The Operation of Economic 'Laws' within Social Work: A Critical Appraisal

Summary In planning and administering social work services, economictheory has had a strong impact in recent years. The authorsexamine the application of economic theory, in particular pricingtheory (as used by Judge and others), to social work services.They conclude that there is an ideological function in applyingmicroeconomic theory to social work and that there are seriouslimitations in the contribution that such economic theory canmake to resolving social problems.     

Attitudes of Medical School Workers Towards Reorganization

Summary This paper arises from a four-year project funded by the Departmentof Health and Social Security, concerning the social needs ofthe physically sick—a study of some aspects of the socialneeds of the physically sick and of the services designed tomeet needs. The present focus is on social work services andin this part of the project a development study has been undertakenand postal questionnaires have been sent (a) to all medicalsocial workers employed in the Hospital Service and in localauthority Health and Welfare Departments, and (b) to all otherhospital social workers engaged in helping the phsically sickand handicapped persons. In addition, a Survey is being carriedout through records of 9,000 admissions to a number of hospitalsto see how many of these patients are referred to the hospitalSocial Work Departments in a nine-month period, at what stagein their hospital careers they are referred, etc. A Survey is being carried out in four hospitals using a randomsample of patients and another sample referred for social workhelp. These patients are being interviewed in hospital and afterdischarge to see what kind of problems are encountered in hospitaland after discharge and what services are provided. Interviewswith medical, nursing, administrative and social work stabstractand included in this survey. The overall objectives of the Survey are to study needs andservices and to indicate how closely services respond to needs.     

Compulsory Persuasion: A Problem for Correctional Social Work

Summary Social work risks being misused as a technique for controllingundesirable behaviour, regardless of clients' expectations orchoices. This approach to social work involves certain underlyingassumptions about human nature which raise considerable ethicaland practical difficulties. Recent trends in the probation andafter care service are considered, together with some researchstudies of the effectiveness of social work in reducing offendingbehaviour. From these it is argued that social work servicesfor offenders are more likely to be effective when the emphasisis on helping with perceived problems and difficulties ratherthan on crime prevention.     

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.     

'Anti-oppressive practice': emancipation or appropriation?

Summary This article offers an initial critical discussion of the conceptof anti-oppressive practice - AOP - from the perspectives ofservice users. Whilst acknowledging the emancipatory aspirationsof anti-oppressive practice, it also considers its regressivepotential. AOP has become central in social work theory andpractice and indeed is sometimes presented as a key approachand theory of social work. This discussion highlights the failureso far significantly to involve service users and their organizationsin the development of anti-oppressive theory and practice. Itconsiders how the ideology and structures of anti-oppressivesocial work impact upon service users; the problems raised by'expert' appropriation of users' knowledges and experiencesand the issues raised by the failure so far to address the useof social work and social care services as an area of differenceand category of social division. Finally, the article examinesalternatives to existing notions of anti-oppressive practicebased on the equal involvement of service users.     

Towards Accountability in Social Work: A Case Review System for Social Workers

Summary After discussing the huge undifferentiated tasks facing socialworkers in the social services departments, it is suggestedthat one of the most urgent research needs is the developmentof systematic record and review systems to provide basic informationabout social worker activities and their effects on differentclient groups. The development of a social worker oriented computerizedCase Review System in close collaboraation with a group of fieldworkersin an area office is described. The system enables social workersto evaluate and plan their work for individual clients; it canassist the process of supervision; as a management tool it cancontribute towards the planning of fieldwork services; as aninformation system it gives an on-going account of the size,nature and scope of social work activities with different clientgroups. So far the impact of the system has been to raise questionsabout practices and to encourage a climate favourable to change.     

Voices From the Front Line: State Social Workers and New Labour

Summary The article explores the condition of state social work in Englandtoday. It is based on interviews with experienced social workersemployed by local authority social services departments acrossthe north of England. These front line state social workersprovide a penetrating insight into the diverse ways in whichtheir work has been transformed and degraded and the mannerin which the needs of clients have been largely ignored. Fromtheir perspective, the election of a Labour government in 1997proved to be a massive disappointment and many social workersreported that it has further undermined state social work practice,workers and clients. The paper seeks to offer an explanationby noting the neo-liberalism of Labour's social policy and thedire consequences which flow from New Labour's fixation withwaged work as the principal solution to social exclusion andpoverty. Above all, it seeks to provide an opportunity for theviews of front-line state social workers to be heard.     

Theory and Practice in Long Term Social Work: a Case-Study of Practice with Social Services Department Clients

Summary This study is based on empirical research into the practiceof 14 social services department social workers with 42 of theirlong term clients. The findings suggest that, contrary to expectation,this type of social work practice is not characterised by aproblem solving approach, but rather by a concern for the containmentof problems and the maintenance of stability. This leads toa restricted form of social work practice which is not linkedto any particular method of intervention. Reasons for this theory-practicehiatus are suggested along with a discussion of the issues surroundingtraining for long term social work of this kind in the future.     

Working with Prostitutes: Probation Officers' Aims and Strategies

Summary This small sample survey examines probation officers' aims andstrategies when working with street prostitutes within the contextof the Street Offences Act, and the results of their work. Itindicates that the officers fail in their main aim of encouragingstreet prostitutes to stay within the law because of the women'sintention to do otherwise. The officers' strategy of definingand tackling prostitutes' legal, emotional and material problemson an individual basis also leads to little impact being madeon such problems. The article suggests that probation officersmight more profitably adopt non-correctional aims when workingwith street prostitutes and consider alternative social workstrategies.     

The Implications of Immigration for the Training of Social Work Professionals in Spain

Correspondence to Sonia Hernández Plaza, Area de Psicologia Social, Departamento de Ciencias Humanas y Sociales, Universidad de Almería, Ctra. Sacramento s/n, Almería, 04120, Spain. Summary Important demographic changes have been taking place in Spainduring the last two decades as a result of immigration. Dueto an ever-increasing multicultural spread, social work professionalsare faced with the new challenge of providing quality servicesto diverse ethnic populations. After briefly describing themain characteristics of immigration in Spain, their implicationsfor the provision of social services and the need to providemulticultural training for social workers are analysed. Theconceptual framework proposed addresses some of the main variablesthat professionals working with these minorities should takeinto account, emphasizing: culture; language; family support;community resources; clients' explanatory model of the problems;provision of services for multiple problems; ethnic discrimination;and assessment instruments. Some key points for multiculturaltraining in this field are discussed, paying special attentionto the need to develop culturally sensitive and bias-free diagnostictools; accreditation and funding of professional programmes;and cross-cultural competence training. The main contents andobjectives of a multicultural training course for social workersare described.     

A New Approach to Community Care for the Elderly

Summary Organisations can absorb successfully only a few fundamentalinnovations within a short period of time. It is therefore importantfor the designers of innovations to ensure that they directlyand substantially contribute to solving important problems,and for agencies to concentrate their innovative activity onthose that do so contribute. The first aim of this paper isto analyse the policy context so as to clarify the nature ofthe problems that make innovation in the care of the elderlyimperative and show how features of the Community Care Projectcontribute to their solution. The second aim is to provide somepreliminary evidence of the success of the scheme. The analysisof data for seventy persons in the experimental and controlgroups shows that the experimental group fared better in a numberof important ways; and that the gains appear to have been madeat no extra cost to the social services department. Therefore,it is concluded, the adoption of the scheme may contribute tothe technical progress needed in the provision of social serviceto the elderly with needs at or above the margin for residentialcare.     

Identification of and Responses to Problem Drinking Amongst Social Services Users

Correspondence to Alan Lawson, Research Officer, Department of Social Services, London Borough of Hounslow, Civic Centre, Lampton Road, Hounslow, Middlesex TW 3 4DN. Summary The NHS and Community Care Act (1990) has required local authoritiesto plan for social care aspects of services for alcohol misusers.Research was therefore commissioned by senior managers of theLondon Borough of Hounslow's Social Services Department to investigatethe effect of alcohol misuse amongst Social Services users onthe work of the Department. Research methods are summarizedand the main findings and their implications are discussed.The importance of relevant training was highlighted, in particularin relation to the identification and assessment of alcoholproblems and to child protection issues.     

1998 Human Rights Act: Social Work's New Benchmark

Summary The 1998 Human Rights Act makes the European Convention on HumanRights directly enforceable by the United Kingdom's courts andtribunals. This represents a major constitutional change andwill allow statute law and common law to be assessed, or reassessed,according to the rights laid down in the Convention. This hasmany implications for social work policy makers, managers andpractitioners. It will require the Convention rights to be atthe heart of social work practice. The ability of service usersto challenge decisions by social services departments will nolonger be dependent upon the traditional approach to judicialreview. Compliance with the Convention will now feature in legalchallenges. It is essential that the practice of social workembraces the principles outlined in the Convention. In manyrespects, they are rights that practitioners and others recognizeas being basic expectations of service users, and making themdirectly enforceable can only be for the good. However, we shouldnot underestimate the effect that the legislation will have.This article outlines the legal effects of the 1998 Human RightsAct and illustrates them by reference to examples from socialwork practice.     

Social Work as an Aspect of Primary Health Care: The Social Workers' View

Summary This study is based on an analysis of social workers' viewsof their work with 168 clients referred over a six month periodin 1977 in a health centre setting. A wide range of referralswas made and there was close collaboration with other primaryhealth care professionals as well as outside agencies. Far morepsycho-social problems were encountered by the social workersin the course of their intervention than were apparent on referral,although most of the work was short term. Social work with theindividual predominated and a variety of traditional socialwork skills were employed, although the elderly received relativelylittle help with emotional problems and were offered mainlypractical help. Social workers' perceptions of their clientsare discussed in relation to their choice of methods of interventionand feelings of efficacy. The attachment scheme emerges as generallyfruitful both in terms of social workers' job satisfaction andclients benefitting from a multi-disciplinary approach; howeverthe need for closer inter-professional collaboration in meetingthe needs of the elderly is highlighted.     

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.     

Patronage and Participation, Problem and Paradox: a Case Study in Community Work

Summary This paper describes the emergence and development of a neighbourhood-basedself-help organization. For over three years it has been staffedby self-styled community workers. For the first two years theworkers were mostly ex-students who hoped that this organizationcould be a means of effecting radical forms of social change.They have been succeeded by local people whose main purposeis to provide a social service. This transition produced disagreementbetween the different community workers. But it is a trend whichshould confound any stereotype ideas about community workersas always out of sympathy with all aspects of the establishment. The organization has moved from concern with one issue to providingvarious community services. It has passed through stages ofdevelopment characterized by the liabilities of newness, byattempts to' plan and consolidate and by efforts to resist becomingan established organization. The latter stages also became liabilitiesof 'success'. A central problem in this community work enterprise is the relationshipbetween participation and patronage. This refers to the problemof how to elicit and maintain local interest and support andthe paradox, that although outside help may be one way of ensuringthat local groups survive, it may also limit local people'sinvolvement and influence their goals. Dependence on patronsand a reluctance to organize local participation affected theorganization's development: patrons provided various resourcesbut were possibly a disincentive to the development of localinitiatives. The nature of free participation resulted in anunintended drift towards more conventional forms of social service,albeit in an unconventional setting     

Local Authority Intake Teams

Summary Amongst the many developments in social services organisationin the decade since Seebohm, specialist Intake Teams responsiblefor all initial referrals and short term work received by anArea Team, remain a popular form of local organization. Thispaper describes a small national survey of English local authoritiesto collect information on both intake teams and their long termcounterparts, and briefly outlines some of the major findings.The survey produced a broad picture of both the present structureof local authority fieldwork departments, and the personal characteristicsof social workers and their team leaders. The paper goes onto examine the relationship between intake and long term teams,particularly in terms of referral rates, relative caseloadsand the case transfer process; and concludes with an outlineof teams satisfaction with the intake system, and some indicationsof desired future developments.     

Improving Social Workers' Knowledge Base in Child Protection Work

Correspondence to Dr Eileen Munro, 16 Aquarius, Eel Pie Island, Twickenham TW1 3EA, UK. Summary The present study was conducted to identify recurrent socialwork errors in the forty-five public inquiries held in Britainbetween 1973 and 1994. This article reports the findings relatingto the recurrent criticisms of social workers' knowledge base.The quality of investigations and assessments are repeatedlyfaulted. Also, many problems arise from social workers' failureto be explicit about what they are doing. The merits and shortcomingsof increased training and handbooks to improve practice arethen discussed. It is argued that social workers' widespreadpreference for a personal, private style of working is a majorobstacle to changing their use of theories and to evaluatingpractice.     

The Place of Fostering in Social Work

Summary To foster children is no longer regarded as the main objectiveof the child care services. However, fostering is once againa matter of social work and public debate. The paper explainsthat more types of children are now being assessed as requiringfostering at a time when social service departments are findingit difficult to expand their number of foster homes. This greaterdemand for foster homes coincides with recent researches whichhelp to clarify the nature of fostering. Accordingly, a distinctioncan be made between 'exclusive' and 'inclusive' fosterings.It is considered that a conflict exists between popularity ofexclusive fostering and research findings which stress the valueof inclusive fostering. Research is also identifying the contributionwhich social workers can make in the fostering field. But thedesired inputs of training, low caseloads and staff stabilitypose problems for social work management. Finally, the researchfindings discussed in the paper are used to argue that the forthcomingChildren Bill is not only based on false assumptions about thebehaviour of natural parents but will also promote exclusiverather than inclusive fosterings. A plea is made that childwelfare policy be seen in a larger context of social reform