Social Work, Social Science and Practice Wisdom

Correspondence to Michael Sheppard, Department of Applied Social Science, University of Plymouth, Drake Circus, Plymouth PL4 8AA. Summary Social work has for some time had an ambiguous and ambivalentrelationship with its social science knowledge base. However,this has arisen, at least in part, because of the emphasis onthe outcome or product of social science rather than the processby which research is conducted. This paper, focusing on assessment,argues that an emphasis on process goes some way to closingthe gap between social science and social work, that the methodsused by social researchers are, in many respects, simply refinementsof the methodology of everyday life, and that social workers,when conducting assessments operate rather like practical qualitativeresearchers. Using Analytical Induction as an heuristic device,it proceeds to explore critical characteristics of good practicein social work assessments. It concludes that practice shouldbe characterized by critical awareness, involving imaginativedevelopment of alternative hypotheses, a sceptical attitudetowards case assessments and a principle of adopting hypothesesleast likely to be in error.     

Maternal Depression, Child Care and the Social Work Role

Correspondence to Michael Sheppard, Principal Lecturer, Department of Applied Social Science, University of Plymouth, Drake Circus, Plymouth, Devon PL4 8AA. Summary This article reviews findings on the relationship of maternaldepression and child care problems, a relationship which haslargely been ignored in social work. These findings are of particularimportance in view of the philosophy in the Children Act 1989that the best place to bring up a child is usually with theirfamily and the duty of local authorities to promote this. Thefindings consistently identify a clear relationship betweenemotional and behavioural child care problems and maternal depressionshowing that depression is likely to affect the mother's childcare abilities and also her perceptions of the child's behaviour.These have important implications for education, training andpractice, and these are discussed.     

Prior Criminality and Employment of Social Workers with Substantial Access to Children: A Decision Board Analysis

Correspondence to Joanne M Smith, Department of Social Policy and Social Work, 20 Portland Villas, University of Plymouth, Drake Circus, Plymouth, Devon PL4 8AA Summary The central purpose of this research was to find the extentand circumstances of the influence which a criminal record hasupon appointment as a social worker with substantial, unsupervisedaccess to children. One would suppose that applicants with aconviction for indecently assaulting a child would never beappointed, but that those with other kinds of record would beappointed to the extent to which prior offences were relativelytrivial, distant in time and involved property rather than people.The reality was much less clear-cut. The study may be seen asa way of depicting the pattern and process of current practice.It has clear implications for the refinement of guidance toachieve nationally desired ends of child protection. This article will draw upon data gathered for a Ph.D., incorporatinginterviews with every social services department (SSD) in Englandand Wales. The study has yielded interesting findings relatingto (inconsistency in decision making across SSDs. The findingsfrom the first 64 interviews have been used for the article.Preliminary analysis suggests that the remaining interviewsshow similar patterns. The focus will be on possibly the mostsignificant finding of the research: that six SSDs in a decision-makingprocess relating to a number of fictitious candidates, revealedthat they would have agreed to employ one of the candidatesas a children and family social worker, despite knowledge ofthat candidate's conviction for indecently assaulting a child.     

Practitioners as Rule Using Analysts: A Further Development of Process Knowledge in Social Work

Correspondence to Professor Michael Sheppard, Department of Social Policy and Social Work, University of Plymouth, Drake Circus, Plymouth PL4 8AA, UK. E-mail M.Sheppard{at}plymouth.ac.uk Summary A new paradigm of ‘process knowledge’ has emergedin recent years, distinct from the dominant ‘product knowledge’paradigm in social work. While the latter refers to existentknowledge, which may be applied, the former refers to the developmentof knowledge about the ‘methodology of practice decisionmaking’, focusing on the processes by which judgementsare made. At its heart is the emerging idea of a reflexivityfor practice, but studies have been, until recently, theoretical.A very small number of empirical studies have begun to identifysome key elements of process knowledge. These have developeda range of concepts relating to critical appraisal, hypothesisdevelopment and hypothesis testing which characterize socialwork process knowledge. These include, for example, focusedattention, querying information, causal inferences, partialcase, procedural, and speculative hypotheses. A process of quasitriangulation is characteristic of social work practice methodology,together with a combination of inductive and deductive thinking.This paper seeks to develop our understanding by focusing onhow social workers develop and appraise hypotheses, and in particularhow the substantive content of hypotheses emerges (these enablesocial workers to make sense of, define, and respond to, situations).To understand this, the notion of rules is used, and socialworkers emerge as analysts employing three types of rules: substantive,application, and practice rules. A significant link betweenprocess knowledge and the content of product knowledge is identifiedin the form of technical language. The concept of ‘probabilisticcausation’ is identified as a key epistemological dimensionin the conduct of rigorous practice.     

An Evaluation of Social Support Intervention with Depressed Mothers in Child and Family Care

Correspondence to Professor Michael Sheppard, Department of Social Policy and Social Work, University of Plymouth, Drake Circus, Plymouth, Devon PL4 8AA, UK. Summary The significance of maternal depression to social work practicein child and family care has become increasingly apparent inrecent years. Social support, furthermore, is a concept (aswell as a reality) which provides a major focus for social workpractice. Indeed, social support, it is also clear, is of considerableimportance in helping prevent depression. This paper seeks toexamine social support work carried out by social workers inrelation to depressed mothers in child and family care. In particularit seeks to evaluate the quality of that intervention in thelight of key problem areas associated with high levels of supportneeds, the extent to which social workers target support needsthrough direct, indirect and informal supports, and the extentto which particular interventions are associated with a higheradequacy of support experienced by these depressed women. Thepaper finds a certain degree of haphazardness in social workers’targeting of support needs, although in some areas of indirectsupport, in particular, their targeting is reasonably accurate.There is little evidence of any one form of intervention beingassociated with more adequate support with one significant exception,relief care of children. The paper concludes that social workersneed to develop a keener awareness of support deficits so thatthey are targeted better; they need to monitor more carefullyinterventions carried out by other agencies and professionals;and they should look to relief care of children as a major formof intervention to support these women.     

Care Management and Information Provision: Towards a Reasoned Method of Assessing the Range and Extent of Problems and Needs in Child-Care Social Work

Correspondence to Professor Michael Sheppard, Department of Social Policy and Social Work, University of Plymouth, Drake Circus, Plymouth, Devon PL4 8AA Summary The new managerialism associated with care management has, aswith other areas of health and welfare work, promoted ideasof efficient use of resources, quality assurance and the capacityto audit the work of welfare agencies. This approach placesa high premium on measurement, and emphazises a long-standingdesire to develop instruments the use of which would providethe basis for resource allocation. This paper presents a methodby which such data can be rigorously generated and analysed.It uses as its basis an instrument of established reliabilityand validity, designed to collect data on problems identifiedin clients in the child and family care social work group. Ituses a combination of principal component and cluster analysisto provide a clear picture of the nature and range of problemsand the grouping of cases with similar characteristics. Thesedata provide a quantitative basis upon which judgements aboutresource allocation can be made.     

Theory for Approved Social Work: the Use of the Compulsory Admissions Assessment Schedule

Correspondence to Michael Sheppard, Department of Applied Social Science, University of Plymouth, Drake Circus, Plymouth. Summary In his work on compulsory admissions under the Mental HealthAct, 1983, Sheppard (1990) developed the Compulsory AdmissionsAssessment Schedule (CASH) in response to identified knowledgedeficiencies and as a means for operationalizing a knowledgebase distinctive to social work. While subject to detailed theoreticaldevelopment it was not tested in practice. This article examinesthe use of CASH in practice, and the results have implicationsfor compulsory admission assessments. This paper indicates thatCASH is practical to use, that, although there are some greyareas, CASH on the whole distinguishes clearly between possiblesections and those not possible to section, that dangers, hazardsand risks are clearly identified, that rating is consistentwith the seriousness of dangers identified, that cumulativeuse of CASH may help develop accountability, and that socialwork evaluation of CASH is positive. This article concludesthat there are considerable benefits from the use of CASH, thatASWs should be trained properly in its use, and, more widely,that these results, together with Sheppard's (1990) originalresearch and theoretical development, indicates that, when conductedappropriately, social science can directly, and beneficially,be applied to practice.     

Social Work Tomorrow: Towards a Critical Understanding of Technology in Social Work

Correspondence to Bob Sapey, Department of Social Work, University of Central Lancashire, Preston PR1 2HE Summary This paper makes use of theoretical ideas that have been developedto understand the impact of new technology on organizationsand applies them to its use within social work agencies. Thesedeveloping theories employ ideas that are familiar to socialworkers—organization theory, decision making theory, andcommunication theory. The paper therefore argues that socialworkers are in a good position to understand and influence theuse of computers within welfare agencies and do not need tobe inhibited by a lack of technological knowledge. It is furtherargued that, unless social workers do become involved in theways in which new technologies are used within organizations,they will fail to influence its impact upon their clients andmay further fail to control the way in which computers affectthe nature of social work itself in the future.     

Constructivism in Social Work: Towards a Participative Practice Viability

Summary Social work has traditionally drawn upon an expansive rangeof social science research and theorizing as its claim upona ‘knowledge base’. Recent debates have exploredthe need for the profession to develop its own theory of socialwork knowledge arising from practice. This paper seeks to extendthe boundaries of these ideas through an operational and epistemologicalelaboration and critique of Sheppard's (1995a; 1998) notionof a practice paradigm. In an examination of the contributionof constructivism and the seminal work of George Kelly's (1955)Psychology of Personal Constructs, arguments are put forwardfor social work practice to focus upon the co-construction ofviable working relationships with service users as the basisfor an anti-oppressive and participative professionalism. Itargues that the sterile philosophical dichotomies between objectivism/realism-subjectivism/interpretivismand the equally unhelpful social work division between practice-theoryshould be integrated within a situated, participatory, constructivistapproach to knowledge creation in social work practice and continuingprofessional development.     

The Significance of Past Abuse to Current Intervention Strategies with Depressed Mothers in Child and Family Care

Correspondence to Professor Michael Sheppard, Department of Social Policy and Social Work, University of Plymouth, Drake Circus, Plymouth, Devon, PL6 7EW, UK. Summary There is now considerable evidence that a high proportion offamilies subject to child and family care social work interventioncontain depressed mothers. There is also evidence that the presenceof clinical depression is associated, amongst these clients,with child abuse. Vulnerability to both depression and childabuse have been traced back to the early child-care experiencesof those who are currently parents, expressed in child abusein terms of intergenerational transmission, although it is alsoclear for both that further factors also contribute to thisvulnerability. Despite the link between maternal depressionand child abuse, we have little evidence about the processesand mechanisms, based on social workers judgements about thesituation, by which families with depressed mothers are morelikely than other clients to be involved with intervention forchild abuse. This paper seeks to ‘map’ the pathwaysand the intermediate mechanisms which provide the link betweenthe experience of past abuse and social workers interventionstrategies. Drawing on theoretically significant factors, itfocuses on the following variables: the experience of past abuse,the mother's attributed character, attachment and bonding, childbehavioural problems and intervention strategy. The paper demonstratesa number of significant ‘paths’ through which familiesbecome subject to one or other intervention strategy. It showsthat, while an emphasis on needs assessment is to be welcomed(Department of Health, 1999), they need to be considered (i)within a theoretical framework which helps social workers makesense of, and respond to situations and (ii) through an understandingof longitudinal dimensions (key factors in mothers' earlierlife) which are aspects of this theoretical understanding.     

At the Edge of the Frame: Beyond Science and Art in Social Work

Correspondence to Dean Emilia E. Martinez-B raw ley. School of Social Work, Arizona State University, PO Box 871802, Tempe, Arizona 85287–1802, USA. Summary The central argument in this article is that social work hasalways been a practice at the fringes. The phrase is used inits best sense and in at least two meanings: (1) that socialwork has been at the edges of the mainstream of scientific discourse,not because of any intrinsic deficiency in the profession butbecause of the nature of the practice; (2) that, in the postmodernsense, social work has been a collage where science, art, rationalityand intuition, systematic and asystematic knowledge meet. Inthis latter sense, this article proposes, social work can representa very desirable convergence of paradigms that needs to be acknowledgedand celebrated. Perhaps the most significant contribution ofpostmodernism is that it accommodates this possibility.     

Contact and Collaboration with General Practitioners: A Comparison of Social Workers and Community Psychiatric Nurses

Correspondence to Mr M. Sheppard, Department of Applied Social Science, Polytechnic South West, Drake Circus, Plymouth, Devon PL4 8AA. Summary For some years good communication and collaboration betweenhealth and welfare professionals has been emphasized as a desirablegoal by both official reports and relevant professions. Thisis as much the case in mental health as other areas. This papercompares communication and collaboration between social workersand general practitioners (GPs) with that between communitypsychiatric nurses (CPNs) and GPs. Both social workers and CPNswere based at a community mental health centre, and the contactwas interagency (with primary health care). Major differenceswere found between social workers and CPNs. CPNs were far morelikely to contact GPs than social workers, although GPs veryrarely initiated contact themselves. Differences reflected different‘philosophies of contact’. Social workers contactedGPs when this could be purposively related to their case management.In addition to this contact, CPNs also made contact to provideGPs with information, reflecting awareness of GPs' long-termcontinuing care responsibility. The excess of CPN contacts wasnot limited, but involved a wide range of problems. GPs, however,when contacted, exerted greater influence on social work casemanagement. The article concludes by explaining differencesbetween CPNs and social workers in terms of occupational culture.It suggests, furthermore, that the results arise at least inpart from assumptions of team leadership by GPs, and that socialworkers' and CPNs' behaviour represents different responsesto this.     

Mental Health and Social Justice: Gender, Race and Psychological Consequences of Unfairness

Correspondence to: Professor Michael Sheppard, Department of Social Policy and Social Work, University of Plymouth, Drake Circus, Plymouth PL4 8AA, UK. Summary It is not immediately obvious how social justice might relateto mental health. Mental health or ill health is, by some, thoughtto be inherent within the individual, whereas social justice,as its name indicates, resides within the realm of the social.However, where we understand social justice as, on the one hand,an issue involving equality and fairness, and on the other ashaving both material and symbolic dimensions it becomes clearthat there is an important link. In particular groups whichsuffer disadvantage and discrimination may be expected to sufferhigher rates of mental ill health. However, the key to understandingthis is by identifying the mechanisms by which this can happen.In order to do this it is necessary that we do not look at mentalhealth (or illness) in an undifferentiated way, since thereare different processes involved for different forms of mentalill health. We shall, therefore, look at this by focusing onthe issue of social justice through two significant relationships:gender and depression, and race and schizophrenia. We shallexamine the mechanisms which link these together, and show howthey are significant psychological consequences of social injusticearising in both material and symbolic form.     

Social Networks and Social Service Workers

Correspondence to Peter Sharkey, School of Law, Social Work and Social Policy, Liverpool Polytechnic, 98 Mount Pleasant, Liverpool, L3 5UZ. Summary ‘Networks’ is a word often used in the discussionof social work practice and within social services departments.It was a word which was central to the Barclay Report (1982)and important within the more recently published Griffiths Report(1988) on community care. It is a word also known to sociologistsand anthropologists through the development of ‘networkanalysis’. There is, however, a fairly wide gap betweenits use within social work and its use within social science.This article tries to explore this gap and the ways in whichsocial science ideas might have some use and relevance to socialservice workers. It does this by using some illustrative datafrom a study done of the personal networks of thirty elderlypeople who were all clients of a social service district office.     

Social Work: Gender, Care and Justice

Correspondence to: Joan Orme, Department of Social Policy and Social Work, Lilybank House, Bute Gardens, University of Glasgow, Glasgow G12 8RT, UK. Summary This article, in examining gender and justice, seeks to examinethe relationship between feminist theory and social work. Specificallyit reviews writings on social work ethics and suggests thatlittle attention has been paid to feminist scholarship thatresonates with social work practice. Focusing primarily on communitycare, it demonstrates how debates within feminism have becomemore complex and have problematized understandings of both careand justice. It argues that for social work it is unhelpfulto dichotomize justice and care; we should aspire to just socialwork practice.     

User Involvement in Services--Incorporation or Challenge?

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

Social Work at the Crossroads

Summary The contribution of social work to society has always been contested.Social workers work with some of the most psychologically damagedand socially disadvantaged people, and are susceptible to publicdevaluing of the services they provide. Indeed, social workhas been subjected to an ever-increasing volume of public debateand criticism, and its claims to professional status are underthreat. Recent years have seen a constant attack on its valuesand principles, which has taken place at political, organizationaland professional levels. Social work practice has been subjectedto increased managerial control and social workers' levels ofautonomy have been reduced. This has created a sense of crisis,which has been experienced particularly within social servicesdepartments (SSDs), the main source of employment for socialworkers. The paper will argue that its survival as a recognizableprofessional activity is dependent on the extent to which itcan redefine its role within society, and re-establish clarityabout its overall purpose and function.     

Applying a community needs profiling approach to tackling service user poverty

Summary Poverty across the United Kingdom is a growing phenomenon. Itsimpact on the users of social work services is well documented.This paper puts forward the argument that poverty is a legitimatepart of the social work agenda rather than being seen as a complexproblem which is somehow outside the scope of social work agenciesand best left to politicians and policy makers. Social workpractitioners and managers must not only begin to accept andacknowledge that poverty is a social work issue but also tobegin confronting this challenge in a changing society whereexclusion, social inequality, racism and oppression deny peopletheir citizenship. The community needs profiling approach is proposed as a usefultool in addressing service user poverty whereby practitionersand their agencies can become more aware of the needs of usersand the communities in which they live. It is argued that, armedwith this knowledge, social workers have the potential to becomepart of the solution rather than remaining on the margins ofthe lives of poor people. Using evidence and ideas drawn froma range of community needs profiling research studies and texts,the author offers working suggestions for applying the approach.     

Social Work and the Sociology of Knowledge

John Paley. Department of Social Policy, School of Policy Studies, Cranfield Institute of Technology, Cranfield, Bedford MK43 0AL. Summary The research literature on social workers' use of theory suggeststhat social work, conceived as a form of knowledge in action,is amenable to a sociology of knowledge approach. This papertries to illustrate the relevant parallels, and uses both empiricaland philosophical themes in the recent sociology of scienceto identify a strategy for social work research.     

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

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