On the Inside: A Narrative Review of Mental Health Inpatient Services

This paper describes and discusses the results of a narrativereview of inpatient mental health services in the UK. Four mainthemes emerge from the review: the growing pressure on inpatienthospital services; the negative experience of inpatient servicesreported by many service users; the problematic nature of hospitaldischarge; and possible alternatives to hospital admission.This review also suggests that a failure to recognize and acton what appears to be happening in hospitals could result ininpatient care once again being subject to the scrutiny andcriticism that cast a shadow over psychiatric services in the1960s and 1970s. To stop this happening, current governmentpolicy is right to focus attention back onto acute care throughnew guidance and by commissioning research. However, changesalso need to take place at a practice level so that front lineworkers are familiar with conditions in local acute servicesand can challenge unacceptable behaviour/services in supportof their service users. With current changes in the make-upof local mental health services and a greater emphasis on partnershipworking between health and social care, it may be that socialcare practitioners can do this not only from the outside, butincreasingly ‘on the inside’ (from within integratedhealth and social care organizations).     

The Long-Term Effects of Parental Divorce in Childhood on Adult Adjustment

Relationships between experiencing a parental divorce or separation prior to age 16 and a variety of measures of adult adjustment and psychological functioning are examined using data from two national cross-sectional surveys conducted nearly 20 years apart. Although few differences between adults from parentally-divorced and intact family backgrounds persist when controls for contemporary life circumstances and other social background factors were included, two modest trends are still evident. First, although associations between psychological distress and early experience with parental divorce have weakened somewhat over the past two decades, coming from a non-intact family of origin still has some significance for adult psychological well-being. Second, men and women from non-intact families of origin display different patterns of adjustment to and valuation of the major life roles of spouse and parent. Nevertheless, because such relationships are not very powerful, it is concluded that contrary to much of the literature and popular thought, these early experiences have, at most, a modest effect on adult adjustment.     

System abuse: towards a greater understanding from the perspectives of children and parents

The present article explores the concept of system abuse from the perspectives of children and parents. Four main ways in which the term has been used are highlighted and, with reference to the literature, the commonalities underlying the various uses of the term are explored. Reviewing the available evidence suggests that many families may become unnecessarily involved in the child protection system; this finding is discussed within the parameters of the current Section 17/Section 47 debate. Features of the investigation identified as particularly salient for children and parents include the initial phase of the investigation; investigative interviews and medical examinations; case conferences; social-worker/family interaction and the lack of follow-through services. Gaps in service provision when workers do not consider that abuse has occurred are also considered. Finally, pointers for practice during investigations are discussed in the light of this review     

Haley and Hildebrand on the Training of Family Therapypists

Jo Grimwade and Helen Pavlin were asked to conduct a correspondence about two books which both relate to the teaching of family Therapy. There has been recent debate in Victorian family Therapy circles about the relevance of family of origin exploration to family Therapy trainees. Judy Hildebrand and Jay Haley have views on this topic, as Jo and Helen note. The nature of the books they are reading means that they find themselves caught in a parallel process and at times, are distracted from the writers’ message by the way that message is delivered.     

Making the familiar strange and making the strange familiar: understanding Korean children’s experiences of living with an autistic sibling

Based on the findings of a small‐scale study using visual ethnographic techniques with nine South Korean children, this article explores the role of culture in understanding autism. While autism is embedded within the ‘strange’ and ‘unfamiliar’, linked to exclusion and discrimination in Korean society, the children focussed on reframing their experiences of living with autism as ‘ordinary’. Despite the limitations of the small sample, the richness and depth of data generated by children themselves offers new insights into children’s interpretations and experiences of autism and raises interesting questions for cross cultural research in the field of disability.     

An Evaluation of Caller Satisfaction with Solution-Focused Telephone Counselling

Abstract

‘Practice Forum’ is intended to provide a forum for social work practitioners to share their practice with others; to describe what they are doing and assess its effectiveness.

We extend an invitation to all social work practitioners to submit articles for ‘Practice Forum’ and we look forward to receiving your contribution.

The telephone is a potentially valuable intervention tool in family counselling. The Child, Adolescent & Family Health Service has been experimenting with a response which combines the traditional advantages of telephone counselling with aspects of Steve deShazer's solution-focused approach (deShazer 1985). In 1990 a study was conducted to evaluate caller satisfaction with this approach. Results indicate a high level of satisfaction with the counselling. At a time of increasing funding cuts and lengthening waiting lists, it is important that as many options as possible remain available to our clients. An expansion in effective telephone counselling services may well be one way of achieving this.     

Motivators for Resolving or Seeking Help for Gambling Problems: A Review of the Empirical Literature

This literature review summarizes recent empirical research on the reasons disordered gamblers try, through treatment or otherwise, to resolve or reduce their gambling problems. Relevant databases and bibliographies were searched for English-language studies, published since 1998, that asked gamblers themselves about motivators for action. Found were ten studies addressing reasons for trying to resolve or reduce gambling problems, five addressing reasons for seeking help and four addressing reasons for requesting self-exclusion from casinos. Help-seeking occurred largely in response to gambling-related harms (especially financial problems, relationship issues and negative emotions) that had already happened or that were imminent. Resolution was often motivated by the same kinds of harms but evaluation/decision-making and changes in lifestyle or environment played a more prominent role. Self-exclusion was motivated by harms, evaluation/decision-making and a wish to regain control. Awareness and educational materials could incorporate messages that might encourage heavy gamblers to make changes before harms became too great. Intervention development could also benefit from more research on the motivators leading to successful (vs. failed) resolution, as well as on the ways in which disordered gamblers are able to overcome specific barriers to seeking help or reaching resolution.     

Collaborations with faith‐based social service coalitions

Based on the first national survey of faith‐based social service coalitions in the United States, this article presents data on the degree to which these nonprofit organizations collaborate with other specific organizational types, as well as the range and intensity of these collaborations. In general, faith‐based coalitions tend to collaborate most frequently with other faith‐based agencies, a pattern especially characteristic of the more religiously expressive ones. However, collaboration with non‐faith‐based organizations is also quite common. Based on seven organizational characteristics, we are able to predict which faith‐based coalitions are most likely to collaborate with different types of organizations: coalitions that have more explicitly religious policies and practices with reference to clients and staffs are less likely to participate in intense collaborations with some types of secular organizations, and consistently less likely to do so with all types of governmental agencies.