Trish Hafford‐letchfield
Datos Biográficos
| ID | 4156515 |
|---|---|
| NOMBRE | Trish Hafford‐letchfield |
| NOMBRES | Trish |
| APELLIDO | Hafford‐letchfield |
| FIRMA | LETCHFIELD T H |
| AFILIACIONES | Middlesex University |
| ORCID | 0000-0003-0105-0678 |
| VERIFICADO | Sí |
| TOTAL DE OBRAS | 41 |
| TOTAL DE CITAS | 58 |
| TOTAL COMO AUTOR | 40 |
| TOTAL COMO EDITOR | 1 |
| PRIMER AÑO DE PUBLICACIÓN | 2010 |
| AÑO MÁS RECIENTE DE PUBLICACIÓN | 2026 |
| ÍNDICE H | 5 |
What can we learn about academic identity from allied care professions? Messages for the social work academy
Academic identity influences disciplinary contributions and professional development of individuals within those disciplines. Little is known about academic identity within the social work discipline. This paper presents the results of a modified systematic international literature review to investigate academic identity in social work, nursing and allied care professions. Papers (138) were initially retrieved for screening, 40 met the final incl…
Exploring the Determinants of Quality of Life for LGBTQ + People
Despite recent initiatives to understand and respond better to LGBTQ + lives in the UK, there remains a lack of detailed knowledge about the needs and experiences of the LGBTQ + population at an everyday level, including drivers of quality of life, and its association with mental health. This paper draws on findings from the UK dataset in the Global Pride survey collected in 2022. Data from 172 individuals aged 19–77 from diverse sexual and gende…
Introduction
Accounting for gender and sexuality in social work leadership
In a women-majority profession, white heterosexual men disproportionately hold senior leadership positions in social work and social care. Within the literature that examines diversity in leadership, including gender, less is known about sexuality and sexual identity. This study contributes to this area by exploring senior lesbian leaders’ experiences and perspectives on leadership in social work and social care. Their accounts of the leadership …
A scoping review exploring the ‘grey area’ of suicide-related expression in later life
As the body of research on suicide in later life has developed, so has its vocabulary. This has generated a high level of overlap in concepts and terminology used to articulate suicide and how it might present, as well as ‘grey area’ behavioural terms that are both specific to older adults and less well-defined ( e.g. ‘hastening of death’ or ‘completed life’). A better understanding of individual experiences and pathways to suicide can help to in…
He’s a Gay, He’s Going to Go to Hell
Lesbian, gay, bisexual, trans and/or queer (LGBTQ) people experience profound health and social care inequalities. Research suggests that staff with negative attitudes towards LGBTQ people, are more likely to hold strong, traditional, religious beliefs. This article reports on a single case study with a newly qualified UK nurse who has since left the National Health Service. This is based on a single interview taken from a larger dataset derived …
Learning to deliver LGBT+ aged care
Substantial evidence on the adverse impact of ageing on lesbian, gay, bisexual and transgender (LGBT+) populations through the lack of inclusive care services has highlighted the need for education and training of the health and social care workforce to enhance their skills, knowledge and capabilities in this area. We describe a cross-national collaboration across four European Union countries called BEING ME. This collaboration examined the curr…
It’s like an oak tree growing slowly across a barbed wire fence
Bereavement by suicide is a traumatic and life-changing experience. However, little is known about the lived experiences of people bereaved by suicide themselves, and older people’s voices are notably absent from the current suicide prevention and intervention strategies. This paper seeks to understand the different individual experiences and pathways arising from the suicide research for people in later life who have been bereaved by suicide thr…
Sexuality and religion
This paper critically reviews the case of a social work student whose professional training was terminated by his University. This followed the student’s expression of his religious views about homosexuality on a public social media platform. The student sought a judicial review of this decision on human rights grounds. The High Court dismissed the student’s challenge but the Court of Appeal overturned this decision to dismiss on the grounds of p…
Physical and mental well-being, risk and protective factors among older lesbians /gay women in the United Kingdom during the initial Covid-19 2020 lockdown
This article reports on a subset of findings from a recent UK survey of the impact of COVID-19 on older LGBT+ people in the UK. It considers the responses of 149 lesbian/gay women (137 cisgender, 12 trans) to questions relating to physical and mental health and wellbeing. Findings indicate that those women - in couples and singles - who were happy with their living circumstances pre-COVID showed stoicism, adaptability, and determined positivity i…
It’s a Living Experience”
Bereavement by suicide for people in later life is significantly under-researched. Research on ageing and suicide has yet to address the experiences of those bereaved by suicide and how such a devastating loss affects the ageing experience. Objectives : We explored the substantive issues involved in bereavement by suicide and its impact on later life. Methods : This was a co-produced qualitative study. Peer researchers with lived experience condu…
What Are LGBT+ Inequalities in Health and Social Support—Why Should We Tackle Them?
Health inequalities are differences in health experiences and outcomes which arise through the everyday circumstances of people’s lives and the appropriateness of the systems put in place to support them [...]
Introduction to volume two
‘Dignity and respect’
This paper explores the methodological aspects of a user‐led study investigating mental health service user experiences of targeted violence and abuse (often called 'hate crime'). 'Keeping Control' was a 16‐month qualitative study, undertaken in the context of adult safeguarding reforms in England. By collecting data on service user concepts and experiences, the research sought to address a gap in research and practice knowledge relating to targe…
Knowledge and Policy About LGBTQI Migrants
Unheard voices
This paper reports findings from a qualitative study into the immediate impact of social distancing measures on the lives of lesbian, gay, bisexual and trans (LGBT+) older people (≥60 years) living in the UK during the first lockdown of the COVID-19 pandemic. It draws on in-depth interviews with 17 older people and 6 key informants from LGBT+ community-based organisations, exploring the strategies used to manage their situations, how they respond…
Applying a Capabilities Approach to Understanding Older LGBT People’s Disclosures of Identity in Community Primary Care
Internationally, there is increasing recognition that lesbian, gay, bisexual and trans (LGBT) populations experience substantial public health inequalities and require interventions to address these inequalities, yet data on this population is often not routinely collected. This paper considers the case study of the UK, where there are proposals to improve government and health data collection on LGBT populations, but also a degree of apparent un…
Practitioner perspectives on service users experiences of targeted violence and hostility in mental health and adult safeguarding
People with lived experience of mental distress experience high rates of targeted violence and hostility based on their mental health status. This user-led study explored practitioners’ perceptions and experiences of supporting service users in these challenging situations and considered the role of adult safeguarding. Six focus groups with practitioners (n = 46) enabled them to respond to data documenting service user’s experiences. This process…
Dog‐assisted interventions in care homes
Dog-assisted interventions (DAI) have been shown to have a wide-range of potential benefits for older adults living in care homes. Yet, there is a lack of published qualitative research which explores the experiences of care home residents, staff and dog-owner volunteers involved in DAI to fully understand its meaning, impact and value. This study aimed to explore the impact of a DAI on the social and emotional wellbeing of older residents living…
He just gave up’
This study explored the concept of ‘giving up’ from the perspective of care staff working in care homes, and their everyday communication and hidden knowledge concerning what they think about this taboo topic and the context it reflects. Moving to a care home is a major transition where cumulative losses can pose risks to mental health in later life. If not recognised, this vulnerability can lead to depression which extends to suicide ideation an…
Older LGBT+ health inequalities in the UK
Lesbian, gay, bisexual and trans+ (LGBT+) people report poorer health than the general population and worse experiences of healthcare particularly cancer, palliative/end-of-life, dementia and mental health provision. This is attributable to: (a) social inequalities, including ‘minority stress’; (b) associated health-risk behaviours (eg, smoking, excessive drug/alcohol use, obesity); (c) loneliness and isolation, affecting physical/mental health a…
How do older people discuss their own sexuality? A systematic review of qualitative research studies
What do we know about transgender parenting
Keeping Control”
The situation for people with mental health problems as a group of disabled people who experience targeted violence and abuse is a complex one. Disabled people, particularly those with mental health problems, are at higher risk of targeted violence and hostility with few effective evidence-based prevention and protection strategies. Achieving effective safeguarding for adults with mental health problems is characterised by differential attitudes …
At What Cost? the Impact of UK Long-term Care Funding Policies on Social Work Practice with Older People’
Moving to a care home is a significant and often costly milestone in many older people’s lives, with considerable implications for an individual’s future autonomy, safety, wellbeing and security. Such provision has considerable financial impact both on the economy and on those required to make significant contributions to their own care. Reductions in community-based support and widespread gaps in the sustainable development of alternative option…
Developing inclusive residential care for older lesbian, gay, bisexual and trans ( LGBT ) people
There have been substantial achievements in legislative and human rights for lesbian, gay, bisexual and transgender (LGBT) older people and their visibility in health and social care has equally increased. These appear to have surpassed the ability of care services to meet their needs given documented concerns about the accessibility, inclusiveness and safety of care services particularly institutionalised care. This requires systemic change not …
Keeping Control”
The situation for people with mental health problems as a group of disabled people who experience targeted violence and abuse is a complex one. Disabled people, particularly those with mental health problems, are at higher risk of targeted violence and hostility with few effective evidence-based prevention and protection strategies. Achieving effective safeguarding for adults with mental health problems is characterised by differential attitudes …
Unheard voices
This paper reports findings from a qualitative study into the immediate impact of social distancing measures on the lives of lesbian, gay, bisexual and trans (LGBT+) older people (≥60 years) living in the UK during the first lockdown of the COVID-19 pandemic. It draws on in-depth interviews with 17 older people and 6 key informants from LGBT+ community-based organisations, exploring the strategies used to manage their situations, how they respond…
Out and Proud? Social Work's Relationship with Lesbian and Gay Equality
Major changes in the UK legislative framework to promote the rights of lesbians and gay men have challenged and challenge long-standing heteronormative and heterosexist frames of reference in both social work practice and professional education and the way these are organised. At the same time, government policy within ‘transformation’ and ‘integrated’ agendas and recent reviews of the role of social work provide many opportunities for social wor…
Practitioner perspectives on service users experiences of targeted violence and hostility in mental health and adult safeguarding
People with lived experience of mental distress experience high rates of targeted violence and hostility based on their mental health status. This user-led study explored practitioners’ perceptions and experiences of supporting service users in these challenging situations and considered the role of adult safeguarding. Six focus groups with practitioners (n = 46) enabled them to respond to data documenting service user’s experiences. This process…
The Age of Opportunity? Revisiting Assumptions about the Life-Long Learning Opportunities of Older People Using Social Care Services
Shifting national policy in the UK emphasizes choice, independence and social inclusion for older people using social care services through the promotion of healthy, active lifestyles and increasing user involvement (Department of Health, 2006). Older people are a diverse population. Their definition of a ‘life worth living’ and support necessary to achieve this are cited as paramount within public policy formation. Simultaneously, older people c…
Older LGBT+ health inequalities in the UK
Lesbian, gay, bisexual and trans+ (LGBT+) people report poorer health than the general population and worse experiences of healthcare particularly cancer, palliative/end-of-life, dementia and mental health provision. This is attributable to: (a) social inequalities, including ‘minority stress’; (b) associated health-risk behaviours (eg, smoking, excessive drug/alcohol use, obesity); (c) loneliness and isolation, affecting physical/mental health a…
Contemporary practices in social work supervision
Social work supervision is considered to be a core feature in the development of social work’s professional identity and practice and provides an important vehicle in which its outcomes are mediated and supported. Its key stakeholders may include people who use services, practitioners, and educators, those leading and managing services and organisations providing services. Good quality supervision has been cited as a potential pivot upon which th…
Socio-economic inequalities in health among older adults in two rural sub-districts in India and Bangladesh
Health inequalities have been observed among older people in many developing countries, particularly among those with least social protection and low socio-economic (SES) status. This study attempted to examine effects of SES on the health of older adults, and related gender differences, in two rural sub-districts - Matlab, Bangladesh and Vadu, India. The study utilised the WHO SAGE-INDEPTH Wave 1, 2007 Matlab, Bangladesh and Vadu, Pune District,…
Learning to deliver LGBT+ aged care
Substantial evidence on the adverse impact of ageing on lesbian, gay, bisexual and transgender (LGBT+) populations through the lack of inclusive care services has highlighted the need for education and training of the health and social care workforce to enhance their skills, knowledge and capabilities in this area. We describe a cross-national collaboration across four European Union countries called BEING ME. This collaboration examined the curr…
It’s like an oak tree growing slowly across a barbed wire fence
Bereavement by suicide is a traumatic and life-changing experience. However, little is known about the lived experiences of people bereaved by suicide themselves, and older people’s voices are notably absent from the current suicide prevention and intervention strategies. This paper seeks to understand the different individual experiences and pathways arising from the suicide research for people in later life who have been bereaved by suicide thr…
Vulnerable Adults in the Privately Rented Sector in England
In the UK, in common with many developed countries, there is a crisis in the provision of adequate, affordable and quality housing. This paper discusses how an unprecedented rise in the privately rented housing sector has impacted on housing security for vulnerable adults and the challenges for social work emerging from this situation (The core definition of ‘vulnerable adult’ from the 1997 Consultation ‘Who Decides?’ issued by the Lord Chancello…
Putting you in the picture
The literature has consistently documented the impact of the work on the health and wellbeing of individual practitioners and the tensions they experience when mediating organisational demands with the needs of service users. Simultaneously, the quality and content of social work supervision has become increasingly vulnerable to both local and global systemic issues impacting on the profession. It is timely to explore effective short-term, self-r…
Critical educational gerontology
Critical educational gerontology argues for a moral goal of learning in later life to develop alternative visions for democratic social change whereby older people are empowered to resist and overcome various forms of discrimination. If the development of critical consciousness within the older people's social movement is an important precursor to critical action where the self is a key site of politicisation, different approaches will need to be…
We're All Going Bali
‘This kind of activity is an example of a great “leveller”.’ The development of distributed leadership qualities in health and social care are cited as crucial to effective team working, staff development, collaboration and partnership within an interprofessional context. We share a case study in which music and percussive activities were introduced into the social work and nursing curriculum of a Post-Qualifying Award for Practice Education and …
Out and Proud? Social Work's Relationship with Lesbian and Gay Equality
Major changes in the UK legislative framework to promote the rights of lesbians and gay men have challenged and challenge long-standing heteronormative and heterosexist frames of reference in both social work practice and professional education and the way these are organised. At the same time, government policy within ‘transformation’ and ‘integrated’ agendas and recent reviews of the role of social work provide many opportunities for social wor…
The Age of Opportunity? Revisiting Assumptions about the Life-Long Learning Opportunities of Older People Using Social Care Services
Shifting national policy in the UK emphasizes choice, independence and social inclusion for older people using social care services through the promotion of healthy, active lifestyles and increasing user involvement (Department of Health, 2006). Older people are a diverse population. Their definition of a ‘life worth living’ and support necessary to achieve this are cited as paramount within public policy formation. Simultaneously, older people c…
Organisational Behaviour for Social Work
There has been a distinctive increase over recent years in debates about social work that relate specifically to the context and organisational frameworks guiding practice and encouraging increasing reflection on how tinkering at the edges is no longer acceptable or desirable. Much of the discussion has included issues such as the need for systemic cultural change (Munro, 2012) and on more realistic expectations and better understanding of the ro…
We're All Going Bali
‘This kind of activity is an example of a great “leveller”.’ The development of distributed leadership qualities in health and social care are cited as crucial to effective team working, staff development, collaboration and partnership within an interprofessional context. We share a case study in which music and percussive activities were introduced into the social work and nursing curriculum of a Post-Qualifying Award for Practice Education and …
Rethinking Anti-Discriminatory and Anti-Oppressive Theories for Social Work Practice
The concepts of anti-discriminatory and anti-oppressive practice have long been embedded in social work, but whereas once these may have offered an alternative critique of individual and societal relations, they have long since become part of mainstream thinking and have lost their political edge. This book kick-starts an overdue debate by rethinking how social work understands the complexity of human interactions and experiences. In so doing, it…
Critical educational gerontology
Critical educational gerontology argues for a moral goal of learning in later life to develop alternative visions for democratic social change whereby older people are empowered to resist and overcome various forms of discrimination. If the development of critical consciousness within the older people's social movement is an important precursor to critical action where the self is a key site of politicisation, different approaches will need to be…
Rights through Alliances
This paper draws on findings from a European project, ‘Rights through Alliances: Innovating and Networking Both Within Homes And Schools’ (RAINBOW-HAS), conducted in 2013–15. It built collaboration between six EU countries to analyse and improve the rights of children and youth regarding sexual orientation and gender identity in educational settings. The main focus of discussion derives from a secondary discourse analysis following thematic analy…
Self-Leadership in Social Work
Journal Article Self-Leadership in Social Work: Reflections from Practice, Bill McKitterick Get access Self-Leadership in Social Work: Reflections from Practice, Bill McKitterick, Bristol, Policy Press, 2015, pp. 172, ISBN 978 44731 483 1, £19.99 (pb) Trish Hafford-Letchfield Trish Hafford-Letchfield Professor of Social Care, Middlesex University, London, UK E-mail: [email protected] Search for other works by this author on: Oxford A…
Correlates of Socioeconomic Status and the Health of Older People in the United Kingdom
This article reviews the existing literature on the association between the socioeconomic status (SES) and the health of the ageing population in the United Kingdom. It has been noted that socioeconomic differentials are more marked across the United Kingdom than they are in other developed countries. Social class gradients are significant in health for working-age people (up to age 65), whereas studies on older populations have so far been limit…
Going solo
Greater longevity in the UK population has led to the increasing diversity of women experiencing aging in a multitude of ways. Internationally, gender inequalities in aging are still relatively invisible within both government policy and everyday life for particular groups of women. This article explores the concept of women growing older "solo"-by which we mean women who find themselves nonpartnered and aging without children as they move into l…
Socio-economic inequalities in health among older adults in two rural sub-districts in India and Bangladesh
Health inequalities have been observed among older people in many developing countries, particularly among those with least social protection and low socio-economic (SES) status. This study attempted to examine effects of SES on the health of older adults, and related gender differences, in two rural sub-districts - Matlab, Bangladesh and Vadu, India. The study utilised the WHO SAGE-INDEPTH Wave 1, 2007 Matlab, Bangladesh and Vadu, Pune District,…
Developing inclusive residential care for older lesbian, gay, bisexual and trans ( LGBT ) people
There have been substantial achievements in legislative and human rights for lesbian, gay, bisexual and transgender (LGBT) older people and their visibility in health and social care has equally increased. These appear to have surpassed the ability of care services to meet their needs given documented concerns about the accessibility, inclusiveness and safety of care services particularly institutionalised care. This requires systemic change not …
At What Cost? the Impact of UK Long-term Care Funding Policies on Social Work Practice with Older People’
Moving to a care home is a significant and often costly milestone in many older people’s lives, with considerable implications for an individual’s future autonomy, safety, wellbeing and security. Such provision has considerable financial impact both on the economy and on those required to make significant contributions to their own care. Reductions in community-based support and widespread gaps in the sustainable development of alternative option…
Turning the Co-Production Corner
The project was implemented across six residential care homes in England. Reflections are based on qualitative evaluation data gathered pre- and post-project, which includes 37 interviews with care home staff, managers and community advisors (two of whom are co-authors) . Results and Conclusions: We discuss how the co-production turn emerged during research and evaluate how the politics of this approach helped advance inclusion-itself crucial to …
Vulnerable Adults in the Privately Rented Sector in England
In the UK, in common with many developed countries, there is a crisis in the provision of adequate, affordable and quality housing. This paper discusses how an unprecedented rise in the privately rented housing sector has impacted on housing security for vulnerable adults and the challenges for social work emerging from this situation (The core definition of ‘vulnerable adult’ from the 1997 Consultation ‘Who Decides?’ issued by the Lord Chancello…
Putting you in the picture
The literature has consistently documented the impact of the work on the health and wellbeing of individual practitioners and the tensions they experience when mediating organisational demands with the needs of service users. Simultaneously, the quality and content of social work supervision has become increasingly vulnerable to both local and global systemic issues impacting on the profession. It is timely to explore effective short-term, self-r…
Contemporary practices in social work supervision
Social work supervision is considered to be a core feature in the development of social work’s professional identity and practice and provides an important vehicle in which its outcomes are mediated and supported. Its key stakeholders may include people who use services, practitioners, and educators, those leading and managing services and organisations providing services. Good quality supervision has been cited as a potential pivot upon which th…
How do older people discuss their own sexuality? A systematic review of qualitative research studies
What do we know about transgender parenting
Keeping Control”
The situation for people with mental health problems as a group of disabled people who experience targeted violence and abuse is a complex one. Disabled people, particularly those with mental health problems, are at higher risk of targeted violence and hostility with few effective evidence-based prevention and protection strategies. Achieving effective safeguarding for adults with mental health problems is characterised by differential attitudes …
Applying a Capabilities Approach to Understanding Older LGBT People’s Disclosures of Identity in Community Primary Care
Internationally, there is increasing recognition that lesbian, gay, bisexual and trans (LGBT) populations experience substantial public health inequalities and require interventions to address these inequalities, yet data on this population is often not routinely collected. This paper considers the case study of the UK, where there are proposals to improve government and health data collection on LGBT populations, but also a degree of apparent un…
Practitioner perspectives on service users experiences of targeted violence and hostility in mental health and adult safeguarding
People with lived experience of mental distress experience high rates of targeted violence and hostility based on their mental health status. This user-led study explored practitioners’ perceptions and experiences of supporting service users in these challenging situations and considered the role of adult safeguarding. Six focus groups with practitioners (n = 46) enabled them to respond to data documenting service user’s experiences. This process…
Dog‐assisted interventions in care homes
Dog-assisted interventions (DAI) have been shown to have a wide-range of potential benefits for older adults living in care homes. Yet, there is a lack of published qualitative research which explores the experiences of care home residents, staff and dog-owner volunteers involved in DAI to fully understand its meaning, impact and value. This study aimed to explore the impact of a DAI on the social and emotional wellbeing of older residents living…
He just gave up’
This study explored the concept of ‘giving up’ from the perspective of care staff working in care homes, and their everyday communication and hidden knowledge concerning what they think about this taboo topic and the context it reflects. Moving to a care home is a major transition where cumulative losses can pose risks to mental health in later life. If not recognised, this vulnerability can lead to depression which extends to suicide ideation an…
Older LGBT+ health inequalities in the UK
Lesbian, gay, bisexual and trans+ (LGBT+) people report poorer health than the general population and worse experiences of healthcare particularly cancer, palliative/end-of-life, dementia and mental health provision. This is attributable to: (a) social inequalities, including ‘minority stress’; (b) associated health-risk behaviours (eg, smoking, excessive drug/alcohol use, obesity); (c) loneliness and isolation, affecting physical/mental health a…
Psychology (25 obras) · Political science (24 obras) · Sociology (24 obras) · Medicine (21 obras) · Public relations (15 obras) · Healthcare innovation and challenges (14 obras) · LGBTQ Health, Identity, and Policy (13 obras) · Social Work (12 obras) · Nursing (11 obras) · Social Work Education and Practice (11 obras)