Pub Date : 2023-09-27DOI: 10.1177/14680173231197628
Daniel Burrows, Jen Lyttleton-Smith, Lucy Sheehan, Siôn Jones, Richard Kyle
Summary Unpaid carers were profoundly impacted by the coronavirus disease 2019 pandemic and public health responses. In the UK, in March 2020, people identified as clinically extremely vulnerable and their household members were advised to “shield” for an initial 12-week period, which meant minimizing all contacts from outside the household and not leaving the house at all, unless in an emergency. In a modified form, shielding guidance remained in place until August 2020 and was reinstituted from December 2020 until April 1, 2021. This article, reporting on qualitative interviews with 47 unpaid carers in Wales, thematically analyzed using a coding framework, explores the experiences of unpaid carers affected by this shielding guidance and their wider implications for social work with unpaid carers in the future. Findings Participants in our study described ways in which their caring role expanded, due to the need to provide additional practical and emotional support for loved ones who were shielding, and who lost access to other avenues of support. Some also described their caring role as becoming more involved and complex due to the declining health or self-care capacity of the person cared-for as a direct consequence of shielding restrictions. Alongside the increase in their caring responsibilities, carers reported losing access to important avenues of support for their own well-being. Applications We draw on ecological systems theory to highlight the importance during care planning and management of exploring the carer's mesosystem to identify and optimize sustaining forces, and of attending to the microsystem involving the carer and person cared-for.
{"title":"Trapped: Experiences of unpaid carers of clinically vulnerable people “shielding” during the coronavirus disease 2019 pandemic","authors":"Daniel Burrows, Jen Lyttleton-Smith, Lucy Sheehan, Siôn Jones, Richard Kyle","doi":"10.1177/14680173231197628","DOIUrl":"https://doi.org/10.1177/14680173231197628","url":null,"abstract":"Summary Unpaid carers were profoundly impacted by the coronavirus disease 2019 pandemic and public health responses. In the UK, in March 2020, people identified as clinically extremely vulnerable and their household members were advised to “shield” for an initial 12-week period, which meant minimizing all contacts from outside the household and not leaving the house at all, unless in an emergency. In a modified form, shielding guidance remained in place until August 2020 and was reinstituted from December 2020 until April 1, 2021. This article, reporting on qualitative interviews with 47 unpaid carers in Wales, thematically analyzed using a coding framework, explores the experiences of unpaid carers affected by this shielding guidance and their wider implications for social work with unpaid carers in the future. Findings Participants in our study described ways in which their caring role expanded, due to the need to provide additional practical and emotional support for loved ones who were shielding, and who lost access to other avenues of support. Some also described their caring role as becoming more involved and complex due to the declining health or self-care capacity of the person cared-for as a direct consequence of shielding restrictions. Alongside the increase in their caring responsibilities, carers reported losing access to important avenues of support for their own well-being. Applications We draw on ecological systems theory to highlight the importance during care planning and management of exploring the carer's mesosystem to identify and optimize sustaining forces, and of attending to the microsystem involving the carer and person cared-for.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135537810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-21DOI: 10.1177/14680173231197933
Chiara Corvino, Chiara D’Angelo, Caterina Gozzoli
Summary Although the literature is rich in contributions analyzing the role of social workers in sports, there remains a lack of empirical research with respect to how these workers can be determinant in the development of inclusion outcomes in sports-driven interventions targeting socially vulnerable youth. The investigation analyzes the case of a sports-based program run by an Italian non-profit organization (NGO) from an ecological system perspective. Data from interviews and focus groups with youth involved in the program (21), parents (15), sport coaches (9), and the social workers of the NGO (15) were triangulated with the aim of exploring how social workers promoted inclusion through sport. Data were analyzed in a top–down thematic analysis. Findings Social workers promoted many social inclusion outcomes: (1) they linked sport clubs with the youth excluded from the sport system, thus sustaining access to sport; (2) they emotionally supported youth and their families in the program, fostering the relational dimension of social inclusion; (3) they formed alliances between the diverse systems of youth life, enhancing youth capacity to overcome their personal challenges in sports; and (4) they encouraged the integration of people coming from different socio-economic backgrounds within the sport context. Applications The case informs the practice of social workers in sport-driven interventions providing insights around the tasks they should achieve to promote social inclusion, including (1) recruitment of youth excluded from the sport system and linkage with sport clubs, (2) sport bureaucracy support, and (3) dialogue with diverse youth life systems.
{"title":"Social work and social inclusion in sports-based programs: A qualitative study","authors":"Chiara Corvino, Chiara D’Angelo, Caterina Gozzoli","doi":"10.1177/14680173231197933","DOIUrl":"https://doi.org/10.1177/14680173231197933","url":null,"abstract":"Summary Although the literature is rich in contributions analyzing the role of social workers in sports, there remains a lack of empirical research with respect to how these workers can be determinant in the development of inclusion outcomes in sports-driven interventions targeting socially vulnerable youth. The investigation analyzes the case of a sports-based program run by an Italian non-profit organization (NGO) from an ecological system perspective. Data from interviews and focus groups with youth involved in the program (21), parents (15), sport coaches (9), and the social workers of the NGO (15) were triangulated with the aim of exploring how social workers promoted inclusion through sport. Data were analyzed in a top–down thematic analysis. Findings Social workers promoted many social inclusion outcomes: (1) they linked sport clubs with the youth excluded from the sport system, thus sustaining access to sport; (2) they emotionally supported youth and their families in the program, fostering the relational dimension of social inclusion; (3) they formed alliances between the diverse systems of youth life, enhancing youth capacity to overcome their personal challenges in sports; and (4) they encouraged the integration of people coming from different socio-economic backgrounds within the sport context. Applications The case informs the practice of social workers in sport-driven interventions providing insights around the tasks they should achieve to promote social inclusion, including (1) recruitment of youth excluded from the sport system and linkage with sport clubs, (2) sport bureaucracy support, and (3) dialogue with diverse youth life systems.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136155670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-20DOI: 10.1177/14680173231197930
Selwyn Stanley, Anand Jerard Sebastine
Summary Stress in social work is frequently experienced by practitioners and is attributed to a range of work-related factors. This study explored the manifestation of burnout, perceived social support, and work-life balance in 73 social workers in two cities in south India. A cross-sectional quantitative design was used. Data were collected based on survey methodology and three standardized instruments were administered to assess the manifestation of our key variables. Multiple regression analysis was used to identify the predictors of burnout. Findings Results indicated high levels of burnout and low levels of social support and work-life balance in respondents. No significant differences were seen in the key variables of the study based on selected sociodemographic factors. Both social support and work-life balance were extracted as significant predictors of burnout. Application We suggest that issues related to burnout and compassion fatigue are key aspects that need to be incorporated within the social work curriculum in educational programs in India. A focus on maintaining a healthy work-life balance, and the importance of self-care in maintaining good health and wellbeing are key elements that need to be emphasized. We make use of the literature to offer suggestive measures that can be taken to enhance the provision of social support, maintain better work-life balance and reduce the incidence of burnout in social work practitioners. This will in the long run bode well for the mental health and wellbeing of the professionals besides ensuring better quality of service provision to the community that they work with.
{"title":"Work-life balance, social support, and burnout: A quantitative study of social workers","authors":"Selwyn Stanley, Anand Jerard Sebastine","doi":"10.1177/14680173231197930","DOIUrl":"https://doi.org/10.1177/14680173231197930","url":null,"abstract":"Summary Stress in social work is frequently experienced by practitioners and is attributed to a range of work-related factors. This study explored the manifestation of burnout, perceived social support, and work-life balance in 73 social workers in two cities in south India. A cross-sectional quantitative design was used. Data were collected based on survey methodology and three standardized instruments were administered to assess the manifestation of our key variables. Multiple regression analysis was used to identify the predictors of burnout. Findings Results indicated high levels of burnout and low levels of social support and work-life balance in respondents. No significant differences were seen in the key variables of the study based on selected sociodemographic factors. Both social support and work-life balance were extracted as significant predictors of burnout. Application We suggest that issues related to burnout and compassion fatigue are key aspects that need to be incorporated within the social work curriculum in educational programs in India. A focus on maintaining a healthy work-life balance, and the importance of self-care in maintaining good health and wellbeing are key elements that need to be emphasized. We make use of the literature to offer suggestive measures that can be taken to enhance the provision of social support, maintain better work-life balance and reduce the incidence of burnout in social work practitioners. This will in the long run bode well for the mental health and wellbeing of the professionals besides ensuring better quality of service provision to the community that they work with.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136308697","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Summary Social workers have had a pivotal role in handling the challenges faced by people dealing with the coronavirus disease 2019 (COVID-19) pandemic. Supporting clients who have undergone traumatic experiences during a global pandemic may increase the risk of experiencing secondary traumatic stress. This study examined two protective factors that may be key in the association between stress and social workers’ secondary traumatic stress: Psychological capital (internal protective factor) and satisfaction with supervision (external factor). The study sample included 104 Israeli social workers who worked in their profession during the first year of the COVID-19 pandemic. A regression-based path analysis was conducted to test the moderation model with the PROCESS software. Findings Self-efficacy significantly moderated the association between perceived stress and intrusion; increasing self-efficacy decreases perceived stress's effect on intrusion. Although no significant moderating effect was found for the existence of supervision, the interaction between perceived stress and satisfaction with supervision was significant in predicting secondary trauma. Applications Social workers’ unions must work to improve the quality of supervision and raise awareness of the importance of supervision in general and particularly during times of crisis. Manageable workloads, a reasonable balance between work and home, and verbal and financial encouragement to seek professional psychological assistance would all be to the advantage of social workers at risk for secondary trauma.
{"title":"Perceived stress and secondary traumatization in social workers during coronavirus disease 2019: The moderating effect of psychological capital and social work supervision","authors":"Ayelet Gur, Maya Peled-Avram, Gili Itzchak, Sharon Megira, Ari Reich, Moshe Farchi","doi":"10.1177/14680173231197629","DOIUrl":"https://doi.org/10.1177/14680173231197629","url":null,"abstract":"Summary Social workers have had a pivotal role in handling the challenges faced by people dealing with the coronavirus disease 2019 (COVID-19) pandemic. Supporting clients who have undergone traumatic experiences during a global pandemic may increase the risk of experiencing secondary traumatic stress. This study examined two protective factors that may be key in the association between stress and social workers’ secondary traumatic stress: Psychological capital (internal protective factor) and satisfaction with supervision (external factor). The study sample included 104 Israeli social workers who worked in their profession during the first year of the COVID-19 pandemic. A regression-based path analysis was conducted to test the moderation model with the PROCESS software. Findings Self-efficacy significantly moderated the association between perceived stress and intrusion; increasing self-efficacy decreases perceived stress's effect on intrusion. Although no significant moderating effect was found for the existence of supervision, the interaction between perceived stress and satisfaction with supervision was significant in predicting secondary trauma. Applications Social workers’ unions must work to improve the quality of supervision and raise awareness of the importance of supervision in general and particularly during times of crisis. Manageable workloads, a reasonable balance between work and home, and verbal and financial encouragement to seek professional psychological assistance would all be to the advantage of social workers at risk for secondary trauma.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136312978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-18DOI: 10.1177/14680173231197796
Lauren A Ricciardelli, Dana R Dillard, Adam E Quinn, Jeff Skinner, Larry Nackerud
Summary The present U.S.-based study adds to the ongoing discourse on the ethical use of digital technology in social work practice, made more urgent by the coronavirus disease 2019 (COVID-19). Following the achievement of Human Subjects approval, we obtained a stratified, random sample of 150 institutions of higher education with Council on Social Work Education-accredited undergraduate and graduate social work programs. Prior to COVID-19, we administered a 61-item, Likert-scale survey to social work program directors via email, who then communicated this information to student listservs. A total of 430 social work student responses were retained for analysis. The survey instrument included items related to the students’ social media use, their attitudes toward social media, and their knowledge of social media’s impact on society. Rao-Scott chi-square tests for independence were used to ascertain statistical relationships between U.S. social work students’ responses to the survey item, social media should be used as a treatment modality, and student demographic variables that include: Age, program level, course format, and social media use. Findings Statistically significant relationships were determined to exist between social work students’ endorsement of social media as a treatment modality and: (1) Age and (2) program level. Conversely, no significant relationships were found regarding (1) course format and (2) social media use. Applications Implications for social work professional education are discussed. Recommendations for future social work research are provided: (1) A national replication study; (2) qualitative studies; (3) a comparative study with social work educators and practitioners; (3) a global study; and (4) ongoing evaluation of direct practice methods.
{"title":"U.S. social work students’ attitudes on social media as treatment modality: A prepandemic national survey","authors":"Lauren A Ricciardelli, Dana R Dillard, Adam E Quinn, Jeff Skinner, Larry Nackerud","doi":"10.1177/14680173231197796","DOIUrl":"https://doi.org/10.1177/14680173231197796","url":null,"abstract":"Summary The present U.S.-based study adds to the ongoing discourse on the ethical use of digital technology in social work practice, made more urgent by the coronavirus disease 2019 (COVID-19). Following the achievement of Human Subjects approval, we obtained a stratified, random sample of 150 institutions of higher education with Council on Social Work Education-accredited undergraduate and graduate social work programs. Prior to COVID-19, we administered a 61-item, Likert-scale survey to social work program directors via email, who then communicated this information to student listservs. A total of 430 social work student responses were retained for analysis. The survey instrument included items related to the students’ social media use, their attitudes toward social media, and their knowledge of social media’s impact on society. Rao-Scott chi-square tests for independence were used to ascertain statistical relationships between U.S. social work students’ responses to the survey item, social media should be used as a treatment modality, and student demographic variables that include: Age, program level, course format, and social media use. Findings Statistically significant relationships were determined to exist between social work students’ endorsement of social media as a treatment modality and: (1) Age and (2) program level. Conversely, no significant relationships were found regarding (1) course format and (2) social media use. Applications Implications for social work professional education are discussed. Recommendations for future social work research are provided: (1) A national replication study; (2) qualitative studies; (3) a comparative study with social work educators and practitioners; (3) a global study; and (4) ongoing evaluation of direct practice methods.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135149718","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-18DOI: 10.1177/14680173231194441
Torbjörn Forkby, Kristina Alstam, Henrik Örnlind
Summary Gangs are commonly presented in research as an attractive alternative for those who feel excluded and unrecognized in “ordinary” society. Gang life is volatile, however, and violence (open or suppressed) is more or less omnipresent. Exiting a gang seems to be motivated by both thoughts of a better life and disappointment in the gang's failure to meet hopes and expectations. Findings From an analysis of former gang members exit processes, this article investigates what about gang life was stressful and motivated participants dropout, how they coped with tensions, and elaborates how social work could use this tension productively to support people exiting gangs. The data consist primary of interviews with 20 former gang members and 42 professionals. Organizational theory was used in combination with theories on liminality and identity reformation to understand how tensions occurred in gang life, how they were managed, and what caused exit. Applications Social workers may help members exit from gangs by supporting and strengthening their motivations to leave, stimulating their self-reflection, and reminding them of their past transformative. Most important, gang members should be helped to recognize the positive urges that drew them towards gangs and refocus those wishes for community to general society.
{"title":"Tension management and support when leaving a gang","authors":"Torbjörn Forkby, Kristina Alstam, Henrik Örnlind","doi":"10.1177/14680173231194441","DOIUrl":"https://doi.org/10.1177/14680173231194441","url":null,"abstract":"Summary Gangs are commonly presented in research as an attractive alternative for those who feel excluded and unrecognized in “ordinary” society. Gang life is volatile, however, and violence (open or suppressed) is more or less omnipresent. Exiting a gang seems to be motivated by both thoughts of a better life and disappointment in the gang's failure to meet hopes and expectations. Findings From an analysis of former gang members exit processes, this article investigates what about gang life was stressful and motivated participants dropout, how they coped with tensions, and elaborates how social work could use this tension productively to support people exiting gangs. The data consist primary of interviews with 20 former gang members and 42 professionals. Organizational theory was used in combination with theories on liminality and identity reformation to understand how tensions occurred in gang life, how they were managed, and what caused exit. Applications Social workers may help members exit from gangs by supporting and strengthening their motivations to leave, stimulating their self-reflection, and reminding them of their past transformative. Most important, gang members should be helped to recognize the positive urges that drew them towards gangs and refocus those wishes for community to general society.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135149720","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-07DOI: 10.1177/14680173231197920
Veronica Lövgren, Hildur Kalman, K. Andersson, Petra Ahnlund
An interview study was conducted with persons receiving home care services and personal assistance in Sweden (13 individuals, 25 interviews) with the aim to analyze their experiences of managing personal and intimate care. The analytical approach was guided by phenomenologically informed research and Erving Goffman's theoretical work on self-presentation and social life as it differs in frontstage and backstage settings. A reflected approach to the complex challenges associated with becoming and being a person in need of personal and intimate care was revealed. This involved continuous adaptations and attuning to organizational and relational conditions of formal home care. Being a recipient of personal and intimate care does not mean being passive. It entails relating to and sustaining the care relation, where even choosing to accept suboptimal conditions is an act of agency. The recipients’ private homes were hybridized, transformed both into a waiting room, with the recipient on standby and into a workplace. The homes thus partly lost their character as a backstage realm where one could avoid the gaze of others. This also led to a hybridization of the personal sphere, in the form of marginal scope for true privacy, necessitating strategies for protecting one's own space. It is important both to acknowledge the intrusive nature of personal and intimate care, which results in extensive hybridization of the home and personal sphere and to recognize care recipients’ agency in the relationship that care establishes.
{"title":"Care recipients’ management of and approaches to receiving personal and intimate care","authors":"Veronica Lövgren, Hildur Kalman, K. Andersson, Petra Ahnlund","doi":"10.1177/14680173231197920","DOIUrl":"https://doi.org/10.1177/14680173231197920","url":null,"abstract":"An interview study was conducted with persons receiving home care services and personal assistance in Sweden (13 individuals, 25 interviews) with the aim to analyze their experiences of managing personal and intimate care. The analytical approach was guided by phenomenologically informed research and Erving Goffman's theoretical work on self-presentation and social life as it differs in frontstage and backstage settings. A reflected approach to the complex challenges associated with becoming and being a person in need of personal and intimate care was revealed. This involved continuous adaptations and attuning to organizational and relational conditions of formal home care. Being a recipient of personal and intimate care does not mean being passive. It entails relating to and sustaining the care relation, where even choosing to accept suboptimal conditions is an act of agency. The recipients’ private homes were hybridized, transformed both into a waiting room, with the recipient on standby and into a workplace. The homes thus partly lost their character as a backstage realm where one could avoid the gaze of others. This also led to a hybridization of the personal sphere, in the form of marginal scope for true privacy, necessitating strategies for protecting one's own space. It is important both to acknowledge the intrusive nature of personal and intimate care, which results in extensive hybridization of the home and personal sphere and to recognize care recipients’ agency in the relationship that care establishes.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42119220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-07DOI: 10.1177/14680173231197987
A. Young, S. Vicary, Rebecca Tipton, Natalia Rodríguez Vicente, Jemina Napier, C. Hulme, Francisco Espinoza
This article concerns interpreter-mediated Mental Health Act (MHA) (1983) assessments where either a signed or spoken language interpreter is required. It reports data from 132 Approved Mental Health Professionals (AMHPs) in England who have direct experience of such circumstances addressing expertise, training, readiness, and potential influences on the outcome when interpreters are involved. Quantitative data were collected by means of an online survey analyzed descriptively with additional open-ended qualitative responses analyzed thematically. More interpreter-mediated MHA assessments were reported as occurring in hospital than in community settings. Although AMHPs were confident in their expertise, nearly two-thirds felt they were less effective when an interpreter was involved. The vast majority had received only minimal training on how to work with an interpreter. Recording of language and interpreter use in the assessment was revealed as inconsistent. Most AMHPs thought incorrectly that interpreters were subject to mandatory registration with assured minimum standards of qualification and expertise. Practical problems associated with the timeliness of access to interpreters and complexities of using telephone interpreters instead of face to face were raised. AMHPs expressed a wish for more training and guidance including expectations of the interpreter role. Consistent standards of formal recording of interpreter use as part of annual monitoring of the MHA are required to understand any potential inequities of outcome resulting from language mediation. Joint training with interpreters is desirable with more specific guidance and resources for working AMHPs and interpreters to promote best practice.
{"title":"Mental health professionals' (AMHPs) perspectives on interpreter-mediated mental health act assessments","authors":"A. Young, S. Vicary, Rebecca Tipton, Natalia Rodríguez Vicente, Jemina Napier, C. Hulme, Francisco Espinoza","doi":"10.1177/14680173231197987","DOIUrl":"https://doi.org/10.1177/14680173231197987","url":null,"abstract":"This article concerns interpreter-mediated Mental Health Act (MHA) (1983) assessments where either a signed or spoken language interpreter is required. It reports data from 132 Approved Mental Health Professionals (AMHPs) in England who have direct experience of such circumstances addressing expertise, training, readiness, and potential influences on the outcome when interpreters are involved. Quantitative data were collected by means of an online survey analyzed descriptively with additional open-ended qualitative responses analyzed thematically. More interpreter-mediated MHA assessments were reported as occurring in hospital than in community settings. Although AMHPs were confident in their expertise, nearly two-thirds felt they were less effective when an interpreter was involved. The vast majority had received only minimal training on how to work with an interpreter. Recording of language and interpreter use in the assessment was revealed as inconsistent. Most AMHPs thought incorrectly that interpreters were subject to mandatory registration with assured minimum standards of qualification and expertise. Practical problems associated with the timeliness of access to interpreters and complexities of using telephone interpreters instead of face to face were raised. AMHPs expressed a wish for more training and guidance including expectations of the interpreter role. Consistent standards of formal recording of interpreter use as part of annual monitoring of the MHA are required to understand any potential inequities of outcome resulting from language mediation. Joint training with interpreters is desirable with more specific guidance and resources for working AMHPs and interpreters to promote best practice.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44836513","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-30DOI: 10.1177/14680173231194432
J. Scourfield, J. Carpenter, N. Warner, Nina Maxwell, Laura Venn, Evgenia Stepanova, Chloé O’Donnell, Rebecca K Jones, Martin Elliott, Roger Smith
Summary Two fast-track child and family social work training programs have been established in England — Step Up to Social Work and Frontline. Trainees’ financial support is far higher than for mainstream social work degrees. One of the reasons claimed for setting up these programs is addressing retention, although critics (of Frontline) predicted graduates would not stay in social work. A 4-year study assessed retention and reasons for leaving social work. Attrition rates from statutory social work were calculated from responses (n = 2543) to annual surveys, plus looking up non-respondents in the professional register. Interviews were conducted with fast-track graduates (n = 80) and employers (n = 29). Findings The overall rate of social work graduates not in statutory social work at 18 months post-qualification was 12% for fast-track programs, and Higher Education Statistics Agency survey data show attrition at 15 months post-qualification as 18% for all social work routes. Frontline's original national recruitment approach was less successful for retention than Step Up to Social Work's regional approach. Perceived local authority support and intrinsic job satisfaction were associated with attrition in longitudinal bivariate analysis. Fast-track graduates leaving statutory social work typically moved to work in social care (including policy roles), health, or education. Applications Early-career attrition appears to be somewhat lower from fast-track programs than from all social work graduates. Longer-term comparison is not yet possible. In promoting retention, employers should be aware of the importance of staff perceptions of the local authority as supportive, and of their intrinsic job satisfaction.
英国已经建立了两个快速通道的儿童和家庭社会工作培训项目——“社会工作入门”和“前线”。实习生的经济支持远远高于主流社会工作学位。尽管（前线）的批评者预测毕业生不会继续从事社会工作，但声称设立这些项目的原因之一是解决留用问题。一项为期4年的研究评估了保留率和离开社会工作的原因。法定社会工作的损耗率根据回答（n = 2543）进行年度调查，并在专业登记册中查找非受访者。对快速通道毕业生进行了访谈（n = 80）和雇主（n = 29）。对于快速通道项目，在获得资格后18个月未从事法定社会工作的社会工作毕业生的总体比例为12%，高等教育统计局的调查数据显示，在所有社会工作路线中，在获得资质后15个月的流失率为18%。Frontline最初的全国招聘方法在留住员工方面不如Step Up to Social Work的地区招聘方法成功。在纵向双变量分析中，感知到的地方当局支持和内在工作满意度与流失有关。离开法定社会工作的快速通道毕业生通常会转到社会护理（包括政策角色）、卫生或教育工作。快速通道项目的早期职业流失率似乎比所有社会工作毕业生的低。长期比较尚不可能。在促进留用方面，雇主应意识到员工对地方当局的支持以及他们内在的工作满意度的重要性。
{"title":"Retention in statutory social work from fast-track child and family programs","authors":"J. Scourfield, J. Carpenter, N. Warner, Nina Maxwell, Laura Venn, Evgenia Stepanova, Chloé O’Donnell, Rebecca K Jones, Martin Elliott, Roger Smith","doi":"10.1177/14680173231194432","DOIUrl":"https://doi.org/10.1177/14680173231194432","url":null,"abstract":"Summary Two fast-track child and family social work training programs have been established in England — Step Up to Social Work and Frontline. Trainees’ financial support is far higher than for mainstream social work degrees. One of the reasons claimed for setting up these programs is addressing retention, although critics (of Frontline) predicted graduates would not stay in social work. A 4-year study assessed retention and reasons for leaving social work. Attrition rates from statutory social work were calculated from responses (n = 2543) to annual surveys, plus looking up non-respondents in the professional register. Interviews were conducted with fast-track graduates (n = 80) and employers (n = 29). Findings The overall rate of social work graduates not in statutory social work at 18 months post-qualification was 12% for fast-track programs, and Higher Education Statistics Agency survey data show attrition at 15 months post-qualification as 18% for all social work routes. Frontline's original national recruitment approach was less successful for retention than Step Up to Social Work's regional approach. Perceived local authority support and intrinsic job satisfaction were associated with attrition in longitudinal bivariate analysis. Fast-track graduates leaving statutory social work typically moved to work in social care (including policy roles), health, or education. Applications Early-career attrition appears to be somewhat lower from fast-track programs than from all social work graduates. Longer-term comparison is not yet possible. In promoting retention, employers should be aware of the importance of staff perceptions of the local authority as supportive, and of their intrinsic job satisfaction.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43520071","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-13DOI: 10.1177/14680173231194439
Shunichiro Nakao, Yuji Fukumori, Yumi Takahashi, H. Ogura, Jun Oda
When elderly patients are admitted to a hospital, they may require support from medical social workers during hospitalization. This study examined the association between patient characteristics and support provided by medical social workers in applications for social welfare benefits during hospitalization. We conducted a retrospective observational study of patients aged 65 years or older between October 2018 and September 2021 who had involvement by a medical social worker during their hospitalization at a tertiary care hospital in Japan. We evaluated associations between background factors and support in applying for social welfare benefits by medical social workers using logistic regression analysis. Among 485 eligible patients, 79 (16.3%) received support from a medical social worker in an application for social welfare benefits. Early elderly age (65–74 years) and living alone were independently associated with receiving support from medical social workers (adjusted odds ratio [OR] 1.98, 95% confidence interval [CI] 1.16–3.37, P = .012; 3.86, 95% CI 2.26–6.62, P < .001, respectively), regardless of sex, activities of daily living before admission, and presence of a regular doctor. The findings suggest that early elderly individuals who live alone may not be able to utilize the available welfare benefits and not have adequate support from family members when admitted to a tertiary care hospital, even if they have adequate activities of daily living and a regular doctor. Early intervention to improve social vulnerability may be required for early elderly individuals who live alone.
{"title":"Medical social worker support for elderly patients in a tertiary care hospital in Japan","authors":"Shunichiro Nakao, Yuji Fukumori, Yumi Takahashi, H. Ogura, Jun Oda","doi":"10.1177/14680173231194439","DOIUrl":"https://doi.org/10.1177/14680173231194439","url":null,"abstract":"When elderly patients are admitted to a hospital, they may require support from medical social workers during hospitalization. This study examined the association between patient characteristics and support provided by medical social workers in applications for social welfare benefits during hospitalization. We conducted a retrospective observational study of patients aged 65 years or older between October 2018 and September 2021 who had involvement by a medical social worker during their hospitalization at a tertiary care hospital in Japan. We evaluated associations between background factors and support in applying for social welfare benefits by medical social workers using logistic regression analysis. Among 485 eligible patients, 79 (16.3%) received support from a medical social worker in an application for social welfare benefits. Early elderly age (65–74 years) and living alone were independently associated with receiving support from medical social workers (adjusted odds ratio [OR] 1.98, 95% confidence interval [CI] 1.16–3.37, P = .012; 3.86, 95% CI 2.26–6.62, P < .001, respectively), regardless of sex, activities of daily living before admission, and presence of a regular doctor. The findings suggest that early elderly individuals who live alone may not be able to utilize the available welfare benefits and not have adequate support from family members when admitted to a tertiary care hospital, even if they have adequate activities of daily living and a regular doctor. Early intervention to improve social vulnerability may be required for early elderly individuals who live alone.","PeriodicalId":47142,"journal":{"name":"Journal of Social Work","volume":" ","pages":""},"PeriodicalIF":1.6,"publicationDate":"2023-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41375717","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"社会学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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