Joint Committee on the Draft Mental Health Bill Written Evidence


DMH 153 The Approved Social Work Interest Group.

Memorandum from The Approved Social Work Interest Group. (ASWIG)

The Approved Social Work Interest Group (ASWIG) was formed by Approved Social Workers in 1993. ASWIG is an independent professional group of Approved social workers, trainers, researchers, lecturers and professionals who are interested in promoting ASW practice. ASWIG covers the geographical area of the north west of England and north Wales. ASWIG is an independent professional group of social workers concerned with all aspects of the role of the ASW under the terms of the Mental Health Act 1983 and other relevant legislation. ASWIG is the largest organisation in the UK representing the ASW's voice.

ASWIG aims to provide: -

  • Peer group support for ASW's, trainee ASW's and those people committed to developing the role of the ASW.
  • Networking for the dissemination of information and research, including national, regional and local initiatives for wide debate amongst ASW's.
  • Formulate a perspective on developments in mental health policy from the viewpoint and social work perspective of ASW's.
  • Links with other organisations concerned with mental disorder.
  • Promote multi-disciplinary working.
  • Promote the consideration of carers views in the provision of services.
  • Promote the consideration of users views in the provision of services.
  • Provide a channel through which ASW's can voice their professional concerns.
  • Provide professional advice to relevant organisations on the role of the ASW.
  • Promote anti-discriminatory practice.

The present ASW role is laid down in statute and makes a major contribution to social care, admission, detention, appeals, discharge processes and aftercare. The ASW's training combines social care theories and practice with an underpinning theoretical knowledge base of mental health, social policy, law and anti-discriminatory practice.

The ASW's role is to investigate the service users social situation and to identify, with others involved, the extent to which social and environmental pressures have contributed to the service users behaviour. To use professional skills to help resolve any social, relationship, or environmental difficulties which have contributed to the crises, and to mobilise community resources appropriately. To know the legal requirements and to ensure they are complied with. To perform their own opinion following interview with the service user and others involved, as to whether compulsory admission is necessary, having regard to alternative methods of resolving the crises and of securing the necessary care or treatment. To ensure care and treatment is offered in the least restrictive conditions.

Under the Bills proposals the AMHP's role will not safeguard the social care perspective presently provided by the ASW.

ASWIG have yet to see any explanation or justification for such a major change in the ASW role.

The Bill removes many of the duties presently held by local authorities but retains the appointment of the AMHP. With the modernisation of mental health services and the transfer of social care staff to NHS Trusts would the appointment, re-approval, training, continued professional development and safeguards for social work within mental health services, be better serviced by the Social Care Inspectorate within the Health Care Commission?

ASWIG fails to see how by opening up the AMHP role to other professionals will enhance the quality of the service offered to service users. The Bill does not reflect the nature of the present ASW co-ordinators function, the whole social dimension of the assessment and care planning process has been dismissed and in the future the importance of a recommendation from an independent professional presents major difficulties in our view.

ASWIG draws the committee's attention to the excellent piece of research conducted by Alan Quirk and colleagues, at the Royal College of Psychiatrists' research unit, "Performing the Act: A Qualitative Study of the Process of Mental Health Act Assessments".

Safeguards are needed to maintain a Social Work perspective to the multi-disciplinary process of assessment and care planning, this is to ensure that :-

The AMHP brings a separate professional perspective and model of mental disorder.

The AMHP is trained to assess social factors, is experienced in social care and community resources.

The AMHP is equipped to provide comprehensive risk assessments.

The AMHP is trained to explore the least restrictive alternatives to hospital admission.

The AMHP is trained to manage the practical tasks involved in the assessments and admissions to hospital.

A social Care system for training people to be competent under mental health legislation already exists.

The AMHP needs to bring a social work knowledge base to the process of assessment and care planning that balances the medical perspectives of mental illness.

In our previous responses the majority of organisations, public bodies and voluntary organisations all stated the continued need for the ASW role to be maintained focusing on the social care aspects rather than the medical and legal processes.

In conclusion ASWIG feels the social work and social care dimension of the multi-disciplinary process could be compromised, marginalised and possibly ignored in the future if there are no safeguards to retain a social work component to this process. This would be to the detriment of the people who use mental health services.

Robert McLean

Chair

Approved Social Work Interest Group


 
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Prepared 24 November 2004