This paper investigates the impact of violent political conflict on social workers and service users in three countries: Northern Ireland, Israel and Palestine. Despite its significance for social work (and other helping professions), there is a dearth of research on the subject. The authors construct a research framework which encapsulates the complexity and ambiguity of the issues at stake and three parallel empirical studies, which follow this framework, are presented. The findings highlight the burden of working and living in a violent political conflict, not just for service users but also for social workers. Emotional stress, fear, competing national and religious identities, yet some indication of resilience, are key findings from these studies. A number of moral and professional dilemmas emerged across all three studies, often testing loyalty to universal social work values. Thus, some respondents at times found it difficult to deal with colleagues and service users who were perceived to be ‘the enemy’. These studies highlight the need to raise the consciousness of social workers, agencies and policies about such issues in a world which is increasingly afflicted by violent political conflict. Support, education and training for social workers which transcend national contexts and further international research in this important area are recommended.
The broad research consensus suggesting substantial vulnerabilities among lesbian, gay, bisexual and transgender (LGBT) communities may fail to recognize the protective factors available to these populations. The sparse literature on mental health promotion highlights the importance of understanding strengths-based community approaches that promote LGBT wellbeing. Informed by the Ottawa Charter for Health Promotion, underpinned by Honneth’s Theory of Recognition, this paper outlines the findings of a qualitative Irish study on LGBT social connectedness through a diverse range of sporting, creative and social interests. Ten in-depth interviews were conducted with 11 people (including one couple) who self-identified as lesbian (5), gay (4), bisexual (1) and transgender (1) aged between 22 and 56 years. A university Research Ethics Committee granted approval. The data were transcribed and coded using thematic analysis, enhanced through a memo-writing approach to reflexivity. The theme of ‘connecting’ emphasized the shared nature of activities, with like-minded others through groups established by, and for, LGBT communities. Messages from the study reinforce the central role of LGBT communities in the promotion of mental health and social wellbeing, with important policy and practice implications. This requires the contextualization of the contribution of LGBT communities within understandings of social justice, identity and recognition.
1 January 2016 in International Journal of Law and Psychiatry
There have been important recent developments in law, research, policy and practice relating to supporting people with decision-making impairments, in particular when a person's wishes and preferences are unclear or inaccessible. A driver in this respect is the United Nations Convention on the Rights of Persons with Disabilities (CRPD); the implications of the CRPD for policy and professional practices are currently debated. This article reviews and compares four legal frameworks for supported and substitute decision-making for people whose decision-making ability is impaired. In particular, it explores how these frameworks may apply to people with mental health problems. The four jurisdictions are: Ontario, Canada; Victoria, Australia; England and Wales, United Kingdom (UK); and Northern Ireland, UK. Comparisons and contrasts are made in the key areas of: the legal framework for supported and substitute decision-making; the criteria for intervention; the assessment process; the safeguards; and issues in practice. Thus Ontario has developed a relatively comprehensive, progressive and influential legal framework over the past 30 years but there remain concerns about the standardisation of decision-making ability assessments and how the laws work together. In Australia, the Victorian Law Reform Commission (2012) has recommended that the six different types of substitute decision-making under the three laws in that jurisdiction, need to be simplified, and integrated into a spectrum that includes supported decision-making. In England and Wales the Mental Capacity Act 2005 has a complex interface with mental health law. In Northern Ireland it is proposed to introduce a new Mental Capacity (Health, Welfare and Finance) Bill that will provide a unified structure for all substitute decision-making. The discussion will consider the key strengths and limitations of the approaches in each jurisdiction and identify possible ways that further progress can be made in law, policy and practice.
1 September 2002 in The British Journal of Social Work
This article considers the concept of social justice by reference to the experience of social work in Northern Ireland during the past forty years of communal, paramilitary and state violence. It notes the contested nature of the concept and its chequered history within the professional ideology of social work generally and its absence as a significant explanatory and motivational concept for social workers in Northern Ireland to date. It argues that in the emerging post‐conflict situation social work as a profession needs to operationalize a view of social justice that acknowledges social and cultural diversity in order to redefine the profession itself and direct its relationship to both the state and civil society.
22 January 2009 in Journal of Trauma & Dissociation
This study examines the relationship between childhood trauma and the psychiatric symptoms and psychosocial functioning of adults with severe mental health problems. Participants (n = 31) were recruited from the caseloads of community mental health services in Northern Ireland and assessed at baseline, 9 months, and 18 months. More than half had a history of childhood trauma (n = 17). There were no differences between the no childhood trauma (n = 14) and childhood trauma groups on psychiatric symptoms, but a significant relationship was found between trauma history and all aspects of social functioning. Those with no history of trauma showed improved psychosocial functioning over time, whereas those with a history of trauma deteriorated. These findings have implications for current service provision.
1 February 1996 in The British Journal of Social Work