Psychosis most commonly first occurs during adolescence or early adulthood, disrupting the social and occupational transitions characterising this time. Studies on social and occupational outcomes in psychosis have tended to focus on observer-rated, dysfunction-based outcomes. However, mental health services are increasingly adopting a personal recovery model; focusing on facilitating hopeful and individually meaningful lives. Social inclusion is paramount to personal recovery but there is a need for greater awareness of the processes by which mental health services facilitate social inclusion for young people with psychosis. Cognitive models and research with longterm psychosis service users suggests that negative self-beliefs contribute to poorer social outcomes in psychosis, whereas personal recovery models emphasise the role of hopefulness and therapeutic relationships with optimistic mental health professionals. This thesis first investigates a structural model of social inclusion and its association with hope and negative self-beliefs for healthy young people (n= 387). Then the processes by which young service users' self-beliefs, therapeutic relationships and professionals' beliefs influence social inclusion are explored using directed path models (n= 51). Directed path models then test how professional characteristics, focusing on attachment styles and job attitudes, facilitate therapeutic relationships (n= 61). Finally, the contributions of self-beliefs, therapeutic relationships, professional beliefs and social inclusion in predicting vocational outcomes are explored (n= 51). Current findings support the relative importance of hopefulness over negative selfbeliefs in social inclusion for young people with and without psychosis. Hope appears particularly important for adolescents compared to young adults. Positive relationships with optimistic professionals predict service users' hopefulness, social inclusion and vocational activity. Findings suggest that professionals' own attachment style and job attitudes may aid in positive therapeutic relationship formation. These findings encourage a greater focus on therapeutic relationships and service users' hopefulness in youth psychosis service provision. Professional training should encourage greater awareness of professionals' own attachment style and job attitudes, and how these factors impact on positive therapeutic relationship development.

This is a small scale, qualitative research study, based on focus group and interview data from eight participants across two workplaces. The participants are workers involved in supporting those young people who are unable to live with their families during their transition to adulthood: they are drawn from two services within the same local authority, leaving care and a specialist adolescent support service which provides housing and support for homeless 16 and 17 year olds. A review of the literature in this field identifies a gap in the research, with few studies focussed on the voices of workers engaged in this specific area of work. I have used three analytical frameworks (thematic, narrative and voice-centred relational) to explore the data from different perspectives. Positioning the data in this three-dimensional framework has enabled me to produce an in-depth analysis, considering more than simply the content of participants' responses. My findings are presented as a reflexive account, exploring how the respondents talk about their work. The data suggests that the talk falls into two broad areas: workers positioning themselves within a framework of organisation(s) and workers positioning themselves in relation to individual young people. A picture emerges from the data of two quite different workplaces. The relative structure and clarity of the leaving care personal adviser's job role appears to unite this group of workers around a more coherent script for talking about the work they do. In contrast, the workers from the specialist adolescent service openly acknowledge that there are differences of approach within their organisation, and appear to lack a shared way of articulating their role. The way in which the workers position themselves within the organisation also differs between the two groups: the leaving care workers talk passionately about the division between ‘us' (workers) and ‘them' (management). The specialist adolescent workers barely mention their managers, and there is little talk of a group identity (an ‘us'). These workers talk about the relationship they develop with individual young people as an intervention in itself. This relationship is conceptualised in various ways, with the clearest construct being parent-child. There appears to be a difference between the two organisations in the way in which this parent role is enacted: leaving care workers talk of an organisational corporate parenting responsibility, whilst workers from the specialist adolescent service talk more freely of thinking and acting as a good parent. In relation to their direct 1:1 work, the majority of participants describe using conversation to facilitate the development of problem solving skills, encouraging reflective thinking through the process of co-creating narrative. These emotional and cognitive skills are talked about as more valuable than specific practical independent living skills. The data suggests that emotional labour is acknowledged and managed very differently in these two workplaces. The leaving care group found it difficult to talk about the emotional aspects of their role, and this plays out in different ways in the interviews. Some participants describe struggling to manage the emotional impact of their work, otherwise struggle to articulate the emotional content of the work. As a group, they retreat from talk of emotional involvement with young people, distancing themselves by stating that it is beyond what is possible within their role. In contrast, the workers from the specialist adolescent service talk more comfortably about their emotional responses to the work: they appear to feel safer using themselves in their work, and seem better able to contain this emotional labour within the overall professional boundaries of their role. Workers talk of ‘making a tiny impact' - acknowledging the potential for their support to make a positive difference in young people's lives, whilst also highlighting the limitations of their role.

This thesis seeks to interrogate the experiences and outcomes of anti-racist social work education and evaluate the pedagogic relevance and practice utility of teaching social work students about ‘race', racism and anti-racism. A mixed methods research strategy is drawn upon to explore how professional social work training prepares students to work with ‘cultural diversity' and ‘cultural difference' and to evaluate the outcomes of teaching and learning which focuses on anti-racism. The methodological position drawn upon in this thesis is a pragmatic one (Williams, 2006), which recognises the role of both nomothetic and idiographic approaches to enabling us to describe and understand how social work students and tutors experience and make sense of anti-racist social work education and the pedagogic challenges and barriers they face to engaging with this discrete area of professional education. Anti-racism is the theoretical and conceptual focus of this thesis and it encompasses a broad coalition of different perspectives and academic interests concerned with actively identifying and resisting racism. It has been characterised as a set of disparate polycentric overlapping practices and discourses (Anthias & Lloyd, 2002), whilst exhibiting a politically committed form of practice (Bhatti-Sinclair, 2011). It has also been described as a radical and oppositional project which emphasises the need to actively identify and resist racism (Bonnett & Carrington, 1996; Tomlinson, 2002). Historically it has been associated with the politics of resistance and social movements in support of decolonialisation, anti fascism and equal rights for immigrant workers (Dominelli, 2008). Frequently, it has been characterised as reflecting a radical dualism between ‘white racism versus Black resistance' (Gillborn & Ladson-Billings, 2004). Within social work education, anti-racism despite its retrenchment and appropriation into a broad ‘anti oppressive' practice model (Williams, 1999), continues to be regarded as a progressive educational strategy which has a transformative role. It is viewed as an effective approach to challenging the attitudes and values of individual students (Heron, 2008). It can also lead to ‘perspective transformation' (Mezirow, 1981), and ‘critical consciousness' through the process of conscientization (Freire, 1970). Anti-racism is therefore considered to have a valuable pedagogic role in raising awareness of racial inequalities and the processes associated with racial exclusion, whilst also providing a wider critique of the state, its culture, its institutions, ideology, legislation and policy frameworks (Singh, 2006a). The qualitative and quantitative data presented in this thesis suggests that it is possible to discover the situated experiences of teaching and learning on anti-racism and measure how these pedagogic interventions can affect and lead to knowledge, skills and attitudinal change (Carpenter, 2005; 2011). The empirical evidence drawn upon in this thesis identifies important group differences, related to age, ‘race' and experience of working with a BME service user, which are important for understanding how anti-racist social work education is experienced differently by learners, and how it leaves a complex set footprints which enable us to appreciate how this educational intervention works in different ways for different types of students. Sometimes these differences are subtle, but at other times they are more evident and suggestive of group experiences which go beyond the individual. The empirical evidence also suggests that social work educators experience anti-racist social work education as a challenging and emotionally supercharged area of the curriculum and that their levels of engagement, preparedness and commitment is often dependent upon where they are positioned socially, culturally and politically. This thesis is important because regionally and nationally there have been very few attempts to empirically capture how professional social work training programmes accommodate and evidence ‘race' equality and cultural diversity issues (Williams et al., 2009; Williams & Parrott, 2013).

My research takes a psychosocial approach to exploring parents' experiences of professional intervention in the aftermath of sudden, unexpected child death. In the UK all deaths of this nature are immediately subject to a Rapid Response, which includes forensic investigation, followed by a series of subsequent meetings and the obligation on professionals is to treat parents as guilty whilst also maintaining their innocence. These requirements were part of a number of recommendations arising from the Report, ‘Sudden, Unexpected Death in Childhood' (2004) known colloquially as the Kennedy Report, which was a response to the release on Appeal of three mothers, all wrongfully imprisoned for killing their children. One of the explicit purposes of the Kennedy Report is to avoid similar cases and it therefore attempts to address the complexity of balancing every parent's right to have their child's death properly investigated with the requirement to protect children who may be at risk. As a part of achieving this, the Report identifies a need for appropriate training to assist professionals in becoming sensitised to emotions being experienced by parents, in order that culpability or otherwise may be easier to discern. Despite this, the Working Party for the Kennedy Report did not include parents and this lack of direct access to their experiences is reflected in the wider field. Parents are not allowed to participate in any of the multidisciplinary meetings which follow sudden, unexpected, child death and their narratives are largely absent from literature and training material. This makes achieving the form of emotional understanding between parents and professionals advocated by the Kennedy Report difficult and thereby increases the risk of potential errors of professional judgement. This study aims to restore the voices of parents to the field of sudden unexpected child death, by engaging directly with the emotional complexity and trauma of the experience and thereby improving practice. The research is based on eight in-depth interviews with parents who have experienced the sudden, unexpected death of their child, together with investigation, but no accompanying charges. The research was prompted both by my previous role as a social worker, but primarily by my experience of investigation following the sudden unexpected death of my son Joe. My account of his death and the experiences which led me to undertake this research are offered within Chapter One and thereafter run as a thread throughout. Drawing on Hollway (2009) I have used a psychosocial approach within this thesis, to combine both the workings of the psyche and the social without diminishing or conflating either. This has enabled me to locate my experience and that of the parents within the thesis, as part of a wider exploration of how parents may be positioned and perceived following a sudden, unexpected child death. The research uses a narrative, interpretive methodology which draws from the Biographic Narrative Interpretive Method (Wengraf, 2011) and the Listening Guide (Doucet & Mauthner, 2008). Data analysis panels were used as part of the interpretive process and they are discussed and critiqued. The unexpected results produced by the panels forms a significant contribution to knowledge which is also identified. The thesis concludes that current cultural debates around ‘good death', together with heightened anxieties about safeguarding children, may lead to the construction of sudden unexpected child death as dangerous knowledge (Cooper & Lousada, 2005). Returning to the emotional understanding advocated by the Kennedy Report, I make a number of recommendations including changing the language of investigation and developing opportunities for open dialogue between professionals and parents. I also identify several original contributions made by this work, both methodologically and more substantively, which are partly evidenced by the attention it has already received within academic and wider audiences. Amongst these, the research has formed the basis of a number of Conferences presentations, a journal paper, national newspaper article and a guest appearance on BBC Radio 4. As a conclusion to the thesis I identify a need for additional in-depth research in this area, together with a re-visiting of the recommendations arising from the Kennedy Report, aimed at further policy change and improving the experiences of all those involved with sudden, unexpected child deaths.

Children in foster care are at high risk of experiencing mental health problems and tackling this issue is a key priority. Previous research suggests that the transition from primary to secondary school can be particularly challenging, as well-being declines and mental health problems increase in early adolescence. However, there is insufficient understanding of variations in the well-being and mental health of this group of children, and particularly the role played by their social interactions, relationships, and psychological attributes. This thesis includes three papers reporting on a programme of empirical research conducted to address this gap in knowledge and better understand the risk and protective factors, particularly in the peer context, for changes in mental health and well-being. The first paper focuses on current provision and reports the findings from a national survey of Virtual Schools that support the education of children in care. The second paper presents the findings of a longitudinal study with children not in care (aged 10-13 years), to test our conceptual model in the general population. This demonstrated that peer factors predict changes in mental health problems and well-being over and above parental and other adult support. The third paper presents findings from a longitudinal study of children in foster care (aged 10-14 years), to test these key pathways in our focus population. This revealed a pattern of differentiated links from peer and adult support to mental health and well-being, and identified self-efficacy as a key longitudinal predictor of change, especially when moderated by peer relationship quality. The thesis demonstrates the importance of supportive relationships with both adults and peers for the mental health and well-being of children in care. This has important implications for future work where social activities and relationship quality with peers should be considered as potential protective factors, especially in school settings.

This thesis is the result of research that investigated the views of residential care workers (RCWs) working with people with dementia about their perceptions of training for their dementia care role with older people. Using a constructivist ontology and an interpretivist epistemology, the research investigates how care workers perceive their training and how they feel it can be applied to their working environment. RCWs were asked what they saw as the specific needs of residents with dementia, what training they had received, how useful they perceived the training to be, and what training they felt was still needed. Previous studies had put forward topics for inclusion into dementia care training, but very little research had asked RCWs themselves about their dementia training needs. Nineteen semi-structured interviews were carried out across three care home organisations during the summer of 2013 in the East of England. Findings from thematic analysis showed that the care workers interviewed had very limited or no dementia training or assessment they could remember, and that training had generally been a negative experience. Dementia care trainers were not considered helpful or knowledgeable enough and RCWs identified that their learning needs had not been taken into consideration. The learning environment was viewed as unsuitable, usually a lounge or a bedroom where it was very cramped and RCWs were pulled out of training when there were limited staff numbers. Many challenges specific to caring with people with dementia were also identified: challenging behaviour, lack of time and resources, poor teamwork and communication and lack of organisational support all inhibited the development of person-centred care and training transfer into practice. A conceptual model of the training and learning cycle is proposed as a way forward for dementia training. This model illustrates the training process from course creation through to satisfactory completion. Learning into practice is measured by care workers' knowledge, confidence, and competence. This assessment is a two-way process between the learner and the mentor to ensure RCWs feel fully supported and recognised. Although this conceptual model has not been tested empirically, such a process is seen as a possible next step.

This study explores the Management Information Systems' (MIS) implementation and utilisation in social care organisations. The aim of this thesis is to study the level of social work practitioners' involvement in MIS selection and implementation and to determine the links between the utilisation of MIS in social care organisations and the creation of organisational knowledge. Thus, the thesis endeavours to increase understanding of the importance of MIS implementation for personnel and organisations, to capture its meaning and any implications this may have for organisational knowledge and social work practice. To further this aim, a two case-study design was developed and carried out in two social care organisations in England. Semi-structured interviews and direct observation were used as data collection tools. Interviews with open-ended questions were carried out with practitioners, team managers, senior managers and staff responsible for Information Technology applications and programmes. Data analysis was carried out utilising two key methods, within-case and cross-case analysis. The purpose of the analysis was to illustrate the participants' experiences within five main themes: Practitioners' and Team Managers' Feelings about the new MIS' Implementation, Participation, Management Information System, Social Work Practice, and Organisation and Organisational Knowledge. The research findings highlighted that social care organisations need radical shifts in organisational philosophy in order to achieve functioning MIS, and more importantly, to become ‘learning organizations' that capture and disseminate social work practice knowledge and skills. For example, practitioners' participation in MIS implementation was recognised as a key factor, which determined both MIS implementation and organisational knowledge creation in a social care organisation. The qualitative data gathered also revealed that there were constraints in engaging practitioners with organisational procedures and in make them feel valued. The thesis, based on the research findings, concludes with the proposal of two models for MIS implementation and organisational knowledge creation.

My thesis examines the journey made by myself and others from paid employment, usually with a local authority, to self-employed status within an independent practice. I have tried throughout, as far as possible, to uncover the many meanings and essential elements of the experience: both my own, and those of others. Fully integrated within my thesis are the detailed experiences of my research respondents who have travelled a similar journey. I have used a heuristic methodology, first established and pioneered by Clark Moustakas. This demands that the researcher and his or her respondents must have lived through the experience being described. The methodology is congruent with my own positioning as a researcher and also provides a suitable, flexible but rigorous framework within which the emerging story (and stories) can be told. This approach has also been of the utmost value in structuring my research. Moustakas defines the heuristic approach as: A process of internal search through which one discovers the nature and meaning of experience and develops methods and procedures for further investigation and analysis. The self of the researcher is present throughout the process and, while understanding the phenomenon with increasing depth, the researcher also experiences growing self-awareness and self-knowledge. Heuristic processes incorporate creative self-processes and self-discoveries' (1990:9). I have used other approaches for data analysis as Moustakas does not give detailed guidance in this area. I have principally used the approach pioneered by Max Van Manen which can be described as an evolved phenomenological approach. My thesis therefore describes and explores the experience of setting up my independent practice from its very first manifestations through to the present. Integrated within that narrative are the detailed and rich ‘borrowed' experiences of my research respondents captured through 11 in-depth interviews and a consideration of the similarities and differences of the individual experiences. I have let the individual voices speak fully which draws out the themes of the experience of becoming independent in terms of motivation, preparation, the moment of independence and finally, the experience of independence. In the succeeding chapter I have analysed the findings with reference to the literature on the nature of modern day social care organisations, organisational theory and motivation, and have also explored in some depth underlying issues concerning the nature of identity and selfhood and the autonomy of individuals. I conclude that there is a core of selfhood and that, within defined limits, individuals are free to choose their own path. A final creative synthesis draws the research project to a close by considering how all that has been learned fits together. My research strategy has essentially been an exploratory one which aims to “generate knowledge about a relatively under researched or newly emerging subject” (D'Cruz and Jones 2003:17). The under-researched and emerging subject here is about the experience of establishing an independent consultancy in the social care field. My contribution to knowledge on this subject falls into several areas, including what I see as the necessary and gradual liberalisation of the social care field which allowed independent practices to evolve. I also contend that my research respondents had a particular and specific motivational profile which explains why these particular individuals made the move to independence when others did not. A further finding is that my research group exchanged a constricting organisation for a more comfortable one: that of the informal network. I also find that making the move to independence is a near irrevocable step and that, in effect, the research group went through an important identity shift in their transition to independence.

Concerns have been raised about the quality of care provided by professional caregivers to vulnerable older adults. However, little is known about the psychological mechanisms that may affect professional caregivers' ability to provide good care. This thesis presents four papers which sought to address this gap in our knowledge. The first paper reports a proposed quantitative multilevel study, investigating the effects of nursing home manager-level and care assistant-level variables on psychosocial caregiving among care assistants. There were no effects of manager-level variables. However, structural equation modelling (SEM) analyses found care assistants' community aspirations and basic need satisfaction at work positively predicted the autonomy and relatedness support care assistants showed towards service users. No indirect effects were found. The second paper presents a new measure of autonomy, relatedness, and competence satisfaction, which had improved construct validity compared to an existing measure and good external validity, being related to measures of well-being and ill-being in expected ways. The third paper reports the relationships between autonomy, relatedness, and competence satisfaction and prosocial behaviour. SEM analyses showed that a higher order factor of basic need satisfaction explained a small but significant amount of variance in prosocial behaviour, but that autonomy, competence, and relatedness satisfaction were not independent predictors. The final paper presents a grounded theory analysis of semi-structured interviews with a range of individuals associated with nursing homes for the elderly. The findings highlight the role of a person-centred perspective at all levels of caregiving, with positive management practices interacting with the qualities and approaches of individual caregivers to support the provision of good care. Overall, this body of research provides a preliminary understanding of the interplay between the personal qualities of professional caregivers and socio-environmental factors in the provision of good care. In addition, it has contributed meaningfully to the SDT literature and its application to real-world settings. These findings pave the way for future research to provide further beneficial insights for policy and practice in professional caregiving.

Family members are themselves affected by the impact of Acquired Brain Injury (ABI) upon their relatives and they play an important role in the rehabilitation and long term support required. The study aims to understand how families are impacted and their views on the formal and informal support received directly or indirectly as a consequence of the ABI. To date there has been very little research undertaken by social workers in relation to ABI and/or the experience of family members. A mixed methods research design was employed to capture the lived experience of family members of people with ABI. The results of the quantitative and qualitative data were triangulated against the literature. An online survey was completed by 110 relatives of people with an ABI, seeking their experience of the condition, its impact upon their lives and their views of services. The results of the survey were collated and organised in SPSS (version 24). Non-parametric Spearman's Rho Correlations (non-parametric test) were performed upon the results. In-depth, semi-structured interviews were conducted with 16 family members of people with severe ABI to ascertain the family members' experience of their relatives' condition, its impact upon them and their views of the associated formal and informal support received. Inductive thematic analysis of the transcribed interview data was undertaken to identify themes. The quantitative element of the research identified strong correlations between the relative's assessment of the invisible impairments suffered by those with an ABI (cognitive, executive, behavioural and emotional difficulties) and lack of insight. This correlation was not present in relation to physical impairment. It was observed that increased loss of insight and behavioural difficulties were strongly correlated with loss of friendships by the non-injured family member. The results of the inductive thematic analysis identified 7 themes which were: 1: The Context 2: The All-Encompassing Challenge 3: Family Loss and Grief 4: The Unavoidable Burden 5: The Poor Experience of Support 6: Positive Support and Change 7: The Curator of Narrative The research identified that family members' experience is complex and enduring, encompassing most aspects of life, and is affected by the context in which it occurs as well as by formal and informal support structures. The particular nature of the grief and loss experienced by families is ambiguous, develops over time and leads to ambivalent feelings for family members who perceive no option but to remain involved. Informal and formal support frequently fails to take account of the reality and complexity of the condition and fails to integrate the relative by recognising their own losses and trauma. Relatives' views on the services received identified significant gaps in practitioner knowledge, most especially of those aspects of life that were of most concern to them, the invisible impairments and issues with insight. Practitioners that were valued were more likely to be specialists in the condition and practiced as “expert companions” supporting the relative to develop a new “neuro-narrative” to reconstruct their identity in the face of their ongoing grief. The specific nature of the condition requires such an approach if input is to be effective. Greater understanding of the complex lived experience of family members may support more effective responses to both them and the individual with ABI, integrating services and families to improve quality-of-life. As ABI is a process with changes to functioning developing over time, the information and knowledge required by loving and supportive relatives needs to be created with them, being person-, family-, injury-and-context-specific.