Mapping the Matrix: Understanding the Structure and Position of Social Work in Mental Health Services in England and Wales
Mapping the Matrix: Understanding the Structure and Position of Social Work in Mental Health Services in England and Wales
复制标题
绘制矩阵：了解英格兰和威尔士社会工作在心理健康服务中的结构和地位
DOI：
10.1093/bjsw/bcab235
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发表时间：
2022
期刊：
影响因子：
--
通讯作者：
Tucker L
中科院分区：
文献类型：
--
作者：
Tucker L
社会工作是英国心理健康服务的核心职业之一，尽管其作为地方当局“局外人”的地位将其排除在基于健康的劳动力规划之外，使心理健康社会工作的确切全国组成笼罩在神秘之中。在需求不断增加而资源有限的情况下，这种不明确的情况妨碍了有效利用精神卫生工作队伍。这项研究的目的是绘制整个英格兰和威尔士的心理健康社会工作的提供。采用横断面设计，向所有负责提供社会工作或精神卫生服务的地方当局和国家卫生服务信托基金发放简短调查。这些调查收集了每个机构的心理健康社会工作者人数及其就业背景，以供随后的描述性统计分析。收到了96.6%的机构的答复，雇用了6 584名社会工作者。研究结果表明，心理健康社会工作在这两个国家之间差异很大，没有明确的理由，或一致性，如何在心理健康服务中构建社会工作。虽然这些研究结果建立了第一个强大的框架，了解心理健康社会工作提供的规模和范围，需要进一步的研究，以建立时间和上下文的理解，为未来的服务规划。
Social work is one of the core professions within mental health services in the UK, though its position as local authority ‘outsider’ excludes it from health-based workforce planning, leaving the exact national composition of mental health social work shrouded in mystery. In the context of increasing demand and limited resources, this lack of clarity precludes effective use of the mental health workforce. This study aimed to map the provision of mental health social work across England and Wales. A cross-sectional design was used, with brief surveys issued to all local authorities and National Health Service trusts responsible for providing social work or mental health services. These surveys collected the number of mental health social workers in each agency and their employment contexts for subsequent descriptive statistical analysis. Responses were received from 96.6 percent of agencies, employing 6,584 social workers. Findings indicated that mental health social work varies widely across both nations, with little clear rationale for, or consistency in, how social work is structured within mental health services. While these findings establish the first robust framework for understanding the size and scope of mental health social work provision, further research is required to establish temporal and contextual understandings to inform future service planning.