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Promoting dignity and rights in
marginalised communities:
Messages from social work research
Tuesday 22nd March 2016
#mrcsalford
Joe Smeeton
Making Research Count
at The University of Salford
#mrcsalford
• National initiative across ten universities in England
• A knowledge broker
• Bringing together academics, practitioners, carers and users to
facilitate the dissemination of social care research and theory
• The University of Salford is the regional hub for MRC in Greater
Manchester
• Support the learning needs of a range of organisations in the sub-
region
Making Research Count (MRC)
#mrcsalford
Celebrating World Social Work
Day!
Family Group Conferences: A
Global Approach to Child
Protection
Kate Parkinson, Lecturer in Social Work,
Salford University
• Celebrating global approaches to Social Work
• Relevant to Social Work practice locally
• What are Family Group Conferences?
• Presenting research on child protection outcomes from
FGCs across the globe
• Introducing a new typology for examining the use of
FGCs across the globe
• Discussion on where and why outcomes are best
Setting the Scene!
• Developed in New Zealand in the late 1980s
• Family led decision making process
• Underlying philosophy – families are the experts
• A family/kinship group/social network develop a plan
for the care or protection of a child or young person
• Used across the globe
• Used in over 40 local authorities in the UK
What are Family Group
Conferences (FGCs)?
• Literature review and article for the European Journal of Social
Work
• Focused on 7 countries: UK, Republic of Ireland, USA, Canada,
Australia, New Zealand and Sweden
• Examined literature on the outcomes of FGCs used in child
protection situations
• Differences in defining child protection and what constitutes a
good outcome for children but some key themes emerged
• Developed a typology for understanding the implementation of
FGCs across the globe
International Research
• Legal – FGCs have a legislative mandate and are a mandatory
part of the child protection process e.g. New Zealand, some
states in Australia, Republic of Ireland and one province in
Canada.
• Policy – FGCs are recommended as good practice and well
embedded in child protection policy and procedure but they are
not a legal requirement e.g. USA and two provinces in Canada
• Optional – FGCs are recommended as good practice but their use
is optional and an ‘add on’ to existing child protection policy and
procedure e.g. the UK and Sweden (Parkinson, 2015,
unpublished).
The 3 Models
• Outcomes for children were better under either the
Legal or the Policy model of implementation – this is
not a surprise!
• UK – where FGCs are used, outcomes are generally
good but the research is patchy and confined to small
geographical areas
• There are barriers to successful implementation of
FGCs
The 3 Models
• Existing child protection processes
• Cultures within some teams
• Financial barriers
• Sweden – the situation is similar
• Sundell and Vinnerljung (2004) – paternalistic
approach to child protection
The Barriers
• Fewer numbers of children enter Local Authority Care
• An increase in the number of children being safely
cared for within their family following a FGC
• Improved relationships between families and
professionals
• Improved relationships between professionals (an
unintended outcome)
The Key Outcome Themes
• Children are more likely to be cared for within
their families following a FGC:
• The Legal Model:
-New Zealand: Maxwell and Robertson (1991)
and Pakura (2003) – almost two thirds of children
remained within the care of their family
The Research Evidence
- Australia – Northern Territory and Victoria
– research found that the majority of
children remained in the care of their
families following a FGC (Ban, 1996 and
Arney, McGuinness and Westby, 2012).
The Research Evidence
• - The Policy Model:
- USA – Hawai’i – research from 2001 – 2003
demonstrated that two thirds of children
remained within the care of their family (National
Council of Juvenile and Family Court Judges,
2003).
The Research Evidence
- Toronto, Canada, 2006 – Comparative
research. Children subject to a FGC were
more likely to remain in the care of their
family – 85% vs 72% (Cunning and
Bartlett, 2006),
The Research Evidence
• The Optional Model:
- UK – does have a legislative context to some
extent.
- 2014 – Public Law Outline and Statutory
Guidance
- Children Act 1989 – key principles
The Research Evidence
- Morris (2007) – Camden – FGCs were
successful in diverting children away from care
• Sweden – Sundell and Vinnerljung (2004) –
longitudinal study. Outcomes for children
following FGCs were NOT better
• BUT
The Research Evidence
• Paternalistic system in Sweden
• Not embedded in child protection practice and
procedures
• Doolan (2007) – for FGCs to be successful
they need to have a legal mandate and be
embedded in child protection process.
The Research Evidence
• Children Being Safely Cared for Within their
Extended Families
• The Legal Model:
- Pakura (2003) - families plans were more
successful at keeping children safe than those
designed by professionals.
The Research Evidence
- Australia. Harris (2008) outcomes from
FGCs – improved child safety and
increased formal and informal support to
enable families to safely care for their
children.
The Research Evidence
• The Policy Model:
- USA, Hawai’i – Walker (2002) - 97% of families
developed safe plans for their children and 99%
of families were not reported for harm or
threatened harm within one year of the
conference
The Research Evidence
• The Optional Model:
- UK. Morris (2007) Camden – there
was a significant reduction in the
number of families needing the
support of social work services.
The Research Evidence
• Families are better engaged with child
protection processes:
• The Legal Model:
- Republic of Ireland. Brady and Miller (2009)
South Tipperary – significantly improved
relationships between families and services
The Research Evidence
• The Policy Model:
- USA. Hawai’i. National Council of Juvenile and
Family Court Judges, (2003) – 82% of
participants in research (2001 – 2003) including
professionals and families reported that the FGC
approach enabled better engagement between
professionals and families.
The Research Evidence
• The Optional Model:
- The UK. A key message from the research is
that FGCs have the potential to engage with
families more effectively that traditional child
protection approaches (Marsh and Crow, 1998;
Dalrymple, 2002; Holland et al, 2003; Horan and
Dalrymple, 2004; Holland et al 2005).
The Research Evidence
• One of the most significant research findings –
fathers better engaged in child protection
processes.
• Marsh and Walsh (2007). Research into the
Kent FGC service – the majority of families
viewed FGCs as a collaborative process with
professionals.
The Research Evidence
• Relationships between professionals
improved:
- USA. Hawai’i. National Council of Juvenile and
Family Court Judges (2003) – 82% of
participants felt that the FGC model helped child
protection workers and other professionals work
closely together to meet the needs of families.
The Research Evidence
• FGCs have the potential to lead to better
outcomes for children and young people
subject to child protection procedures and
processes.
• The Munro Report 2011
• Key messages from Serious Case Reviews
(Brandon et al., 2011).
The Significance of this
Research for the UK
• The International Federation of Social Work Definition of Social
Work:
‘Social work is a practice-based profession and an academic discipline that
promotes social change and development, social cohesion, and the
empowerment and liberation of people. Principles of social justice, human
rights, collective responsibility and respect for diversities are central to social
work. Underpinned by theories of social work, social sciences, humanities
and indigenous knowledge, social work engages people and structures to
address life challenges and enhance wellbeing.
The above definition may be amplified at national and/or regional levels’
(IFSW, 2014).
The Significance of this
Research
• k.p.parkinson@salford.ac.uk
• Twitter - @KateParkinson5
• 0161 295 6545
Happy World Social Work Day!!
Thank you and any questions?
• Arney, F., McGuinness, K., and Westby, A. (2012) Report on the
Implementation of Family Group Conferencing with Aboriginal Families in
Alice Springs, Menzies School of Health Research.
• Ban, P. (1996) Implementing and Evaluating Family Group Conferences
with Children and Families in Victoria, Australia in Hudson, J., Maxwell,
G. and Galway, B. (eds.) (1996) Family Group Conferences:
Perspectives on Policy and Practice, The Federation Press: Criminal
Justice Press.
• Brady, B. and Miller, M. (2009) Barnados Family Welfare Conference
Service South Tipperary Evaluation Report, Child and Family Research
Centre, National University of Ireland.
References
• Brandon, M; Sidebotham, P; Bailey, S; Belderson, P; Hawley, C; Ellis, C;
and Megson, M. (2011) New Learning on Serious Case Reviews: a two
year report from 2009 – 2011, Centre for Research on the Child and
Family in the School of Social Work and Psychology, University of East
Anglia.
• Cunning, S. and Bartlett, D. (2006) Family Group Conferencing:
Assessing the long-term effectiveness of an alternative approach in child
protection, Center of Excellence for Child Welfare: Toronto.
• Dalrymple, J. (2002) Family Group Conferences and Youth Advocacy: the
participation of children and young people in family decision making,
European Journal of Social Work, Vol. 5, No. 3, pp. 287 – 289.
References
• Harris, N. (2008) Family Group Conferencing in Australia 15 years on:
Child Abuse Prevention, No. 27, pp. 1-19. Litchfield (Maxwell, G.M. and
Robertson, J.P. (1991) Family Group Conferences: Key Elements, Paper
Presented to Mission of St. James and St. John: Melbourne, Australia,
10th June.
• Holland, O., O’Neill, S., Scourfield, J. and Pithouse, A. (2003) Outcomes
in family group conferences for young people on the brink of care: A
Study on child and family participation, Cardiff University School of Social
Sciences.
• Horan, H. and Dalrymple, J. (2004) Promoting the Participation Rights of
Children and Young People in Family Group Conferences, London:
Barnardos.
References
• Doolan, M. (2007) Working Towards an Effective agency mandate for
family group conferences, in Ashley, C. and Nixon, P. (eds.) (2007)
Family Group Conferences – what next?: Policies and Practices for the
Future, Family Rights Group.
• Holland, O., O’Neill, S., Scourfield, J. and Pithouse, A. (2005)
Democratising the Family and State? The Case of Family Group
Conferences in Child Welfare, Journal of Social Policy, Vol, 34, No. 1, pp.
59-77.
• Marsh, P. and Crow, G (1998) Family Group Conferences in Child
Welfare, Blackwell Science Ltd.
References
• Marsh, P. and Walsh, D. (2007) Outcomes of Family Group Conferences:
More Than Just the Plan? Outcome Report for Kent Family Group
Conference Service.
• Morris, K. (2007) Camden FGC Service: An Evaluation of Service Use
and Outcomes, University of Birmingham.
• Munro, E. (2011) The Munro Review of Child Protection Final Report: A
Child -Centred System, London: The Stationary Office.
• (20120 National Council of Juvenile and Family Court Judges (2003)
Empowering Families in Child Protection Cases: An Implementation
Evaluation of Hawai’i’s Ohana Conferencing Program, The Center for
Community Partnerships in Child Welfare: New York.
References
• Pakura, S. (2003) A Review of Family Group
Conferences 13 years on, Social Work Review,
Vol 15, Part 3, pp.3 -7.
• Parkinson, K. (forthcoming) Family Group
Conferences and Child Protection: A Review of
International Research Outcomes, European
Journal of Social Work
References
Sarah Pollock, University of Salford
Using qualitative research methodologies
to inform social work practice:
Learning from older Pakistani women
• Background
• Literature Review
• Narrative methods
– Co-construction
– Free association
– Dialogic/performance analysis
• Adult assessment processes
Outline
• Qualified social worker, in ethnically diverse local authority
• Lack of ethnic diversity in local authority service user population
• Want to find out why = PhD proposal
• ‘Underrepresentation of Minority Ethnic Groups in Intermediate
Care’
Background
• Umbrella term – residential units, hospital at home, reablement,
telecare, day hospitals…
• Short term, step-up & step-down
• Suitability assessed via multi-disciplinary team
• Government policy since 2001
– National Beds Inquiry (1999)
– National Service framework for Older People (2001)
– Halfway Home? (2009) extended timeframes & added exceptions
for some groups
What is Intermediate Care?
• Nationally (E&W) South Asian 5.3%;
– Indian 2%
– Pakistani 2.5%
– Bangladeshi 0.8%
• Research Area 18.1%;
– Indian 0.7%
– Pakistani 10.1%
– Bangladeshi 7.3%
2011 Census Data
• Research Area:
– Indian 0.56%
– Pakistani 0.56%
– Bangladeshi 0.16%
• Real terms:
– 8/1537 Bed-based
– 31/1517 Home-based
National Audit of Intermediate
Care 2012(NAIC) Data
Not going
to service
Not
included in
evaluation
of service
Service
not
suitable for
needs
Cycle of Exclusion
• Articles referred specifically to ‘Christianity’ when discussing
religion
• Research asked for ‘English speaking’ participants only
• When consulting with minority ethnic communities only
‘community elders’ were actually consulted
• 'there is no evidence that provision responsive to Black and
Minority Ethnic communities has been addressed‘
• Service users who were not Christian, or could not speak English
were silenced.
• Very little social work led research
Literature Review
• Qualitative method
• Narrative interviews = one open question;
– ‘Can you tell me about a specific memorable time that you have
accessed either health or social care services in this country?’
– ‘tell me about an average day/week…
• Allow the individual to talk and they will come to what is important to them
• ‘following people down their paths’
• Interviews take more than one one-off visit – about relationship building
Dialogic/Performance Analysis
Catherine Koler-Riessman
• Co-construction
‘all investigators… lack access to another’s unmediated experiences; we
have instead materials that were constructed by socially situated individuals
from a perspective and for an audience’ Riessman C, K (2008)
• Recognising both the researcher's influence and the importance
of socially constructed expectations and rules
• Treating whole narrative as one rather than fragmenting
• Multiple readings = multiple interpretations
Analysis of narrative
interviews
• The Care Act (2014)
• Assessing adult care needs
• Service user wellbeing and choice;
‘Local authorities should adopt a flexible approach that allows for a focus
on which aspects of wellbeing matter most to the individual concerned’
(http://www.skillsforcare.org.uk/Document-library/Standards/Care-Act/learning-and-
development/introduction-and-overview/wellbeing-handout.pdf)
Practice relevance:
Care Needs
• First legal duties for local authorities to investigate
• Following safeguarding adult processes means involving
individual at all points
‘The Act signals a major change in practice - a move away from the process-
led, tick box culture to a person-centred social work approach which
achieves the outcomes that people want’
(http://www.skillsforcare.org.uk/Document-library/Standards/Care-Act/learning-and-
development/introduction-and-overview/adult-safeguarding-handout.pdf)
Practice Relevance:
Safeguarding Adults
http://www.mycareinbirmingham.org.uk/home-
page.aspx
Examples from Care Act
assessments…
• Austerity
• Resource Allocation System (RAS)
• Neoliberalism
– Individualism
– Consumerism
– Choice
• Premised on:
– idea that people can answer questions about ‘what I want’
– recovery
– Language of ‘outcomes’
Analysis of approach
Elements of
Narrative Analysis
Current Assessment Narrative Assessment
‘following down their
paths’
Pre-prescribed pro-forma
Procedural, time limited, outcome
focussed with restricted options
Clearer link to ‘true’ person
centred approach, might miss
information – important to who?
Co-construction – role
of the researcher
Self assessment
Telephone screening
One-off assessment visit
No opportunity for relationship
building
Acknowledged in interpretation
of narrative therefore can be
explored further with SU
Socially constructed
expectations
Expected to make life changing
choices immediately, choose from
limited options
Acknowledged and explored
Treat narrative as a
whole
Each answer ‘scored’ and
accumulates funding separately
Multiple professionals contribute
Truer ‘holistic’ picture of life
Individual as expert – in
subconscious
Multiple readings =
multiple interpretations
Once completed assessment &
person passed to another team
Need to decide immediately on
response
Time to return to SU and
explore analysis
Factors to consider when using
dialogic/performance analysis for
Social work assessment
• Narrative approach to social work needs assessment &
dialogic/performance analysis of assessment narrative
• Transparency about interpretation
• Recognition that not everyone can consciously identify what they
want as an ‘outcome’
• More contact with service users
• More interpretation and reflection on information provided during
assessment
• Pilot schemes…
Conclusions
• S.a.Pollock@Salford.ac.uk
• Twitter: @SarahPollock123
• Tel: 0161 295 2288
Contact:
Refreshments
and Networking Break
Jenna Murray de López, University of Salford
(Dis)embodied knowledge and the
ethics of engagement
Panel discussion
• Jenna Murray de López
• Joe Smeeton (chair)
• Kate Parkinson
• Sarah Pollock
#mrcsalford
Joe Smeeton, University of Salford
Conference Close

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Promoting dignity and rights in marginalised communities

  • 1. Promoting dignity and rights in marginalised communities: Messages from social work research Tuesday 22nd March 2016 #mrcsalford
  • 2. Joe Smeeton Making Research Count at The University of Salford #mrcsalford
  • 3. • National initiative across ten universities in England • A knowledge broker • Bringing together academics, practitioners, carers and users to facilitate the dissemination of social care research and theory • The University of Salford is the regional hub for MRC in Greater Manchester • Support the learning needs of a range of organisations in the sub- region Making Research Count (MRC) #mrcsalford
  • 4. Celebrating World Social Work Day! Family Group Conferences: A Global Approach to Child Protection Kate Parkinson, Lecturer in Social Work, Salford University
  • 5. • Celebrating global approaches to Social Work • Relevant to Social Work practice locally • What are Family Group Conferences? • Presenting research on child protection outcomes from FGCs across the globe • Introducing a new typology for examining the use of FGCs across the globe • Discussion on where and why outcomes are best Setting the Scene!
  • 6. • Developed in New Zealand in the late 1980s • Family led decision making process • Underlying philosophy – families are the experts • A family/kinship group/social network develop a plan for the care or protection of a child or young person • Used across the globe • Used in over 40 local authorities in the UK What are Family Group Conferences (FGCs)?
  • 7. • Literature review and article for the European Journal of Social Work • Focused on 7 countries: UK, Republic of Ireland, USA, Canada, Australia, New Zealand and Sweden • Examined literature on the outcomes of FGCs used in child protection situations • Differences in defining child protection and what constitutes a good outcome for children but some key themes emerged • Developed a typology for understanding the implementation of FGCs across the globe International Research
  • 8. • Legal – FGCs have a legislative mandate and are a mandatory part of the child protection process e.g. New Zealand, some states in Australia, Republic of Ireland and one province in Canada. • Policy – FGCs are recommended as good practice and well embedded in child protection policy and procedure but they are not a legal requirement e.g. USA and two provinces in Canada • Optional – FGCs are recommended as good practice but their use is optional and an ‘add on’ to existing child protection policy and procedure e.g. the UK and Sweden (Parkinson, 2015, unpublished). The 3 Models
  • 9. • Outcomes for children were better under either the Legal or the Policy model of implementation – this is not a surprise! • UK – where FGCs are used, outcomes are generally good but the research is patchy and confined to small geographical areas • There are barriers to successful implementation of FGCs The 3 Models
  • 10. • Existing child protection processes • Cultures within some teams • Financial barriers • Sweden – the situation is similar • Sundell and Vinnerljung (2004) – paternalistic approach to child protection The Barriers
  • 11. • Fewer numbers of children enter Local Authority Care • An increase in the number of children being safely cared for within their family following a FGC • Improved relationships between families and professionals • Improved relationships between professionals (an unintended outcome) The Key Outcome Themes
  • 12. • Children are more likely to be cared for within their families following a FGC: • The Legal Model: -New Zealand: Maxwell and Robertson (1991) and Pakura (2003) – almost two thirds of children remained within the care of their family The Research Evidence
  • 13. - Australia – Northern Territory and Victoria – research found that the majority of children remained in the care of their families following a FGC (Ban, 1996 and Arney, McGuinness and Westby, 2012). The Research Evidence
  • 14. • - The Policy Model: - USA – Hawai’i – research from 2001 – 2003 demonstrated that two thirds of children remained within the care of their family (National Council of Juvenile and Family Court Judges, 2003). The Research Evidence
  • 15. - Toronto, Canada, 2006 – Comparative research. Children subject to a FGC were more likely to remain in the care of their family – 85% vs 72% (Cunning and Bartlett, 2006), The Research Evidence
  • 16. • The Optional Model: - UK – does have a legislative context to some extent. - 2014 – Public Law Outline and Statutory Guidance - Children Act 1989 – key principles The Research Evidence
  • 17. - Morris (2007) – Camden – FGCs were successful in diverting children away from care • Sweden – Sundell and Vinnerljung (2004) – longitudinal study. Outcomes for children following FGCs were NOT better • BUT The Research Evidence
  • 18. • Paternalistic system in Sweden • Not embedded in child protection practice and procedures • Doolan (2007) – for FGCs to be successful they need to have a legal mandate and be embedded in child protection process. The Research Evidence
  • 19. • Children Being Safely Cared for Within their Extended Families • The Legal Model: - Pakura (2003) - families plans were more successful at keeping children safe than those designed by professionals. The Research Evidence
  • 20. - Australia. Harris (2008) outcomes from FGCs – improved child safety and increased formal and informal support to enable families to safely care for their children. The Research Evidence
  • 21. • The Policy Model: - USA, Hawai’i – Walker (2002) - 97% of families developed safe plans for their children and 99% of families were not reported for harm or threatened harm within one year of the conference The Research Evidence
  • 22. • The Optional Model: - UK. Morris (2007) Camden – there was a significant reduction in the number of families needing the support of social work services. The Research Evidence
  • 23. • Families are better engaged with child protection processes: • The Legal Model: - Republic of Ireland. Brady and Miller (2009) South Tipperary – significantly improved relationships between families and services The Research Evidence
  • 24. • The Policy Model: - USA. Hawai’i. National Council of Juvenile and Family Court Judges, (2003) – 82% of participants in research (2001 – 2003) including professionals and families reported that the FGC approach enabled better engagement between professionals and families. The Research Evidence
  • 25. • The Optional Model: - The UK. A key message from the research is that FGCs have the potential to engage with families more effectively that traditional child protection approaches (Marsh and Crow, 1998; Dalrymple, 2002; Holland et al, 2003; Horan and Dalrymple, 2004; Holland et al 2005). The Research Evidence
  • 26. • One of the most significant research findings – fathers better engaged in child protection processes. • Marsh and Walsh (2007). Research into the Kent FGC service – the majority of families viewed FGCs as a collaborative process with professionals. The Research Evidence
  • 27. • Relationships between professionals improved: - USA. Hawai’i. National Council of Juvenile and Family Court Judges (2003) – 82% of participants felt that the FGC model helped child protection workers and other professionals work closely together to meet the needs of families. The Research Evidence
  • 28. • FGCs have the potential to lead to better outcomes for children and young people subject to child protection procedures and processes. • The Munro Report 2011 • Key messages from Serious Case Reviews (Brandon et al., 2011). The Significance of this Research for the UK
  • 29. • The International Federation of Social Work Definition of Social Work: ‘Social work is a practice-based profession and an academic discipline that promotes social change and development, social cohesion, and the empowerment and liberation of people. Principles of social justice, human rights, collective responsibility and respect for diversities are central to social work. Underpinned by theories of social work, social sciences, humanities and indigenous knowledge, social work engages people and structures to address life challenges and enhance wellbeing. The above definition may be amplified at national and/or regional levels’ (IFSW, 2014). The Significance of this Research
  • 30. • k.p.parkinson@salford.ac.uk • Twitter - @KateParkinson5 • 0161 295 6545 Happy World Social Work Day!! Thank you and any questions?
  • 31. • Arney, F., McGuinness, K., and Westby, A. (2012) Report on the Implementation of Family Group Conferencing with Aboriginal Families in Alice Springs, Menzies School of Health Research. • Ban, P. (1996) Implementing and Evaluating Family Group Conferences with Children and Families in Victoria, Australia in Hudson, J., Maxwell, G. and Galway, B. (eds.) (1996) Family Group Conferences: Perspectives on Policy and Practice, The Federation Press: Criminal Justice Press. • Brady, B. and Miller, M. (2009) Barnados Family Welfare Conference Service South Tipperary Evaluation Report, Child and Family Research Centre, National University of Ireland. References
  • 32. • Brandon, M; Sidebotham, P; Bailey, S; Belderson, P; Hawley, C; Ellis, C; and Megson, M. (2011) New Learning on Serious Case Reviews: a two year report from 2009 – 2011, Centre for Research on the Child and Family in the School of Social Work and Psychology, University of East Anglia. • Cunning, S. and Bartlett, D. (2006) Family Group Conferencing: Assessing the long-term effectiveness of an alternative approach in child protection, Center of Excellence for Child Welfare: Toronto. • Dalrymple, J. (2002) Family Group Conferences and Youth Advocacy: the participation of children and young people in family decision making, European Journal of Social Work, Vol. 5, No. 3, pp. 287 – 289. References
  • 33. • Harris, N. (2008) Family Group Conferencing in Australia 15 years on: Child Abuse Prevention, No. 27, pp. 1-19. Litchfield (Maxwell, G.M. and Robertson, J.P. (1991) Family Group Conferences: Key Elements, Paper Presented to Mission of St. James and St. John: Melbourne, Australia, 10th June. • Holland, O., O’Neill, S., Scourfield, J. and Pithouse, A. (2003) Outcomes in family group conferences for young people on the brink of care: A Study on child and family participation, Cardiff University School of Social Sciences. • Horan, H. and Dalrymple, J. (2004) Promoting the Participation Rights of Children and Young People in Family Group Conferences, London: Barnardos. References
  • 34. • Doolan, M. (2007) Working Towards an Effective agency mandate for family group conferences, in Ashley, C. and Nixon, P. (eds.) (2007) Family Group Conferences – what next?: Policies and Practices for the Future, Family Rights Group. • Holland, O., O’Neill, S., Scourfield, J. and Pithouse, A. (2005) Democratising the Family and State? The Case of Family Group Conferences in Child Welfare, Journal of Social Policy, Vol, 34, No. 1, pp. 59-77. • Marsh, P. and Crow, G (1998) Family Group Conferences in Child Welfare, Blackwell Science Ltd. References
  • 35. • Marsh, P. and Walsh, D. (2007) Outcomes of Family Group Conferences: More Than Just the Plan? Outcome Report for Kent Family Group Conference Service. • Morris, K. (2007) Camden FGC Service: An Evaluation of Service Use and Outcomes, University of Birmingham. • Munro, E. (2011) The Munro Review of Child Protection Final Report: A Child -Centred System, London: The Stationary Office. • (20120 National Council of Juvenile and Family Court Judges (2003) Empowering Families in Child Protection Cases: An Implementation Evaluation of Hawai’i’s Ohana Conferencing Program, The Center for Community Partnerships in Child Welfare: New York. References
  • 36. • Pakura, S. (2003) A Review of Family Group Conferences 13 years on, Social Work Review, Vol 15, Part 3, pp.3 -7. • Parkinson, K. (forthcoming) Family Group Conferences and Child Protection: A Review of International Research Outcomes, European Journal of Social Work References
  • 37. Sarah Pollock, University of Salford Using qualitative research methodologies to inform social work practice: Learning from older Pakistani women
  • 38. • Background • Literature Review • Narrative methods – Co-construction – Free association – Dialogic/performance analysis • Adult assessment processes Outline
  • 39. • Qualified social worker, in ethnically diverse local authority • Lack of ethnic diversity in local authority service user population • Want to find out why = PhD proposal • ‘Underrepresentation of Minority Ethnic Groups in Intermediate Care’ Background
  • 40. • Umbrella term – residential units, hospital at home, reablement, telecare, day hospitals… • Short term, step-up & step-down • Suitability assessed via multi-disciplinary team • Government policy since 2001 – National Beds Inquiry (1999) – National Service framework for Older People (2001) – Halfway Home? (2009) extended timeframes & added exceptions for some groups What is Intermediate Care?
  • 41. • Nationally (E&W) South Asian 5.3%; – Indian 2% – Pakistani 2.5% – Bangladeshi 0.8% • Research Area 18.1%; – Indian 0.7% – Pakistani 10.1% – Bangladeshi 7.3% 2011 Census Data
  • 42. • Research Area: – Indian 0.56% – Pakistani 0.56% – Bangladeshi 0.16% • Real terms: – 8/1537 Bed-based – 31/1517 Home-based National Audit of Intermediate Care 2012(NAIC) Data
  • 43. Not going to service Not included in evaluation of service Service not suitable for needs Cycle of Exclusion
  • 44. • Articles referred specifically to ‘Christianity’ when discussing religion • Research asked for ‘English speaking’ participants only • When consulting with minority ethnic communities only ‘community elders’ were actually consulted • 'there is no evidence that provision responsive to Black and Minority Ethnic communities has been addressed‘ • Service users who were not Christian, or could not speak English were silenced. • Very little social work led research Literature Review
  • 45. • Qualitative method • Narrative interviews = one open question; – ‘Can you tell me about a specific memorable time that you have accessed either health or social care services in this country?’ – ‘tell me about an average day/week… • Allow the individual to talk and they will come to what is important to them • ‘following people down their paths’ • Interviews take more than one one-off visit – about relationship building Dialogic/Performance Analysis Catherine Koler-Riessman
  • 46. • Co-construction ‘all investigators… lack access to another’s unmediated experiences; we have instead materials that were constructed by socially situated individuals from a perspective and for an audience’ Riessman C, K (2008) • Recognising both the researcher's influence and the importance of socially constructed expectations and rules • Treating whole narrative as one rather than fragmenting • Multiple readings = multiple interpretations Analysis of narrative interviews
  • 47. • The Care Act (2014) • Assessing adult care needs • Service user wellbeing and choice; ‘Local authorities should adopt a flexible approach that allows for a focus on which aspects of wellbeing matter most to the individual concerned’ (http://www.skillsforcare.org.uk/Document-library/Standards/Care-Act/learning-and- development/introduction-and-overview/wellbeing-handout.pdf) Practice relevance: Care Needs
  • 48. • First legal duties for local authorities to investigate • Following safeguarding adult processes means involving individual at all points ‘The Act signals a major change in practice - a move away from the process- led, tick box culture to a person-centred social work approach which achieves the outcomes that people want’ (http://www.skillsforcare.org.uk/Document-library/Standards/Care-Act/learning-and- development/introduction-and-overview/adult-safeguarding-handout.pdf) Practice Relevance: Safeguarding Adults
  • 50. • Austerity • Resource Allocation System (RAS) • Neoliberalism – Individualism – Consumerism – Choice • Premised on: – idea that people can answer questions about ‘what I want’ – recovery – Language of ‘outcomes’ Analysis of approach
  • 51. Elements of Narrative Analysis Current Assessment Narrative Assessment ‘following down their paths’ Pre-prescribed pro-forma Procedural, time limited, outcome focussed with restricted options Clearer link to ‘true’ person centred approach, might miss information – important to who? Co-construction – role of the researcher Self assessment Telephone screening One-off assessment visit No opportunity for relationship building Acknowledged in interpretation of narrative therefore can be explored further with SU Socially constructed expectations Expected to make life changing choices immediately, choose from limited options Acknowledged and explored Treat narrative as a whole Each answer ‘scored’ and accumulates funding separately Multiple professionals contribute Truer ‘holistic’ picture of life Individual as expert – in subconscious Multiple readings = multiple interpretations Once completed assessment & person passed to another team Need to decide immediately on response Time to return to SU and explore analysis Factors to consider when using dialogic/performance analysis for Social work assessment
  • 52. • Narrative approach to social work needs assessment & dialogic/performance analysis of assessment narrative • Transparency about interpretation • Recognition that not everyone can consciously identify what they want as an ‘outcome’ • More contact with service users • More interpretation and reflection on information provided during assessment • Pilot schemes… Conclusions
  • 53. • S.a.Pollock@Salford.ac.uk • Twitter: @SarahPollock123 • Tel: 0161 295 2288 Contact:
  • 55. Jenna Murray de López, University of Salford (Dis)embodied knowledge and the ethics of engagement
  • 56. Panel discussion • Jenna Murray de López • Joe Smeeton (chair) • Kate Parkinson • Sarah Pollock #mrcsalford
  • 57. Joe Smeeton, University of Salford Conference Close

Editor's Notes

  1. Like DVA, co-occurring child abuse can be physical, sexual or emotional and often has dynamics of power and coercive control. DVA can be directly or indirectly witnessed in that child may be in the same room or be in the adjacent room and her their mother being abused. National Children’s Resource Centre 2003 – 90% of incidents were witnessed by children (directly or indirectly) Bragg (2003) 80-0% children can provide detailed accounts of DA in homes where DA occurs McGee (2000) 71% witessed physical assaults on mother, 10% witnessed rape Domestic doesn’t stop when a relationship ends, often separation- instigated violence and abuse increases and child contact can present an opportunity for perpetrators to commit offences against both the women and children. Post separation is a critical time and represents a window when many homicides occur. 2 women are killed each In relation to child deaths – serious case reviews consistently show a significant proportion of cases where DA was present in the case of a child death – Daniel Pelka SCR (high levels of DA), as early as 1974 Maria Colwell
  2. Twenty years ago, in 1995, Elaine Farmer described a STRIKING DISREGARD of domestic violence in child protection cases.
  3. Worked in community and in hospital and intermediate care - saw lack of ethnic diversity in service user population
  4. Hope this isn’t patronising – introduced to prevent hospital admission, ease discharge and avoid admission to residential care - Contested at implementation – ageist, poor evidence base due to lack of trial periods
  5. Wanted to see if certain groups were actually under-represented. More recent statistics indicate a rise to nearer 22%
  6. NHS Benchmarking – isn’t obligatory – services subscribe however the research area do return their data. People are not accessing actual services – what research can I find to explain why this is & how to improve it… Critique - lower ages – more young people, fewer older people – older people more likely in IMC but not to this extent. Hard to access views of people not engaging in services as only those engaging are involved in service evaluations Why is this the case – literature review…
  7. Original interest in experiences of minority ethnicities – wasn’t anything! Broadened to whole of IMC in hope of uncovering different terminology to explain absence of relevant research – it didn’t! 2 linked to ethnicity, one didn’t meet peramaters set for other pieces but was felt necessary in light of paucity of information generated. Keywords included – older people, health, prevention, independence – unsuccessful Abstract read – removed those about international projects, completely irrelevant (diabetes, childrens services) or focussed on one specific idea (aromatherapy/sunlight) Critique isn’t saying that this research isn’t credible, valid or appropriate – ‘good’ research – implications for ME’s is relevant ‘other’ religion – not explored further – not majority, has implications for how minorities of all demographics are considered Discusses religion in decline – actually only true for Christianity – assumption of ‘only’ – link to Richard Dyer ‘White’ privilege – unconscious assumptions Petch – 1 of 3 issues relating to equality & diversity - Discourages assumptions about family based care, advocates use of meeting places to disseminate information in appropriate formats, some useful contributions to knowledge – was 12 years ago – still true
  8. Methods of both data collection and analysis
  9. Co construction – the questions we ask, facial expression or encouragement on certain aspects, the power or funding/services linked to our roles, the ‘gatekeeper’, the profession we reflect – might not tell health problems ‘social’ aspects/expectations
  10. Focus is moving towards individually guided assessment Care Act gives no clear guidance how individual authorities demonstrate their acknowledgement of individual wellbeing – narrative approaches and the analysis of these approaches could provide this.
  11. In practice this is what this looks like..