Reaching out to Aggressive Children

Correspondence to Jo Carroll, 3 Barrow Close, Marlborough, Wiltshire SN8 2BD. Summary Social workers are increasingly being asked to offer therapeutichelp to young children who are persistently aggressive and defiant.The difficulties of working with such children, who appear toreject all efforts to help them, are recognized, and some guidanceis offered as to the timing of such work. Directive techniquesoften fail, as the children refuse to participate in any jointactivity. The value of non-directive play therapy as an approachto these children is outlined, and the practicalities of thistechnique are considered. Finally, a case study illustratesthe value of a non-directive approach with a particularly challengingchild.     

An Evaluation of Social Support Intervention with Depressed Mothers in Child and Family Care

Correspondence to Professor Michael Sheppard, Department of Social Policy and Social Work, University of Plymouth, Drake Circus, Plymouth, Devon PL4 8AA, UK. Summary The significance of maternal depression to social work practicein child and family care has become increasingly apparent inrecent years. Social support, furthermore, is a concept (aswell as a reality) which provides a major focus for social workpractice. Indeed, social support, it is also clear, is of considerableimportance in helping prevent depression. This paper seeks toexamine social support work carried out by social workers inrelation to depressed mothers in child and family care. In particularit seeks to evaluate the quality of that intervention in thelight of key problem areas associated with high levels of supportneeds, the extent to which social workers target support needsthrough direct, indirect and informal supports, and the extentto which particular interventions are associated with a higheradequacy of support experienced by these depressed women. Thepaper finds a certain degree of haphazardness in social workers’targeting of support needs, although in some areas of indirectsupport, in particular, their targeting is reasonably accurate.There is little evidence of any one form of intervention beingassociated with more adequate support with one significant exception,relief care of children. The paper concludes that social workersneed to develop a keener awareness of support deficits so thatthey are targeted better; they need to monitor more carefullyinterventions carried out by other agencies and professionals;and they should look to relief care of children as a major formof intervention to support these women.     

The Referral Process: A Study of Working Relationships between Antenatal Clinic Nursing Staff and Hospital Social Workers and their impact on Asian Women

P. A. lles. Open Business School, Open University School of Management, Walton Hall, Milton Keynes MK7 6AA. Summary A Study of an intervention in a Bradford hospital antenatalclinic designed to improve working relationships between nursingstaff and hospital social workers is described. A statisticalanalysis indicated that referral rates from the antenatal clinicwere rather low, especially for women of Asian origin. Questionnaireand interview survey data established the importance of nursingstaff perceptions of both the social work role and of Asianwomen clinic users as important determinants of whether nursesmade a social work referral. Survey feedback to social workstaff led to the physical placement of a social worker at theclinic booking-in sessions, in order to improve working relationshipsbetween nurses and social workers and thereby hopefully improvereferral rates. This intervention was relatively unsuccessful,and this relative failure is related to the literature on interorganizationaldevelopment and inter-agency team building in order to identifyfactors which might make for success in inter-agency collaborativeprojects.     

Important Yet Ignored: Problems of 'Expertise' in Emergency Duty Social Work

Summary This paper deals with the important role that emergency dutyworkers play in respect of the variety of situations that arereferred to them outside of the normal working hours of socialservices departments. The first section presents some interimoutcomes of ongoing research suggesting that the variabilityof priorities and assessments made by such workers is even greaterthan might be intuitively expected. The paper questions whetherconventional expectations of social work assessment are applicablein circumstances that are radically different from day-timework. In the second section, the paper explores the evidentmoral dilemmas contained in these circumstances, highlightingthe need for workers to have internalized as ‘expert’as broad a grasp as possible of the diversity of values andmethods of social assessment, decision-making and intervention.The paper continues by considering the nature of expert methodssuitable for the demands of emergency duty work, the need forguidelines for professional judgement, and an appropriate genericframework.     

Social Work and Blood Vengeance: The Bedouin-Arab Case

Correspondence to Alean Al-Krenawi, Department of Social Work, Ben-Gurion University of the Negev, Israel Summary The practice of blood vengeance, the obligation to kill in retributionfor the death of a member of one's family or tribe, is illegalin most countries of the world; however, many traditional culturesstill demand this form of maintaining honour. This paper outlinesthe cultural and historical contexts of the practice of bloodvengeance among the Bedouin of the Negev of Israel. It considersthe consequences for the targeted family and details the copingstrategies adopted by the family, especially the children, underconditions of extreme social, emotional and economic deprivation.It discusses social work intervention, from initial contactto partial resolution; strategies of cultural sensitivity arealso outlined.     

The motives of foster parents, their family and work circumstances

Summary In foster care research the focus is generally placed on thechildren, not on the parents who perform the foster care. Inthis article the focus is on foster parents of 10-11 year-oldchildren. They were interviewed about their motives for becomingfoster parents, which were linked to their family and work circumstances.Among the 21 foster families in the study, four different butequally frequent reasons or motives for taking care of fosterchildren from the very beginning could be distinguished: relativeswho feel responsibility for a certain child; couples who wantchildren and do not think they can have children of their own;families where the mother wants to be at home taking care ofbiological as well as foster children instead of having unskilledemployed work outside the home; and parents with grown-up childrenwho want to fill the 'empty nest' by becoming foster parents- combined with a family business at home or close to home.Changing family and work patterns in Sweden do not seem to haveinfluenced foster families as much as families in general. Theworth of acquiring more knowledge about the families involvedin foster care of children and young people in order to improvefoster care and reduce breakdowns of care is discussed.     

Attachment style in adults who failed to thrive as children: outcomes of a 20 year follow-up study of factors influencing maintenance or change in attachment style

Summary A group of children identified as non-organic failure-to-thrivebetween 1977 and 1980 were investigated, assessed and providedwith social work intervention and treatment. Those childrenand their families have been followed up for the last 20 years.The current paper examines the stability of an internal workingmodel in a sample of individuals who had failed to thrive aschildren, by comparing each individual's adult attachment stylewith their childhood attachment to their mother. In this sample,several cases showed changes from insecure to secure attachmentstyles. Possible reasons are discussed for positive and negativechanges, as well as cases when there was no change in attachmentstyle. These include the effectiveness of intervention in additionto changes in life circumstances. The findings suggest thatwhen appropriate support and intervention is provided, or whendifferent circumstances or relationships are experienced, internalworking models can change.     

Abortion: With Particular Reference to the Developing Role of Counselling

Summary This paper suggests that counselling is a rapidly expandingfield in which professional and para-professional workers mightcombine to produce an effective service, given appropriate selectionand training procedures. Initially these are seen as being providedby professionally qualified social workers with relevant experience.The author has used her own social work experience in abortioncounselling to exemplify the article and to discuss some ofthe existing problems for workers and clients alike.     

Children and young people with a hidden disability: an examination of the social work role

Summary There has been little research attention paid to the natureand extent of social work intervention with children and youngpeople with invisible impairments. The recent study describedhere found that children and young people with a hidden andstigmatizing impairment received a social work service whichwas at a minimal level. The children and young people were affectedby physically induced incontinence, and described how they facedan environment which created particular tensions. Their parentsconcurred with this overall picture and reported unmet needs.Recommendations are made about social services input, but itis recognized that the level of social services interventionavailable to these families may, in part, be a reflection ofa low priority assigned to disabled children generally. It isargued that, although such an assignment is a common picturein recent research about social services provision to disabledchildren, a change in priorities is needed which recognizesthe importance of coherent support to disabled children as ameans of improving their environment and thereby reducing families'stress levels and the likelihood of abuse or rejection.     

Child Placement Policy: Some European Comparisions

Summary There is consensus among European countries that the first aimof a social policy for families should be to enable childrento remain in their own homes. However, in all countries somechildren require placement apart from their parents, but thereis no agreement as to the best mode of care for these children.Some countries rely entirely on residential care, others almostentirely on family placements in the community. The articlecompares Sweden (high fostering) with Belgium (low fostering),and England and Wales, which is midway between the two, andsuggests that some European models are relevant to English practice.     

Playing with sound: The therapeutic use of music in direct work with children

Children rarely have the language or the cognitive development to process and convey their experiences solely through words, so spontaneously complement these with symbolic forms of expression and communication, such as play, metaphor and a variety of visual, auditory and kinaesthetic imagery. Consequently, social workers need to supplement verbal methods of assessment and intervention with more symbolic modes of communication and engagement when working directly with children. The play therapy literature has been a key source of guidance and the expressive arts therapies, such as art and drama therapy, are now well represented in the literature and training of social workers in ‘direct work with children’. However, principles and practice from music therapy are under‐represented. The writer, who is a social worker, psychotherapist and musician, shares her reflections on introducing techniques and theoretical approaches from music therapy into her own therapeutically orientated direct work. Suggestions are made as to how other practitioners (both musically trained and not) could develop the use of music as a further ‘tool’ in their direct work with children.     

Prevention: the Victorian Legacy

Summary The personal social services did not receive a statutory mandateto undertake preventive work with deprived children until 1963.This paper looks at the history of child care services in thenineteenth and twentieth centuries to find some explanationsfor the delay in promoting prevention. The two major child caresystems during the Victorian era were the Poor Law and the voluntarychildren's societies. In terms of methods of care and philosophy,the two are often held as contrasts. But, in terms of wishingto rescue children from evil parents and of changing their charactersby educating them while completely removed from their naturalfamilies, they had much in common. Thus, both state and voluntaryservices exerted a strong force opposed to policies of helpingnatural parents to cope with their own or of rehabilitatingthem. Changing social and political conditions in the earlypart of the twentieth century appeared to give the prospectof different practices. However, these failed to emerge andsome explanations are put forward with particular referenceto the survival of the Poor Law and the stagnation of the voluntarybodies. Finally, an analysis is made of what steps had to betaken at the end of the 1930s if prevention was to become apart of the social services.     

Current Issues in Child Protection: An Overview of the Debates in Contemporary Journals

Correspondence to Celia Doyle, School of Behavioural Studies, Nene College, Northampton NN2 7AL Summary This article provides an overview of the current debate andconcerns in child protection work as reflected in current, mainlyBritish, academic and professional journals. Some of the concernswhich have been expressed during the past twenty years are stillpart of contemporary discourse. These include the divide betweenphysical punishment and abuse, child fatalities, assessment,procedures, intervention and prevention. Some more recent themeshave also emerged, in particular ritual abuse, the links betweendomestic violence and child maltreatment, children as witnessesand the plight of children with disabilities and young corers.Perhaps the most prominent feature is the overwhelming pre-eminenceof articles about child sexual abuse. Physical neglect remainson the sidelines while emotional abuse, as the main or soleform, merits barely a mention.     

Social Work and Child-centred Family Court Mediation

Correspondence to Dr Greg Mantle, APU, Ashby House, Floor 2, Brook Street, Chelmsford CM1 1UH, UK. E-mail G.J.Mantle{at}apu.ac.uk Summary In April 2001, the Children and Family Court Advisory SupportService (CAFCASS) became responsible for family court work,including the provision of mediation services. Family courtmediation offers a gateway for social work with children andfamilies whose needs are largely left untouched by current services,and could thereby play an important part within the broaderextension of prevention, early intervention, parenting and supportservices recommended by government. Over the past two decades,mediation has become a popular approach to reducing conflictand resolving disputes in a wide range of inter-personal, communityand organizational settings. Given the professional interestthat social workers have in helping their clients achieve moreharmonious lives, the space for mediation would appear considerableand yet the connections between mediation and social work are,as yet, insufficiently mapped and analysed, in terms of boththeory and practice. This paper draws on literature and recentresearch to review the relationship between family court mediationand social work.     

Marginalized Children as Social Actors for Social Justice in South Asia

Correspondence to: Claire O'Kane, C/o Save the Children Norway, GPO Box 3394, Jawalakhel, Kathmandu, Nepal. Summary This contribution highlights the role that marginalized girlsand boys are themselves playing in varied contexts in SouthAsia to challenge inequalities and discrimination to ensurethat the rights of all children are realized. Notions of rightsare inextricably linked to the concept of social justice whichis concerned with equality, needs and entitlements. Whilst highlightingthe role of children and young people as social actors and activecitizens, this paper also explores broader contextual and discourseissues concerning social work practice, social justice and childrights in South Asia. Case examples and ethnographic materialfrom South Asia are shared. Furthermore, the changing natureand roles of social workers and development workers when enablingchildren's own protagonism are reflected upon, and lessons drawnfor social and community work practice and policy developmentin different parts of the world.     

Social Work and Child Mental Health: Psychosocial Principles in Community Practice

Correspondence to Steven Walker, Senior Lecturer, School of Community Health and Social Studies, Anglia Polytechnic University, 2nd Floor, Ashby House, Brook Street, Chelmsford, Essex CM1 1SQ, UK. E-mail: s.walker{at}apu.ac.uk Summary The increased prevalence, complexity and earlier onset of childand adolescent mental health difficulties, has prompted governmentinitiatives to reconfigure current provision for this clientgroup, their parents and the carers who try to support them.Social workers have an important part to play in respondingto the needs of these individual children and families. A residual,care management role is not adequate in these circumstances.This paper describes the development of social work in childand adolescent mental health, and suggests that a synthesisof psychosocial principles and community practice, offers theoptimum social work model of assessment and intervention. Sucha model embraces the most useful aspects of psychodynamic theoryin the context of practice consistent with anti-discriminatory,children's rights and partnership principles.     

Self-determination: Lessons to be Learned from Social Work Practice in India

Correspondence to Dr F. K. Ejaz Research Associate Applied Research Institute Menorah Park Center for the Aging 27100 Cedar Road, Beachwood, OH 44122 USA. Summary Self-determination is a controversial principle in social workpractice. On the one hand it is accepted as being central tosocial work and stems from the broader philosophical issuesof autonomy and respect for the individual. On the other hand,there are many doubts about its implications for practice. Thisarticle examines how the Western social work principle of self-determinationis influenced by cultural beliefs and expectations in India. Twenty-six social workers participated in a qualitative studyon the influence of culture on casework practice in Bombay,India. Open-ended questions and case studies were used to examinehow culture specific problems were handled and how workers interpretedand used some of the principles of social work practice. Social workers believed that Indian clients expected to be guidedin a therapeutic relationship. Further, clients were generallyapathetic and fatalistic about circumstances in their lives.Indian social workers came across as being maestros at bridgingeast-west differences. They subtly fulfilled social and culturalexpectations and at the same time enabled clients to assumeenough autonomy to handle their own problems.     

No-one else could understand': Women's Experiences of a Support Group run by and for Mothers of Sexually Abused Children

Summary Previous studies have shown that when a woman finds out aboutthe sexual abuse of her children the consequences for her areserious and can represent a major life crisis. Women in thisposition frequently report a lack of professional understandingand support. The current study explores the experiences of women attendinga busy peer support group at the NSPCC in York. It demonstratesthe vital role that peer support can play. It traces a varietyof factors which mean that family, friends and social workersare not well placed to help. At the heart of these difficultiesare the powerful feelings of guilt and failure in their roleas mothers which the women experienced as a result of the sexualabuse of their children. For these women it was impossible toshare with social workers their doubts about their own abilitiesas mothers, particularly in a context in which those workerswere making judgements about their ‘ability to protect’.On the other hand the support group provided a safe and non-judgementalforum in which these powerful emotions could be expressed anddealt with. The study explores the role that social workerscan play in relation to such groups.     

Patterns of Provision in Respite Care and the Children Act

Summary This article presents the findings of a three-year study intorespite care services to disabled children and discusses thesein the light of the 1989 Children Act. The aims and methodsof the research are first outlined and the various servicesincluded in the study are described. Access to services was found to be uneven, with families fromlow socio-economic groups and from black and ethnic minoritycommunities apparently having less choice. The characteristicsof users are identified: some of these varied according to typeof facility used or amount to care received. Agency records and registers were often found to be inaccurate:the Children Act will require authorities to maintain updatedregisters. New powers to charge for services may create furtherbarriers to access although requirements to take account ofchildren's racial and cultural background should extend it.The Act will help authorities regulate the amount of respitecare children receive and introduces certain safeguards. Itsemphasis on consulting young people is to be welcomed. Overall,the new legislation has the potential to improve many aspectsof respite care; its ability to do so will depend on havingadequate resources.     

Teaching Behaviour Therapy Skills to Social Work Students

Summary Twenty social work students who were in the final term of atwo year non-graduate CQSW course were divided into two groupswhich met weekly for four sessions. The purpose of these sessions was to teach the students, throughexperiential methods, the use of behaviour modification techniquesin the hope that they would transfer this competence to theirwork with clients individually or in groups. Each student selecteda target behaviour for change, and with group supervision, defined,monitored and set goals for the target behaviour and finallyimplemented therapeutic procedures.