Championing the interface between mental health and child protection: evaluation of a service initiative to improve joint working in northern Ireland

The importance of establishing effective inter‐agency working between adult mental health services and child care services in order to safeguard children has been repeatedly identified by research, policy, inquiries and inspection reports. This article reports on the evaluation of an initiative in one health and social care trust in Northern Ireland that aimed to facilitate joint working and so improve service provision and protection for children and families. The Champions Initiative involved identifying a Champion in each multidisciplinary community mental health team and in each family and child care team that would have responsibility for providing information, promoting joint working and identifying any obstacles to better cooperation. The evaluation of this Initiative assessed levels of experience, training, confidence, understanding and awareness in the Champions and their team members at baseline. The Champions and their Team Leaders were then followed up after six months to obtain their qualitative views of the impact of the initiative. The results include comparisons between mental health and child care staff, and crucially, views about whether the initiative has had any impact on working together. This study also generated recommendations for further service development in this complex and important area of practice. Copyright © 2010 John Wiley & Sons, Ltd.

‘Identifying a Champion in each multidisciplinary community mental health team and in each family and child care team’

Citing Literature

Number of times cited according to CrossRef: 15

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Volume 21 , Issue 3 May/June 2012

Pages 157-172     

Comparing Social Work Students’ Perceptions of Risk Using Online Discussion Fora: Lessons Learned from a European Pilot Project

Comparisons of international child welfare systems have identified two basic orientations to practice; a ‘child protection’ orientation and a ‘child welfare’ orientation, which are founded upon fundamentally different values and assumptions regarding the family, the origins of childcare problems, and the proper role of the state in relation to the family. This paper describes a project which sought to compare how undergraduate social work students from three European Universities perceive risk in referrals about the welfare of children and to explore the impact of different cultural, ideological and educational contexts on the way in which risk is constructed by students. Students from Northern Ireland, Germany and Poland examined three vignettes via 10 online discussion fora each of which provided a narrative summary of their discussion. The paper presents some findings from the analysis of the qualitative data emerging from the student discussions and draws out the lessons learned in terms of how the project was designed and implemented using online discussion fora.     

Professional Relationship Boundaries: A Social Work Teaching Module

Social workers are often challenged by the complex and ever‐changing dynamics within their relationships with clients, and struggle to find ethical responses within professional boundary grey zones where boundaries with clients can be difficult to identify, yet easy to cross. Social work educators attempt to prepare students for these complex situations, yet in the United States research reveals rates of social work boundary violations that lead one to question the efficacy of social work ethics education. This article describes the educational competencies and instructional strategies that comprise an adaptable course module which was developed in response to this challenge, and intended to increase students' self‐awareness, motivation and professional judgment‐making abilities related to their professional boundaries. The educational competencies for this course include the abilities to: identify boundary violations, apply critical thinking skills to complex professional relationship contexts, increase awareness of self and other, and initiate prevention strategies. In contrast to traditional approaches to education, this article describes instructional strategies that are based on adult‐learning principles, which have the purpose of effectively and creatively teaching topic areas in such a way as to produce behavioural change. These course topic areas include a ‘Professional Relationship Boundaries Continuum’ conceptual framework, boundary violation impacts, personal boundary vulnerabilities, blurring boundary indicators, and risk‐minimizing strategies.     

Using a stress audit: The construction site manager experience in the UK

Abstract

The aim of this study was to conduct a stress audit among construction industry site managers in the UK as a precursor to a stress management intervention programme. Qualitative data were obtained from in-dept interviews with a total of 36 male middle and senior construction site managers; and aquantitative data were obtained by questionnaire. Based on the analysis of 561 postal quenstionnaires, eight stressor factors were identified, most significantly, ambiguity (i.e. role and task). Job satisfaction levels were low compared to a normative population and influenced by grade level. Measures of mental health were similar to the norm for males, but both grade of management and type of contract affected mental health. Anxiety levels were signficantly high, independent of managerial grade. The stress of work overload and role insecurity (fear of failure) were associated with reduced mental health and high anxiety, and the stress of the organizational culture and climate was the strongest predictor of job dissatisfaction. There was some cause for concern for the vulnerable high-risk groups, i.e. the extreme type A and those working overtime. Medical data from a small subset of managers (n = 78) revealed that this group evidenced a better quality of psychological health than the group in total; but a high percentage of personnel had high levels of triglycerides and cholesterol. Recommendations for action focused on the needs of specific subgroups, and guided the organization on the acceptability of possible interventions at individual, interpersonal and organizational levels.     

Stress management for pregnant adolescents and adolescent mothers: A pilot study

A five week stress management program for pregnant adolescents and adolescent mothers emphasizing deep muscle relaxation and cognitive control methods was pilot tested with 23 experimental and 12 control subjects. The experimental group demonstrated a significantly greater reduction in cognitive and affective manifestations of stress and an increased belief in their ability to deal with stress. While the differences between the groups did not reach statistical significance with respect to changes in overall stress levels or use of specific coping strategies, a consistent trend was demonstrated in the data for more positive changes in the experimental group. Recommendations were made for an expanded program, the inclusion of incentives, and the program's inclusion in the school schedule.     

Perspectives on Regional and Enterprise Marginality: Dairying in Michigan's North Country1

Abstract Dairy farmers in Michigan's Upper Peninsula, an economically marginal rural region, are encumbered by contextual constraints that are not similarly faced by their downstate counterparts. However, this does not mean that they are any less ambitious or less efficient in dealing with the resources available to them. Indeed, dairying and similar small-scale economic enterprises in this and other marginal contexts may be quite competitive and sustainable if appropriate sociopolitical supports are instituted and, in the case of dairying, if marketing orders and regulatory policies are formulated and implemented in light of their impact upon the economic growth and viability of the wider region. To explore this issue, we consider the situations, basic characteristics, and restructuring trends over time of dairy farms in three upstate localities as compared with that of a downstate dairy farming community.     

Them and Us: Hidden Ideologies-Differences in Degree or Kind?

This article looks at three measuring instruments—the Right-Wing Authoritarianism Scale, the Social Dominance Orientation Scale, and the Attitudes About Reality Scale—used to examine covert ideology and its relationship to social and political beliefs and behaviors. These scales share similar ideological components involving abdication of moral responsibility to an outside agent, belief that one's own ideology represents the only form of truth, and negative beliefs about individuals who are not members of one's own group. Evidence is provided to suggest that radical fundamentalists and some groups within U.S. society share ideological beliefs that differ in degree rather than kind. These beliefs make it easy for them to divide the world into "us" and "them" and exacerbate the present conflict.     

Reporting Systems for Sustainability: What Are They Measuring?

The dominance of the neoliberal discourse in the sustainability debate has tended to privilege the economy over environment and social dimensions with implications for what is measured by sustainability monitoring systems. Moreover, systems to measure sustainability, including those influenced by neoliberal discourse, lack robust definitions and fail to address the interrelationship between social, economic and environmental contexts. If sustainability indicators are to help understand the interrelated forces driving change, by providing indications of sustainability, then the indicators should be derived from an epistemologically consistent conceptual framework which encapsulates clearly defined phenomena. The paper discusses whether sustainability indicators in the Australian context are derived from an epistemologically consistent framework. It is argued that the validity of current sustainability reporting systems is contestable.