A Clash in Perspective? A Study of Worker and Client Perceptions of Social Work

Summary This study explores in a small sample of a worker's own clientswhether clashes in perspective occur between clients and socialworker, and how this is linked with satisfaction and dissatisfaction.Dissatisfied clients did not share a framework with the worker,but felt blamed and criticized by her, and the worker's ownbehaviour at the contract setting stage contributed to this.In contrast, satisfied clients and the worker appeared to havea positive shared perspective of the treatment process.     

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.     

Commonality and Diversity in Feminist Social Work

Correspondence to Vicky White, Department of Applied Social Studies, University of Warwick, Coventry CV4 7AL. Summary The relationship between feminist social workers and women serviceusers is a central concern in the feminist social work literature.The literature's discussion of feminist social worker/womanservice user relationships, along the dimensions of commonalityand diversity, is compared with the experiences and understandingsof feminist social workers who participated in a small-scalequalitative study. Two main themes are considered: first, commonalityin feminist social worker/woman service user relationships;secondly, diversity amongst women service users. Issues forfuture work are drawn out of the discussion of these themes:the problematic nature of feminist social worker/woman serviceuser commonality; the impact of social divisions other thangender on women service users' lives; the importance of unpackinggeneralizations about both women service users and feministsocial workers; the need to explore the intersections of thestatutory context and feminist social work identities. It isargued that in addressing these issues future work would beenriched if greater prominence were given to feminist practitioners'perspectives, experiences and understandings.     

Applying for money The encounter between social workers and clients--A question of morality

Correspondence to Lars-Christer Hydén, Department of Social Work, Stockholm University, S-106 91 Stockholm, Sweden Summary The facts of household finances generally obtain their meaningfrom the moral standards of everyday life: it is in relationto these standards that we evaluate our personal finances. Personswho lack money and apply for social welfare compensation generallyhave to turn to a public social welfare bureau where their eligibilityis assessed by a professional social worker. The central questionfor the present study is how social workers and clients dealwith the morally delicate question of personal financial deficitsand how this question should be processed in a formal and institutionalsetting by formal means. This problem is discussed through ananalysis of conversations between social workers and clientsat social welfare bureaux in the municipality of Stockholm,Sweden. In pursuing a formal inquiry the social worker is conductinga moral search: the social worker has to determine the moralcharacter of the client and the circumstances around his/herhandling of his/her own financial situation. The ‘relevantcharacteristics of the citizen’ that the social workertries to match with the beneficiary rules are of a moral nature.In this respect, the social worker is not only a social workerbut also a moral worker. In order to define and defend his orher moral character the client has to pursue the financial issueas a moral issue. In the encounter, the client alludes to everydaycircumstances to account for his/her financial situation andto justify it by applying everyday moral standards.     

Bibliotherapy in Social Work

Summary Bibliotherapy literally means the therapeutic use of literature.Many people will have experienced the power of literature orother art forms to offer new insight, to provide sources ofidentification, to stir the emotions, and to release feelings.In line with its current usage bibliotherapy can be broadlydefined as a technique whereby the worker seeks to utilise theseinteractive processes therapeutically so that those experiencingthe literature or other form of media can be helped towardspreventative, remedial and/or developmental goals. The literaturecan be either imaginative or didactic. It is the contentionof this article that Bibliotherapy is a useful additional toolfor social workers that can be used at the individual and grouplevel with both children and adults. Illustrations are takenfrom the ‘Wednesday Group’ which was set up by theauthor for elderly depressed patients using a bibliotherapeuticapproach, as well as from the wider literature on Bibliotherapy.     

Worker Participation and the Social Service Agency

Summary Is there real sharing of decision-making responsibility withinsocial service agencies? What hope is there for participationby the consumer of services if the agency worker nearest andmost relevant to him has little voice or leverage within theorganization? This paper examines the notion of worker participationwithin the context of the social services department and theprobation service, noting the imperfections of the ‘publicmandate’ behind the authority structure of these organizations.Above all it looks for continuity between the values socialservice agencies publicly represent and the values in theirday-to-day dealings with their own staff and clients. Currenttrade union proposals for worker representation at committeelevel are considered, and Dutch experience in extending theworkers' council from the industrial to the social welfare sphereis presented as one alternative model.     

An Interactionist View of the Social Work Interview

Summary The paper considers the relevance of the five sub-branches ofthe interactionist perspective to the social work interviewand suggests a model incorporating all five. Such a model illustrateshow conflict between the social worker and the client may ariseand the author tentatively suggests how such conflict may beresolved     

An Interview: Constructing Reality

Summary This paper is concerned with the relevance of interactionistperspectives in sociology to social work practice. Crucial tothese perspectives are the ‘meanings’ that peoplegive to situations and the ways they interpret actions. Basically,they are grounded on the assumption that there is no such thingas a single social reality. There are many different constructionswhich depend on the identities of the different people involvedand on the context in which they occur. The paper is based ontape recorded excerpts from an interview between a client, MrsSmith, and a social worker, from a discussion about some aspectsof that interview between the social worker and the writer,and from a discussion about the case between the team leaderand the writer. This material suggests different interpretationsof the situation, information gained in the discussion withthe social worker providing new ideas about the original interview.The views of the different people involved indicate that itis helpful to take into account the organizational context ofthe interviews. It is also suggested that conceiving of interviewsas ways of constructing reality has implications for the studyof social work practice.     

Social Work and a Relatives Support Group in a Psychogeriatric Day Hospital: A Research Note

Summary During the course of an evaluative study of a new psychogeriatricday hospital we encountered the fact that amongst the staffthere is very widespread support, in general terms, for theimportance of offering a service to the relatives of patients.A Relatives Group, in which the social worker attached to thehospital plays a leading role, is a major component of thisservice. However, the Group remains comparatively self-contained,is organised somewhat separately from the main body of hospitalactivities, and in practice systematic liaison with relativeshas not formed any major part in the planning and design ofthe organisation as a whole. Apart from the Relatives SupportGroup, there are only a small number of occasions on which relativeshave any regular contact with hospital staff. In this note we shall summarise our research which describesthe nature of social events which are encompassed within theGroup meetings. The research concludes that the Relatives SupportGroup sustains an ideology of service to relatives while confiningmany of the practical tasks so entailed to an organisationallocale which limits the degree of ‘relatives disturbance’to the rest of the institution. An implication of this thesisfor social work in medicine is that, in so far as social workersplay a significant part in running such groups, their attemptsto introduce relatives in this way as significant consumersmay, ironically, serve only to limit the impact of this groupwithin the system of medical care.     

Social Work and General Medical Practice: Personal Accounts of Three-year Attachment

Summary In the area of social worker-general practitioner collaborationmuch has been written about conflict of roles, differing functions,avenues of accountability, and problems of distributing scarceresources. This paper suggests that if the two professions areto work more comfortably with one another, then it is imperativethat both also share the despair, hopelessness, anxiety andanger that are the occupational hazards of each. Ways are suggestedin which doctor and social worker can look at the pain theirpatients are suffering to the benefit of the patient and theiro working relationship.     

Social Workers and Child Welfare

Correspondence to Dr Gunvor Andersson, Lund University, School of Social Work, Box 23, 22100 Lund, Sweden. Summary What problems do social workers at social services offices haveto face in their child welfare work? How do they handle theproblems, and how important is the relation between the socialworker and the child's parents? The research project includes189 child welfare cases with 0–3-year-old children inten local communities in Sweden. The article shows that thesocial work can be categorized into four different types ofwork, where the work done, as well as the relation between thesocial worker and the child's parents, differ. (1) The socialworker is mediating help and support and has a positive contactwith the child's parents. (2) The social worker is exercisingcontrol and authority and has a negative contact with the child'sparents. (3) The social worker is doing treatment-oriented workand has a personal involvement and a relation to the parentsthat is important for the family and not exchangeable. (4) Thesocial worker is solely engaged in investigatory work with norelation to the child's parents, rather a neutral contact. Inthe categorization the concepts contact and relation are differentiated.Only in the treatment-oriented category, encompassing aboutone-fifth of the children, can one speak of a relation. In allcategories there are elements of both help and control, butdifferent ways of handling this doubleness.     

Behavioural Social Work with Schizophrenic Patients in the Community

Summary A preliminary project on the application of behaviour modificationprocedures in the home setting is reported together with commentson the social needs of schizophrenic patients and their families.The article includes suggestions about social work with thisclient group based on the project experience.     

Taking Rights Structurally: Disability, Rights and Social Worker Responses to Direct Payments

Correspondence to: Tim Stainton, School of Social Work and Family Studies, University of British Columbia, 2080 West Mall, Vancouver, BC, Canada, V6T 1Z2. E-mail: timst{at}interchange.ubc.ca Summary This article examines the link between a justice and rightsdiscourse and disability policy and practice. Specifically,it considers social worker responses to direct payments, a policywhich has been linked to a discourse of social justice and rights.The article initially considers the nature of justice and rights,arguing that these can plausibly be seen to be grounded in theidea of autonomy and that a rights or justice based social policyand practice must be grounded in the protection, enhancementand development of the capacity for autonomous action. The articlethen presents partial findings of a research project, whichsampled social workers' views and attitudes towards direct paymentsin three local authorities. The findings suggest that socialworkers are aware of the link between direct payments and autonomyand are generally very supportive of the move to a rights basedapproach to policy and practice as evidenced by programmes suchas direct payments. The paper also concludes that structuralconstraints limit social workers' ability to fully functionfrom a rights based approach to disability.     

An Examination of the Determinants of Positive Outcome in Child Guidance Social Work

Summary A sample of 50 cases carried by four Child Guidance Social Workerswere monitored over a period of three months and their outcomesassessed from the standpoint of four different assessors; practitioners;researchers; clients; and referring agents. These assessementsof outcome were compared and analyzed in an attempt to identifywhat factors contributed to those interventions evaluated ashaving a positive outcome. The study revealed high levels ofinter-rater agreement with respect to assessment of outcomeand certain factors emerged as contributing to positive outcomeincluding aspects of the problems and children referred andaspects of the interaction between worker and client. Attentionis drawn to the implications of these findings for practice.     

Guide-lines for Social Workers in Coping with Violent Clients

Correspondence to Sally Johnson, 66, Church Street, Fordingbridge, Hants SP6 2BE Summary How does it happen that the well-intentioned efforts of localauthority social services departments to offer guidance to theirsocial worker employees in coping with violent clients actuallyresult in declarations that violence is inevitable and in theexpectation that the social worker on the ground will manageit? This paper discusses the problem of violence against socialworkers and the response of four local authority social servicesdepartments as expressed in guide-lines issued to staff. Thefirst part of the paper examines the background of news eventsand theories of aggression against which the guide-lines wereproduced. The second part discusses the response of the localauthority social services departments as employers to the problemsof assessing risk and coping with violence and its aftermath.     

Intermediate Treatment and Adolescents' Perceptions of Social Workers

Summary This paper reports an exploratory study of perceptions of socialworkers. Information was obtained from adolescents involvedin intermediate treatment activity groups, their parents, andtheir caseworkers. The respondents were asked to complete acard-sort of adjectives which might describe the social workers.The results suggest that adolescents may have much more positiveperceptions of their social workers than either the parentsor social workers anticipated. Parents were also found to havepositive perceptions of their social workers, especially iftheir social worker also attended the activity groups with theiradolescent. Some of the variables which were seen to have influencedthe perceptions of the social workers are discussed.     

Selection for Professional Training: The English and the American Experience

Summary Of the many issues arising from the Vyas case in England andthe Bakke case in the United States those of positive discrimination,selection on racial grounds, the nature and purpose of professionaltraining and the nature of fairness in selection for such training,are considered.     

Open Records: The Client's Right to Partnership

Summary Many Social Services Departments have opened their files totheir clients or intend to do so. This reflects the incomingtide of concern about citizens' rights and client participation,but what effect might the opening of records have on the practiceof social work? The paper summarizes the findings of a small scale study inwhich a team of social workers opened their case recording toa selected number of clients. The workers’ and clients‘views of this process are described, along with the implicationsfor practice. The study suggests that a focus on shared recordingcan begin to alter the kind of work done by the social worker,helping to promote a partnership between the worker and theclient. Finally, the paper argues that a policy of client access enforcedonly as a right is prone to sabotage or a fall into disuse.A seven point training programme is outlined in order to helpsocial workers use Open Records as an opportunity to promotea partnership in their work with clients.     

Quality Control in Child Care

Correspondence to June Thoburn, School of Ecnomics and Social Studies, University of East Anglia, Norwich NR4 7TS Summary This article takes as its starting point recent evidence aboutpoor practice in child care social work. It identifies a largenumber of mechanisms for ensuring quality control, and considerswhy they appear to be having so little effect. The writer suggeststhat because of the complexity of cases and the need for direction,and also because of disagreements about what is ‘quality’in child care, bureaucratic or procedural mechanisms have seriouslimitations as the major means for ensuring good practice. Shefocuses on the statutory review as the solution most frequentlysuggested but concludes that too much is being expected of it. Whilst accepting the need for procedural, inspectorial, judicial,and political checks and for more appropriate resources forfamily support, she suggests that the main remedy for poor practicemust lie in professional mechanisms. These include increasedspecialization, more time, improved training, and consultation.The weight of evidence and the intractable nature of the problemmay call for drastic measures, such as the introduction of theApproved social worker(child care).