Parents' Views on Social Work Interventions in Child Welfare Cases

Correspondence to Trevor Spratt, Lecturer in Social Work, School of Social Work, The Queen's University Belfast, 7 Lennoxvale, Belfast BT9 5BY, Northern Ireland. E-mail: T.Spratt{at}qub.ac.uk Summary This article reports findings from the third part of a three-partresearch project examining the potential for social workersto shift from a child protection to a child welfare orientationin their practice. Whilst social workers in the UK have beenencouraged to make such changes, they have been hampered byconcerns to manage risk. Findings reported from the earlierparts of the project, indicated that there was potential fora substantial proportion of child protection work to be redesignatedas child welfare work, but that where this was achieved in practice,there was evidence of the continued influence of child protectionprocesses as social workers sought to manage the risks inherentin child welfare cases. The study reported here sets out toascertain the views of parents who were subject to child welfareinterventions. The findings indicate that while parents feelapprehension with regard to contact with social workers, inthe majority of cases successful relationships are formed. Itis argued that social workers display considerable skill inmonitoring potential risks whilst engaging with families andthat the subtleties involved in such activity are not capturedby official measures of governance which concentrate on moreabstract indicators of performance.     

‘The Bad People Go and Speak to Her’: Young People’s Choice and Agency when Accessing Mental Health Support in School

Concerns about the mental health and well‐being of children and young people have been articulated in health and education policy fields as a call for closer working between schools and providers of mental health support services. Drawing from a Scottish study, this article explores issues of access, when mental health initiatives are sited in formal educational settings. In particular, it focuses on the implications for the agency of children and young people seeking support from those services when and how they choose. The study argues that over‐reliance on teachers as the main referral route to service influences what is deemed to be a problem, who is thought to need support and how the interventions are viewed by the children and young people. Alternative approaches are discussed, which offer opportunities for children and young people to explore the available services and make their own choices about their level of engagement.     

Developing creative solutions to the problems of children and their families: communicative reason and the use of forum theatre

The paper represents a further development of work previously reported in this journal by Spratt & Houston (1999) and Spratt et al. (2000) . The authors have sought to develop ways of understanding current social work with children and families in line with the critical theory of Jurgen Habermas. This analysis has been complemented by an adoption of the methodology of the radical dramatist, Augusto Boal. In synthesizing Habermas's analysis of communicative discourses with the consciousness raising methodology of Boal, the authors have already demonstrated the effectiveness of this hybrid in problem‐solving exercises with social workers. The present paper reports on an application of this developing theory to practice, utilizing the centrepiece of Boal's method, forum theatre. A forum theatre project, concerned with the issue of bullying, is described and evaluated. It is argued that the project provides an exemplar of an innovative, democratizing and effective methodology that might profitably be utilized in social work with children and families. Finally, suggestions are made as to how these ideas could be developed in practice.     

The Influence of Child Protection Orientation on Child Welfare Practice

Summary This article reports the findings of the second part of a two-partresearch project examining the potential for social workersto make changes in their work with families and children. Whilstsocial workers in the United Kingdom have been encouraged toshift from a child protection to a child welfare orientationin their practice, such changes have been hampered by professionaland organizational concern to manage risk. The research exploresthe influence of a child protection orientation on practicein child welfare cases. The findings, from two file analysesand interviews with 26 social workers, indicate that such aninfluence is indeed apparent. This is evidenced in two ways;first patterns of practice in child welfare cases are similarto those in child protection cases. Secondly, while the majorityof social workers express an attitudinal desire to move towardsa child welfare orientation, they still prioritize the managementof risk in their practice. It is argued that social workersneed permission from their employing organizations to make changesin their practice. This, in turn, requires such organizationsto state clear goals in line with a child welfare orientationand develop holistic strategies to achieve these.     

Strategies for Success: Early-Stage Collaborating Biostatistics Faculty in an Academic Health Center

Collaborative biostatistics faculty (CBF) are increasingly valued by academic health centers (AHCs) for their role in increasing success rates of grants and publications, and educating medical students and clinical researchers. Some AHCs have a biostatistics department that consists of only biostatisticians focused on methodological research, collaborative research, and education. Others may have a biostatistics unit within an interdisciplinary department, or statisticians recruited into clinical departments. Within each model, there is also variability in environment, influenced by the chair's background, research focus of colleagues, type of students taught, funding sources, and whether the department is in a medical school or school of public health. CBF appointments may be tenure track or nontenure, and expectations for promotion may vary greatly depending on the type of department, track, and the AHC. In this article, the authors identify strategies for developing early-stage CBFs in four domains: (1) Influence of department/environment, (2) Skills to develop, (3) Ways to increase productivity, and (4) Ways to document accomplishments. Graduating students and postdoctoral fellows should consider the first domain when choosing a faculty position. Early-stage CBFs will benefit by understanding the requirements of their environment early in their appointment and by modifying the provided progression grid with their chair and mentoring team as needed. Following this personalized grid will increase the chances of a satisfying career with appropriate recognition for academic accomplishments.     

Neurodevelopmental biology associated with childhood sexual abuse

Child maltreatment appears to be the single most preventable cause of mental illness and behavioral dysfunction in the United States. Few published studies examine the developmental and the psychobiological consequences of sexual abuse. There are multiple mechanisms through which sexual abuse can cause post-traumatic stress disorder, activate biological stress response systems, and contribute to adverse brain development. This article will critically review the psychiatric problems associated with maltreatment and the emerging biologic stress system research with a special emphasis on what is known about victimization by sexual abuse.     

Decision making by senior social workers at point of first referral

Summary In the United Kingdom there has been difficulty in implementingthe family support provisions contained in the 1989 ChildrenAct, largely because of continued emphasis on child protectionactivity by local authorities. There is an observable internationaltendency for child-care referrals to receive investigative response,resulting in families being traumatized and children's needsleft unmet. There has been a lack of research into how child-carereferrals are initially categorized by senior social workers.This paper reports on research undertaken in two Health andSocial Services Trusts within Northern Ireland to ascertainif it might be possible to treat more initial referrals as 'child-careproblem enquiries' as opposed to 'child protection investigations'.Results demonstrate that, while such potential may exist, apreoccupation with the management of risk could lead to thedevelopment of child-care problems receiving quasi-child protectionresponses. Consequently, changes in initial decision makingmay not have the full intended effects in terms of the organizationalrelease of resources for family support or a lessening of thetraumatic impact upon families.     

Developing critical social work in theory and in practice: child protection and communicative reason

This paper argues that a critical analysis of the ideologies that inform contemporary child care has been missing from the 're-focusing debate'. Such an analysis points up the necessity of reasserting a critical social work position in order to provide a basis for reconstructing practice and engaging with other social actors and their ideologies in an open and creative fashion compatible with Habermas' aspiration of 'communicative reason'.