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Children and young people in hospitals: doing youth work in medical settings
- Authors:
- YATES Scott, PAYNE Malcolm, DYSON Simon
- Journal article citation:
- Journal of Youth Studies, 12(1), February 2009, pp.77-92.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Young people in hospitals face a range of challenging issues. Many have chronic conditions and experience stigmatisation, anxiety and family conflict. They may also experience social isolation in hospitals, separation from local peer groups and sources of support, and separation from trusted carers during transition to adult care. These issues can require careful handling. However, there is evidence that clinical staff often do not communicate effectively with young patients, that relationships can become contested, especially around 'adherence' to treatment regimens, and that important underlying difficulties that young people face are not addressed, leading to resistance and disengagement from care. This paper explores this range of challenges, and presents some research evidence to argue that youth work is particularly well placed to engage with such issues. Although youth work in UK hospitals is currently very rare and under-researched, the authors contend that what evidence is available suggests that it can be effective in addressing the challenges of young people's experience, and may have important health and wider-ranging general benefits for young people, health staff and hospitals.
Safeguarding adults at end of life: audit and case analysis in a palliative care setting
- Author:
- PAYNE Malcolm
- Journal article citation:
- Journal of Social Work in End-of-Life and Palliative Care, 3(4), 2007, pp.31-45.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia
Results are presented from an audit of elder abuse in a UK palliative care service with both home care and day care patients. Twenty cases were identified, involving institutional, physical, verbal and financial abuse, and neglect. Most patients wanted protection for themselves or help for their abuser, but a few did not wish to disrupt personal care and relationships in spite of abuse. An analysis of cases where neglect was associated with physical abuse showed that the stresses of caring at the end of life were exacerbated by problems in existing family relationships, sometimes associated with substance abuse and histories of mental illness. Social workers can contribute to solving this problem by assessing family relationships, developing interventions to clarify and organise family caring responsibilities, and delivering services to support carers and monitor potential abuses. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
The post-modern student: piloting through uncertainty
- Authors:
- ASKELAND Gurid A., PAYNE Malcolm
- Journal article citation:
- Journal of Teaching in Social Work, 26(3/4), 2006, pp.167-179.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Post-modern students (and some educators) are defined as updated nomads who have access to the financial, material and technological resources for communication and travelling. They tend to see education as a consumer good and seek a personal rather than a professional identity. However, to benefit from education, they also need security and structure. Social work education needs to be reframed as a process of emergence in which educators and students work together to create knowledge and identity in their professional area. To operate in an increasingly complex and rapidly changing world, students need to create a strong professional identity and learn how to transfer knowledge and values from one situation to another. They need to become ‘chaos pilots’ who are able to deal with both cultural and social change. (Copies of this article are available from: Haworth Document Delivery Centre, Haworth Press Inc., 10 Alice Street, Binghamton, NY 13904-1580).
Distance education and international social work education
- Authors:
- ASKELAND Gurid Aga, PAYNE Malcolm
- Journal article citation:
- European Journal of Social Work, 10(2), 2007, pp.161-174.
- Publisher:
- Taylor and Francis
As a result of the development of new communication technology, distance education has become a rapidly growing area over the last few decades. Market and commercial pressures are major factors in its developing impact. Distance education has also been applied to social work education. Because it is a small field it may be both positively and negatively affected. Social work education requires face-to-face communication training. Educators need to respond to the limitations of distance education technologies and processes to provide for cultural and linguistic diversity, through openness to joint work across different cultures, anti-standardisation and -discrimination, reflexivity, user control and resources, and cultural and language translation.
Performing as a 'wise person' in social work practice
- Author:
- PAYNE Malcolm
- Journal article citation:
- Practice: Social Work in Action, 19(2), June 2007, pp.85-96.
- Publisher:
- Taylor and Francis
Analysis of a case study using Pawson et al.'s (2003) typology of knowledge in social work practice shows that different types of knowledge may be used in different phases in an interaction, the informal use of researched knowledge, knowledge derived from the practitioner and agency, acceptance of the worker's role by users and the importance of the organisational context as a frame for acceptance of the worker's expertise. It is argued that while social work knowledge and theory is integral to all social work practice, it is embodied in the worker, in an improvised interpersonal performance with users in the agency context, which promotes acceptance of the worker as a 'wise person' and that research into the improvisation of embodied performance should inform social work practice.
Social work practice identities: an agency study of a hospice
- Author:
- PAYNE Malcolm
- Journal article citation:
- Practice: Social Work in Action, 16(1), March 2004, pp.5-15.
- Publisher:
- Taylor and Francis
Practice identities emerge from negotiation among people working in organisational settings in practice communities and accumulate through interprofessional and professional relations to contribute to the negotiation of professional identities. An organisational study comparing social work, clinical nurse specialist, day care as an example of social care and chaplaincy roles in a hospice uses distinctions in practice to identify the role of social work as problem-focused on family and psycho-social problems and as a broker in relations with external agencies. Social care roles were more concerned with developing personal fulfillment, well-being and support through group activities, chaplaincy with religious services and psychologically focused problems of personal meaning, and nurses as focused on health care issues. Insider studies of detailed distinctions in practice are a useful method to contribute to wide studies of professional and practice identity.
Broadening the mind: crossing national activities in social work
- Authors:
- ASKELAND Gurid Aga, PAYNE Malcolm
- Journal article citation:
- European Journal of Social Work, 4(3), November 2001, pp.263-274.
- Publisher:
- Taylor and Francis
Cross-national activities in social work are claimed to be valuable because they 'broaden the mind' of participants. This article argues that cross-national activities have as a result been uncritically valued, and proposes a more critical analysis. Drawing on examples of the authors' experiences, argues that cross-national activity often misunderstands difference as cultural. Careful analysis of structural contexts, knowledge and process is crucial to evaluating cross-national work; this paper focuses on structure. Participants, their objectives and their power need to be examined: roles of stakeholders and 'ringmasters' distinguish different positions. To be successful, objectives need to progress towards more mutual, equal and committed participation of partners.
The moral bases of social work
- Author:
- PAYNE Malcolm
- Journal article citation:
- European Journal of Social Work, 2(3), November 1999, pp.247-258.
- Publisher:
- Taylor and Francis
Social work's conventional 'value-talk' presents a professional neutral value system for making moral judgements, but paradoxically neglects the professional social role of making moral judgements on behalf of society. Conventional statements of social work's moral values neglect economic, political, and aesthetic value judgements and issues of logic, rhetoric and epistemology, which should also be included in the value debate. It is argued that moral judgements about clients and their worlds are an integral aspect of social work that is often denied. Argues that those judgements should be carried out within a more comprehensive and better articulated value system, which is applied in the details of everyday practice.
Authors and audiences: towards a sociology of case recording
- Authors:
- ASKELAND Gurid Aga, PAYNE Malcolm
- Journal article citation:
- European Journal of Social Work, 2(1), March 1999, pp.55-65.
- Publisher:
- Taylor and Francis
An important aspect of case recording is that it is a social relationship between authors and audiences, as well as a system of information storage and retrieval. From the sociological perspective, three aspects of case recording are reviewed: the social relationship between authors and potential audiences, power relations between them and the interpretation of reality which takes place within the social relationship of case recording. Consequences of this perspective for case recording within social work and within agencies are reviewed.
Routes to and through clienthood and their implications for practice
- Author:
- PAYNE Malcolm
- Journal article citation:
- Practice: Social Work in Action, 6(3), 1992, pp.169-180.
- Publisher:
- Taylor and Francis
People become clients of social work agencies by following a complex route, metaphorical or actual, through other attempts to help. This constructs the nature of the social work interaction. In community care services, routes to clienthood may become more complex with a wider variety of agencies being involved in a single person's case; social workers will have to be the guide through this network. Clienthood is best understood as a process though which clients become aware of issues, are impelled and sometimes compelled to obtain services, follow various options, come to see an agency as relevant, make contact, are taken into it and processed. They occupy different positions as clients throughout their contact, before ceasing to be clients. Assessment of routes to clienthood should include their importance to the relationship, the complexity of the route and factors which affect the client arising from the route taken. Practice implications include the value of clients' understanding the route to clienthood, how it has affected them, and the continuing path they must take, the nature of the intended clienthood and its effects on other people and agencies and understanding of the colleague-client balance.