Now showing 1 - 10 of 24
  • Publication
    Age Related Inequalities and Covid19
    (2020-09-23)
    Invited speaker to Social Work in the Community first webinar on Covid and Inequality, Collaboration between Department of Health(NI) and University of Ulster.
      79
  • Publication
    Are you experiencing Carer Harm? Understanding Carer Harm: Dementia
    (University College Dublin and Family Carers Ireland, 2023-03-27)
    If you are a family carer, ask yourself: Does the person I care for behave in a way that causes me physical injury, emotional pain, or other kind of harm? In my engagement with professionals and organisations, is my coping capacity and need for support recognized and responded to? Carer Harm is where a family carer experiences intentional or unintentional harm from the child/adult they are trying to support. This leaflet may be useful to carers of people living with dementia.
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  • Publication
    What are the mechanisms that enable the reciprocal involvement of seldom heard groups in health and social care research? A rapid realist review protocol
    Background: The University College Dublin (UCD) PPI Ignite Connect Network will fundamentally embed public and patient involvement (PPI) in health-related research, education and training, professional practice and administration in UCD’s institutional structures and procedures. A significant focus of the programme of work is on actively engaging and developing long-term reciprocal relationships with seldom heard groups, via our ten inaugural partners. Methods: This rapid realist review will explore what are the mechanisms that are important in actively engaging seldom heard groups in health and social care research. The review process will follow five iterative steps: (1) clarify scope, (2) search for evidence, (3) appraise primary studies and extract data, (4) synthesise evidence and draw conclusions, and (5) disseminate findings. The reviewers will consult with expert and reference panels to focus the review, provide local contextual insights and develop a programme theory consisting of context–mechanism–outcome configurations. The expert panel will oversee the review process and agree, via consensus, the final programme theory. Review findings will follow the adopted RAMESES guideline and will be disseminated via a report, presentations and peer-reviewed publication. Discussion: The review will update and consolidate evidence on the mechanisms that enable the reciprocal engagement and participation of ‘seldom heard’ groups in health and social care research. Via the expert and reference process, we will draw from a sizeable body of published and unpublished research and grey literature. The local contextual insights provided will aid the development of our programme theories. This new evidence will inform the design and development of the UCD PPI Ignite program focused on ensuring sustained reciprocal partnerships.
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  • Publication
    How are people with dementia involved in care-planning and decision-making? An Irish social work perspective
    In recent years, there have been national and international policy advances around capacity and decision-making and an apparent burgeoning rights-based approach to the issue, all of which have the potential to impact on the experience for people with dementia in Ireland. There is little evidence however on whether these policies and principles are being translated into practice and whether traditional paternalistic approaches to decision-making are being challenged. To gain insight into current practice, research was undertaken with social workers working with older people in Ireland; reporting on the involvement of people living with dementia in care-planning processes. Data collection included a mixed method approach; an on-line survey of social workers from across the country who reported on their open caseload during the month of June 2015 (N = 38 social workers reporting on the experiences of 788 older people, of which 39% of older people had a formal diagnosis of dementia). In addition, semi-structured telephone interviews were conducted with social workers working in the nine Community Health Organisation areas (N = 21). Findings show that people with dementia were high users of social work services, accounting for 44.5% of the client group. Social workers reported that there were no standardised approaches to how Health and Social Care Professionals involved people with dementia in care planning and decision-making. Overall, people with dementia were more likely to be excluded from decision-making processes due to (i) assumptions that they lacked capacity, (ii) family members preferences that the person was not involved, (iii) communication difficulties, (iv) time constraints, (v) little or no opportunity given or (vi) the person delegated decision-making to others. Good practices were identified through multidisciplinary team approaches and formal care planning meetings. This research highlights variability in how people with dementia participate in decision-making around their care. It sheds light on existing barriers which challenge the full implementation of the Irish Assisted Decision-Making legislation; highlighting the need for appropriate guidance and education for Health and Social Care Professionals. The findings also show that family dynamics and existing relationships can play a role in how people with dementia participate and are involved. To ensure consistent opportunities for participation, effective practices and approaches to supporting the participation of people living with dementia in care planning needs to be developed and rolled out in all care settings through increased training and adoption of standardised approaches.
      1584Scopus© Citations 33
  • Publication
    Falling Through the Cracks: The case for change. Key developments and next steps for Adult Safeguarding in Ireland
    (University College Dublin, 2019-12-11) ;
    Adults are at risk of and experiencing harm and abuse all over Ireland, and for a variety of reasons including psychological, physical and financial abuse. According to a report commissioned by the Banking & Payments Federation Ireland (BPFI), entitled ‘Financial Abuse in Ireland, 2019’, 20% of adults have experienced financial abuse and physical abuse of vulnerable adults has been witnessed/suspected by 1 in 3 adults. Last year there were 11,780 safeguarding concerns received by HSE Safeguarding and Protection Teams across Ireland according to the National Safeguarding Office Annual Report. This study sets out to explore how the absence of Adult Safeguarding legislation in the Irish context may be impacting on adults within the current safeguarding system from the perspective of social work practitioners, professionals or advocates who are working with them. The study seeks to shed light on how practitioners are navigating cases in the absence of primary legislation and to explore what benefits or challenges there might be should Adult Safeguarding legislation be fully enacted in the Irish context.
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  • Publication
    The Assisted Decision-making Capacity Act, 2015: reflections for the profession of social work
    (Health Service Executive, 2021-10-24) ; ;
    The Assisted Decision-Making (Capacity) Act 2015 will provide the legal framework to maximise a person’s right to make their own decisions, with legally recognised supports. Once commenced, this significant piece of legislation will change everyone’s approach when working with and supporting people whose capacity is in question. This collection of essays, written from both personal and professional perspectives, highlights the importance of this ground-breaking piece of legislation. The powerful essays demonstrate the scale of impact that the Act may have on people’s lives — from the ability to write a legally binding advance healthcare directive to being supported to make their own decisions if they have difficulties with decision-making capacity. The idea for this collection of essays emerged from a conference held in University College Cork in November 2019, which was jointly organised by the Decision Support Service; the HSE National Office for Human Rights and Equality; and the Law School at UCC. The conference was intended to draw attention to the ongoing delays in commencing the Assisted Decision-Making (Capacity) Act 2015 (the 2015 Act). At that time, there was no clear line to commencement and a growing concern that there was no political imperative to take the steps needed to bring the 2015 Act into force. We wanted to provide a reminder of the unsustainability of the current legal structures, the importance of the 2015 Act and why political procrastination had to stop.
      756
  • Publication
    Speaking Up About Adult Harm: Options for Policy and Practice in the Irish Context
    (University College Dublin, 2018-03) ;
    Current mechanisms for responding to the prevention and the protection of adults at risk of abuse in Ireland can be described as ad hoc and reactionary. For example, media reports exposing cases of abuse and neglect, such as Leas Cross and Áras Attracta, have resulted in the introduction of new safeguarding policies and inspection regulations. Whilst the current measures in place to identify and prevent harm and potential harm to adults at risk offer some protection, it is evident that deeply embedded resistance to cultural change within institutions and organisations demand that safeguarding procedures need to be placed on a statutory basis to ensure the safeguarding process is applied in a consistent and effective way.
      1077
  • Publication
    'It Took a Leap of Faith.' Care and Connect: A Model for Practitioner Research in Ireland
     Irish social work has been slow to develop a research culture and professional structure to support research capacity. International literature suggests that one of the major reasons for the lack of research activity amongst social work practitioners is the absence of collaborative links between university based researchers and social work practitioners in the field (March and Fisher 2005; Shaw 2003:2005; Gibbs 2001). In 2006, senior staff from Tallaght Hospital, Dublin and the School of Social Work and Social Policy, Trinity College Dublin, recognised the need for a strategic approach for the promotion of research capacity and activity amongst social work practitioners. This paper discusses an academic/hospital partnership project "Care and Connect", that sought to explore the opportunities for developing practice based research in a health care setting in Dublin.    
      396
  • Publication
    Ethics and Ethical Decision-Making in Adult Safeguarding Practice
    (2019-10-15)
    Invited Keynote presentation to HSE National Safeguarding Office Annual Learning Forum.
      510
  • Publication
    Carer Harm: Best Practice Considerations for Professionals
    (University College Dublin and Family Carers Ireland, 2023-03-27)
    The information and guidance in this document is based on a small research project that involved interviews with 9 family carers who have experienced carer harm as well as interviews and focus groups with a range of professionals. This document was co-designed using a World Café methodology and by drawing on the emerging research findings. The information does not relate to the experiences of all family carers. For further information on this project, please contact Dr Sarah Donnelly, Assistant Professor of Social Work, School of Social Policy, Social Work and Social Justice, UCD: sarah.donnelly@ucd.ie
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