Applying for money The encounter between social workers and clients--A question of morality

Correspondence to Lars-Christer Hydén, Department of Social Work, Stockholm University, S-106 91 Stockholm, Sweden Summary The facts of household finances generally obtain their meaningfrom the moral standards of everyday life: it is in relationto these standards that we evaluate our personal finances. Personswho lack money and apply for social welfare compensation generallyhave to turn to a public social welfare bureau where their eligibilityis assessed by a professional social worker. The central questionfor the present study is how social workers and clients dealwith the morally delicate question of personal financial deficitsand how this question should be processed in a formal and institutionalsetting by formal means. This problem is discussed through ananalysis of conversations between social workers and clientsat social welfare bureaux in the municipality of Stockholm,Sweden. In pursuing a formal inquiry the social worker is conductinga moral search: the social worker has to determine the moralcharacter of the client and the circumstances around his/herhandling of his/her own financial situation. The ‘relevantcharacteristics of the citizen’ that the social workertries to match with the beneficiary rules are of a moral nature.In this respect, the social worker is not only a social workerbut also a moral worker. In order to define and defend his orher moral character the client has to pursue the financial issueas a moral issue. In the encounter, the client alludes to everydaycircumstances to account for his/her financial situation andto justify it by applying everyday moral standards.     

Perceptions of Stigma and User Involvement in Child Welfare Services

Correspondence to Dr E. M. Scholte, Department of Social and Behavioural Sciences/Centre for Research on Youth Welfare, University of Leiden, PO Box 9555, 2300 RB Leiden, The Netherlands. Summary This paper explores the perceptions of social disqualificationor ‘stigma’ that service users attributed to publicchild welfare services in random samples of service users takenfrom the Netherlands, a part of Spain (Catalonia) and a partof the United Kingdom (Wales). It was found that, in all threesamples, foster and residential care invoked the greatest senseof stigma, while the health related and the preventive familyservices were perceived as the least stigmatizing types of publicwelfare services. Comparative analysis further revealed thata positive attitude towards the use of public welfare services,a perception of supportive or non-stigmatizing social normsregarding the use of such services, and a perception of publicwelfare services as helpful correlated in all three sampleswith higher levels of user satisfaction and involvement in theservices. It was further found that, in the British and Spanishsamples, a positive attitude towards public welfare services,as well as a perception of public welfare services as helpfulfor their recipients, were the predominating factors promotinghigher levels of satisfactory user involvement in the services,while, in the Dutch sample, a perception of supportive socialnorms was the factor that most promoted satisfactory user involvement.     

Manpower Utilization before and after Differential Deployment of Manpower in Jerusalem Welfare Offices

Summary This article describes patterns of manpower utilization in Jerusalemmunicipal welfare offices before and after reorganization ofthe Welfare Department whereby the functions of eligibilitydetermination and provision of income maintenance grants wereseparated out from the tasks of family caseworkers and givento special non-professional administrative units.The time studycarried out after ‘separation’ showed a more rationaluse of professional staff time, where a worker's education wasbetter correlated with bis tasks and significantly more professionaltime was devoted to individual counselling and inter-agencybrokerage on behalf of welfare clients. Mention is made of theneed for experimentation with innovative uses of welfare officestaff based on changing conceptions of welfare systems     

The State of Welfare

Summary The word ‘welfare’ is difficult to define becauseit combines within it a range of ideologies and actions. Twoconclusions are drawn from this: first, that social servicesshould be regarded as contributors to, but not providers ofwelfare; second, that the study of social work and social administrationshould be concerned not only with the relationship of ‘service’to ‘need’ but also with societal movements and pressureswhich determine the emergence of both. The article reviews theprofessed values of the welfare state, particularly ‘socialequality’ and the problems associated with its achievement,namely public attitudes, and the discontinuity between intentionand practice in the welfare services. The implications for socialwork education and practice are considered.     

Social Work Responses to New Labour' in Continental European Countries

Summary The re-emergence of a majority of centre-left governments incountries of the European Union was associated with the hopethat, after the neo-liberal attempts at its marginalizationand de-institutionalization, social work could regain a morevalued position in society. There are indeed indications thatthe growth of the profession continues and that social workis returning to a more explicit and official role in nationalsocial policies. However, this tends to be associated with anexpectation that social work would play its part in ‘activating’the recipients of welfare benefits in the context of the NewLeft project of shifting from social rights to social obligations.The practical and political effects of this new agenda are,however, modified greatly by the prevailing ‘welfare cultures’as well as the professional and academic discourses. This paperexplores the dilemmas and opportunities for the social professionsin Europe associated with the ‘pull’ to become incorporatedinto these new social policy agendas.     

A Role for Anyone? A Description of Social Work with the Elderly in Two Area Offices

Summary This article analyses information from Case Review Forms completedby social workers on 199 allocated elderly clients. These peoplewere very frail, most were considered to be ‘at risk’and to require regular, reliable and frequent care. The questionof the client moving to a tafer setting arose in two-thirdsof the cases, concerning which there was often some dispute.It is argued that social workers require a high level of professionalskill in dealing with clients, and others involved, faced withsuch questions and that this requirement will remain with thedevelopment of ‘community social work’.     

Informal Welfare, Social Work and the Sociology of Welfare

Summary This article seeks to inject some important but neglected considerationsinto discussions about the nature of informal welfare and thenotice social workers should take of it. Following a sketchof how both sociology and social policy have regarded informalwelfare, it is argued that a sociology of welfare which is sensitiveto the definitions held by participants indicates that socialworkers would be wise to seek to ‘tap’ informalwelfare very cautiously. It is also argued that such sociologyneeds to be accorded a more prominent place in social work trainingcourses.     

Open Records: The Client's Right to Partnership

Summary Many Social Services Departments have opened their files totheir clients or intend to do so. This reflects the incomingtide of concern about citizens' rights and client participation,but what effect might the opening of records have on the practiceof social work? The paper summarizes the findings of a small scale study inwhich a team of social workers opened their case recording toa selected number of clients. The workers’ and clients‘views of this process are described, along with the implicationsfor practice. The study suggests that a focus on shared recordingcan begin to alter the kind of work done by the social worker,helping to promote a partnership between the worker and theclient. Finally, the paper argues that a policy of client access enforcedonly as a right is prone to sabotage or a fall into disuse.A seven point training programme is outlined in order to helpsocial workers use Open Records as an opportunity to promotea partnership in their work with clients.     

Changing Behaviour in a Residential Group Setting for Elderly People with Learning Difficulties

Correspondence to Ms K. Cigno, Department of Social Policy and Professional Studies, University of Hull, Hll HU6 7RX. Summary Group living is not an easy situation for residents and staff.A client with a long history of institutionalized care and aggressivebehaviour proves to be a challenge to care staff who attemptto improve the quality of her life and that of her fellow residentsthrough a behavioural intervention aimed at reducing the numberof disruptive incidents and increasing the use of social skillsand activities for this client. The results indicate a lesseningof incidents of ‘unreasonable behaviour’ and anincrease in self-esteem. The appropriateness of this approachto elderly clients' problems is discussed.     

Frontline managers' perceptions and justifications of behavioural conditionality

The debate on behavioural conditionality is characterised by abundant controversies. Frontline managers have a particularly important role in implementing these policies because their interpretation of the welfare policies regulates the frameworks of street-level bureaucrat's discretionary powers. A nationwide survey among frontline managers in the Norwegian Labour and Welfare Administration revealed that 86% of the managers expressed strong normative support towards welfare conditionality. With this as a backdrop, this paper develops a better understanding of managers' perceptions and justifications of the Norwegian type of behavioural conditionality. Analysis of focus group interview data showed that the managers adopted a broad definition of conditionality, meaning promotion of an overall (re)integration of the client into the society as opposed to the narrow definition focusing solely on labour market integration. Furthermore, the implementation of welfare conditionality primarily was perceived as mild and client sensitive. The managers mainly justified welfare conditionality in terms of care and paternalistic defences, arguing that requirement of work and activities are in the client's best interest, understood in terms of social democratic values.     

Stress and Opportunity in the Role of the Prison Welfare Officer

Summary The role of social workers within the penal system has beenthe subject of much discussion and heart-searching by probationofficers and others since the probation service took on responsibilityfor rilling prison welfare posts in 1966. Many officers havebeen reluctant to undertake secondment as Prison Welfare Officersbecause of the difficulties of applying their social work trainingand experience in a penal setting and their fears of absorptioninto a punishment-oriented culture. This article explores thenature of the stresses involved in the practice of social workin this setting, and argues the case for the positive contributionthat social workers can make, at present often ignored in discussingthe stress and conflict inherent in the situation. Stress, itis argued, may be a necessary function of effective work inthis context, and the attempt to reduce it by giving the PWOa more detailed role definition and a clearer position withinthe prison hierarchy is premature. The role is best definedas it emerges from the experience of good practitioners withinthe setting, a concept which has implications for the choiceof probation officers for this type of work and for their approach.They should be able to see and utilize the opportunities foreffective social work, and incorporate available research ina flexible and imaginative methodology     

Communication in Care and Coercion: Institutional Interactions between Family Supervisors and Parents

Summary In this study the interaction of 51 videotaped professionalcommunications between Dutch family supervisors and parentsof children under family supervision were analysed. Family supervisionlies at the interface of care and control. This is evident inthe communication of professional child welfare workers withtheir clients for whom they have to clarify their rights. Theanalysis shows some of the strategies used by Dutch family supervisorsin cases of formal decisions and other interactions where theyanticipate confrontation with the client. In this way, familysupervisors separate their caring from their repressive functions.Nevertheless care and control were found to be successfullyintegrated in some communications.     

The Other Italian Experiment: Neighbourhood Social Work in the Health and Social Services

Summary Following recent legislation, most social workers in Italy arenow responsible for giving a service to the population of agiven geographical area rather than to any particular categoryof client. The findings suggest that there is some experimentationwith regard to the organisation and composition of neighbourhoodteams and that the trend, not without problems, is towards socialworkers becoming the ‘gatekeepers’ to financialand other resources in the Social Service Sector for the localpopulation.     

Taking Care of Later Life: A Matter of Justice?

Correspondence to: Julia Johnson, Senior Lecturer, School of Health and Social Welfare, The Open University, Walton Hall, Milton Keynes MK7 6AA, UK. E-mail: j.s.johnson{at}open.ac.uk Summary This paper reviews current policies and practices regardingthe provision of long-term care for older people. In particularit focuses on three aspects which are central to social workand care management: current developments in residential andnursing home care; charging for care; and the shifting boundarybetween health and social care. It argues that, in all respects,these policies and the ways in which they are being implementedare incompatible with the notion of social justice. Over thelast fifty years, the older generation has invested heavilyin the welfare state and continues to make a significant contributionto it. The security and well-being of those in need of long-termcare is, however, being threatened by the marketization andcommodification of care provision.     

Primary Health Care Workers' Views about Social Work

Summary SUMMARY A comparison of the views about social work held by 188 primaryhealth care workers—118 GPs, 31 health visitors and 39district nurses—working in the same teams is presentedhere.^* The study focussed particularly on their perceptionsof social workers, their role and performance. The data indicatea general acceptance of the social work role, but a lack ofknowledge of or extensive criticism about, social work performance.Significant differences of view emerged about social work training,role and clients, indicating occupation is a significant factorin perceptions held. In particular, the client group predominantlydealt with appears to have had an impact on perceptions. However,views about social work performance did not differ greatly,suggesting the influence of occupation on perceptions shouldnot be overstated.     

Learning from a Murri Way'

Summary Under the modernist project indigenous social welfare work approacheshave been silenced and relegated to the periphery as deficittheory and practice in the landscape of social work. This positioninghas promoted the belief that indigenous expertise and cultureis only of relevance for culturally-sensitive practice. Rejectingthis view, I utilize the findings of a study of intra-grouphelping amongst Aborigines and Torres Strait Islanders—a‘Murri way’—to argue that social work theoryand practice has much to learn from indigenous peoples aboutthe interpersonal helping process. I call for recognition ofa space of possibility between indigenous and non-indigenouspractitioners that the indigenous telling creates. This is aspace in between these players who do not share a common understanding,a space where players may participate in a dance of difference(dialogue) to help map a common space of understanding.     

The Client Group Preferences of Diploma in Social Work Students: What are they, do they change during programmes and what variables affect them?

Correspondence to Dr Raymond Jack, Reader in Social Work, Anglia Polytechnic University, East Road, Cambridge CB1 1PT Summary Social work is undergoing fundamental changes in terms of theway it is organized and how it is practised. If, in this shiftingscenario of occupational deconstruction, the output of socialwork education is to be relevant to the workforce needs of welfareagencies—no matter how organized—it is importantto know more about the client group preferences of social workstudents and what factors influence them. This longitudinalstudy inquired into student preferences at the beginning andend of three Diploma in Social Work programmes and its findingssuggest that the sociodemographic characteristics of studentsare less demonstrably influential than previous experience andplacement experience whilst on the programmes. In addition,students attribute far less influence to lectures and tutorialsas change agents than they do to placements, service users orother students. The implications of this for social work educationare discussed.     

Social Inquiry Reports in One Juvenile Court: An Examination

Summary The paper begins by briefly outlining the current debate overthe usage of social inquiry reports in the juvenile court, particularlywith regard to the effect that their recommendations can haveupon the lives of young people appearing in that court. It thendiscusses the findings of research carried out by the authorinto the social inquiry reports presented to one juvenile court.In particular it examines the contents and format of these reports,the effect that concepts of ‘welfare’ and ‘justice’have upon the recommendations of these reports, and the differencesthat exist in the reports presented by the probation and socialservices. It concludes that there is a pressing need for a revisionin the presentation of these reports to the court as no consistentstandard of information is being offered. It also argues thatit is time to reassess the role of treatment in the juvenilejustice system, in the light of this and other recent research,and to separate more clearly the components of welfare and justicewithin this system.     

Contact and Collaboration with General Practitioners: A Comparison of Social Workers and Community Psychiatric Nurses

Correspondence to Mr M. Sheppard, Department of Applied Social Science, Polytechnic South West, Drake Circus, Plymouth, Devon PL4 8AA. Summary For some years good communication and collaboration betweenhealth and welfare professionals has been emphasized as a desirablegoal by both official reports and relevant professions. Thisis as much the case in mental health as other areas. This papercompares communication and collaboration between social workersand general practitioners (GPs) with that between communitypsychiatric nurses (CPNs) and GPs. Both social workers and CPNswere based at a community mental health centre, and the contactwas interagency (with primary health care). Major differenceswere found between social workers and CPNs. CPNs were far morelikely to contact GPs than social workers, although GPs veryrarely initiated contact themselves. Differences reflected different‘philosophies of contact’. Social workers contactedGPs when this could be purposively related to their case management.In addition to this contact, CPNs also made contact to provideGPs with information, reflecting awareness of GPs' long-termcontinuing care responsibility. The excess of CPN contacts wasnot limited, but involved a wide range of problems. GPs, however,when contacted, exerted greater influence on social work casemanagement. The article concludes by explaining differencesbetween CPNs and social workers in terms of occupational culture.It suggests, furthermore, that the results arise at least inpart from assumptions of team leadership by GPs, and that socialworkers' and CPNs' behaviour represents different responsesto this.     

Reconciling Cash and Care: Home Care Charges and Benefit Checks in Social Services

Correspondence to Pete Alcock, Health and Community Studies, Sheffield Hallam University, Collegiate Cresent, Sheffield S10 2BP Summary This article contains the report of a small research projecton the development of welfare rights checks for home care clientsin social services departments. Welfare rights take-up activityhas become an important feature of provision by local authoritysocial services departments, frequently targeted on particulargroups of clients known to experience problems in claiming fullbenefit entitlement. Users of home care services are such aclient group. Take-up work with home care clients is also, however,a product of the impact of community care policy changes andof financial pressures on local authority social services. Thesehave resulted in the introduction of charges for home care servicesby many authorities, and the use of rebates from such chargesto protect low income service users. Welfare rights work hasthus become an important feature of the reconciliation of thesenew charging policies with the continued service needs of poorhome care clients. The research examined a successful take-upinitiative, linked to home care charges, in Sheffield and contrastedthis with similar activities in other authorities throughoutthe UK. The conclusion is reached that levels of non-take-upof social security benefits are particularly low amongst homecare clients and that benefit checks can secure significantadditional income for them, which may also have the indirecteffect of increasing the income to social services departmentsfrom the charges for home care services.