Safeguarding adults reviews and homelessness: making the connections

Martineau, Stephen; Manthorpe, Jill

doi:10.1108/jap-02-2020-0004

Cited by 9 publications

(11 citation statements)

References 8 publications

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“…The main source for locating reviews was through searching Safeguarding Adults Board (SAB) websites for published SARs (November 2019). This approach has been used by other researchers (Manthorpe and Martineau, 2015; Martineau et al , 2019). Websites demonstrate marked variability in terms of accessibility and quality.…”

Section: Methodsmentioning

confidence: 99%

Safeguarding adult reviews: informing and enriching policy and practice on self-neglect

Preston‐Shoot

2020

JAP

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Purpose The purpose of this paper is to update the core data set of self-neglect safeguarding adult reviews (SARs) and accompanying thematic analysis and explore the degree to which SARs draw upon available research and learning from other completed reviews. Design/methodology/approach Further published reviews are added to the core data set, mainly drawn from the websites of Safeguarding Adults Boards (SABs). Thematic analysis is updated using the four domains used previously. The four domains and the thematic analysis are rounded in the evidence-based model of good practice, reported in this journal previously. Multiple exclusion homelessness and alcohol misuse are prominent in this sample of reviews. Findings Familiar findings emerge from the thematic analysis and reinforce the evidence-base of good practice with individuals who self-neglect and for policies and procedures with which to support those practitioners working with such cases. Multiple exclusion homelessness emerges as a subset within this sample, demonstrating that SABs are engaging in reviews of people who die on the streets or in temporary accommodation. Research limitations/implications The national database of reviews commissioned by SABs remains incomplete and does not contain many of the SARs reported in this evolving data set. The Care Act 2014 does not require publication of reports but only a summary of findings and recommendations in SAB annual reports. NHS Digital annual data sets do not enable identification of reviews by types of abuse and neglect. It is possible, therefore, that this data set is also incomplete. Drawing together the findings from the reviews nonetheless builds on what is known about the components of effective practice, and effective policy and organisational arrangements for practice. Practical implications Answering the question “why” remains a significant challenge for safeguarding adult reviews. The findings confirm the relevance of the evidence-base for effective practice but SARs are limited in their analysis of what enables and what obstructs the components of best practice. Greater explicit use of research and other published SARs might assist with answering the “why” question, drawing attention where appropriate to policies being pursued by the central government that undermine any initiative to end rough sleeping. Originality/value This paper extends the thematic analysis of available reviews that focus on work with adults who self-neglect, further reinforcing the evidence-base for practice. The evidence-base also supports practice with individuals who experience multiple exclusion homelessness. Policymakers and practitioners have an approach to follow in this complex, challenging and demanding area of practice.

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Section: Methodsmentioning

confidence: 99%

Safeguarding adult reviews: informing and enriching policy and practice on self-neglect

Preston‐Shoot

2020

JAP

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“…However, it is arguable that discussions within SARs about social work practice may be orientated around the discourses of “what went wrong?” or “did we fail?”; alongside seeking examples of “good practice”. Several social work researchers have warned about the limitations of exploring social work from this position (Kettle, 2018; Martineau and Manthorpe, 2020; Preston-Shoot et al , 2022), suggesting that dominant discourses of harm and failure might be damaging to social work practice. If the only available narratives about social work are negative, will social work practice wisdom be fated to be negative from the outset?…”

Section: Background and Contextmentioning

confidence: 99%

Social workers and safeguarding adult reviews (SARs)– an exploration of the stories that are told and the narratives that they hold

O'Reardon

2022

JAP

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Purpose The purpose of the study is to explore the contribution of safeguarding adult reviews (SARs) to the contemporary stories of what social work practice is and what social workers should do. Evidence of this contribution is sought by analysis of SARs as publicly available documents capturing contemporary social work alongside considering social worker’s views of these reports. Design/methodology/approach This paper presents two components of the wider research study as follows: documentary analysis exploring discussions of social work practice held within a sample of SARs xD;xA; and analysis of focus groups and semi-structured interviews established to explore the knowledge, experience and views of front-line social workers in relation to SARs. Findings It is suggested that social workers locate the value of SARs within the arena of learning and development often celebrating the SAR processes in bringing agencies together more so than the actual report. This paper argues that SARs hold considerable power in their ability to present a narrative about contemporary social work in England, and that social workers themselves can be wary of this power. Research limitations/implications The research is limited by the scope of the data which includes a sample of SARs from one geographical area and data collected from social workers who volunteered to participate. Practical implications This paper draws on the evidence gathered and presents some recommendations to support the potential for SARs to positively enhance social work identity and practice. Social implications This paper explores the stories about social work that are found within a sample of SARs and seeks to explore how these stories fit with the stories that social workers themselves share about SARs. Originality/value There has been considerable research interest in SARs; however, to date there has not been a research exploration of the impact of SARs on professional social work and front-line social workers in practice. This paper presents early findings and analysis from research in progress as part of a Doctorate of Social Work Study at University of East London who provided ethical approval and supervisory support.

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“…The 1957 and 1966 papers both fastened on alcohol use as a prominent causal factor in the development of self-neglect (or social/senile breakdown as it was named). Recent analysis of Safeguarding Adults Reviews (SARs) where homelessness had been a factor identified an ambiguity in this area, where substance misuse and alcohol dependency were often prominent (Martineau and Manthorpe, 2020). One SAR, for example, described practitioners manifesting:…”

Section: Neglect Of Surroundings Neglect Of Selfmentioning

confidence: 99%

“…Recent work examining Safeguarding Adults Reviews of the care and support of people who were homeless (and Diogenes did present as street homeless) took a step back from simple refusal and suggested there were reasons on both sides of the encounter for poor engagement (Martineau and Manthorpe, 2020). Reviews evidenced a reluctance to engage on the part of individuals who were homelesssometimes this appeared to be the result of mental health problems or bound up with the itinerant nature of individual lives.…”

Section: Refusals and Interventionsmentioning

confidence: 99%

“…The need for further research in this topic was indicated by the James Lind Alliance (2018), which ranked effective adult social worker responses to people who self-neglect among its top ten research priority areas, following a survey of the views of service users, carers and practitioners. Prompted by this, but also by a recent study which raised doubt as to the degree to which self-neglect was recognized by practitioners working with people who are homeless (Martineau and Manthorpe, 2020), this paper aims to contribute to current thinking by returning to early work on the topic by clinicians who both recognized a problem and sought to name a syndrome. Although not grounded in a formal literature review, the paper derives from a close reading of the articles and draws on the questions this provoked to direct a selective gaze at more recent literature along with the present statutory context in England.…”

Section: Introductionmentioning

confidence: 99%

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Three early papers on self-neglect

Martineau

2020

JAP

Self Cite

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Purpose The paper examines three English research papers on self-neglect, from 1957, 1966 and 1975, discussing them in the context of more recent thinking and the statutory framework in England. Design/methodology/approach In reviewing the three research papers, developments and points of continuity in the field of self-neglect were identified and are discussed in this paper. Findings In light of the findings of the three articles, the present paper traces some of the classificatory refinements in this field that have taken place since the papers were published, notably in respect of hoarding and severe domestic squalor. Some of the difficulties in making judgements about behaviour thought to breach societal norms are described, and the challenges practitioners face in intervening in cases, particularly where the person concerned is refusing assistance, are examined. Originality/value By drawing on the historical research context, the paper contributes to our current understanding of the field of self-neglect.

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Safeguarding adults reviews and homelessness: making the connections

Cited by 9 publications

References 8 publications

Safeguarding adult reviews: informing and enriching policy and practice on self-neglect

Safeguarding adult reviews: informing and enriching policy and practice on self-neglect

Social workers and safeguarding adult reviews (SARs)– an exploration of the stories that are told and the narratives that they hold

Three early papers on self-neglect

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