What Makes for Successful Groupwork? A Survey of Agencies in the UK

Summary This paper reports the findings of a survey of Social ServicesDepartments, Probation Services and the major voluntary agenciesin the UK. The survey aimed to shed light on the factors whichpromote successful groups in social work and probation agencies.The survey did not attempt to map the extent of current groupwork.A questionnaire was piloted in a Social Services Departmentin northern England with social work and social care practitionersparticipating in ‘The Groupwork Project’, a trainingand development programme which continues to have as its aimthe establishment of a groupwork service in a mainstream socialservices agency. The survey was designed to be illuminativeand exploratory rather than conclusive. In this paper, the authorsreflect on the research process and on the findings of the survey.These findings point to the complexity of factors consideredsignificant to the success of a group, and to the importanceof contextual factors in establishing and sustaining a groupworkservice.     

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.     

Two Post-Qualifying Courses in Social Work: the views of the course members and their employers

Correspondence to Alan Rushton, Course Tutor, Southwark Social Services, Fieldwork and Community Services, The Maudsley Hospital, Denmark Hill, London SE5 8AZ. Summary Social workers who had completed two practice oriented post-qualifyingprogrammes were sent questionnaires asking them to evaluatetheir courses and to report on their subsequent careers. A selectedsub-sample was then interviewed and their current line managerscompleted questionnaires on their views of the training. Findingsare presented on their evaluation of both academic and practiceaspects of the programme. Levels of satisfaction were foundto be linked with the characteristics of course members. Somedifficulties were experienced in applying the new learning onre-entry to full-time work.     

Identification of and Responses to Problem Drinking Amongst Social Services Users

Correspondence to Alan Lawson, Research Officer, Department of Social Services, London Borough of Hounslow, Civic Centre, Lampton Road, Hounslow, Middlesex TW 3 4DN. Summary The NHS and Community Care Act (1990) has required local authoritiesto plan for social care aspects of services for alcohol misusers.Research was therefore commissioned by senior managers of theLondon Borough of Hounslow's Social Services Department to investigatethe effect of alcohol misuse amongst Social Services users onthe work of the Department. Research methods are summarizedand the main findings and their implications are discussed.The importance of relevant training was highlighted, in particularin relation to the identification and assessment of alcoholproblems and to child protection issues.     

A Study of Those Who Cease to Foster

Summary The Portsmouth Fostering Study was the first project undertakenby the Portsmouth Social Services Research and IntelligenceUnit which was set up in August 1972 under the joint auspicesof Portsmouth Polytechnic and Portsmouth Social Services Department. This article summarizes the report of the Study, the main focusof which was on the experiences of ex-foster parents and theproblems they had encountered. The study concludes that therole of the foster parent is not always made clear, and thatthe foster parent is placed in the position of being half client/halfcolleague     

Community Based Care for People with a Mental Handicap: A Family Placement Scheme in County Durham

Correspondence to Dr R. F. Drewett, Department of Psychology, University of Durham, South Road, Durham DH1 3LE Summary In 1984 a family placement scheme for people with a mental handicapwas started by Durham County Council Social Services Department.Thirteen were placed in ten families by the summer of 1988,when we interviewed all clients and carers in the scheme. Responses to the scheme were generally positive, both from thecarers and from the clients. All but two of the carers, however,had considerable previous professional experience with peoplewith a mental handicap, and generalizations from the experienceof this initial group of carers therefore need to be made withsome caution.     

User Involvement in Services--Incorporation or Challenge?

Correspondence to Joan Forbes at The School of Social Work, The University of Leicester, 107 Princess Road East, Leicester, LE1 7LA Summary In recent years, users of social work, like those of psychiatry,have been increasingly drawn into the organization and deliveryof social work and mental health services. This has been largelywelcomed as a desirable development by planners, academics andpractitioners in the field. In this article, we reappraise thebroad issues raised by user involvement and consider the implicationsof this trend. Despite the attractiveness of the user perspectivein the policy and delivery of social work and psychiatric services,we point to the dangers of incorporation and moderation of anoppositional position, from which, we argue, users can bestchallenge existing practices and connect with wider politicalstruggles.     

Including Families in Residential Work: Educational and Agency Tasks

Correspondence to Stephen Casson, Social Services Department, Civic Centre, Newcastle upon Tyne, NE1 8PA, England. Summary This paper identifies obstacles to the inclusion of familiesby residential establishments. A review of the literature indicatesthat the notion of including families is a worthwhile consideration,but that few programmes have committed themselves with sufficientenergies over time to test the worth of this assumption. Tobring families centre stage a set of obligations is proposedto managers and certain principles from the family dynamicsliterature are identified for inclusion in the training curriculumof residential workers.     

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.     

Ethnicity and Caring for a Disabled Child: The Case of Children with Sickle Cell or Thalassaemia

Correspondence to Waqar Ahmad or Karl Atkin, Ethnicity and Social Policy Research Unit, University of Bradford, Bradford, BD7 1DP, UK Summary Services for haemoglobinopathies have been a major site of strugglesfor the black communities, yet the social research literatureon haemoglobinopathies remains patchy and fragmented. We providean overview of the literature on sickle cell disorders and thalassaemiamajor in the broader context of debates on childhood disabilityand chronic illness, and on ethnicity, racism and health care.     

A Survey of Approved Social Work in England and Wales

Correspondence to Prof. P. Huxley, Department of Psychiatry, University of Manchester, Mathematics Tower, Oxford Road, Manchester M13 9PL. Summary A survey of approved social workers (ASWs) was undertaken withlocal authorities in England and Wales, to review the provisionand organization of ASW services, and the contribution theymake towards the establishment and maintenance of a comprehensivemental health service. The findings show some variation in provisionwhich is in itself indicative of a variety of factors operatingto produce local and regional patterns of provision. Some ofthese are related directly to policy decisions, others to demographicand geographic variables, while still more are related to teamstructure, workload demands, and generic/specialist issues.The future pattern of mental health social work following theimplementation of the NHS and Community Care Act is consideredin the light of the findings from the survey.     

The Structure of Information in Organizational Frameworks--The Social Service Department

Correspondence to Yitzhak Berman, Director, Department of Planning and Social Analysis, Ministry of Labour and Social Affairs, PO Box 1260, Jerusalem, Israel. Summary Information application variables and organization informationvariables are identified from the literature. These variablesare applied to three levels of organizational implementation;strategic planning, management, and operational levels. It isfound that different types of information application and organizationinformation variables will be used on different levels of organization.A model of the various characteristics of information is presented,followed by its application to a social service department.     

Openness and Contact in Adoption: A Child-centred Perspective

Correspondence to Beverley Hughes, Senior Lecturer in Social Work, School of Social Work, Department of Social Policy and Social Work, University of Manchester, Oxford Road, Manchester M13 9PL. Summary This paper reports the findings of a study on the views of birthparents on openness and contact and, in the light of the findings,examines the current trend towards a presumption in favour ofdirect contact between birth parents, child and/or adopters.It argues for a child-centred approach which must discriminatemore clearly between the implications for the child of differentpost-adoption arrangements. The assumptions underlying a presumptionin favour of direct contact are critically reviewed.     

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.     

'The Integration of Theory and Practice': a Re-examination of a Paradoxical Expectation

Summary Social workers seem to agree that the nature of the relationshipbetween theory and practice is problematic. However, few ofus have asked what we really mean when we talk of these problems.This paper re-examines the meanings commonly attributed to eachnotion and to the relationship between them. As a result ofthis process the paradoxical nature of the current expectationof ‘integrating theory and practice’ is exposed.This leads to a proposal that we modify our way of framing themeaning of ‘integration’ and thus introduce a newdimension to questions we pose when trying to improve socialworkers' ‘integration of theory and practice’. ‘Wecan no longer explain a paradix by running away fromit; we muststand and look it in the eye’.     

Behavioural-Cognitive Groups for Adult Psychiatric Patients: A Pilot Study

Correspondence to Patricia McAuley, Social Services Training Centre, 34 Station Read, Antrim, N. Ireland, BT41 4AB Summary This paper describes a pilot study of a behavioural-cognitivegroup programme for adult psychiatric patients who presentedwith a variety of problems. The time-limited groups aimed toteach behavioural analysis skills through the selection, observationand treatment of a target problem by each group member. Resultsof ten such groups are analysed and indicate that members couldoperationally define a problem and implement behavioural changewhich was maintained at six month follow up. However, deficitsin formal behavioural analysis skills were evidenced.     

General Practice, Social Work, and Mental Health Sections: The Social Control of Women

Michael Sheppard, Senior Lecturer in Social Work, Polytechnic South West, Drake Circus, Plymouth, Devon PL4 8AA. Summary A survey was undertaken of all referrals for compulsory admissionreceived by a city mental health centre over a one year period.The centre receives the overwhelming majority of all these referralsin the city. Referrals from GPs were compared with other referralsfocusing particularly on women. The results indicate GPs discriminatedagainst women, referring considerably more women than men withless emphasis on major (psychotic) mental illness. The involvementof approved social workers (ASWs) in the assessment processwas associated with diversion of many of the women away fromcompulsory admission, although even they appeared affected bypatriarchal assumptions. GPs' behaviour with regard to sectionsis consistent with reports about sexist practice in other areasof work. This, however, is particularly grave with sectionsbecause of civil liberties implications. The article concludesthat ASWs need be aware of potential sexist GP practice, thattheir psychosocial perspective is critical to assessment andthat ASW training should include gender issues.     

Does Area Team Organization Make a Difference?

Correspondence to Roger Fuller, Senior Research Fellow, University of Stirling, Social Work Research Centre, Stirling FK94LA, Scotland Summary The paper describes early stages of a programme of researchdesigned to investigate the effects of different ways of organizingsocial work teams. Initially conceived as an attempt to studythe relative effectiveness of specialist and generic team organization,the focus has been broadened to encompass a range of wider andsometimes cross-cutting organizational variables. After a briefreview of attempts to specify organizational characteristicsand of the methodological problems they pose to the researcher,a preliminary study is reported. This compared services to theelderly delivered by teams exemplifying some of the more prominentorganizational types. The study tentatively identifies a numberof factors which distinguished between teams in social workactivities and in rudimentary measures of client outcome. Thedimensions of further work which would fill out these earlyfindings and explore further organizational effects are sketched.     

Child Protection: Balancing Paternalism and Partnership

Correspondence to Martin C. Calder, Child Protection Unit, Salford Social Services Department, Avon House, Avon Close, Little Hulton, Manchester M38 OLA Summary There have been a great many protracted and heated debates aboutthe practice of state intervention and control of family lifein recent years. Indeed, the Children Act (1989) was draftedafter the Cleveland Inquiry highlighted the lack of consulationwith parents and the lasting effects of ill-considered intrusioninto family life, and embraced the philosophy of partnership.Social workers operating in the child care and child protectionareas need to balance the contradictory notions of paternalismand partnership, in the knowledge that they will be pilloriedby the popular press when they get it wrong. This paper attemptsto contrast the two concepts in their philosophical and socialwork contexts, and moves on to recommend frameworks for helpingto balance them when they are operationalized. It is essentialto consider this particular debate in the wider political andeconomic contexts, particularly where uncertainty and the lackof resources are ever-present features.