Dr Brooke Kooymans1, A/ Prof Grahame Simpson, Prof Michele Foster, Prof Pat Dorsett
1Rehability Australia, Brisbane, Australia
Biography:
Brooke brings over 20 years’ experience as a social worker in acquired disability, complex rehabilitation and catastrophic injury management working with Australia’s leading government and non-government agencies across the public and private sectors. Brooke has a BSW, MSW, Grad Cert in Rehabilitation Case Management and recently completed her PhD at Griffith University. Brooke is an Accredited Mental Health Social Worker, Accredited Disability Social Worker, is a professional supervisor, guest lecturer and presents at local and national conference on her work.
Abstract:
Background:
Acquired Brain Injury (ABI) is a significant cause of disability in Australia, with long-term impacts on psychosocial functioning and quality of life. The intersection of policy and practice presents challenges for frontline social workers, who must navigate complex organisational landscapes to meet the psychosocial needs of individuals with ABI.
Aim:
To explore how frontline social workers negotiate the policy/practice nexus when addressing the psychosocial needs of adults with ABI in Australia.
Method:
A cross-sectional qualitative study was conducted within Australian community neurorehabilitation settings. Semi-structured interviews were held with 24 frontline social workers and 12 organisational managers across New South Wales and Queensland. Thematic analysis was used to interpret the data.
Results:
Three key themes emerged: (1) perspectives on the policy/practice nexus, (2) defining psychosocial need, and (3) the frontline social work practice toolbox. Organisational life is shaped by complex policy frameworks and funding constraints, which influence how psychosocial needs are conceptualised and addressed. The ambiguity surrounding psychosocial needs impacts frontline responses, leading to the development of a structured practice model.
Discussion:
The frontline social work practice model highlights the necessity of understanding organisational complexities, defining psychosocial needs within these structures, and applying a diverse range of professional skills. It illustrates the discretionary practices and adaptive strategies social workers employ to navigate systemic challenges, ensuring effective responses to the psychosocial needs of adults with ABI.