Journal Article

The Experience and Practice of Approved Social Workers in Northern Ireland

Roger Manktelow, Phil Hughes, Frank Britton, Jim Campbell, Bernadette Hamilton and George Wilson

in The British Journal of Social Work

Published on behalf of British Association of Social Workers

Volume 32, issue 4, pages 443-461
Published in print June 2002 | ISSN: 0045-3102
Published online June 2002 | e-ISSN: 1468-263X | DOI: http://dx.doi.org/10.1093/bjsw/32.4.443
The Experience and Practice of Approved Social Workers in Northern Ireland

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This article reports on the first extensive survey of Approved Social Worker (ASW) activity under the Mental Health (Northern Ireland) Order 1986. The integrated health and social services organizational structure, the adverse effects on individual mental health of the legacy of thirty years of civil conflict and the move from hospital to community care are significant features which have influenced the delivery of mental health social work services locally. The practice and experience of ASWs was surveyed by postal questionnaire and user and carer experience of compulsory hospital admission was investigated by a series of focus groups. The study revealed that two‐thirds of ASWs had experience of acting as an applicant in compulsory hospital admission during the past two years. Nearly half (42 per cent) of these ASWs had reported experience of between one and five admissions and one‐tenth had completed over twenty admissions in the two‐year period. In only a small minority of cases did joint face‐to‐face assessment with the General Practitioner (doctor) take place; nearly half of ASWs reported difficulties in obtaining transport; and only one‐fifth of ASWs had experience of acting as a second approved social worker. Half of ASWs reported experience of guardianship, either as applicant or in making the recommendation. Both service users and carers reported a lack of understanding about the role of the ASW and complained about the lack of alternative resources that ASWs could use to prevent hospital admissions. These findings are discussed and a number of recommendations are proposed for improvements to approved social worker practice.

Journal Article.  0 words. 

Subjects: Social Work

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