Independent Living Schemes: Organization, Resident Characteristics and Outcomes

Correspondence to David Phillips, Department of Sociological Studies, University of Sheffield, Sheffield S10 2TN. Summary This paper presents the findings of a major follow-up studyof independent living schemes (ILSs) for people with mentalhealth problems and people with learning difficulties. The surveywas undertaken in four local authority areas and covered 171schemes accommodating 481 residents. Information was gatheredon the characteristics of the schemes and their occupants, withparticular reference to the suitability of the ILSs in meetingresidents' needs. It was found that mixed-sex ILSs and ILSsrun by voluntary bodies in cooperation with statutory agencieshad higher than average success rates.     

From Values of Rights in Social Work: Some Issues in Practice Development and Research

Prof. E. Sainsbury. Dept. of Sociological Studies. University of Sheffield. Sheffield S10 2TN. Summary The following is a discussion paper prepared for a researchteam engaged in a project funded by the Joseph Rowntree MemorialTrust. The problems it sought to address concerned how the teamcould derive a clear statement of clients rights from broadformulations of professional values, and the extent to whichresearch can measure the realization of these rights in socialwork practice. It was found in the research that the practical wisdom (commonsense) of social workers is frequently assumed to be based onprofessionally agreed values, and that—in the pressuresof daily work —values are seldom articulated in ways whichchallenge the procedures and solutions dictated by common sense.Thus, an initial purpose in preparing the paper was to commenton ways in which matters concerned with values become obscuredin practice, and to find ways of linking together values. rightsand practice more strongly. In offering this paper for widerpublication. the research team hopes that it will stimulatecomments which will assist their thinking.     

Moving Out: Insiders' Views of Relocation

Correspondence to Tim Booth, The University of Sheffield, Department of Sociological Studies, Joint Unit for Social Services Research, Sheffield, S10 2TN. Summary This paper presents some of the findings from the Kirklees RelocationProject, an evaluation of a local community care programme forpeople leaving long-stay mental handicap hospitals and socialservices hostels. It concentrates on the views of movers interviewedbefore and after the move using an innovative ‘visualgame’ technique. The study confirms that given the opportunityto make an informed choice the movers would almost always optfor the least restrictive alternative.     

Group Living in Homes for the Elderly: A Comparative Study of the Outcomes of Care

Correspondence to Tim Booth, Department of Sociological Studies, Joint Unit for Social Services Research, University of Sheffield, Sheffield S10 2TN. Summary This paper traces the theory and practice of group living inhomes for the elderly in the literature and in the field. Itreviews the current state of research and calls for more workon the comparative evaluation of outcomes. It describes andpresents the results from a longitudinal study of matched samplesof residents in group homes and traditional homes which assessedthe relative changes in their personal functioning over time.The findings suggest that group living arrangements have beenoversold—in so far as they promise more than they deliver.     

Staff Attitudes and Caring Practices in Homes for the Elderly

Correspondence to Tim Booth, Joint Unit for Social Services Research, The University, Sheffield S10 2TN. Summary This article presents the findings from a major survey of staffattitudes and caring practices in homes for the elderly in Fife.The survey was carried out in the wake of the Wagner Reportto examine the diffusion of good practice ideas among residentialstaff and to see how far these ideas are reflected in actualcaring routines. The study points to the existence of a ‘coolingeffect’ whereby adherence to good practice lessens thecloser one gets to operational reality. Finally, the implicationsof these findings for staff training are discussed.     

Parental Participation in Child Protection Case Conferences: The Social Worker's View

Correspondence to Dr Ann Macaskill, Health Research Centre, Sheffield Hallam University, 36 Collegiate Crescent, Sheffield S10 2BP Summary This article reports the findings of a questionnaire surveyof 118 local authority social workers' attitudes towards parentalparticipation in child protection case conferences. Argumentsfrom the professional literature both in favour of and againstparental participation were presented. Overall social workerswere found to be largely supportive of parental participationalthough aware of the potential problems. Other professionalgroups involved in case conferences were perceived as beingless enthusiastic about parental participation. The implicationsof these findings are discussed and some training needs identified.     

Understanding 'Going Missing': issues for social work and social services

Correspondence to Malcolm Payne, Professor of Applied Community Studies, The Manchester Metropolitan University, 799 Wilmslow Road, Didsbury, Manchester M20 8RR. Summary Recent research about young people and adults who ‘gomissing’ raises important issues for social work and thesocial services. Large numbers of young people go missing eachyear, becoming vulnerable to exploitation and at risk of committingcrime and suffering from other social difficulties. Adults leavebehind families with practical and emotional difficulties. Adefinition of ‘going missing’ should focus on absencefrom social expectations and responsibilities. Five groups ofmissing person are identified: runaways, pushaways, throwaways,fallaways and takeaways, reflecting different social situationsin which going missing occurs. It is argued that going missingis one of a range of choices which people in difficulties maymake, depending on their approach to problems in their livesand the availability of opportunities. Effective local co-ordinationto focus on reasons for going missing, on reunions and returnsto residential care or home, and to provide emotional and practicalhelp to people ‘left behind’, are required, providedthat care is taken to protect people who go missing becausethey are subject to abuse and violence.     

Working Together to Protect Children on the Child Protection Register: Myth or Reality

Correspondence to Jan Horwath, Department of Sociological Studies, University of Sheffield, Elmfield, Northumberland Road, Sheffield S10 2TU, UK. Summary Child protection guidance at a national level has predominantlyfocused on the investigation and assessment of child abuse andneglect. Post-registration practice has received little attention,resulting in a variety of local responses. This paper describesthe findings from a national study designed to identify theimpact of the lack of national guidance on local post-registrationframeworks for practice. Data collected indicate that very fewArea Child Protection Committees (ACPCs) have developed policies,procedures or practice guidance which would provide a structurefor post-registration practice. This position is aggravatedfurther as individual professionals are confused about theirown roles and responsibilities and those of colleagues. We considerthe impact of these findings on practice and conclude by suggestinga macro level framework that can be utilized by ACPCs who wishto develop practice in this area.     

Family Placements for People with a Learning Difficulty: A Study using Time Budgets

Correspondence to Dr R. F. Drewett, Department of Psychology, University of Durham, Science Building, South Road, Durham DH1 3LE. Summary The Durham County Council Family Placement Scheme offers long-termcare in families for adults with learning difficulties. Theactivities of the twenty-four clients in family placements werestudied using interviews and diaries kept by carers. Althoughmost of the clients were only mildly handicapped three wereseverely disabled. Most of the carers have either professionalor voluntary experience of work with people with learning difficulties.Although four of the placements have broken down, the levelsof activity of the clients still in their families were similarto those found in other types of community-based care, and werejust as extensive in the more disabled. The previous experienceof the carer had no clear relationship with the activity levelsof the client.     

The Effect of Huntington's Chorea on Family Life

Summary This paper examines the effect of Huntington's Chorea (H.C.)on family life with particular reference to the consequencesfor the spouse of the H.C. patient. It describes in some detailthe marital and parental difficulties encountered and confirmsthe severe familial disruption that occurs. It suggests thatfamilies or individuals segregating this disorder can be usefullydivided into two categories of behaviour which are referredto as ‘H.C.-orientated’ and ‘independently-orientated’.It is further suggested that for purposes of practical managementand in the hope of avoiding the process whereby families becomeH.C.-orientated, these families require and should be offeredon-going social-work support from the time a family is recognisedas being at risk of H.C.     

Deprofessionalizing Social Work: Anti-Oppressive Practice, Competencies and Postmodernism

Correspondence to Lena Dominelli, Department of Sociological Studies, University of Sheffield, Sheffield S10 ZTU Summary Social Work is in a state of flux. One of the key factors impactingon the direction it is currently taking is market forces. Thisarticle argues that the globalization of the economy and theinternationalization of the state are affecting social workeducation and practice in Britain through the competency-basedapproach being promoted by CCETSW and the government. This isleading to the demise of the autonomous, reflective practitioner,creating instead, a fragmented, deprofessionalized senice thatis poorly placed to meet the requirements of anti-oppressivepractice.     

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.     

Group Work in Intermediate Treatment

Summary This article is concerned with the development of group workin a specialist intermediate treatment project. Using the techniqueof participant observation the author describes the use madeof groups over a six-month period with young people, all ofwhom presented problems of disturbance and/or delinquency. Thepractice portrayed is not ‘model’ but illustrativeof the dilemmas of practitioners beginning to work with groupsof young people for the first time. The evidence of the studypoints to the difficulties that an over-simplified view of participationand democracy can create, and indicates the need for group workersto define their purpose and objectives and to establish a contractor working agreement with group members. In relation to thedebate about ‘talking’ and ‘doing’ inintermediate treatment, it is suggested that a model of groupwork practice that distinguishes between ‘activity asan end in itself’, ‘activity as a means to an end’,and ‘focussed discussion’ may be helpful to groupworkers in conceptualizing the totality of their task. Socialwork with groups is still more talked about than practised.This article describes the attempts of a newly established teamof intermediate treatment workers to practise group work withyoung adolescents whose behaviour and social circumstances wereregarded as problematic. As a part-time researcher attachedto the project team, the author had access through participantobservation to groups over a six-month period and he also hadthe opportunity of listening to group workers discussing theirwork at review meetings.     

A Consumer Study of Young People's Views on their Educational Social Worker: Engagement as a Measure of an Effective Relationship

Correspondence to Colin Pritchard, Mental Health Group, University of Southampton, Royal South Hants Hospital, Brintons Terrace, Southampton, SO14 0YG, UK. Summary This, the first ever consumer study of education social workers(ESWs), uses qualitative material and quantitative analysisby examining the views of 110 users of a county ESW service.Most pupils belonged to families with long-standing disadvantage;e.g. 53 per cent had unemployed fathers; over 70 per cent hadparents with disturbed personal and social relationships, 39per cent had a single parent; 30 per cent plus had mental healthproblems; and 10 per cent of parents had been in care as children,i.e. more than ten times the national average. The young people also had considerable disruption in their lives:for example 78 per cent frequently missed school; over 50 percent had school and peer difficulties; 30 per cent offended;over 30 per cent experienced bullying; 5 per cent were the subjectof child protection enquiries, 10 per cent had previously beenin care and 2 per cent had had an incident of ‘attemptedsuicide’ (50 times the national rate). They averaged sixmajor difficulties each. Despite these antecedents, 91 per cent of the young people demonstratedan ‘engaged’ relationship with their social worktrained ESW, with many examples of practical psychosocial helpbeing received. The concept of ‘engaged’ was statisticallyvalidated in the comparison of views between the ‘engaged’and ‘non-engaged’ research participants. The resultsindicate the value and effectiveness of a supportive rapport/relationshipas a vehicle to reach and to be of practical assistance to disturbedand disturbing young people.     

Notes on Theory and Practice in Social Work: a Comparative View

Please address reprint requests to Robert van Krieken, Department of Social Work, University of Sydney, Sydney, New South Wales 2006, Australia. Summary There are still a number of problems surrounding the relationshipbetween theories of social work practice and that practice itself.This paper examines the factors underlying those problems andemphasises their roots in the failure to examine the diversityof social work theories and practices. We refer to one attemptto resolve the problems—the distinction between ‘practicetheory’ and ‘theory of practice’—pointout some difficulties with it and suggest an alternative, three-folddistinction within theorising: between (a) materialist socialtheory, (b) strategic practice theory and (c) working concepts. As an example of how those distinctions can be used, we thenbriefly discuss the work of Oskar Negt and its introductioninto the Dutch welfare context, as it was the issues raisedby that which stimulated the ideas in this paper. We concludeby arguing that only this kind of perspective on theorisingcan produce ideas which are of real use to progressive socialwork practitioners.     

Informal Carers of Adolescents and Adults with Learning Difficulties from the South Asian Communities: Family Circumstances, Service Support and Carer Stress

Corrrespondence to Chris Hatton, Research Fellow, Hester Adrian Research Centre, University of Manchester, Manchester M13 9PL, UK. Summary On the basis of a total identification survey in two metropolitanboroughs, 54 people from the south Asian communities caringfor people with learning difficulties aged 14 or over were interviewedregarding family circumstances, service supports and levelsof stress. In general, families were living in circumstancesof material disadvantage and reported a high need for services,due to a lack of informal support and the considerable supportneeds of many of the people with learning difficulties. Carerawareness and receipt of specialist intellectual disabilityservices were, however, low. A lack of information and staffwith appropriate language skills, coupled with a general neglectof the cultural and religious needs of service users and carers,appeared to result in low service uptake and low levels of satisfactionwith services. Eight per cent of carers reported levels of stressindicative of psychiatric problems, and also reported high levelsof contact with health services. There was some evidence thatservices were not allocated according to need; carers with lowhousehold incomes reported higher levels of stress, but carerswith higher household incomes received a wider range of services.The implications of these findings for services are discussed.     

Crossing Boundaries: An Exercise in Partnership Provision

Correspondence to Bill Whyte, Department of Social Work, University of Edinburgh, Adam Ferguson Building, George Square, Edinburgh EH8 9LL Summary The international movement to develop school enhancement strategiesin secondary schools recognizes the important relationship betweenschool, family, and community as a crucial medium for assistingdisadvantaged children (Crowson and Boyd, 1993). These childrenare equally the responsibility of social work and other publicservices. Many local authorities in Scotland throughout the1980s established what have become known as ‘youth strategies’to improve formal co-operation between education and socialwork, health and police services. This was an attempt to ensureearly identification of young people's difficulties in the expectationof promoting social welfare, enhancing educational attainment,and preventing, among other things, school absent-eeism andthe difficulties associated with school failure. In recent years,the ambition of such strategies has been to focus on primary-agedchildren and their families, as a preventive and protectiveapproach to the damaging effects of multiple disadvantage. Thispaper reports on an innovative project which was establishedto assist pre-school children experiencing multiple disadvantageto make a successful transition from home to primary school.The importance of good collaborative service provision is highlighted, together with an exploration of parents as educators,the provision of social services in an educational settiog.and issues of multi-disciplinary provision.     

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.     

Stress factors and mental health of carers with relatives suffering from schizophrenia in Hong Kong: implications for culturally sensitive practices

Summary Based on Spaniol and Jung's stress and coping framework (1993),this study examined the difficulties and stresses experiencedby carers with relatives suffering from schizophrenia in HongKong. The impact of these difficulties and stresses and of masteryas a coping resource on carers' mental health was also explored.Results show that carers experience most difficulties and stressesrelated to the management of negative symptoms such as refusalto perform household duties and neglect of personal hygiene,and less to handling positive symptoms such as bizarre behavioursand thoughts. It is also revealed that perceptions of stressassociated with difficulties in the care of relatives with schizophreniaaccounts for poorer mental health among carers. Lastly, carerswith a strong sense of mastery have better mental health. Culturalissues such as 'family shame and face saving', 'family obligationsand reciprocal expectations', 'external orientation to personalcontrol' and the 'the Confucian work ethics' are put forwardas explanations for these findings. Suggestions on culturallysensitive practices are made.     

Technicality and Indeterminacy in Probation Practice: A Case Study

Correspondence to Department of Law, Crookesmoor Building, Conduit Road, Sheffield S10 1FL, UK. E-mail: g.j.robinson{at}sheffield.ac.uk Summary ‘Technicality’ is a theoretical construct which,in the context of professional practice, refers to those aspectsof the work which can be prescribed, ‘programmed’or subject to routine practices. This paper considers the purportedrise of technicality in probation practice, with particularreference to the relationship between increasing technicalityand perceptions of ‘professionalism’. The paperpresents a case study of one ‘technical’ initiativein the probation context: namely, a structured risk/needs assessmentinstrument. The case study examined the implementation of thisinstrument in two area probation services, with a view to establishingits impact both on the exercise of professional judgement (‘indeterminacy’),and on perceptions of professionalism among users and theirmanagers. On the basis of the case study it is argued that,contrary to many recent commentaries, neither significant reductionsin indeterminacy nor an inevitable process of deprofessionalizationcan be automatically ‘read off’ from attempts tointroduce greater structure and/or standardization to socialwork and probation practice. The tentative conclusion of thispaper is that the professional future lies not in a wholesalerejection of technicality, but rather in achieving a positive,workable balance between technical and indeterminate aspectsof practice.