'Given up hope of dying': A child protection approach to deliberate self-harm in adolescents admitted to a paediatric ward

This paper describes an approach developed by a local authority social worker based in a paediatric department, working in close collaboration with consultant child and adolescent psychiatrists and paediatricians. The literature is informative on the significant psychosocial difficulties of young people who harm themselves deliberately, but there is little published work on the complexities of the actual multidisciplinary care given to these patients, the majority of whom are not actively suicidal by the time they are interviewed. The task is as much to intervene in the lives of young people at risk of harm or neglect as to prevent suicide.     

Developing Evidence-Based Interventions for Foster Children: An Example of a Randomized Clinical Trial with Infants and Toddlers

Children who enter foster care have usually experienced maltreatment as well as disruptions in relationships with primary caregivers. These children are at risk for a host of problematic outcomes. However, there are few evidence-based interventions that target foster children. This article presents preliminary data testing the effectiveness of an intervention, Attachment and Biobehavioral Catch-up, to target relationship formation in young children in the foster care system. Children were randomly assigned to the experimental intervention that was designed to enhance regulatory capabilities or to a control intervention. In both conditions, the foster parents received in-home training for 10 weekly sessions. Post-intervention measures were collected 1 month following the completion of the training. Outcome measures included children's diurnal production of cortisol (a stress hormone), and parent report of children's problem behaviors. Children in the experimental intervention group had lower cortisol values than children in the control intervention. Also, the experimental intervention parents reported fewer behavior problems for older versus younger foster children. Results provide preliminary evidence of the effectiveness of an intervention that targets children's regulatory capabilities and serve as an example of how interventions can effectively target foster children in the child welfare system.     

Bridging the Theory–Practice Gap in Social Work Education: A Reflection on an Action Research in China

This article explores the background to, and issues associated with, the implementation of Personal Development Planning (PDP) within Higher Education (HE). Consideration of issues for social work educators follows as the authors seek to ground policy change in practice and debate issues so that reflection is not ‘little more than a mantra’ but rather a ‘model for practice’ (Kuit et al., 2001, Active Learning in Higher Education, vol. 2, no. 2, pp. 128–142, at p. 129). Although educators have arguably always used a variety of strategies to encourage student reflection and evaluation of their learning experiences, implementation of PDPs codifies and institutionalises individual student reflection and the production of associated outputs. This is evidenced by the production of guidelines to promote what is billed as a core educational process by Universities UK, the Standing Conference on Principals, the Quality Assurance Agency (QAA) and the Learning and Teaching Subject Network (LTSN) Generic Centre. As social work academics consider and respond to the challenges associated with the re‐specification of programmes to meet new award requirements they might usefully reflect on the challenges PDP brings, and integrate responses into programme specifications. Avoiding fragmentation and duplication, for example around the personal tutor system and role of staff in PDP, is important for both social work students and staff within complex and, at times, contradictory organisational contexts such as Institutes of Higher Education (IHE).     

Migration of Professional Social Workers: Reflections on Challenges and Strategies for Education

International migration of social workers has had, in recent years, a substantial influence on the political agenda of different countries in the world, and is fraught with challenges. In some countries, recruitment of internationally qualified social workers has even become an important strategy to meet staffing demands and to fill shortages in the social work profession. This paper aims to promote debate on the key role of social work educators in assisting social work students and practitioners to practise within both a national and an international context, by reflecting on specific practice examples from Canada, England and South Africa. We explore challenges, as well as possible strategies for adaptation in new contexts, such as the facilitation of additional training, globally comparable social work programmes, and the development of a stronger professional identity, based on integrated social work values. We conclude that by enabling a stronger professional identity through the development of professional virtues, social workers will be empowered to become more confident practitioners and internationally more adaptable.     

IASWG Standards for Social Work Practice with Groups: The Case of Quebec Practices

The International Association for Social Work with Groups (IASWG) proposes Standards of social group work that are intended to act as minimum standards that can be applied internationally. The aim of this article is to examine group work practices in Quebec in the light of IASWG Standards. To address this question, secondary analysis of existing data from a study undertaken in Quebec is presented. Results indicate that group work practices in Quebec tend to be rather structured (e.g., selection criteria, norms). The discussion shows that the IASWG Standards are useful for critically examining Quebec practices but also provides information that could contribute to the improvement of these Standards.     

Promoting Individual and Social Changes: A Hybrid Model of Social Work with Groups

Taking as a starting point two influential, yet different approaches in group work, that is, the self-directed group work and mutual aid models, this article examines a possible alternative for conducting social work with groups. Drawing from structuration theory, which makes a strong dialectical relation between agency and structure possible, this article highlights how our alternative model could lead to a greater integration of the micro- and macrodimensions in group-work practice. The Discussion section proposes three key principles for group work, namely, a belief in people’s strengths and capacities, a focus on critical thinking, and a concern for the development of a democratic culture in groups. These principles are conveyed through the group worker’s roles as consciousness raiser and process facilitator and provide a flexible and participatory process that can be used with a broad range of service-user groups. The article concludes with a discussion on the strengths and limitations of the model.     

The role of support person for Ngaanyatjarra women during pregnancy and birth

BackgroundThis study took place in a remote community on the Ngaanyatjarra Lands, Western Australia. Ngaanyatjarra women's cultural practices have been subject to erosion during the past 70 years. Women are now expected to birth hundreds of kilometres from home and, due to financial barriers, without family support. Older women lament their lack of input into, and control of, contemporary birthing services.Research questionIn order to provide culturally appropriate maternity services we asked: What issues would the Ngaanyatjarra women of the community like to see resolved in the area of antenatal and birthing services?Participants and methodsEligible participants were any Ngaanyatjarra women of the study community who had birthed at least once. We utilised a participatory research methodology. 36 women were interviewed.FindingsThis paper discusses one finding related to support for child-bearing women. The role is important in many ways. Ngaanyatjarra women did not traditionally have their support persons with them during labour and birth, nor do they necessarily expect them to be present in current times. Most women do, however, wish to have a support person with them during antenatal checkups and when they travel to town to await birth.ConclusionAboriginal women from remote communities should be able to have a support person with them when they access regional birthing services, but the nature of this role must not be assumed. A culturally appropriate service has input from the community, provides options and respects choices.