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