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Building Resilience
Into the Child
Protection
WorkforceBASPCAN CONFERENCE EDINBURGH 2015
DR PAULA MCFADDEN
QUEENS UNIVERSITY BELFAST
2
Why is this topic important?
1. Retention and Turnover
Retention and turnover are major national and international issues
in child protection Social Work with “burnout” and “occupational
stress” being strongly associated with job exit. (Healy 2009,
Hansung 2009, Burns 2009, Conrad 2006, and Anderson 2000).
“The well-being of children served by the child welfare system are put at risk by
the difficulties child welfare agencies experience in recruiting and retaining
competent staff as turnover results in staff shortages and high caseloads that
impair workers’abilities to perform critical case management functions.”
(Levy 2005)
Resilience Needed in Social Work
 Pressures on child protection social workers
 Latest statement by David Cameron
 Media and public expectations
 Concerns about retaining staff and hence experience
 Undesired retention during economic downturn
 Concerns about the potential for burnout and impact on service
users
 EMOTIONAL EXHAUSTION
 DEPERSONALISATION
 REDUCED PERSONAL ACCOMPLISHMENT
4
Burnout  Engagement (Resilience) Continuum
 Peoples psychological relationship to their jobs can be
conceptualised as a continuum between burnout and job
engagement. Three interrelated dimensions
 Exhaustion  Energy
 Cynicism  Involvement
 Inefficacy  Efficacy
Relational Resilience
 Interviews with 15 ‘leavers’ and 15 ‘stayers’
 Significance of relationships in the workplace
 Teams, camaraderie and good leadership
 Manager has a critical role in supporting the team and
nurturing early career social worker resilience
Why are relationships important?
 Socialization is the process whereby relational
competence is nurtured, expressed shaped and
reproduced by lifelong relationships, by seeking pleasure
and avoiding pain, and by experiencing difficult and
joyful experiences (L‘Abate, 2011).
 Relationships are therefore identified as one of the best
predictors of resilience (Blum, 1998). As the perceived
presence of a supportive social network enhances a
person‘s capacity to deal with life‘s challenges
(Heatherton & Nichols, 1994; Wagnild & Young, 1993).
Individual Differences to Same
Exposure to Adversity
“Resilience starts with a recognition of the huge
individual variation in people’s responses to the
same experiences, and considers outcomes with the
assumption that an understanding of the
mechanisms underlying that variation will cast light
on the causal processes and, by so doing, will have
implications for intervention strategies with respect to
both prevention and treatment.”
(Sir Michael Rutter, 2010)
8
Resilience is an Interactive Concept
“Resilience is an interactive concept that can only be
studied if one looks at risk or protective factors”
(Rutter 2010)
Rutter draws an example from medicine and the
introduction of vaccinations as a method of preventing
further disease.
This suggests that it is the experience of adversity
that builds resilience.
Supervision as a Strategic
Intervention for Resilience in Social
Work
“Well, I think regular supervision that isn’t put off or
interrupted….I feel that my manager plays very much to my
strengths and is able to identify what my strengths are as
opposed to giving me cases because they’re there, he’ll try
and develop what your weaknesses are at the same time.”
(Julie, Family Support worker, 3.5 years’ experience has
worked in Gateway and Family Support).
Significance of Manager
Experience
Qualitative responses to question regarding experiences of
resilience and burnout (n = 162)
72 % mentioned experiencing some level of burnout at points
in their career
More than 50 % (54%) said that resilience was down to
relationships with manager
One in three said that burnout was due to lack of support from
their manager
Some experienced a burnt out manager
What sustains you in this role?
Fidelma Family Support Social Worker 10 years
“Well some of that comes from the work
situation, the team and the comradeship. And
knowing that the senior cares about you.
Knowing that some things you do actually does
make a difference. To have a lot of life outside
and to have a good life outside as well. That’s
important and the energy as well.”
Leavers Stayers
1 Relational Issue - Manager Issues
 Poor Manager Support
Relational Issue - Manager Issues
 Manager Relationship
Significance
2 Relational Factor - Impact of staff
turnover on team
 Peer and Team Relationships
 Inexperience
 Camaraderie – but still left
Relational Factor - Impact of staff
turnover on team
 Peer and Team Relationships
 Positive team and resilience
 Camaraderie and feeling
supported
Findings: Relational Leaver and Stayer Differences
Diagram 1: The Centrality of Positive Manager Experience and Organizational
Culture and Climate
Organizationa
Culture and
Climate
Manager
Experience
Positive Culture
Good Support
Balanced
Paperwork
Workload
Weighted
Low Turnover
Good Team
Cohesion
Experience in
Team
Nurturing Early
Career Workers
Low Absence &
Sick Leave
Culture of Support
Camaraderie
Learning Culture
not
Blame Culture
Realistic Fear of
Failure
'Love the Buzz'
Preventative Work
Service Quality
Impact
Worklife Balance
Resilience
Service User
Impact
Positive Manager Experience 1
“She went out to place children at risk on New
Year’s Eve to take the pressure of us as we
were flat out….an” I just thought “you wouldn’t
get that too often”….that’s very, very rare.”
(Michelle, Gateway, 1.5 years’ qualified and
worked in Gateway since qualifying).
Positive Manager Supervision
“Supervision will always end with constructive
feedback….and I think this is because my
manager has adapted to what I need from
supervision too, that I feel it’s very much a two-
way process and to feel valued I need to hear
back from him. I need this sort of constructive
criticism or praise, whatever’s required.” (Julie,
Family Support worker, 3.5 years’ experience, as
above).
Diagram 2: The Centrality of Negative Manager Experience and Organizational Culture
and Climate on Service Quality
Organizational
Culture and
Climate
Negative
Manager
Experience
Negative
Culture
Limited Support
High Turnover Low Experience
Early Career
Worker
Unsupported
Poor Team
Cohesion
Excess Hours
Paperwork &
Bureacracy
No Preventative
Work
Absence & Sick
Leave
Job Exit
Individual
Differences
Negative Coping
Undesired
Retention
Quality of
Practice
Fear of Failure &
Dangerousness
Impact on
Family &
Personal Life
Burnout
Service User
Impact
“Well in the team of six social workers there’s five AYEs. –
there’s two in behind me and I’m in three and a half months’
qualified. So you have five AYEs – and that’s the
experience, - it’s just hectic, absolutely hectic. The team
leader is six years qualified…and she is always up to her
eyeballs in court and case conferences …we cannot pin her
down when we need her…I am terrified that something will
go badly wrong…! I had a better induction in a shoe shop
and already want out!”
(Rhonda, Family Support, 3.5 months’ qualified).
Unavailable Manager Experience for early career social
workers and Fear of Things Going ‘Badly Wrong’
Staff Turnover and Inexperience
“Well because a lot of them are new workers coming in
and this is their first experience of a team. The manager
is always either in court or busy…And some of them are
coming in and not lasting a week, literally not lasting a
week because they can’t cope with – 16 have come and
gone in the last year….”
(Cora is 5 years in practice and is about to leave a
Family Support team and is going to work in Fostering).
Loss of Empathy
“…..you know firstly by families ringing, y ‘know, and
their feelings about the social worker. They begin to
not care. And you know I’ve taken cases from
someone who was definitely burnt out and what the
family are saying that social services are crap….And
that’s when families and children are put at risk, when
no relationship is developed with the family.”
(Patricia, Family Support, 2 years’ experience, same
team since qualifying).
Social Worker Attrition
Service User Impact
“I have so many service users that are quite angry,
not because they’re losing me as a social worker, it’s
not me personally, it’s because they constantly have
to change social worker. And that’s not good enough
and that’s because we all keep leaving and moving
on”.
(Charmaine, Family Intervention, 6 months’
experience).
Conclusion
 Many interactive factors at play. Organizational and individual issues
 Parallels could be considered about the SU to worker relationship and social
workers to manager relationship
 Burnout or resilience outcomes likely to impact on service user experience
 Need for evidence regarding pressures on social work to be communicated to
commissioners, politicians and senior managers
 Francis Report Mid Staffs on ‘duty of candour’ ‘whistle-blower support’
 NICE Safe Staffing Guidance – should also apply to social work. A & E headline
news but SW only headline when there is there is a tragedy.
 Further research needed on how to support managers to ‘hold resilience’
 This is only the beginning…
The End

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Building Resilience Into the Child Protection Workforce

  • 1. Building Resilience Into the Child Protection WorkforceBASPCAN CONFERENCE EDINBURGH 2015 DR PAULA MCFADDEN QUEENS UNIVERSITY BELFAST
  • 2. 2 Why is this topic important? 1. Retention and Turnover Retention and turnover are major national and international issues in child protection Social Work with “burnout” and “occupational stress” being strongly associated with job exit. (Healy 2009, Hansung 2009, Burns 2009, Conrad 2006, and Anderson 2000). “The well-being of children served by the child welfare system are put at risk by the difficulties child welfare agencies experience in recruiting and retaining competent staff as turnover results in staff shortages and high caseloads that impair workers’abilities to perform critical case management functions.” (Levy 2005)
  • 3. Resilience Needed in Social Work  Pressures on child protection social workers  Latest statement by David Cameron  Media and public expectations  Concerns about retaining staff and hence experience  Undesired retention during economic downturn  Concerns about the potential for burnout and impact on service users  EMOTIONAL EXHAUSTION  DEPERSONALISATION  REDUCED PERSONAL ACCOMPLISHMENT
  • 4. 4 Burnout  Engagement (Resilience) Continuum  Peoples psychological relationship to their jobs can be conceptualised as a continuum between burnout and job engagement. Three interrelated dimensions  Exhaustion  Energy  Cynicism  Involvement  Inefficacy  Efficacy
  • 5. Relational Resilience  Interviews with 15 ‘leavers’ and 15 ‘stayers’  Significance of relationships in the workplace  Teams, camaraderie and good leadership  Manager has a critical role in supporting the team and nurturing early career social worker resilience
  • 6. Why are relationships important?  Socialization is the process whereby relational competence is nurtured, expressed shaped and reproduced by lifelong relationships, by seeking pleasure and avoiding pain, and by experiencing difficult and joyful experiences (L‘Abate, 2011).  Relationships are therefore identified as one of the best predictors of resilience (Blum, 1998). As the perceived presence of a supportive social network enhances a person‘s capacity to deal with life‘s challenges (Heatherton & Nichols, 1994; Wagnild & Young, 1993).
  • 7. Individual Differences to Same Exposure to Adversity “Resilience starts with a recognition of the huge individual variation in people’s responses to the same experiences, and considers outcomes with the assumption that an understanding of the mechanisms underlying that variation will cast light on the causal processes and, by so doing, will have implications for intervention strategies with respect to both prevention and treatment.” (Sir Michael Rutter, 2010)
  • 8. 8 Resilience is an Interactive Concept “Resilience is an interactive concept that can only be studied if one looks at risk or protective factors” (Rutter 2010) Rutter draws an example from medicine and the introduction of vaccinations as a method of preventing further disease. This suggests that it is the experience of adversity that builds resilience.
  • 9. Supervision as a Strategic Intervention for Resilience in Social Work “Well, I think regular supervision that isn’t put off or interrupted….I feel that my manager plays very much to my strengths and is able to identify what my strengths are as opposed to giving me cases because they’re there, he’ll try and develop what your weaknesses are at the same time.” (Julie, Family Support worker, 3.5 years’ experience has worked in Gateway and Family Support).
  • 10. Significance of Manager Experience Qualitative responses to question regarding experiences of resilience and burnout (n = 162) 72 % mentioned experiencing some level of burnout at points in their career More than 50 % (54%) said that resilience was down to relationships with manager One in three said that burnout was due to lack of support from their manager Some experienced a burnt out manager
  • 11. What sustains you in this role? Fidelma Family Support Social Worker 10 years “Well some of that comes from the work situation, the team and the comradeship. And knowing that the senior cares about you. Knowing that some things you do actually does make a difference. To have a lot of life outside and to have a good life outside as well. That’s important and the energy as well.”
  • 12. Leavers Stayers 1 Relational Issue - Manager Issues  Poor Manager Support Relational Issue - Manager Issues  Manager Relationship Significance 2 Relational Factor - Impact of staff turnover on team  Peer and Team Relationships  Inexperience  Camaraderie – but still left Relational Factor - Impact of staff turnover on team  Peer and Team Relationships  Positive team and resilience  Camaraderie and feeling supported Findings: Relational Leaver and Stayer Differences
  • 13. Diagram 1: The Centrality of Positive Manager Experience and Organizational Culture and Climate Organizationa Culture and Climate Manager Experience Positive Culture Good Support Balanced Paperwork Workload Weighted Low Turnover Good Team Cohesion Experience in Team Nurturing Early Career Workers Low Absence & Sick Leave Culture of Support Camaraderie Learning Culture not Blame Culture Realistic Fear of Failure 'Love the Buzz' Preventative Work Service Quality Impact Worklife Balance Resilience Service User Impact
  • 14. Positive Manager Experience 1 “She went out to place children at risk on New Year’s Eve to take the pressure of us as we were flat out….an” I just thought “you wouldn’t get that too often”….that’s very, very rare.” (Michelle, Gateway, 1.5 years’ qualified and worked in Gateway since qualifying).
  • 15. Positive Manager Supervision “Supervision will always end with constructive feedback….and I think this is because my manager has adapted to what I need from supervision too, that I feel it’s very much a two- way process and to feel valued I need to hear back from him. I need this sort of constructive criticism or praise, whatever’s required.” (Julie, Family Support worker, 3.5 years’ experience, as above).
  • 16. Diagram 2: The Centrality of Negative Manager Experience and Organizational Culture and Climate on Service Quality Organizational Culture and Climate Negative Manager Experience Negative Culture Limited Support High Turnover Low Experience Early Career Worker Unsupported Poor Team Cohesion Excess Hours Paperwork & Bureacracy No Preventative Work Absence & Sick Leave Job Exit Individual Differences Negative Coping Undesired Retention Quality of Practice Fear of Failure & Dangerousness Impact on Family & Personal Life Burnout Service User Impact
  • 17. “Well in the team of six social workers there’s five AYEs. – there’s two in behind me and I’m in three and a half months’ qualified. So you have five AYEs – and that’s the experience, - it’s just hectic, absolutely hectic. The team leader is six years qualified…and she is always up to her eyeballs in court and case conferences …we cannot pin her down when we need her…I am terrified that something will go badly wrong…! I had a better induction in a shoe shop and already want out!” (Rhonda, Family Support, 3.5 months’ qualified). Unavailable Manager Experience for early career social workers and Fear of Things Going ‘Badly Wrong’
  • 18. Staff Turnover and Inexperience “Well because a lot of them are new workers coming in and this is their first experience of a team. The manager is always either in court or busy…And some of them are coming in and not lasting a week, literally not lasting a week because they can’t cope with – 16 have come and gone in the last year….” (Cora is 5 years in practice and is about to leave a Family Support team and is going to work in Fostering).
  • 19. Loss of Empathy “…..you know firstly by families ringing, y ‘know, and their feelings about the social worker. They begin to not care. And you know I’ve taken cases from someone who was definitely burnt out and what the family are saying that social services are crap….And that’s when families and children are put at risk, when no relationship is developed with the family.” (Patricia, Family Support, 2 years’ experience, same team since qualifying).
  • 20. Social Worker Attrition Service User Impact “I have so many service users that are quite angry, not because they’re losing me as a social worker, it’s not me personally, it’s because they constantly have to change social worker. And that’s not good enough and that’s because we all keep leaving and moving on”. (Charmaine, Family Intervention, 6 months’ experience).
  • 21. Conclusion  Many interactive factors at play. Organizational and individual issues  Parallels could be considered about the SU to worker relationship and social workers to manager relationship  Burnout or resilience outcomes likely to impact on service user experience  Need for evidence regarding pressures on social work to be communicated to commissioners, politicians and senior managers  Francis Report Mid Staffs on ‘duty of candour’ ‘whistle-blower support’  NICE Safe Staffing Guidance – should also apply to social work. A & E headline news but SW only headline when there is there is a tragedy.  Further research needed on how to support managers to ‘hold resilience’  This is only the beginning…