham Trent University, Burton Street, Nottingham NG1 4BU, UK. E-mail: alex.mcglaughlin{at} ntu.ac.uk Summary This study is about involving adults with learning disabilitiesin service planning by asking them to articulate their own needsin relation to housing. It also identifies some of the barriersto meeting the housing needs of this group. The views expressedindicate that ordinary housing with small numbers is the preference,and that appropriate support is highly valued. This suggestsa need for housing of a supported living model or similar. Theservice users in this study were clearly able to verbalize theirpreferences as well as to think through potential options. However,there is also clear evidence that they feel powerless in makingchoices, with decisions being taken on their behalf by professionalsand carers. This demonstrates the need for a cultural shiftwhereby the voices of adults with learning disabilities areheard and acted upon.     

Beyond Retroduction? -- Hermeneutics, Reflexivity and Social Work Practice

Correspondence to Susan White, University of Manchester, Department of Social Policy and Social Work, Williamson Building, Oxford Road, Manchester Summary Over the last three decades qualitative research methodologieshave been in the ascent within social science. Yet social workevaluation studies have tended to be quantitative in nature,conventially relying upon the generation of criteria againstwhich interventions are retrospectively judged. The generationof such criteria inevitably depends upon pre-suppositions, whichin themselves go unresearched. As a consequence the .sense makingactivities on which social work interventions depend are renderedimmune from critical analysis. This reflects a broader tendencyfor social work to cling to naive realist epistemologies, whichare arguably obsolete within the interpretive paradigm in whichits activity is properly located. By examining the debates withininterpretive social science, this paper argues for an approachto social work assessment which avoids the pitfalls of naiveobjectivism and the nihilism of anarchic relativism, whilstretaining creativity, imagination and hope.     

Statistical Considerations in Social Work Research

Correspondence to David Goda, School of Computing and Information Technology, University of Wolverhampton, Wulfruna Street, Wolverhampton WV1 1SB. Summary Guidelines are presented in an attempt to assist those consideringsubmitting to this Journal papers containing quantitative data.     

Children's and young people's experiences in various residential arrangements: a longitudinal study to evaluate criteria for custody and residence decision making

Summary The child's welfare or the child's best interest is, in manycountries, the court's paramount consideration for determiningcustody and residence of a child after parental separation ordivorce. This longitudinal study evaluates the custody criterionchild's relationships and residence preferences. Based on aqualitative study design including interviews with childrenand parents, the experiences of 62 children of separated ordivorced parents in various residential arrangements are analysed.The main findings are: (i) a residential arrangement in accordancewith the child's relationships and residence preferences accordswith the child's welfare and represents a positive living situationwith loved people in the family and social environment; (ii)the personal relationships of the child are in no way static,but demonstrate a noticeable dynamic as they change under theinfluence of internal and external factors. Therefore a timelychange of residence, which occurs in accordance with the changedemotion preferences of the child, is beneficial; (iii) a residentialarrangement contrary to the child's relationships and residencepreferences represents for the child involved a difficult situation,which can lead to one of three different processes: adjustment,a trajectory of suffering or initiatives to change the livingsituation. This means that some children adjust, others experiencetrajectory processes of suffering, and those in the remainingcases act as competent social agents, who can autonomously representtheir own interests and pursue them in order to initiate orcontribute to a change of their residence. Findings of the studyare discussed, and suggestions are offered for substantive andprocedural laws to guarantee the child's welfare in custodyand residence settlements and for further research.     

Social Workers: Their Role and Tasks (1982)

Summary This article reviews the Barclay Report It explores, Inter alia,the Committee's views on matters such as client rights and communitysocial work. It also considers some of the implications of theReport for policy and practice in the light of the purposeswhich may be served by government sponsored committees of thiskind.