Search results for ‘Publisher:"taylor and francis"’ Sort:
Results 1 - 10 of 262
The evolving use of Mentalization informed thinking with the 'Care Team' in the Irish statutory child protection system
- Author:
- CASEY Tom
- Journal article citation:
- Journal of Social Work Practice, 36(1), 2022, pp.41-55.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This article articulates the development of a novel form of service provision in Ireland directed at supporting Foster placements and Social Work practice with the aim of adverting placement breakdown. Within The Attachment & Mentalization Service model emphasis is placed on supporting the Care Team (i.e. Social Workers, Foster Parents) around children in care in Ireland with the ultimate aim of providing a depth of understanding that is commensurate with the level of relational difficulty experienced by children in care. The service model is underpinned by evidenced informed thinking relating to the knowledge bases of Mentalization, Reflective Functioning, and Alan Schore's articulation of Co-regulation. Privilege of space is provided to the illumination of the theory of Mentalization and Reflective Functioning with Co-regulation and psychoanalytical concepts of projection and containment also be highlighted. To aid the reader's digestion of the material a simple, everyday case example is provided. (Edited publisher abstract)
Assisted decision-making and interprofessional collaboration in the care of older people: a qualitative study exploring perceptions of barriers and facilitators in the acute hospital setting
- Authors:
- DONNELLY Sarah, et al
- Journal article citation:
- Journal of Interprofessional Care, 35(6), 2021, pp.852-862.
- Publisher:
- Taylor and Francis
In recent years, there has been a move toward a more human rights-based approach to the issue of supported and assisted decision-making (ADM) with legislative changes strengthening the formal right for older people to participate in care planning and decision-making. Ireland’s Assisted Decision-Making (Capacity) Act, 2015 breaks from traditional views of capacity to consider the uniqueness of each decision in relation to topic, time and place for those with impaired or fluctuating capacity. This study set out to explore experiences of assisted decision making (ADM) in acute care hospitals in Ireland and to identify the barriers and enablers to ADM for older people and people with dementia from the perspective of different Health and Social Care Professionals (HSCPs) involved in their care. The researchers carried out 26 semi-structured audio-recorded interviews with a convenience sample of HSCPs working in two acute hospitals and subsequently confirmed the results. HSCPs identified several barriers to, and enablers of, ADM in acute hospitals that were categorized into three key themes: Building meaningful engagement with older people and their family carers; barriers and enablers associated with interprofessional collaboration and barriers and enablers associated with the environment. The findings suggest that despite concrete policy and legislative underpinnings to ADM, this was not always evident in practice and suggests the need for specialized education and training on ADM in practice settings. (Edited publisher abstract)
‘All in this together?’ A commentary on the impact of COVID-19 on disability day services in Ireland
- Author:
- DOYLE Laura
- Journal article citation:
- Disability and Society, 36(9), 2021, pp.1538-1542.
- Publisher:
- Taylor and Francis
Disability services in Ireland faced a financial crisis which was exacerbated by the impact of the COVID-19 pandemic. The resumption of day services for people with disabilities placed the bulk of the financial burden on these disability services following initial non-committal governmental support. Disability day services closed in March 2020 with services operating at a much-reduced capacity since this date. This reduction of services has negatively impacted people with disabilities who were already experiencing inequalities in Irish society pre-COVID-19. Will the commitment of financial provision to support resumption of services positively impact on people with disabilities, or are historic inequalities faced by disabled people likely to continue in Ireland? (Edited publisher abstract)
Admission to long-stay residential care and mortality among people with and without dementia living at home but on the boundary of residential care: a competing risks survival analysis
- Authors:
- CARTER L, et al
- Journal article citation:
- Aging and Mental Health, 25(10), 2021, pp.1869-1876.
- Publisher:
- Taylor and Francis
Background: Health policy in many countries is underpinned by a commitment to support dependent older people to remain in their own home for as long as possible and practicable. This study explores factors affecting both admission to long-stay residential care (LSRC) and mortality among people with and without dementia who are currently living at home with intensive formal care support. Methods: This is a cross-sectional study based on administrative data collected on 429 dependent older people in Ireland, 269 of whom were people with dementia. A cause-specific hazard model was used to investigate the hazard of admission to LSRC, while accounting for mortality as a competing risk and vice versa. Results: Admission to LSRC was higher for people with dementia relative to people without and for those receiving lower amounts of informal care. The hazard of mortality was significantly higher for older people aged 85+, whereas it was lower for individuals with a medium level of dependency relative to those with high levels of dependency. The hazard of mortality was also influenced by the amount of informal care provision. Conclusion: People with dementia are more likely to be admitted to LSRC than people without. Care for people with dementia needs to be more specialised and personal, and intensity of provision should not be equated to the number of care hours on offer. Informal care provision may help to prevent admission to LSRC. Advanced age, physical dependency and informal care provision affect mortality, raising interesting issues in relation to resource allocation. (Edited publisher abstract)
Towards parity in protection: barriers to effective child protection and welfare assessment with disabled children in the Republic of Ireland
- Author:
- FLYNN Susan
- Journal article citation:
- Child Care in Practice, 27(4), 2021, pp.333-351.
- Publisher:
- Taylor and Francis
Disabled children experience increased risk of abuse and neglect. Concurrently, serious concerns and practical impediments persist regarding the capacity of statutory child protection and welfare services to respond adequately to their needs. Specifically, the focus in this article is on the assessment stage of the social work process within child protection and welfare teams in the Republic of Ireland. Within this, critical commentary on the literature in this article sets out barriers to professional assessment. These include those associated with interviewing children with cognitive and linguistic impairments, negotiating resource constraints, and overcoming knowledge impediments. Following a thematic overview of literature, theoretical vantage points associated with ableism and derived from the broad field of disability studies, informs concluding analysis with focus on lessons learned for future practice. The proposition is, that theoretical perspectives associated with ableism may aid practitioners in seeking to overcome knowledge, attitudinal and social equality barriers to effective child protection, that existing literature alludes to. (Edited publisher abstract)
Irish intellectual disability services for children and austerity measures: the qualitative impact of recession through framework method
- Author:
- FLYNN Susan
- Journal article citation:
- Child Care in Practice, 27(4), 2021, pp.372-388.
- Publisher:
- Taylor and Francis
Intellectually disabled children experience unique vulnerabilities related to poverty. The literature further identifies strong concerns for service delivery and practice with intellectually disabled children in the context of austerity measures arising from economic recession. Statistical data in Ireland are well developed on the equality impacts of economic recession in 2008. Qualitative research is by comparison lacking. This study presents research findings on the impact of recession on intellectually disabled young people and their families in Ireland. It does so to illuminate the meaning of existing statistical indicators which suggest adverse effects of austerity on this population group. A Framework Method of analysis is applied to transcripts produced from a Biographical Narrative Interpretative Method (BNIM) of interviewing. A sample of eight participants is reported on, which includes two intellectually disabled young people, three parents of intellectually disabled young people and three social workers in disability services. Findings take the form of themes and subthemes, which are then used to inform a discussion on key learning for practitioners moving forward. Within this, distinct concerns for practice with intellectually disabled children and young people are identified, such as the potential for practitioners to mis-conceptualise some behaviours that challenge as arising from impairment rather than poverty. Overall a predominantly negative impact of austerity on these families is evidenced. Results indicate that more meaningful partnership between policy makers and service users is required in future periods of economic adversity. (Edited publisher abstract)
An Open Dialogue-informed approach to mental health service delivery: experiences of service users and support networks
- Authors:
- TWAMLEY Iseult, DEMPSEY Maria, KEANE Nicola
- Journal article citation:
- Journal of Mental Health, 30(4), 2021, pp.494-499.
- Publisher:
- Taylor and Francis
- Place of publication:
- London
Background: Open Dialogue (OD) is a needs-based, service-user initiated approach to mental health service delivery that emphasises dialogue, and shared understanding between service users, and their support network. Aims: The aim of this study was to explore the lived experience of being part of an OD-informed mental health service in Ireland. Method: Data were collected through semi-structured group interviews and analysed using thematic analysis. Results: Three primary themes were identified across the data set namely: diversity across practice; unpacking the taken-for-granted and mental health as shared experiences. Participants experienced enhanced communication, improved relationships with mental health staff and developed shared understandings of mental health. Conclusions: This small-scale implementation demonstrates the received value for service users and their networks of an OD-informed approach within a traditional care pathway. As a relational and collaborative way of working, it requires a shift in clinical practice for mental health staff and service users that is experienced as a welcome change from treatment-as-usual (TAU). (Edited publisher abstract)
Behind closed doors: human rights in residential care for people with an intellectual disability in Ireland
- Authors:
- MURPHY Kieron, BANTRY-WHITE Eleanor
- Journal article citation:
- Disability and Society, 36(5), 2021, pp.750-771.
- Publisher:
- Taylor and Francis
Historically people with an intellectual disability have been excluded from society and many continue to live separately in institutions, group homes and segregated campuses. This article provides a unique analysis of what it is like to live separately from society in Irish centres for people with a disability. An analysis was undertaken of data from 627 inspection reports published in 2016 by the Inspectorate of residential care in Ireland. A Human Rights Framework was developed, based on the United Nations Convention on Rights of Persons with Disabilities (CRPD), to interpret the data by linking various interrelated articles of the CRPD into nine Human Rights Themes. The findings demonstrated that people with an intellectual disability were not regarded as citizens capable of full inclusion in society but rather experienced daily restrictions on their lives. The findings also emphasised the need to ensure human rights are at the core of service delivery. (Edited publisher abstract)
‘All in this together?’ A commentary on the impact of COVID-19 on disability day services in Ireland
- Author:
- DOYLE Laura
- Journal article citation:
- Disability and Society, early cite 14 June 2021,
- Publisher:
- Taylor and Francis
Disability services in Ireland faced a financial crisis which was exacerbated by the impact of the COVID-19 pandemic. The resumption of day services for people with disabilities placed the bulk of the financial burden on these disability services following initial non-committal governmental support. Disability day services closed in March 2020 with services operating at a much-reduced capacity since this date. This reduction of services has negatively impacted people with disabilities who were already experiencing inequalities in Irish society pre-COVID-19. Will the commitment of financial provision to support resumption of services positively impact on people with disabilities, or are historic inequalities faced by disabled people likely to continue in Ireland? (Edited publisher abstract)
Making acquaintance: compatibility of critical disability studies conventions with child protection and welfare social work practice in Ireland
- Author:
- FLYNN Susan
- Journal article citation:
- Practice: Social Work in Action, 33(2), 2021, pp.137-148.
- Publisher:
- Taylor and Francis
Substantial research evidence alludes to concerns, practical impediments, inefficiencies and injustices in Child Protection and Welfare (CPW) work with children with disabilities. Meanwhile, individualised perspectives and bio-medical discourses that have traditionally monopolised social work practice with disability are increasingly viewed as inadequate and reductive. In this context, particularly instrumental is the complexity and non-materiality that disability entails. As a cross-cutting intervention into these predicaments, this paper explores the practicalities of tentative links between CPW social work with children with disabilities, and the theoretical innovations of Critical Disability Studies (CDS), alluded to elsewhere. The proposition is, that three conditions of possibility may foster space for the effective integration of CDS conventions into CPW social work. These are instructive and refer respectively to: opening space for integration; application as an aid to reflective practice; and sensitising to nuanced and immaterial forces of disablement. The intention is, that abstract theory and non-materialist insights from CDS may be productively disruptive, and repurposed, for CPW students and practitioners seeking new ways to think through the present predicaments. (Edited publisher abstract)