Abstract Several risk factors for children’s mental health and wellness have been established. These are compounded by inequalities, especially in Majority World Countries (MWC). As evidence is largely based on adult reports, we aimed to capture children’s experiences of risk across five MWC resource-constrained settings (Brazil, Pakistan, Turkey, Kenya, and South Africa) during the height of COVID-19 pandemic. Participants included 36 children aged 8–10 years and 37 young people aged 14–16 years. We employed a thematic design using a participatory methodological approach in collecting data through diary entries, drawings, posters, focus groups discussions, and child-led interviews with elders. Two researchers integrated and analysed the data set through a thematic codebook framework. Three identified themes related to exacerbation of existing risks, disruption or loss of protective factors, and lack of access to structural supports. Children linked risk factors along their socioecology. The findings have implications in actively involving children as social actors in determining and addressing risk for mental health and wellness through child-centred and multi-sectoral policy and interventions.
{"title":"Risk factors for mental health and wellness: children’s perspectives from five Majority World Countries","authors":"Panos Vostanis, Sadiyya Haffejee, Elijah Getanda, Seyda Eruyar, Sajida Hassan, Michelle O’Reilly","doi":"10.1080/13698575.2023.2258381","DOIUrl":"https://doi.org/10.1080/13698575.2023.2258381","url":null,"abstract":"Abstract Several risk factors for children’s mental health and wellness have been established. These are compounded by inequalities, especially in Majority World Countries (MWC). As evidence is largely based on adult reports, we aimed to capture children’s experiences of risk across five MWC resource-constrained settings (Brazil, Pakistan, Turkey, Kenya, and South Africa) during the height of COVID-19 pandemic. Participants included 36 children aged 8–10 years and 37 young people aged 14–16 years. We employed a thematic design using a participatory methodological approach in collecting data through diary entries, drawings, posters, focus groups discussions, and child-led interviews with elders. Two researchers integrated and analysed the data set through a thematic codebook framework. Three identified themes related to exacerbation of existing risks, disruption or loss of protective factors, and lack of access to structural supports. Children linked risk factors along their socioecology. The findings have implications in actively involving children as social actors in determining and addressing risk for mental health and wellness through child-centred and multi-sectoral policy and interventions.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"24 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135870448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-09-10DOI: 10.1080/13698575.2023.2256794
Hamid Bulut, Robin Samuel
Abstract Citizens’ trust in government is crucial in managing crises that require coordination as it is linked to cooperative behaviour and sociability. Willingness to adopt appropriate health measures plays a decisive role in the effective containment of COVID-19 and other pandemics. Preventive health measures such as physical distancing, avoiding crowded places, wearing masks, and frequent hand washing reduce the spread of the virus. In this study, we examined how trust in government, risk perception, and knowledge were separately and jointly related to compliance with preventive health measures. We focused on young adults who are less prone to the disease than older demographics, who therefore have fewer incentives to protect themselves, and are accordingly pertinent for the study of public health and understandings of risk. Using recent data from a survey completed by 2,455 young people in Luxembourg, we employed structural equation modelling to assess our hypotheses. We found that trust in government, risk perceptions, and COVID-19 knowledge are important predictors of young people’s adherence to health measures and prosocial protection. Additionally, these factors are interrelated in several complex and non-linear ways. Our findings provide insights into young people’s specific health behaviours, highlighting the roles of risk perception and trust in government in mitigating the spread of COVID-19 and other infectious diseases.
{"title":"The role of trust in government and risk perception in adherence to COVID-19 prevention measures: survey findings among young people in Luxembourg","authors":"Hamid Bulut, Robin Samuel","doi":"10.1080/13698575.2023.2256794","DOIUrl":"https://doi.org/10.1080/13698575.2023.2256794","url":null,"abstract":"Abstract Citizens’ trust in government is crucial in managing crises that require coordination as it is linked to cooperative behaviour and sociability. Willingness to adopt appropriate health measures plays a decisive role in the effective containment of COVID-19 and other pandemics. Preventive health measures such as physical distancing, avoiding crowded places, wearing masks, and frequent hand washing reduce the spread of the virus. In this study, we examined how trust in government, risk perception, and knowledge were separately and jointly related to compliance with preventive health measures. We focused on young adults who are less prone to the disease than older demographics, who therefore have fewer incentives to protect themselves, and are accordingly pertinent for the study of public health and understandings of risk. Using recent data from a survey completed by 2,455 young people in Luxembourg, we employed structural equation modelling to assess our hypotheses. We found that trust in government, risk perceptions, and COVID-19 knowledge are important predictors of young people’s adherence to health measures and prosocial protection. Additionally, these factors are interrelated in several complex and non-linear ways. Our findings provide insights into young people’s specific health behaviours, highlighting the roles of risk perception and trust in government in mitigating the spread of COVID-19 and other infectious diseases.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136071439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-13DOI: 10.1080/13698575.2023.2202686
M. Shapiro, S. Arora, F. Bouder
Abstract This article analyses patterns of compliance with COVID-19 regulations in Southwest Norway. Based on ethnographic fieldwork and a series of interviews, we contrast grassroots discourses with the Norwegian government’s own emphasis on ‘trust’ in its risk communication strategies. As opposed to the official claim that Norwegians complied with COVID-19 emergency regulations because they trusted the authorities, the evidence suggests that citizens complied more due to the informal pressure of their peers. Affective reciprocity and moral judgement, including the dynamics of kinship sociability in which they are expressed, here acquire a critical analytical dimension. In dialogue with dominant theories of trust in risk studies, we argue that such relational aspects of everyday life should be taken into consideration as essential factors for any health risk mitigation strategy.
{"title":"Reassessing social trust: gossip, self-policing, and Covid-19 risk communication in Norway","authors":"M. Shapiro, S. Arora, F. Bouder","doi":"10.1080/13698575.2023.2202686","DOIUrl":"https://doi.org/10.1080/13698575.2023.2202686","url":null,"abstract":"Abstract This article analyses patterns of compliance with COVID-19 regulations in Southwest Norway. Based on ethnographic fieldwork and a series of interviews, we contrast grassroots discourses with the Norwegian government’s own emphasis on ‘trust’ in its risk communication strategies. As opposed to the official claim that Norwegians complied with COVID-19 emergency regulations because they trusted the authorities, the evidence suggests that citizens complied more due to the informal pressure of their peers. Affective reciprocity and moral judgement, including the dynamics of kinship sociability in which they are expressed, here acquire a critical analytical dimension. In dialogue with dominant theories of trust in risk studies, we argue that such relational aspects of everyday life should be taken into consideration as essential factors for any health risk mitigation strategy.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"2 1","pages":"180 - 198"},"PeriodicalIF":2.1,"publicationDate":"2023-04-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84717951","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-10DOI: 10.1080/13698575.2023.2201292
D. Baker, Dana Norris, L. Newman, Veroniki Cherneva
Abstract This article examines how deaths related to mental health in England and Wales are investigated and the extent to which lessons are learned in their aftermath. It uses two concepts from academic literature to discuss organisational responses to these deaths: organisational learning, and organised irresponsibility. Organisational learning stresses the importance of learning lessons from data; in contrast, Beck’s concept of organised irresponsibility states that organisational lesson learning is impeded by the fragmented and risk-averse nature of public institutions. The article considers 210 organisational responses to Reports to Prevent Future Deaths (PFDs) issued by Coroners. PFDs are sent to any organisation Coroners believe could act to prevent future deaths. The article identifies three findings: Firstly, organisations tend to produce generic responses rather than addressing specific issues raised by Coroners. Second, organisations tend to cite existing policies as responses to Coroners despite those policies not preventing specific deaths. Third, institutions seek to displace blame onto other organisations in attempting to avoid accepting responsibility for the death. The article adds to the canon of knowledge on deaths in healthcare, and in the care of the state by identifying significant structural weaknesses that impede organisational lesson learning about preventable deaths.
{"title":"Organisational learning, or organised irresponsibility? Risk, opacity and lesson learning about mental health related deaths","authors":"D. Baker, Dana Norris, L. Newman, Veroniki Cherneva","doi":"10.1080/13698575.2023.2201292","DOIUrl":"https://doi.org/10.1080/13698575.2023.2201292","url":null,"abstract":"Abstract This article examines how deaths related to mental health in England and Wales are investigated and the extent to which lessons are learned in their aftermath. It uses two concepts from academic literature to discuss organisational responses to these deaths: organisational learning, and organised irresponsibility. Organisational learning stresses the importance of learning lessons from data; in contrast, Beck’s concept of organised irresponsibility states that organisational lesson learning is impeded by the fragmented and risk-averse nature of public institutions. The article considers 210 organisational responses to Reports to Prevent Future Deaths (PFDs) issued by Coroners. PFDs are sent to any organisation Coroners believe could act to prevent future deaths. The article identifies three findings: Firstly, organisations tend to produce generic responses rather than addressing specific issues raised by Coroners. Second, organisations tend to cite existing policies as responses to Coroners despite those policies not preventing specific deaths. Third, institutions seek to displace blame onto other organisations in attempting to avoid accepting responsibility for the death. The article adds to the canon of knowledge on deaths in healthcare, and in the care of the state by identifying significant structural weaknesses that impede organisational lesson learning about preventable deaths.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"50 1","pages":"268 - 284"},"PeriodicalIF":2.1,"publicationDate":"2023-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83076434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-02DOI: 10.1080/13698575.2023.2198558
Charlene Elliott, M. Ventresca, Emily Truman
Abstract Young adults are the most prominent users of cannabis in Canada, which was legalised for recreational use in 2018. Edibles are a highly popular form of cannabis delivery for this age group, yet little qualitative research explores young adult perspectives on edibles, including how edibles function socially for them, or are viewed in terms of risk. This study fills this research gap, conducting focus groups with 57 young adults (ages-18–24) in Calgary, Alberta, Canada to explore the ‘risk object’ of cannabis edibles. Findings reveal that delivery mechanism of cannabis – that is, cannabis in food form compared to smoked/inhaled – significantly shifts perceptions of risk by young adults. Edibles were viewed as less risky than smoking cannabis, and participants stated they were more willing to consume edibles than in any other form (and especially in social settings). Risks associated with edibles were primarily short-term/related to over-consumption and were largely mitigated by legalisation. However, participants also emphasised risks for others (including children and inexperienced consumers). Overall, the ‘risk object’ of cannabis edibles shifts depending on the audience considered. Participants described individual consumers as shouldering primary responsibility for managing risks related to cannabis edibles, despite manufacturer and government roles in regulating product quality and protecting vulnerable populations.
{"title":"The “risk object” of cannabis edibles: perspectives from young adults in Canada","authors":"Charlene Elliott, M. Ventresca, Emily Truman","doi":"10.1080/13698575.2023.2198558","DOIUrl":"https://doi.org/10.1080/13698575.2023.2198558","url":null,"abstract":"Abstract Young adults are the most prominent users of cannabis in Canada, which was legalised for recreational use in 2018. Edibles are a highly popular form of cannabis delivery for this age group, yet little qualitative research explores young adult perspectives on edibles, including how edibles function socially for them, or are viewed in terms of risk. This study fills this research gap, conducting focus groups with 57 young adults (ages-18–24) in Calgary, Alberta, Canada to explore the ‘risk object’ of cannabis edibles. Findings reveal that delivery mechanism of cannabis – that is, cannabis in food form compared to smoked/inhaled – significantly shifts perceptions of risk by young adults. Edibles were viewed as less risky than smoking cannabis, and participants stated they were more willing to consume edibles than in any other form (and especially in social settings). Risks associated with edibles were primarily short-term/related to over-consumption and were largely mitigated by legalisation. However, participants also emphasised risks for others (including children and inexperienced consumers). Overall, the ‘risk object’ of cannabis edibles shifts depending on the audience considered. Participants described individual consumers as shouldering primary responsibility for managing risks related to cannabis edibles, despite manufacturer and government roles in regulating product quality and protecting vulnerable populations.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"96 1","pages":"252 - 267"},"PeriodicalIF":2.1,"publicationDate":"2023-04-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85892113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-03-30DOI: 10.1080/13698575.2023.2197780
O. Lian, S. Nettleton, Huw Grange, C. Dowrick
Abstract The main objective of this study is to gain knowledge about interactional factors that support and obstruct mutual risk-assessments and shared decision-making (SDM) in clinical consultations. Through a narrative analysis of verbatim transcripts of 28 naturally occurring consultations performed in English National Health Service practices, we explore the ways in which patients and general practitioners conceptualise, construct and negotiate risks related to diagnostic tests and medical treatments. Consultations were sampled from a corpus of 212 consultation transcripts from the One in a Million: Primary care consultations archive on the basis that they contained the word ‘risk(s)’. Most sampled cases relate to cardiovascular conditions and cancer. Drawing on a social constructionist perspective and the relational theory of risk, we found that while GPs talked about mathematical-probabilistic population risk, patients expressed their own experiences of possible future dangers, conceptualised through words like ‘worried’, ‘scared’ and ‘concerned’. Risk objects, defined here as entities to which harmful consequences are conceptually attached, were constructed differently by patients and GPs, especially in relation to cardiovascular risks. Their different rationalities sometimes obstructed any form of mutual risk-assessments. The relational theory of risk proved to be a useful theoretical frame for exploring layers and configurations of risk constructions among patients and clinicians, and for capturing interactional factors that support and obstruct mutual risk-assessments and SDM. For patients to be able to engage in genuine dialogues and make informed decisions about their care, it is paramount for patients and doctors to co-construct patients’ health-risks during clinical encounters.
{"title":"‘I’d best take out life insurance, then.’ Conceptualisations of risk and uncertainty in primary care consultations, and implications for shared decision-making","authors":"O. Lian, S. Nettleton, Huw Grange, C. Dowrick","doi":"10.1080/13698575.2023.2197780","DOIUrl":"https://doi.org/10.1080/13698575.2023.2197780","url":null,"abstract":"Abstract The main objective of this study is to gain knowledge about interactional factors that support and obstruct mutual risk-assessments and shared decision-making (SDM) in clinical consultations. Through a narrative analysis of verbatim transcripts of 28 naturally occurring consultations performed in English National Health Service practices, we explore the ways in which patients and general practitioners conceptualise, construct and negotiate risks related to diagnostic tests and medical treatments. Consultations were sampled from a corpus of 212 consultation transcripts from the One in a Million: Primary care consultations archive on the basis that they contained the word ‘risk(s)’. Most sampled cases relate to cardiovascular conditions and cancer. Drawing on a social constructionist perspective and the relational theory of risk, we found that while GPs talked about mathematical-probabilistic population risk, patients expressed their own experiences of possible future dangers, conceptualised through words like ‘worried’, ‘scared’ and ‘concerned’. Risk objects, defined here as entities to which harmful consequences are conceptually attached, were constructed differently by patients and GPs, especially in relation to cardiovascular risks. Their different rationalities sometimes obstructed any form of mutual risk-assessments. The relational theory of risk proved to be a useful theoretical frame for exploring layers and configurations of risk constructions among patients and clinicians, and for capturing interactional factors that support and obstruct mutual risk-assessments and SDM. For patients to be able to engage in genuine dialogues and make informed decisions about their care, it is paramount for patients and doctors to co-construct patients’ health-risks during clinical encounters.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"21 1","pages":"234 - 251"},"PeriodicalIF":2.1,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88693752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-02-17DOI: 10.1080/13698575.2023.2172142
R. Crath, J. Dixon, J. Warner
Abstract In this editorial we introduce a special thematic collection of articles which focus on how risk operates, or is conceptualised, at the boundaries of social work practice. The collection includes theoretical, empirical, and practice-oriented articles, each of which critically engages with contemporary debates about risk and social work and its complex intersections with boundary making in diverse fields. These fields include social work with older people, child sexual abuse and exploitation, and people with learning disabilities. We begin the editorial with a brief account of how social work can be defined and the competing ideological traditions that underpin differing forms of social work in practice, policy, and research. We also point to the contrasting nature of risk studies in relation to social work, ranging from the pragmatic concern with measuring and managing risk, to critical analysis of how and why risk is conceptualised and socially constructed in particular ways. We provide an overview of each of the five articles that comprise the special issue, their intersecting themes, and how they animate in different ways the idea of boundaries and boundary making. In the final section of the editorial, we consider the possibilities for the future direction of theoretical and empirical work in this field.
{"title":"Risk at the boundaries of social work: an editorial","authors":"R. Crath, J. Dixon, J. Warner","doi":"10.1080/13698575.2023.2172142","DOIUrl":"https://doi.org/10.1080/13698575.2023.2172142","url":null,"abstract":"Abstract In this editorial we introduce a special thematic collection of articles which focus on how risk operates, or is conceptualised, at the boundaries of social work practice. The collection includes theoretical, empirical, and practice-oriented articles, each of which critically engages with contemporary debates about risk and social work and its complex intersections with boundary making in diverse fields. These fields include social work with older people, child sexual abuse and exploitation, and people with learning disabilities. We begin the editorial with a brief account of how social work can be defined and the competing ideological traditions that underpin differing forms of social work in practice, policy, and research. We also point to the contrasting nature of risk studies in relation to social work, ranging from the pragmatic concern with measuring and managing risk, to critical analysis of how and why risk is conceptualised and socially constructed in particular ways. We provide an overview of each of the five articles that comprise the special issue, their intersecting themes, and how they animate in different ways the idea of boundaries and boundary making. In the final section of the editorial, we consider the possibilities for the future direction of theoretical and empirical work in this field.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"31 2","pages":"1 - 8"},"PeriodicalIF":2.1,"publicationDate":"2023-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72369263","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-10DOI: 10.1080/13698575.2023.2166019
J. Mooney
Abstract Disclosure of childhood sexual abuse is a process that is often laden with boundary testing, decision-making and, at times, risk. Disclosures tend to be delayed, often into adulthood and later life, with disclosures to authorities remaining relatively low. In the Republic of Ireland adults who disclose experiences of childhood sexual abuse are directed towards child protection services due to an interplay between jurisprudence, child protection policy design, and mandatory reporting obligations, requiring social work practitioners to balance the social and the legal. This article compares Foucault’s concept of the confessional to current social work practices of engaging with adult victims and survivors of abuse. It is argued that thinking about these interactions as a confessional-like system highlights a process of knowledge creation that is taking place when a personal narrative of abuse is shared, willingly or via mandated reporting, with a child protection agency under the auspices of a modern state. This ‘confessional-lens’ helps us identify a tipping of the balance in this area of social work practice, away from provision of care and person-centredness, across a boundary, to legalistic practice. Narratives of childhood abuse are transformed into knowledge deemed necessary to assess current risk to children. A process that places the adult on the periphery, leading to a potential for harm and re-traumatisation.
{"title":"Personal narratives, public risk: using Foucault’s ‘confessional’ to examine adult retrospective disclosures of childhood abuse","authors":"J. Mooney","doi":"10.1080/13698575.2023.2166019","DOIUrl":"https://doi.org/10.1080/13698575.2023.2166019","url":null,"abstract":"Abstract Disclosure of childhood sexual abuse is a process that is often laden with boundary testing, decision-making and, at times, risk. Disclosures tend to be delayed, often into adulthood and later life, with disclosures to authorities remaining relatively low. In the Republic of Ireland adults who disclose experiences of childhood sexual abuse are directed towards child protection services due to an interplay between jurisprudence, child protection policy design, and mandatory reporting obligations, requiring social work practitioners to balance the social and the legal. This article compares Foucault’s concept of the confessional to current social work practices of engaging with adult victims and survivors of abuse. It is argued that thinking about these interactions as a confessional-like system highlights a process of knowledge creation that is taking place when a personal narrative of abuse is shared, willingly or via mandated reporting, with a child protection agency under the auspices of a modern state. This ‘confessional-lens’ helps us identify a tipping of the balance in this area of social work practice, away from provision of care and person-centredness, across a boundary, to legalistic practice. Narratives of childhood abuse are transformed into knowledge deemed necessary to assess current risk to children. A process that places the adult on the periphery, leading to a potential for harm and re-traumatisation.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"1 1","pages":"61 - 74"},"PeriodicalIF":2.1,"publicationDate":"2023-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76424492","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-08DOI: 10.1080/13698575.2022.2154323
J. Österholm, Anna Olaison, Annika Taghizadeh Larsson
Abstract Within a context where New Public Management [NPM] has become increasingly influential in shaping everyday working practices, social workers often handle risks in their everyday work using formalised bureaucratic procedures, among other strategies. As the COVID-19 pandemic progressed, rapid changes occurred in Swedish elder care that social workers were required to address in their everyday work. Intra-professional case conferences amongst social workers provide one opportunity to discuss individual viewpoints and obtain suggestions from colleagues on how to proceed with a case. These discussions have so far received little scholarly attention. In this study we used a data set consisting of 39 audio-recorded case conferences to analyse social workers’ intra-professional discussions about risks during the COVID-19 pandemic. In the case conferences, social workers discussed the risks that were accentuated by the pandemic, such as the risk of spreading COVID-19 to clients, the risk of unmet care needs amongst clients, risks related to accountability, and the risks pertaining to blurred boundaries between different organisations. The collegial discussions in case conferences included opportunities for social workers to use their collective professional experience and competency to establish creative solutions ‘on the go’ and to discuss various ways of handling and balancing different risks while continuing to carry out their work in the changing and unknown situation. Our findings highlight the importance of collegial support in social work in dealing with accentuated risks during the pandemic.
{"title":"‘How shall we handle this situation?’ Social workers’ discussions about risks during the COVID-19 pandemic in Swedish elder care","authors":"J. Österholm, Anna Olaison, Annika Taghizadeh Larsson","doi":"10.1080/13698575.2022.2154323","DOIUrl":"https://doi.org/10.1080/13698575.2022.2154323","url":null,"abstract":"Abstract Within a context where New Public Management [NPM] has become increasingly influential in shaping everyday working practices, social workers often handle risks in their everyday work using formalised bureaucratic procedures, among other strategies. As the COVID-19 pandemic progressed, rapid changes occurred in Swedish elder care that social workers were required to address in their everyday work. Intra-professional case conferences amongst social workers provide one opportunity to discuss individual viewpoints and obtain suggestions from colleagues on how to proceed with a case. These discussions have so far received little scholarly attention. In this study we used a data set consisting of 39 audio-recorded case conferences to analyse social workers’ intra-professional discussions about risks during the COVID-19 pandemic. In the case conferences, social workers discussed the risks that were accentuated by the pandemic, such as the risk of spreading COVID-19 to clients, the risk of unmet care needs amongst clients, risks related to accountability, and the risks pertaining to blurred boundaries between different organisations. The collegial discussions in case conferences included opportunities for social workers to use their collective professional experience and competency to establish creative solutions ‘on the go’ and to discuss various ways of handling and balancing different risks while continuing to carry out their work in the changing and unknown situation. Our findings highlight the importance of collegial support in social work in dealing with accentuated risks during the pandemic.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"17 1","pages":"28 - 44"},"PeriodicalIF":2.1,"publicationDate":"2022-12-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86700794","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-12-02DOI: 10.1080/13698575.2022.2150750
Gabe Mythen, S. Weston
Abstract This article draws on data collected from a qualitative study designed to assess the effectiveness of an early intervention programme aimed to raise awareness of Child Sexual Exploitation (CSE) among young people. The programme was implemented by a large police force area, referred to as Shireland. Drawing on semi-structured interviews with practitioners implementing safeguarding policies within the police service, youth and social welfare work designed to support young people, we focus on the mobilisation of perceptions of risk and vulnerability as they translate in professional practice via a specific preventative initiative. More specifically, we wish to examine the extent to which blurring occurs between constructions of ‘risk’ and ‘vulnerability’ in relation to practitioners’ understandings of the dangerousness of young people’s behaviour. In our analysis, we draw attention to a palpable tension apparent in the interview narratives of those involved in delivering the programme, between expressed understandings which on the one hand universalise vulnerability and, on the other, extricate specific risk factors.
{"title":"Interrogating the deployment of ‘risk’ and ‘vulnerability’ in the context of early intervention initiatives to prevent child sexual exploitation","authors":"Gabe Mythen, S. Weston","doi":"10.1080/13698575.2022.2150750","DOIUrl":"https://doi.org/10.1080/13698575.2022.2150750","url":null,"abstract":"Abstract This article draws on data collected from a qualitative study designed to assess the effectiveness of an early intervention programme aimed to raise awareness of Child Sexual Exploitation (CSE) among young people. The programme was implemented by a large police force area, referred to as Shireland. Drawing on semi-structured interviews with practitioners implementing safeguarding policies within the police service, youth and social welfare work designed to support young people, we focus on the mobilisation of perceptions of risk and vulnerability as they translate in professional practice via a specific preventative initiative. More specifically, we wish to examine the extent to which blurring occurs between constructions of ‘risk’ and ‘vulnerability’ in relation to practitioners’ understandings of the dangerousness of young people’s behaviour. In our analysis, we draw attention to a palpable tension apparent in the interview narratives of those involved in delivering the programme, between expressed understandings which on the one hand universalise vulnerability and, on the other, extricate specific risk factors.","PeriodicalId":47341,"journal":{"name":"Health Risk & Society","volume":"12 1","pages":"9 - 27"},"PeriodicalIF":2.1,"publicationDate":"2022-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78170380","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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