Surrey social worker Gail McCulloch has been praised for
helping a family overcome their problems by using delf-directed
support
When David Behan is so impressed by a piece of work that he says
it is the best example he has seen and he describes the social
worker involved as inspirational - you know it is something worth
shouting about.
In this case, the director general for social care was talking
about
self-directed support in Surrey, and the work of Gail
McCulloch, a senior care manager with the county's adult social
care department.
The work in question involves a family* comprising Kevin and Ali
and their daughters Megan, four, Millie, three, and six-month-old
Isla. A few years ago, they were living in another local authority
and were referred to social services after Ali was diagnosed with
Ehlers-Danlos Syndrome Type 3, a rare connective tissue disease
which causes joint instability, pain, loss of mobility, heart
lost her status as a mother, as well as having to give up work as a
book-keeper. Kevin had to give up work to care for Ali and their
three children and was dangerously overweight with high blood
pressure, depression, and fatigue. He was also suffering from
social isolation.
High stress levels
"Pain was stopping Ali from doing anything," says Kevin, "so I
was dealing with everything myself. It was a lot for one person to
cope with and stress levels were high.
"Ali was getting down because she couldn't help, and I was
getting down because it felt like a 24-hour job. Megan was 18
months and Millie was six months. I had to stop work because Ali
had a few bad falls and it got to the point where somebody needed
to be with her all the time."
Their council offered Ali a direct payment which they used to
employ her mum as a personal assistant for 15 hours a week. This
lasted until the family moved to Surrey in August 2008 and were
referred to its adult social care department.
McCulloch received the referral and saw the family for the first
time in September. "It was very early days of the self-directed
support project in Surrey and I brought the information with me,"
McCulloch says. "Self-directed support means that individuals lead
the process rather than the practitioner."
The supported assessment questionnaire left by McCulloch helped
the family identify where they most needed help. The main thing the
family wanted to resolve was Kevin's health. As Ali puts it:
"Nothing runs without Kevin. He gets up for the girls at night and
runs everything during the day, so he has to be healthy."
As Megan has been diagnosed with the same condition, and it is
probable that Millie also has it, the girls wake up often during
the night because they are in pain from cramps in their joints.
However, time and money wise Kevin couldn't see how they could
address his health issues. "Depression was a big thing," he says.
"I was having to deal with an awful lot. I was tied to the home
that meant I didn't have time to deal with my weight."
They also wanted Megan and Millie to be less isolated, needed
help to run the home, and wanted to have some friends. The solution
the couple came up with included gym membership for Kevin,
two-and-a-half days a week at nursery for Megan and Millie, and a
laptop for Ali so she could e-mail friends, access support groups
for her condition, and manage the direct payment accounting.
"The girls love going to nursery and it's freed up time for
Kevin to go to the gym and the weight is coming off," says Ali.
They have increased Ali's mother's weekly hours to 20, and both
her parents stay with them regularly so that Kevin and Ali can have
some time to themselves. Kevin is on a reduced dose of
anti-depressants and is feeling much better. "Self-directed support
makes us feel normal and able to do something outside these four
walls, which we haven't been able to do before."
The couple feel their lives have improved no end through
self-directed support. "Before [with a direct payment] it was all
based around me rather than the family," says Ali. "We needed more
flexibility than that. We were at home together the whole time, and
to see Kevin come back from the gym so happy and have a sense of
achievement is really nice. It's finding solutions to the problems.
We didn't have the means to do it before but now we can and it's
made a big difference to all of us."
As for McCulloch, self-directed support has meant she can go
back to her social work roots: "Being able to be a social worker
again has really reminded me what it is all about - enabling people
to find the solutions for their lives. It's been amazing for me to
see the solutions Kevin and Ali have come up with."
And the couple are full of praise for McCulloch. "We know we can
tackle anything with her," says Ali.
* The family requested only christian names be used.
This article is published in the 25 June 2009 edition
of Community Care magazine under the headline A great
piece of social work