Mental Health Problems and Behavioral Disruptions in Nursing Homes:

This paper describes a study that examines knowledge of mental health problems and management of behavioral disruptions by social workers in nursing homes. Since a significant number of nursing home patients have mental health problems (estimates range from 50 to 80 percent) which present behavioral disruptions, this knowledge is critical. Results indicate that social workers are not prepared to provide needed services because they do not have adequate knowledge about the management of behavioral disruptions or the identification of mental health problems of nursing home patients. Recommendations are that social workers employed in nursing homes should have gerontological training and that national policy changes are needed to develop guidelines for qualifications of nursing home social workers. Nursing homes are not meeting the needs of older adults with mental health problems when social workers do not have the knowledge needed to provide nursing home services.     

What social workers do in performing child protection work: evidence from research into face‐to‐face practice

Little research has been done into what social workers do in everyday child protection practice. This paper outlines the broad findings from an ethnographic study of face‐to‐face encounters between social workers, children and families, especially on home visits. The social work practice was found to be deeply investigative. Children's bedrooms were routinely inspected and were the most common place where they were seen alone. A high proportion of children were not seen on their own because they were too young and the majority of the time was spent working with parents and children together. Small amounts of time were spent with children on their own and some first encounters were so rushed that social workers did not even introduce themselves to the child. This arose from two key factors: firstly, organisational pressures from high workloads and the short timescales that social workers were expected to adhere to by managers and Government; secondly, practitioners had varying levels of communication skills, playfulness and comfort with getting close to children and skills at family work. Where these skills and relational capacities were present, social workers were found to have developed deep and meaningful relationships with some children and families, for whom it was apparent that therapeutic change had occurred.     

Current Realities

This article reports survey data from nursing home professional social workers on their practice circumstances, prior education and training, and current training needs. This data supports the growing body of evidence that a significant portion of social work practitioners are unlikely to have received the depth of information and the specialized skills required to work with the aged and their families during their formal education. Assuming limited personnel and time, and the responsibility of many different persons for psychosocial care -the practice reality in nursing homes today-- this data can guide education and training efforts.     

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.     

Challenges of social workers' involvement in the recovery of the 5.12 Wenchuan Earthquake in China

This article explores the challenges of social workers' involvement in recovery work of the 5.12 Wenchuan Earthquake (12 May 2008). Six social workers working in three social work stations in Sichuan, China, were asked to report the challenges they faced in working with disaster survivors. Findings reveal that the social workers faced many challenges. These include lack of government support, low professional status of social work, rapid changes in the social environment in disaster‐affected areas, lack of supervision, lack of cooperation and coordination among social service agencies, and lack of experience and knowledge in working with disaster survivors. The practical, educational and policy implications of the findings are addressed.     

Depression in the Profession: Social Workers' Experiences and Perceptions

This study reports the findings of interviews with fifty socialworkers who volunteered to describe their personal experiencesof depression in the workplace. The findings confirm the literatureon the stresses of social work and provide an account of theways in which the social workers sought to reconcile their mentalhealth needs with their role as professionals. The study suggeststhe potential for those working at all levels in social workagencies to support social workers who are experiencing depression.At a time of shortages in the profession in the UK, and of effortsto enable those with mental health problems to remain in orreturn to work, the experiences of those social workers interviewedillustrate the managerial, training and human resource imperativesto provide more supportive workplaces.     

Social work in a conflict context: Challenges facing social workers with indigenous inhabitants of unrecognised villages in Israel

This qualitative study presents the experiences of social workers whose clients are the inhabitants of unrecognised Bedouin Arab villages in Israel. It used in‐depth, semi‐structured interviews with 25 participants, recruited by the snowball method. These social workers reported that they are caught between their personal and professional values, on the one hand, and employer regulations, government policy and government law, on the other – which greatly limits their ability to fulfil their professional role. The social workers also comment that they are working in a ‘grey area’ in which the government’s policy is unclear. This adds another layer of complexity to their work and reveals the differential implementation of critical social work principles by social workers with different cultural identities.     

Experiences of child welfare social workers in addressing substance use among maltreated young mothers to prevent child maltreatment

Substance use during the perinatal period and while parenting can pose a significant risk to children's safety and well-being. Mothers who have experienced child maltreatment are more likely to use substances than mothers without a history of maltreatment. This study explores how child welfare social workers experience supporting young, maltreated mothers struggling with substance use to prevent the intergenerational transmission of child maltreatment. Semi-structured in-depth interviews were conducted with four social workers working with young mothers with a history of maltreatment and substance use. Interpretative Phenomenological Analysis revealed two themes: (1) grappling with system challenges and (2) supporting strategies for disrupting intergenerational transmission of child maltreatment. The results highlight the need for systemic changes around support for social workers who work with young mothers who use substances and have a history of maltreatment, and substance use treatment and mental health programs themselves. Mothers need access to prenatal programs that are trauma-informed, non-judgemental and that support participants' basic needs and parenting skills.     

State Variations in Nursing Home Social Worker Qualifications

ABSTRACT

This is the first published account of state administrative code variations in nursing home social worker qualifications. It is important to review state codes because the majority of nursing homes in the U.S. have fewer than 121 beds and therefore are not required by the federal government to employ at least one full-time qualified social worker. States have the option of extending the federal regulations to homes with 120 or fewer beds, or strengthening the federal requirements in other ways. Findings indicate enormous variation in state requirements for qualifications of nursing home social workers, and even when states define a qualified nursing home social worker (not all do), they often exempt facilities from employing one. Seven states were found to be out of federal compliance. Research describing the qualifications of people employed in nursing home social services is called for, as well as research documenting effective psychosocial interventions, especially as they relate to resident quality of life. Ten recommendations for enhancing nursing home social work services are included.     

社会福利机构中社会工作介入老人发展性需求探究——以上海市第一社会福利院为例

本文在调查上海市第一社会福利院老人需求状况基础上,发现了老人各项发展性需求,机构中的社会工作部在老人各项发展性需求上,做出针对性的工作。调查结果发现,社会工作介入老人发展性需求有一定的成效,上海市第一社会福利院老人的需求获得较好的满足,最后提出机构社会工作在老人需求满足方面的若干建议。     

Growing health disparities for persons who are aging with intellectual and developmental disabilities: the social work linchpin

Similar to the general population, adults with intellectual and developmental disabilities (IDD) are living into their 70s and beyond. Health care disparities have been well-documented for this vulnerable and underserved population. Social workers are often responsible for assessment, coordination of care, and negotiation of needed services for people with IDD. This article explores the challenges facing social workers in meeting the growing health and social needs of aging adults with IDD and their families. Trends in social work practice and gaps in education are discussed as they relate to addressing and reducing current health disparities.     

“The Poor Carer”: Ambivalent Social Construction of the Home Care Worker in Elder Care Services

In this article, we examine the social construction of the home care worker from the perspective of various professionals in the elder care sector in Ireland. The research, using the Grounded Theory method, involved focus groups with 31 participants comprising health and social work professionals as well as care agency managers and policy planners. The social construction of the elder care worker is characterised by ambivalence. We connect the concept of ambivalence at the micro level of human relationships to structural factors that are driving the ambivalence. Ambivalence towards home care workers is shaped by structural factors including the precariousness of care work, the commodification of time, and the stipulated personalisation of services. The irreconcilable contrasts between portrayals of care workers as both ‘good’ and ‘bad’ are indicative of deep contradictions in the expectations that contemporary care systems direct at paid caregivers. Ambivalence arises from the commodified and dispensable status of care workers, and fundamental transformations in their training, working conditions and pay are required to move away from this ambivalence and towards care workers’ equal status with professionals in the care sector.     

工作单位性质与利用网络求职的差异性:来自珠三角农民工的实证研究

国内外学者对中国的市场转型研究一直关注于中国的市场化程度,以及不同性质的工作单位其市场化程度对劳动力市场的影响。本文通过对次级劳动力市场中农民工的实证研究,发现伴随着职业流动的增加,农民工在求职中并没有减少对社会网络的使用,只是越来越少地使用先赋性的亲友网络,越来越多地使用在职业流动中新建的社会网络。本文的研究还发现,不同性质工作单位市场化程度的差异影响了农民工对求职方式的选择。农民工进入市场化程度较高的工作单位,可以较多地通过市场途径求职;进入市场化程度较低的工作单位,则需要较多通过社会网络途径求职。     

社会福利机构中社会工作介入老人发展性需求探究——以上海市第一社会福利院为例

本文在调查上海市第一社会福利院老人需求状况基础上,发现了老人各项发展性需求,机构中的社会工作部在老人各项发展性需求上,做出针对性的工作。调查结果发现,社会工作介入老人发展性需求有一定的成效,上海市第一社会福利院老人的需求获得较好的满足,最后提出机构社会工作在老人需求满足方面的若干建议。     

论社工教学中社工元素的融入与应用

目前,社会需要大量的社工专业人才,但社工人才流失却很严重。社工教育对学生社工实务能力的培养有限,学生对专业的认同也不够,是导致社工人才流失的部分原因。在社工教学中融入社工元素有助于改变这一现状。文章分享了将社工元素融入社工教学的一些经验,并尝试提出相应的社工教学改革建议,以促进教学质量。     

Limits to professional practice in decentralized systems

The decentralization of welfare systems and the introduction of “community social work” may confront social workers with tasks they were not trained for and limit their ability to function professionally. The experience of other countries may be relevant to the debate about localism in Britain. In Israel, the publicly directed local community centres have shifted their focus from leisure to welfare services. Trained social workers were employed to initiate and implement personal, group and other local services using local resources and charging fees for services. They reported having difficulties in defining local needs and wants, and in finding congruent solutions for these needs. They also found it difficult to negotiate with community politicians and work with them. This paper describes the Israeli system of community service centres and indicates some obstacles concerning the knowledge, skills, and attitudes of social workers functioning in an independent, decentralized practice. It also raises some selected issues for future social policy and service administration.     

Social work with youth in social withdrawal: in-home and beyond-home intervention modalities

This article discusses the characteristics and the process of in-home and beyond-home social work intervention with young people suffering from social withdrawal in the form of chronic self-seclusion at home. These young people are characterized by their socially avoidant behaviour and are deprived of the enjoyment of legitimate social status as a student, worker or trainee. As a way of confronting this problem, ‘start where the client is’ – an age-old social work intervention principle – can be read in a literal sense, i.e. taking home as a secure place for rapport-building and initial intervention with the clients to pave the way for further intervention beyond the home setting, both online and offline. Drawing on qualitative interviews with youth clients and social workers, it is argued that adopting a flexible, informal and tailor-made approach to working with youth in silent and invisible disengagement from the rest of society has to take into consideration spatial, relational and organizational dimensions of intervention modalities and possibilities if the goal of youth reengagement is to be achieved.     

Social Workers' Experiences of Fear

Correspondence to Dr Martin Smith, Emergency Duty Team, Katherine Knapp House, Stretton Close, Tylers Green, Bucks, HP10 8EW, UK. E-mail: msmith{at}buckscc.gov.uk Summary This paper argues that the impact of fear on social workersand social work practice is a relatively neglected topic thatdeserves attention. With this in mind a sample of 60 employeesof social services departments comprising home carers, rehabilitationofficers, receptionists, residential workers in children's homes,special hospital social workers and social workers working inNorthern Ireland were asked to talk of a time in their workwhen they had experienced fear. Eighty-two fears were reported.These comprised fear of being assaulted, fear of being killed,fear of losing control/being overwhelmed, and fear of disapprovaland rejection by seniors and managers. The social workers interviewedappreciated talking openly about their fears in a manner andcontext that was acceptable to them. It is recommended thatfurther work be undertaken to build upon this research so thatfear in the professional context becomes acknowledged as a realityand the need to share the experience becomes an accepted partof practice.