Igandan, Ayodele (2022) An exploration of Health and Social Care Practitioners’ work with mental health clients who have no recourse to public funds. Professional Doctorate thesis, Tavistock and Portman NHS Foundation Trust / University of East London. Full text available

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Abstract

This is an exploratory study which set out to examine the practice experience of frontline mental health professionals who provide care for service users who have no recourse to public funds. Considering the multiple layers of vulnerability this client group faces, their needs are unique and more complex than most mental health patients in the general population. The frontline professional is therefore faced with a client whose condition is mediated by a complex mix of debilitating migration experience, mental health and lack of access to welfare support. Using Free Association Narrative method, the researcher conducted in-depth interviews on a sample of 7 frontline professionals with a view to understanding what their practice experiences are while caring for someone who cannot access state welfare benefits because of their immigration status. I also wanted to interrogate the extent to which they are able to deliver high-quality care (Health & Social Care Reg.9, 2014). Findings from this research indicate that frontline professionals face diverse anxiety provoking situations which they defend against. The study also shows that frontline professionals work in emotionally laden environment where they are daily assailed with conscious and unconscious cues projected at them. Diverse hues of emotions were identified ranging from anger to self deprecation, and moral injury. Another finding was that professionals experienced ongoing role conflicts emanating from different stakeholders around the workspace. In spite of all of these, frontline professionals enjoyed significant amount of discretions in their work within the ambit of policies. Another significant finding was that professionals’ perspectives and practice orientations were influenced by other factors like ethnic and professional backgrounds, the work setting and the level of responsibility of the professional within the organisational structure. Paul Hoggett’s writing on Containment and Conflicts by Public Bureaucracies provided the conceptual framework to illuminate the findings.

Item Type:	Thesis (Professional Doctorate)
Additional Information:	Thesis is submitted in partial fulfilment of a Professional Doctorate in Social Work and Emotional Wellbeing awarded by the University of East London, in collaboration with the Tavistock and Portman NHS Foundation Trust
Uncontrolled Keywords:	Professional Doctorate in Social Work and Emotional Wellbeing, D60
Subjects:	Disabilities & Disorders (mental & physical) > Mental Disorders Groups & Organisations > Refugees - Social Welfare Social Welfare > Social Welfare Personnel Social Welfare > Social Work
Department/People:	Children, Young Adult and Family Services
URI:	https://repository.tavistockandportman.ac.uk/id/eprint/2728

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