Making Sense of Risk: Social Work at the Boundary between Care and Control

IF 1.8 4区 医学 Q3 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Health Risk & Society Pub Date : 2022-11-23 DOI:10.1080/13698575.2022.2147904
Ravit Alfandari, B. Taylor, M. Baginsky, Jim Campbell, Duncan Helm, Campbell Killick, P. Mccafferty, J. Mullineux, J. Shears, Alessandro Sicora, A. Whittaker
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引用次数: 1

Abstract

Abstract ‘Risk’ has become a central concept for social work practice in countries with more developed social welfare systems. As argued by Hazel Kemshall and colleagues, ‘risk’ has often replaced ‘need’ as the main driver for social work interventions as societies seek to avoid harm to citizens. This shift of focus raises a tension between care (support for the individual or family in their own right) and control (seeking to prevent harm to themselves, each other or other citizens). This article considers some of the key developments in the 25 years since the above article, including the development of risk communication; the growing familiarity with both likelihood and severity concepts of risk; the assessment of risk as part of organisational arrangements to manage risk; and theoretical developments linking social work assessment, ‘working with risk’ and decision-making. In the first part of the article, we explore the care versus control boundary through focussing, in turn, on child and family social work, adult care services, mental health social work and criminal justice social work, and their respective developments. We then further extend two key foci regarding assessment and care planning as well as the use of professional knowledge at the care and control boundary. Our analysis of these developments points towards more nuanced approaches to managing risk and making decisions at these sometimes contentious boundaries.
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理解风险:社会工作在关怀与控制之间的边界
在社会福利制度较为发达的国家,“风险”已经成为社会工作实践的核心概念。正如Hazel Kemshall及其同事所指出的那样,“风险”经常取代“需求”成为社会工作干预的主要驱动力,因为社会寻求避免对公民造成伤害。这种焦点的转移引起了照顾(支持个人或家庭本身的权利)和控制(寻求防止伤害自己、彼此或其他公民)之间的紧张关系。本文考虑了自上一篇文章以来25年的一些关键发展,包括风险沟通的发展;对风险的可能性和严重性概念的日益熟悉;对风险进行评估,作为管理风险的组织安排的一部分;以及将社会工作评估、“与风险合作”和决策联系起来的理论发展。在文章的第一部分,我们通过关注儿童和家庭社会工作、成人护理服务、心理健康社会工作和刑事司法社会工作及其各自的发展来探讨照顾与控制的界限。然后,我们进一步扩展了关于评估和护理计划的两个关键焦点,以及在护理和控制边界使用专业知识。我们对这些发展的分析指出了在这些有时有争议的边界上管理风险和做出决策的更微妙的方法。
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来源期刊
CiteScore
3.30
自引率
14.30%
发文量
23
期刊介绍: Health Risk & Society is an international scholarly journal devoted to a theoretical and empirical understanding of the social processes which influence the ways in which health risks are taken, communicated, assessed and managed. Public awareness of risk is associated with the development of high profile media debates about specific risks. Although risk issues arise in a variety of areas, such as technological usage and the environment, they are particularly evident in health. Not only is health a major issue of personal and collective concern, but failure to effectively assess and manage risk is likely to result in health problems.
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