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Article
Publication date: 2 December 2019

Claire de Motte and Gabriella Mutale

The purpose of this paper is to explore the way gender and gender roles are socially constructed by those who have experience of females committing sexual offences against…

Abstract

Purpose

The purpose of this paper is to explore the way gender and gender roles are socially constructed by those who have experience of females committing sexual offences against children.

Design/methodology/approach

Using a discursive approach, supported by membership category analysis, a secondary analysis of qualitative data illustrates how the social construction of gender and gender roles impacts on society’s perception of females who commit sexual offences against children.

Findings

Discourse analysis found three patterns employed within conversation that demonstrate how the construction of women influence society’s incomprehension of females who commit sexual offences against children: women can be trusted, women do not manipulate and groom and, women are not sexually aggressive.

Research limitations/implications

A limitation of this study is the use of secondary data, which cannot provide the richness or detail found in primary accounts from people with this lived experience. The difficulty in accessing this sub-population highlights the hidden nature of the topic and the need for further research in this area.

Originality/value

This is the first study to explore how gender discourse is used in discussions of females who commit sexual offences against children. The value of this exploration highlights the need of society to adjust their perceptions of the offending capabilities of women and to ensure the experiences of people who experience this form of sexual abuse receive support.

Article
Publication date: 26 April 2022

Di Bailey and Gabriella Jennifer Mutale

This study examined the contribution of adult social work in integrated teams in the UK.

Abstract

Purpose

This study examined the contribution of adult social work in integrated teams in the UK.

Design/methodology/approach

The study design was realist, evaluation research using a mixed methods approach. Data collection methods included interviews and focus groups. Types of social work activities were extracted from older adults' case records and used to calculate costs of care. The presence or absence of indicators of care quality was recorded using the same sample of case records. Data were collected from three primary care teams in which social work was integrated. They were compared with data from three social-work-only teams in the same districts. Narrative data was analysed thematically. Inferential and descriptive statistics were used to compare costs and care quality.

Findings

When social work was embedded or attached to a primary care team, costs of care delivery were lower than in their social-work-only team and more indicators of good quality care outcomes were recorded. Results suggest that embedding social work in integrated primary care teams contributes to cost-effective, quality care for older people if certain conditions for integration are met.

Originality/value

This is the first study to triangulate three data sources to quantify the social work contribution to integrated primary health care teams for older adults.

Details

Journal of Integrated Care, vol. 30 no. 3
Type: Research Article
ISSN: 1476-9018

Keywords

Article
Publication date: 30 July 2020

Di Bailey and Gabriella Jennifer Mutale

The aim of this study was to explore the experiences and outcomes for adults with complex needs over time, within and between two teams that delivered integrated care across…

Abstract

Purpose

The aim of this study was to explore the experiences and outcomes for adults with complex needs over time, within and between two teams that delivered integrated care across different Councils' services. The teams' approach to integration included two key features: a “case lead” way of working and the team itself operating as a single point of access (SPA) for residents in given neighbourhoods with high deprivation.

Design/methodology/approach

The study was designed as evaluation research located in the realist tradition. Two teams acted as a case study to provide an in-depth understanding of how the case lead approach and SPA delivered the craft and graft of integrated working in the teams. Mixed methods of data collection included residents' ratings of their quality of life on five domains in an outcome measure over a six-month period. Residents and staff working in the teams also participated in semi-structured interviews to explore their respective experiences and receiving and delivering integrated care. The costs of care delivery incurred by residents were calculated based on their demands on public services in the year leading up to the teams' intervention and the projected costs for one year following this.

Findings

The relationship between team context, case leads' inputs and residents' outcomes was mediated through the managerial style in the integrated teams which enabled case leads to be creative and do things differently with residents. Case leads worked holistically to prevent residents being in crisis as well as giving practical help such as sorting debts and finances and supporting access to volunteering or further education. Residents rated their quality of life as significantly improved over a six-month period and significant savings in costs as result of the teams' support were projected.

Originality/value

The study used a multi-evaluation realistic evaluation methodology to explore the relationship between team context, case leads' inputs and residents' outcomes in terms that integrated services across different District and County Council Departments.

Details

Journal of Integrated Care, vol. 29 no. 1
Type: Research Article
ISSN: 1476-9018

Keywords

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