Care management in practice: on the use of talk and text in gerontological social work

Cedersund E, Olaison A. Care management in practice: on the use of talk and text in gerontological social work Int J Soc Welfare 2010: 19: 339–347 © 2010 The Author(s), Journal compilation © 2010 Blackwell Publishing Ltd and International Journal of Social Welfare. This is a study of encounters between social workers and citizens in one type of welfare organisation, the municipal elder care system. The article sheds light on how older people's claims are dealt with in the processing of home care applications. Twenty encounters between social workers and older people were studied using discourse analysis. The findings reveal that discursive practices are part of the routine when the applications are processed. The application handling follows an agenda‐bound pattern that is visible in the encounters. In these standardised procedures, oral discourse is embedded in routines that also include the use of texts. However, within this institutional order, there is also an important element of negotiation between the parties. It is therefore claimed that the encounters include a negotiated order that does not exist on its own, but is achieved in the ongoing interaction.     

Adult women and ADHD: On the temporal dimensions of ADHD identities

This paper uses conceptual resources drawn from psychosocial process thinking (Brown & Reavey, 2015; Brown & Stenner, 2009; Stenner, 2017) and from G.H. Mead in particular, to contribute to an emerging body of work on the experiences of adult women with ADHD (Horton‐Salway & Davies, 2018; Quinn & Madhoo, 2014; Singh, 2002; Waite & Ivey, 2009). It has a particular focus on how ADHD features in the construction of women's identities and life‐stories and it draws upon findings from a qualitative investigation of adult women diagnosed or self‐diagnosed with Attention Deficit Hyperactivity Disorder (ADHD). A theoretically informed ‘thematic decomposition’ of 16 depth interviews reveals how complex processes of identity transformation are mediated by the social category of ADHD. Through this process, troubled pasts are reconstructed from the perspective of an ‘emergent’ identity that offers participants the potential for a more enabling and positive future.     

The ‘good mother’ struggles: Obstacles to the attainment of motherhood ideals among adult women formerly placed in residential care

We analysed narratives of motherhood produced by 13 women who were involved with the welfare system or the justice system during adolescence. The original contribution of our study was its focus on mothers who were turning age 30, so they were not in that period of generalized instability that characterizes the transition from care and into adulthood. This qualitative study was part of a larger study on French‐Canadian adolescents with a history of residential care. Semi‐directed interviews were conducted with 13 women, more than 15 years after their admission to residential care. Our data highlights that motherhood can contribute to the vulnerability of women who were involved with the welfare or the justice system as adolescents. Our results suggest that in order to shed a perceived deviant label and to compensate for the adverse events they experienced, they pursue internalized ideals of “good motherhood” that translate into restrictions and strain. Furthermore, they tend to refrain from allowing people into their lives and asking for help for fear of being judged. Yet, as their children are getting older and exhibiting problem behaviors of their own, the questioning of their parental practices and skills only becomes more intense.     

“I wish someone would explain why I am in care”: The impact of children and young people's lack of understanding of why they are in out‐of‐home care on their well‐being and felt security

Having a good understanding of one's origins and history is known to be significant in identity development. Drawing on a large‐scale online survey of looked after children's subjective well‐being, this paper demonstrates that a significant number of children and young people (age 4–18 years) did not fully understand the reasons for their entry to care. The paper explores the effect of this lack of knowledge on children's well‐being and on their feelings of being settled in their current placement. The study reiterates the need for professionals to be honest and open with children in out‐of‐home care and the need to specifically address, perhaps repeatedly, why a child is not living with their birth family.     

Do childcare policies and schedule control enhance variable time workers' work–life balance? A gender analysis across European countries

Variable time work is no longer abnormal in the post-industrial economy and is accelerating due to digitisation and the COVID-19 pandemic. Previous studies have revealed a causal relationship between working time variability and work–life balance at the individual level; however, there has been less discussion of the role of the institutional context. This study examines the interplay among childcare policy, schedule control, and its relationship with work–life balance. We conducted a multilevel analysis using the European Working Conditions Survey. The analyses revealed that childcare policy has a U-shaped relationship with work–life balance for female variable time workers without schedule control. In contrast, workers with schedule control and male workers did not have a curvilinear relationship with the outcome. Our analyses imply that sufficient childcare intervention and its interaction with schedule control are necessary to offset the negative effect of childcare services on work–life balance.     

Unheard voices,unmapped terrain: Care work in long‐term residential care for older people in Canada and Sweden

Daly T, Szebehely M. Unheard voices, unmapped terrain: care work in long‐term residential care for older people in Canada and Sweden This article aims to contribute to comparative welfare state research by analysing the everyday work life of long‐term care facility workers in Canada and Sweden. The study's empirical base was a survey of fixed and open‐ended questions. The article presents results from a subset of respondents (care aides and assistant nurses) working in facilities in three Canadian provinces (n= 557) and across Sweden (n= 292). The workers' experiences were linked to the broader economic and organisational contexts of residential care in the two jurisdictions. We found a high degree of country‐specific differentiation of work organisation: Canada follows a model of highly differentiated task‐oriented work, whereas Sweden represents an integrated relational care work model. Reflecting differences in the vertical division of labour, the Canadian care aides had more demanding working conditions than their Swedish colleagues. The consequences of these models for care workers, for older people and for their families are discussed.     

Family Provisions at the Workplace and Their Relationship to Absenteeism,Retention, and Productivity of Workers: Timely Evidence from Prior Data

Using data from the Australian Workplace Industrial Relations Survey, this study provides timely evidence on the effects of on‐site child care at the workplace and employer‐provided family leave on worker absenteeism, turnover, and productivity. The study found that workplaces with on‐site child care compared with workplaces with no on‐site child care had lower rates of absenteeism and higher ratings for worker productivity. Workplaces that had a family leave policy also had lower rates of absenteeism than workplaces that had no such policy in place. Analyses also suggest that workplace characteristics, such as presence of a human‐resources manager or union representative, are associated with higher worker productivity. Firm size, mission, and shift work were other predictors of worker performance. The findings argue strongly for an extensive, new workplace survey that can elucidate how parents today manage to abide by new workplace agreements while still handling the demands of family life.     

Negotiating motherhood: women with troubled upbringings and their self‐conceptions as mothers

This paper examines how women who experienced severe adjustment problems during adolescence, and who had troubled childhoods in families with high levels of conflict, construct their self‐conceptions as mothers. Applying data from a 30‐year‐long follow‐up study, this paper examines how participants with troubled upbringings experience social norms of motherhood. Two overall themes emerged along with their associated subcategories, and these are identified as significant findings. The first theme is the stigmatizing gaze, exemplifying how the intervention of the child welfare service is recognized as essential to the women's self‐conception; its three subcategories are prejudiced motherhood, predestined motherhood and self‐critical motherhood. The second theme is significant relationships, exemplifying the mothers' personal bonds and contributing greatly to their self‐conception; its three subcategories are the other half, next of kin and disturbed relations. The findings reveal that the way these women view themselves as mothers cannot be separated from the way that others view them, and in addition, they must negotiate their positions as mothers through the normative discourses of motherhood. The findings apply to both theoretical and practical social work, addressing the need for an understanding of motherhood within the field of child welfare.     

‘My life's been a total disaster but I feel privileged’: care‐leavers’ access to personal records and their implications for social work practice

In Australia, there is no binding protocol that proscribes the processes by which the release of personal records of adults who grew up in care occurs. Individual agencies that hold the records – both government and non‐government organizations – have their own policy and practice guidelines. While not specific to care‐leavers, the existence of freedom of information and privacy legislation means that the subject of the records is entitled to access information about themselves, but this is not unproblematic. Drawing on qualitative in‐depth interviews with a group of Australian care‐leavers, this paper discusses their experiences of accessing personal records. Accessing these records was often highly significant to identity formation, but could produce both positive and negative effects. The negative aspects of the records were that, typically, at least in part, they were incomplete, insulting, incorrect and/or incomprehensible. Currently, the range of support provided to those accessing their records varies significantly across agencies. The findings of this research suggest the need for the greater provision of supported release and the implications for social work practice are discussed.     

Emotion and relatedness as aspects of the identities of adolescents with severe learning disabilities: contributions from ‘practice‐near’ social work research

This paper considers social and personal/individual approaches to researching identities of adolescents with severe learning disabilities; suggesting that vital components of emotionality and relatedness are largely missing from research and consequently from literature informing social care professionals. This leaves untapped, rich information and communication resources for research which may improve understandings of the experiences of a socially excluded group of young people. A psychosocial view of adolescent identity development, ‘subjectivation’, offers a way forward and a case study on ‘Billy’, drawn from a ‘practice‐near’ observational study, helps to illustrate this. Observation allows the researcher to be sensitive to the subtle ways in which identities of young people with severe learning disabilities are constructed, often with a sense of fragility and uncertainty. Continuities of experience between the young people and the rest of the adolescent community may be seen, but also the impact of living with impairment can be thought about in relation to the particular psychosocial circumstances of each young person. Knowledge of these processes enhances social work practice by encouraging workers to be sensitive to, and healthily curious about, the multiple ways in which identities of young people with severe learning disabilities are shaped in relationship with those around them and the wider social field.