scholarly journals The social worker in community mental health teams: Findings from a national survey

2021 ◽  
pp. 146801732097993
Author(s):  
Michele Abendstern ◽  
Mark Wilberforce ◽  
Jane Hughes ◽  
Andelijia Arandelovic ◽  
Saqba Batool ◽  
...  

Summary Social workers have been members of community mental health teams (CMHTs) for many years. However, a combination of factors has resulted in their removal from CMHTs in some areas in recent years. This study presents findings from a 2018 national survey of CMHT team managers (44% response rate), to ascertain the current position of the social worker within CMHTs in England. Analyses focussed on membership, roles and tasks, and change within the previous 12 months. Descriptive statistics were used to analyse the quantitative data and content analysis to interpret free text comments. Findings Social workers were found to undertake a variety of generic roles and tasks but were reported to do so proportionally less often than nurses. A large minority were involved in non-traditional social work tasks such as monitoring medication. In one-fifth of teams, managers thought they had too few social workers. Free text comments suggested that managers valued social workers for their social perspective and expressed concern regarding their removal or the curtailment of their role, perceiving this as having a negative effect on overall CMHT service delivery. Applications The findings provide evidence of some instability in the position of social workers within CMHTs in relation to both their membership and their involvement in traditional and non-traditional roles and tasks. Free text comments suggest that if a biopsychosocial model of mental health support, now recognised as essential to long-term wellbeing, is to be achieved, a social work presence in CMHTs is required.

2020 ◽  
pp. 147332502092408
Author(s):  
Michele Abendstern ◽  
Jane Hughes ◽  
Mark Wilberforce ◽  
Karen Davies ◽  
Rosa Pitts ◽  
...  

There is a growing recognition of the importance of the social work contribution within community mental health services. However, although many texts describe what the mental health social work contribution should be, little empirical evidence exists about their role in practice and the difference it might make to service users. This qualitative study sought to articulate this contribution through the voices of social workers and their multidisciplinary colleagues via focus group discussions across four English Mental Health Trusts. These considered the impact of the social worker on the service user. Thematic analysis resulted in the identification of three over-arching themes: social workers own perceptions of their contribution situated within the social model; the high value their colleagues placed on social work support and leadership in a range of situations and the concerns for service users if social workers were withdrawn from teams. Key findings were that social workers are the only professional group to lead on the social model; that this model enhances the whole teams’ practice and is required if service users are to be offered support that promotes long-term recovery and that without social workers, the community mental health team offer would be more transactional, less timely, with the potential for the loss of the service users’ voice. If social work is to make a full contribution to community mental health team practice, it must be clearly understood and provided with the support to enable social workers to operate to their full potential.


2021 ◽  
Vol 10 (1) ◽  
pp. 270-278
Author(s):  
Flutra Musta ◽  
Monika Bogdanova

Recent changes, especially after the 90s in Albania, have marked an important turn in the whole health system and even more so in the field of mental health. With health services, policies and social services were implemented to people with mental health problems, and it in this form that there was a need to bridge these policies and services to beneficiaries, such as social workers in mental health. Now the social worker is one of the key persons in the multidisciplinary team whose purpose is to identify, diagnose, treat, plan and integrate these people into society. The study aims is to identify the support and role of social work in persons with mental health disorders at Psychiatric Hospital “Sadik Dinçi” Elbasan, Albania and in the supported housing in this city. Qualitative method was used for conducting the study, and semi-structured interview with a focus group of 4 social workers of this hospital, 2 social workers of Elbasan Community Mental Health Center and 4 day-care ergo therapists located within the premises of the hospital was used as measuring instruments to this hospital. Also, a survey was conducted with 15 patients of the hospital. According to the study, the role of the social worker is well positioned in the field of mental health, but at the same time the study highlights the need for modern European interventions and models for integrating these individuals away from the walls of psychiatric hospitals, models where these individuals are supported and integrated in society.


2017 ◽  
Vol 62 (1) ◽  
pp. 295-308 ◽  
Author(s):  
Hsin-Yi Chen ◽  
I-Chen Tang

The human rights concept is that everyone is entitled to enjoy those rights inherent to being human, without distinction. However, should human rights be considered a self-evident value for the social work profession? This study was to explore how social workers in Taiwan perceive the human rights concept. Responses from 276 social worker participants were analyzed by using a self-administered questionnaire. This study showed that social workers had a general knowledge of human rights. Receiving human rights educational training and engaging in social protests were important variables in increasing human rights awareness for social work practitioners.


Author(s):  
Maryna Lekholetova

The article presents an analysis of different approaches of domestic scientists to the interpretation of the concept of «social work management». The author surveys the features of management as an object of governance in the activities of a social worker. Features include the social nature of management information; the need for motivation methods that effectively influences and motivates professionals to better results in social work; availability of social workers' professional competence; the presence of problems with forecasting the results of management in the social sphere; the importance of current and final management results. The author proves the necessity of social workers' self-management skills (time management, motivation, stress resistance and recuperation, development of emotional intelligence) for the effective performance of management tasks in professional activities.  The article highlights the principles that should be followed in solving organizational and managerial tasks in social work management (purposefulness, ability of realization, adaptability, efficiency). The researcher presents the structure of social work management methods in the study (economic, administrative, social counselling, psychological and pedagogical influence, social influence). Research characterizes the methods of social work management while working with recipients of social services (methods of individual social work, methods of group social work, methods of community work, methods of social service design).


Author(s):  
Fahri Özsungur

Social work plays an important role in managing the process of planning, supervising, and ensuring the sustainability of protective and supportive measures applied to children who are dragged into crime and in need of protection in order to prevent incompatibilities that may arise in society. Social workers are actors in the field in the execution of the process. In this chapter, these practitioners who have made significant contributions to social work by giving reports and opinions about the measures taken by the courts about the children dragged into crime, determining the criminal tendencies of the children and the necessary precautions and training, are examined closely in the context of the Turkish legal system. The chapter includes the issues of judicial control, protective and supportive measures, preparation of a plan for the implementation of cautionary decisions, confidentiality, the role of the social worker and the social worker board for children who are dragged into crime and in need of protection.


Author(s):  
Joseph Walsh

The broad nature of the social work profession offers opportunities for practitioners to work with diverse clients. While committed to the welfare of all clients, social workers tend to be drawn to some clients more than others, due in part to their abilities to connect with them. A social worker’s positive feelings about his or her clients is a good thing, but it is possible that at times he or she will experience a special fondness or attraction for a client that can create biases that get in the way of a constructive working relationship. The purposes of this chapter are to explore the circumstances in which positive feelings about clients develop and to suggest ways for social workers to manage those feelings in a way that keeps their focus on the client’s welfare.


Author(s):  
Sally Holland ◽  
Jonathan Scourfield

Much professional social work practice is carried out with individuals and their families. Social workers aim to attend to the person’s social context rather than only the specific problem being presented, and they work in a manner that is relationship-based. It is also generally accepted that using a strengths-based model approach produces a more productive working relationship. ‘Social work with individuals and families’ considers the origins of social work; the different ways of directly providing practical help or therapeutic intervention to individuals and families; how the social worker as case manager will be responsible for overall planning, co-ordination, and reviewing service provision; and how social work has become more client-centred and citizen-directed.


2020 ◽  
pp. 15-27
Author(s):  
Jeffrey S. Yarvis

Chapter 1 gives the reader a tour—a kind of ride-a-long or a kind of “see-what-I-see” experience. Much of the chapter is about the combat part of combat social work: What does social work look like outside the wire, downrange, or in combat or other hostile and dangerous battles or threats. This chapter will enable the reader to appreciate the role and experiences of combat social workers, as captured in later autobiographical chapters. However, deployments are time-limited (7–15 months, as a rule), and most of the time spent as a military social worker is in garrison (i.e., base camp with offices, often a behavioral health clinic or the social work department at a military hospital). This is where and how most members of the military receive their mental health treatment—conducted by military social workers. This is discussed in Chapter 2.


2019 ◽  
Vol 21 (1) ◽  
pp. 3-25 ◽  
Author(s):  
Jennifer Boland ◽  
Michele Abendstern ◽  
Mark Wilberforce ◽  
Rosa Pitts ◽  
Jane Hughes ◽  
...  

Summary The article addresses the continued lack of clarity about the role of the mental health social worker within community mental health teams for working age adults and particularly the limited evidence regarding this from the perspective of service users. It compares findings from the literature, found to originate from a predominantly professional viewpoint, with secondary analysis of a national survey of service users to assess their views. Findings Three particular aspects of mental health social workers’ role identified in the literature were, to some extent, also located within the national survey and can be summarised as: approaches to practice, nature of involvement, and scope of support. The presence of these features was largely not substantiated by the survey results, with few differences evident between service users’ experiences of mental health social workers compared with other mental health staff. When nurses and social workers were compared, results were either the same for both professions or favoured nurses. The findings point both to the difficulty of articulating the social work contribution and to the limitations of the secondary data. Application The findings are a useful benchmark, highlighting the limited evidence base and the need for further research to improve both the understanding of the mental health social work role and how it is experienced by service users. The profession is keen to emphasise its specific contribution. Research evidence is required to underscore this and to ensure that the role is not subsumed within generic practice.


Author(s):  
Matthew Gibson

This chapter uses the case example used throughout this book to illustrate the forms of resistance to the organisational representation for social work. A social worker began to resist the expectations placed upon them where they felt that they conflicted with their own identity. In some situations, the consequences for feeling ashamed and guilty of one’s actions outweighed the consequences for potentially being shamed by people within the organisation. Not being able to cope with what one had done led social workers to resist the pressures and expectations designed to direct their actions in a particular manner. In some situations, this required action that compromised the organisational expectations, forgoing any desire for praise and acceptance, yet still complied with the minimum standards to avoid being shamed. In other situations, the social workers sought to conceal actions that they felt were right but defied the organisational expectations. In still other situations, it was considered necessary to challenge the pressures and expectations to influence action that they considered inappropriate or immoral and avoid feeling ashamed of their actions. Such acts of resistance provided greater opportunities for relational engagement, recognising both social workers and parents as human, with individual strengths and struggles.


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