Doing ‘Ethics Work’ Together: Negotiating Service Users’ Independence in Community Mental Health Meetings

ABSTRACT

This article develops the concept of ‘ethics work’ (Banks [2016]. “Everyday Ethics in Professional Life: Social Work as Ethics Work.” Ethics and Social Welfare 10 (1): 35–52) from a focus on efforts made by professionals, to a domain co-constructed with service users and others. It takes an ethnomethodological approach to examining verbatim interactions in review (multi-party) meetings concerned with reviewing progress and making decisions about and with service users in community mental health settings in England and Finland. Drawing on the everyday, micro-level ethics of social welfare practice, this article demonstrates the ‘doing of ethics’ in real-life situations, thus widening the applicability of ‘ethics work’ as an analytical concept. Extracts from two meetings are discussed, focussing on the ethical challenges of supporting service users to live independent lives, while also protecting them from harm and respecting their own choices. While this is a classic ethical tension in social welfare work, it is also exacerbated in the current austerity regimes in many Western countries as service users and carers are ‘responsibilised’ and required to become more self-sufficient. Our analysis shows the significant ethical content in review meetings as professionals, service users and family members negotiate plans together.

KEYWORDS:

• Ethics work
• social welfare work
• review meetings
• service users
• community
• mental health

Disclosure statement

No potential conflict of interest was reported by the authors.

Notes on contributors

Sirpa Saario, PhD, is a post-doctoral researcher in social work at Faculty of Social Sciences, University of Tampere, The Linna building, Tampere, Finland.

Jenni-Mari Räsänen, PhD, is a post-doctoral researcher in social work at Faculty of Social Sciences, University of Tampere, The Linna building, Tampere, Finland.

Suvi Raitakari, Docent, is a lecturer in social work at Faculty of Social Sciences, University of Tampere, The Linna building, Tampere, Finland.

Sarah Banks is a Professor at Department of Sociology, Durham University, 29 Old Elvet, Durham, DH1 3HN, UK.

Kirsi Juhila is a Professor in social work at Faculty of Social Sciences, University of Tampere, The Linna building, Tampere, Finland.

Notes

1 This is a part of a longer extract previously analysed by Hall, Morriss, and Juhila (2017) from the perspective of choice and risk.