Multifaceted personas in context: mental health social worker perspectives on the intersection of mental health, social work and professional identity in England and Wales

Abstract

Mental health provision in England and Wales has fluctuated between promoting social work as a valued, distinct contributor and viewing it as an adjunct to a generic workforce. Perspectives are divided on whether the profession should emphasise social work, mental health work or a cross-disciplinary blend, and definitional attempts have proved challenging, with wide variation in practice. This article explores how mental health social workers view their professional identity across practice contexts. Using a mixed-methods approach, 248 mental health social workers completed an online survey, and 30 undertook a subsequent semi-structured interview. Survey data were statistically analysed using Kruskal–Wallis H-tests to explore differences across settings. Qualitative interview data were analysed using a framework thematic approach. Participants demonstrated a strong but flexible professional identity, adopting a multifaceted, fluid sense of self that prioritised the aspect of identity most relevant to the context. Contrary to narratives of poor articulation, this was framed within a specialist knowledge- and values-based perspective that influenced practice approaches and accommodated context without requiring external validation. This fluidity suggests a need to move away from restrictive task-based definitions of social work in order to actively engage the workforce in developing professional roles that embrace this flexibility to offer holistic services.