Suicide in Gaol: The Construction and Measurement of a Phenomenon

The Royal Commission into Aboriginal Deaths in Custody has brought the issue of inmate death, especially suicide, to public attention. This paper examines theoretical accounts and existing research on suicide during imprisonment. Current international findings on the characteristics of inmate suicide are discussed and compared with the findings from the first Australian study of death in prison. It is argued that the extant research on suicide presents a fragmented and incomplete account of the phenomenon. Further, the theoretical construction of suicide within international and local research and the methodological approach to its measurement contribute to the obfuscation of specific aspects of the phenomenon. In particular, attention is deflected from the policies and procedures within the institution. Suggested remedies for reducing the incidence of inmate suicide are thus constrained by the initial construction of the issue. The paper concludes with a discussion of the challenges posed for the Royal Commission into Aboriginal Deaths in Custody. This is contrasted with the need for comprehensive accounts of death in custody which apply to all inmates.     

Abortion: With Particular Reference to the Developing Role of Counselling

Summary This paper suggests that counselling is a rapidly expandingfield in which professional and para-professional workers mightcombine to produce an effective service, given appropriate selectionand training procedures. Initially these are seen as being providedby professionally qualified social workers with relevant experience.The author has used her own social work experience in abortioncounselling to exemplify the article and to discuss some ofthe existing problems for workers and clients alike.     

Attitudes of Medical School Workers Towards Reorganization

Summary This paper arises from a four-year project funded by the Departmentof Health and Social Security, concerning the social needs ofthe physically sick—a study of some aspects of the socialneeds of the physically sick and of the services designed tomeet needs. The present focus is on social work services andin this part of the project a development study has been undertakenand postal questionnaires have been sent (a) to all medicalsocial workers employed in the Hospital Service and in localauthority Health and Welfare Departments, and (b) to all otherhospital social workers engaged in helping the phsically sickand handicapped persons. In addition, a Survey is being carriedout through records of 9,000 admissions to a number of hospitalsto see how many of these patients are referred to the hospitalSocial Work Departments in a nine-month period, at what stagein their hospital careers they are referred, etc. A Survey is being carried out in four hospitals using a randomsample of patients and another sample referred for social workhelp. These patients are being interviewed in hospital and afterdischarge to see what kind of problems are encountered in hospitaland after discharge and what services are provided. Interviewswith medical, nursing, administrative and social work stabstractand included in this survey. The overall objectives of the Survey are to study needs andservices and to indicate how closely services respond to needs.     

Quality Assurance, Pre-Sentence Reports and the Probation Service

Correspondence to Dr Peter Raynor, Applied Social Studies, University of Wales, Swansea, Wales SA2 8PP. Summary During the months immediately preceding the implementation ofthe 1991 Criminal Justice Act the Home Office commissioned astudy of quality assurance and quality control procedures usedby probation services in their work on social inquiry reportsand in their preparation for the change to pre-sentence reports.This paper summarizes the results of that study, which includeda survey of current practice in probation services and the developmentof a quality control instrument for assessing the quality ofpre-sentence reports. It is emphasized that the views expressedin this paper are those of the authors and not necessarily thoseof the Home Office.     

Decision making by senior social workers at point of first referral

Summary In the United Kingdom there has been difficulty in implementingthe family support provisions contained in the 1989 ChildrenAct, largely because of continued emphasis on child protectionactivity by local authorities. There is an observable internationaltendency for child-care referrals to receive investigative response,resulting in families being traumatized and children's needsleft unmet. There has been a lack of research into how child-carereferrals are initially categorized by senior social workers.This paper reports on research undertaken in two Health andSocial Services Trusts within Northern Ireland to ascertainif it might be possible to treat more initial referrals as 'child-careproblem enquiries' as opposed to 'child protection investigations'.Results demonstrate that, while such potential may exist, apreoccupation with the management of risk could lead to thedevelopment of child-care problems receiving quasi-child protectionresponses. Consequently, changes in initial decision makingmay not have the full intended effects in terms of the organizationalrelease of resources for family support or a lessening of thetraumatic impact upon families.     

Informal care in farming families in Northern Ireland: some considerations for social work

Summary This paper is the result of a study of the dynamics of care-givingwithin farming families in Northern Ireland. It is argued thatwhilst much is known about informal care, existing knowledgeis largely urban based and quantitative, and therefore limited.Following in-depth interviews with 'farm wives' it is concludedthat for these women care-giving patterns are dependent on aparticular set of cultural expectations and norms. Within farmingfamilies there is much resistance to becoming involved withformal social services. Outside help with the care of one'selderly relatives is often seen as an admission of failure,as there is a pride in being able to look after one's familymembers. Users of social services, which still evoke associationswith the Poor Law, are highly stigmatized. It is claimed thatfor these women the concept of 'carer' has no bearing on theirlives and is not something to which they can relate. The paperchallenges the depiction of caring as a one-sided difficultrelationship where the person being cared for is a passive recipient.It is suggested that caring is not necessarily oppressive butmay be rewarding and positive. It concludes that if social workersare to support and facilitate informal care they must be awareof and fully understand the diversity of care provision andthe different contexts in which care is undertaken. If interventionis to take place then it must be sensitive to the deeply embeddedideas and perceptions that exist within farming families.     

Huntington's Chorea and the Young Person at Risk

Correspondence should be sent to J. R. Korer, Mental Health Research Unit, Manchester University, Department of Psychiatry, Stopford Building, Oxford Road, Manchester M13 9PT. Summary Social workers increasingly find themselves involved with familiesin which one or more individuals suffer from genetic disease.Huntington's chorea is such a condition and has serious implicationsfor other individuals, both in the nuclear and extended family.This paper explores some of the likely responses of young peoplein such families and how they can best be helped. A social workerneeds to be aware of the differing responses to varying degreesof risk and how young people in the situation can be advisedand helped. It follows on from an earlier study (Korer and Fitzsimmons,1985) which looked more specifically at family life within thesefamilies.     

Letters and Visits to Long-stay Broadmoor Patients

Summary Long-stay psychiatric patients are at risk of being institutionalisedand abandoned by their relatives. Special Hospital patientsare particularly vulnerable due to the compounded features ofmental disorder and criminality, together with the long termnature of their detention. A survey of 132 long-stay Broadmoor patients showed that a largenumber were neglected by their families but that many were sociallyisolated before admission. There was a significant differencebetween the amount of contact enjoyed by male and female patients.It is suggested that isolated patients should be identifiedand encouraged to take a more active interest in the outsideworld, and relatives given more encouragement to maintain theirinterest.     

The Trans-Theoretical Model of Change: A Reliable Blueprint for Assessment in Work with Children and Families?

Correspondence to John Corden, 1 Brockfield Road, Huntington, York YO31 9DX, UK. Email: John_Corden{at}msn.com Summary In this paper, the authors consider the promotion of Prochaskaand DiClemente’s transtheoretical model of change (theTTM) to the assessment of parenting capacity, within the literaturewhich supports the Framework for Assessment. A number of criticismsof the model, originating from within its original area of applicationare reviewed, and considered in the context of the assessmentof parenting. The authors go on to raise certain questions aboutthe validity of transferring this model from the field of addictivebehaviours to that of parenting and child protection.     

Some Conditions for Effective Work with Groups

Summary The principal point being made in this article is that a groupleader or therapist, by his own decisions and actions, can substantiallyinfluence (though not absolutely control) the likelihood ofthe group's success and effectiveness. Some facilitating decisionscan be made and some activities undertaken before a group begins.These include deciding whether or not to conduct a group ina particular setting; exploring the attitudes of one's colleagues;conducting preparatory discussions with potential group members;deciding how many staff will be present; deciding at what intervalsto introduce new members; etc. Other decisions cannot be made,or actions taken, until after the group is under way; or theymust be undertaken after the group has started because theywere overlooked beforehand. These include helping a group toestablish a consensus by encouraging the expression of expectations,reservations, and underlying concerns; reassessing a group whichseems to have gone stale; initiating discussions with colleagueswhen covert resistances on their part become apparent. The four issues discussed here set the stage and constitutethe context for the group's work. Appropriate attention to them,and management of them, will facilitate but not guarantee thegroup's success. Many further situations arise in the courseof the group's life which may alter its character and course. Nevertheless, many groups which provide a disappointing experiencefor both group members and leaders could be retrieved if theseissues were kept in mind. To summarize: A group is more likely to be successful if it is conducted inan organizational or institutional context in which other personnel,not directly involved with the group, nevertheless accept andsupport its aims and general procedures, and value its potentialcontribution to the shared goals of the organization or institution. A group is more likely to be effective if a consensus—whichmay be implicit—can be established within the group aboutits aims and procedures. Lack of clarity, persistent splitswithin the group, or identification of the leader as adversary,all work against the best interests of the group. Structuralfactors such as size, duration, composition, constancy of membership,and ratio of staff to members, influence the character and effectivenessof the group. A group which has lost its usefulness can and should be terminatedor reconstituted with a different mandate     

Social Workers' Responses to Experiences of Fear

Correspondence to Martin Smith, EDT c/o Social Services Department, Easton Street, High Wycombe, Buckinghamshire, HP11 1NH. E-mail: msmith{at}buckscc.gov.uk Summary This paper follows on from the paper ‘Social workers’experiences of fear’, written by the same authors, reportingon a research study that showed how social workers interviewedexperienced fears of assault, death, losing control and rejectionfrom their seniors during their working hours. Now, from thesame study, examples are given that illustrate ways in whichparticipants were affected by, and responded to, these fears.Substantive quotations from in-depth interviews are providedshowing effects of fears as being physical, cognitive and emotionaland as manifesting themselves differently with the passing oftime. Also given are examples of what it was that participantsfound to be helpful, or unhelpful, when attempting to deal withtheir fears and particular attention is paid to supervisionin this respect. The paper argues that drama therapy literaturehas much relevance to the management of fear as participantsoften reported different parts of themselves performing roleswhen affected by and responding to fears. Implications for socialwork training are considered in this light. Generally, it isclaimed that the more social workers can learn about fear andits manifestations and implications in their work, the betterthey will be able to respond to it and deal with it.     

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.     

Adolescents Who Sexually Abuse and Residential Accommodation: Issues of Risk and Vulnerability

Summary This article, arising out of quantitative and qualitative researchstudies conducted by the authors, begins with a brief overviewof current knowledge about male adolescent sexual abusers andassociated policies, procedures and services. A particular concernraised by professionals and welfare agencies, who are strugglingto develop appropriate responses to young sexual abusers, concernsthe circumstances and problems of young people who are placedin residential accommodation as a result of their sexually abusivebehaviour, often where there are also child victims of sexualabuse. The vulnerability of young sexual abusers and the riskthey pose to others is considered in the light of the findingsof qualitative research by one of the authors into the constructionand control of children and their sexualities in residentialchildren's homes. This research suggests that the inadequateways in which sexual behaviour in children's homes is perceivedand managed, serves to compound the problems of both the sexuallyabusive and non-abusive adolescents placed there. The findingsfrom both authors' research are then theorized within broaderconceptual frameworks about the nature of childhood, childhoodsexuality and institutionalization and its links with peer sexualabuse.     

Assessment and Action Records: Will they Promote Good Parenting?

Correspondence to Theo Knight, Department of Applied Community Studies, Manchester Metropolitan University, 799 Wilmslow Road, Didsbury, Manchester M20 2RR. Summary In this article the authors seek to provide a critical lookat Looking After children: Good Parenting and Good Outcomes(Department of Health, 1995). They welcome the sentiments underpinningthis major contribution, which recognizes the many disadvantagesfaced by children and young people who are looked after by localauthorities, and acknowledge that local authorities have notbeen positive parents of those in their care. The writers alsoacknowledge the thoroughness which has gone into the detailof the Action and Assessment Records contained in the abovepack. What is questioned is the normative view of parentingand family life which is seen to be at the heart of these documentsand the lack of consideration of the resourcing of action plans.The checklist approach is criticized for the way in which itwill enhance the bureaucratic nature of being in public care,which in turn affects the relative power positions of parentsand children in relation to the local authority and which willimpact on the development of a partnership model of care. Thewriters conclude that children and young people in care arebut one group of young people facing disadvantage and deprivationin British society. An examination of their plight and how toaddress it need to be based within a clear framework of children'srights and a recognition of the power adults hold over them.     

Group Homes for the Mentally Handicapped--an Examination of the Effects of Group Interactions

Summary The past decade has witnessed a move towards increased communityresidential care for the mentally handicapped, essentially involvingan expansion of hostels and group homes. The latter has beenviewed as a serious alternative only for the more able members:those sufficient in a modicum of independence and behaviouralskills. The present paper explores the importance of group interactionaldynamics within the framework of providing residential carein ordinary houses for groups of up to five mentally handicappedadults. The use of group theory perspectives concentrates onthe potential of individuals to achieve effective social skillsthat contribute to adequate group harmony. The findings illustratethe potential of meeting the needs of the less able within grouphome settings through an emphasis on assessment of total groupneeds rather than on an aggregate of individuals comprisingthe group. These are discussed within the contest of currentefforts both at policy and provider level to expand care withinthe community.     

Keeping the Probation Service Whole: The Case for Discretion

Summary The function of the probation service has been the discretionarymanagement of the tension between control and care. There wasa time when officers could make these discretionary decisionswith relative confidence, but structural pressures, togetherwith the decline of the correctional/treatment model have madethis more difficult. This has led to arguments for the separationof control and care functions. A recent attempt has been madeto re-instate the correctional/treatment model and this is discussedbut found to be unconvincing. The author presents his own argumentfor retaining discretion and describes how he believes it shouldbe managed.     

Tricks of the Trade: Questionable Theory and Practice in Family Therapy

Summary This paper looks at certain over-systematizing trends in familytherapy, and at a group of practices, connected with such systems-thinking,which espouse manipulation and deception. It is argued thatthese theories and methods, couched in a language of scientism,represent a questionable and cynical direction in therapeuticwork. This technocratic approach not only disfigures personaland social being, but erodes social work principles foundedmorally upon a respect for persons. An alternative view is advocatedin which the value of the person is considered as central toan adequate human science. This regards the nature of understandingas based upon the finitude of experience, and therefore offersan appreciation of the person not as an ‘object’fit for technocratic manipulation, but in terms of his subjectiveand historical being.     

Putting the Children Act Independent Person Procedure under the Spotlight

The Children Act 1989 required local authorities to appoint independent people to participate in their complaints procedures. The Department of Health has concentrated largely on monitoring these newly established procedures. In contrast, very little guidance has been given about the role of independent people. Nor has there been much published research in this area. This paper is based on a study of the response of two neighbouring local authorities. The aims were to discover how these authorities had interpreted the imprecise guidance from the Department of Health, and thereby to analyse the application of principles of independence within complaints procedures. The findings showed how a "pool" of independent people had been selected, trained and employed to participate in Children Act complaints procedures. Analysis of this system raises fundamental questions about the potential of this system to provide the kind of objective representation intended to be helpful to complainants. It also contributes to the debate about the most effective ways of safeguarding the welfare of children and young people by providing them with an accessible complaints procedure. The study identifies areas for future research, including the nature of complaints and the "practice wisdom" being acquired by independent people.     

A Qualitative Study of Social Work Assessment in Cases of Alleged Child Abuse

Correspondence to Dr Dorothy Scott, School of Social Work, University of Melbourne, Parkville, Victoria, Australia 3052. Summary While there has been considerable theorizing about how socialworkers think and act, there has been relatively little researchin this area. In the study reported in this paper, in-depthinterviews and observations of practice were used to explorethe process of assessment undertaken by Australian social workersin a hospital specialist service and in a statutory child protectionservice. Using a semi-longitudinal approach which ‘shadowed’10 families (17 allegedly abused children), highly detaileddata were collected from 42 observations of practice and 123interviews with 12 hospital social workers and 15 child protectionworkers on how their assessments evolved over the life of thesecases. While there were some individual differences betweenpractitioners within each organization, of greater significancewere the marked differences between the two groups in the variablesto which they attended. Both groups tended to adopt a proceduralizedmodel of practice which narrowed the range of factorsconsideredin assessment.     

Discourse and Resistance in Care Assessment: Integrated Living and Community Care

Correspondence to Mark Priestley, Disability Research Unit, University of Leeds, Leeds, LS2 9JT, UK Summary This paper illustrates how value conflicts between the competingphilosophies of community care and integrated living are playedout at a micro level. The experiences of service users in Derbyshireshow how the process of care assessment can perpetuate traditionaldiscourses of disability based on dependency, individualizationand segregation. By contrast, self-assessment within an integratedliving approach opens up new possibilities for resistance throughthe supported self-empowerment of service users. Moreover, theparticipation of disabled people in managing their own affairschallenges established cultural values about the role of disabledpeople in society.