Abstract

Six different voices are introduced to review perspectives about social work interventions with institutions from the points of view of individual clients, family members, health and welfare professionals, politicians and policy makers, fiscal and service regulators, and scholars. Six ideologies that have shaped social work practice with institutions are identified, including normalization, de-institutionalisation, mainstreaming, minimal intervention, diversion, and use of the least restrictive environment. The soul, rhythms, and blues of responsive interventions with institutions are examined, and limitations associated with the evidence and implications for best practice are highlighted. Keywords: institutions; interventions; group care; practice ideologies; care

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