‘We are just ordinary people working hard to reach our goals!’ Disabled students’ participation in Norwegian higher education

In this article we shed light on the experiences of disabled students attending professional courses in higher education in Norway. The findings from this empirical study are based on interviews with 14 students with diverse impairments, ranging from the visible to the invisible. They faced barriers that they resolved to address on their own, using their capabilities and working ‘in silence’ to meet the expectations of normal students in academia as strong and independent. In addition to their own motivation and self-determination, what facilitated their progress in their studies was that some of the staff and fellow students met them respectfully as ordinary students, while recognizing their strain and providing support without calling attention to it. Leaning on the Nordic Relational Model of Disability, we call for greater awareness of the complex interactional processes between the disabled students and people in their social environment.     

Discourses of service user involvement in meeting places in Norwegian community mental health care: a discourse analysis of staff accounts

In previous research, meeting places have been favourably addressed by service users, but they have also been contested as exclusionary. In this participatory explorative study, we sought to perform a contextual analysis of meeting places in Norway based on a discourse analysis of three focus group discussions with 15 staff members. We asked the following question: how do meeting-place employees discuss their concrete and abstract encounters with service users and their experiences? We focused on service user involvement, which was largely analysed as neoliberal consultation and responsibilisation. Service users were positioned as resisting responsibility trickling down and defending staffed meeting places. Social democratic discourse was identified in the gaps of neoliberal discourse, which is noteworthy given that Norway is a social democracy. This relates to global concerns about displacements of democracy. We suggest that meeting places appear to hold the potential for staff and service users to collaborate more democratically.     

Surprise in Social Work Education

Training is commonly seen as the most viable way of ensuring good quality care in residential homes for elderly people. The literature on training has focused on a shift in emphasis from traditional 'professional' social work training for staff at a senior level to training which is to be provided for junior level staff. To this end, Scottish/National Vocational Qualifications have been introduced which, through workplace assessment of competence, have been proclaimed to be the means by which to raise the status and career prospects of a social care workforce. This article argues that task-based competence is increasingly being seen as relevant for a 'para-professional' social care workforce such as that found in the residential care sector. In the light of this, research was undertaken to establish whether residents preferred 'trained' staff, holding formal qualifications and/or NVQs, to 'untrained' staff with no recognised qualifications. The research concluded that residents want kind, understanding and experienced staff, and when length of time in post was taken into account, the effect of training was negligible. The study concluded that homes need to select staff for their good personal qualities and encourage them to stay. Staff need training that integrates skill with understanding and above all, assessment should reflect this perspective. Moreover, residents need to be involved in the assessment process.     

Refusing to Listen: Are We Failing the Needs of People with Alcohol and Drug Problems?

This paper argues that social work education in the UK has persistently failed to equip its social workers with the knowledge to work effectively with people with alcohol and drug problems. In spite of continuing criticism of the profession's unwillingness or inability to engage with substance use issues, social work education has failed to respond to the calls for better training on this subject, even when specific guidance has been issued about course content. This results in a failure to meet the needs of our service users as well as social work staff who remain frustrated at their inability to intervene. The paper explores the historical and current debate about social work training in relation to alcohol and drugs and identifies the barriers to its inclusion in qualifying and post‐qualifying (PQ) curricula. Finally it offers a strategy for improving social work training as well as an overview of programme content requirements.     

Mental health in vietnam and the move to incorporate social work: A mixed methods study of staff perceptions and expectations

In 2010, Vietnam established social work as a profession. As part of their strategic plan, the government aims to incorporate social work into existing hospitals and health care facilities in the country, including psychiatric hospitals and mental health care centers. This paper, based upon survey and focus group data from 194 people working in three major mental health facilities in Hanoi, explores direct care staffs’ perceptions of this historic incorporation of social work, with a particular eye to the benefits and challenges of the transition. Results show most staff members thought social workers would provide great support to the many unmet needs of their largely underserved and impoverished patients. They also viewed social workers as a potential resource to the treatment team by reducing work overload. Existing staff, however, were less attuned to the clinical functions of social workers in mental health settings, often equating social work with community development and social movements. Some were concerned about social workers taking on their tasks; others about new social workers being hindered by the professional hierarchy in which doctors were placed at the top. Successful integration of social workers will hinge on strong support from policy-makers and leaders of mental health systems.     

Introduction to the Special Issues on the Supervision of Staff and Field Education of Students

Two Special Issues of the Clinical Social Work Journal have been dedicated to building on the social work discipline’s tradition and commitment to the supervision of staff and field education of students. These issues bring together contemporary theorizing, clinical supervisory and field education practice experience and wisdom, and research studies to contribute to the knowledge base for practicing supervisors and field educators. As the first of the Special Issues, this issue has been dedicated to the supervision of staff. In this Introduction, we share the salient aspects of the articles published, as they relate to contemporary social work supervision, relational considerations within the supervisory dyad, models of supervision for fields of specialization, as well as measurement and evaluation. Implications are shared, with highlights and connections for practicing supervisors made throughout.     

Using HIT to deliver integrated care for the frail elderly in the UK: current barriers and future challenges

In this paper we briefly describe the results of a 3 year project examining the use of Health Information Technologies (e.g., electronic patient record systems) to deliver integrated care. In particular, we focus on one group of patient (the frail elderly) and efforts to design an e-health supported healthcare pathway (the frail elderly pathway--FEP). The aim of FEP is to bring together clinicians and staff from health and social care and allow them to share patient information. Our findings show that progress in delivering a fully-supported and working FEP has been slow, not least because of the difficulties experienced by healthcare staff in using current IT systems. In addition, there are many strategic and technical issues which remain unresolved (e.g., systems interoperability).     

Evaluating a social work introductory programme

Many social work programmes spend considerable time at the end of the course consolidating learning experiences, looking to employment issues, the nature of supervisory contracts, future training needs and so on (see for example the Janus week at Robert Gordon University, Aberdeen). On a social level students also experience a round of parties, a graduation ceremony, the collection of certificates and formal farewells. Such activities are fairly predictable rites of passage. Whilst the importance of beginnings in social work practice is part of the folklore, little has been said or written about the actual process of induction onto social work training programmes. In this article we focus on the beginning of such a programme leading to an award of MA and Diploma in Social Work. We analyse what happens, describe the structures and under-pinning theories and conclude by arguing that the start of a course is an important land-mark for students' relationships with each other, with teaching staff and their own self-perceptions and sense of empowerment. Our reflection on these processes has been useful in looking at the conscious and unconscious messages given by ourselves and our institution.

Firstly, we briefly explore perspectives emanating from broad sociological discourse about the nature of professionalisation. We can then reflect on the perspective of anthropology which raises useful notions of initiation, celebration and ritual. We are particularly interested in looking at the power relationship between staff and students and at learning styles. Theory therefore demands that we look at this introduction in other than mechanistic or rational ways.

The second part of this article considers a three day introduction to a social work programme, concentrating on styles of learning and the inherent issues of power relationships.     

Changes in Admissions Work Arising from the New Social Work Degree in England

The business of admissions to higher education in England is a significant task for academic and support staff. This paper draws on the Evaluation of the New Social Work Degree Qualification in England (2004–2008) to describe the changes in admissions work for social work staff in higher education associated with the change from diploma to a degree level qualification for entry to the profession; to report how staff involved in admissions work are managing these changes; and to identify elements of admissions processes that are perceived to be fulfilling the new requirements of the degree and those which are identified as more problematic. The article draws on two telephone/email surveys of a national sample of social work programmes and on face-to-face in-depth interviews with a sample of teaching staff from nine social work programmes in six higher education institutions undertaken during 2005–2007. The work of admissions staff is rarely scrutinised in studies of higher education or specifically in social work programmes: this article discusses the spectrum of approaches. It recommends monitoring of the outcomes of practices in admissions work that are recasting Department of Health Requirements as the minimum.     

Why don't women want to be social workers anymore? New managerialism,postfeminism and the shortage of social workers in social services departments in England and Wales

Since its origins as a philanthropic activity, the practice of social work in the UK has, numerically at least, been dominated by women. This continues to be the case, though fewer women are presenting themselves as candidates for training courses, and men do not appear to be taking their place. In addition, social workers are leaving their posts for alternative career opportunities. As a consequence there is a staffing shortage, which in some parts of London and the south-east of England, is said to have reached crisis proportions. Whilst there are a number of reasons as to why this situation has evolved, this paper gives particular attention to the way in which new managerialism is contributing to the difficulties in retaining staff. The difficulties in recruiting staff are attributed not only to the low status that is afforded caring work in late modernity, but also the postfeminist context that provides women with new opportunities for paid work in the public sphere.     

Organisationsentwicklung durch Gesundheitsförderung,dargestellt am Beispiel Krankenhaus

The public interest in the health status of the individual has increased steadily over the last decades. Organisations — as goal oriented groups of individuals-need health promotion too. The article shows, using hospitals as an example, that this can be an important task for corporate social work. In addition to fundamental reflections on the health damaging impact of hospitals on their staff this article describes as well concrete and practical measures of how health promotion can be achieved in companies.     

Interdisciplinarity and the social sciences: capital, institutions and autonomy

Recent discussions about disciplinarity and interdisciplinarity in the social sciences have tended to map and critique methods, theories and approaches to knowledge production, but spend less time exploring the ways in which institutional constraints and personal trajectories produce different kinds of disciplinarity and interdisciplinarity. In this paper we present findings on interdisciplinarity from UK research undertaken as part of an EC project on knowledge, gender and institutions. The research involved a small survey (n = 14), in-depth interviews (n = 5), two focus groups (n = 7) and observation of social scientists in one university department between June 2006 and April 2007. We reflect on the unwillingness of social scientists to confront the conditions of our academic labour in an account of our difficulties with gaining access and respondents in this study, before moving on to consider some of the different ways in which interdisciplinarity and disciplinary commitments were related to particular forms of scientific and symbolic capital. We go on to discuss this in relation to the autonomy of academic teaching-and-research staff compared to contract researchers, and consider the implications of our findings for the future of interdisciplinarity and the social sciences.     

“Such Trivial Matters:” How staff account for restrictions of residents' influence in nursing homes

National policies emphasize older people's right to autonomy, yet nursing home residents often have restricted opportunities to make decisions about everyday matters. We use qualitative interview data to analyze staff members' explanations of actions that conflict with both social norms and national policies. Two types of problematic actions are discussed: restrictions of elderly residents' influence in decision making and neglect of residents' complaints. While staff members describe residents' influence as desirable, they simultaneously formulate accounts that justify their inability to live up to this ideal. Further, we demonstrate how certain complaints are “made trivial” when they are described and treated in specific ways by the staff. We argue that the accounts offered by staff members draw on an implicit folk logic, a logic in which residents are allowed to exercise influence only as long as it does not conflict with the efficient running of the institution as a whole.     

Schemes and social workers: Issues of time pressure and training

This article is based on data from almost 400 questionnaires completed by social workers and social work assistants from six Social Services Departments. It addresses three questions:— what time did staff spend on schemes compared with other social work activities; did schemes or other forms of social work contribute to ‘felt pressure’; and were qualifying and post qualifying courses seen as helpful for undertaking schemes or community based projects. We found that staff spent a significant amount of time on schemes and other non-casework activities. A high proportion of staff felt under pressure which was associated both with working out of office hours and with working in their ‘own time’. A high caseload and involvement in non-casework activities were also both associated with ‘pressure’. Basic training was seen as less useful than previous occupational experience for undertaking community based projects. These findings, when considered with a low staff turnover, suggest that introducing a community approach requires a staff and management development programme together with a workload management system as part of a comprehensive policy.     

Going beyond training: theory and practice in managing learning

The establishment of new bodies to replace the Central Council for Training and Education in Social Work (CCETSW) and to regulate the social work profession provides the opportunity to establish an improved progressive system of qualifications and continued professional development in the coming years. With the current pressure on social work agency budgets it is imperative that precious training resources—staff and money—are used to make the maximum impact on service delivery. Our involvement in the provision of a range of training programmes leads us to believe that much of the staff development and training effort invested by agencies in their staff often seem to have a limited impact on effectiveness. A change in approach is needed so that learning is placed at the heart of organisational processes to maximise the benefits of affirmation and growing professional confidence. This is essential if we are to continue to ‘nurture’ valuable professional staff and ensure that services remain flexible, creative and responsive in meeting ever‐rising public expectations.

This paper examines some of the challenges of evidence‐based practice and the demands for routine evaluation and objective‐setting. The advantages and disadvantages of a competence specification approach within the development of service and occupational standards as the basis for professional education are discussed. The paper argues that strategies for practice learning require the development of learning organisations and a better academic and agency partnership to support more effective professional education and continued professional development.     

Sozialer Status und prosoziales Handeln: Ein Quasi-Experiment im Krankenhaus

Sociological, social psychological and economic research on the nexus between socioeconomic status and prosociality has so far provided contradictory findings. Some studies suggest that actors with a high socioeconomic status act more egoistically than actors with a lower socioeconomic status. Other studies find the opposite to be true. In contrast to previous research, which has worked with one-dimensional measures for socioeconomic status, this study examines prosocial behavior among occupational groups that have regular real-life contact in their workspace. About 150 hospital employees (physicians, nursing staff and nursing students) participated in experiments on altruistic giving in dictator games. The findings are surprisingly strong and clear-cut: Actors with higher social status act more prosocial than low-status actors. Furthermore, we find hardly any in-group effects, which have been repeatedly postulated. Our findings support the claim that high status promotes prosocial behavior. Also, they indicate that the inconclusive and in part contradictory findings provided by previous research stem to a considerable degree from deficient measures of social status and problematic experimental designs.     

The Ties that Bind: Social Networks, Person-Organization Value Fit, and Turnover Intention

This article examines the influence of social networks and valuecongruence on turnover intention among public and nonprofitemployees. We argue that employees exist in social networksinside and outside their organization, and these networks shapeemployee attitudes and behavior. To illustrate this theory,we use turnover intention. A strong and positive intraorganizationalsocial network characterized by good relations with and a senseof obligation toward other staff is hypothesized to make itmore likely that employees will stay. A strong social networkexternal to the organization is hypothesized to increase theopportunities that employees have to leave. Our findings offerstrong support for the role of intraorganizational networks,but relatively weak support for the effect of external networks.We also propose that person-organization (P-O) fit shape turnoverintention. Our results suggest that employees who experiencea strong P-O fit in terms of value congruence are more likelyto offer a long-term commitment.     

Why do drug treatment organizations use contingent staffing arrangements? An analysis of market and social influences

Contingent staffing arrangements are defined as conditional and transitory work arrangements. In the drug abuse treatment sector, contingent staffing arrangements have the potential to improve treatment if they are used to increase access to needed services. Alternatively, such arrangements could interfere with the development of consistent, long-term client-staff relationships. Unfortunately, little is known about the consequences of or influences on contingent staff arrangements in this sector. The goal of this study is to examine the conditions under which outpatient substance abuse treatment organizations are more likely to use contingent staffing arrangements. Building on previous research on the social organization of health care structures and practices, we develop a conceptual model based in market economics and institutional perspectives to suggest that treatment organizations choose contingent arrangements in response to market conditions and uncertainty, institutional demands, and client needs. Using data from a nationally representative study conducted in 1988, 1990, and 1995, we find limited evidence that drug treatment units use contingent staff in response to market pressures. Labor market and demand uncertainty, however, are systematically associated with greater use of contingent staff. Study results suggest that expectations and norms from the institutional environment, particularly the organizational context of the treatment unit are strong predictors of the use of contingent staff. By considering both market and social influences of contingent staffing, we contribute to a growing body of research on how markets and institutions interact to influence organizational structures and practices in the health care system.     

Social Identity and Intergroup Relations Within the Hospital

City hospitals are complex organizations made up of thousands of employees with a variety of ethnic and racial backgrounds, and representing diverse occupational roles. These various groups often have differing religious and philosophical belief systems, which creates a complex combination of people similar to a small urban city. This paper investigated this multicultural society within the hospital and looked specifically at how various occupational groups define themselves in terms of their social identity. In addition, the paper also explored how various occupational groups related with one another. This study explored specifically the intergroup relations of the psychiatric staff and their supporting personnel. These groups were understood within the theoretical framework of Tajfel's social identity theory (1978, 1982), and Allport's (1954) intergroup contact theory, as well as Sherif (1961) and Turner's (1975) concept of the in group/out group process.     

Social Justice Advocacy Readiness Questionnaire

Summary

Social service providers of consultation, counseling, and education can benefit from determining their social justice awareness, knowledge, and skills to ensure culturally competent practice and to challenge the multiple oppressions facing clients and staff on individual, cultural, and institutional/systemic levels. The Social Justice Advocacy Readiness Questionnaire (SJARQ) provides a means to advocate for social justice with persons of multiple cultural identities, including all sexual orientations and gender identities. The SJARQ instrument contains three areas of self-assessment for social services staff: individual social justice advocacy awareness, comfort, and values; cultural social justice advocacy knowledge; and institutional/systemic social justice advocacy skills.