The same but different: Social work with centenarians

Abstract

Since the underlying theme of the 1999 International Year of Older Persons was 'Towards a society for all ages', analysis of client groups at the extremes of the age structure should not be neglected. The research reported here was undertaken as part of the International Year and presents a brief investigation of an under-researched group of very long-lived individuals who occasionally interact with social workers working in aged care. Following some introductory information on the socio-demographics of this group, findings on their health status are presented, as well as social workers' experiences of working with centenarians. The study finds that despite their unique age, the health and social support required is no different from that needed by much younger aged clients. This important finding of heterogeneity and inter-individual variability should assist social work advocates arguing against stereotyping this group based solely on their outstanding chronological characteristic.     

Agency Practices Affecting Social Workers Who Treat Substance-Abusing Clients

Abstract

This study interviewed 115 MSWs with substance abuse training working in general social service agencies to determine if they viewed their settings as facilitating or hindering their work with substance-abusing clients. This study builds on the work of Lightfoot and Orford (1986) who found that social workers were more hindered than helped by their agencies' practices regarding substance-abusing clients.

Results: A majority of workers viewed their agencies as facilitating substance abuse-related work through support from supervisors and administrators, availability of substance abuse training, workers' freedom to choose clients, and opportunities to supervise others on substance abuse-related issues. Supervisor data corroborated these findings. This is a hopeful sign for the profession contrasting with considerable social work literature documenting the profession's historic ambivalence toward substance-abusing clients.     

‘Sitting on the Mourning Bench’: Mental Health Workers and an Elderly Client

Abstract

The present article documents the experience of a first year social work student on fieldwork placement in an Aged Persons Mental Health Service. The student was part of a team providing service to a long-term client of the service when he was diagnosed with a life-threatening illness. The student's compassionate response to the client raises questions about grief and professionalism, which she explored through a journal and in discussion with her supervisor and other team members working with the client. As part of their reflective practice, the student, her supervisor and the client's mental health workers formed a collective to document their experience and present a staff education session. This article is the outcome of these processes and explores important grief issues in Aged Psychiatry and demonstrates the valuable contribution made by a student to the work of the team in the rich learning environment of a fieldwork placement in aged psychiatry. It is published with the kind permission of the client's next of kin.     

Social workers and intercultural mediators: challenges for collaboration and intercultural awareness

ABSTRACT

Social work in Europe is facing numerous challenges in terms of promoting the participation of migrants and their descendants in super-diverse societies. This study investigates collaboration between social workers and intercultural mediators based on international debate and fieldwork in Italy. Does social work require collaboration with other professions specialised in intercultural relations? What are the characteristics of intercultural professionals? What are the pros and cons of collaboration between social workers and intercultural mediators? This study shows that local social services need to work with intercultural mediators, allowing local social services to implement various strategies for tackling cultural and linguistic barriers with their clients and rely on professionals inside or outside their own. Furthermore, intercultural mediators tend to have weak and heterogeneous training backgrounds and working conditions. This article aims to contribute to the debate on the welfare reform process to support migrants and their descendants’ equal rights and participation in society, highlighting the need for collaboration between interculturally aware social workers and intercultural mediators to tackle institutional structural weaknesses in such professions as part of an organisational innovation process in social-welfare institutions.     

Books Received

Abstract

The generic nature of social work assists social workers to fulfill, variety of tasks and roles, in a range of settings. Social work train in provides workers with a broad range of knowledge and skills, as well as an ability to be both flexible and adaptable across a given range of situations. Such a ‘launching base’ is essential for all social workers, particularly those who work in the resource-starved remote area sector.

Through the author's own insights and experiences on the remote setting of Saipan, a small island located in the western Pacific Ocean this article examines some of the unique personal and professional challenges that confronted him during his stay on Saipan. These accounts are later transposed generally to an exploration of their implications for practitioners who work, or are contemplating working in a remote area.     

Nothing to give at all

Abstract

Adlerian psychology has been publicly neglected for many years but has been used covertly in many modern psychologies. Social work theory owes much to Adler's philosophy and many social workers probably unknowingly use it — in whatever guise — as their starting-point. But if Individual Psychology is their spring-board, the casework relationship may be their life-raft — to the detriment of creative and therapeutic work with people. Adler's ideas and social work theory are of value only in so far as they are expressed in the relationship of the worker with the client. For the most part, certainly in statutory agencies, other demands make it difficult for workers to operate from anything other than a defensive position. Therapeutic community practice, in contrast, reflects both Adlerian psychology and the best of social work theory: an egalitarian approach springing from a commitment to self-determination for both clients and workers.     

Diversity-The Competitive Advantage

ABSTRACT

There is increasing pressure on social service agencies to produce “results,” and often agency computer information systems are associated with efforts to do so. The current study explores worker characteristics that may interact with organizational factors in influencing data system utilization. A survey of 245 community social workers serving as field instructors was conducted. Worker skill and experience with computers accounted for a large part of the variance on the utilization of information systems followed by the user-friendliness of the system and the workers' beliefs that data are useful in their work. The findings suggest that organizations seeking to increase worker utilization of information systems will need to focus on enhancing worker's computer skills as well as assuring that the information is easy to use and is perceived as useful by workers.     

Strategies for Measuring and Promoting Mothers' Social Support Networks

ABSTRACT

This chapter recommends respondent-driven sampling (RDS) and peer-driven intervention (PDI) as new strategies for improving safe motherhood and women's health in countries where women have limited access to information and communication technology. Strategies for measuring and promoting mothers' social support networks could be applied to enrich communication about reproductive health and safe motherhood, especially in countries where women's low social status leads to child marriage, low educational attainment/illiteracy, and limited access to modern information and communication technology. By using RDS to study communities and social network structures, outreach workers can educate women via women's social support groups, enhancing and broadening the use of modern information and communication technologies. RDS is a strategy that allows researchers to identify and focus on distinct groups within a community. PDI uses a two-step intervention where respondents are educated by outreach workers and previous participants (members of social support groups). Limitations of these approaches are also discussed.     

Surviving incest: Feminist theory and practice

Abstract

In the last few years it has become inescapably clear that incest is relatively common and that it is mainly young girls who suffer this violence from men in their families. This article is based on in-depth interviews with Icelandic and English incest survivors. The material is analysed from a feminist perspective. My understanding of the experience and the effects of incest on the survivors lives, and opens new possibilities for social workers working with them. Consciousness-raising, the women's strength and resistance on the one hand, and equality and validation of their experiences on the other, are the basis of the work. Finally, I maintain that feminist theories and practice open new and timely possibilities for better social work practice generally.     

Social Work and Criminal Justice

SUMMARY

We shall begin with the principal, and complicated, conclusion: Regrettably, the social work profession has largely abandoned the criminal justice field. That is not to say that social workers are not employed in criminal justice settings. Certainly they are. Significant numbers of social workers earn their living as probation and parole officers, caseworkers in public defender offices, counselors in correctional institutions and halfway houses, and so on. As a profession, however, social work no longer has a major presence in the criminal justice field (Gibelman and Schervish, 1993). Relatively few social workers embark on their professional education with the aim of employment in the criminal justice field. Virtually no courses in social work education programs focus explicitly or comprehensively on criminal justice (Knox and Roberts, 2002; McNeece and Roberts, 1997). Workshops offered at professional conferences or continuing education seminars rarely focus on criminal justice issues per se. And, relatively little serious scholarship on criminal justice issues is authored by social workers.

Interestingly, this has not always been the state of affairs. Earlier in the profession's history, social workers were much more visible and vocal participants in dialogue, debate, research, and practice related to criminal justice. Ideally-in light of social work's unique perspectives on practice and social problems, and the profession's noble value base-the profession will reclaim its preoccupation with criminal justice. As Sarri (2001) concludes with respect to social workers' involvement in the juvenile justice system in particular:

Thirty years ago, social workers were in leadership positions in juvenile justice in the majority of states. In the 1980s, a gradual decline began in agencies and in social work education for practice in juvenile justice. Some have suggested that the decline was at least partially due to professional resistance to working in coercive settings with involuntary clients. However, given the millions of people now caught up in the criminal justice system who are not receiving the social services they desperately need, it is a priority that social work return to a more central role in criminal justice. (p. 453)     

Confronting Uncertainty: Lessons from Rural Social Work

Abstract

Communities in Australia and internationally are experiencing massive change. Climate variability is an aspect of change that social workers in Australia, particularly in rural areas, are grappling with. Vulnerable populations will be at increased risk as extreme weather events increase in frequency. Communities will be facing social challenges hitherto unknown. The experience of uncertainty and fragmentation as characteristics of postmodernism has exposed the ambiguous and contested nature of much of social work practice and contributed to a crisis of confidence for the social work profession. The move towards rationality and linear approaches in the postwelfare state is often at odds with the complexity and uncertainty of human situations that has always been social work terrain. It can be argued that social work, with its ethical base, person-in-environment approach, expertise in ambiguity and complexity, and recognition of context, is well-placed to manage postmodern uncertainty. Using the 2009 Victorian bushfire example, I argue that an uncertain future is an opportunity for social workers, those working in rural areas in particular, to reassert social work's moral purpose in working with communities facing change. Implications for social work policy, practice, and education are briefly explored.     

Occupational Level and the Love of Money

Abstract

As an alternative to the embourgeoisement hypothesis, Goldethorpe, et al., have advanced the notion that the modern working class is privatized in social relations and money-oriented in culture. The present paper addresses itself to this latter point of money-orientedness. Presenting data from a 1973 national survey, the findings support the idea that semi-skilled and unskilled workers place a greater emphasis on money than do other occupational levels. Differences in emphasis on the importance of money are not explained when income is used as a covariate. A part of these differences is explained by education. When both education and income are controlled, differences between occupational levels vanish except for the difference between the semiskilled/unskilled and all other levels. The findings tend to support Form's hypothesis of the ‘internal stratification of the working class” with increasing industrialization.     

Social Work Roles in Drug Treatment with Youth

ABSTRACT

Social workers working with youth, who are prescribed psychotropic medication, are routinely faced with tasks pertaining to psychopharmacologic treatment. Little is known, however, about how these workers contribute to the medication treatment process or the impact of their contributions. The purpose of this national survey of social workers practicing with youth was to explore three areas: (1) the frequency of medication-related functions with adolescent clients; (2) the worker, client, and contextual factors associated with greater involvement; and (3) social workers' perceptions of the effects of greater involvement on treatment processes and outcomes. Our findings suggested that in relation to medication treatment, social workers more frequently interfaced with clients than physicians, and that various treatment context and individual factors are associated with greater involvement. Social workers also perceived their involvement as associated with some desirable treatment processes/outcomes, especially the inclusion of adolescents in decision-making.     

Social workers: a new precariat? Precarity conditions of mental health social workers working in the non-profit sector in Greece

ABSTRACT

Traditionally, in western countries, the social work profession primarily has come into contact with issues of precarity through the lives of service users. This paper introduces precarity in the social work scholarly literature as a feature of social workers’ professional and personal lives. It draws from the findings of a qualitative small study of mental health social workers working in the non-profit sector in Greece. The findings reflect a picture of social workers experiencing precarious conditions as they have become part of the growing phenomenon of the working poor, surviving by loans, experiencing housing insecurity, reproductive insecurity, fuel poverty and unable to pay for their commuting expenses to and from work. Furthermore, the paper maintains that the expansion of the conditions of precarity to university-educated professionals, such as social workers, needs to be understood within an International Political Economy (IPE) perspective in order neoliberal capitalism which brings rising levels of inequalities to become a focus of intervention.     

Empathy in Social Work

ABSTRACT

A dominant conceptualization of empathy in social work practice and education, provided by Karen Gerdes and Elizabeth Segal, relies heavily on the simulation theory adopted directly from the cognitive neurosciences. The aim was to critically challenge such a view by reporting on some recent empirical findings from the field in which professional social workers were interviewed about their experience of empathy in working with forced migrants. The findings support a phenomenological, critical account of simulation theory and provide evidence that empathy is constituted as a direct social perception of the other's experience. It was concluded that simulation theory is insufficient in providing an exhaustive approach for the professional use of empathy in social work practice and education.     

The geriatric social worker and his self-awareness

Abstract

Hospice and palliative care services have become an established part of Australian health care in the last decade. Multi-disciplinary teams are usually a feature of such services and social workers are common members of such teams. Yet the exact extent of their use and role in these programs has not been investigated previously. The author conducted a survey of 53 social workers working in such programs and at the same time, another questionnaire was also sent to service directors in all 134 Australian programs about their utilisation and perception of social workers. This article reports the results of both surveys. The results show that a third of the programs employed social workers, but the social workers themselves reported a number of difficulties: nurses are often the dominant occupational group and role-blurring amongst team members is common. The findings are discussed in terms of their implications for the social work profession.     

Fragmented Sisters? The Implications of Flexible Working Policies for Professional Women's Workplace Relationships

Much is being done by governments and organizations to help workers reconcile their family and employment responsibilities. One such measure has been the introduction of flexible working policies. While academic and policy debates focus on the barriers to flexible working, less consideration is paid to those who work alongside flexible workers. Through a gendered lens, this article focuses on professional women and explores the implications of UK flexible working policies for women's workplace relations in organizations that have traditionally been based on male models of working. Drawing on interviews conducted in three English organizations, it was found that the women's interests did not always coincide and that their social relationships, with respect to flexible working, involved both support and resentment. In particular, the women's interests were affected by organizational and job‐related factors and their stage in the life course. These findings illuminate the ways in which policies are negotiated at the level of daily workplace life and show that co‐workers are a pivotal part of the wider picture of flexible working.     

Experiences of Custody Evaluation: Perspectives of Young Adults Who Were the Subject of Family Court Proceedings as Children

ABSTRACT

Court-ordered custody evaluations are conducted primarily to assist courts in making decisions regarding the best interests of children in the context of parental disputes over custody and access. They also represent the most common means through which children's wishes in relation to custody and access are presented as evidence. This article reports on a qualitative research study of young adults' recollections of participating in custody evaluations ordered by the Family Court of Australia. In-depth interviews were conducted with 18 young adults, aged 18 to 26. Two major areas of inquiry are addressed in this article: (1) participants' recollections of interviews conducted by social workers and psychologists for the purpose of custody evaluation, and (2) their suggestions for ways in which professionals working with children in this context might make the process easier for children. Taken together, their experiences point to some useful principles for practice in this field.     

Involuntary vs. voluntary flexible work: insights for scholars and stakeholders

ABSTRACT

Building on insights from the early stages of our research partnership with a U.S. Fortune 500 organization, we came to differentiate between voluntary and involuntary schedule variability and remote work. This differentiation underscores the complexity behind flexible schedules and remote work, especially among white-collar, salaried professionals. We collected survey data among the partner firm's information technology (IT) workforce to evaluate whether these forms of flexibility had different implications for workers, as part of the larger Work, Family, and Health Network Study. We find that a significant minority of these employees report working variable schedules and working at home involuntarily. Involuntary variable schedules are associated with greater work-to-family conflict, stress, burnout, turnover intentions, and lower job satisfaction in models that adjust for personal characteristics, job, work hours, family demands, and other factors. Voluntary remote work, in contrast, is protective and more common in this professional sample. Employees working at least 20% of their hours at home and reporting moderate or high choice over where they work have lower stress and intentions to leave the firm. These findings point to the importance of both stakeholders and scholars distinguishing between voluntary and involuntary forms of flexibility, even in a relatively advantaged workforce.     

Systemic Barriers to the Employment of Social Workers in Alcohol and Other Drug Treatment Agencies

Abstract

Literature suggests a low number of social workers employed in the field of alcohol and other drug (AOD) treatment. This study shows that social workers with undergraduate degrees (BSWs) have higher rates of employment in AOD than bachelor's degree holders from other disciplines. Master's level social workers (MSWs), however, have a much lower involvement than their counterparts with counseling degrees. Six factors are inferred to partially explain MSWs' low involvement in the field: (1) low education requirements; (2) low pay; (3) absence of “social worker” positions; (4) competition among different disciplines; (5) lack of MSW interns; and (6) state certification requirement. Suggestions to increase the employment of social workers in the AOD field are offered.