These interviews with social workers evidence a rich understanding of person-centred practice responses to self-neglect, irrespective of whether homelessness and drug use featured, but what also emerged were questions and uncertainties within contemporary social work in England. Accessibly relating theory and research to actual practice through the use of case studies, exercises, and suggestions for good practice and further reading, this book has a student-friendly structure It will be an invaluable resource for practitioners and academics across the field of social welfare, particularly for those embarking on, or already involved in, child and family assessment. Did you know We have over 220 college courses that prepare you to earn When asked if a safeguarding referral would be appropriate, responses barely varied between Jane A and B. Assessing a Social Work Client's Strengths & Weaknesses. The inventory gathers information on 27 different areas of . However, as interviews progressed a divergence between approaches to Jane A and B became more noticeable when some participants reported uncertainty about whether someone who is homeless falls under the umbrella of Adult Social Care. In their responses to both vignettes, participants described undertaking needs assessments (s.9 Care Act 2014) or trying to gather information for one. Child & Family Assessment in Social Work Practice. Large amounts of personal items have accumulated inside the flat and backyard. Assessment is a core activity of social work practices, which should be a process capable of responding to dynamic factors in the lives of service users. The strengths-based approach to social work focuses on a client's personal, relational, and community assets, rather than their deficits (Pulla, 2017). Safeguarding was variously described as appropriate if Jane was found to lack capacity to make decisions around the risks, if the risks were severe, or if it took a long time to establish the rapport necessary to conduct an assessment and Jane was refusing assistance. Hello, would you like to continue browsing the SAGE website? Several described eligibility for care and support under the Act (s.13) as open to interpretation and reported differing approaches within LAs, in particular in relation to homelessness: The Care Act is quite open to interpretation, yes, youve got the wellbeing part of it, but I do still think it is open to interpretation to a degree, depending on which LA you work for. Participants discussed one vignette and were asked their views on the Care Act 2014 and howor ifit safeguards adults who self-neglect and are homeless. With both vignettes, participants said they would refer to multi-agency forums because Jane was rejecting support, and occasionally this included safeguarding. Holland, Sally. Cooper, Barry practice. This may limit the generalisability of the findings. Some described how someone would often be housed, unsupported, in poor quality temporary accommodation, which led to a tenancy failure and a return to homelessness: Ive got a case thats similar my guy is currently in temporary accommodation a really horrible place to live. The institutional subscription may not cover the content that you are trying to access. More recently, the government-commissioned programme by the Advisory Council on the Misuse of Drugs (2019) concluded that mainstream social care, health and some drug services do not meet the needs of people who are homeless, particularly rough sleepers, and proposed integrated health and social care approaches to recovery and housing, particularly for individuals with multi-faceted problems. Discussion of risk featured strongly and unprompted; participants identified main factors, discussed levels, and talked about assessing, reducing and managing risks. If you see Sign in through society site in the sign in pane within a journal: If you do not have a society account or have forgotten your username or password, please contact your society. Learn more about how goals contribute to wellbeing and the purpose, benefits and understanding of goals. The patient is assessed in 6 domains: access to care, economics, housing, psychological status, social support, and functional status. Learn about the importance of factors such as geriatrics, other special needs, foster or group care, and others. Mutual Efficacy, Self-Efficacy, and Collective Efficacy Theory: An Examination of Empowerment and Activism, Implementation Challenges of T Visa Eligibility for Human Trafficking Survivors: A Role for Social Work, About the National Association of Social Workers, Subscription prices and ordering for this journal, Purchasing options for books and journals across Oxford Academic, Receive exclusive offers and updates from Oxford Academic. Discover the methods used to assess a client's motivation and resistance in a psychological setting. Similarly, self-neglect is strongly associated with refusal of assistanceplacing someone outside support structures. Advocacy 31 Standard 8. Another perspective was that Jane might be assessed, but if she was a street sleeper and drug user she would be unlikely to be offered social care. Social workers interviewed prior to the Care Act 2014 reported how some people experiencing MEH might be marginalised by social services inclusion (or exclusion) policies (Manthorpe et al., 2015). The book provides a thorough understanding of the issues and skills essential for effective practice. However, by trying to realize the so-called triple-mandate of social work, professionals and students on qualifying training sometimes struggle to consider simultaneously client and organizational aspects, and to embrace both outcome-orientation and process-orientation. A neighbour who occasionally says hello to Jane has raised concerns about her deteriorating health. The Author(s) 2022. Participants reflected that not all colleagues would invest equally in working in complex and potentially hostile situations, and having identified themselves as having an interest in self-neglect, some noted that they would be likely to take, or advise colleagues on, similar cases, having assumed (usually) informal roles as self-neglect champions or practice leads, a role that could be supported and formalised. Assessment in Social Work Practice. Assessment of student learning outcomes is an essential component of competency-based Learn about motivational interviewing and strength-based treatment and intervention. Available Formats Click the account icon in the top right to: Oxford Academic is home to a wide variety of products. Focusing on core assessments and guiding the reader through the complexities of conducting assessments of need and risk, the book now includes within each . This is a general risk assessment social work professionals can use for any type of client and client situation. This thoroughly revised and updated second edition of Child and Family Assessment in Social Work Practice is an essential guide for social work students and practitioners involved in the assessment of children and their families. Discover methods used to assess group functioning and how to utilize this information. See below. Examine the importance of positive and negative coping abilities. View the institutional accounts that are providing access. Compton and Galaway feature Phases of the Problem-Solving Model: Phase I - Contact or Engagement Phase At times there was unquestioning acceptance of this approach, so if homelessness was a factor other potential concerns, such as care and support needs or safeguarding, were not addressed. Choose this option to get remote access when outside your institution. Change location, Chapter 1: A framework for assessment, risk and decisions, Chapter 2: Involving clients in assessment and decisions, Chapter 3: Assessing needs, risk and capacity: tools and processes, Chapter 4: Collaborating, communicating and managing conflict in making decisions, Chapter 5: Knowledge, critical thinking analysis and reflection, Chapter 6: Legal and ethical aspects of assessment, risk and decisions, Chapter 7: Professional judgement and using knowledge in practice, Chapter 8: Safeguarding and eligibility for services, Chapter 9: Managing risk and positive risk-taking in planning care, Chapter 10: Developing your professional skills, Scottish Journal of Residential Child Care - Vol 19, No 3, Health, Care and Early Years, Yeovil College, School of Health Professions, Plymouth University, Social Work and Professional Practice, Nottingham Trent University, Health and Social Care at Derby, Derby University, Political Science & International Relations, Research Methods, Statistics & Evaluation, http://ed.gov/policy/highered/leg/hea08/index.html, Decision Making, Assessment and Risk in Social Work, Getting Ready for Direct Practice in Social Work. You will also look at the role of client engagement in the intervention process. By examining these aspects, you will be able to identify what needs to change and why, and generate an idea about what should happen next. Copyright 2023 National Association of Social Workers. Case studies and practice questions throughout make the connections between theory and practice explicit. Do not use an Oxford Academic personal account. You are in: North America Add this content to your learning management system or webpage by copying the code below into the HTML editor on the page. Assessment tool used to depict the location of supports and barriers or problems that affect a clt's interactions with social environment. Social work competence is the ability to integrate and apply social work knowledge, values, skills, and cognitive and affective processes to practice situations in a culturally responsive, . Level 1 represents patients whose basic needs are met. There may be uncertainty about the degree that someone is excluded, or is excluding themselves, from social norms. Early Works Assessment in social work has its roots in both the Charity Organization Societythe first organizational effort to structure social work (see History of Social Work in the United Kingdom )and Jane Addams's activities in 1910 and the Settlement House movement. Placing a strong emphasis on good, evidence-based, assessment practice, Sally Holland has also, for this new edition, included original research evidence from a wide range of up-to-date research studies which are relevant to todays practice and which aim to promote a critical and reflective approach to the assessment process. Focusing on core assessments and guiding the reader through the complexities of conducting assessments of need and risk, the book now includes within each chapter a range of specifically-tailored exercises and focus points which encourage readers both to reflect on what they have learnt and to understand how they can apply that learning to practice. Summary. Test your knowledge of the entire course with a 50 question practice final exam. Several expressed concerns that her drug use would prevent her from receiving a multi-agency response, explored below, but participants did not use stigmatising language when describing the risks nor did they dismiss her right to support. Technical advances and efforts to conceptualize and operationalize the contextual complexities of clients' lives will be increasingly important in the future. Each of the nine chapters defines a key concept, including Assessment; Intervention; Risk and Efficacy. When describing the multi-agency approaches they would want to see, several participants observed that people using substances were less likely to receive support from other services. Please save your results to "My Self-Assessments" in your profile before navigating away from this page. Some social workers clearly saw MEH as simply outside the purview of Adult Social Care and safeguarding; others reported successful social work and multidisciplinary safeguarding responses to MEH; but some expressed frustration with barriers to someone like Jane B receiving the support that might benefit her: They have left that risk and not done anything. A lack of systematic specialist provision for people facing complex problems has been described as the inverse care law, where those who most need support are at greatest risk of being unable to access it (Tudor Hart, 1971). A wider stakeholder group advises the study. This article reviews trends in social work assessment that are likely to shape the future of clinical practice. The book outlines an innovative research enquiry which is used to explore the dilemmas and opportunities of practice-based professional learning and offers a conducive alternative approach to assessment in social work. Saarbrucken, Germany: VDM Publishing House Ltd. Is social work The Assessment Profession? This book argues that assessment is a defining feature of professional social work and it analyses how the power of assessment pervades both individual and institutional practices. The lack of dual diagnosis approaches to mental health and substance problems led to a stalemate: There is the age-old problem you might have somebody again with a lot of trauma who is now substance misusing, they will have underlying mental health issues but they dont get into Mental Health Services until they can address their substance misuse a Catch-22 situation. Why is a Social Needs Assessment Truly Important for Social Work? Login or create a profile so that Several participants expressed concern that professionals within and across services have different approaches and abilities to assess capacity: Self-neglect requires specialism its about how you do mental capacity assessments; they do very basic training, dont teach you how to dig deep so that you are able to access the complexities of the person; its about the questions you ask, how you go about asking, the language you are using - a level of experience is required. Columbia University, School of Social Work, 622 West 113th Street, New York, NY 10025. This social work model describes the process for assessment, treatment, and interventions. To summarise: government and agency policies and practices place great store in effective assessment the assessment process is significant for service users and carers in both conditioning their experience of the encounter with social care services and in shaping the service they receive London: SAGE Publications Ltd, 2011. Recent estimates are that almost two-thirds of people sleeping rough in England have a drug or alcohol problem (MHCLG, 2020). As a start to this worka beginning step in compiling evidence about the impact of social work interventionsour team set out to identify the outcomes associated with social work practice. Again, this view was shared across vignettes: It would depend on professional to professional I may want to pull out all the stops to try and engage with this lady and make small steps to manage some of the risks. She lives in a privately rented ground-floor flat in a quiet residential area [insert TEXT], Vignette B: Jane Smith has a heroin and crack addiction. After reviewing the lessons, you should be ready to do the following: The lessons in this chapter can help you quickly get up to speed on assessment methods and techniques in social work. ; Part 2 studies those involved in child and family assessments: children and their parents; and the relationship between the assessors and the assessed. Assessment in social work: a guide for learning and teaching The nature of assessment: The definitions of assessment Assessment is widely agreed to be of great importance, but that is where agreement ends and contestation over what it is begins. Assessment is an essential element of social work practice. 13 V6A. Taken together, these policy shifts have been seen as helpful by including people experiencing MEH under the umbrella of care and support in England (Manthorpe et al., 2015; Cornes et al., 2016); this article offers social worker perspectives on MEH and its relationship with care and support, which have not always been heard (Manthorpe et al., 2015). Discover the real world of business for best practices and professional success. Watch cutting-edge streaming video that supports teaching, learning, and research at all levels. If Jane could make decisions, it was more likely to be seen as routine Adult Social Care, still requiring multi-agency input. Following successful sign in, you will be returned to Oxford Academic. Identify clt's strengths. Child & Family assessment in social work practice. Accessibly relating theory and research to actual practice through the use of case studies, exercises, and suggestions for good practice and further reading, this book has a student-friendly structure It will be an invaluable resource for practitioners and academics across the field of social welfare, particularly for those embarking on, or already involved in, child and family assessment. Many social workers noted, unprompted, that Janes situation was familiar, and that self-neglect was a regular feature of their practice. Interviews lasted thirty to sixty-five minutes; all were audio-recorded and transcribed. This article presents some of the questions and uncertainties that emerged from these interviews. Findings are reported from an initial evaluation of a new multidimensional assessment tool, the Multi-Problem Screening Inventory (MPSI). He won the Edge Hill Short Fiction prize for his story collection, The Turing Test, and the Arthur C. Clarke award for his novel Dark Eden. Another, with experience of leading safeguarding, challenged what they saw as narrow interpretations of care and support needs under the Care Act 2014, which may exclude people without clear care needs from social care and safeguarding: The safeguarding process is very much based on that care and support need, which I dont necessarily think is a completely accurate reading of the Care Act So, if you dont have a care and support need and youre homeless then that is seen as not Adult Social Cares issue, so the chances are youll get referred to the Homelessness Outreach Team who will try and engage, but its much more difficult for that multi-agency response I think thats a problem If Jane was an exceptionally abused child, it just changes, she hasnt got a care need but shes probably got a support need in there somewhere, and thats a lot more intangible Adult Social Care would lose their minds around that I think because they already have an extensive workload. Charter and policies, assessment; social work practice; social work education; continuing professional development; personal construct psychology; Habermas. copyright 2003-2023 Study.com. Abstract. Before, you knew that Shelly worked from the second floor, youd pop down, youd find Shelly and say I need you to help me out. 31 May 2022 by Jo Nash, Ph.D. Scientifically reviewed by Maike Neuhaus Ph.D. Does the Field of Social Work Have Debts to Pay? For some there was an unequivocal need for safeguarding, for others there was no need with no perpetrator (addressed below); for others, it was a necessary preliminary, but longer-term relationship-based work was required. These new specialist responses were positioned outside of adult safeguarding. Child and Family Assessment in Social Work Practice, Reviews aren't verified, but Google checks for and removes fake content when it's identified, 2 Assessment in child and family social work. Participants were employed by ten LAs (local government bodies providing social services and safeguarding) and two NHS Hospital Trusts from diverse locations across London and predominantly southern England, and spanned inner city, suburban and rural localities. We all deserve that regard. Self-neglect may arise as an effect of impaired capacity, but also features amongst people with capacity to make decisions. (More information about his fiction can be found at www.chris-beckett.com.) Social work students yearn to facilitate real, positive differences in the lives of their clients. Child & Family Assessment in Social Work Practice. By continuing to use this site you consent to receive cookies. If your institution is not listed or you cannot sign in to your institutions website, please contact your librarian or administrator. I placed him in one care home and he caused havoc Through the safeguarding process we managed to move him and get all the players to engage. Recruitment was undertaken by circulating an invitation via a national social work knowledge dissemination network. Click on the link below to access the web version (Web) of the standards or a PDF version (PDF) of the standards. Please include your name, contact information, and the name of the title for which you would like more information. Association, OU Students In contrast to the rich contextual information provided by traditional psychosocial approaches to assessment, classification systems like DSM-III-R can lead to oversimplification and loss of information that is important to intervention planning. With Jane B only one social worker suggested a Mental Health Act assessment to see whats going on. Macro social workers engage with residents and community members as partners in conducting and utilizing the findings from community assessments. Participants were selected from different adult social work roles and settings. Eligibility for care and support changed under the Care Act 2014 to focus on eligible needs arising from physical or mental impairment or illness, and the statutory guidance states that substance misuse might be relevant to those needs (DHSC, 2021, para 6.104). I am also the author of Child and Family Assessment in Social Work Practice (Sage, 2nd edition, 2011). Following informed consent, interviews were conducted by one researcher between August and October 2020. London: SAGE Publications Ltd; 2011. doi:10.4135/9781446288580. Ensure that social work practice in health care settings is guided by the NASW Code of Ethics(NASW, 2008) Enhance the quality of social work services Facebook, OU Students on Learn More about Embedding icon link (opens in new window). The notion of social exclusion, advanced by policymakers in England with the establishment of the Social Exclusion Unit (SEU) in 1997, attempts to address the joined-up nature of problems (SEU, 1998). For full access to this pdf, sign in to an existing account, or purchase an annual subscription. I have used a range of qualitative methods to explore these topics, including participative research with children, ethnography, mobile methods, life history interviews and documentary analysis. He is now a full-time writer. eBook ISBN 9781003148913 Share ABSTRACT A comprehensive assessment seeks to consider all the factors that are relevant to the purpose of the work, and the approach people take to assessment will reflect the kind of work people aim to do. We are most grateful to all the participants in this study. This important book is essential reading for undergraduate and postgraduate social work students throughout all three years of their training, but it will be particularly useful for students who are on on placement, or who are reflecting on their experiences on placement. Sign in here to access your reading lists, saved searches and alerts. She is anxious and depressed and refuses to go to the doctor to get her medication. One of the Units first reports, Rough Sleeping (SEU, 1998), cast rough sleeping in social exclusion terms and sought to reduce numbers by two-thirds by 2002 (Mackie et al., 2017). Examples were described of some LAs addressing these problems with new multidisciplinary responses to MEH. An analysis of policy development on self-neglect (Martineau et al., 2021) suggested ambiguity in national approaches, which may have translated into uncertainty within social work practice. Once data were coded, responses to each vignette were compared within individual themes. - Part 2 studies those involved in child and family assessments: children and their parents; and the relationship between the assessors and the assessed. There are even more practice exams available in Assessment Methods & Techniques in Social Work. 3B. She has been homeless on and off for many years. This appeared to rely at times on good relationships at practitioner or manager level and some described efforts to build links, referring to lucky or informal rather than systematic successes: Health colleagues are just down the corridor weve been quite lucky that weve actually built those networks and usually we can get everyone together Its a commitment otherwise it is very difficult. Whilst refusals of support by someone self-neglecting were familiar to our participants, there was also concern expressed by some about the failure of statutory services to offer flexible, specialised and multi-faceted supportthe mismatch between someones situation and needs and the services and approaches offered (Lauder et al., 2009). Explore methods that social workers can use to assess the level of care needed for clients. Participants consistently reported that they would explore whether any local services, including other LA departments, had information about Jane A/B or an established rapport.
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