The Expansion of the Peer Adviser Workforce: Opportunities and Challenges for Social Work

ABSTRACT

Peer adviser roles are becoming an increasingly common—and celebrated—aspect of agencies where social workers are located. This article reports on a qualitative research study exploring the experiences of staff within a homelessness outreach service in which three peer advisers (people with a lived experience of homelessness) commenced employment. Drawing on action research principles, the study explored the experiences of the peer advisers and the broader team following the introduction of the peer adviser roles. Themes identified include, realising the skills of peer advisers, defining the role, taking a “whole of team” approach, and reflecting on power. This study demonstrates that the introduction of peer adviser roles into human service organisations is a promising strategy for creating services that are more likely to respond effectively to the needs of service users. However, social workers need to be aware of the pitfalls of tokenism and the devaluing of experiential knowledge.

IMPLICATIONS

• Peer advisers in health and welfare agencies add significant benefits to an agency’s capacity to respond to the needs of service users.

• The introduction of the peer workforce is aligned to social work values of service user empowerment and the valuing of experiential knowledge.

• In order to avoid tokenism, the introduction of peer adviser roles should be supported by both the attitudes and actions of other staff members, as well as organisational support structures.

     

Preventing Domestic Violence by Changing Australian Gender Relations: Issues and Considerations

ABSTRACT

In recent years Australian governments have significantly refocused domestic violence policies to prioritise primary prevention strategies. The objective of such strategies is to change how Australians perceive, acknowledge, and respond to domestic violence as a gender-based problem. Recognising the value of these efforts to address oppressive cultural practices, we draw attention to limitations inherent in shifting culture as a means to prevent domestic violence. We demonstrate how governments may improve policy approaches by addressing the structural inequalities that have historically forced women into positions of subordination. This will help us move toward more effective and long-term solutions to domestic violence.

IMPLICATIONS

• Australian domestic violence policy must include structural and systems changes prioritising women’s equal rights in addition to equal opportunities.

• To change cultural attitudes and behaviours, we must alter the environment in which oppressions and opportunities are located.

• Social workers can shape the debate to ensure that changing culture to prevent domestic violence is conceptualised as part of a wider social and policy change agenda.

     

From Hospital to Home with NDIS Funded Support: Examining Participant Pathway Timeframes Against Discharge Expectations

ABSTRACT

For patients with disability who require funded supports to leave hospital, the introduction of the National Disability Insurance Scheme (NDIS) represents opportunity and challenges. At a time of major reform, timely and supported discharge is reliant on overcoming interface complexities. The purpose of this study was to examine the NDIS participant pathway timeframes against discharge expectations for hospitalised adults with spinal cord injury (SCI) or acquired brain injury (ABI) and interrogate delays for the two groups. Administrative data on 54 participants (ABI?=?18 and SCI?=?36) were analysed. Both groups experienced delays to discharge and significant variability in timeframes between NDIS pathway processes and extent of delays. Group differences were identified regarding inefficiencies across the continuum, with type of support a factor to investigate further. This study has uncovered critical points in the NDIS pathway that could impact discharge of participants and where collaboration and adaptive strategies could be targeted to improve processes.

IMPLICATIONS

• Ensuring the National Disability Insurance Scheme (NDIS) pathway operates effectively in the hospital setting is critical to the timely discharge of people with complex needs who require funded supports.

• Monitoring implementation of the NDIS in the health setting is important to avert interface problems that impede timely discharge and access.

     

“The Abuse of Older Australians (Elder Abuse)”: Reform Activity and Imperatives

ABSTRACT

Significant national reform activity is occurring that concerns the abuse of older people by trusted others. This includes an Australian Law Reform Commission report entitled Elder Abuse – A National Legal Response (2017), and the adoption in 2019 of the first ever “National plan to respond to the abuse of older Australians (elder abuse)”. While service responses in this field largely exist at, and will continue to be provided at, state and territory level, this article considers current and needed reform initiatives in a field of increasing national government attention.

IMPLICATIONS

• The adoption of the first ever national plan concerning the abuse of older people in Australia adds significant impetus and direction for reform in this key social policy area.

• Most service and regulatory reforms aimed at improving responses to the abuse of older people will occur at state and territory level.

• The breadth of likely and necessary reforms is significant, ranging from policing practices through to guardianship law reform.

     

Food Insecurity in Regional Rural Australia

ABSTRACT

This study explores food relief recipients' and providers’ experiences and perceptions of food insecurity in a large regional town in Australia. The cross-sectional qualitative methods research design incorporated survey-based interviews of four food relief services, a focus group of food relief recipients and two biographical interviews of food insecurity experience. Qualitative thematic data analysis provided insight into the respondents’ experience and perceptions of the causes of food insecurity, the provision of food relief and the limitations of a charity model. An ecological-model-based analysis shows that food insecurity is the product of multiple complex causes including chronic and situational poverty. Political dimensions emerged in terms of the policies that are developed or omitted.

IMPLICATIONS

• Social workers need to advocate for the human right to food and strengthen capacity at multiple levels to improve food security.

• Improving access to quality and culturally appropriate food requires the implementation of multiple strategies.

     

Financial Hardship and Emergency Relief in Victoria

Abstract

The existence and provision of emergency relief remains one of the more contentious aspects of poverty relief in Australia. This is largely due to a fundamental difference of opinion within government and the welfare sector about how to best tackle the financial hardship being experienced by people in need. Some contend that emergency relief should be expanded and better funded by the Commonwealth, whereas others believe it should be discontinued altogether and replaced by more generous social welfare payments. This debate continues unresolved for a number of reasons, including a lack of reliable and comprehensive data on who uses emergency relief in Australia and why. This paper reports on a State-wide investigation undertaken of emergency relief use in Victoria between 2007 and 2008. It has found that existing social welfare recipients—especially those on the disability support pension, parenting payment, and Newstart allowance—are the main users of emergency relief, who are living in households headed by a single adult, and forced to rent housing in the private sector. A disaggregation of the findings over both time and spatial regions of Victoria suggests that the level of need is not uniform. Several recommendations are offered to address the financial hardship that some people living in differing parts of Victoria face on an ongoing basis.     

The Use of Common Humanity Scenarios to Promote Compassion in Healthcare Workers

ABSTRACT

The importance of compassion in healthcare is universally acknowledged. However, the factors that enhance compassion are not well understood. The perception of common humanity has been proposed as a prosocial perspective that leads to unbiased universal compassion. There has been a lack of research into the relationship between common humanity and compassion. This study examined the use of common humanity scenarios to promote compassion in healthcare workers. Seventy-five healthcare workers were randomly assigned to two groups and shown a different common humanity scenario. The healthcare workers were asked what effect viewing the videos had on their perception of common humanity and compassion. Thematic analysis was used to identify themes. Four main themes emerged: (a) common bonds; (b) people have the same needs; (c) no one wants to suffer; (d) seeing strangers helping others is motivating. Healthcare workers reported feelings of care, concern, and compassion after viewing common humanity scenarios.

IMPLICATIONS

• Viewing common humanity scenarios appears to lead to enhanced feelings of connection to others and compassion in healthcare workers.

• Using common humanity scenarios may be a useful compassion training strategy in healthcare.

• Further research is necessary to gain a better understanding of how viewing common humanity material influences compassion.

     

Student Participation in Study Abroad Programs: Social Justice Implications for Tertiary Education

ABSTRACT

Short-term study abroad programs are increasingly embraced by Australian schools of social work. These programs improve access to international experiences and have a demonstrable impact on academic outcomes. However, little is known about the factors that influence students who decide to participate in such programs. Using a qualitative semistructured design, eight Australian social work students were interviewed about their perspectives on the pre-application phase of a short-term study abroad program to Ireland that was advertised in early 2018. The findings reveal a number of multilevel structural, institutional, and personal enablers and barriers that impacted their decision to participate. Implications for future research, the tertiary education sector, and social work educators are identified, especially in terms of broader economic and political issues that contradict social justice and render the future of these programs precarious.

IMPLICATIONS

• Short-term study abroad programs offer important learning opportunities for students, but there is a need to understand the dimensions that can impact the decisions of students to participate in these programs.

• The qualitative findings indicate that various factors impact on the participation of students, especially financial and caring responsibilities.

• Further research that is underpinned by a social justice lens is needed to address inequities in student participation.

     

Developing Culturally Responsive Supervision Through Yarn Up Time and the CASE Supervision Model

ABSTRACT

This article explores a culturally focused supervision training program supporting Aboriginal and non-Aboriginal supervisors to provide cross-cultural supervision for Aboriginal staff within mainstream and Aboriginal community and human service organisations. The key features of the training program, Yarn Up Time and the CASE supervision model are a culturally respectful approach to cross-cultural professional supervision practice with the purpose of contributing to the development of culturally responsive supervision with Aboriginal staff and their clients. The article concludes with feedback from participants who attended the training and supports the future advancement of cross-cultural supervision practice and models in Australia.

IMPLICATIONS

• There continues to be a need for more culturally responsive supervision for Aboriginal staff and for non-Aboriginal social work practice with Aboriginal people.

• Yarn Up Time and the CASE model is a culturally appropriate approach for supervising Aboriginal staff and non-Aboriginal social workers’ supervision of social workers’ practice with Aboriginal communities.

• Social work supervisors need to be able to use an effective cultural supervision model to support Aboriginal staff in Yarn Up Time.

     

Technology as a Weapon in Domestic Violence: Responding to Digital Coercive Control

ABSTRACT

Technology-facilitated domestic violence is an emerging issue for social workers and other service providers. The concept of Digital Coercive Control (DCC) is introduced to highlight the particular nature and impacts of technology-facilitated abuse in the context of domestic violence. While practitioners have become more adept at working with women experiencing DCC, there is still little known about its dynamics and whether this violence requires a change in current service responses. This article explores findings from survey research conducted with 546 Australian domestic violence practitioners about the ways perpetrators use technology as part of their abuse tactics. The findings demonstrate that DV practitioners believe perpetrator use of technology is extensive and has significant impacts on the safety of clients. A major dilemma faced by practitioners is how to promote and facilitate client safety from DCC while still enabling safe use of technology so clients can remain connected to family, friends, and community.

IMPLICATIONS

• The use of digital technology in domestic violence creates a significant practice issue for Australian domestic violence practitioners.

• The development of a practice framework for responding to digital coercive control may assist practitioners to highlight the risks posed by this abuse, while still enabling women and children the freedom to participate in the digital realm.

     

Online Education in Social Work,Effectiveness, Benefits,and Challenges: A Scoping Review

ABSTRACT

Online education has long been a controversial issue within the Australian social work community. Although technological advances have improved the quality of teaching substantially, scepticism and disbelief continue to exist. Despite the growing evidence base as to the effectiveness of online teaching, this tends to be overlooked. A scoping review of the literature was conducted to synthesise research conducted on online social work education to identify its effectiveness, potential, and challenges and to show whether online social work education will effectively prepare qualified social workers. This revealed that online education enhanced diversity and equity among social work students and students’ performances and satisfaction were similar for both online and on-campus students. Nevertheless, communication and engagement continue to be a challenge.

IMPLICATIONS

• Decisions on online education should be based on evidence of effectiveness rather than on the assumption that face-to-face teaching is superior.

• Further research is needed to explore effectiveness of online education for different groups of students.

• Employers’ experiences with social work graduates from online courses need further research.

• Academics require support to tailor courses interactively and suitably for online education.

     

Making Continuing Professional Development Relevant and Accessible in Regional Social Work

ABSTRACT

Continuing professional development (CPD) is an integral component of quality social work practice (Australian Association of Social Workers, 2013). Despite this, there is a lack of knowledge around the perceived needs and challenges of accessing CPD for rural and regional social work practitioners. This research explored professional development education needs and challenges for rural social work practitioners. The findings revealed an increase in complex cases in practice leading to the need for more training in mental health, legal aspects, and therapeutic interventions. Strong demand for CPD was evident, with a preference for face-to-face training instead of online modules. In the face of persistent challenges some innovative solutions were possible from a partnership between service providers, higher education providers, and the professional body to better meet the needs of the rural social work practitioners.

IMPLICATIONS

• Increasing complexity in rural, regional, and remote social work practice has placed extra demands on the knowledge resources of social workers.

• Continuing professional development (CPD) must be relevant and readily accessible to meet the needs of those who practice in these areas.

• Partnerships between agencies, higher education providers, and professional bodies, along with the use of technology can increase accessibility for rural, regional, and remote social workers.

     

Independent Mental Health Advocacy: A Model of Social Work Advocacy?

ABSTRACT

Advocacy has received less attention in social work research than other aspects of social work practice. This paper draws attention to two tensions in social work advocacy; between worker-led advocacy and person-led advocacy, and between individual advocacy and system level advocacy. We argue that human-rights-based social workers must choose a person-led approach over a worker-led approach while advocating with both systems and individuals. This argument is made by drawing on findings of an evaluation of Independent Mental Health Advocacy (IMHA) in Victoria, Australia. It is shown that social work training had not prepared social workers for rights-based, person-led advocacy and that social workers in public mental health services were struggling to maintain the rights of people in their services even with assistance from IMHA.

IMPLICATIONS

• Independent Mental Health Advocacy (IMHA) is a model of advocacy influenced by social work theory and delivered in part by social-work-trained advocates.

• Social work training is not preparing social workers for person-led, human-rights-based advocacy.

• Public mental health social workers are struggling to maintain the rights of people in mental health services even with the support of external advocacy services.

     

Reviewing changes to the Child Disability Allowance: Giving parents a voice

Abstract

The Diabetes Clinic at Princess Margaret Hospital for Children has been concerned at the impact of changes made in 1998 to eligibility for the Child Disability Allowance on families caring for a child with diabetes. A survey of those families was conducted to obtain their views on the changes. Results showed the number of families receiving Child Disability Allowance since the changes has significantly declined. Parents indicated the allowance should be automatic for children with insulin dependent diabetes as the disability is chronic, incurable, requires extra care and attention, and is a financial and emotional burden for families. Many felt the application process was unjust, incomplete and inadequate. The results formed part of a submission to the Department of Family and Community Services evaluation, giving parents a voice in this process. This project illustrates the capacity of social workers to attempt to impact on social policy within the context of their clinical practice.     

Hospital Health Provider Experiences of Identifying and Treating Trafficked Persons

ABSTRACT

Over the past 20 years, human trafficking (“trafficking”) has generated much public attention throughout the world. The problem has received growing media coverage and increased anti-trafficking activism. Additionally countries have created new policies, laws, and enforcement mechanisms to tackle the problem. This micro level study examined the lived experiences of 22 health and allied health workers situated within St Vincent’s Health Australia’s Melbourne facility, and reports on their identification, assessment, treatment, and outreach to trafficked persons. The results indicated that trafficked persons were predominantly invisible within the health setting. When practitioners did suspect trafficking, they considered themselves as lacking the professional skills and knowledge, or the clear organisational policy or procedures to confidently identify and manage the complex health needs of the suspected trafficked persons. The findings contribute to St Vincent’s Health Australia’s goal of formulating contextually appropriate policy and practices that will assist in the identification of and response to the health needs of trafficked persons.

IMPLICATIONS

• The health needs of trafficked persons are multiple and interrelated and require health care providers and systems to be skilled in the identification, intervention, and treatment of trafficked persons.

• Education and training of health professionals is the cornerstone of the identification, intervention, and treatment of trafficked persons.

• Social workers’ specific focus on person-in-environment may be an important contribution to the identification and treatment of trafficked persons.

     

Investigating the Readiness of Hospital Social Workers to Respond to Domestic and Family Violence

ABSTRACT

Domestic and family violence (DFV) is recognised as a health care priority. Women experiencing DFV use health services at a higher rate than the general population. Hospital social workers are an important component of a public hospital response to domestic and family violence but how prepared are they for this role? This research study explored the readiness of social workers in a Melbourne metropolitan hospital setting to respond to DFV. Results indicated that although the social workers had a knowledge base highly relevant for responding to DFV, many lacked specific knowledge of risk assessment, safety planning, legislative responsibilities, and referral pathways for support, including legal support. As a result, it was likely that they were not adequately responding, either by not recognising when they needed to, or with knowledge and confidence when they did. They also identified a range of organisational enablers, including policy, time, and safe conversation spaces.

IMPLICATIONS

• Hospital social workers have a central role to play in responding to domestic and family violence.

• Hospital social workers need to be better prepared for domestic and family violence responses.

• Social workers require ongoing training and organisational support including practice protocols and guidelines, and the provision of time and private, safe spaces for sensitive conversations to occur.

• Universities should ensure that the role of hospital social workers is considered within curriculum addressing the area of domestic and family violence (DFV).

     

Are Codes of Ethics Promoting Religious Literacy for Social Work Practice?

ABSTRACT

As codes of ethics play at least a symbolic, if not educational, role in highlighting and informing professional priorities, 16 codes of ethics for social work practice were examined for references to religion and belief and analysed against the four domains of Dinham’s religious literacy framework. Although religion and belief are mentioned in all but two of the documents, approximately half the surveyed codes only mention religion and belief in respect of either knowledge or skills. Some recognise the need for social workers to be aware of their own biases, but few recognise the need to explain what is meant by religion and belief, despite these terms being in flux. While codes of ethics can contribute to the development of religious literacy among social workers, this requires social workers who already have some religious literacy to actively participate when codes of ethics are being revised.

IMPLICATIONS

• It is an ethical imperative that social workers are able to engage with religion and belief.

• Social workers require religious literacy, including skills and knowledge of different religions, recognition of the fluidity of the concepts, “religion” and “belief”, and understanding one’s own attitudes towards religion.

• Codes of ethics can contribute to the development of religious literacy among social workers, but this potential is often not realised as fully as it might be.

     

Strengthening the Domestic and Family Violence Workforce: Key Questions

ABSTRACT

The significant impact of domestic and family violence in Australia calls for a workforce that is both highly skilled and capable of meeting the demands of complex and challenging jobs. Yet despite the increasingly national visibility of domestic violence, the workers—and work itself—have largely remained invisible. We argue for a shift in conversation, highlighting the need for a workforce approach that is not only strategic but that also applies a theorised lens to domestic and family violence work inclusive of both gender and Indigeneity.

IMPLICATIONS

• The domestic and family violence workforce and workers should be made more visible to better support development in this sector.

• A workforce development strategy is needed to build knowledge about who is doing this work, the nature of the work, workplace structures and cultures, and work environments and conditions.

• The significance of gendered power relations, Indigeneity, high risk, trauma environments, and emotional labour in domestic and family violence work cannot be ignored in development strategies.

     

Medicare Funded Mental Health Social Work: Better Access to What?

ABSTRACT

Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Scheme initiative (Better Access), is an Australian Federal Government scheme aiming to improve access to mental health services. Accredited mental health social workers have been involved in the delivery of services under Better Access for more than a decade. In this time, there have been significant changes in the field of mental health services, with consequent increases in size and costs for Better Access. Better Access now represents public spending of more than one billion dollars per annum, yet there is no ongoing account of its impact. In this paper we consider the policy chronology and evaluation of the program, using current available data to question the impact of Better Access on both the service system and the nature of mental health social work practice. This case highlights the importance of a clear articulation of the scope of mental health social work, and ongoing monitoring of the impact of policy in a policy environment increasingly characterised by individualised funding and service delivery structured according to the principles of New Public Management.

IMPLICATIONS

• Social workers' increasing involvement with Better Access has reshaped the scope of mental health social work practice.

• The impact of Better Access on outcomes for service users and mental health social work is not currently a focus of research attention.

• Better Access is a case study illustrating the potential of the policy context to directly shape social work practice, therefore critical engagement with the impact of Better Access is an essential professional imperative.

     

Overcoming Future Professionals’ Fear of Digital Storytelling

ABSTRACT

Digital storytelling assessments at university can develop emerging human service and social workers’ skills in contemporary social media production and related advocacy. Despite growing interest in digital storytelling in these disciplines, there is little support for developing the technical sides of the practice. This article shares key learnings from an Australian teaching and learning project used to develop a digital storytelling module for social work and human services students at university who are not filmmakers. Students across a range of courses undertook digital storytelling assessments using the module. A key finding was that students still experienced considerable fear but were able to turn that into significant personal and professional development. This article explores these and other key learnings from the project and offers tips for others wishing to implement digital storytelling.

IMPLICATIONS

• Emerging social work and human services professionals studying at university often exhibit fear and resistance to new tasks such as digital storytelling. Such students need to be supported to navigate that discomfort to achieve learning.

• Students can be supported using online modules that support the technical and creative sides of digital storytelling.

• This project found that students were able to develop confidence and skills in digital storytelling after completing this module and assignment.