Dialogue and Challenge: Involving Service Users and Carers in Small Group Learning with Social Work and Nursing Students

This paper examines the rationale for service user and carer involvement in professional education and reflects on an initiative in which social work and nursing students undertook a sequence of joint learning in relation to mental health theory and practice. Central to this initiative was the promotion of opportunities for dialogue, both between students from different professional disciplines and between students, service users and carers. To enable this, much of the learning took place in small groups facilitated by either a service user or a carer.

Evaluation of this initiative indicated that, for the majority of social work and nursing students, learning from this shared experience had a major impact on their professional development. However, a small but significant minority found it hard to enter into a dialogue with others on a basis of equality and a sharing of their human as well as their professional experience. Some students indicated that they would have preferred a focus on acquiring more specialist professional knowledge and skills. This raises important issues in relation to the changing expectations of professionalism and professional education—and what really makes someone ‘fit for practice’.     

Coverage with k-transmitters in the presence of obstacles

For a fixed integer k≥0, a k-transmitter is an omnidirectional wireless transmitter with an infinite broadcast range that is able to penetrate up to k “walls”, represented as line segments in the plane. We develop lower and upper bounds for the number of k-transmitters that are necessary and sufficient to cover a given collection of line segments, polygonal chains and polygons.     

Conceptualising Child and Family Support: The Contribution of Honneth's Critical Theory of Recognition

The role of social support in child welfare policy and practice continues to engender widespread debate. Yet the moral and philosophical underpinnings of this topical area have received less attention in the literature. This is of concern, not least because academic debates on the ‘politics of identity’ have a significant contribution to make to our understanding of self‐development and social justice. In this article the authors show how Axel Honneth's account of the ‘struggle for recognition’ can be adapted to invigorate theories of social support. The result is a conceptual framework for reflective practice that can illuminate, and interrogate, the moral and operational dimensions of preventative work with children and families.     

Safeguarding disabled children in residential settings: what we know and what we don't know

Research in America, Canada, Australia and Britain has revealed that disabled children are particularly vulnerable to abuse. Their likelihood of attending residential institutions, their dependency on others for personal care and the lack of opportunities for them to alert others to maltreatment or comprehend the nature of abusive acts all increase levels of risk. Over the last decade, there has been increasing public and professional concern about the abuse of children in residential establishments, resulting in a number of inquiries. However, the abuse of disabled children in residential settings has received little attention. Despite residential schools, care homes and respite care being widely used by disabled children, there is a paucity of knowledge regarding the standards of child protection in these establishments. This article explores the research literature revealing the vulnerability of disabled children to abuse when living away from home, what measures can be taken to help protect them and the limitations of available data as a basis for planning child protection measures. Copyright © 2002 John Wiley & Sons, Ltd.     

Separation anxiety,attachment and agoraphobia

Within a framework of attachment, developed by John Bowlby, the anxiety disorder of agoraphobia (fear of leaving familiar surroundings, especially when alone) is conceived as a condition of anxious attachment, related to fear of separation from those with whom one has formed affectional bonds. Bowlby attributes this anxiety to earlier separation or loss experiences or threat of separation. Uncertain about his/her attachment figures, the person is prone to separation anxiety and clinging behavior and lacks confidence for exploring the world and dealing with stressful situations. Psychotherapy offers a temporary attachment relationship, a secure base from which to explore and understand the effects of these experiences in order to develop more self reliance in relationships with others.     

Standards,Regulation and Development of School-age Day Care and ‘Open Door’ Services1

The subject is play and day-care services for school-age children. The paper draws on research carried out by the author and colleagues at Thomas Coram Research Unit (TCRU). It reports a survey of 120 services, randomly sampled, from 20 local authorities in England and Wales. This provides data about the standards to be found in such services when they became subject to registration and inspection under the Children Act 1989, and identifies shortcomings with regard to material resources and practice. The paper then draws on two case studies, and reports and discusses the problems met by local authorities in carrying out their new duties under the Act. These included their inexperience of services for over fives, the lack of resources available to improve services and the transient nature of holiday play schemes. It covers ways in which registration personnel used the Act to raise standards, eg ‘counselling out’, making requirements and conditions, and advising and resourcing service providers. The concluding discussion points to the need for further policy development in this area.