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.     

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.     

Toward Generic Social Work Practice--a Review and Some Innovations

Summary This essay reviews the development of the generic concept andoffers three models and several concepts that are seen as relevantto the progress of generic theory for social work practice.A major gap in professional social work has been identified.The generic approach is seen as having exciting potential foreducating and training multi-skilled social workers, but a greatdeal of head and heart work is necessary before the idea ofgeneric social work can become a practical and viable reality     

The 'Subject' in Social Work

Summary Theories of social work are usually defined by reference totheir oppositions regarding the subject in social work and theaims of practice. This position connects up with a dominantview of theories of social work which regards them as opponentsengaged in a struggle to dominate the field. This paper characterizesthis view as a ‘gladiatorial paradigm’ It assaysthe vaidity of this paradigm. lists the main defects, and setsout the case for a structuralist approach to social work.     

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.     

Slovenian Social Work: A Case Study of Unexpected Developments in the post-1990 Period

Correspondence to Dr Shulamit Ramon, London School of Economics, Department of Social Policy and Administration, Houghton Street, London WC2A 2AE. Summary The paper contextualizes Slovenian social work in terms of thepolitical, social, economic and cultural changes which Sloveniahas gone through recently. The frame-work of social work educationand services is then outlined. Two major examples of unexpectedinnovative social work projects are outlined and analysed. Theimplications of these examples to Slovenian social work practiceand theory are looked at in the conclusions.     

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.     

Aspects of Social Work on a Cancer Research and Treatment Unit in a London Teaching Hospital

Summary With the rapid growth of technology and science in society today,an increasingly large number of people are becoming patientsin specialized research and treatment units. The reorganizationof social work support to the health service is upon us, andgreat care must be taken to ensure that this important groupof clients will receive the social work help it needs. The paper is based on work in a cancer unit in a London teachinghospital and seeks to illustrate ways in which the work is specialized     

Can We Afford not to Develop Social Work Practice?

Summary This paper outlines the main arguments for resources to be directedtowards developing practice methodology and skills. A reviewof recent research literature indicates that there are a groupof cases which take up much social work time and resources butthat this work lacks professional expertise and effectiveness.Outcome research in related fields is also reviewed. A synthesisof these studies' conclusions suggests that social workers couldbe effective though the essential skills are rare. The implicationsof these findings for the focus and nature of social work trainingare discussed.     

Organizational Research and Social Work: Issues in Application Illustrated from the Case of Organic and Mechanistic Systems of Management

Summary An increasing number of social workers are concerning themselveswith the organizational context of social work and with theapplication of organizational research material to their sphere.This article focuses upon a particular industrial study andcritically examines the recommendations by three writers, ofthe introduction in social services departments of an organizationalform identified in the study. As well as suggesting some implicationsof the study for social work, the discussion illustrates thekinds of issues and complexities which can arise in the applicationof such material     

Social Work, the State and the University

Summary Some aspects of the triangular relationship between the state,the university and social work are explored. Is it appropriatefor social work to be taught in a university? What are the implicationsof the fact that well over 90% of social workers are employedby the state? And what above all, is the nature of the relationshipbetween critical analysis as the corner-stone of scholarshipand the need to prepare the social work student to functioneffectively in the real world? It is argued that the respectiveattitudes of higher education and government towards socialwork are influenced by the nature of social work's relationshipwith sociology, but that this in turn has not been fruitfulfor practice development.     

Client Careers and the Structure of a Probation and After-care Agency

Summary This paper describes the results of a research project in whichthe first year's work of a newly-established Probation CourtIntake and Assessment Team was monitored. The subsequent changesin the practices of the probation officers are analyzed in relationto client careers and organizational boundaries; some implicationsfor social work practice are discussed.     

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.     

Why Social Work? A Comparison of British and New Zealand Studies

Summary The results of a survey of social work students in New Zealandare briefly reported and contrasted with two British studieswhich have employed the same methodology. The validity of certainpropositions concerning the socialization of the entrant intothe social work occupation is assessed.     

Who Leaves Social Work?

Summary Turnover and wastage rates among social work staff are highand subject to marked variation between grades, locations andlocal authorities. Such high rates have a number of deleteriouseffects on the quality of social work, and consequently on clients,on the costs of delivering personal social services and on thegeneral administration and organization of social care. Employingdata on 13,750 basic grade field social workers employed byEnglish and Welsh local authority social services departmentsin 1974–75, turnover and wastage rates were predictedusing information on the personal characteristics of employeesand the workplace locations. The analyses revealed the importanceof age, sex, educational background, social work qualifications,length of service and workplace in determining the probabilitiesof changing social work jobs and leaving social work completely.     

Social Work As The Privatized Solution of Public Ills

Summary This paper takes the motivation of the social work recruit asthe point of departure for an exploration of some aspects ofthe low-key politics of social work. Attempting to cut paststereotypical and occupationally agreed conceptions of why socialworkers enter their occupation, it suggests that the socialwork recruit's choice is most usefully understood as an attemptedsolution to central cultural problems in advanced capitalistsocieties, and it directs attention to the moral-political rootsof social work. While the choice of social work as a careerrepresents for some a sort of primitive political rebellion,the implications of this 'rebellion' are not grasped, and itbecomes the privatized solution of a privileged minority     

Social Work and the Medical Profession--Arguments Against Unconditional Collaboration

Summary The history and major texts of medical social work emphasizethe need for collaboration with the medical profession. Howeverthere is a less visible history of conflict between medicineand social work. It is proposed that a critique of medicine’scontribution to health provides the foundation for a statementof principles for a social model of health for social work practice.Collaboration with medicine should be negotiated on the basisof such principles, rather than unconditional.     

The Beckford Report: A Critical Appraisal

Correspondence to Nigel Parton, Department of Behavioural Sciences, The Polytechnic, Queensgate Huddersfield HDI 3DH. Summary This paper provides a critical analysis of the Beckford Reportand its implications for social work and the personal socialservices. Four interrelated themes are explored: the relationshipbetween social work practice, statutory responsibilities andthe law; the attitudes of social workers towards children andfamilies; the social work skills required; and the assumptionsthat are made about child abuse and the role of social workers.This is then related to recent research findings in the areaof policies and decision making in child care. It concludesby arguing that the report is in great danger of misdirectingour attentions from the major issues concerned with social workwith children at risk.     

Models of Assessment in Social Work

Summary The provision of a social work service depends significantlyupon assessment of the social situation of clients as determinedby social workers. It is argued that the social worker's ‘understanding’of the social situation is framed within a particular way ofthinking about cause and effect. Three different models of suchthinking are used in practice. They are identified as the linearmodel, systems analysis and the management model. The originsand attributes of each model are described and related to thesocial, economic and political environments which have influencedtheir separate developments. The value base underlying eachmodel is explored. Issues relating to the present position ofsocial work are clarified.     

The Changing Nature and Context of Social Work Research

Summary Social work research is constantly diversifying and expandingand this article explores its changing nature; including changesto epistemology and practice; and the critical influence ofthe wider economic, political, theoretical and practice changesoccurring to social work itself. The author discusses a numberof issues facing social work research: the enduring conflictsof ways of knowing, doing and valuing social work research;the role of practitioners as researchers; and the challengeto empower service users as self-determining researchers.