Bob Woods on the importance of family involvement in care homes for people with dementia

“Then came the opportunity to plan a new style of dementia care home, right in the heart of the catchment area, and the positive effects on relatives’ guilt and strain were palpable. [Relatives] visited more often and felt considerably more involved. But there were tensions too; relatives were often dissatisfied with staff, and staff felt that relatives were more of a problem than the residents. It became clear that the relationship between staff and relatives needed just as much attention as that between staff and residents.”

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.”

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…”

David Carson: What can Social Workers do to avoid being criticised – or sued?

“I had asked my social work students what additional topics they would like me to lecture upon. As a law lecturer I had explained how they could be sued for negligence and how easily they, and their evidence, could be misrepresented in court. So I should not have been surprised when they said they wanted to know how to take decisions that would avoid liability…”