By Alison Froggatt (auth.)
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Fortunately ways of breaking into this cycle have begun to be identified (Mossadeq and Froggatt, 1988). These cases demonstrate that social care planning involves far more than slotting in occasional services piece meal, as they are available. It involves careful placing of the services to meet and match the client's family network as far as possible. The ongoing monitoring and support of services in a planned way is also required. It may seem risky to start investing so much time and effort to obtain a better quality of life for a person at the margin of coping, but once the framework of social care planning has been established other aspects of social work and health service provision can be woven in.
This discussion should include other professionals in the multidisciplinary team and may need to start with a recognition of their own feelings, before meeting with the old person concerned. Then one might recognise the legitimacy of sexual expression and try to find more socially acceptable ways to release that energy. 46 Family Work with Elderly People Mental impairment The lives of vulnerable elderly people are made more complex when there is mental impairment, as there is a general anxiety about their capacity to cope with themselves or the environment.
This sets the framework for doing a bio-psychosocial assessment, using multidisciplinary knowledge from other professionals to piece together the impact of recent events on a particular family network. This will probably be followed by indirect social work involving social care planning, and direct social work with the client and one or more of the family members, in one of a variety of ways. Social work in a social services setting The client The term 'client' is widely used within social services and social work practice, to refer to those people who come to the attention of the agency as being in need of some assistance or service.