Service users and carers’ involvement in social work education: lessons from an English case study

Within the larger context of the search to improve social work practice in Europe, this article presents a case study of a UK innovation in social work education with the potential to radically change social work practice. Following governmental requirements, Anglia Ruskin University has introduced systematic involvement of service users and carers in the training of a new undergraduate degree since September 2003. The conceptual and value base, the structure, staffing, and main activities are outlined; the main achievements and obstacles are highlighted. Mindful of the danger of slipping into tokenistic involvement, the project has included an action research evaluation component exploring the views of all the project's stakeholders thus establishing the project as an evidence-based educational innovation. The findings highlight the value of service users and carers’ involvement on the qualifying social work degree, of the action research design of the evaluation, and the steps needed for the cultural change required for such an involvement to become more comprehensive and embedded in the degree.     

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.     

Being a service user and a social work academic: balancing expert identities

Abstract

I am a service user and academic working in a university social work department. My hybrid identity allows me to draw on different types of knowledge in all aspects of my work, including: academic, practice and experiential wisdom. Service user involvement is mandated across social work education but the scope and breadth of different kinds of participation is developed in diverse ways across university contexts. This article affirms the value of service user involvement in health and social care education, exploring its positive impact on students. When lecturers share personal experience of using services alongside practice and academic wisdom in the course of teaching, sometimes the value of experiential knowledge is doubted and its influence dismissed. I examine the importance of experiential wisdom in social work education, specifically when it is embedded in an academic role in a university social work department, and consider how it can be respected and valued. The parallel experiences of involving peer support workers in mental health services, who use their knowledge of recovery to mentor other service users, are then briefly examined, together with reflection of the concerns across mental health with professionals sharing their experiential wisdom with the people that they support.     

Outcomes focused user involvement in social work education: applying knowledge to practice

Abstract

This paper discusses an innovative approach connecting service user and carer involvement (SUCI) in social work education to social work practice. The research team, comprised service users, carers, social work students and module leader, worked collaboratively democratising the research process. At the University of Dundee, a core social work module facilitates students to spend 15 h with a service user and/or carer (host) gaining a unique insight into their everyday lives. During this time, hosts and students discuss two policy practice questions, responses to these questions are generating annual qualitative data, with study findings being disseminated at local and national level. The experiential learning students acquire from spending time with their host becomes the site of knowledge creation through involvement that is applied to practice. This paper reports on the narratives emerging from the longitudinal data (2012–2015, n = 90) on the changing landscape of social care in Scotland and the dissemination of project findings. We explore the intersection where the voices of service users and carers, student learning and social work practice coalesce. A model of outcomes focused SUCI is introduced as a template for meaningful, sustainable and outcomes-focused SUCI in social work education.     

Service user involvement in Swedish mental health and social care: an analysis of ideological dilemmas and subject positions in a collaboration context

Service user involvement is steadily on the rise, bringing questions of tokenism and power imbalance. This article studies service user organisation representatives (URs) and human service organisation representatives (HSORs) in mental health and social care strategic collaboration councils through qualitative interviews and participant observations. Talk on service user involvement through UR is studied through the discourse analytical concepts of ideological dilemmas and subject positions. The participants' constructions, actions, and rhetoric therein are considered. Findings show participants' oscillation between standpoints within two main themes: the ideal vs. the inadequate UR and balancing power positions. The first theme discusses the missing perspective brought by UR narrations in terms of expected conduct and awareness of organisational conditions. This also concerns service users' positions as being simultaneously dependent and independent. The second theme concerns the implicit UR influence and the explicit HSOR influence. User involvement through URs is construed as a needed narration told by citizens with rights and responsibilities, while conditioned, as the UR is a layperson with mental health problems. The actions accompanying such constructions cause HSORs to balance between paternalism and professionalism and URs between adaptation and using their voice. In this, the URs have a stronger influence than acknowledged.     

The emancipation of disability studies in Portugal

Despite the interest of the social sciences in issues of exclusion and inequality, the question of disability, as a key issue of reflection, remains absent from many academic areas. The emergence of disability studies owes much to contexts in which the activism of disabled people has revealed the structural conditions that oppress and neglect experiences of disability. Bearing in mind the specific features of the Portuguese socio-political environment, two lines of inquiry are developed in this text. Firstly, what are the challenges faced by Portuguese academics in making disability a central issue, enabling it to confront the silencing of the voices and experiences of disabled people in society? Secondly, how important is it for research to engage with an ethical and political paradigm that supports the rights of disabled people?     

Exploring the value of involving experts-by-experience in social work research: experiences from Slovenia and the UK

The evidence base for the methodological validity of conducting participatory research is becoming established. This article reviews the experiences of two researchers undertaking Ph.D. studies in Slovenia and UK, respectively, and considers the value of involving service users and carers in social work research. The Slovenian research involved user-researchers who developed research tools and undertook qualitative research. The first author explores the co-researchers’ impact on the research process and its outcomes, identifying both individual and collective empowerment of the co-researchers. The English study involved people from diverse backgrounds, who developed a recovery training programme for carers of people with schizophrenia. The second author describes how the steering group, and the carers who participated in the programme were impacted by the research process and experienced a sense of empowerment and how they influenced the development of new knowledge through the reflexive cycle. The authors draw out the commonalities and differences in our research that add to the existing evidence base supporting the development of participatory inquiry. We conclude by affirming the value of user participation in research in leading to the empowerment of users, the development of new research perspectives, and in contributing to theory in social work research and practice.     

Autism spectrum disorder and the science of social work: A grand challenge for social work research

The social work profession has not yet taken a leadership role in addressing the myriad of challenges that individuals on the autism spectrum encounter across the lifespan. In this essay, we argue that social workers are well equipped to engage in research and practice aimed at promoting full and meaningful inclusion in society, as well as social and economic justice, for individuals on the autism spectrum. We highlight short- and long-term goals that provide the social work profession with a framework to engage in research, practice, education, and advocacy aimed at supporting individuals on the autism spectrum and their families.     

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.     

Mending the gaps in social work education and research: two examples from a Swedish context

ABSTRACT

The gap-mending concept is an analytical tool that helps teachers and researchers in social work to reflect upon what, in their practice, increases, maintains or mends gaps between professionals and service user groups. The article suggests a theoretical background on how gaps in social work practice can be challenged. This includes theories about power and recognition. It then moves on to describe the development of gap-mending strategies in research and education at the School of Social Work at Lund University. Lund University was one of three partners that took the initiative to the international network PowerUs that has focused on gap-mending strategies in social work education. The authors have been working over 10 years in collaboration with service user participation in the education of social workers and in different research projects. In the article, they give examples of gap-mending practices and of challenges that they have faced. The first example is an experimental course that has been given since 2005 where social work students study together with students from service user organizations in a university course. The second example is an attempt to combat homelessness in several Swedish municipalities. Supported by researchers, the development project has been a collaboration between homeless groups, politicians and social workers.     

The impact of quantitative research in social work

The importance of quantitative research in the social sciences generally and social work specifically has been highlighted in recent years, in both an international and a British context. Consensus opinion in the UK is that quantitative work is the ‘poor relation’ in social work research, leading to a number of initiatives. However, Sharland’s UK work involves interviews with academics, representing consensus opinion. We have little independent measures of their accuracy. This paper is the first to focus on the academic impact of quantitative research in social work developing measurable outcomes. It focuses on three leading British-based generic journals over a 10-year period, encapsulating 1490 original articles. Impact is measured through three indices: Google Scholar and Web of Science Citations, and downloads. These provide measures of ‘revealed preference’ in relation to individual scholars’ impact (though to use them for a particular methodology is novel), whose particular qualities, strengths and limitations are noted. Contrary to received opinion of quantitative work as the ‘poor relation’ of social work research, findings show that it is not significantly disadvantaged relative to qualitative work in its ‘reach’ as measured by citations and downloads. The implications of this, including caveats and nuances, are discussed.     

Q methodology in social work research

This article examines Q methodology as an empirical method for use in social work research. Q methodology applies statistical analysis to the qualitative study of human subjectivity such as attitudes, beliefs, feelings and opinions. Q methodology is effective for obtaining data from small samples, and it offers respondents a concise and valid way of expressing their viewpoints with minimal researcher interference. The article provides an overview of Q methodology and presents an actual example of a small‐scale Q study to facilitate a better understanding of the method. We conclude that Q methodology is especially suitable in social work research with respondents who may have difficulties in expressing themselves when more conventional research methods are used. Q methodology is an efficient tool in research involving the exploration and comparison of different points of view.     

Selecting social work students: lessons from research in Scotland

The issue of selection of students to social work programmes is one that remains highly contested. While it is clear that there is no single way of choosing the next generation of social work students, nevertheless, there are a number of strongly held beliefs about what ‘best practice’ means in this fraught field. These can be difficult to challenge, and even harder to shift, in spite of contrary evidence. This paper presents research conducted in Scotland in 2016 as part of the Scottish Government-sponsored Review of Social Work Education. The research set out to consider what selection processes were being used in Scotland and why; more fundamentally, it sought to explore the views of those involved in social work education alongside evidence about the outcomes of the selection processes (that is, data on student retention and success). The article concludes that while there is little evidence that one method of selection to social work programmes is intrinsically better than another, issues of fairness and transparency in selection, as well as diversity, remain pressing.     

‘I am not your nutter’: a personal reflection on commodification and comradeship in service user and survivor research

Abstract

This article offers some personal reflections from a mental health service user/survivor researcher working in English academia. It is a critical examination of what mainstream clinical mental health researchers and funders appear to need us to be, and what some in the service user and survivor movement perceive us to be. The discussion examines questions about commodification and public and patient involvement and contemporary challenges for service user and survivor research as a separate discipline operating within and beyond academia in England. The article concludes by exploring potential strategies for collaborative activism for service user and survivor researchers in academia based on the concepts of social capital and situated solidarity.     

Service user/survivor-led research in mental health: epistemological possibilities

This paper considers possible epistemologies for user-led and survivor research by drawing on four discourses: the mainstream English tradition, Canadian Mad Studies, critical theory more generally and feminist standpoint epistemology. It discusses general, universalising epistemologies, the extent to which these characterise the discourses at stake and the problems with knowledge claims that rest on such singular conceptualisations. The institutional and political concomitants are considered. The paper has an additional double aim: to engage with survivor scholarship around critical theory and to insert that scholarship into the field of critical theory itself in a novel manner.     

From pillar to post: Women and social work studies in the 21st century

Abstract

A decade or so after the acknowledgement and inclusion of women's issues in mainstream social work courses, we find the circumstances in which such education occurs have changed. The 'third wave' of feminism has revisited the feminist agenda of the 1960s and 1970s; there has been a paradigm shift in what tertiary education is perceived to offer; and global theories have been replaced by post modern interpretations. This article discusses the impact of these changes for social work education drawing on the authors' experiences with the 'Women and Social Work' elective subject in the Bachelor of Social Work Degree at the University of New South Wales, Australia. This elective was popular until the mid 1990s when it failed to attract students. The authors reflect on their experience of teaching the subject and their understanding of current feminism to identify a way forward in the attempt to rekindle student enthusiasm for feminist understandings and provide education which will further the emancipatory project of social work.     

Transmigration and urban social work: towards a research agenda

Many Western European countries, and especially the larger cities within these countries, are making a transition towards super-diversity. This shift towards super-diversity is also characterised by a growth of the phenomenon of transmigration, whereby people frequently move back and forth across borders. The social life of transmigrants is not only oriented towards their country of residence, but also consists of complex networks beyond boundaries. Transmigrants constantly shift between different modus operandi and between different visible and invisible, local and global networks. Many transmigrants face a high risk of social vulnerability and are overrepresented in the client population of urban social services. Although much research has been done on transmigration on the one hand, and on international social work on the other hand, the effect of transmigration on social workers and on social work practice is still under-investigated. Based on social work research in Brussels and Antwerp, the authors research the challenges transmigration poses to social work. They demonstrate that there is a difference in perspective between the translocal and transnational lives of transmigrants on the one hand versus the locally rooted practices of social workers on the other hand. Using this analysis as a springboard, they identify a number of avenues for additional inquiry in this field.     

Creativity in social work education and practice: reflections on a Survivor Arts Project

This article, written by survivor artists, practitioners and academics (each moving between these different identities and associated voices), will explore a creative arts approach to social work (SW) education within the context of service user and carer involvement. In addition to building upon a developing literature base, the writers will draw upon their own experience and the experience of other service user and carer contributors as well as student and practitioner feedback. In doing so, this article will seek to analyse some of the ways the creative arts can be harnessed as a tool for a more radical, creative and critical approach to professional education and how this in turn can help develop more empathic, critically self-reflective and creative (in the broadest sense of the word) practitioners. In critiquing the more traditional service user and carer involvement approach, this article will attempt to show how the more innovative approach of the Survivor Arts Project can move us beyond an arguably more limiting ‘expertise through experience’ model. In outlining an emancipatory model which recognises the relevance of lived experience and places this within the context of survivor movements, focusing also on the skills and insights survivors bring to SW education, this article will detail the ways we can work towards developing a more vibrant and dynamic learning environment which values our life stories and recognises our strengths as well as the many different and overlapping identities which place us along a continuum that connects our lives and informs our practice.     

Participatory action research in local development: an opportunity for social work

Even if related to the seminal work of Kurt Lewin dating back to 1946, participatory approaches like action research still represent a relevant theoretical and practical set of methodologies for social work and research. In this article, after a brief overview of this methodological approach, the use of this paradigm in social work is explored, with a special focus on the development of symbolic and material resources within local communities. The processes and forms of involvement are examined with regard to the Italian experience of local development. An application of the participatory methodology stemming from a phenomenological approach proposed by Achille Ardigò, a well-known Italian sociologist, is employed. Following these premises, a procedural model enhancing the development of social groups is considered as the building block of community development. Short examples are provided. It is concluded that, in the process of local development, the symbolic and the immaterial dimensions need to be stimulated, as well as the material and the infrastructural ones. In order to achieve this, correct tools are needed.     

Promoting sexual well-being in social work education and practice

This paper explores the importance of including sexual well-being within social work practice and education. Social workers often work with individuals for whom opportunities for sexual expression are limited and who face discriminatory attitudes. Sexual well-being is a global concern, and is particularly relevant considering international interest in the influence of notions of well-being on mental and physical health. Implementation of new social care policy in England, underpinned by the well-being principle, provides practitioners with the opportunity to explore what is meaningful to individual’s well-being through person-centred approaches to practice. There is currently little coverage of sexual well-being within social work education, this means students and practitioners lack the knowledge and skills to challenge barriers. Promotion of the concept of sexual citizenship, with its associated rights and responsibilities, enables social workers to engage in rights focused practice. Sexual well-being is a sensitive subject and the social and personal barriers practitioners may experience in addressing this topic are explored.