Christopher Hall

When policy o'erleaps itself: The 'tragic tale' of the integrated children's system

Information technology plays a pivotal role in New Labour’s modernization programme. Here we report findings from a 2 year ethnographic study of the impact and origin of one such system, the Integrated Children’s System, which has been deployed in statutory children’s social care. We show how the ICS, by attempting to micro-manage work through a rigid performance management regime, and a centrally prescribed practice model, has disrupted the professional task, engendering a range of unsafe practices and provoking a gathering storm of user resistance. We attribute these paradoxical outcomes to inherent flaws in the design of ICS, which derive from the history of its development and its embodiment of an audit-driven, inspectorial ideology. We conclude with some suggestions for user-centred design and policymaking, which have relevance not only for children’s social care but for the public services in general.

Making and managing electronic children : e-assessment in child welfare.

‘Every Child Matters’ (ECM) is a government response to longstanding concerns about child welfare and protection. A key feature is the use of information and communication technologies (ICTs) to improve information sharing and inter-professional communication. One of the proposals requires the establishment of an index, ContactPoint, which is a database containing information on all children in their area, to be used by child welfare professionals to indicate their involvement with a child and, where there is ‘cause for concern’, to facilitate joint action. Whilst these proposals for harnessing ICTs within child welfare are a central part of the governments modernization strategy, plans for the Index have been heavily criticized for its panoptic potential to invade privacy and override professional discretion and judgement. This paper reports findings from an ethnographic study funded by the ESRC e-Society Programme. Drawing on data collected in one ‘Trailblazer’ local authority area during the pilot phase, it describes the introduction of a local child index and the ways in which professionals and the technologies are drawn together within the local child welfare network. For the Index to achieve its original purpose of improving information sharing and inter-professional communication it must be ‘used’ by child welfare practitioners. But establishing the Index as a friend to the child welfare professional is not a straightforward process. The research suggests this is dependent on a set of relations that are being constantly negotiated and accomplished in everyday practice. It is clear the deployment of ICTs in professional practice is highly contingent upon local policy implementation, the local arrangement of services and the everyday practices of busy and sceptical practitioners.

Child-Centric Information and Communication Technology (ICT) and the Fragmentation of Child Welfare Practice in England

The ways in which government supports families and protects children are always a fine balance. In recent years, we suggest that this balance can be characterised increasingly as ‘child-centric’, less concerned with families and more focused on individual children and their needs. This article charts the changes in families and government responses over the last 40 years, and the way this is reflected in organisational and administrative arrangements. It notes in particular the impact on everyday practice of the introduction of information and communication technologies. Findings are reported from recent research which shows the struggles faced by practitioners who try to manage systems which separate children from their familial, social and relational contexts. As a consequence, we suggest, the work has become increasingly fragmented and less mindful of childrens life within families. While the data and analysis draw on research carried out in England, we suggest that similar changes may be going on in other Western liberal democracies.

Whither practice-near research in the modernization programme? Policy blunders in children's services

In this article, we lament the effects of practice-distant research and associated policy initiatives on contemporary childrens services in England. In the last decade, as a result of high profile inquiries into non-accidental child deaths, statutory childrens social care services in the UK have been subject to a wide-reaching ‘modernization’ programme. We studied decision-making in the high blame environment of local authority childrens services. Our research sought to examine the relationship between performance management and the impact of anticipated blame within the decision-making practices of those providing, supervising and managing these services. We show that systems and technologies can be developed which both assist the users in their daily work and achieve desired organizational goals, but without an ethnographically informed, practice-near approach, unsafe work regimes and practices can ensue.

Trust, risk and the (mis)management of contingency and discretion through new information technologies in children’s services

• Summary: While UK social work’s core purpose in children’s services continues to invoke the ready virtues of universal care, protection from significant harm and a child rights led approach as foundational to effective intervention, there is a ‘real-world’ context of organizational practices that inevitably mediate who gets what services and why. This was ever thus. What has changed however is not so much the claims by social work to a virtuous purpose (the ethic of care offers a durable discourse from which to cast service users as worthy and our efforts as honourable) but that new risk-reduction technologies are exposing a worrying gap between the rhetoric of a humane-oriented project of care and the actionable decision-making of professionals drawing upon administrative targeting systems that seek to reduce organizational exposure to error, blame, reputational damage and unwanted external scrutiny. • Findings: The article exposes a gap between core values and risk management by examining the erosion of trust in professional social work and consequent shift towards new information technologies which intend to generate system confidence, such as the Integrated Children’s System (ICS) which seeks to provide a more accountable management of contingency. Drawing on data from our recent multi-method research of frontline practice funded by the UK Economic and Social Research Council, we challenge the view that the uncertainty and ambiguity of risk-immersed social work can be more safely moderated by computer-based technologies for reporting and decision-making. • Applications: The findings of this study suggest the need for significant reform of the ICS system. Our explorations in front line decision-making suggests that the IT workflow systems that channel and shape the way need is responded to in order to make actions and their often distributed ownership transparent and justifiable, have the unintended potential to obscure risk. We outline ways in which risk in its institutional and personal contexts in children’s services may become less evident and tractable to moderation by the ICS systems that seek this very purpose. In doing so we consider the balance between professional trust and system confidence and consider whether the time has come to shift the balance back to the former if we are to re-engage more fully with the occupation’s humane mission.

Accounting for the Clients’ Troublesome Behaviour in a Supported Housing Unit Blames, Excuses and Responsibility in Professionals’ Talk

• Summary: The article studies how professionals working in a Finnish supported housing unit explain the behaviour of clients which they define as troublesome in regard to rehabilitation expectations. The clients of the unit suffer from mental health and substance abuse problems. The research data consist of 23 meetings where clients’ progress is discussed and were analysed using accounts analysis. • Findings: There were 225 episodes where the professionals explain clients’ troublesome behaviour. Three ways of accounting appeared with similar frequency: 1) blaming clients for their behaviour, 2) excusing clients’ behaviour, 3) excusing clients and blaming others for the clients’ behaviour. Detailed analysis of the data shows how these ways of accounting are used in the meeting talk and how blame, excuses and responsibility are combined in different ways. Another important finding is that the same troublesome behaviour can be accounted for in several ways in the course of meeting conversations. • Applications : The analysis displays the complex ways in which policy imperatives and professional ethics are routinely managed in everyday situations. While concepts like self-determination and choice promote clients’ control of their care, in practice client careers are affected by locally negotiated judgements. The study of policy implementation can benefit from discourse-oriented approaches.

Analysing social work communication : discourse in practice.

With communication and relationships at the core of social work, this book reveals the way it is foremost a practice that becomes reality in dialogue, illuminating some of the profession’s key dilemmas. Applied discourse studies illustrate the importance of talk and interaction in the construction of everyday and institutional life. This book provides a detailed review and illustration of the contribution of discourse approaches and studies on professional interaction to social work. Concentrating on how social workers carry out their work in everyday organisational encounters with service users and colleagues, each chapter uses case studies analysing real-life social work interactions to explore a concept that has relevance both in discursive studies and in social work. The book thus demonstrates what detailed discursive studies on interaction can add to professional social work theories and discussions. Chapters on categorization, accountability, boundary work, narrative, advice-giving, resistance, delicacy and reported speech, review the literature and discuss how the concept has been developed and how it can be applied to social work. The book encourages professional reflection and the development of rigorous research methods, making it particularly appropriate for postgraduate and post-qualifying study in social work where participants are encouraged to examine their own professional practice. It is also essential reading for social work academics and researchers interested in language, communication and relationship-based work and in the study of professional practices more generally.

Interaction during mental health floating support home visits: managing host–guest and professional–client identities in home-spaces

Mental health work has been transformed by ‘shifting geographies of care’ from institutions to care in communities, in particular by the emergence of support located within home-spaces. This article studies a floating support service targeted at people with mental health problems and contributes to research on post-institution and home care geographies. The data contain 17 audio-recorded home visits conducted by professional care workers. An ethnomethodological analysis informed by geographies of care in home-spaces shows how the home as a material space has consequences for conversations and the relations between the service users and workers. The parties orient to two relational and shifting identity pairs in their ‘home-space talk’: a host–guest pair (social call talk) and a professional–client pair (targeted intervention talk). Professional–client pair dominates, and in this sense floating support produces institutionalization of home-spaces. However, social call talk that enables service users to act as hosts governing their home-spaces has important functions. Orientations to hosts and guests create symmetry and trust among the parties that encourages recovery promoting interaction. The article also demonstrates the applicability of the methods developed in the geographies of mental health and home in the ethnomethodological interaction analysis, and the other way round.

Inter-professional electronic documents and child health: a study of persisting non-electronic communication in the use of electronic documents.

Information and communication technologies are widely used in health and social care settings to replace previous means of record keeping, assessment and communication. Commentary on the strengths and weaknesses of such systems abound, thus it is useful to examine how they are used in practice. This article draws on findings from two separate studies, conducted between 2005 and 2007, which examined how child health and welfare professionals use electronic documents in Finland and England. Known respectively as Miranda and CAF, these systems are different in terms of structure and function but in their everyday use common features are identified, notably the continued use of and reliance on non-electronic means of communication. Based on interviews with professionals, three forms of non-electronic communication are described: alternative records, phone calls and letters, which facilitate the sharing of the electronic record. Finally, the electronic documents are further analysed as potential boundary objects which aim to create common understanding between sites and professionals.

Polyhalogenated heterocyclic compounds. Part 42.1 Fluorinated nitrogen heterocycles with unusual substitution patterns

Reductive replacement of fluorine in 3,5-dichloro-2,4,6-trifluoropyridine 2a and pentafluoropyridine 2 using DIBAL and LAH leads to useful syntheses of fluoro and chlorofluoro pyridine derivatives. Replacement of fluorine by bromine using a mixture of HBr and AlBr3 is extremely efficient, giving excellent routes to 2,4,6-tribromo-3,5-difluoropyridine 3. Bromofluoro-pyrimidine and -quinoxaline derivatives have also been efficiently synthesised from perfluorinated precursors. Catalytic hydrogenation of bromofluoro heterocycles gives high yields of the corresponding fluorinated heterocycles.Reactions of nucleophiles with 3 gives surprising results. Soft nucleophiles, e.g. PhSNa displace bromine whereas hard nucleophiles, e.g. MeONa, displace fluorine.