SCENARIO FOR SOCIAL WORK INTERVIEWS â€“ PD&SI TEAM, WHINFELL
Sarah is a young mother with aggressive MS. She is a wheelchair user living in an
adapted house with her 12 year old daughter and her husband who works full time.
Sarah has a large package of care via Direct Payments and employs her own carers.
She also has ILF with which she purchases extra support that enables her to be
taken out shopping and to socialise. Over the past few months, Direct Payments
returns have not been sent in as required and there is a danger that payments will be
Sarah is fiercely independent and expects very high standards from her carers. She
has had several changes of carers when they have not met her expectations and is
now finding recruiting new staff problematic as word has got around that she is
The only carer that has remained with Sara from the beginning has recently
contacted Social Services with concerns about unexplained bruising on Sarahâ€™s arms
and chest. Sarah has become withdrawn and tearful but refuses to talk about any
problems she may be having.
Sarahâ€™s daughter is rude and resentful towards carers who she sees as invading her
space, and has been observed openly arguing with and shouting at Sarah. Sarah
has short term memory problems and often repeats herself. Her speech is slurred
and it can take a long time for her to verbalise â€“ this clearly tries her daughterâ€™s
Carers rarely see Sarahâ€™s husband â€“ he is either working or out of the house. There
are unconfirmed suspicions that he might have alcohol problems. The Social Worker
has tried unsuccessfully to arrange a case conference with Sarahâ€™s husband and
daughter to discuss the current situation but all the suggested times and dates so far
have been rejected.
1) What do you consider to be the main issues in this case?
2) Can you discuss how you would address the issues you have identified?