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      “This Isn’t Just about Things, It’s about People and Their Future”: A Qualitative Analysis of the Working Conditions and Strains of Social Workers in Refugee and Homeless Aid

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          Abstract

          Large parts of Europe have been affected by an influx of refugees and increasing homelessness in recent years. Social workers provide care services for refugees and homeless people, but little is known about their working conditions. The aim of this study was to examine their job demands, resources and health strains. 26 semi-structured interviews were conducted with social workers in refugee and homeless aid in Hamburg and Berlin between October and December 2017. The interviews were analysed following Mayring’s qualitative content analysis. Additionally, the job demands and resources of social workers with and without long-term psychological strain were compared. Respondents particularly experienced demands concerning their job content and work organisation, including emotional and quantitative demands. Appreciation expressed by clients and social support from the team served as key resources. Respondents had problems switching off from work, were exhausted and exhibited signs of long-term psychological strain, such as symptoms of burnout or depressive states. Workers reporting long-term psychological strain were more likely to consider themselves as being adversely constrained by legal requirements and to describe inadequate supervision offers and team conflicts. In conclusion, the results indicate the need for job-specific health promotion measures reducing particularly demands concerning social workers’ job content and work organisation and further strengthening their social support.

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          PTSD Symptoms, Vicarious Traumatization, and Burnout in Front Line Workers in the Homeless Sector

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            Working conditions, mental health and coping of staff in social work with refugees and homeless individuals: A scoping review

            Abstract The refugee and homeless population has been increasing worldwide in recent years. Staff in social work provide practical help to these populations, but often struggle with high job demands. This scoping review aims to systematically map the job demands, resources, mental health problems, coping strategies and needs of staff in social work with refugees and homeless individuals. Relevant studies were identified by searching seven electronic databases from their inception until the end of May 2018, as well as Google Scholar and reference lists of included articles. The methodological quality of the included studies was assessed using the Mixed Methods Appraisal Tool. A thematic analysis was conducted. Twenty‐five studies were included in the review. Fourteen studies followed a quantitative approach, six a qualitative approach and five a mixed‐method approach. Most studies were conducted in the homeless sector (56%), in North America (52%) and published after the year 2009 (68%). Common job demands included the bureaucratic system, high caseloads, clients' suffering and little experience of success. Maintaining professional boundaries counted both as a job demand and a coping strategy. Deriving meaning from work and support from the team were identified as important job resources. The prevalence of mental health problems among staff was high, but difficult to compare due to the use of different instruments in studies. Staff expressed a need for ongoing training, external counselling and supervision. Further studies should examine the effectiveness of workplace health interventions.
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              Zum Arbeitsanforderungen-Arbeitsressourcen-Modell von Burnout und Arbeitsengagement – Stand der Forschung

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                Author and article information

                Journal
                Int J Environ Res Public Health
                Int J Environ Res Public Health
                ijerph
                International Journal of Environmental Research and Public Health
                MDPI
                1661-7827
                1660-4601
                12 October 2019
                October 2019
                : 16
                : 20
                : 3858
                Affiliations
                [1 ]Competence Centre for Epidemiology and Health Services Research for Healthcare Professionals (CVcare), University Medical Centre Hamburg-Eppendorf, 20246 Hamburg, Germany; a.nienhaus@ 123456uke.de
                [2 ]Institute for Occupational and Maritime Medicine, University Medical Centre Hamburg-Eppendorf, 20459 Hamburg, Germany harth@ 123456uke.de (V.H.); s.mache@ 123456uke.de (S.M.)
                [3 ]Department of Occupational Medicine, Hazardous Substances and Public Health, Institution for Statutory Accident Insurance and Prevention in the Health and Welfare Services (BGW), 22089 Hamburg, Germany
                [4 ]Department Health Sciences, Faculty of Life Sciences, Hamburg University of Applied Sciences, 21033 Hamburg, Germany; zita.schillmoeller@ 123456haw-hamburg.de
                Author notes
                [* ]Correspondence: t.wirth@ 123456uke.de ; Tel.: +49-40-7410-24727
                Author information
                https://orcid.org/0000-0001-6762-4430
                Article
                ijerph-16-03858
                10.3390/ijerph16203858
                6843662
                31614734
                716b88f3-85bd-478e-b840-a5432f2bdad5
                © 2019 by the authors.

                Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license ( http://creativecommons.org/licenses/by/4.0/).

                History
                : 26 September 2019
                : 11 October 2019
                Categories
                Article

                Public health
                job demands and resources,occupational health,social work,refugees,homeless,qualitative research

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