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Mike Fisher - Mental Health Social Work Observed

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Despite extensive changes in the organisation of social and psychiatric services, there had been no study of mental health social work in the UK since the early 1960s. There was, however, no shortage of received wisdom about the perceived failure of social work to provide a service to the mentally disordered. Originally published in 1984, it was to provide some basic information about the practice of social work in this field that the study was conducted on which Mental Health Social Work Observed is based.

The authors looked at both long-term work and emergency work in which the use of compulsory powers was requested. In addition to the views of social workers, the opinions of psychiatrists, family practitioners and of the clients themselves were sought in order to gain a full picture of social work in practice. Through their thorough immersion in the field of study and through their experience of social work and of mental health issues, the authors were able to provide a sympathetic and lucid account of the difficulties of mental health social work and of the thorny issue of interprofessional relationships which will ring true to the practitioner.

They produced recommendations relevant to social work practice at the time and this book would be found useful to social workers and their managers, to psychiatrists, family practitioners, psychiatric nurses and clinical psychologists. Of particular relevance to the then current changes in the role of the social worker under the new mental health legislation is the authors study of mental health emergency work, culminating in a recommended code of practice.

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NATIONAL INSTITUTE SOCIAL SERVICES LIBRARY
Volume 12
MENTAL HEALTH SOCIAL WORK OBSERVED
MENTAL HEALTH SOCIAL WORK OBSERVED
MIKE FISHER, CLIVE NEWTON AND ERIC SAINSBURY
First published in 1984 by George Allen Unwin Ltd This edition first - photo 1
First published in 1984 by George Allen & Unwin Ltd
This edition first published in 2022
by Routledge
2 Park Square, Milton Park, Abingdon, Oxon OX14 4RN
and by Routledge
605 Third Avenue, New York, NY 10158
Routledge is an imprint of the Taylor & Francis Group, an informa business
1984 Mike Fisher, Clive Newton and Eric Sainsbury
All rights reserved. No part of this book may be reprinted or reproduced or utilised in any form or by any electronic, mechanical, or other means, now known or hereafter invented, including photocopying and recording, or in any information storage or retrieval system, without permission in writing from the publishers.
Trademark notice: Product or corporate names may be trademarks or registered trademarks, and are used only for identification and explanation without intent to infringe.
British Library Cataloguing in Publication Data
A catalogue record for this book is available from the British Library
ISBN: 978-1-03-203381-5 (Set)
ISBN: 978-1-00-321681-0 (Set) (ebk)
ISBN: 978-1-03-204621-1 (Volume 12) (hbk)
ISBN: 978-1-03-204630-3 (Volume 12) (pbk)
ISBN: 978-1-00-319396-8 (Volume 12) (ebk)
DOI: 10.4324/9781003193968
Publishers Note
The publisher has gone to great lengths to ensure the quality of this reprint but points out that some imperfections in the original copies may be apparent.
This book is a re-issue originally published in 1984. The language used is reflective of its era and no offence is meant by the Publishers to any reader by this re-publication.
Disclaimer
The publisher has made every effort to trace copyright holders and would welcome correspondence from those they have been unable to trace.
Mental Health Social Work Observed
Mike Fisher
Clive Newton
Eric Sainsbury
University of Sheffield
Mike Fisher Clive Newton and Eric Sainsbury 1984 This book is copyright under - photo 2
Mike Fisher, Clive Newton and Eric Sainsbury, 1984
This book is copyright under the Berne Convention. No reproduction without permission. All rights reserved.
George Allen & Unwin (Publishers) Ltd,
40 Museum Street, London WC1A 1LU, UK
George Allen & Unwin (Publishers) Ltd,
Park Lane, Hemel Hempstead, Herts HP2 4TE, UK
Allen & Unwin Inc.,
9 Winchester Terrace, Winchester, Mass 01890, USA
George Allen & Unwin Australia Pty Ltd,
8 Napier Street, North Sydney, NSW 2060, Australia
First published in 1984
British Library Cataloguing in Publication Data
Fisher, Mike
Mental health social work observed.(National Institute Social Services library ; 45)
1. Mental health services Great Britain
I. Title II. Newton, Clive
III. Sainsbury, Eric IV. Series
362.20941 HV3008.G7
ISBN 0-04-360061-1
ISBN 0-04-360062-X Pbk
Library of Congress Cataloging in Publication Data
Fisher, Mike.
Mental health social work observed.
(National Institute social services library ; no. 45)
Bibliography: p.
Includes index.
1. Psychiatric social work - Great Britain. 2. Medical social work - Great Britain. I. Newton, Clive. II. Sainsbury, Eric Edward. III. Title. IV. Series.
HV689.F47 1984 362.20425 83-11901
ISBN 0-04-360061-1
ISBN 0-04-360062-X (pbk.)
Set in 10 on 11 Times by Preface Ltd, Salisbury
and printed in Great Britain
by Billing and Sons Ltd, London and Worcester.
CONTENTS
Acknowledgements
2 The Social Workers and their Teams
3 Working with the Health Services
4 The Clients in the Study
5 Receiving Social Work
6 Providing Social Work
7 Four Case Studies
8 The Use of Compulsory Powers
9 Improving the Service
Appendix: Referral and Review Forms
References
Index
ACKNOWLEDGEMENTS
Research is not always welcomed in social services especially when it concerns an area which gives rise to such widespread anxiety as mental health social work. We are therefore grateful to the managers and social workers of the County for their willingness, despite understandable reservations, to allow their work to be examined and our thanks go to all social services participants for the frankness with which they were prepared to discuss the issues involved.
In research of the kind reported here, special acknowledgements are due to the clients and their families whose contributions must necessarily be highly personal and often made at some emotional cost. We thank them particularly for their readiness, in stressful individual circumstances, to understand our needs for the information which only they could give.
We are grateful to groups of general practitioners, psychiatrists and hospital social workers for the opportunity they gave us to understand their practice in relation to area team social work and for their forthright views about mental health provision within social services.
We are fortunate to have had the opportunity on various occasions to consult Professor Kathleen Jones and her colleagues at the University of York, Tilda Goldberg at the Policy Studies Institute and her research colleagues, David Phillips and Peter Marsh at the University of Sheffield, and Michael Willson. We have also been supported throughout the study by the general interest and advice of several officers of the DHSS. We are grateful to Sheffield University Research Fund for financial assistance, and to the Editor of Community Care for permission to use previously published material in Chapter 8.
Finally, our especial thanks are due to Sheila Fuller, who undertook our administrative and clerical work and who kept our heads (and her own) above a rising tide of paper.
Chapter 1 INTRODUCTION
The Background to the Study
Social work with people suffering mental ill-health has received very little attention; the last major study in Britain was conducted almost two decades ago (Rehin & Martin, 1968) soon after the implementation of the Mental Health Act (1959) and well before the reorganisation of the local authority personal social services. There have been some attempts to provide social workers with a working knowledge of psychiatry, particularly of its diagnostic categories (e.g. Munro & McCulloch, 1969; McCulloch & Prins, 1975), and some attention has been given to the uncertain role of social workers acting as Mental Welfare Officers (MWOs) under the Mental Health Act (e.g. Olsen, 1976 and Oram, 1978). But little attention has been paid to the preventive and/or therapeutic contributions which social workers are able or expected to make within a policy of community care for the mentally ill.
On the other hand, there is no shortage of received wisdom about the quality and quantity of mental health social work currently undertaken. Some psychiatrists have been highly critical of what they perceive as a deterioration in the quality of social work service since the reorganisation in 1971. This reorganisation, it is claimed, resulted in a loss, through dilution, of the specialised skills of MWOs consequent upon their incorporation into unified social services departments. Many social workers share the view that the standards of social work service to the mentally ill are poor, but tend to be disparaging about the role of the pre-1971 MWOs, seeing them largely as psychiatric menials with little professional skill, power or independence.
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