Supporting Relational, Trauma-Informed Social Care Work with Autistic Adults: Evaluation of a Reflective Supervision Group PilotHallinan, Patrick; McMahon, Aisling
doi: 10.1093/bjsw/bcad177pmid: N/A
There is a growing body of literature highlighting the need for reflective supervision to support the often complex and challenging practice of social care workers. The current study aimed to explore an Irish social care team’s experience of a pilot reflective supervision group. The study participants were six male social care workers supporting autistic adults in the community. The team met for four one-monthly group supervision sessions, facilitated by an external supervisor. A reflective, relational approach was taken to the supervisory work, using role-play, free association and the Seven-Eyed model of supervision. At the end of the four-month pilot, participants completed a brief questionnaire to evaluate the supervision group experience. Thematic analysis of the participants’ open responses revealed the following themes: (i) increased insight/empathy; (ii) experiential learning; (iii) enhanced awareness/skills in relational practice; (iv) personal resilience; (v) team resilience; and (vi) emotional challenges. The study results suggest the potential importance of reflective supervision in boosting resilience, motivation and emotional insight when supporting people with unique relational needs.
‘If I Count Everything That Is against Me. It Is My Colour. It Is That I Am a Woman’: Exploring the Lived Experiences of Racialised Older Migrant Women in FinlandKC, Smarika; Clarke, Kris; Seppänen, Marjaana
doi: 10.1093/bjsw/bcad178pmid: N/A
Critical race scholars in social work have underlined the importance of race. However, research in social work with older people have often bypassed analysis of the significance of race and racialisation as barriers that marginalised groups encounter due to their complex identities. The lived experiences of older racialised women in Finland are not sufficiently explored to understand how racialisation has an impact in their ageing. This article aims to address the gap in scholarship on how accumulated experiences of racism from the personal to structural levels throughout the life-course contribute to inequalities in ageing of migrant women. It investigates how older women from non-European migrant background narrate their experiences of racialisation in their everyday lives in Finland. It utilises the theoretical concepts of race, racism and racialisation to interpret the research findings. The article presents empirical findings from semi-structured interviews with twenty older women, which were analysed using a thematic analysis. The article concludes that it is key to recognise racism and its ramifications for ageing migrants in structures beyond the personal level. This study sheds light on the need to better understand the structural inequalities, intersecting identities and the lived experiences of older racialised women to promote social justice.
Practitioner Vulnerability in Children and Families Social Work—Identity, Impact and ImplicationsDore, Ian; Teverson, Paul; Wilkins, Sarah
doi: 10.1093/bjsw/bcad179pmid: N/A
Based on in-depth qualitative interviews, this article explores the experiences of vulnerability for nineteen children and families Social Workers in England and discusses how this emotional state manifests and impacts upon practice. As this study shows, workers frequently harbour personal vulnerabilities that can motivate them in their work and act as an enabler within relationships with service users; these same feelings can also provoke a sense of threat and discomfort, resulting in self-doubt and reduced confidence. Whether carried from the past or housed in the present, feelings of vulnerability often rise to the surface when provoked by routine encounters with clients and the knotty issues that surround them; what is valued by Social Workers encountering such feelings is a sense of validation and recognition. In taking an explicit focus on practitioner vulnerability, this article adds an original contribution to the literature concerning the emotional world of Social Workers. It reveals vulnerability to be an important component of identity and a driver for practice, which needs to be given greater consideration in social work training and employment, arguing that enhanced attention to worker histories, emotional challenges and self-care are not only necessary but also essential for practitioner and client well-being.
Complexity Theory and Child Protection and Welfare: A Tool of Hindsight and/or a Tool to Assist Improved Decision Making in Child Protection and Welfare WorkGillen, Aisling; Canavan, John
doi: 10.1093/bjsw/bcad180pmid: N/A
Child abuse and neglect is a ‘wicked problem’ (Devaney, J. and Spratt, T. (2009) ‘Child abuse as a complex and wicked problem: Reflecting on policy developments in the United Kingdom in working with children and families with multiple problems’, Children and Youth Services Review, 31(6), pp. 635–41.). Child Protection and Welfare (CPW) systems are open systems in which a wide variety of practitioners and families themselves contribute to outcomes. Small interacting changes in one part of a CPW system can lead to unpredictable and systemic effects so linear, technocratic solutions are not sufficient in addressing this complexity. Whilst CPW systems may aim to make clear roles and responsibilities, steered by legislation and regulatory guidance, complex systems do not behave as system designers expect. Recent literature has demonstrated a turn to complexity theory and systems theory concepts for understanding and working in the world of child protection. This article suggests a practice framework based on complexity theory concepts of self-organisation/emergence/adaptation, path-dependency and bifurcation. The utility of the framework is tested by its application to a fictionalised case study built on a thematic analysis of five National Review Panel published case reviews in the Irish child protection context (2019–2020). We argue that complexity theory may be a useful tool for both post hoc analytics as well as providing a proactive tool for application to practice to assist decision making in CPW systems, services and organisations.
Applying Logotherapy in Teaching Meaning in Life in Professional Training and Social Work EducationChan, Wallace Chi Ho
doi: 10.1093/bjsw/bcad181pmid: N/A
Meaning in life is an important topic for professional training and social work education. This article aims to illustrate how Viktor Frankl’s logotherapy could be applied as the framework in teaching meaning in life to social work students and helping professionals. It critically examines the experience of teaching meaning in life and integrating it with various training and education components, such as human behaviours, end-of-life and bereavement care, and self-care of helping professionals. Reflections on these teaching experiences suggest that the significance of teaching meaning in life is recognised by helping professionals and students, especially its dual influence on both personal and professional aspects. Lack of systematic and continuous training and education of meaning in life may be a hindrance for more in-depth understanding and learning. More case examples and discussion may help advance helping professionals’ practice to facilitate service users’ meaning searching. Reflecting on meaning in life may also facilitate helping professionals’ coping with existential challenges in work, but such self-care training should be offered regularly to provide continuous support. This article suggests that teaching meaning in life may have great implications for the psychological health of helping professionals and the service users who receive their professional services.
A Sociological Reading of Statutory Social Work and Irish Corporate Governmentality: On the Death of CreativityFlynn, Susan; Whelan, Joe
doi: 10.1093/bjsw/bcad182pmid: N/A
The corporate and neo-liberal governance of Irish social work, and a strangle-hold of legal-rational reasoning on the profession, has led statutory social work to be increasingly alienated from its traditional commitment to radical change in the pursuit of true social justice. Whilst this case has already been made, we set out to extend debates around an ‘epistemic schism’ in social work through a sociological critique of creativity. The demise of creativity arguably lies in the fettering of social work by corporate state entities, increasingly prescriptive governmental law and policy and a degree of deliberate deformation of social work through the health and social care regulator CORU. We argue that as the artistry of creative practice increasingly now comes under assault through proceduralisation, corporate governance and risk aversion, any remaining residuals of creativity also come to be repackaged and misappropriated in the form of ‘professional discretion’. What is at stake in the death of creativity is the death of anything surplus and exceptional to that which social workers are mandated to do. Moreover, we propose that without creativity, social workers can no longer fulfil the profession’s ideological goal of dismantling social injustice at a wider societal level.
Looking Through the Eyes of General Practitioners: The Role of Social Work in Primary Health CareFeryn, Nele; Boeckxstaens, Pauline; Ashcroft, Rachelle; De Corte, Joris; Roose, Rudi
doi: 10.1093/bjsw/bcad183pmid: N/A
In Flanders, Belgium, a primary healthcare reform is ongoing to strengthen the health system and work towards improving integrated care. At the core of this transformation stands a person-centred perspective that considers social factors, which increases the tendency for collaboration between health and welfare systems. Primary care physicians and social workers are urged to collaborate; however, the way general practitioners (GPs) define and utilise the role of social work remains unclear. This study explores the perceptions of GPs regarding the role of social work. Semi-structured interviews were conducted with twenty-three GPs, working under both fee-for-service and capitation financing systems, with varying years of experience and in different geographical areas. The findings reveal that physicians recognise the influence of social factors on their patients care needs, yet, struggle with addressing them. Due to limited experience and understanding of the role of social work, GPs primarily focus on its value in individual cases, whilst having less awareness of their role and potential at the neighbourhood, organisational or population level. This study identified different factors that either facilitate or hinder collaboration with social work. The implications for the social work profession and future joint efforts are discussed.
Burdened but Meaningful?: How Gender Role Attitudes Influence the Complex Links between Care-giver Self-Efficacy, Formal Support Utilisation and Benefit-Finding among Spousal Care-giversYan, Zi; Zhang, Jiyuan; Sun, Xin
doi: 10.1093/bjsw/bcad184pmid: N/A
To foster family caregiving resilience, helping care-givers find benefits to further promoting care-giver and care-recipient well-being has emerged as an efficacious intervention in geriatric social work practice. This cross-sectional mixed-methods study investigates how gender role attitudes influence the complex associations between care-giver self-efficacy, formal support utilisation and benefit-finding among spousal care-givers. A total of 210 spousal care-giver/care-recipient dyads from four Chinese cities participated in a survey from July to August 2021. The survey used the Positive Aspects of Caregiving Scale, Caregiver Task Inventory Scale and Gender Role Attitude Scale. Mediation and moderated mediation analysis found that care-giver self-efficacy partially mediated the path of the primary stressor and benefit-finding; formal support utilisation directly moderated the mediated pathways linking primary stressor, care-giver self-efficacy and benefit-finding; and gender role attitudes moderated these intersections. Qualitative analysis revealed that spousal care-givers with high self-efficacy, who used formal support services, and who had modern gender role attitudes found the most benefits in caregiving. The findings also suggested that professionals should recognise the influence of gender role attitudes in spousal caregiving and incorporate this understanding into the development of tailored psychoeducational interventions aimed at promoting care-giver well-being.
Exploring the Lived Experiences of Compassion Fatigue in Parents who Adopt Children with Trauma HistoriesAgius, Claire; Eve, Zarah; Pearson, Rebecca
doi: 10.1093/bjsw/bcad185pmid: N/A
The challenges of caring for children with early life adversity have been identified as contributing to feelings of compassion fatigue (CF)—an emotional disconnection resulting from repeated exposure to another’s trauma. Although extensive studies have focused on contributors to trauma-inducing workplace stress and well-being, research on trauma-related stress in the home, especially in adoptive parent populations, is relatively underexplored. This study aimed to understand how adoptive parents make sense of their experiences of parenting adopted children, identify core components of CF, understand parents’ perceptions of contributing factors and explore wider relational impacts. Parents were recruited from Adoption UK via email invite. Semi-structured interviews were conducted with twelve parents to form a holistic picture of adoptive parents’ experiences. Data were analysed using Reflexive Thematic Analysis. Findings yielded three overarching and interrelated themes: (i) a parent not a therapist; (ii) strained connections; and (iii) support is a mirage. Findings support recent literature highlighting the reality of CF in adoptive parents and the need to develop more preventative structures and responsive systems of support adapted to the needs of adopted children but also the unique needs of their families to help prevent mental health crises across the family and adoption breakdowns.
Strengths-based Approaches—Perspectives from PractitionersCaiels, James; Silarova, Barbora; Milne, Alisoun J; Beadle-Brown, Julie
doi: 10.1093/bjsw/bcad186pmid: N/A
Despite its popularity, relatively little is known about strengths-based approaches in adult social work. In order to explore how strengths-based models and approaches are developed and implemented in social work and social care in England, and how these models are impacting practice, a two-stage project was conducted between December 2020 and October 2021. An online survey was completed by thirty-two respondents and a sub-sample of ten semi-structured interviews were conducted with social work and social care professionals involved in organising, managing, delivering or commissioning strengths-based approaches. The majority of participants were social workers. A range of positive outcomes were reported including improved reported well-being and satisfaction for people accessing services and enriched interactions (greater empathy, trust, better rapport), particularly for social workers. Challenges included incompatibility of systems and organisational structures; workload pressures and a depleted workforce; limited resources and applying the model at crisis point. The principles and values associated with adopting a strengths-based approach appear consistent with providing high-quality social work. The challenge for researchers—and to some extent practitioners—is how to meaningfully capture the nuanced impact of such a multi-dimensional approach. The challenge for policy is how to operationalise and replicate the benefits.