Identification of and Responses to Problem Drinking Amongst Social Services Users

Correspondence to Alan Lawson, Research Officer, Department of Social Services, London Borough of Hounslow, Civic Centre, Lampton Road, Hounslow, Middlesex TW 3 4DN. Summary The NHS and Community Care Act (1990) has required local authoritiesto plan for social care aspects of services for alcohol misusers.Research was therefore commissioned by senior managers of theLondon Borough of Hounslow's Social Services Department to investigatethe effect of alcohol misuse amongst Social Services users onthe work of the Department. Research methods are summarizedand the main findings and their implications are discussed.The importance of relevant training was highlighted, in particularin relation to the identification and assessment of alcoholproblems and to child protection issues.     

A Study of Those Who Cease to Foster

Summary The Portsmouth Fostering Study was the first project undertakenby the Portsmouth Social Services Research and IntelligenceUnit which was set up in August 1972 under the joint auspicesof Portsmouth Polytechnic and Portsmouth Social Services Department. This article summarizes the report of the Study, the main focusof which was on the experiences of ex-foster parents and theproblems they had encountered. The study concludes that therole of the foster parent is not always made clear, and thatthe foster parent is placed in the position of being half client/halfcolleague     

What Makes for Successful Groupwork? A Survey of Agencies in the UK

Summary This paper reports the findings of a survey of Social ServicesDepartments, Probation Services and the major voluntary agenciesin the UK. The survey aimed to shed light on the factors whichpromote successful groups in social work and probation agencies.The survey did not attempt to map the extent of current groupwork.A questionnaire was piloted in a Social Services Departmentin northern England with social work and social care practitionersparticipating in ‘The Groupwork Project’, a trainingand development programme which continues to have as its aimthe establishment of a groupwork service in a mainstream socialservices agency. The survey was designed to be illuminativeand exploratory rather than conclusive. In this paper, the authorsreflect on the research process and on the findings of the survey.These findings point to the complexity of factors consideredsignificant to the success of a group, and to the importanceof contextual factors in establishing and sustaining a groupworkservice.     

A Profile of Adult Placement Carers

Correspondence to Andrew Gage, Manchester City Council Social Services Department, Adult Homefinding Team, Fenham, 5 Moorfield Road, West Didsbury, Manchester M20 8UZ. Summary This study examines the social and personal characteristicsof the people providing support in their own homes (adult fostering)to people with severe learning disabilities. Comparisons aremade with the general population on social and personal areas.A typical carer is identified and the results lead into issuescurrently affecting carers. Links are drawn between carer characteristicsand service user quality of life which require further study.     

Changing Patterns of Fieldwork: Organization: II: The Team Leaders' View

Correspondence to Dr. David Challis, Assistant Director, Personal Social Services Research Unit, Cornwallis Building. The University, Canterbury, Kent, CT2 7NF. Summary In an earlier paper we discussed the organization of fieldworkin Social Services Departments based upon a survey of headquartersrespondents. Here we discuss the findings from a survey of fieldworkteam leaders. A substantial trend towards client-group specializationwas noted, not only at team level but also in the caseloadsof individual workers. There was a trend away from patternsof generic working common in the early days after the Seebohmreorganization. This trend away from generic practice is discussedin the light of arguments about the relative efficiency andeffectiveness of alternative models of organization.     

Group Living in Homes for the Elderly: A Comparative Study of the Outcomes of Care

Correspondence to Tim Booth, Department of Sociological Studies, Joint Unit for Social Services Research, University of Sheffield, Sheffield S10 2TN. Summary This paper traces the theory and practice of group living inhomes for the elderly in the literature and in the field. Itreviews the current state of research and calls for more workon the comparative evaluation of outcomes. It describes andpresents the results from a longitudinal study of matched samplesof residents in group homes and traditional homes which assessedthe relative changes in their personal functioning over time.The findings suggest that group living arrangements have beenoversold—in so far as they promise more than they deliver.     

Ethnicity and Caring for a Disabled Child: The Case of Children with Sickle Cell or Thalassaemia

Correspondence to Waqar Ahmad or Karl Atkin, Ethnicity and Social Policy Research Unit, University of Bradford, Bradford, BD7 1DP, UK Summary Services for haemoglobinopathies have been a major site of strugglesfor the black communities, yet the social research literatureon haemoglobinopathies remains patchy and fragmented. We providean overview of the literature on sickle cell disorders and thalassaemiamajor in the broader context of debates on childhood disabilityand chronic illness, and on ethnicity, racism and health care.     

Social Workers and Supervision Orders: A Case of Occupational Uncertainty

Summary A distinctive feature of the supervision order is that it canbe administered either by the Probation Service or by the LocalAuthority Social Services Department. An examination of the case files on a large sample of boys (N=971)aged 14–16 placed on supervision orders for criminal offencesreveals a number of differences between the way in which workersin the two agencies approach the task of supervision. The findingssuggest that social workers are in some respects less professionallysecure and certain as to their purpose in performing their supervisorytask than are probation officers. This is accounted for by locatingtheir practice in a number of intersecting contexts, includingan occupational ambivalence over the exercise of authority anda lack of clarity in relation to the role of welfare in thecontext of juridical requirements     

Moving Out: Insiders' Views of Relocation

Correspondence to Tim Booth, The University of Sheffield, Department of Sociological Studies, Joint Unit for Social Services Research, Sheffield, S10 2TN. Summary This paper presents some of the findings from the Kirklees RelocationProject, an evaluation of a local community care programme forpeople leaving long-stay mental handicap hospitals and socialservices hostels. It concentrates on the views of movers interviewedbefore and after the move using an innovative ‘visualgame’ technique. The study confirms that given the opportunityto make an informed choice the movers would almost always optfor the least restrictive alternative.     

Child Protection: Balancing Paternalism and Partnership

Correspondence to Martin C. Calder, Child Protection Unit, Salford Social Services Department, Avon House, Avon Close, Little Hulton, Manchester M38 OLA Summary There have been a great many protracted and heated debates aboutthe practice of state intervention and control of family lifein recent years. Indeed, the Children Act (1989) was draftedafter the Cleveland Inquiry highlighted the lack of consulationwith parents and the lasting effects of ill-considered intrusioninto family life, and embraced the philosophy of partnership.Social workers operating in the child care and child protectionareas need to balance the contradictory notions of paternalismand partnership, in the knowledge that they will be pilloriedby the popular press when they get it wrong. This paper attemptsto contrast the two concepts in their philosophical and socialwork contexts, and moves on to recommend frameworks for helpingto balance them when they are operationalized. It is essentialto consider this particular debate in the wider political andeconomic contexts, particularly where uncertainty and the lackof resources are ever-present features.     

Behavioural-Cognitive Groups for Adult Psychiatric Patients: A Pilot Study

Correspondence to Patricia McAuley, Social Services Training Centre, 34 Station Read, Antrim, N. Ireland, BT41 4AB Summary This paper describes a pilot study of a behavioural-cognitivegroup programme for adult psychiatric patients who presentedwith a variety of problems. The time-limited groups aimed toteach behavioural analysis skills through the selection, observationand treatment of a target problem by each group member. Resultsof ten such groups are analysed and indicate that members couldoperationally define a problem and implement behavioural changewhich was maintained at six month follow up. However, deficitsin formal behavioural analysis skills were evidenced.     

Staff Attitudes and Caring Practices in Homes for the Elderly

Correspondence to Tim Booth, Joint Unit for Social Services Research, The University, Sheffield S10 2TN. Summary This article presents the findings from a major survey of staffattitudes and caring practices in homes for the elderly in Fife.The survey was carried out in the wake of the Wagner Reportto examine the diffusion of good practice ideas among residentialstaff and to see how far these ideas are reflected in actualcaring routines. The study points to the existence of a ‘coolingeffect’ whereby adherence to good practice lessens thecloser one gets to operational reality. Finally, the implicationsof these findings for staff training are discussed.     

Including Families in Residential Work: Educational and Agency Tasks

Correspondence to Stephen Casson, Social Services Department, Civic Centre, Newcastle upon Tyne, NE1 8PA, England. Summary This paper identifies obstacles to the inclusion of familiesby residential establishments. A review of the literature indicatesthat the notion of including families is a worthwhile consideration,but that few programmes have committed themselves with sufficientenergies over time to test the worth of this assumption. Tobring families centre stage a set of obligations is proposedto managers and certain principles from the family dynamicsliterature are identified for inclusion in the training curriculumof residential workers.     

Open Records: The Client's Right to Partnership

Summary Many Social Services Departments have opened their files totheir clients or intend to do so. This reflects the incomingtide of concern about citizens' rights and client participation,but what effect might the opening of records have on the practiceof social work? The paper summarizes the findings of a small scale study inwhich a team of social workers opened their case recording toa selected number of clients. The workers’ and clients‘views of this process are described, along with the implicationsfor practice. The study suggests that a focus on shared recordingcan begin to alter the kind of work done by the social worker,helping to promote a partnership between the worker and theclient. Finally, the paper argues that a policy of client access enforcedonly as a right is prone to sabotage or a fall into disuse.A seven point training programme is outlined in order to helpsocial workers use Open Records as an opportunity to promotea partnership in their work with clients.     

Community Based Care for People with a Mental Handicap: A Family Placement Scheme in County Durham

Correspondence to Dr R. F. Drewett, Department of Psychology, University of Durham, South Road, Durham DH1 3LE Summary In 1984 a family placement scheme for people with a mental handicapwas started by Durham County Council Social Services Department.Thirteen were placed in ten families by the summer of 1988,when we interviewed all clients and carers in the scheme. Responses to the scheme were generally positive, both from thecarers and from the clients. All but two of the carers, however,had considerable previous professional experience with peoplewith a mental handicap, and generalizations from the experienceof this initial group of carers therefore need to be made withsome caution.     

Images of Contract: An Empirical Study of the Use of Theory in Practice

Correspondence to Dr Silvia Fargion, Social Work Unit, Faculty of Sociology, University of Trento, Via Verdi 26, 38100 Trento, Italy. E-mail: silvia.fargion{at}soc.unitn.it Summary Based on a project on the use of contract work by practitionersin Family Support Services in Italy, this article addressesthe relation between theory and practice from a language perspective.Practitioners' representations illustrate two main ways of interpretingthe concept of contract, one focusing on the agreement betweenclient and practitioners, the other on a structured way of working.These two images of contract appear connected to different ‘languagegames’, that is frameworks practitioners use to make senseof their work. This finding casts doubts on the very possibilityof conjugating, in concrete practice, empowering approacheswith a highly structured way of working, as the contract methodand other approaches in social work attempt to do. The researchalso shows how theoretical concepts can be reinterpreted andused in different ways by practitioners, consistent with thebroader languages that social workers adopt to communicate about,and make sense of, their work.     

Literature and Social Work: An exploration of how literature informs social work in a way social sciences cannot

Margaret Turner. Senior Caseworker. Social Services Department. Coventry City Council. Crisis Intervention Team. 36. St Paul's Road. Coventry CV6 5DF. Summary There have been several teachers and practitioners who havesuggested literature has something to offer social work andtherapy. but without making a comprehensive case for its importance.This paper attempts to show why literature is valuable. evennecessary, to thinking and talking about social work. and toits practice. Beginning with a critical examination of languagein the public domain the study moves on to demonstrate how thereading of literature helps develop sensibility, and so maylead to enhanced understanding, self-awareness, and responsiveness.The paper ends with a brief exposition of the sustaining andvitalizing power literature may have for social workers as persons.     

Social Workers' Responses to Experiences of Fear

Correspondence to Martin Smith, EDT c/o Social Services Department, Easton Street, High Wycombe, Buckinghamshire, HP11 1NH. E-mail: msmith{at}buckscc.gov.uk Summary This paper follows on from the paper ‘Social workers’experiences of fear’, written by the same authors, reportingon a research study that showed how social workers interviewedexperienced fears of assault, death, losing control and rejectionfrom their seniors during their working hours. Now, from thesame study, examples are given that illustrate ways in whichparticipants were affected by, and responded to, these fears.Substantive quotations from in-depth interviews are providedshowing effects of fears as being physical, cognitive and emotionaland as manifesting themselves differently with the passing oftime. Also given are examples of what it was that participantsfound to be helpful, or unhelpful, when attempting to deal withtheir fears and particular attention is paid to supervisionin this respect. The paper argues that drama therapy literaturehas much relevance to the management of fear as participantsoften reported different parts of themselves performing roleswhen affected by and responding to fears. Implications for socialwork training are considered in this light. Generally, it isclaimed that the more social workers can learn about fear andits manifestations and implications in their work, the betterthey will be able to respond to it and deal with it.     

Some Answers About the Reverse Tariff: A Reply to Paley and Leeves

Summary Paley and Leeves have recently offered a critique of PaulineHardiker's work on the recommendations made by probation officersin Social Enquiry Reports. They maintain she neglects significantfactors which have a direct bearing on the recommendations,that her model is insufficiently dynamic and that it confusesoutcomes with processes. However, on inspection it is foundthat neither the empirical material introduced by Paley andLeeves, nor their theoretical challenge, is of sufficient weightto be able to sustain their criticism.