Liz Hoggarth: Outcome evaluation – help is on the way

“Many of us react instinctively against further demands to produce evidence, especially quantitative information – we know all too well that progress with clients is made up of tiny, often faltering, steps forward that are extremely difficult to demonstrate or quantify. There are downsides to the outcomes approach as there are to other systems of planning and evaluation. But the question of outcomes is a perfectly legitimate one. The number of visits made to a family is beside the point if the risks are not picked up and appropriate interventions are not identified to begin to help people deal with the problems. The number of counselling sessions provided is hardly important if in the end they made no difference for the person seeking help. We must address outcomes in order to improve services.”

Chris Nicholson on Creative Therapeutic Approaches with traumatised young people

“Through sensitively handled, creative interaction and by the use of ‘creative’ approaches with traumatised young people their characteristic rigidity begins to loosen. New possibilities emerge, the mutative nature of create endeavours. In time, they may be able to see painfully familiar situations in different and helpful ways that can lead to their forming a new response.”

Jenny Weinstein on Service User Involvement in Mental Health Care

“Working with service users has taught me that professionals like me, however experienced or well trained we think we are, often miss the most important issues from a user’s perspective. I believe that hearing service users’ views and having service users involved centrally in all aspects of planning, developing and evaluating services is absolutely vital to ensure high quality services that are fit for purpose.”

Kieran O’Hagan on Competence in Social Work Practice

“…why is it that a very small number of social workers who have striven so hard to qualify and who have demonstrably proven their competence at the end of their training fail to maintain it in practice? […] It certainly cannot happen overnight. The reports often expose terrible working conditions, e.g., inadequate supervision and resources, and unrealistic caseloads (and that’s even without mention of exceedingly difficult and often intimidating clients). All of these factors may adversely affect the worker’s level of performance, and in some cases, make it virtually impossible to maintain the level of competence already achieved in practice placements, and amply recorded and demonstrated in workers’ portfolio. Therein I believe, lies both the problem and the solution…”

Chris Taylor on Caring for Children and Teenagers with Attachment Difficulties

“Our attachment history affects us all, and children who have had sub-optimal early care are likely to be anxiously attached and to carry this anxiety as a self-fulfilling prophecy into other relationships, developing behavioural coping mechanisms that may make them difficult to care for. If the caregiver is also frightening, the child cannot organize their coping strategy in a coherent way. Such a child presents a huge challenge to be adequately cared for. Understanding attachment allows professionals charged with this task to unpack the child’s adjustment and work out ways of responding to the child that answers their attachment need and switches of the child’s self-defeating behaviours.”

Rhidian Hughes: “Restraint does nothing to address the underlying causes of people’s behaviour”

“…the United States was the first country to take a long hard look at the use of restraint and to develop a number of innovative restraint reduction and eradication approaches. […] Progress in other countries has followed, although at a different pace. Arguably the UK has lagged behind other countries in the attention afforded to this topic and the lack of domestic research has been criticised, a point made in the book…”