Friday, March 29, 2019
The Historical Perspective Of Social Work Social Work Essay
The Historical Perspective Of kind prevail Social Work EssayThe purpose of this essay is to examine the historical and political prospect of social counterfeit provision in relation to lot with hallucination. It bequeath explore how the education of social litigate practice has transformed these groups, the continue of social exclusion they encounterd that lead to discrimination and/or oppressiveness and the benefit of listening to service users views.The primary mission of social work profession is to get up human well- be and help meet the staple fiber human require of all pack, with particular attention to the needs and dominance of people who argon vuln date of referenceble, oppressed and living in p everyplacety (Baker 1999 Pg 55). Social work has an important role to play in coordinating efforts to upkeep people with delirium who may oft have negative experiences of rational wellness function. As a result, it volition be a take exception to provide effe ctive social tolerate to these groups in an environment where their views be being seen as significant and where they do non receive service fairly and uniformly (SCIE July 2008).The medical terms dementia has developed since the nineteenth century and was used to describe people whose psychic disabilities were secondary to acquired heading damage, usually degenerative and often associated with old age (Tibbs 2001). Before the nineteenth century, a person with dementia would probably have been confined to the workhouses. (Marshall et al 2006). During this period, many put upers were taken away to aWorkhouse Infirmary with medical shell out on hand and given outdoor relief (Denney 1998). Whereas charities began to emerge during this era however there were no tidy measures in place to monger social work function no criteria to determine who the deserving and unworthy poor were, then help provided were viewed as indiscriminate (Howe 2009).As the mid-forties progressed, ther e were new developments and approaches in the treatment of people with mental oerturns. little houses for destitute elderly people were slowly replaced by old peoples homes (Marshall et al 2006). The period later on the Second World War saw the development of the welfargon state. in that location was a national agreement that the state has an pledge to provide full run in bless to respond to problems of poverty, mental wellness, old age etc (Tibbs 2001).The implementation of Beverage report published in 1942 directed at abolition of squalor, want, ignorance, disease and idleness. The National Assistant solve 1948 laid a foundation upon which future social work was construct and created departments to meet the needs of contrasting client groups (Tibbs 2001). During the late 20th century, both conservative and New Labour legislation have an force on psychic Health reformation. The establishment of Social Service Departments introduced in 1970 reviewed in Seebohm reports (1 969), enabled Local Authorities to promote welfare services for the elderly which had not already been included inwardly the framework of some other statutory body. (Tibbs 2001).The 1983 genial Health pass water introduced during the conservative regime mark a further move towards legislation to emend matters with statutory requirements and procedures for social workers to be properly trained in order to carry out original assessments. The Act ensures professionals who work with elderly people with dementia and indeed those who suffer from mental disorder have a basic understanding of the Mental Health Act, even if they do not act as ratified Social Workers (Tibbs 2001).The role of carers have to a fault been crucial in the electron orbit of dementia care done the introduction of The bursting chargers Act 1995 2000, which gave statutory cognition and right to carers, and funding through provision of Direct Payment (Marshall et al 2006). The Mental Capacity Act 2005 is als o a relevant Act to people with dementia and their carers. It includes the provision of independent Mental Capacity Advocates (IMCA) to value vulnerable people and dementia sufferers to gain more control over their lives, plan for the future and have their retained abilities recognised.It is important to address the impact of discrimination on these service groups as they suffer disability and as a result are subject to degrading treatment from the relatively powerful groups within the familiarity. (Tibbs 2001). inquiry shows that the societys fear towards dementia causes them to avoid people with the condition making them feeling isolated and stigmatised (BBC 2010). According to Thompson (2006), discrimination is a process through which a difference is identified, and can be corroborative or negative. He suggests that negative discrimination also involves making a negative attribution and attaching de determine label to a person.Dementia is wizard of the major causes of disab ility in the elderly, affecting personal care, everyday cognitive activities and social behaviour. To be diagnosed as having dementia involves a great preserve of stigma, often resulting in disadvantage and loss of animation chances by the sufferers. (Kitwood 1997). Although, dementia is strongly associated to elderly but research shows that increase number of people diagnosed with the ill-health are under 65 years of age and are referred to as young onset dementia (SCIE not dated). These service users are promising to experience inequality because society and professionals fail to recognise that dementia exists in this age group and they can continue to integrate within the society (SCIE not dated). They entrust have different destiny in life from older people with dementia because they are more likely to be in paid employment, have young children and have financial commitments.They will have to discontinue employment as most services are not able to cope with their condition which means promotion chance and pension entitlements are lost. (Marshall et al 2006). Feelings of discrimination and oppression may also be a barrier to people asking for support (Downs et al 2008). From experience, some people from black minority ethnic groups (Asian and Black Community) diagnosed with the ill-health would or else keep it in the family than to get help because they see it as being shameful (BBC 2010). Furthermore, accessing services can be complicated because there are no age- peculiar(prenominal) services available as most of the developed services are for older people with dementia (Tibbs 2001). Lack of access to services could result in extra burden being placed on families when the care needs exceed the ability to provide (Downs et al 2008). steamy impact is one of the significant factors experienced by dementia sufferers. There is also a prejudice with sufferers because of the association with madness and psychiatric disorder that the label creates. (Brooke r 2007). They also experience social isolation due to onanism of friends which diminishes their social networks and inability to meet a perceived societal expectation. (Crawford 2004). From experience with elderly, people sometimes hold ageist view against them by the way they speech to them e.g. name calling as sweet old lady. According to the Alzheimer gild publication, ageist societal attitudes compound the experience of elderly people with dementia who already appear to be prejudiced because of their age and intellectual decline. (Crawford 2004).Health professionals often consciously or otherwise oppress elderly with dementia because of their position of authority which could prevent them from making their own choice thereby disempowering them (Crawford 2004). From experience, professionals sometimes in their attitudes assumed elderly people with dementia are unable(predicate) of providing valid cultivation or making finding for themselves, by evermore focusing their atte ntion to their carers instead of the service users. They are often seen as being a burden to the state economy resources and are subjected to healthy pity as they are deemed to be out of their mind Crawford (2004).Research shows that it is often assumed that people with dementia are not provide enough to express their opinion or views on any cheek of their lives because of problems with parley through speech (Brooker 2007). As a result, practitioners inclined to bank on alternative views, usually provided by family carers, rather than their view. However, the needs, experience and learning of the carer might be different from that of the person they are caring.Empowerment and freehand voices to people with dementia is a vital part of anti preferential/oppressive practice. (Tibbs 2001). The needs for communicating and empowering dementia sufferers by involving them in finis making became major considerations within social works field. It is anticipated that the Mental Capacit y Act, 2005 will address some of these issues. Begum (2006, P.3) defined user thing as participation of users of services in decisions that affect their lives. People with dementia voices can be valued by promoting active participation within care relationship regardless of their age or cognitive wrong rooting out discriminatory practice. (Marthorpe et al 2003). Involving service users in decision making often leads to increased self-esteem and confidence. (Chaston et al, 2004, P.19) quotes that It is good to feel valued and to be somebody, not just anybodyEffective service therefore moldiness be provided to change the needs of people with dementia (Cantley 2001). One of the of import principles to consider in social work code of practice as stipulated by the General Social Care Council (GSCC) is the right of service users to be treated with gravitas and respect in order for them to make advised choices about the services they received. Practitioners moldiness therefore acknowl edge who they are, listen to their circumstances treat them as a unique person with worthy of dignity and respect. It is therefore imperative that during intervention with service users with dementia, health practitioners should go beyond safety to promote their choice, maintain independence, autonomy and their self determination Cantley (2001).It is inbred to encourage these service user groups to express their views and preferences in order to progress their personal strengths and confidence. Listening to them will provide them the fortune to express their views on how dementia affects them, what they consider important in their lives, including how services should meet their health and social care needs (Tibbs 2001). People with dementia, either independently or in small groups, should be given the right to participate right off in service planning and development processes (Warren 2007). Practitioners can provide a range of methods and approaches which will enable them to ma ke a choice that will mildew future service provisions. They can be engaged to make decision through direct observation and communicating using specific tools or systems (Warren 2007).This will enabled the practitioners to have a better understanding of case-by-case needs particularly, of people diagnosed with dementia that have complex needs and communication impairment. Research shows that these service users groups can still articulate their opinions about their well-being and quality of care even though they are severely cognitively impaired (Mozley et al 1999). For example, Talking Mat is an innovative method of allowing their views to be comprehend in order to make decision about managing different aspect of their life (SCIE not dated). They can also be manifold in activities through collective approach which will provide them the opportunity to be in control by acting collectively to influence services and the broader communities. Such activities are often combined with elements of peer support and empower them through collective involvement (Cantley 2001).It is also important to bone up services that will fulfil their needs by obtaining the necessary information from them, which could be by occasionally adjusting services that were designed to meet their needs as perceived by others. Information about their routines, choices, preferences, culture before, during and after they are diagnosed with the ill-health, which is important to their well-being and at their best interest must be documented in their care plan in order to meet their needs and to organise their care support effectively. (Cantley 2001). Organisations such Alzheimer party and Social Care Institute of Excellence provide support to carers and health professionals to improve the quality of life of people affected with Dementia through web resources, free e-learning programmes etc in order for their voice to be heard (Alzheimers Society). Also, The National Dementia Declaration for E ngland has made a pledge to improve services for service users and carers by ensuring that they have choice and control over the decisions that affect them and live in a supportive environment (Community Care 2010).Overall, it can be concluded that over the years, there have been changes in development of social work provision which has brought about important legislations to attempt the issues of discrimination and oppression on people with dementia. It has been evaluated that public and professional attitudes towards senescence and the ill-health are now changing rapidly. It was also recognised that through good social work practice, involving dementia sufferers in decision making would enhance empowerment promote their choices and self determination while maintaining independence. This provided me with understanding of how services views are essential in improving social service provisions. It is therefore imperative to encourage further learning within social work provision to ensure good practice is sustained.
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