Autonomy and Protection in Self-neglect Work
The Ethical Complexity of Decision-making
Bibliographic Data
| ID | 12902171 |
|---|---|
| Authors | Suzy Braye (University of Sussex), David M R Orr (0000-0003-2107-2671, University of Sussex), Michael Preston-Shoot (0000-0002-9347-0524, University of Bedfordshire, corresponding author) |
| Year | 2017 |
| Volume | 11 |
| Issue | 4 |
| Pages | 320-335 |
| Publication date | 2017-02-20 |
| Peer Reviewed | Yes |
| Open Access | No |
| Type | ARTICLE |
| Venue | Ethics and Social Welfare (JOURNAL) |
| Journal identifiers | ISSN: 1749-6535 • E-ISSN: 1749-6543 |
| Publisher | Taylor & Francis (PUBLISHER • GB) |
| DOI | 10.1080/17496535.2017.1290814 |
| OpenAlex | W2591564327 |
| Language | EN |
| Citations received | 18 |
| References cited | 39 |
Self-neglect, in which an individual does not attend to their hygiene, health or home surroundings, is one of the most challenging aspects of adult social care practice. In England, its inclusion within the remit of adult safeguarding, as a result of changes in adult social care law introduced under the Care Act 2014, has thrown into relief the ethical dilemmas arising from tensions between respect for autonomy on the one hand and the exercise of a protective duty of care on the other hand. This paper draws on serious case reviews and safeguarding adult reviews in self-neglect cases, along with findings from adult safeguarding research, to propose that an appropriate balance between these two moral imperatives is not always achieved in self-neglect practice. It considers why autonomy appears to be privileged over other considerations, illustrating the complex interplay between law and ethics that gives autonomy pre-eminence. It then considers how a more nuanced, situated and relational approach to autonomy can enable practitioners to move away from dichotomous interpretations of the moral imperatives present in self-neglect work, and can support more nuanced understandings of the ethics of professional decision-making. Finally, it considers the personal and organisational implications of this enhanced ethical literacy
Autonomy · Duty · Ethical decision · Neglect · Political science · Public relations · Safeguarding · Situated · Sociology · Elder Abuse and Neglect · Healthcare Decision-Making and Restraints · Healthcare innovation and challenges · Law · Medicine · Nursing · Psychology · Social Psychology · Social Work
Building knowledge for policy and practice based on service user and carer experiences
Managing risk
Understanding Safeguarding for People Living with Dementia
Mental health law under review
Mapping and review of self-neglect policies and procedures from safeguarding adults boards in England
Self-Neglect and Hoarding
Exploring the changes and challenges of Covid-19 in adult safeguarding practice
Dangerous care
Could curiosity save lives? An exploration into the value of employing professional curiosity and partnership work in safeguarding adults under the Care Act 2014
Participatory rights of older adults at risk in adult protection case conferences
Choosing to be homeless? Persistent rough sleeping and the perverse incentives of social policy in England
Ethical conflicts, moral distress, and moral action in social work
Negotiating safety and vulnerability in everyday life
Self-determination Theory and Social Work Values
Social Work, Inter-Disciplinary Cooperation and Self-Neglect
Navigating the challenges of collaborative inter-agency practice in supporting people experiencing self-neglect in England
Social Workers’ Perceptions of the Effect of Interpersonal Factors on Older Adults’ Decision to Remain in Abusive Relationships
Both/And’ Not ‘Either/Or’
Ethics and Values in Social Work
The fifth discipline, the art and practice of the learning organization
Autonomy, dialogue, and practical rationality
Reflections on the serious case review of a female adult (JK)
Why Worry about Autonomy
Moral distress’ and the beginning practitioner
Everyday ethics in professional life
The Practice of Moral Action
Ethical Decision Making in Situations of Self-neglect and Squalor among Older People
Ethics and the Street-level Bureaucrat
Human Rights and Social Wrongs
Conceptualising and responding to self‐neglect
Towards explanations for the findings of serious case reviews
Evaluating self‐determination
Serious case review findings on the challenges of self-neglect
Moral distress among social workers
The Social Construction of Social Work Ethics
From Codes to Contextual Collaborations
Dignity
Policy and the protection of older people from abuse
Legal constructions of dementia
Gatekeepers, proxies, advocates? The evolving role of carers under mental health and mental incapacity law reforms
What about us? A case for legal recognition of interdependence in informal care relationships
The ideological dilemma of subordination of self versus self-care
Independence or protection – does it have to be a choice? Reflections on the abuse of people with learning disabilities in Cornwall
Self-determination and Paternalism in Community Care
A Cognitive Mask? Camouflaging Dilemmas in Street-Level Policy Implementation to Safeguard Older People from Abuse
Professional Social Workers' Views on Self-Neglect
From rules to encounters
| Unique citing works | 18 |
|---|---|
| Citations per year | 2,25 |
| Citation span | 2018 - 2025 (8) |
| Citation velocity | recent |
| Highly cited | No |
| Citation types | Neutral: 18 |