Service user violence against social workers in Italy: Prevalence and characteristics of the phenomenon

Abstract

Summary

Client violence in social services is perceived as constantly increasing in Italy, raising deep concern. This article presents the results of the first online survey on the phenomenon. Involving 20,112 social workers, the aim was to determine the prevalence and forms of client violence towards social workers and to identify key factors associated with such events.

Findings

The results suggest that the vast majority of Italian social workers experience client violence during their careers. Verbal aggression and threats were most common forms of violence, followed by physical attacks and property damage. Young and less experienced social workers appeared more likely to be victims of violence, as well as those who more frequently work in isolation or without their colleagues’ support. Social workers in child protection services, services for adults and municipality services accessible to the entire population were found to be at higher risk of client violence. The social workers considered the quality of the client/professional relationship and communication skills to be critical in preventing and dealing with aggression by users. Unfulfilled clients’ expectation was considered to be one of the main factors contributing to frustration and the consequent hostile behaviour.

Applications

Violence against social workers is a ‘wake-up call’ that makes the weakening of welfare services, and therefore of professional social work, more visible. The first nationwide study on service user violence reported by this paper may significantly contribute to raising awareness about the phenomenon in Italy and to the devising of effective prevention programmes.

Keywords

Social work management organizational structure prevention risk assessment social workers

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References

Astor

R. A.

Behre

W. J.

Wallace

J. M.

Fravil

K. A.

(1998). School social workers and school violence: Personal safety. Training and violence programs. Social Work, 43(3), 223–232. https://doi.org/10.1093/sw/43.3.223

Bertotti

T. F.

(2021, in press). Errors and mistakes in child protection–An unspoken issue in Italy? In K. Biesel, J. Masson, N. Parton, & T. Pösö (Eds), Errors and mistakes in child protection: International discourses, approaches, and strategies. Policy Press.

Brady

Dickson

(1999). Violence in health care settings. In P. Leather, C. Brady, C. Lawrence, D. Beale, & T. Cox (Eds), Work-related violence: Assessment and intervention (pp. 166–182). Routledge.

Briggs

Broadhurst

Hawkins

(2004). Violence, threats and intimidation in the lives of professionals whose work involves children. Australian Institute of Criminology.

Brown

Bute

Ford

(1986). Social workers at risk. The prevention and management of violence. Macmillan Education Ltd.

Enosh

Tzafrir

S. S.

(2015). The scope of client aggression toward social workers in Israel. Journal of Aggression, Maltreatment & Trauma, 24(9), 971–985. https://doi.org/10.1080/10926771.2015.1070233

Enosh

Tzafrir

S. S.

Gur

(2013). Client aggression toward social workers and social services in Israel - A qualitative analysis. Journal of Interpersonal Violence, 28(6), 1123–1142. https://doi.org/10.1177/0886260512468230

Enosh

Tzafrir

S. S.

Stolovy

(2015). The development of Client Violence Questionnaire (CVQ). Journal of Mixed Methods Research, 9(3), 273–290. https://doi.org/10.1177/1558689814525263

Geoffrion

Goncalves

Boyer

Marchand

Guay

(2017). The effects of trivialization of workplace violence on its victims: Profession and sex differences in a cross-sectional study among healthcare and law enforcement workers. Annals of Work Exposures and Health, 61(3), 369–382. https://doi.org/10.1093/annweh/wxx003

10.

Jayaratne

Croxton

T. A.

Mattison

(2004). A national survey of violence in the practice of social work. Families in Society, 85(4), 445–453. https://doi.org/10.1177/104438940408500403

11.

Jayaratne

Vinokur-Kaplan

Nagda

Chess

W. A.

(1996). A national study on violence and harassment of social workers by clients. Journal of Applied Social Sciences, 20(1), 1–14. https://psycnet.apa.org/record/1996-06518-001

12.

Kim

Hopkins

(2015). Child welfare workers’ personal safety concerns and organizational commitment: The moderating role of social support. Human Service Organizations: Management, Leadership & Governance, 39(2), 101–115. https://doi.org/10.1080/23303131.2014.987413

13.

Koritsas

Coles

Boyle

(2010). Workplace violence towards social workers: The Australian experience. British Journal of Social Work, 40(1), 257–271. https://doi.org/10.1093/bjsw/bcn134

14.

Kosny

Eakin

(2008). The hazards of helping: Work, mission and risk in nonprofit social service organizations. Health, Risk & Society, 10(2), 149–166. https://doi.org/10.1080/13698570802159899

15.

LeBlanc

M. M.

Barling

(2005). Understanding the many faces of workplace violence. In S. Fox, & P. Spector (Eds), Counterproductive work behaviour: Investigation of actors and targets (pp. 41–63). American Psychological Association.

16.

Littlechild

(2005). The stress arising from violence, threats and aggression against child protection social workers. Journal of Social Work, 5(1), 61–82. https://doi.org/10.1177/1468017305051240

17.

Macdonald

Sirotich

(2001). Reporting client violence. Social Work, 46(2), 107–114. https://doi.org/10.1093/sw/46.2.107

18.

Macdonald

Sirotich

(2005). Violence in the social work workplace. The Canadian experience. International Social Work, 48(6), 772–781. https://doi.org/10.1177/0020872805057087

19.

National Association of Social Workers. (2013). Guidelines for social work safety in the workplace. https://www.socialworkers.org/Practice/Social-Work-Safety

20.

Newhill

C. E.

(1996). Prevalence and risk factors for client violence toward social workers. Family in Society: The Journal of Contemporary Human Services, 77(8), 488–495. https://doi.org/10.1606/1044-3894.958

21.

Newhill

C. E.

(2004). Client violence in social work practice: Prevention, intervention, and research. The Guilford Press.

22.

Occupational Safety and Health Administration (OSHA). (2016). Guidelines for preventing workplace violence for health care & social service workers. OSHA 3148-01R. U.S. Department of Labor, http://www.osha.gov/Publications/osha3148.pdf

23.

Reason

(1990). Human error. Cambridge University Press.

24.

Reber

(2001). The Penguin dictionary of psychology. Penguin.

25.

Rey

L. D.

(1996). What social workers need to know about client violence. Families in Society, 77(1): 33–39. https://doi.org/10.1606/1044-3894.839

26.

Robson

Cossar

Quayle

(2014). Critical commentary: The impact of work-related violence towards social workers in children and family services. The British Journal of Social Work, 44(4), 924–936. https://doi.org/10.1093/bjsw/bcu015

27.

Shields

Kiser

(2003). Violence and aggression directed toward human service workers: An exploratory study. Families in Society, 84(1), 13–20. https://doi.org/10.1606/1044-3894.83

28.

Snow

(1995). “Aggression: Just part of the job?” The psychological impact of aggression on child and youth workers. Journal of Child and Youth Care, 9(4), 11–30. https://cyc-net.org/cyc-online/cyconline-apr2010-snow.html

29.

Sousa

Silva

I. S.

Veloso

Tzafrir

Enosh

(2014). Client’s violence towards social workers. Tèkhne. Review of Applied Management Studies, 12(1), 69–78. https://doi.org/10.1016/j.tekhne.2015.01.006

30.

Spencer

P. C.

Munch

(2003). Client violence toward social workers: The role of management in community mental health programs. Social Work, 48(4), 532–544. https://doi.org/10.1093/sw/48.4.532

31.

Viitasara

(2000). Violence in caring: Risk factors, outcomes and support. UK Department for Work and Health.

32.

Wynne

Clarkin

Cox

Griffiths

(1997). Guidance on the prevention of violence at work. European Commission, DG-V.