Disabled People,Health Professionals and the Social Model of Disability: Can there be a research relationship?

The social model of disability is proposed as an alternative to models that have viewed disability as an individual, rather than a socio-political issue. The use of this model to guide both research theory and practice is proposed in order to equalise research power relationships, and involve and empower disabled people. Health professionals have traditionally reinforced the medical model of disability in both research and practice, and this has been seen as contributing to the oppression and marginalisation of disabled people. If the social model is to achieve wider dissemination, it would appear important to develop a dialogue between disabled people and health professionals. However, because of negative perceptions it can be difficult for health professionals to find an appropriate position in relation to disabled people, research and the social model of disability. While not denying the past, it appears essential to look at ways in which disabled people and health professionals can work together to overcome the oppression and marginalisation that has been linked to the provision of health services.     

Introducing a Research Project into Social Work Practice—A Model for the Future?

In this article the author, a social work practitioner, suggests that the knowledge and experience of practitioners and researchers need to be harnessed so that innovative practice can be developed within local authority Social Services. The views of children and young people were sought as a way of enhancing service delivery. Young people were consulted through a Focus Group about the policy and practice of Child Protection Conferences. Interviews were also undertaken with 11 young people who had been the subject of a Child Protection Conference to find out what they thought about the preparation stage, the conference itself and the follow up they received after the conference.

The author concludes that young people can make a valuable contribution to the development of universal services and managers and social work practitioners need to find ways to routinely incorporate consultation with children and young people into social work practice. This has implications for social work education, not only in ensuring that consultation skills with service users are built into the curriculum, but in encouraging innovative practice in the workplace.     

Is There a Place for Biopsychosocial Formulation in a Systemic Practice?

There is a long history of literature concerning integrative practice and how a systemic practice can fit with other models of therapy Much of this literature has focused on establishing a space for systemic therapy within the dominant medical paradigm, and exploring how the medical model can be enhanced by systemic ideas. The outcome has been better practice, especially in child and adolescent mental health. Interestingly, however, there has been less discussion of the converse: the family therapy literature has rarely considered whether or not systemic practice itself can be enhanced by ideas from the dominant medical model. This article proposes that a biopsychosocial formulation can enhance systemic practice by: (I) holding clinicians accountable for their thinking; (2) facilitating a rigour and attention to detail that may prove useful when therapy falters; (3) opening up other possibilities for intervention; and (4) providing a way to engage with the dominant medical paradigm and support clients in negotiating their way through this system. Potential problems nevertheless arise when integrating a biopsychosocial formulation into a systemic framework. This article identifies these problems and presents ideas for how they can be managed in practice.     

The Social Model of Disability: What does it mean for practice in services for people with learning difficulties?

Does the social model of disability currently inform the delivery of services for people labelled as having profound and complex learning difficulties? What distinguishes practice which draws on the social model from that which is influenced by an individual model or a medical model of disability? This paper draws on the findings of a small scale interpretive research study and some of the current debates within disability studies to illuminate these questions. It concludes that the social model can and does positively impact on some practice and that it should be taught to all providers of services for this group. It further concludes that to include discussion about individual experience of impairment in such training may have negative consequences.     

A Reluctance to be Defined 'Disabled'. How Can the Social Model of Disability Enhance Understanding of Anorexia?

Most people would not ordinarily regard anorexia as a disability, exposing the narrow social understanding of the latter term, although for certain bureaucratic purposes, like claiming Disability Living Allowance, anorexia is demarcated thus. The oppression faced by people labelled 'anorexic' mirrors that which theorists suggest disadvantages disabled people, a similarity examined below using the social model of disability as a tool of enquiry. In addition, the reasons against and for defining anorexia as a disability, and arguments for incorporating the experiences of people labelled 'anorexic' into the Disability Movement will be discussed. This paper is based on the comments of nine interviewees, medically or self-defined as 'anorexic', whose words clarify and make theoretical discussion more engaging. It is anticipated that exploring anorexia in a new light will improve understanding of the condition and will also be beneficial to Disability Studies.     

Preparing for Practice: An Evaluation of an Undergraduate Social Work ‘Preparation for Practice’ Module

The requirement for social work students to undergo assessed preparation prior to undertaking their first practice placement raises key questions about the type of knowledge and experience that is needed for those at the start of their training. This paper shows the need for social work educators to become re‐engaged in debates about the practice–theory relationship and to explore what is meant by an incremental approach to learning. A Preparation for Practice Learning module which was delivered to a cohort of Level 1 undergraduate social work students at a London university is described and evaluated. The paper highlights the key themes which emerged from the evaluation; these include the importance of work shadowing, observational learning and the centrality of critical reflection in aiding students' personal and professional learning. A discussion of its effectiveness in preparing students for their first practice learning experience follows. It concludes by recommending how students' learning in relation to the nature of social work and the skills required to undertake the role effectively might be addressed within the curriculum. Finally, a Preparation for Practice Learning model based on these findings is proposed.     

What are Social Work Students’ Perceptions of the Community Practice Method?

Summary. A unique aspect of the social work profession is the combination of intervention on the personal, community, and societal levels and their interaction. The purpose of this research is to determine students’ perceptions of community practice. Qualitative research was conducted among Israeli social work students before gaining any practical experience in community practice. Findings. The results demonstrated a change in students’ perceptions of the importance of community practice to the profession, and the factors that contributed to this change. Applications. Recommendations that may contribute to changing students’ perceptions of community practice are offered to educators.     

The Integration of Immigrants in Sweden: a Model for the European Union?

In an overall ranking by the Migration Policy Group of 2006 measuring immigrant integration policies in 28 countries, Sweden scored more points than any other country. This result is especially interesting given that Swedish integration policies differ considerably from integration policies applied in other EU countries. Whereas in countries such as the Netherlands, Germany, Denmark, the United Kingdom, and France integration conditions have become increasingly restrictive in recent years, in Sweden the participation in integration courses is still voluntary and no integration requirements must be met for long‐term residence or citizenship. Moreover, the Swedish integration programme is characterised by an increasing number of labour‐market related integration measures. Yet, in contrast to the Migration Policy Group ranking, data collected from the OECD and Eurostat seem to indicate unfavourable integration outcomes in Sweden, at least in terms of labour market participation. The gap in employment rates between the native and foreign‐born population in Sweden widened during the 1990s and has not narrowed significantly since then. This means that the outcome of Swedish integration policies is at least ambiguous, which makes the use of Sweden as a model for integration policies in other member states inconceivable.     

Attitudes of Social Work Students About Substance Abuse: Can a Brief Educational Program Make a Difference?

ABSTRACT

This study examined whether a brief educational program could modify attitudes of master's level social work students about substance abuse. Study methodology involved a two-group pre-test and post-test quasi-experimental design. The Substance Abuse Attitude Survey, a standardized assessment instrument, was used to measure attitudes based on five distinct factors. No significant changes in student attitudes were found after participating in the educational session. Recommendations are offered for how social work schools may enhance their efforts to prepare students to effectively work with substance abusing clients and their families.     

Can a Unified Service Delivery Philosophy Be Identified in Aging and Disability Organizations? Exploring Competing Service Delivery Models Through the Voices of the Workforce in These Organizations

Services for older adults and younger people with disabilities are increasingly merging, as reflected in the creation of Aging and Disability Resource Centers (ADRCs). Using ADRCs to coordinate services is challenging, primarily because these fields have different service delivery philosophies. Independent Living Centers, which serve people with disabilities, have a philosophy that emphasizes consumer control and peer mentoring. However, the aging service delivery philosophy is based in a case management or medical model in which the role of consumers directing their services is less pronounced. Using institutional logics theory and a qualitative research design, this study explored whether a unified service delivery philosophy for ADRCs was emerging. Based on focus groups and questionnaires with staff from ADRCs, findings revealed that competing service delivery models continue to operate in the aging and disability fields.     

‘Why is This Not Social Work?’ The Contribution of ‘Non-Traditional’ Placements in Preparing Social Work Students for Practice

This article reports on the findings of two evaluations of a major charity's learning from providing ‘non-traditional’ social work placements with young people at risk of social exclusion. The article challenges the terminology of ‘non-traditional’ and ‘non-social work’ placements and examines the potential of these placements in the current social work curriculum and in the light of the recommendations of the Social Work Task Force and directions from the Social Work Reform Board. In particular, the article highlights the ability of such placements to help prepare students for their ‘statutory placement’ in relation to formal assessment, legal literacy, and risk awareness and safeguarding. Overall, it is argued that the time is ripe to champion the creative use of such placements for HEIs, delivery partners, social work students and, most importantly, for service users.     

Challenging Stereotypes Surrounding Disability and Promoting Anti‐oppressive Practice: Some Reflections on Teaching Social Work Students in Northern Ireland

Relatively high levels of dependency on disability benefits in Northern Ireland has led to widespread assumptions within this society that fraud and abuse are rife within the social security system. Consequently, many of those in receipt of disability benefits are stereotyped as dishonest, malingerers and scroungers. This stereotyping is damaging to all disabled people and undermines the security that the welfare system is supposed to provide. Social workers are obliged to work within an anti‐oppressive framework, addressing issues of oppression and discrimination. It is therefore imperative that strategies and techniques, which raise their awareness of these issues, are developed. This article describes a teaching strategy that was introduced in the first year of a social work degree programme, to enable students to recognise and reflect upon cultural stereotypes, and comments on its effectiveness.     

Changing Social Work Students’ Perceptions of the Role of Government in a Policy Class

Understanding student political attitudes—feelings about government and perceptions of its role—has long been of interest to social scientists. One factor that may influence political attitudes is belief in a just world, a complex psychological construct well established in the literature. Our study explores changes in social work students’ perception of a supportive role of government and their beliefs in a just world after one policy course using a pretest and posttest design. Student perceptions changed toward a more supportive government role, but there was no significant change for belief in a just world. The study contributes to empirical evaluation of the social work education policy class in terms of the Council on Social Work Education competencies.     

From the Mouths of Mothers: Can Drama Facilitate Reflective Learning for Social Workers?

This article explores and evaluates a cross-disciplinary small-scale project using applied theatre in social work education. The aim was to provide an ‘Affective Encounter’ where students could practice empathic engagement, understanding of the needs of children who have been sexually abused and their protective parents/carers and engage in the complexities of working with family members who may be resistant. The workshop took place five times over a period of three years and was attended by children and families social workers on a one year post-qualifying graduate diploma course. While the use of verbatim theatre does not offer a guarantee of factual truth, it provided the students with some performed moments of personal testimony which was taken word-for-word from mothers whose children had been sexually abused. This allowed the social workers to hear the marginalised narratives of the protective mothers and to practice without a negative impact on the service user. The evaluation identified from self-report the development of emotional and practical skills and knowledge of available resources. This paper focuses on the emotional skills reported and two emerging themes are discussed: learning for humane practice, and the use of this pedagogical approach to encourage affective reflection.     

Social Workers’ Preparation for Child Protection: Revisiting the Question of Specialisation

Abstract

Child welfare work is a key field of practice for social work graduates and for graduates of a growing range of disciplines. In the present paper, the authors drew on a survey of 208 child welfare workers and interviews with 28 senior personnel in child and family welfare agencies to analyse perceptions of the educational preparation of social workers and other human science graduates for this field of practice. The findings indicated that child welfare workers and employers are ambivalent about the value of social work and other generic social science and human services programmes as preparation for tertiary or statutory child protection practice, which involves investigation, assessment, and intervention in child abuse and neglect. The authors argue that the social work profession must better balance generic and specialist aspects to prepare graduates for practice in specialist fields of high social work involvement, particularly in tertiary child protection work.     

The Importance of Practice Learning in Social Work: Do We Practice What We Preach?

This paper reports on themes identified from focus group discussions with practice educators, in which they articulated concerns about factors that limited their work with students on placement. Four key themes are identified from analysis of the data: (1) The absence of workload relief for agency based practice educators; (2) A lack of knowledge about the academic curriculum in qualifying social work programmes; (3) A sense of isolation from universities placing students with them; (4) Concerns about the quality of practice learning experiences they could provide to students. Expressions of guilt and anxiety were a prominent feature of the focus group discussions. Almost all the practice educators felt that their work in this role was not good enough. They were concerned about standards and missed opportunities to work developmentally with students who may be at risk of failing, or conversely to stimulate those who were more able. The findings suggest that universities should consider whether practice educators are sufficiently connected with other parts of the social work education system to fulfil their role.     

Increasingly Strange Bedfellows? An Examination of the Inclusion of Disability Issues in University- and Agency-based Social Work Education in a Welsh Context

Previous research has indicated relative reluctance among student social workers to plan future careers working with people with physical impairments. This continuing longitudinal study followed one cohort of undergraduate social work students from induction, to investigate and contribute to the development of effective curriculum strategies in preparing students for contemporary generic social work practice in relation to disability issues. A mixed methodology approach utilising questionnaires and focus groups was used to track the development of social work student perceptions of their preparedness for working with disabled people at different points in their education.

Preliminary results revealed that while personal experience is a strong determinant of future interest in working within a particular service area, the use of case studies designed and delivered in conjunction with service users, carers and current practitioners appeared to be a particularly positive method of encouraging students to reflect upon real-life challenges within a safe environment. Results also suggest that interweaving features of a curriculum infusion model with a distinct module approach may moderate the gap that is perceived by students as remaining stubbornly prevalent between university- and agency-based learning.     

Meeting the Needs of the Social Care and Health Care Workforce: Can a Duck Sleep with a Hippopotamus?

In a period when recruitment and retention are crucial issues in health and social care the focus of this paper is:

? Who are the workforce of health and social care?

? What are the needs of that workforce?

? How safe is it for the much smaller partner, social care, to work together with the much larger health care?

The latter point heads us back to the sub‐title of the paper: can a duck sleep with a hippopotamus?

This question comes from an advert used in the UK for a bed manufacturer, where our British sensitivities and fear of sex prevents us from showing a man and a woman in a double bed, what the Spanish charmingly call a ‘cama de matrimonio’, a marriage bed, and instead we show a hippopotamus and a duck sleeping, safely, in the same bed.

To follow this analogy, we have to show:

? that health and social care are in the same bed;

? that one is as large as a hippopotamus, and the other as small as a duck;

? what the dangers are of this;

and ask the question:

? What is there in the place of ‘spring technology’ which would permit both to sleep together, and for the duck not to end up flat?

In doing so, I hope to answer the first three questions I posed.     

Understanding Difference: The Importance of ‘Place’ in the Shaping of Local Social Economies

By contrasting and confronting the experiences of social enterprises in two Northern English city regions, and exploring the meaning and implications of difference between two broadly similar locations, this paper argues that what social enterprises can achieve depends as much on the context from which they emerge and operate as on the individuals involved. The findings from the research underpinning this paper reveal that each locality nurtures different relational assets, depending on the nature of the institutions and the community and its culture. These relational assets in turn provide diverse incentives and opportunities for the social economy to develop and grow.