Forensic Social Work: Implementing Specialist Social Work Education
Forensic Social Work: Implementing Specialist Social Work Education
Forensic Social Work: Implementing Specialist Social Work Education
Rosemary Sheehan
Department of Social Work, Monash University, Melbourne,
Victoria, Australia
Abstract
This article reports on a case study of specialist social work education in Australia.
In particular, the views of specialist forensic social workers are explored both about
their needs for social work education to support them for practice in forensic social
work and also about their experiences of a particular program. Whilst social work
education focuses in varying degrees on mental health practice, social workers not
only in mental health and corrections but also in child protection, disability, and drug
and alcohol services are increasingly expected to understand linkages between offending
behavior, psychological disorder and family systems, and balance community and
individual needs. The social workers reported that their experience of postqualifying
education led to adaptations in the nature of their practice, the development of generic
skills, which enabled them to incorporate an awareness of the effects of the justice
system on mental health and to balance what are often opposing needs and consider-
ations when working in this contested area. The experiences of the study group of
forensic social work practitioners can be used to inform the development of similar
specialist programs elsewhere not only in forensic social work but more widely as part
of debates about the nature of specialist social work practice.
Keywords
Social work, forensic postqualifying social work education, mental health, corrections
Introduction
An increasing number of the people who seek mental health services in Australia
are also involved in the legal system, whether it is because the nature of their illness
invokes involuntary care or because their mental health and offending behavior are
interrelated (Ogloff, 2009). Fragile families and high-risk communities challenged
Corresponding author:
Rosemary Sheehan, Department of Social Work, Monash University, Caulfield, Victoria 3145, Australia.
Email: [email protected]
regulating society’s marginal and undisciplined members’’ (p. 526). Howe (1994)
is concerned about the interrelation of law and social work, and a shift
from understanding individual concerns to ‘‘a socio-legal problem, where legal
expertise takes pre-eminence’’ (p. 529). His concern is that social work situated
in a legal context is valued less for its social experience and concern for the human
condition and more as a task-orientated practice that is regulated by procedures
and lists of competences. It is a concern shared by Braye and Preston-Shoot (2002)
who remind that this emphasis on legalism is problematic because it conflates
good practice with ‘‘procedurally correct’’ practice, ‘‘emphasising apparent
certainties rather than acknowledging the imprecision and choice points inherent
in social work tasks’’ (p. 67). Howe (1994, p. 524) reminds also that legislation
and polices can fragment social work’s underpinnings by shaping different kinds
of practice to suit fields such as mental health, child welfare, and working with
adult offenders.
Social work education, in whatever county, should be charged with a require-
ment to prepare graduates to be ‘‘a strong voice in hostile environments[. . .]to
influence the legal system in order to improve its decisions for clients and practi-
tioners’’ (Madden, 2000, p. 4) and to preserve the inherent dignity of the individual
and their right to self-determination, albeit in the forensic context often in
restricted circumstances. What Bland, Renouf, and Tullgren (2009) describe as
‘‘supporting personal responsibility, unpacking discovery and moving from a
sense of alienation to discovery and meaning’’ (p. 45). Social workers must be
confident in their knowledge about best practice and the ways in which the
law can at times inadvertently divert practice from what is in the individual’s
best interests. They need to be able to articulate best practice in the context
of multidisciplinary discussions and collaborations. The provision of a forensic
social work course enhances the training and development of graduate-level
social workers, providing not only postqualifying knowledge but also specific
expertise key to the provision of forensic social work. Cole (2012) suggests social
workers in the forensic setting gain particular skills in negotiating and advocating
for clients and draw from a strengths-based perspective as part of such negotiation
and advocacy.
Social workers have to strike a balance when working with a diverse range of
influencing factors, including legal systems (Braye & Preston-Shoot, 2002). Cole
(2012) describes, in her study of law students and practice in forensic settings, how
social workers are able to engage lawyers in considering how legal and offence
circumstances might impact on their client, introducing knowledge of environment
and interpersonal factors that influence individual behavior. Whatever the practice
context, however, social work education fosters the development of knowledge and
the centrality of social work values and ethics to preserve the inherent dignity of the
individual and their right to self-determination, albeit in the forensic context often
in restricted circumstances.
interview, according to their work roles, whether they were hospital based (at the
Thomas Embling Hospital), either in acute or continuing care units or community
rehabilitation units or members of the community integration teams, or providing
a service to individuals in prison or about to be released from prison (including the
Melbourne Assessment Prison and the Women’s prison). Both the hospital- and
community-based programs are located in the inner-North area of metropolitan
Melbourne, Victoria.
The six individual interviews and four focus groups were audio-recorded and
transcribed; the data were analyzed using content analysis, canvassing key themes
that were salient to the research aims (Grbich, 2007). Data gathered were predom-
inantly qualitative with some quantitative data sought to provide demographic
information about the study participants and their position in the organization.
The study was able to gather important data about the social workers’ under-
standings of their roles and their needs from professional education, together
with their evaluation of the utility of the new degree for their practice. A limitation
to the study is that Victoria’s designated forensic social workers are all based in
metropolitan Melbourne.
Notwithstanding this study limitation, the remit and nature of the organization
is comparable to other Australian forensic services, although there are varying
emphases in the balance of secure hospital, rehabilitation, and community-
based work.
from all age brackets: from their 20s to their 70s, although there is a concentration
of drug and alcohol issues driving offending behaviors and mental health problems
with younger offenders. Four social workers also provided a key service to the
Melbourne Assessment Prison, the Melbourne Remand Centre, and the
Women’s Prison, with an intensive support service for 6 weeks prior to and after
release—for men leaving the Assessment and Remand prisons—to assess mental
health needs and coping strategies, connect them to community and area mental
health supports, and link them to financial support and accommodation services.
There’s that additional layer of stigma[. . .]because of the sort of offending issues[. . .]
which people are fearful of and it’s really important to our role as social workers, we
have to be exceptionally good advocates and exceptionally good at developing rela-
tionships with outside agencies because without them we can’t do our work, I think
it’s important just to say how marginalized this group is. I know everyone in mental
health is but this is particularly so. (SW08)
Whilst client advocacy is a feature of all social work practice, respondents believed
it characterized their work in the forensic domain:
I think it’s working with a very specific population of clients[. . .]as a forensic social
worker we have specialist knowledge, we really understand the justice . . . system and
the mental health system and how they work and work both together and completely
separately and how that affects your client and their life. (SW11)
The nature of their work and its particular focus did mean, respondents believed,
that they were viewed as having specialist knowledge by virtue of having an under-
standing of legal issues and their interface with mental health issues.
What was also described as a specialist focus in forensic social work is the
emphasis on risk assessment, and social workers must be familiar both with under-
standings of risk and how to assess these and translate these into appropriate plans
for clients, as well as formally representing them in reports for Court:
A lot of the work that we do and the team together is looking at the risk of the person
reoffending[. . .]looking at addressing the issues that need to be addressed in order for
them to not reoffend or be less likely for them to reoffend[. . .]to define their symptoms
and how to kind of manage them[. . .]so we can get them ready for discharge and are
less likely to relapse or if they’re going to relapse then they’re prepared. (SW03)
What all respondents emphasized was that it was the role of social work to ensure
that within these assessments clients’ individuality is respected and their wishes—
even if unrealistic—are heard. It was also important that risk assessment and man-
agement were broader than attention to offending: ‘‘looking at all the different
demands, the offending issues, substance abuse, their family relationships or not
just family but everything that impacts on that person’’ (SW03).
When a person is arrested especially for a major crime . . . the person is removed from
the situation there and then. They’ve left everything behind even their clothes and
whatever so they come to us with absolutely not only nothing on you know just the
prison clothes on but their belongings are left. (SW12)
Relationships with families were often ‘‘broken because the offences have been
created against the immediate family’’ (SW05), and trying to repair relationships,
especially when the client had children, was challenging not only in terms of indi-
vidual work but also in reminding other professionals that the individual had a life
context that needed to be considered.
Social workers spoke about needing enhanced knowledge in the core areas
identified earlier for forensic practice. For example, they identified that not only
did they need to know about mental health and mental health systems, but how
these intersected with substance abuse and trauma, as well as with offending. The
study participants identified advocacy as more complex than in other services, in
part because of community anxiety about forensic clients and prisoners, and
because community agencies—including mental health—do not automatically
identify forensic clients as part of their services. The study participants commented
they needed to be persistent about developing strong links with other agencies to
support forensic clients being released into, or already placed in, the community, as
clients endure particular stressors that can easily lead to breakdowns in their com-
munity context. Combined with this is the skill in being able to manage a client’s
agitation and help them, and others working with them, de-escalate problems.
Participants—especially those working in the community—noted that they
needed to negotiate practical supports as much as mental health services, as their
client group was often quite alone in the community and needed assistance to
maintain basic needs such as accommodation, food, clothing, and income. They
emphasized that it was the social work assessment that turned its mind to this
stronger focus on planning, to ensuring the care plans in place made sure whether
the client was in custody or in the community, the services they needed were
covered and covered well. This attention to life context meant social workers
had to ‘‘be able to stand up to psychiatrists’’ (SW01), to challenge clinical and
risk focused approaches to have a social emphasis, not solely a problem focus, and
that what individuals need, and what they have, is taken into account:
(The) Medical model and legal model, it feels like we’ve got two dictators over
us[. . .]it’s all about risk and social workers don’t necessarily operate from that risk
perspective, we come from a strength base rather than deficit based practice, it feels
like we’re fighting against it sometimes because we have those two masters. (SW05)
Study participants all noted that medical and legal frameworks do not readily fit
with social work theory and practice. Moreover, the legal frameworks with which
forensic clients need to engage do not primarily focus on or provide for what
individuals need. The significant amount of social control that features in both
these frameworks challenges both social worker core practices and principles
(respect for clients, individual agency) and a realistic understanding of what clients
are able to do.
[. . .]Drugs and alcohol, they are vulnerable people, homelessness is an issue, family
work is significant. The legal context is important. You need to know about assess-
ment and counselling[. . .]. The specific issues that create conflict with family members,
they are very isolated people. You need to understand forensic friendly services in the
community and how they work. We need to be able to speak our own language and
the language of other professionals. (SW10).
Integrating social work approaches into clinical models was considered important;
attention to the ecological context, to recovery, to family work, to strengths-based
approaches characterized their work:
When people have been in hospital for a long time they pathologise themselves and
they put everything in a mental illness basket as well, because that’s part of the
dominant framework, and I’ll say to them but hang on it sounds like were you like
that before you got sick, yeah, sounds like that’s just who you are you know every-
thing is not about the illness. Your illness is an aspect of you it’s not, you are not a
schizophrenic you have schizophrenia. There’s a real difference in the way we view
people I think. (SW05)
workers cannot be singular thinking people because of the issues and the complex-
ity they have to acknowledge and the complexities of human beings’’ (SW11).
Moreover,
Social workers need to take people outside of this kind of band wagon (a psychology
model) because risk assessment is given all[. . .]and they have not considered in some
ways any other, that it is not the only option – and what this entails for education.
This (a psychology model) has got advantages in making people feel safe but we
shouldn’t be kind of taking it for granted. (SW11)
It looks as if everybody who’s here is guilty and when they’re interviewed by the
clinicians, they are interviewed as guilty people. When you work with them as a
social worker you need to work with them as not guilty people and abide by the
social justice system. (SW11)
In forensic social work, further education needed to convey the unique nature of
this practice domain:
A realistic understanding of the field, knowing how they work and what other con-
straints, being able to assess the complex histories of clients, regular supervision is
essential, finding someone to talk to about complex cases and know systems. Be able
to deal with multi-factorial issues and families and carers especially when an offence is
committed on the family. There’s a high level of supervision of the social workers in
this setting. You need to work with people who have committed gross offences. How
to work with patients in a non-discriminatory way; often working with the victims and
the perpetrator at the same time, supporting both the client and the family member.
Family sensitive practice is essential. There is grief and loss, which continues. Patient
wants contact with family and the family does not. Need to understand media influ-
ence and cultural perspective and cultural issues and different perspectives on mental
illness. You have to share information in the community, their stigma, their isolation
because the individual can’t communicate. The social workers need to have knowledge
about children and how to work with Child Protection, how to facilitate visits between
the children and the patient. (SW05)
More material on for example acquired brain injury, on personality disorder. How do
you deal with this? What’s the priority? Risk assessment and risk management. Social
work in the forensic setting is very client centred (understanding) the culture of the
setting and its impact on the individual, the way people behave is influenced by the
institution environment. For example, clients giving information might be reluctant
because they are awkward, which nurses might see as being uncooperative. You are
dealing with the here and now which may not take into account previous work. How
to work with people who work for years with services who’ve let them down? (SW04)
personal values, being challenged by what we see in corrections and human rights’’
(SW05). Working with courts and lawyers was included in subject material, but
participants emphasized how important this is to their work, particularly in rela-
tion to developing appropriate treatment plans. Several respondents commented on
the need to give attention to intellectual disability, given issues of marginalization
and vulnerability and intersection with mental health and corrections systems.
Mindfulness of cross-cultural factors and influences was also important and how
to work effectively with differing views about mental illness and offending whilst
ensuring these are connected to the reality of the individual’s current context.
The study participants all commented that the strength of the new Master of
Social Work (Forensic Studies) degree is that it adapts generic skills to an aware-
ness of the justice system in mental health and how to balance what are often
opposing needs and considerations when working in this area.
Discussion
Just as Brownell and Roberts (2002) found there has been a growth in demand for
social work assistance with mental health and criminal offending matters, so too is
there a demand for recognition of forensic social work as a practice specialty. The
participants in this study all said that forensic clients are complex needs clients, and
social workers need both mental health knowledge and knowledge of the criminal
justice and corrections systems to practice in this domain. It was ‘‘not enough to
just be able to do acute mental illness. . .there is the element of risk and criminality
and justice system contact’’ (SW07). The study participants commented that the
level of knowledge they needed to work in the forensic setting was beyond the remit
of undergraduate training, so welcomed a postqualifying course that not only tar-
geted their practice specialty but also recognized the need for understanding the
forensic lens in a range of social work practice domains. This was evident in par-
ticipants identifying a forensic dimension in a range of services: drug and alcohol,
housing, family welfare, for example, as well as nonvoluntary services such as child
protection and family violence agencies.
The study participants believed the introduction of a degree such as the Master
of Social Work (Forensic Studies) recognized that social work in forensic settings is
both distinct from, and not directly connected to, other external social work
groups. What is also distinct is the need for knowledge of the legal system and
processes, and study participants spoke about social work’s role in ensuring the
individual and their best interests was the primary focus of attention rather than
regulations and procedures. This reflected the concerns raised by both Howe (1994)
and Madden (2000) that the legal system can divert attention away from valuing
social work priorities in favor of legal solutions. It was Madden (2000) who empha-
sized that social work education had a responsibility to prepare graduates for work
in what was described as ‘‘hostile environments’’ (p. 4), which the criminal justice
system and corrections could be in terms of social work priorities for their clients.
Yet, the study participants believed they could carry both ways of working with
Concluding Comment
The extent to which social work activity is increasingly defined by bureaucratic
structures and legislative frameworks remains an ongoing dilemma for the profes-
sion (Sheehan, 2010). Social workers in this study described how law and mental
health regulated their activity and that this challenged social work core values and
practice. They believed, however, the new Monash University Master of Social
Work (Forensic Studies) degree program adapts the generic skills of social work
to the awareness needed to work within the mental health justice system and
encourages debate about working in this contested area. It offers opportunities for
graduate social workers to explore specific practice domains for forensic work and
recognizes the specialist competency of forensic social work.
Acknowledgments
This study has been made possible by the generous support of Lisa Wright, Acting Chief Social
Worker Forensicare, Victorian Institute of Forensic Mental Health, and social work and social
welfare staff at Forensicare. I would like to thank them for their generous participation in this
study, providing a unique perspective on people within the mental health and criminal justice
system, and giving attention to an important social policy and human rights issue.
Funding
The author(s) received no financial support for the research, authorship, and/or publication
of this article.
Note
1. Graduates entering the program have obtained the standard (in Australia) 4-year under-
graduate Social Work degree or its equivalent. The degree draws on knowledge of foren-
sic practice in the human services developed by the Centre for Forensic Behavioral
Science, which provides training for staff employed in the Victorian Institute of Mental
health (known as Forensicare). Monash University supported the development of this
degree to extend educational opportunities for graduates who have leadership and
advanced clinician roles in mental health and allied fields of practice.
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