Supervision, Role Strain and Social Services Departments

Correspondence to Department of Social Work and Social Administration, University of Western Australia, Nedlands, Western Australia, 6009 Summary The paper analyses the potential for ambiguity and ambivalencetowards the supervision of practice in social services departments.While supervision may be integral to much social work practicein clinical settings, the culture and tradition of supervisionin social services departments looks to be permeated with confusionabout ‘supervision’ or ‘consultation’,the nature of accountability and the functions of supervisionof qualified and experienced practitioners. To move beyond anideology prescribing supervision, the paper considers evidenceof the effectiveness of supervision practice, analysing thetransition from practitioner to line-manager/supervisor andthe subsequent strain on the supervisor's authorities of positionand of expertise in some current arrangements for supervisionin field-work ‘teams’. Finally, there is an unequivocalassertion that effective supervision is an essential componentin the monitoring of client service and the maintenance of practitionersengaged in stressful forms of practice. Such supervision needsto recognize the managerial and administrative tasks necessaryto protect the agency and the client from poor quality practice,while also respecting the emotional and educational needs ofnewly qualified and experienced practitioners exposed to thedemands of high-risk judgement and practice.     

Risk and Supervision: Social Work Responses to Referred User Problems

Correspondence to Peter Burke, Department of Social Work, University of Hull, Hull HU6 7RX Summary This study examines social work responses to users followingcase allocation of the initial referral. The aim of the studyis to demonstrate the need for supervision of social workersdealing with cases which have in common an inherent quality,described as ‘risk’. The study also links referralsto other practice responses identified as ‘service delivery’and ‘advisory’ work. The relationship between theseparticular responses is tested against the outcome decisionreached on case closure. All referrals were allocated betweentwo fieldwork teams over a one-year period and a total of 312referred cases was allocated within the categories mentioned.Findings are indicative that more ‘risk’ type referrals,however defined, are resolved with additional supervisory inputthan without, and that lower status workers favoured ‘middleground’ decisions of outcome when compared to their seniorcolleagues. A consideration resulting from this research isthat agency definitions of risk are different to the type ofrisk which requires crisis intervention. The question of riskto the user or to the agency requires the workers concernedto be able to discriminate between such cases. The implicationfor team training is that supervisory input should clarify thenature of risk, if any, and the task required of the workerfollowing case referral. The matching of skills which wouldultimately be the objective of this type of research cannotbe finally determined until a more comprehensive set of parametersfor practice is identified. This study shows that the responsecategories used demonstrate some basic supervisory needs ofthe worker.     

Exploring Potential 'Extra-Familial' Child Homicide Assailants in the UK and Estimating their Homicide Rate: Perception of Risk--The Need for Debate

High-profile child murders lead parents to fear for their children’ssafety, but perception of risk is often at variance with reality.We explore the numbers of potential ‘Extra-familial’child homicide assailants in the United Kingdom and estimatetheir actual murder rate to determine risk levels. A South ofEngland study, equivalent to a 4 per cent sample of the UK population,of a decade of consecutive child homicides identified the characteristicsof child homicide assailants, finding that the most frequentassailants—the ‘Intra-familial’—werevery different from ‘Extra-familial’ assailants.‘Extra-familial’ killers were all males, aged nineteento forty-two, with convictions for Violent-Multi-Criminal-Child-Sex-Abuse(VMCCSA) offences and Multi-Criminal-Child-Sex-Abuse (MCCSA),whose victims were aged seven-plus years. Projecting these characteristicsonto the male UK population enables us to estimate the numbersof potential UK ‘Extra-familial’ assailants, whichare set against known UK child (five to fourteen) homicides(WHO, 2005). To account for any ‘hidden’ child homicides,deaths in the ‘undetermined’ violent death category,designated ‘Other External Cause’ (OEC), are calculatedto provide a ‘maximum’ child homicide rate. Therewere potentially 912 VMCCSA and 886 MCCSA ‘Extra-familial’offenders in the United Kingdom, who could be responsible forthe WHO-reported UK three-year average of ‘Extra-family’fifteen child homicide and seventeen OEC deaths per annum; ahomicide rate of 12,061 per million (pm) for VMCCSA and 3,386pm for MCSA, which is 1.21 and 0.34 per cent; however, the VMCCSAhomicide rate was 403 times greater than the all children accidentand cancer death rates. Though the vast majority of these potentialassailants did not kill, comparatively, they are extremely dangerous.Practice and ethical issues are debated, which considers activeoutreach for the ‘treatable’ to possible ‘reviewable’custodial sentences for the VMCCSA.     

Swimming with Dolphins: The Assessment Framework, New Labour and New Tools for Social Work with Children and Families

Correspondence to Dr Paul Michael Garrett, School of Sociology and Social Policy, University of Nottingham, University Park, Nottingham NG7 2RD, UK. E-mail: paul.garrett{at}nottingham.ac.uk Summary Local authorities, in England, implemented the Framework forthe Assessment of Children in Need and their Families in April2001. The Framework is the first ‘official’ standardassessment model intended for use in the initial assessmentof all ‘children in need’ under Part 111, section17 of the 1989 Children Act. This new ‘conceptual map’needs to be understood in terms of previous policy documentsand earlier technologies of intervention related to child protectionand, more broadly, child welfare. However, it also needs tobe more expansively perceived, fixed and located as it relatesto other elements in New Labour's political ‘project’.The Framework's preoccupation with an ecological approach toassessments and with questionnaires and scales are likely tohave major implications for social work practice and for micro-engagementswith children and families.     

Care Management and Professional Autonomy: The Impact of Community Care Legislation on Social Work with Older People

Correspondene to Mark Lymbery, Centre for Social Work, School of Sociology and Social Policy, University of Nottingham, University Park, Nottingham NG7 2RD, UK. e-mail: Mark_Lymbery{at}nottingham.ac.uk Summary The 1990 National Health Service and Community Care Act appearedto herald a new dawn for social work with older people, whichhad previously been a relatively neglected and undervalued areaof social work practice. The legislation proposed a new rolefor social workers as ‘case managers’, with considerableautonomy and flexibility about the way in which the ‘casemanager’ responded to need. By the time community carepolicy was implemented, the role of ‘case manager’had been transformed into that of ‘care manager’,with a focus which emphasized procedural and managerial requirementsrather than a more flexible professional practice. This paper explores the extent to which this shift has substantivelyaltered the nature of social work practice with older people.It outlines key theories of professions and their applicabilityto social work, and critically analyses the impact of the ‘newmanagerialism’ within social services departments. Thepaper also examines the nature of social workers' practice witholder people following the impact of community care legislation,and concludes that the impact on the social work professionhas been to locate an increasing control of practice with socialwork managers, with potentially serious consequences for thecontinuation of a distinctive social work role in relation toservices for older people.     

Technicality and Indeterminacy in Probation Practice: A Case Study

Correspondence to Department of Law, Crookesmoor Building, Conduit Road, Sheffield S10 1FL, UK. E-mail: g.j.robinson{at}sheffield.ac.uk Summary ‘Technicality’ is a theoretical construct which,in the context of professional practice, refers to those aspectsof the work which can be prescribed, ‘programmed’or subject to routine practices. This paper considers the purportedrise of technicality in probation practice, with particularreference to the relationship between increasing technicalityand perceptions of ‘professionalism’. The paperpresents a case study of one ‘technical’ initiativein the probation context: namely, a structured risk/needs assessmentinstrument. The case study examined the implementation of thisinstrument in two area probation services, with a view to establishingits impact both on the exercise of professional judgement (‘indeterminacy’),and on perceptions of professionalism among users and theirmanagers. On the basis of the case study it is argued that,contrary to many recent commentaries, neither significant reductionsin indeterminacy nor an inevitable process of deprofessionalizationcan be automatically ‘read off’ from attempts tointroduce greater structure and/or standardization to socialwork and probation practice. The tentative conclusion of thispaper is that the professional future lies not in a wholesalerejection of technicality, but rather in achieving a positive,workable balance between technical and indeterminate aspectsof practice.     

Race, Self-identity and Social Work

Correspondence to Dr J. Owusu-Bempah, School of Social Work, University of Leicester, 107 Princess Road East, Leicester LE1 71, A. Summary Many people seem to accept, as self-evident, the notion thatblack children harbour unfavourable cognitions about themselvesand their racial group, and that they would rather be white.The present study investigated the prevalence of this notionamongst social work students, and also the extent of the influenceof this view on professional practice. The study involved 102postgraduate social work students at two British Universitiesin separate regions of the country. The respondents respondedindividually to three randomly distributed vignettes, whichwere identical except for the racial/ethnic origin of the principalcharacters: a white child, a child of ‘mixed-race’parentage and a black child. The respondents were required toassess the causes of the children's behaviour, as well as theirsocial and psychological needs. The results were analysed accordingto the number of respondents who mentioned particular causesof the children's behaviour and particular courses of actionto meet their needs. The analyses revealed significant differencesbetween the respondents' perception and interpretations of thechildren's behaviour. The analyses also revealed that the childrenwere differentially treated according to their race or ethnicorigin. The results are discussed in the light of assumptionsabout black self-concept, mainly derived from the social scienceliterature. The implications of the findings for the socialwork profession, individual practitioners, and their black clientsare also highlighted.     

Keyworkers Re-examined: Good practice, quality of care and empowerment in residential care of older people

Correspondence to Rosemary Bland, Department of Applied Social Science, University of Stirling, Stirling FK9 4LA, Scotland Summary Social work definitions of ‘good practice’ in residentialcare which were originally developed in work with children andyoung people have also been applied to residential settingsfor other user groups, including older people. However, anylink between such elements of practice and positive outcomesfor users has not always been demonstrated. The introductionof market principles and orientations into social welfare inthe 1980s re-defined the social work ‘client’ asa ‘consumer’ with the associated power to make choicesin the area of social care. The success with which such an approachcan be applied to services for people who are very often, notin a position to exercise much choice, is debatable. Alongsidethe notion of the ‘consumer’ or ‘user’of services has grown the ideology of ‘empowerment’of people who use social work services. Drawing on findingsfrom a recent study, this article explores the contributionof the keyworker role to good practice and the empowerment ofolder people living in residential homes. It concludes that,because their understanding of the concept and practice is largelyundeveloped, the role as currently interpreted is not consonantwith good practice and tends rather to reinforce the power ofstaff.     

Investigation or Initial Assessment of Child Concerns? The Impact of the Refocusing Initiative on Social Work Practice

This paper is based on a qualitative research study of socialworkers’ and parents’ experiences of attempts to‘refocus’ child protection practice in England sincethe late 1990s. A review of the research base for the refocusinginitiative is presented, leading to an exploration of one ofthe key changes arising from the initiative: the move away frominvestigations in ‘borderline’ cases towards lessintrusive initial assessments. Methods involved qualitativeinterviews with parents and social workers in twenty-three casesdrawn from two local authorities. The main conclusions are thatinitial assessments, as developed through the refocusing initiativeand the Framework for the Assessment of Children in Need andtheir Families (Department of Health, 2000), provide a formof practice that offers benefits in terms of balancing childprotection and child welfare approaches, and in terms of relationshipswith parents.     

The Treatment of Enuresis amongst Child Clients of a Social Services Department

Summary The adoption of an ‘outpatient’ model of supervisingthe treatment of bedwetting amongst child clients of a socialservices department is described. The treatment technique usedwas the generally effective ‘enuresis alarm’, or‘bell-and-pad’. Fifteen out of a total of 25 concludedcourses of treatment were successful, with an average treatmentduration of 14.9 weeks. Both this outcome, and the rate of drop-outbefore completion of treatment (ten cases) are comparable withthose obtained with non social services clients, and the useof the enuresis alarm with children in care (including thosein residential establishments) was found to be quite practicable.A high relapse rate (43%) was, however, found for social servicesclients, relapse usually following a placement change or othermajor stress.     

Whose Wishes and Feelings? Children's Autonomy and Parental Influence in Family Court Enquiries

The importance of the child’s right to be heard and fortheir wishes and feelings to be taken notice of is now acceptedacross a broad professional and research terrain. Increasingly,children are being treated as active participants in the processesand decisions that affect them. In cases of divorce and separation,especially where parental relationships are conflicted, theaccepted wisdom in the UK for many years has been for childrento be protected rather than empowered. More recently, practitioners,policy makers and researchers have looked for ways to involvechildren, although the ‘welfare’ of the child hasremained paramount. In this context, the question of how toensure that wishes and feelings expressed are those that authenticallybelong to the child, rather than to their parent, sibling orother, has achieved a new significance. This article presentsfindings from recent research to illustrate how the tensionbetween protection and empowerment is being played out in thisaspect of welfare report enquiries carried out by CAFCASS (Childrenand Family Court Advisory and Support Service) private law practitioners.     

Competence and Discipline in Professional Formation

Correspondence to Dr C Clark, Department of Social Work, The University of Edinburgh, Adam Ferguson Building, George Square, Edinburgh EH8 9LL. Summary This paper argues that ‘competence’ is inadequateas the founding principle of professional knowledge, and consequentlythe attempt to build professional training on it is misguided.Besides the unresolved conceptual issues, the competence approachis radically undermined by the absence of an adequate researchbase necessary to validate concepts of competence and measuresof individuals' competences. Drawing on the author's researchon how practitioners use knowledge and theory in practice, itis shown that the attempt to reduce good professional practiceto a codified set of competences is mistaken; it does not properlyrecognize the constant need for creative solutions to poorlyunderstood problems. The idea of professional discipline isexplored, which, it is argued, better describes the characterof the knowledge and skills which practitioners should aim tomaster.     

The Case for a New 'Case' Management in Services for People with Learning Disabilities

Micro-organization is currently fragmented in services for peoplewith learning disabilities. Care management, person-centredplanning (PCP) and direct payments have developed through separatepolicy strands, with tasks and agency responsibilities blurred.A wide diversity of care management arrangements currently operate,with the relationship between care management, PCP and directpayments imprecisely defined. PCP and direct payments have alsobeen variably implemented. This paper argues for a new ‘person-centredcase management’, with these different devices betterintegrated and decision-making and action more person-centred.Drawing on practice experience from the original British casemanagement experiments, the new ‘case’ managementwould be centred on the needs and wants of individuals, be conductedindependently from assessment, operate outside the public sectorand be able to access personal budgets. It would consequentlyhave the capacity to further de-institutionalize services andsupport and transfer more control to people with learning disabilities.     

The Victorian Ethical Foundations of Social Work in England--Continuity and Contradiction

Correspondence to Bill Forsythe, Dean of Academic Partnerships, 261, Northcote House, University of Exeter, Exeter EX4 4QJ, UK. E-mail: W.J.Forsythe{at}exeter.ac.uk Summary In this article we argue that during the Victorian era certainethical foundations of best practice were identified and werecentral to the work of particular individuals. We also arguethat there was a strongly discriminatory moralistic basis tosocial policy and mainstream charitable intervention that militatedagainst these ethical foundations. We suggest that this contradictionis replicated in New Labour's ‘Third Way’ and thatwe need to heed the tradition of social inclusion espoused bysome of the Victorian practitioners discussed if we genuinelymean to put into practice the ideas of social worth and communityespoused by New Labour rather than return to the Victorian distinctionbetween the ‘respectable’ or ‘deserving’poor and the ‘pauper’.     

The Supervision of Child Protection Work

Correspondence to Alan Rushton, Course Director, M.Sc. in Mental Health Social Work, Social Work Department, The Maudsley Hospital, 101 Denmark Hill, London, SE5 8AZ, UK Summary It has frequently been recommended that statutory child protectionservices in Great Britain need greater provision of specialistsupervision to support front line social workers. This qualitativestudy, based in social services departments in London, usedthe focus group method to explore the provision of supervisionby team managers in a very pressurized work environment. Thestudy highlights the difficulty of protecting adequate supervisiontime but shows how supervisors can use their skills to conductcase related discussion concerned with developing professionalskills. ‘Inquisitorial’ and ‘empathic-containing’functions are identified and an approach is proposed for combiningthem in training courses for child protection supervisors. Thepaper recommends that supervision training needs to be expanded,to be more precisely targeted, and that outcomes need to berigorously and appropriately assessed.     

Mapping the Needs of Children in Need

This paper reviews the literature on mapping needs, with particularreference to children in need, and locates this within the legalmandate for children’s services planning and New Labour’smodernization policies for social care work. The paper surveyspossible approaches to mapping needs and highlights the challengesinvolved. One research project, which collected informationon children in need from a variety of different agencies withinone geographical location, is then used to question mapping’scontribution to the achievement of quality, co-ordination andresponsiveness in modernized child care services. The paperincludes a critical review of the extent to which mapping researchinforms practice, of the contested nature of need, and of anapproach that rests on identifying those in greatest need andtargeting available resources at those most at risk.     

The State of Welfare

Summary The word ‘welfare’ is difficult to define becauseit combines within it a range of ideologies and actions. Twoconclusions are drawn from this: first, that social servicesshould be regarded as contributors to, but not providers ofwelfare; second, that the study of social work and social administrationshould be concerned not only with the relationship of ‘service’to ‘need’ but also with societal movements and pressureswhich determine the emergence of both. The article reviews theprofessed values of the welfare state, particularly ‘socialequality’ and the problems associated with its achievement,namely public attitudes, and the discontinuity between intentionand practice in the welfare services. The implications for socialwork education and practice are considered.     

Decision Making in Child Protection

Correspondence to Dr Ray Jones, Director of Social Services, Wiltshire County Council, County Hall, Bythesea Road, Trowbridge, Wilts BA14 8LE Summary A survey was undertaken of 701 decisions in ‘child protection’;and ‘child-care’ cases within one local authority.Decision making at four filter points in case career was analysed.Filter 1 was when the case was initially referred to socialservices, Filter 2 was when consideration was given to holdinga case conference, Filter 3 was when a case conference was held,and Filter 4 was the review case conference following the initialcase conference. The major risk factors which determined decisionswere highlighted, and these were different at each filter level.The percentage of children who remained within the ‘childprotection system’ after decisions were taken at eachfilter level was analysed and recorded. The research found that,based on the risk factor weightings given by the independentauditors, workers were appropriately discriminating between‘child protection’ and ‘child-care’cases.     

Opportunities and Risks: Models of Good Practice in Commissioning Foster-Care

Local authorities in Britain have been purchasing foster placementsand related services from independent fostering agencies orproviders (IFPs) for many years. These are often made on anunplanned or ‘spot purchased’ basis and many localauthorities have incurred significant budgetary overspends orbeen criticized for poor child-care practice. In parts of theUSA and Australia, governments have required public authoritiesto ‘outsource’ all or most of their foster-careresponsibilities to private or voluntary agencies. Where thesehave been independently evaluated, a number of deficits havebeen identified. A middle position of local authorities andIFPs entering into service level or contractual agreements hasemerged in Britain where each sector attempts to plan and matchits respective needs and services and to predict and controlcosts. This paper explores how some local authority and IFPmanagers have developed working arrangements with one anotherin order to achieve this position. At a time when the Britishgovernment is providing a strong policy steer towards inter-sectorcommissioning in foster-care, this paper suggests a frameworkfor collaboration.     

Evaluation with One Eye Closed: The Empiricist Agenda in Social Work Research

Please address requests for reprints to Peter Raynor, Centre for Applied Social Studies, University College of Swansea, Singleton Park, Swansea SA2 8PP. Summary This paper was originally presented at a conference on ’theeffectiveness of social work‘ at Swansea in 1981. It arguesagainst a narrowly empiricist model of evaluation in socialwork, suggesting that while such a model may help to improvethe technical efficacy of methods, it can tell us little aboutthe desirability of the goals towards which our methods aredirected, or the social functions which they serve. The finalsection points to some possible resources for rational discussionof areas which ’scientific‘ models of evaluationtend to neglect.