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Text of the page (random words):
idisciplinary teams a success a need therefore exists to foster a new generation of mental health social workers who have the capabilities and confidence to work effectively with other professionals in integrated teams so let s get this unpicked a bit he is blaming a lack of integrated working entirely on the cadre of social workers in integrated teams wow we need a new generation of mental health social workers need really this is where we start seeing the arguments fall to pieces because what we actually need to make integration work are confident social workers who are able to challenge within teams sure let s bring some more in but this suggests we need new people in let s have the new blood in because the current ones don t have the skills i see we move from fuzzy arguments to pre defined solutions in a whirl funny that lamb says this isn t about denigrating current mental health social workers but it seems quite clear in that sentence you see it s our fault that integration isn t and hasn t worked our fault as mental health social workers not the local authorities who are desperate for money and need to bring their social workers back in house to pick up the local authority targets no it s the fault of the social work profession and the conclusion the first problem that a fast track recruitment programme in mental health social work will help to address protecting both the integration agenda in mental health and the role and status of mental health social workers and there we have it this is going to save the integration agenda unfortunately the author has completely misunderstood actually i ll give him some credit or misinterpreted intentionally the reasons that integration has been struggling in mental health clue it isn t solely the fault of the social workers in the teams recruitment the next issue the problem with recruitment this is where the report gets very confused about the links and differences between adult social work and mental health social work the author starts by saying a situation has therefore arisen in which an increasing number of newly qualified social workers are competing for a decreasing number of social work positions as a result the vacancy rates in adult social work have declined steadily from 9 per cent in 2011 to 6 7 per cent in 2013 ok what springs to mind immediately isn t what we need is a fast track scheme there are very different concerns and sensibilities than exist in childrens services in fact the report talks about an oversupply of newly qualified social workers there s an odd little sentence about recruitment being a particular problem in adult mental health services i travel around the country a fair bit in my current role and i speak to a lot of people in a lot of community mental health teams both at work and outside of work and problems recruiting to mental health social work posts is never something i ve come across of course there may be parts of the country where that isn t the case but for london where i am very well embedded it s not an issue i ve ever heard raised so where does the author go the most acute recruitment and retention problems concern the role of approved mental health professionals amhps amhps exercise functions provided for under the mental health act 1983 including making decisions about compulsory admissions to hospital local authorities have a statutory duty to ensure that they have a sufficient number of amhps to carry out the roles required of them under the act i sniggered at this yes it is true there aren t enough amhps but does he know the reason the change in the mental health act 1983 as amended 2007 as made it was to deal with this problem entirely now it hasn t been particularly successful but there are certainly a fair number of nurse amhps knocking around and the issue now isn t so much the lack of availability of nurses or social workers to train as amhps so much as the lack of willingness for mental health trusts to pay for their training as the responsibility to provide amhps is the local authority s so having more social workers through a fast track route won t solve this problem that s the reason the number of social work amhps remains high it s due to the cost of training rather than the lack of supply of people who want to do the training and then there s a little box explaining why fast track recruits can t do amhp training seriously what a clue has this author got about what the amhp role is that he condescends to actually explain this i would not want anyone without considerable work experience in a mental health setting and 2 years training doesn t come close to take such a role and he insults our intelligence with his little explanation box mind insulting the intelligence of social workers doesn t seem to be a particular concern of his then we have the little survey of directors of adult social services where no distinction is made in the questions between adult social work and mental health social work so let s look at some of the questions asked by the author and see if they are leading 90 per cent of respondents either agreed or strongly agreed with the statement that more needs to be done to attract the highest possible quality candidates in to the social work profession firstly this doesn t specify adults children or mental health social work and secondly isn t that about asking people if they like chocolate wouldn t people say yes to that question asked in relation to any profession should we do more to attract the highest possible quality candidates into teaching nursing law journalism banking hard not to say yes to any of this and this is the research evidence that this study is build on a joke and he goes on our survey found that 47 per cent of respondents either agreed or strongly agreed with the statement my local authority experiences a problem recruiting high quality social workers in to adult settings while the response was by no means unanimous it does highlight ongoing concerns over the quality of social workers 47 is under half there is no distinction between adult and mental health social work this does not to me explain a specific concern about mental health social work and i d ask the author why they put adult social work in this question and not mental health social work remember this is directors he is asking who probably haven t got a clue about the quality of work done in the mental health trusts where they second their employees to i m not sure this is a fair reflection on the quality of social workers but what i d say it is evidence of is asking questions and leading questions to evidence a solution which has already been proposed let s go on and please remember these questions do not specify mental health social work our survey of local authorities found that the five skills deemed to be most lacking among job applicants were analytical ability critical thinking skills intellectual capacity 56 per cent awareness of evidence and its impact on practice 44 per cent practical experience of social work 39 per cent leadership skills 35 per cent knowledge of integration and partnership working 32 per cent it is therefore clear that more needs to be done to attract talented individuals into the profession particularly those that can bring these particular skills with them so remember how these questions are asked they are not asking if applicants lack these skills but rather if they have to choose skills which applicants lack which would be their top five so we are starting from a point of identifying deficits which are assumed to exist and remember only 47 of respondents said they agreed or strongly agreed with their la having difficulties recruiting high quality social workers surely it would have made more sense to ask these questions within mental health trusts where social workers actually work and where their job and the quality of their performance is known rather than directors of adult services who base their experiences on the far higher numbers of adult social workers that they would have contact with this is why i say this evidence is flawed so what makes a good graduate entrant into social work let s see despite recent recruitment initiatives social work is still not seen as a career of choice for many graduates from highly selective universities in 2011 12 2 840 people started social work master s degree courses but of these only 270 had completed their undergraduate degree at a russell group university and only 10 had attended oxford or cambridge this means that only 9 7 per cent of people who started training to be a social worker through the master s route in 2011 12 came from a selective university now before i get told off for hypocrisy myself i have no issue with more graduate recruitment into social work from selective universities but i don t see the lack of recruits from selective universities as a problem with social work recruitment people want to join the profession great but why is which university you go to seen as a determiner of the quality or attractiveness of the profession is it a problem for social work that the profession doesn t compete with law medicine and finance maybe we should rather compare to nursing or better not compare with any other profession because you know we aren t any other profession i was lucky enough to get a grant when i went to university i didn t pay for my university fees yes that ages me i could choose any university that would take me i was lucky to be able to choose a university with a good reputation however were i going to university and needing to pay for it without a grant i would choose the cheapest nearest one that doesn t make me less able than someone who happens to live in a town with a selective university there is a route into social work for all graduates which is the masters route and it s the route i took it still exists then he comes on to his great let s attract people who can t make it onto clinical psychology courses argument um i d rather have people who actively choose social work to be honest this is the argument for a specialist mental health route but i don t see any comparison which makes far more sense to m e with mental health nursing which is a different route to a mental health specific profession i ve often written of the need for generic training in social work because it preserves the integrity of social work separating the routes out weakens the profession at a whole if we have one fast track route for high flying graduates into childrens social work frontline and one for mental health think ahead where does that leave adult social work working with people with physical disabilities learning disabilities older adults which is my particular area of interest are we saying that doesn t need high flying graduates i think we need one coherent path which allows for higher level specialism after qualifying and a more coherent post qualifying framework at a higher level rather than fragmenting entry routes but that doesn t exclude high flying graduates i m very happy for them to join us delighted education and practice learning the author moves on to a critique of current training i was a practice educator in a mental health team so was particularly interested in this the author picks up general criticisms of social work education however croisdale appleby and nearey reports are considering these issues and will hopefully look at the whole education setting it isn t an argument for a completely new route in he conducted a focus group with students all of the students felt that the practical element of the course was important particularly for those who had come straight out of an undergraduate degree that contained few practical elements did that need a focus group i guess it did if you have no idea about the sector but maybe it would be useful to take more students who have practical experience in social care settings rather than relying on the degree to do it all i am not saying everyone needs years of experience of work in social care to enter the course but it seems like the solution could be get the experience yourself rather than rely on a course to turf out a perfectly functioning social worker i worked in social care for years before i did my social work training and it embedded a culture and understanding of the sector that could not have been replicated in a two year masters degree that s my experience maybe the answer is to demand experience before admission to training courses rather than trying to do it all it would display a commitment to the sector too and i include experience as a user or carer of someone who uses social work services it doesn t have to be paid employment but it seems like the obvious answer we have lamb rabbiting on about social work students not choosing mental health placements but here s the evidence he uses a particular problem appears to be that fewer social work students are qualifying with experience of mental health work placements in mental health and other nhs services account for between 0 and 8 per cent of all social work placements so do we see the problem here i don t see the word choice anywhere as someone who offered a mental health nhs placement to students we were massively oversubscribed in terms of students wanting placements mental health placements in statutory services were seen as gold dust in my experience this is absolutely not about choice my concern is that we are seeking the wrong solution think ahead will deprive all students who come into social work from other routes from mental health placements as there are so few around and they will be able to cherry pick for their own students and offer money to organisations for their own students to have placements this means there will be fewer opportunities for those who use other routes into social work to have mental health placements with the risk that the diversity of students coming into mental health social work will decrease the author then goes on to waffle about bureaucracy in social work and how social workers should be able to deliver effective interventions in mental health social work i m not going to waste my time on this simply because his paper doesn t address a solution which is exclusive to graduates of a think first type scheme i think the idea is that these effective interventions will be somehow taught on the course but that replicates my concern about the frontline scheme social work qualification courses aren t about teaching interventions that comes with the job and the specific role as mental health social work varies and the tools you learn to use in a specialist dementia setting would be significantly different to those used in camhs not least the interventions change the requirement of the job is not to train social workers to deliver specific interventions but to have an understanding of a framework to fit different interventions into different settings so he shows no unders...