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Navigating the challenges of collaborative inter-agency practice in supporting people experiencing self-neglect in England

A multi-professional realist interview study

Datos Bibliográficos

ID10896549
AutoresDavid M R Orr (0000-0003-2107-2671, University of Sussex), Cindy Morrison (University of Sussex), May Nasrawy (0000-0002-3374-2145, University of Sussex), Nicky Selwyn (Independent Author ,)
Año2025
Volumen56
Número4
Páginas1565-1587
Fecha de publicación2025-11-06
Peer ReviewedSí
Open AccessSí
TipoARTICLE
RevistaThe British Journal of Social Work (JOURNAL)
Identificadores de la revistaISSN: 0045-3102 • E-ISSN: 1468-263X
EditorialOxford University Press (PUBLISHER • GB)
DOI10.1093/bjsw/bcaf239
OpenAlexW4416060052
IdiomaEN
Referencias citadas27

Self-neglect calls for collaborative inter-agency practice, but also presents distinctive challenges to collaboration, which are well-documented in practice reviews and research. Much existing research in this area has focused exclusively on social work perspectives on interprofessional collaboration. Work is needed that takes a more systemic approach, incorporating perspectives from other professions and services, to support more effective joint working. This article reports on a realist interview study that aimed to understand the mechanisms that underpin successful inter-agency collaboration in support of people experiencing self-neglect, and the barriers to achieving it. Based on semi-structured interviews with seventy-eight practitioners from Adult Social Care, Health, Housing, Fire & Rescue, and Environmental Health, sixteen people with experience of self-neglect, and two family carers, the study proposes nine principal programme theories of inter-agency dynamics under the headings of: policies and procedures; mutual inter-agency understandings of roles and task; keeping a collective shared focus on the person experiencing self-neglect; and support from management. It is argued that professional curiosity in safeguarding must be complemented by greater ‘inter-professional curiosity’ if inter-agency working is to fulfil its potential contribution to improving the lives of people experiencing self-neglect

Curiosity · Focus group · Joint (building) · Principal (computer security) · Qualitative research · Safeguarding · Work (physics) · Elder Abuse and Neglect · Healthcare innovation and challenges · Mental Health and Patient Involvement · Social Work

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