Ascertaining social worker contacts in routine mental healthcare and describing their distribution: a descriptive analysis of electronic records data from a large south London mental healthcare provider

Objectives To describe the distribution of contacts with mental health service-employed social workers over time and by patient characteristics using routine mental health service data resources.Design A descriptive study.Setting and participants In a large secondary mental healthcare provider in Lo...

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Main Authors: Robert Stewart, Amelia Jewell, Gayan Perera, Norah Alothman
Format: Article
Language:English
Published: BMJ Publishing Group 2025-03-01
Series:BMJ Open
Online Access:https://bmjopen.bmj.com/content/15/3/e090055.full
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author Robert Stewart
Amelia Jewell
Gayan Perera
Norah Alothman
author_facet Robert Stewart
Amelia Jewell
Gayan Perera
Norah Alothman
author_sort Robert Stewart
collection DOAJ
description Objectives To describe the distribution of contacts with mental health service-employed social workers over time and by patient characteristics using routine mental health service data resources.Design A descriptive study.Setting and participants In a large secondary mental healthcare provider in London serving a geographic catchment of around 1.3 million residents, mental health social worker contacts were ascertained from the case note entries for all patients aged 16 years or above at the time of contact who received treatment in any services from 2008 to 2023.Main outcome measures Patient demographic and clinical characteristics at or closest to the social worker contact event.Results A total 1 541 078 social worker contacts were extracted. Contacts were most likely in the 20–39 years age group (38.1%), in men (51.9%), in patients from white (45.3%) and black (38.8%) ethnic groups, in those who were non-cohabiting (89.9%) and in those living in more deprived neighbourhoods. The most likely diagnosis in those receiving social work contacts was schizophrenia (39.2%). Males had the highest number of face-to-face social worker contacts, and females were more represented in phone and video contacts. Over the past 16 years, social worker contacts were highest between 2014 and 2015.Conclusions To the best of our knowledge, this study is the first quantification of social work deployment within mental healthcare. Research into the role of social workers within mental health services has been of small scale and predominantly qualitative to date. However, growing data resources, building on distributions of service provision, present important opportunities for wider evaluation of the role of this professional group and the interventions they support within multidisciplinary teams.
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spelling doaj-art-f0ff3ae2617f448f9f82261ada89d16d2025-08-20T02:10:09ZengBMJ Publishing GroupBMJ Open2044-60552025-03-0115310.1136/bmjopen-2024-090055Ascertaining social worker contacts in routine mental healthcare and describing their distribution: a descriptive analysis of electronic records data from a large south London mental healthcare providerRobert Stewart0Amelia Jewell1Gayan Perera2Norah Alothman3Department of Psychological Medicine, Institute of Psychiatry Psychology & Neuroscience, King’s College London, London, UKNIHR Maudsley Biomedical Research Centre (BRC), South London and Maudsley NHS Foundation Trust, London, UKDepartment of Psychological Medicine, Institute of Psychiatry Psychology & Neuroscience, King’s College London, London, UKDepartment of Psychological Medicine, Institute of Psychiatry Psychology & Neuroscience, King’s College London, London, UKObjectives To describe the distribution of contacts with mental health service-employed social workers over time and by patient characteristics using routine mental health service data resources.Design A descriptive study.Setting and participants In a large secondary mental healthcare provider in London serving a geographic catchment of around 1.3 million residents, mental health social worker contacts were ascertained from the case note entries for all patients aged 16 years or above at the time of contact who received treatment in any services from 2008 to 2023.Main outcome measures Patient demographic and clinical characteristics at or closest to the social worker contact event.Results A total 1 541 078 social worker contacts were extracted. Contacts were most likely in the 20–39 years age group (38.1%), in men (51.9%), in patients from white (45.3%) and black (38.8%) ethnic groups, in those who were non-cohabiting (89.9%) and in those living in more deprived neighbourhoods. The most likely diagnosis in those receiving social work contacts was schizophrenia (39.2%). Males had the highest number of face-to-face social worker contacts, and females were more represented in phone and video contacts. Over the past 16 years, social worker contacts were highest between 2014 and 2015.Conclusions To the best of our knowledge, this study is the first quantification of social work deployment within mental healthcare. Research into the role of social workers within mental health services has been of small scale and predominantly qualitative to date. However, growing data resources, building on distributions of service provision, present important opportunities for wider evaluation of the role of this professional group and the interventions they support within multidisciplinary teams.https://bmjopen.bmj.com/content/15/3/e090055.full
spellingShingle Robert Stewart
Amelia Jewell
Gayan Perera
Norah Alothman
Ascertaining social worker contacts in routine mental healthcare and describing their distribution: a descriptive analysis of electronic records data from a large south London mental healthcare provider
BMJ Open
title Ascertaining social worker contacts in routine mental healthcare and describing their distribution: a descriptive analysis of electronic records data from a large south London mental healthcare provider
title_full Ascertaining social worker contacts in routine mental healthcare and describing their distribution: a descriptive analysis of electronic records data from a large south London mental healthcare provider
title_fullStr Ascertaining social worker contacts in routine mental healthcare and describing their distribution: a descriptive analysis of electronic records data from a large south London mental healthcare provider
title_full_unstemmed Ascertaining social worker contacts in routine mental healthcare and describing their distribution: a descriptive analysis of electronic records data from a large south London mental healthcare provider
title_short Ascertaining social worker contacts in routine mental healthcare and describing their distribution: a descriptive analysis of electronic records data from a large south London mental healthcare provider
title_sort ascertaining social worker contacts in routine mental healthcare and describing their distribution a descriptive analysis of electronic records data from a large south london mental healthcare provider
url https://bmjopen.bmj.com/content/15/3/e090055.full
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