Social workers in multidisciplinary teams: issues and dilemmas for professional practice

This paper draws on the findings of a project, funded by the Economic and Social Research Council of the UK, examining how child and family multidisciplinary teams learn and work together. It outlines the approach taken by the research team before going on to explore New Labour policy around ‘joined‐up thinking’. The paper focuses on the role of social workers in the teams and uses qualitative data to explore the experience of social workers in relation to four key issues: models of professional practice, status and power, confidentiality and information sharing, and relations with external agencies. We argue that these are complex and contested issues that are challenging for the workers concerned. We conclude that whilst joined‐up working is complex and demanding, social work is well situated to meet the challenge, and that social workers in multidisciplinary teams are committed to making them work.     

Human rights,cultural practices,and state policies: Implications for global social work practice and policy

Effective practice in a global world requires knowledge and understanding of diverse cultures. Most social workers around the world are committed to values and policies that enhance the well‐being of especially vulnerable populations and that protect their human rights. However, not all cultural practices or policies place the same value on human rights and the protection of vulnerable populations, a situation that may result in conflicts for social workers, who have an ethical obligation to advocate for human rights as well as to be sensitive to their clients' cultural contexts. Based on multidisciplinary research and contemporary examples of gender discrimination, forced marriages, child labor, and female genital mutilation, this article proposes resolutions to this conflict. It concludes by suggesting practices and policies that might help social workers to strike an effective balance between cultural diversity and the promotion of human rights. Key Practitioner Message: ● Social workers are best placed to understand individuals and communities within their various cultural contexts; ● Social work practice and policy should be sensitive to cultural practices that may undermine human rights and the well‐being of vulnerable populations; ● Guided by professional values and ethics, social workers can assume the roles of educator and advocate in enhancing the rights of individuals.     

Rethinking Empowerment: A Postmodern Reappraisal for Emancipatory Practice

Summary This article is concerned with the implications of the postmodernchallenge to critical theory for the practice of empowerment.How do we conceptualize empowerment from a postmodern perspective?It is argued that the modernist concept of power upon whichempowerment rests, can have unintended disempowering effects.By conceptualizing power as a commodity, identities are forcedinto a powerful–powerless dualism which does not alwaysdo justice to diverse experiences. Thus we can sometimes contributeto dominance in spite of our liberatory intentions. It is arguedthat social workers need to become more aware of the self-discipliningand self-regulatory processes involved in professional workto address the social relations of power embedded in professionalpractices. Foucault's analysis of how marginalized knowledgesare affected by dominant cultural practices suggests a redefiningof empowerment as the insurrection of subjugated knowledge.The implications of this redefinition for practice is illustratedby reference to work with indigenous people in Australia.     

Gender‐sensitive intervention to improve work with fathers in child welfare services

Although the importance of including fathers in child welfare services has been increasingly recognized, social workers' engagement with fathers is still limited and sometimes fraught with negative bias. This paper attempts to lay some needed foundation to meet the challenge of working with fathers. It presents in succinct form the existing knowledge on how fathers experience and manifest their distress and on how they view the social services and social workers. It discusses, in some detail, three main issues – power relations, mutual fear and communication differences – in the interactions between female social workers and the fathers in the social welfare services. And it emphasizes the need for social workers to be aware of how their experiences with their own fathers may affect their interventions with men. It ends with observations and recommendations for developing the gender awareness that is necessary for effective practice with fathers.     

Multicultural social work practice and South Asian migrants in Hong Kong

This paper explores how multicultural social work responds to the needs and structural issues faced by South Asian migrants in Hong Kong. Three working approaches, namely, the problem-solving approach, the strengths-based approach, and the rights-based approach are identified from our empirical data. The analyses demonstrate the generally insufficient awareness of the practice in critically addressing existing policies and power relations based on race. Moreover, there is a lack of critical reflection on the notion of culture and social workers’ ethnocentric biases. This paper argues that this insufficient awareness could lead to reinforcement of the existing social exclusion of ethnic minorities in Hong Kong. Using Hong Kong as an example, this paper reflects on the implications of applying Western-based literature and practice model in a non-Western society.     

The Cultural Mediator: Bridging the Gap Between a Non-Western Community and Professional Social Work Practice

Summary This paper analyses a demonstration project that enabled socialworkers to practise effectively in their home community (a Bedouin-Arabcity in the Negev, Israel) where gender relations are patriarchaland the interface of social work and cultural practices hadpreviously impeded professional functioning. Collaborative workwith cultural mediators, individuals with high social statusand knowledge of community traditions, rendered interventionsmore culturally appropriate, bridged gaps between the culturaland professional canons, and promoted social work's role ina society that had a limited understanding of, and experiencewith, the profession. Future social work practice and researchcould focus on further enhancing women's choice making opportunitiesin this patriarchal culture.     

Open spaces,supple bodies? Considering the impact of agile working on social work office practices

There has been a shift towards social workers in many areas of the UK being based in large open plan offices and working more flexibly and remotely in space. This approach is commonly referred to as ‘agile working’. The paper explores the impact of agile working on social workers' practices and experiences in office spaces. It discusses data from an ethnographic study of children's safeguarding social work teams in two locations. One team was based in a large open plan office and was engaged in agile working, the other team was located in a much smaller office and was not using this approach. Data from observations of practice, analysis of material spaces, and interviews with social workers and those responsible for planning office space are examined. The paper concludes that there are qualitative differences between such spaces which are due to agile working arrangements and which are likely to impact significantly on social workers' experiences of practice, interactions with colleagues and development of practice knowledge. The data also suggest a lack of understanding in social work of the spatial requirements of practitioners and the significance that private and open space has for children's social work in the current UK context.     

Advancing Hospice and Palliative Care Social Work Leadership in Interprofessional Education and Practice

The importance of interprofessional collaboration in achieving high quality outcomes, improving patient quality of life, and decreasing costs has been growing significantly in health care. Palliative care has been viewed as an exemplary model of interprofessional care delivery, yet best practices in both interprofessional education (IPE) and interprofessional practice (IPP) in the field are still developing. So, too, is the leadership of hospice and palliative care social workers within IPE and IPP. Generating evidence regarding best practices that can prepare social work professionals for collaborative practice is essential. Lessons learned from practice experiences of social workers working in hospice and palliative care can inform educational efforts of all professionals. The emergence of interprofessional education and competencies is a development that is relevant to social work practice in this field. Opportunities for hospice and palliative social workers to demonstrate leadership in IPE and IPP are presented in this article.     

住院康复精神病人日常生活实践中的充权: 一个广州的个案研究

本文源于社会工作者在广州某精神病院介入一位强迫症患者的实务反思。首先,本文描述精神病院这一专家权力掌控的“全控机构”,凸显全控机构下日常生活实践的碎片化特点。而这既是住院康复精神病人主体性展现的空间,也是社会工作者同理与接纳个案的理想平台,为探讨日常生活实践充权的可能性创造了条件。其次,本文反思与个案建立专业关系的过程,重新理解个案日常生活与外界环境的互动行为的意涵,不仅认识到个案本身的主体性力量和其中存在的充权可能性,也认识到日常生活实践对实现社会工作者同理与接纳的重要意义。这提醒社会工作者在实务过程中要时刻反思如何激发个案主体性,帮助其实现自我认同与接纳。     

信任的本质及其文化

随着信任的研究越来越受重视,信任的含义也在不同的学科领域中越来越复杂。如果回到常理及其文化中来讨论信任,它所展现出来的特征可分为无约束机制的信任和有约束机制的信任,并在文化意义上导致信任地带的位移。在中国文化中,信任是人们在社会交往发生可疑时而形成的中间地带,可细分为放心关系和信任关系及无信任关系。其划分原因源自中西文化对人性及其社会依赖性的不同假定以及它们所构成的关系网络偏向或制度性偏向。由此,信任的本质是社会成员在面对社会不确定性和复杂性增加时体现出的对自己依赖对象所维持的时空性特征。以这种框架来重新处理以往有关中国社会信任研究中的争议和困惑,很多方面的问题可以得到合理的解释。     

Towards better preparation and support for health and social care practitioners conducting specialised assessments in remote Indigenous contexts

Remote health professionals encounter many challenges associated with delivering care in poorly serviced remote locations and working across cultures. Despite an identified need for the assessment practices of health and social care professionals to accommodate cultural differences, and for staff training in the area, deficits in preparing the remote workforce for assessment remain. This paper combines the results of two qualitative studies to consider current and improved approaches to preparing and supporting staff for conducting assessments in remote and Indigenous settings. Study A focused on aged care assessment practices within the remote Aboriginal context of Central Australia, and Study B focused on the practice for assessing cognition among Aboriginal Australians in the Northern Territory. Our secondary analysis of these combined data sets provides valuable information to improve planning of approaches to preparing staff for assessments in these contexts. We report themes relating to three categories: the assessment workforce, current approaches to preparing assessment staff, and cross‐cultural knowledge/skill. We discuss which areas require more detailed attention to prepare staff for this work – such as critical reflection and cultural safety – as well as how this may best be achieved – such as through the inclusion of cultural supervisors in practitioners' supervision models, and in follow‐up components to workshop models.     

Soft,small, malleable,and slow: Corporeal form and movement in social workers' and police officers' talk about practice in a Multi‐Agency Safeguarding Hub

Child and family social workers in Britain are increasingly working in multidisciplinary settings such as Multi‐Agency Safeguarding Hubs (MASHs). This article uses discourse analysis techniques to examine data from an ethnographic study of children's social workers and police officers working together in a MASH, considering the corporeal forms and movements that practitioners evoked in their talk about practice. Social workers used metaphors of slow movements and soft, small, and malleable bodies, in contrast to the fast movements and firm trajectories alluded to in police officers' talk. The paper draws on this analysis to identify differences in social workers' and police officers' forms of knowledge and ways of valuing practice implicit in their accounts of good practice. It contributes to recent discussions of space, mobility, and embodiment in social work literature and shows how discursive analyses can add to the developing knowledge about these matters. The paper suggests that evaluations of multiagency settings such as MASHs should attend to practitioners' distinctive forms of knowledge and imagination.     

Social work with children and families in Ghana: negotiating tradition and modernity

Ghanaian social workers practise in a poly‐ethnic nation comprising a multitude of different indigenous cultural practices and a modern urban sector largely divorced from a rural population adhering to customary law. This qualitative study explores how Ghanaian practitioners negotiate the contradictions between child welfare legislation and customary law. Data were gathered from semi‐structured interviews with 36 qualified social workers employed by the Department of Social Welfare and thematically analysed. The study found that legislative provision normalizes nuclear family forms and runs counter to customary law. Social workers are shown to struggle with the ethical dilemmas the law poses without being able to resolve them in a manner consonant with Ghanian workers' code of practice. The study makes recommendations for social changes to policy, practice and training.     

"Never right, never wrong": child welfare and social work in England and Sweden

When are parents “unfit” to care for their own children? As in many other countries, social workers in England and Sweden have the unenviable task of forming such judgments. On behalf of society at large, social workers must balance the rights of parents to provide continuing care with the responsibilities of the state in ensuring adequate care of children. They are involved in professional judgments which are also inherently political. In both England and Sweden social workers are able to seek legal orders which, if granted, permit compulsory removal of children against the wishes of parents. In such cases social workers are centrally involved in processes which remove ordinary rights of citizenship from their fellow members of society. The rights of parents and children, together with the responsibilities of the state to each class of citizen, are clearly in focus: intervention in family life requires both grounds and legitimation. But what is the basis of intervention in the two societies? Social work practices in Sweden and England suggest very different answers to this question. In explaining these differences it is necessary to address much broader variations of social and political culture in the two societies. In so doing, variations in social work practice can be located in different cultural values and systems of legitimation. Instabilities and pathologies of professional practices can also be identified within both England and Sweden. These too are quite different in the two societies.     

Challenges and dilemmas working with high‐conflict families in child protection casework

Social workers within child protection services report that families marked by high levels of conflict between separated parents are among the most challenging cases to handle. Few studies however have focussed on how social workers themselves experience and meet with parents involved in hostile martial interactions. This article reports on a qualitative study involving 31 social workers and provides an analysis of their experiences and dilemmas in working with such families. Findings demonstrate that social workers struggle to find ways to help high‐conflict families and often find themselves at an impasse. Parents involved in such conflict are highly resistant to change, and social workers struggle to engage with them over concerns about their children. Furthermore, findings suggest that social workers lack organizationally allotted time to assist the parents. I conclude by discussing ways in which emotional support, empowering interventions, and strength‐based approaches enable social workers to manage relationships with high‐conflict families. More research on this topic is needed to support and promote better practices for social workers to be more effective in assisting high‐conflict families.     

Promoting Compassionate Concern in Social Work: Reflections on Ethics, Biology and Love

This paper challenges proceduralized, rule-bound approachesto ethics and considers how social workers and teams can developan attitude of compassionate concern and become more effectivein dealing with ethical problems in their day-to-day practice.It introduces the work of Humberto Maturana, a widely respectedtheorist, whose work has received little attention in socialwork. The paper argues that Maturana’s biology of cognitionprovides an approach to ethics that takes into account the spontaneousnature of everyday work in which social workers undertake theirethical actions. It stresses the importance of emotions, particularlylove, and considers the way in which ethical action is shapedby culture. It emphasizes the importance of engaging in reflectionon professional practices and team, professional and organizationalculture in order for social workers to improve their awarenessof ethical dilemmas and promote ethical practice. For thoseteaching ethics, this paper suggests an alternative to the rationalconsideration of moral dilemmas and proposes approaches to trainingthat can help social workers become more attuned and responsiveto ethical conflicts.     

Gender,work, and childcare in Kazakhstan,Mongolia, and Russia

The current study seeks to understand the nature of gender relations within a post‐Soviet welfare model in Kazakhstan, Mongolia, and Russia. On the basis of the analysis of key labour market indicators, parental leave, and childcare policies, it finds that the welfare models in the three countries are hybrid, and neither authoritarianism in Kazakhstan and Russia nor democracy in Mongolia lead to substantive gender equality outcomes. Persistent gender inequality in these countries is underpinned by the neo‐liberal approach to welfare provision, conservative social norms, and limited agency of civil society to influence the policy agenda. Nonetheless, these states have distributed to the population with an emphasis on working mothers, and this policy choice has been driven by economic, demographic, and political considerations, which ultimately serve to support, rather than transform, the patriarchal power structure in these societies.     

The Multiple Realities of Sameness and Difference: Ideology and Practice

Gender distinctions as dichotomous categories are perpetuated and maintained by social mechanisms and are socially constructed. Part of this social construction is reproduced by many social scientists who adopt mainstream cultural categories of gender and, through theoretical or methodological biases, fail to question them, or who, by their own practices, reinforce them. This analysis is an overview of the epistemological and methodological practices that reinforce gender distinctions and neglect reporting of similarities. Rejecting several models used to explain cultural differences, an alternative mode of analysis—multiplicity and proteanism—is proposed as a more productive perspective in the analysis of gender.     

Culture, cultural identity, and cultural sensitivity in child and family social work

Child care legislation, policy, and procedures increasingly emphasize the obligations of social workers to give due consideration to the culture and cultural background of children and their families. This paper explores the implications of those obligations. It seeks the meaning of these terms, and critically examines meanings attributed to them. There are many obstacles in the way of fulfilling these specific statutory obligations in child and family social work: there is a history of neglect, confusion, and negativity towards culture in social work literature, and a current attempt to subsume culture within the concept of ethnicity; racism has often been regarded as a more significant issue than culture; the cultural heritage of clients and their families has been perceived as oppressive, and culture has been misinterpreted to explain and to tolerate unacceptable behaviour. Other disciplines, for example anthropology, sociology, and cultural studies, perceive culture and cultural identity differently. They have much to offer social work. The paper provides a definition of culture and cultural identity which reflects much of what has been learnt in the literature generally. It should contribute towards an enhancement of cultural sensitivity, and a fulfilment of statutory obligations relating to culture in child and family social work.     

Social Work Development in Japan

With the enactment of the Certified Social Workers and Care Workers Act in 1987, Japanese social work would seem at last to have achieved social recognition and a secure position in Japanese society. However, when one examines the roles, working conditions, education and training of social workers, there are significant differences to be observed from the norms of western social work. In this paper the author sets out the unique characteristics of social work in Japan and reviews the pattern of its development in historical, cultural and political terms.