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Demonstrate your understanding of the main principles of TASK CENTRED PRACTICE. Consider the strengths and weaknesses of the theory in its application to anti discriminatory practice.
Introduction
The International Federation of Social Work states that:
“The social work profession promotes social change, problem solving in human relationships and the empowerment and liberation of people to enhance well-being. Utilising theories of human behaviour and social systems, social work intervenes at the points where people interact with their environments. Principles of human rights and social justice are fundamental to social work”[1].
The best kind of social work is that which places the client or service user at the centre of everything it does. This is a core principle of task based social work, rather than working with a set of preconceived ideas the social worker has to negotiate the legal framework within which she/he is obliged to operate in order to achieve the best results for the service user. Task based social work is therefore first and foremost ethical and anti-oppressive social work which takes as its foundation the Human Rights Act of 1998 that each person should be dealt with in terms of the concept of the inherent worth of the individual.
This assignment will first give some definition of the role and responsibilities of the social worker. From within this framework it will then look at the main principles of task centred practice and will use imaginary scenarios to consider the strengths and weaknesses of the theory and its application to anti-discriminatory practice.
Social Work
People looking for a career as a social worker usually have more luck if they have had some experience of dealing with individuals in the community. This could involve work placements or being involved with voluntary work, both of which seen as good practice and background to engage in social work practice. Prior community involvement is seen as a valuable asset for anyone wishing to become a social worker. Social services is set against a background of voluntary charity work in the late nineteenth century and people who get involved in community work are seen to have the right kind of spirit, or an interest in social justice that is a valuable part of social work (Moore, 2002).
Tasks and Roles Within the Legal Framework
The social worker’s role is outlined by what was the personal social services. The overall aim of social workers is a concern with individuals and the care they may need. Under Government legislation and the Code of Practice, social workers have to act in accordance with the 1998 Human Rights Act, the 1990 NHS and Care in the Community Act (a result of the 1988 Griffiths Report), the Chronically Sick and Disabled Person’s Act of 1970 and the 1995 Disability Discrimination Act. More recently social workers are legally required to be involved in partnership working with other agencies (ref) and this has been extended to include the service user/service provider relationship. There is, arguably, some truth in the fact that this takes what is at heart a charitable search for social justice and puts it on a par with businesses and at the mercy of market forces.
The primary work behind task centred practice is the identification of social systems, what they might be and what they do. Thus the properly qualified social worker needs a good deal of sociological knowledge with regard to things like class, gender, race and religion. He/she would also need to be aware of Parson’s work on social systems and socialisation because this gives an insight into the boundaries from which a service user may be operating (Payne, 1991). Once social workers are aware of social systems and how they operate then it is possible to be able to define any imbalances within a working relationship (Payne ibid). This last is a necessary part of anti-oppressive and anti-discriminatory practice, however, we shall see that task centred practice can be a two edged sword for the social worker.
Payne’s (1991) systems analysis is essential to task centred practice because it provides the social worker with a conceptual basis to start breaking a problem and its solution into manageable pieces.Task centred practice is based on the idea that people learn by doing and that when they have a success this then improves their performance (Hanvey, 1994). Task centred theory is further premised on the view that tasks are a series of steps that a professional would take in order to help a service user achieve a goal. This goal would need to take into account the rights and responsibilities of others as well as those of the service user.
There are three key parts of task centred practice the first part of this process focuses on the problem or situation that the social worker is faced with, for example a young mother who has been hospitalised with mental health problems and now wishes to look after her child herself. In this situation the social worker would have to break the problem down for example what might the risks to the child be if it was left unsupervised with a mother from a difficult client group? The social worker would begin by looking at the whole picture and then focus on particular aspects of the situation that could be problematic. Added to this as the social worker investigates the problem further he/she may find the shape and scope of the problem changing (Hanvey, ibid). Thus the social worker has to establish certain parameters e.g. the urgency of the problem and the chances of failure or success as well as any support the service user may have. In the case of a young mother with mental health issues for example the following problem might occur:
If the social worker needs to make a visit and the service user refuses to allow entry this could cause problems with regards to any future assessment, something which is required by the legal framework. According to the terms of the Community Care Act of 1990 (circular LAC (92) 12, any needs assessment would have to take into account that persons current living situation, any help or support from friends and relatives and what she herself hopes to gain from the assessment. Because of mental health needs this client would be entitled to a specific type of assessment.[2]
A task centred approach involves looking at what the service user wants (in this case to have parental rights and control of her child), what the problems might be. If an earlier assessment has shown that family and friends would be able to offer little in the way of help and a young child is involved then the social worker has a duty to search for alternatives. If the mother’s care of the child is erratic and she is posing a problem for other people around then it would be the social worker’s duty to call in the medical officer of health who then has to obtain an order from the magistrates’ court. This would allow the social worker to gain entry and to assess the situation and the needs of the child, however, this could bring the social worker into a value conflict situation (this, I think is one of the problems with the task centred approach).
Task centred social work means that once the social worker has defined the problem and the hoped for outcome, he/she then has to decide whether the outcome is really attainable and what the consequences might be if it were achieved. With the imagined scenario used here achieving what the client wants could involve the social worker in a variety of problematic situations.
Ethically speaking the interests of the service user should take priority. However the social worker has a duty to bear in mind the BASW guidelines on ethical practice, Boulton (2003) has said of this:
In exceptional circumstances where the priority of the service user’s interest is outweighed by the need to protect others or by legal requirements, make service users aware that their interests may be overridden (Boulton, 2003 p.10).[3]
Where it has been estimated that a child may be at risk then a social worker has a duty of care under the 1989 Children’s Act. At the same time there is a requirement to act within a framework that is informed by the Human Rights Act of 1998 and the rights of the mother have to be taken into consideration. There is a dilemma here for the social worker because a wrong decision could result in harm occasioned either to the child or to the mother as a result of her own actions. In such circumstances a social worker is bound to make an assessment of risk, and also probable harm. If harm is occasioned then the social worker could be held to account.
The (system we are in now is almost ready to treat every death as chargeable to someone’s account, every accident as caused by someone’s criminal negligence, every sickness a threatened prosecution. Whose fault? Is the first question (Douglas, 1992:15-16).[4]
Clearly this situation needs a multi-agency approach including the social worker, his/her immediate superior, someone from the child protection scheme, the mother’s GP, the health visitor and the mother. Putting the child on the child protection register with regular reviews may help alleviate the situation and is in line with the requirements of the 1989 Children’s Act. This could therefore become a case where the service user’s rights will be overridden because the primary duty is to the child. This is where a social worker would be faced with a conflict of ethics and values which may lead to a practice situation where, as a practitioner, the social worker cannot be right. The final part of a task centred approach is to define just how long a social worker can give to a particular case and this is almost impossible to define, particularly in the imagined scenario above. A case like this could go on for years with different levels of professional involvement.
Conclusion
Task centred theory, I believe is a good starting point for social workers as it provides some sort of framework for dealing with some of the problems service users may present. While the theory is meant to support anti-oppressive and anti-discriminatory practice, this relies on a thorough understanding of social systems and how they operate. On the other hand there are some situations where a social worker has to weigh the needs of one person against another and this can result in apparent oppression and neglect of a service user’s human rights. The fact of the matter is that there will always be cases where someone is the loser and this is a sad fact of social work experience.
Bibliography
Boulton, J 2003 Code of Ethics for Social Work available at http://www.basw.co.uk/articles.php?articleId=2&page=14
Hanvey, C and Philpot, T. 1994 Practicing Social Work New York, Routledge
Kemshall, 2002 Kemshall, H. 2002. Risk, Social Policy and Welfare Buckingham, Open University Press p.9
Payne, M. 1991 Modern Social Work Theory. A Critical Introduction, London: Macmillan.
The Care Programme Approach Policy: towards integrated care programme approach and care management (2000) South London and Maudsley NHS Trust
1
[1] http://www.gscc.org.uk/NR/rdonlyres/30BC32F2-20B2-4D90-ABAB-3666D5BB44EB/0/Rolesandtasksconsultationpaper.pdf accessed 31st March 2007
[2] The Care Programme Approach Policy: towards integrated care programme approach and care management (2000) South London and Maudsley NHS Trust
[3] Boulton, J 2003 Code of Ethics for Social Work available at http://www.basw.co.uk/articles.php?articleId=2&page=14
[4] Quoted in Kemshall, 2002 Kemshall, H. 2002. Risk, Social Policy and Welfare Buckingham, Open University Press p.9
