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Evidencing Social Work Practice in Health and Mental Health: an International Collaboration

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Evidencing Social Work Practice in Health and Mental Health: an International Collaboration Evidencing Social Work Practice in Health and Mental Health: An international collaboration project 2018-19 5.10.2018 Introduction Based on the previous audit undertaken in Victoria, Australia, a practice-research initiative is being undertaken collaboratively by the Universities of Helsinki and Melbourne in collaboration with HUS, the University of Tampere and TAYS, in conjunction with health and mental health service social workers in the two countries. We want to gain an evidence-informed global understanding of the current practices of social work practitioners in health and mental health services to contribute to debates about the future input and roles of social work in health. The collaboration will generate internationally relevant data and expand the size of the dataset to enable more robust and generalised findings. The study aims to describe amongst other key functions, patient/consumer-specific clinical interventions, non-specific patient/consumer attributable activities, non-clinical interventions, and theoretical approaches and models informing interventions by social workers. Health social workers believe that they make a positive difference to the lives of patients and their families. They feel they contribute to the health workforce in providing or ensuring good quality and effective care. Working with and challenging other professionals they see themselves as effectively contributing to patient well-being and improved economic outcomes for the health system. Social work has a long-standing, hundred-year history of engagement in health settings. Aim The aim of the study is to evidence current practice to quantify and clarify the contribution of health and mental social workers, as members of the health workforce, to improved outcomes for patients in the health service. This includes an exploration of the competencies demonstrated by social workers. The findings from this project will help inform the future development of social work services in health and provide an evidence informed description of how services operate and their benefit for health service defined outcomes. Objectives 1. To conduct a 24-hour audit of activities 2. To critically analyse key themes and findings to identify: • Interventions social workers perform; • Models and theories utilised by social workers 3. To make recommendations regarding future directions for workforce development for social work in health and mental health 1 A multi-site audit will be undertaken to evidence current social work practice in health and mental health settings. The audit is to be undertaken across health and mental health services in Helsinki and in Tampere in one day. The original audit tool was developed in a practice research initiative between the University of Melbourne (UOM) (Professor Lynette Joubert) and St Vincent’s Hospital’s Department of Social Work (SVHM SW) (Sonia Posenelli). The practice research progressed in phases across multiple sites in Victoria involving over 15 sites and 532 social workers. The same tool will be translated in Finnish and applied for the data collection. We estimate that 240 social workers at Helsinki and HUS area and 40 social workers in the health care settings at Tampere will participate for gathering the data. Next the study will now extend internationally in a collaboration with the University of Helsinki and the Heikki Waris Institute in conjunction with health services across Finland. The team of investigators from Helsinki and Melbourne aim to recruit a sample of 1000 social workers across health services internationally. In addition to the local social work profiles at Helsinki and Tampere, the data analysis will deliver a data driven classification of the social work profession irrespective of organisational and cultural contexts. Principal Investigators University of Helsinki & HUS University of Melbourne University of Tampere Dr. Laura Yliruka, The Heikki Waris Institute, Prof Lynette Joubert, Department of Social Socca, HUS Work, Melbourne School of Health Sciences Prof. Mirja Satka, Faculty of Social Sciences, Ms Lisa Braddy, Department of Social Work, University of Helsinki St Vincent’s Health, Melbourne MA Jenika Heinonen, The Heikki Waris Institute, Ms Catherine Ludbrooke, Peter Socca, HUS MacCallum Cancer Centre, Melbourne Dr. Anna Metteri, Faculty of Social Sciences, Dr Lyndal Hickey, Social Work Researcher, University of Tampere Department of Social Work, St Vincent’s Health Chief Investigators and alumni researchers Chief Investigator Organisation Position Miia Ståhle HUS Leading social worker Pirjo Holm HUS Leading social worker Kaija Kurkela HUS Leading social worker Ulla Väisänen HUS Leading social worker Leif Sundström HUS Leading social worker Sanna Ahonen HUS Social worker Aila Ronkanen Helsinki Manager of psychosocial work Sirpa Hornborg Helsinki Leading social worker Satu Tuomainen Helsinki Leading social worker Helsinki Leading social worker Seija Sistonen Helsinki Leading social worker PäiviMirella Savolainen Saari Helsinki Leading social worker Eevi Apponen Tampere Leading social worker Eeva-Liisa Lejon Tampere Leading social worker Mia Kanninen Tampere Leading social worker 2 Johanna Björkenheim Espoo Alumni researcher Sinikka Hiljanen Helsinki Alumni researcher Ethical considerations For the study a research permission will be applied via HUS and TAYS during the spring 2018. The Australian part has been screened as an observational/quality assurance study via the University of Melbourne, Departmental HEAG Committee. Anonymity of participants will be protected; they will not be required to provide their name or any identifying particulars and a study number will be allocated to each data collection tool. Due to the small sample size in some services, complete anonymity cannot be guaranteed as role description, site, and ward/service unit will be recorded on the spreadsheet and this needs to be managed in two ways: 1. Decisions by the manager as to the way in which the data will be presented in that organisation. 2. The Investigator team will ensure that no country or specific site is identified in any way as the purpose is to define and clarify a global understanding of health and mental health social work and its benefit to the health system. The study design The study design will comprise a prospective audit of usual social work practice. The data will be collected via a spreadsheet divided into 5-minute intervals. These will be populated with data codes from a coding sheet (attached). Social workers will be asked to describe the activities carried out on one working day, which will be nominated by their service. All Social Workers within the service have been invited to participate in this survey. If a designated audit day is not one of a particular social worker’s working days or they are engaged in an activity that can’t be regarded as ‘usual practice’, they will kindly complete the survey on their next working day. The coding sheet will be delivered for the social worker in the training events and the filled coding sheets will be brought directly to Socca to the principal investigators or send by post. The REDCap web-based application will be used for data entry and analysing (see REDCap manual as an attachment). The data will be destroyed after 5 years by the principal investigators. The time schedule Time schedule Task Main actors 6-9/2018 Translation of the data codes The research group form a coding sheet 9/2018 Preparing the data entry (Red Jenika Heinonen Cap) 9-11/2018 Training of the data collection, The research group Distribution of the data sheets to social workers 26.9.2018 Pilot data collection The research group & (Hyvinkää, HUS/Vantaa) social workers 24.10.2018 Main data collection in Helsinki area 20.11.2018 Main data collection in Tampere area 3 11.10.-10.12.2018 Coding Two social work students from the University of Helsinki 11/2018 Analysing The research group 12/2018 Jenika Heinonen 12/2018 Writing a report The research group, 1/2019 Jenika Heinonen 1-12/2019 Writing an international article Principal investigators Contact persons: Lynette Joubert ([email protected]) or Laura Yliruka ([email protected]). 4 Attachment 1. Appendix I Instructions to participants in each country 1. Complete the top box with basic demographic information requested: • total years experience in social work practice (rounded to the nearest number); • circle your gender M (male) or F (female); and • country of practice qualification (country where you obtained you first SW qualifying degree/diploma) 2. Also in this top box, complete: • the closest description of your primary professional role on the day (Variable A). • the code for the site of intervention (Variable B). 3. In the next box, complete: • your rostered hours for the day (eg 0830-1700) • Patient Count: this box is at the top of every page. Please count all unique patients you see across the day (one count per each patient). This patient count box will allow you to create a tally of the amount of unique patients you see on each page of the coding sheet. At the end of the day please add these up and place the number in the total box at the end of the form. 4. The main document requires codes (from the coding sheet) related to the time intervals on the spreadsheet. If you work outside the hours of 8.00am to 5.30pm, please change the times on the sheet to match your work / shift times. Record breaks rather than leave these times unaccounted for. To complete the codes, decide whether your activity can be attributed to an individual patient with a unique patient identification or not. If Yes In the ‘Activities attributable to patient/client’ section, provide one number only in each of columns C and D. Columns E, F, G and H must be completed if relevant to activity, but may have multiple numbers in the boxes. If you are using multiple numbers, please code in priority order, using the primary code first. Please use no more than three codes per column.
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