Occupational Stress in Social Services: a Comparison of Social Workers and Home Help Staff

Correspondence to Jennifer Bradley, School of Health Sciences, University College Salford, Frederick Road, Salford M6 6PU. Summary An investigation of occupational stress among professional andsupport staff within a social services department in north-westEngland was carried out, with the aim of optimizing the useof resources in the planning of stress management interventions.A two-phased research design was used to collect qualitative(by interview) and quantitative data (by questionnaire). Theresults reported here are based on data from 63 social workersand 74 home helps, who were involved in ‘front-line’work with clients. Sources of stress, measures of individualwell-being, job satisfaction, rganizational commitment and absenteeismdata are described. Comparisons with other occupational groupsare included.     

The Role of Assertiveness in Clarifying Roles and Strengthening Job Satisfaction of Social Workers in Multidisciplinary Mental Health Settings

Correspondence to Dr Claire Rabin, Tel Aviv University, Bob Shapell School of Social Work, Ramat Aviv, 69 978, Tel Aviv, POB 390470, Israel. Summary Eighty-seven social workers, working in nine different mentalhealth settings, were administered four questionnaires tappingthe following variables: assertiveness in daily life; assertivenessin the job setting; role clarity; and job satisfaction. Stepwiseregression analysis showed assertiveness in the job settingto be strongly correlated with role clarity. Assertiveness indaily life was also significantly correlated with role clarity.Assertiveness in the work setting was significantly correlatedwith job satisfaction, although it was riot as powerful a predictorof satisfaction as of role clarity. Number of years of job experiencewas the most powerful predictor of job satisfaction. The implications for social work training and supervision aredescribed in light of the importance of assertive communicationin maintaining job clarity and job satisfaction within multidisciplinarysettings.     

Working in Multidisciplinary Community Mental Health Teams: The Impact on Social Workers and Health Professionals of Integrated Mental Health Care

Correspondence to Professor John Carpenter, Centre for Applied Social Studies, University of Durham, Elvet Riverside II, Durham DH1 3JT, UK. E-mail: J.S.W.Carpenter{at}dur.ac.uk Summary This study investigated the relationships between the organizationof community mental health services and professional and teamidentification, team functioning and the psychological well-beingand job satisfaction of staff working in multidisciplinary communitymental health teams (CMHTs). Staff in four districts in theNorth of England completed anonymous questionnaires on two occasions,twelve months apart. There were systematic differences in teamfunctioning, favouring teams in districts where mental healthand social care services were integrated. However, service organizationhad no evident impact on professional or team identificationor on outcomes for staff in terms of stress or job satisfaction.There were differences between social workers (n = 31) and healthservice professionals (n = 82) indicating that social workershad poorer perceptions of team functioning and experienced higherlevels of role conflict. Controlling for other factors includingthe study districts, role conflict was a significant predictorof stress and of job dissatisfaction, while role clarity promotedjob satisfaction. We conclude that support and supervision aimedat ensuring a social work contribution to multidisciplinaryworking should be provided in the course of establishing CMHTsand integrated health and social care services.     

Stress and Coping in Social Workers: A Preliminary Investigation

Correspondence to Dr Paul Bennett, School of Psychology, University of Wales College of Cardiff, P.O. Box 901, Cardiff CF1 3YG. Summary Three groups of social workers (child, adult mental health orhandicap, elderly or physical handicap) completed a questionnaireexamining sources of stress, coping strategies, and stress outcomes(e.g. anxiety, depression). All respondents reported high levelsof stress, although stress resulting from factors intrinsicto the job, relationships with other people, and from the organizationalstructure were greatest among childcare workers. In addition,these workers reported greater emotional involvement with theirclients and higher levels of general anxiety and depression,as well as job related mental distress. The implications ofthese findings are discussed in relation to training, job designand support of social workers.     

Working in the Social Services: Job Satisfaction, Stress and Violence

Correspondence to Professor Jan Pahl, Department of Social and Public Policy and Social Work, Darwin College, University of Kent at Canterbury, Canterbury CT2 7NY. Summary A major survey of the social services workforce (Balloch etal., forthcoming), carried out in the Research Unit at the NationalInstitute for Social Work, has produced new data about sourcesof job satisfaction and about the incidence of stress and violence.The survey took place in five different local authorities inEngland, and interviews were carried out with 1276 individuals,selected from four groups of staff: managers, social work staff,home care workers and residential staff. The results suggestedthat those who work in the statutory, social services do experiencemore stress and violence than workers in other parts of thehealth and welfare services. However, different jobs presenteddifferent hazards. In general, home care workers were the mostsatisfied with their jobs, and were also the group least likelyto be stressed or to experience violence in the course of theirwork. By contrast, residential workers, especially those withmanagement responsibilities, were most at risk of both violenceand stress. Men were more likely than women to experience violence,while other groups with a higher than average risk of stressincluded younger members of staff, and managers and social workstaff responsible for elderly people.     

Social Exclusion, Poverty, Health and Social Care in Tower Hamlets: The Perspectives of Families on the Impact of the Family Support Service

to Ben Gray, 6B Park Road, Wivenhoe, Essex CO7 9NB, UK. Summary This paper describes the work of the Family Welfare Association's(FWA's) Tower Hamlets Family Support Services projects (FSSs).Tower Hamlets is a multiracial area in East London, which accordingto the 1991 census has high levels of poverty, overcrowdingand unemployment. Increasing poverty and social exclusion, whichfurther entrench inequalities in health, are reported by sourcessuch as Government, health and social services departments asrequiring innovative local responses to meet pressing welfareneeds. Innovative projects are especially urgent with vulnerablefamilies whose experiences of racism, bullying, mental healthdifficulties, domestic violence and child abuse are the rulerather than the exception. In common with other initiativesin the United Kingdom and abroad, the FSS aims to be non-stigmatizing,non-intrusive and responsive to the ethnicity, views and specificneeds of families. The paper focuses on the FSS's participatorywork with families to illustrate effective methods of qualitysupport, detail outcomes and draw lessons for policy and practice.     

Job Satisfaction and Organizational Structure: A Comparative Study of Nine Social Service Departments

Summary The authors investigated the relationship between aspects oforganizational structure and job satisfaction as experiencedby personnel employed in nine social service departments. Aftera series of unstructured interviews from 28 respondents in oneauthority, interview schedules were used for three distinctgroups of 603 respondents in nine organizations: those makingexecutive decisions, those making supervisory assessments andthose primarily concerned with client interaction. The bestpredictors of organizational structure were dimensions of centralizationand formalization which related significantly but negativelyto job satisfaction. The relevance of these findings is discussedin relation to the rapid growth of social services and the effectit has had on social workers and other employees.     

Career Patterns of Qualified Social Workers: Discussion of a Recent Survey

Summary The article presents some of the findings of a recent surveyon the career paths of qualified social workers. The factorsinfluencing career progression, and particularly moves intomanagement, axe explored. Wastage rates and the relationshipbetween job characteristics and people's decision to leave socialwork are also discussed. Finally, the article looks at levelsof job satisfaction among social workers.     

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.     

A Comparative Study of the Management of Cases of Deliberate Self-Harm in a District General Hospital

Correspondence to Michael Bateson, Senior Psychiatric Social Worker, Lancaster Moor Hospital, Lancaster, Lanes. Summary A controlled study was undertaken of two services assessingand managing cases of deliberate self-harm admitted to a casualtydepartment. The first service featured psychiatrists only andthe second included psychiatric social workers as well as psychiatrists. A combination of standardized instruments, a structured questionnaire,a twelve month diary and medical and social work files wereused to collect information. Demographic factors, repetitionrates, types of help offered, client satisfaction, social circumstancesand general health were investigated. Few significant differences were found to have existed betweenthe client populations of the two services at initial assessment.Also, there were no apparent differences in factors interveningbetween initial assessment and follow-up. However, the analysisof outcome measures indicates that clients benefited substantiallyfrom the addition of a psychiatric social worker in the followingareas: help offered, client satisfaction, social circumstancesand general health. These results are discussed.     

Perceptions of Stigma and User Involvement in Child Welfare Services

Correspondence to Dr E. M. Scholte, Department of Social and Behavioural Sciences/Centre for Research on Youth Welfare, University of Leiden, PO Box 9555, 2300 RB Leiden, The Netherlands. Summary This paper explores the perceptions of social disqualificationor ‘stigma’ that service users attributed to publicchild welfare services in random samples of service users takenfrom the Netherlands, a part of Spain (Catalonia) and a partof the United Kingdom (Wales). It was found that, in all threesamples, foster and residential care invoked the greatest senseof stigma, while the health related and the preventive familyservices were perceived as the least stigmatizing types of publicwelfare services. Comparative analysis further revealed thata positive attitude towards the use of public welfare services,a perception of supportive or non-stigmatizing social normsregarding the use of such services, and a perception of publicwelfare services as helpful correlated in all three sampleswith higher levels of user satisfaction and involvement in theservices. It was further found that, in the British and Spanishsamples, a positive attitude towards public welfare services,as well as a perception of public welfare services as helpfulfor their recipients, were the predominating factors promotinghigher levels of satisfactory user involvement in the services,while, in the Dutch sample, a perception of supportive socialnorms was the factor that most promoted satisfactory user involvement.     

Applying a community needs profiling approach to tackling service user poverty

Summary Poverty across the United Kingdom is a growing phenomenon. Itsimpact on the users of social work services is well documented.This paper puts forward the argument that poverty is a legitimatepart of the social work agenda rather than being seen as a complexproblem which is somehow outside the scope of social work agenciesand best left to politicians and policy makers. Social workpractitioners and managers must not only begin to accept andacknowledge that poverty is a social work issue but also tobegin confronting this challenge in a changing society whereexclusion, social inequality, racism and oppression deny peopletheir citizenship. The community needs profiling approach is proposed as a usefultool in addressing service user poverty whereby practitionersand their agencies can become more aware of the needs of usersand the communities in which they live. It is argued that, armedwith this knowledge, social workers have the potential to becomepart of the solution rather than remaining on the margins ofthe lives of poor people. Using evidence and ideas drawn froma range of community needs profiling research studies and texts,the author offers working suggestions for applying the approach.     

Value Bases in Social Work Education

Correspondence to Elisabeth Lynn, Lecturer in Social Work, Centre for Applied Social Studies, 9th Floor, Chemistry Tower, University of Wales Bangor, Bangor, Gwynedd LL57 2UW, UK. Summary In this paper the two values of social justice and personalcaring are identified as key ideologies within social work education.Their presence is traced within a historical ebb and flow oftheory and practice and it is argued that this dialectic isembedded in social and individual systems. Based on fieldworkresearch with social work lecturers and practice teachers, itis argued that anti-oppressive social work needs a reflexivetheory/practice model to provide an understanding of how structuralpower affects all aspects of an individual. This demands a workingsynthesis of the two values of Personal Canng and Social Justicewithin an understanding of a multiple approach.     

Cutting Edge Issues in Social Work Research

Correspondence to Ian Shaw, Cardiff University, School of Social Sciences, Glamorgan Building, King Edward VII Avenue, Cardiff, CF10 3WT, Wales. E-mail: shawif{at}cardiff.ac.uk Summary Taking the panel report on social work submissions to the British2001 Research Assessment Exercise as a starting point, I commenton some of the central questions facing social work research.These include social work research methodology; social work'srelationship to science; the relationship between social workpractice and research; governance and research ethics; buildingresearch capacity; and establishing research quality. I outlineaction that is needed by social work academics and researchers,social work agencies and government departments.     

Stressors and Strains amongst Social Workers: Demands, Supports, Constraints, and Psychological Health

Correspondence to Fiona Jones, Hatfield Polytechnic, College Lane, Hatfield, Herts AL109AB. Summary This article describes an empirical study of the work stressorsand psychological strains experienced by social workers in Hertfordshire.A questionnaire, based on Payne's (1979) model of occupationalstress, investigated the perceived Demands, Supports, and Constraintsof the work, including threats and violence in addition to moresubjective perceptions of pressure. The research aimed to establishthe extent and nature of stress amongst social workers and topinpoint the specific features of the work which are associatedwith particularly poor levels of psychological health. It alsoaimed to suggest possible courses of action to alleviate excessivepressure. The research showed that while the social workers found theirjob satisfying, they perceived the work as very pressured andfelt that the pressure adversely affected the service they provided.The psychological health measures indicated that levels of generalanxiety were particularly high. The most highly stressed workersperceived their jobs as more demanding and less supportive andestimated that they took twice as much sick leave. Certain specificdemands and supports were shown to be important in predictingpsychological health. Various recommendations are made aimedat alleviating strain by reducing demands and constraints andincreasing supports.     

Psychological Distress in Staff of a Social Services District Office: A Pilot Study

Correspondence to High Winnard, Church Road, Bishopsteignton, Devon TQ14 9QH, UK Summary This comparison study of fieldworkers and administrative workersin a social services district office addressed three researchquestions. Would fieldworkers show more internality and wouldthey perceive higher job demands than administrative workers,and would there be a positive relationship between perceivedstress and perceived job demands for all workers? The GeneralHealth Questionnaire 28 was administered, in addition to a jobdemand inventory. Self-reported absenteeism due to illness wasconsidered, and locus of control was considered as a moderatorof stress, as were years of service, age, and whether the employeeworked part- or full-time. Because fieldworkers might generallybe thought to be under more stress due to their work contentthan their support staff, data from fieldworkers were comparedwith those from administrators. Gender differences were alsosought. Statistical tests showed no significant differencesfor gender or between the administrative staff and fieldworkstaff for internality or job demand. A positive relationshipwas evident between perceived stress and perceived job demandwith a correlation of 0–40 (p <0·05). In addition,over 72 per cent of the sample scored above the cut-off pointon the GHQ 28 indicating psychiatric morbidity. The implicationsof the results are discussed.     

Predictors of Stress Amongst Social Workers: An Empirical Study

Correspondence to Professor John Collings, Faculty of Health and Social Care, Leeds Metropolitan University Calverley Street, Leeds, LS1 3HE, UK Summary Much of what is known about stress amongst social workers isanecdotal and there is a dearth of systematic research findingson the subject. This questionnaire study examined the perceptionsof work-related stress, and factors contributing to high andlow levels of stress, in a sample of 243 social workers drawnfrom four local authorities in northern England. The samplewas broadly based in terms of a range of personal backgroundfactors, and included social workers in urban, rural and semi-rurallocations. A measure of overall stress was constructed encompassingpsychological and physical aspects, and which permitted an analysisof the relative importance of predictor variables. A varietyof rating scales was used to assess aspects of the work environmentand perceived stressors. The most powerful predictor of overallstress that emerged related to the pressure involved in planningand reaching work targets. The study also identified certaincaseload and supervision-related predictors of stress, but,apart from age and marital status, personal background factorsseemed of weak predictive power. Social workers' perceptionsof their image in society seemed an additional source of pressure.The study findings suggest a need for combining organizationalwith individual oriented initiatives to combat stress.     

Religion and Spirituality in Social Work Education and Direct Practice at the Millennium: A Survey of UK Social Workers

Correspondence to Dr Leola Furman, 1201 Yale Place, Minneapolis, Minnesota, 55403, USA. E-mail: furmanlfurman{at}aol.com Summary In recent years, an expanding body of social work publicationsand professional conference presentations has materialized inthe United States due to a resurgence of interest in spiritualityand religion. In order to explore the level of interest in theUnited Kingdom, a random sample of 5,500 practising social workersfrom the British Association of Social Workers (BASW) membershipwere mailed a questionnaire that examined religious and spiritualbeliefs, practices and affiliations. A total of 789 BASW membersin direct practice from England, Scotland Wales, and NorthernIreland returned questionnaires, a response rate of 20 per cent.The majority of respondents believed that spirituality was afundamental aspect of being human. More than three-quartersof the sample reported little or no content on religion andspirituality in their training programme. Respondents stronglyapproved of raising the topic of religion and spirituality withclients who are experiencing terminal illness or bereavement.This also held true in matters of adoption and foster parenting.Approximately 47 per cent of all respondents believed that includingreligion and spirituality in direct practice was compatiblewith social work’s mission. This sample may representthose social workers with a stronger interest in religion andspirituality than a random sample of the general populationof UK social workers. These findings, nevertheless, raise concernabout the availability of practice models and training curriculafor social work practitioners and students.     

Work Satisfaction in Probation and Social Work

Correspondence to Professor Martin Davies, University of East Anglia, Norwich, NR4 7TJ. Summary The design and preliminary development of a research instrumentintended to provide comparable measures of work satisfactionwithin different social work settings is described. The resultsof administering it to two separate samples of social workersand probation officers are presented. It appears that probation officers feel themselves more highlyregarded by members of the general public and are less likelyto say they are badly paid; they enjoy more job autonomy; rathermore social workers tend to feel alienated at work, but mostbelieve that they have better chances of career advancementthan is the case in the probation service. There are broad similarities between the two work settings sofar as work with clients and attitudes towards colleagues areconcerned; it is argued that the emergence of these similaritiesis methodologically reassuring because it suggests the stabilityof the data overall, and therefore increases the likelihoodthat the findings regarding agency differences are a valid reflectionof social reality in each setting.     

Does job satisfaction mediate the relationship between work–family conflict and psychological strain? A study of Australian social workers

The present study investigated the mediating effects of job satisfaction on the relationship between work–family conflict and psychological strain among Australian social workers. Data for the study were collected by an online survey of the membership of the Australian Association of Social Workers, yielding 439 usable responses. The results provide evidence that job satisfaction mediates the relationship between work-to-family conflict, family-to-work conflict and psychological strain. These findings contribute significantly to the social work literature on work–family interface and confirm the importance of developing and targeting not only strategies that aim to reduce work–family conflict, but also those that aim to increase job satisfaction among social workers.