Service user involvement in social work education: experiences from Germany and implications for a European perspective

ABSTRACT

Service user involvement (SUI) in social work education has gained widespread attention in Europe and other continents. Nevertheless, experiences on including service users in social work education have not been reported from Germany or other German-speaking countries to date. This paper reports preliminary experiences with implementing SUI in a bachelor’s programme of social work in a German University of Applied Sciences. The main goals of the current paper are (1) to provide a background for implementing service user approaches in Germany by introducing the structure of social work education in Germany; (2) to report experiences from a weekend seminar where service users worked together with students of social work in the framework of a curriculum of a German University of Applied Sciences and (3) to formulate some implications of these experiences for SUI across Europe. The main results were that introducing service user involvement into a German curriculum of social work is possible but needs careful reflection and planning. Experiences gathered in the weekend seminar with service users were encouraging for service users, students and teachers. We conclude that systematically implementing SUI into German curricula of social work is important.     

Relationship-based thinking and practice in social work

Abstract

Relationships with the users of social work are increasingly seen in procedural, legal and administrative terms. However, research studies examining both client satisfaction and intervention effectiveness regularly find that the psychosocial qualities of the worker-client relationship are a major component in the success or otherwise of the service offered. The case is made that the psychological selves of both practitioners and users acquire many of their characteristics, including personality, esteem, efficacy and defensive behaviours, within relationships throughout the lifespan. The level of social understanding and social competence that people develop depends on the quality of their relationship history. If poor relationships are where psychosocial competences go awry, then good relationships are where they are likely to recover. This observation has major implications for the quality, character and skill of the relationship experiences offered to clients by social workers     

Service-user participation in developing social services: applying the experiment-driven approach

ABSTRACT

Participatory approaches are needed in Finland for service users to participate in designing and developing social services. New collaborative methods are the focus of this research, as this pilot case-study analyses the experiment-driven design approach and its consequences on service users’ agency and participation. This practitioner research belongs to the pragmatist research tradition. The data comprises transcribed focus group and individual interviews of service users and social workers in group operations in a Finnish municipal adult social service organisation. The data are evaluated by content analysis. The experiments with service prototypes allowed the service users to observe the consequences of their actions in practice. Instead of only being heard and consulted, the service users found they could influence the practice in concrete ways. The professionals and organisation shaped the service users’ participation and agency by operating as gatekeepers in sharing power. The service users reported that collaboration with professionals and participation in the group gave them a sense of renewed citizenship, improved social skills and helped to manage with personal illnesses or daily struggles. The research concludes that experimentation can provide a way to utilise experiential knowledge in developing social work collaboratively.     

Exploring the Hidden Nature of Gambling Problems among People Who Are Homeless

Abstract

Although people with gambling problems are now recognised to be among those groups of people at increased risk of homelessness, little research has explored their experiences. This qualitative interpretive study explored the experiences of people who were homeless and had gambling problems, and the housing and gambling service providers assisting them. In-depth interviews were conducted with 17 service users and 18 service providers. A key finding was that gambling problems among those experiencing homelessness are often hidden; few people presented to housing services admitting to gambling problems. Shame, stigma, and identity issues were described as the main reasons service users did not disclose their gambling activities. The research highlighted that the relationship between service providers and service users was infused with power imbalances and shaped by social discourses and policies that demand self-responsibility and hinder information sharing between service providers and service users.     

Exclusion by design: intersections of social,digital and data exclusion

ABSTRACT

As smart technologies such as artificial intelligence (AI), automation and Internet of Things (IoT) are increasingly embedded into commercial and government services, we are faced with new challenges in digital inclusion to ensure that existing inequalities are not reinforced and new gaps that are created can be addressed. Digital exclusion is often compounded by existing social disadvantage, and new systems run the risk of creating new barriers and harms. Adopting a case study approach, this paper examines the exclusionary practices embedded in the design and implementation of social welfare services in Australia. We examined Centrelink’s automated Online Compliance Intervention system (‘Robodebt’) and the National Disability Insurance Agency’s intelligent avatar interface ‘Nadia’. The two cases show how the introduction of automated systems can reinforce the punitive policies of an existing service regime at the design stage and how innovative AI systems that have the potential to enhance user participation and inclusion can be hindered at implementation so that digital benefits are left unrealised.     

Building relationships on social networking sites from a social work approach

ABSTRACT

Our current age of connectedness has facilitated a boom in interactive dynamics within social networking sites. It is, therefore, possible for the field of Social Work to draw on these advantages in order to connect with the unconnected by strengthening online mutual support networks among users.

The aim of this article is to examine whether ‘connectedness’ in social networking sites improves online social capital and resilience of social service users.

Through our analysis of social networks carried out on an experimental model, we observed the patterns of connectedness on Facebook of 50 social service end-users from Málaga, Spain. The detection of online communities through the modularity algorithm has allowed us to ascertain whether individuals’ offline realities mirror their online realities. At the same time, we examined the influence certain interactions (likes, comments, etc.) have on leadership through online ethnography. Finally, online social capital, understood as the combination of connectedness and online interaction, has been correlated with users’ resilience. The results reveal that both connectedness and interaction feed themselves and have correlations with resilience.     

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

ABSTRACT

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

IMPLICATIONS

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

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

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

     

Computer-based Information Systems and Human Service Organisations: Emerging Problems and Future Possibilities

Abstract

Standardised case management systems were designed to address poor outcomes for abused or neglected children. Their introduction has been controversial, with some social workers identifying them as undermining the social worker–service user relationship, and professionalism. This paper reports on a qualitative study of service users of two widely used systems in Australia: “Looking After Children” (LAC) and “Supporting Children and Responding to Families” (SCARF) (both based on adaptations of United Kingdom systems). There has been relatively little evaluation of the long-term use of these systems relevant to Australian social work. The experiences of service users can contribute to debate because they provided lived experiences of these systems and family members' inclusion is a central goal. Children, young people, and parents reported positive experiences of case-managed interventions: the goals of the intervention were usually clear, processes productive, and relationships with social workers possible. However, service users did identify barriers to participation, limitations in assessment, and described diverse experiences of interventions. While these findings challenge critics, they also suggest that LAC and SCARF could be further developed to better meet expectations of families.     

In favour of online counselling?

Abstract

A ‘surf on the net’ reveals that internationally, many organisations are providing a range of counselling services online including counselling via email, interactive ‘chat rooms’ and teleconferencing. Online counselling appears to be offered primarily as a ‘fee for service’ and many online practitioners work in the area of mental health. In Australia, KIDS Help Line offers ‘free’ counselling for young people using both email and chat rooms. Meanwhile, other organisations/professional groups are struggling to come to terms with this new form of service delivery. This paper begins with a brief explanation of where Relationships Australia (Queensland) is placed in terms of online counselling followed by some of the advantages and disadvantages of online counselling based on a literature search. Concluding statements lean towards favouring online counselling as it offers a new form of intervention that may suit many clients and organisations. The term ‘online’ counselling refers herein to e.counselling or email counselling     

Exploratory study of the use of community treatment orders with clients of an Ontario ACT team

ABSTRACT

Community Treatment Orders (CTOs) have raised questions about coercion, lack of autonomy, and effectiveness in reducing hospitalizations and improving service users’ quality of life. This study examined the experiences of clients and clinicians when CTOs are used in combination with Assertive Community Treatment (ACT) in a recovery oriented approach. Eleven clients who were or had previously been on a CTO and eight ACT clinicians were interviewed. Although most clients had negative feelings about CTOs, some acknowledged their lives had improved. Clinicians reported that the decision to employ a CTO is sometimes debated within the team but they agreed that combining CTOs and ACT resulted in regular access to mental health supports, fewer hospitalizations and overall improvement of quality of life for their clients.     

Social media,empathy and interpersonal skills: social work students’ reflections in the digital era

ABSTRACT

This paper examines second-year social work students’ (n = 19) reflections on empathy as part of an interpersonal skills course at a regional university in Australia. Students were asked to consider their personal, online and classroom experiences, before responding to a reflective learning prompt: ‘Online communication is killing connection: (the Facebook Like symbol) does not equal empathy’. Qualitative analysis of their responses identified tensions between students’ engagement with social media and their developing understandings of empathy. Students reported an ease and confidence in the use of social media, but were also aware of the risks associated with perceived anonymity, shifting boundaries and an absence of audial and verbal cues in establishing context and quality of communication. Their reflections also suggested that the range of stimulus material used in the interpersonal skills course—including podcasts—had increased their social media awareness and their desire to improve their online interpersonal skills. The implications for professional and pedagogical objectives, as well as curriculum design are discussed.     

Sharing the small moments: ephemeral social interaction on Snapchat

Ephemeral social media, platforms that display shared content for a limited period of time, have become a prominent component of the social ecosystem. We draw on experience sampling data collected over two weeks (Study 1; N?=?154) and in-depth interview data from a subsample of participants (Study 2; N?=?28) to understand college students’ social and emotional experiences on Snapchat, a popular ephemeral mobile platform. Our quantitative data demonstrated that Snapchat interactions were perceived as more enjoyable – and associated with more positive mood – than other communication technologies. However, Snapchat interactions were also associated with lower social support than other channels. Our qualitative data highlighted aspects of Snapchat use that may facilitate positive affect (but not social support), including sharing mundane experiences with close ties and reduced self-presentational concerns. In addition, users compared Snapchat to face-to-face interaction and reported attending to Snapchat content more closely than archived content, which may contribute to increased emotional rewards. Overall, participants did not see the application as a platform for sharing or viewing photos; rather, Snapchat was viewed as a lightweight channel for sharing spontaneous experiences with trusted ties. Together, these studies contribute to our evolving understanding of ephemeral social media and their role in social relationships.     

Navigating the ‘shadow of loss’ in mental health social work

ABSTRACT

The human experience of loss has been at the centre of psychoanalytic understandings of the human condition since Freud’s first writings on ‘melancholia’. This essay draws on psychodynamic theory to show how workers who are attuned to the experience of loss in service users can shape their interventions accordingly. By reflecting on how a diagnosis of ‘depression’ might better be understood as the rippling wave of past grief, professionals can utilise the dynamics of projection, transference and containment to help understand the emotional pain of individuals they support. But this essay also suggests that the use of psychodynamic practice works best when it is bolstered by other frameworks – in this case an understanding of systems theory. When the two traditions are utilised together, they provide an understanding of psychic phenomena which can enable social workers to build a basis for effective interventions with service users experiencing mental distress.     

Service users’ involvement in social work education: focus on social change projects

ABSTRACT

This article presents and analyzes four projects focusing on diverse forms of service users’ involvement in social work training and research in different countries (Israel, Italy, Slovenia and UK). It highlights the value of service user involvement (SUI) to specific social change objectives and to social work education. The conceptual framework focused on the Standpoint Theory, while methodologically participatory action research was applied, and evaluation measures were developed. Key findings, facilitators and limitations to the involvement, students’ views of it and similarities and differences among the four projects are outlined. The challenges embedded in introducing and sustaining social change objectives in a co-production framework within social work education are identified, alongside the added value of meeting them. The differentiated impact the projects had on students is highlighted as well as their significance for health and social care providers were relevant. It is encouraging that in each project SUI was positively valued. The projects indicate the wide range of SUI in the content and format of social work education, as well as its applicability cross-culturally to a range of key issues pertaining to both training and research in social work.     

Provider and Care Workforce Influences on Quality of Home-Care Services in England

Abstract

A key trend in home care in recent years in England has been movement away from “in-house” service provision by local government authorities (e.g., counties) towards models of service commissioning from independent providers. A national survey in 2003 identified that there were lower levels of satisfaction and perceptions of quality of care among older users of independent providers compared with in-house providers. This paper reports the results of a study that related service users views of 121 providers with the characteristics of these providers. For the most part, characteristics associated with positive perceptions of quality were more prevalent among in-house providers. Multivariate analyses of independent providers suggested that aspects of the workforce itself, in terms of age and experience, provider perceptions of staff turnover, and allowance of travel time, were the most critical influences on service user experiences of service quality.     

A ‘Tripadvisor’ for disability? Social enterprise and ‘digital disruption’ in Australia

ABSTRACT

We explore how social enterprises can use platform technologies to plug ‘informational gaps’ in the provision of disability services. Such gaps are made more apparent by policies promoting self-directed care as a means of giving service users more choice and control. We use a case study of a start-up social enterprise seeking to provide a TripAdvisor style service to examine the potential for social innovation to ‘disrupt’ current models of service. The case study suggests that any disruptive effects of such changes are not due to new digital technology per se, nor to novel platform business models, but rather rest in the manner in which the moral orders which justify current patterns of social disablement can be challenged by social innovation.     

Learning from service users’ involvement: a research about changing stigmatizing attitudes in social work students

Abstract

Stigmatizing attitudes can create barriers to forming partnership with service users and to developing people’s empowerment. So, social work education must help students overcome their stigmatizing attitudes. A useful strategy for bringing about changes is service users’ and carers’ involvement in social work education, providing students with direct exposure to stigmatized people in roles that emphasize their humanity and strengths, rather than their deficits. The present study assessed the impact of a one-day meeting with service users and carers members of self-help and mutual-aid groups on freshman social work students. Students completed an adapted version of Attitudes to Mental Illness Questionnaire before and after the meeting, and answered several qualitative questions. Data comparisons suggest that after face-to-face contact with service users and carers, social work students showed reduced stigmatizing attitudes. Implications for further research and social work education are discussed.     

Reflective practice and learning from mistakes in social work student placement

ABSTRACT

Student placement is a fundamental component of social work education and an important space where to build critically self-reflective practitioners. Students learn from their reflection on their experience and their mistakes are a powerful opportunity to go behind the surface of events and understand the essence of the profession. This article will present some results from the analysis carried out on the reflective writing of a group of social work students who describe and reflect on the most significant mistakes they made in their field practice using a reflective framework developed for errors and failures. The main results of this experience are illustrated with special focus on the impact and on the emotions, the relationships with service users and the assessment of the cases. Students are often so concentrated on looking at their responsibility that they become almost blind to the systems and interactions that contribute to the negative outcomes of their actions. Social work education programs should emphasize the importance of structured reflective habits and promote the culture of responsibility instead of the ‘blame culture’, that is probably the strongest obstacle to learning from mistakes and preventing their repetition in the future.     

Acceptance of Online Health Services for Self-Help in the Context of Mental Health: Understanding Young Adults’ Experiences

ABSTRACT

This article explores the understanding of the acceptance of online health services from a self-help perspective in the context of mental health. By examining the experiences of young adults, this article develops a framework to leverage the current understanding of the factors that would support the acceptance and use of these types of services. To this end, a multidisciplinary perspective incorporating knowledge from the service marketing, health, and information systems literature is used. The results suggest that the production of online services that are meant for self-help purposes necessitates a focus on the acceptance of technology and, more importantly, instrumental value creation, as the purpose of using these types of services should be better understood and supported by technological solutions. This study also identifies several technological features supporting both the acceptance of technology and users’ ability to achieve well-being. Furthermore, when developing services for health self-help purposes, the issue of branding to increase acceptance should be assessed. From a user perspective, there appears to be a difference regarding whether the services are positioned as health services or as wellness services.     

Decrypting cultural nuances: using drama techniques from the theatre of the oppressed to strengthen cross cultural communication in social work students

ABSTRACT

Despite widening participation in social work education in the UK, social work students from black and minority ethnic (BME) backgrounds can find that they have less positive experiences on social work courses than their counterparts. This can happen when courses do not equip students to navigate the subtle rules of communication with service users that are premised on dominant UK values. As a consequence BME students can be assessed as having poor interpersonal skills and poor skills in engaging service users. However, the issue is often more one of cultural differences and high expectations of cultural integration than one of incompetence.

This paper reports on a drama workshop using techniques from the Theatre of the Oppressed to foster awareness of the complexities of cross cultural communication that BME students may face. The workshop facilitates insight into the nuances of culturally informed values that differ from dominant UK values.

Drawing on student workshop evaluations, the authors highlight the positive use of techniques from the Theatre of the Oppressed as a pro-active pedagogical approach to equipping BME students with insight and skill to circumnavigate cross cultural communication in practice and develop awareness of empowering strategies to combat negative paradigms about BME cultures.