Social Work and Complex Care Systems: The Case of People Hospitalised with a Disability

Health and hospital system reforms prioritise efficiency. However, initiatives can impact on people with new or existing disabilities who require time to maximise functional independence. With greater demands for shorter hospital stays social workers face increasing pressure to facilitate discharge. This paper reports findings from research identifying factors contributing to extended stays for adults with disabilities. We sought to better understand patient characteristics and discharge planning challenges by analysing a clinical dataset of 80 patients and qualitative interviews with five experienced hospital social workers. Three key factors are identified: issues around rehabilitation services; assessment and planning for community care; and availability of and access to discharge options. Strategies to reduce length of stay are reported. We argue that building collaborative partnerships and working across multiple, complex systems and disciplines are vital to ensure these patients access appropriate community-based resources within the current health reform environment.     

‘Back to our Roots?’ Re-visiting psychoanalytically-informed baby and young child observation in the education of student social workers

While there is a well-established literature on psychoanalytically-informed baby and young child observation in social work education, little has been published recently. This paper reviews the rationale for its use, evaluating its impact on students’ learning in the light of contemporary policy and practice contexts facing social work education. Analysis of feedback gained from a recent cohort, identifies three ways in which learning through baby and young child observation contributes: firstly, students encounter and learn about the complexity of child development from the direct experience of observing and secondly, observing facilitates the development of important skills for practice; students’ ‘use of self’. Thirdly, through observing, students describe how they develop the capacity to take-up and sustain a professional role. Well-structured teaching and learning through observation is therefore shown to provide a rigorous, theoretically-grounded contribution to the training of university-based social work students entering this complex and challenging professional field.     

The Role of a Clinical Social Worker in a Changing Society

This paper reviews the anomaly that seems currently to exist within the profession of social work — on the one hand a denigration of the value and utility of individualized services, and on the other, the increased anonymity of life in today's technological society. It is suggested that the need for individualized services will continue to exist regardless of institutional change and that clinical social work will remain an essential and specialized part of the social work profession. It is postulated that if the clinicians look elsewhere for education and recognition this will be a loss for social work.     

“It's A Boy Thing”

The recent proliferation of videogame theory has opened up a body of work concerned with legitimating the videogame as a viable cultural text. However, there is still a significant gap in research around addressing the lived cultures or cultural practices of gaming as an embedded domestic leisure activity. Furthermore, research into the “cultural practices” of videogames reveals that predications to play, perceptions about, and actual play are highly gendered in ways that reveal gaming as a normalised and normalising technology. This article is the result of nearly four years ethnographic research, during which I interviewed and recorded gamers and gameplay. Six out of the eleven participatory households are represented here. The scope of the research is also expanded through the questionnaire of, at the time of writing, 118 respondents. Included in this demographic are all-female and all-male households, mixed gender, sexuality, and ethnicity and diverse geographical intake from Northern Ireland to southern England. Throughout my research and this article, I argue the political and social necessity of including gamers into research on gaming, in order to better understand the significance of gaming and gaming discourses on our social and political lives.