Introduction
The COVID-19 pandemic is an unprecedented challenge for everyone, including social workers. During the lockdown period from 10 March to 4 May, the Italian government stated that social work interventions are essential activities and social workers are essential workers. In these unprecedented and turbulent times, social workers have been called on to face new challenges and new concerns for service users and for themselves. The ‘Social Workers Helping Each Other’ initiative was launched in Northern Italy during the first weeks of the COVID-19 health emergency. Italy has been severely affected by the pandemic, and at the beginning of June 2020 the World Health Organization (WHO) reported over 34,000 deaths and over 235,000 confirmed cases in Italy (
WHO, 2020). This article presents the rationale of the initiative and analysis of the main content shared by the social workers during the virtual group sessions.
The rationale of the initiative
Social work literature suggests that social workers are often at the forefront of crisis intervention (
Dominelli, 2017;
Javadian, 2007;
Schott and Weiss, 2016), offering social structure and support through crisis resolution. Taking care of people, families, and communities in trouble and accompanying them in increasing their personal wellbeing is supported by the global definition of social work as that which ‘engages people and structures to address life challenges and enhance wellbeing’ (
International Federation of Social Workers [IFSW] and International Association of Schools of Social Work [IASSW], 2014) and by the International Code of Social Work Ethics (
IFSW, 2018). Social work is an ‘emergency profession’ by definition, but during the 2020 lockdown situation, social workers have been called upon to make difficult decisions about in-person contact with their clients and to reinvent ways to continue helping people to access required services, providing counseling, and organizing ways to overcome isolation. The COVID-19 pandemic led to drastic changes in daily life, including ways of helping themselves and others. COVID-19 and measures to control and prevent its spread have restricted the services and responsibilities usually carried out by social workers, while generating new needs and demands (
Banks et al., 2020). Doing social work under the conditions imposed by the COVID-19 pandemic is challenging and fraught with difficulties and risks (
Dominelli, 2020). Furthermore, social workers have to fight against injustice and discrimination occurring during the pandemic (
O’Leary and Tsui, 2020). During this difficult time, social workers must stay safe and healthy, and getting adequate support is essential for them. During the first weeks of the COVID-19 pandemic, the author discussed social workers’ concerns regarding social work under restrictions, with reference to people’s needs and the strong social impact of the pandemic on local communities.
These premises gave rise to the idea of an initiative to help social workers stay mutually resilient and supportive. The key idea was to offer frontline social workers a space for giving and receiving help and sharing data, suggestions, experiences, feelings, and thoughts to best address the challenges imposed by COVID-19. Through joint actions and dynamics of reciprocity typical of mutual support groups (
Folgheraiter et al., 2020;
Steinberg, 2014), each participant helped themselves and others, while simultaneously receiving help. The initiative consisted of weekly online mutual support groups of social workers running for a total of 10 weeks. The initiative involved 45 social workers divided into three groups: two composed of child protection social workers and one composed of social workers working with the elderly, migrants, and people in poverty. The author, having previous experience with group work, was the facilitator for the groups. All group encounters were audio - and video recorded for research purposes.
Social worker mutual support groups
Group work is a method of working with people that affirms their strength and ability to contribute to others (
Steinberg, 2014). The process of mutual aid, unique to group work practice, takes place when members draw upon their own experiences and deep felt needs to help their fellow members, who in turn relive their experiences and relearn through their own offers of help, gaining strength through this exercise (
Kurland and Salmon, 1992). Social work literature has shown that social workers consider self-help and mutual aid groups as important resources for service users and clients in several fields (
Gitterman and Shulman, 2005;
Noorani et al., 2019;
Pandya, 2010;
Raineri, 2017;
Steinberg, 2014;
Toseland and Hacker, 1985). In the last few decades, periodic group work experiences have been organized via the Internet and telephone (
Bronwyn, 2013;
Damianakis et al., 2008).
Little is known and developed about mutual support groups for social workers, as practitioners usually conduct such groups rather than participate in them. Literature shows that support groups for social workers are very rare (
Meier, 2002) or consist of single-session groups (
Clemans, 2005). There has been limited research on the topic to date. The hypothesis proposed by the author, who promoted and conducted the initiative ‘Social Workers Helping Each Other’, was that professionals facing challenges can benefit from mutual aid groups. The physical and mental health of social workers who work in complex welfare systems to address others’ suffering, needs, and hopes can be at risk, although little is known about these risks and preventive measures. Support groups are a good resource to develop supportive structures not only for service users but also for social workers. The ability to draw on resources gained from their own experiences, both positive and negative, is not reserved only for service users. Social workers can act as a coping network of professionals founded on the reciprocity principle, as suggested by relational social work (
Folgheraiter, 2004). Furthermore, social workers require helping relationships to successfully manage the challenges of social work practice, as well as personal challenges. This is particularly true in times of crisis, such as during COVID-19, which has revealed that we are all vulnerable.
Self-help and mutual aid groups represent a space for firsthand helping relationships and experimenting with the power of group dynamics. In this context, social workers can find new strategies to support their wellbeing and, in some cases, to develop greater confidence in promoting self-help groups for service users and carers.
Methods
The initiative
1 was launched in March 2020. An invitation letter with the proposal, the date of the first meeting, and some practical information was shared via social media. The invitation letter described the activity with the following message: ‘During the pandemic, it is important to create a space in which social workers can help each other, exchange experiences, and rely on the power of the group.’ The initiative was experimental and social worker participation was voluntary and free. Group sessions were realized through a virtual platform that enabled all participants to speak and see each other simultaneously. All social workers used a microphone and a camera. During sessions, participants also used a chat to share links or data, such as names of services and references to texts or laws, or to interact in case of connection problems.
The author facilitated the groups, encouraging the development of reciprocal support dynamics typical of self-help and mutual aid groups (
Borkman, 1976;
Raineri, 2017;
Riessman, 1965;
Steinberg, 2014). The facilitator has had previous experiences of support groups, but this was the first virtual experience. During the first session, participants were presented with two main rules: to speak in first person and to be confident.
The role of the facilitator was to support the dialectical process within the groups, creating space for all voices, stimulating reflection, and giving feedback or stimulus when needed.
The facilitator did not provide answers or advice, but rather encouraged participants to connect with each other, exchange thoughts, and collectively explore ways or imagine actions to continue helping and stay well.
The agenda was not planned in advance but was driven by the social workers’ needs at the time. At the beginning of the first session, the facilitator encouraged social workers to express how they felt, their current situation, and what they wanted to ask or share with their colleagues. Session after session, participants spontaneously decided to start the encounter with similar questions and incentives or with an update of the spent week. The number of sessions was decided during the process based on the needs and willingness of the participants. At the end of each session, the facilitator asked the participants if they wanted to meet again the following week, giving them the freedom to join if they wished. Every week, the facilitator sent an email to each participant with the link to join the meeting. The program ended in June 2020. The number of participants in each group was constant, as described below. Despite the differences within and among the groups, the participants expressed common problems and similar experiences faced during the health emergency. This common ground generated group dynamics typical of mutual support groups.
Participants
Only social workers were invited to participate in the sessions. In the first 48 hours after the launching of the initiative, the author was approached by 60 social workers who expressed interest and requested information about the activity.
In the end, 45 social workers participated in the sessions. Participants were initially divided into two groups on the basis of the social workers’ area of intervention. Group 1 was composed of child protection social workers, and Group 2 was composed of social workers working with elderly, migrants, and people in poverty. Group 1 started on 1 April 2020 and Group 2 on 2 April 2020. During the first Group 1 session, it was decided to split the group into two due to the large number of participants (around 30). Thus, the final number of groups was three (see
Table 1). Social workers joined the groups with the idea of finding something useful to face the new challenges posed by the COVID-19 pandemic. From April to June, each group met every week for a total of 28 sessions. The duration of each session was one and a half hours. The number of participants was 11 social workers per group on average (range: 9–15 participants). All participants were registered social workers, all female, with an average age of 34 (range: 24–58) years and an average working experience as social workers of 9 (range: 1–32) years. The majority of social workers worked in the Lombardy region, except for four social workers from Piemonte, Toscana, and Veneto. During the pandemic and the 7 weeks of lockdown, social workers adjusted in different ways: some stopped all activities in institutions and worked fully online, some continued working from social work institutions, and some rotated working from home and working from institutions. These differences depended on the decisions of social services organizations.
What happened in the groups? Analysis
Group sessions were very rich in content, and the discussion focused on several topics following the participants’ needs. The 28 group sessions were audio - and video recorded with the written permission of the participants. Over 50 hours of activity were recorded. The research was conducted in accordance with the ethical research standards established by the Ethical Code of Catholic University (Chancellor Decree no. 9350/2011). The group sessions were analyzed through content analysis. Content analysis is the scientific study of content of communication (
Prasad, 2008). At the end of the activity, the author listened to each recording, noting in an Excel file the recurring themes for each group. The transcription revealed over 30 different themes. Themes were identified inductively from the data. All contents were kept in the Excel file in order to avoid personal selection and ensure trustworthiness. In a further step, themes organized through the Excel file were assembled or divided following semantic analogy. This step permitted the identification of three main categories: practical and organizational issues; social work methodological and ethical issues; and personal and emotional issues. The categories were mutually exclusive and defined in a way to be internally as homogeneous as possible and externally as heterogeneous as possible.
For each of the categories mentioned above, participants shared information, strategies, and advice based on their personal experiences. These themes were common issues of discussion across the groups, albeit with some particulars. Practical and organizational issues and methodological categories showed differences in the group discussion, while personal and emotional issues showed strong commonalities across the three groups.
The content of conversations between social workers mainly focused on difficulties and critical aspects faced during the pandemic, and also included additional issues. From the first group session, the participants also shared positive elements, even if these were less frequent than negative ones. The Venn diagram (
Figure 1) represents the three content categories that emerged from the content analysis, demonstrating the relationships between the three categories. For each content category,
Table 2 presents nine main themes that emerged from discussions among the participants.
Discussion: Positive discoveries among social workers
Although the sessions were mainly focused on the challenges and problems faced by social workers during the COVID-19 pandemic, the participants also shared some positive discoveries. The main discoveries were unexpected collaboration and networking among professionals and citizens of local communities, unexpected benefits of online interviews with some service users, and unexpected personal resources of service users. Social workers described these discoveries with feelings of astonishment, as they had never experienced such phenomena before. These discoveries cross-cut issues among the three groups.
Unexpected networks among professionals and citizens
During the health emergency, the participants discovered a renovated collaboration with other professionals inside and outside their organizations characterized by greater cooperation and fewer misunderstandings. The increase in solidarity among professionals enabled efficient networking. Networking extended to local communities, soliciting partnerships between social service organizations, professionals, volunteers of charities, and citizens. Social workers named this, being all ‘in the same boat’ and requiring mutual collaboration to face unpredictable challenges.
Unexpected benefits of online interviews
Another important discovery among social workers during the pandemic was the effectiveness of professional online interviews with some service users. Comparing previous face-to-face interviews with online interviews conducted during the lockdown period, participants reported unexpected benefits of listening and speaking to a youth or a mother through an online platform. Despite being unable to generalize to all situations, social workers discovered that for some people, being online represented an opportunity to have more room to speak and feel more confident and freer to discuss sensitive issues. Using the words of two social workers, ‘Through online interviews, the user told me issues that she has never told me before’ (Group 1), and ‘For the first time in three years, that young boy spoke with me for more than five minutes’ (Group 2). By contrast, as represented in
Figure 1, online interviews were very problematic for people who were not able to speak freely or ask for help due to the presence of family members.
Unexpected personal resources of service users
Due to the challenges posed by the pandemic, some social workers noticed unexpected resources in some service users. The participants reported that some families showed great resilience when facing difficulties during this period (Group 1). Some people expressed unexpected skills in adapting to the mandatory changes at personal and collective levels (Group 3). Some who were divorced partners became more cooperative regarding their children (Group 2). Among the positive elements, some social workers reported feelings of hope for the future and pride in being social workers during the global emergency.
Conclusion
Overall, the group sessions (1) increased the participants’ reflexive practice, (2) allowed social workers to experience relationships of reciprocal care as a basis to provide help and stay healthy, (3) revitalized social workers’ capacities to adapt to unpredictable challenges and cope more effectively with stressful life events, (4) supported social workers’ advocacy for their and others’ needs, and (5) fostered a strong sense of community among social workers.
The mutual support groups enhanced social workers’ reflexive practice regarding their life and work during the COVID-19 pandemic. As recently suggested, ‘We must reflect, analyze, and learn from this crisis’ (
O’Leary & Tsui, 2020: 274). ‘Using the lessons learned from working during the pandemic [we must] rethink social work in the future’ (
Banks et al., 2020: v). The core principles of social work of upholding human rights, promoting social justice, and maintaining professional integrity became particularly relevant during the COVID-19 pandemic. The dialogue among social workers in the group sessions reflected how social work is passionate, creative, and highly mobile. Social workers’ commitment to be productive, proactive, and overcome social isolation, maintaining helping relationships with people in need, was palpable despite high levels of complexity that influenced not only social work practices but also social workers’ wellbeing.
During the pandemic, group dynamics characterized by relationships of reciprocal care helped participants with a double focus: how to work to provide help and services as well as possible, and how to stay safe and healthy. As never before, these two issues were clear and interconnected. The mutual support groups revitalized and enhanced social workers’ capacities to adapt to current challenges and cope more effectively with stressful life events. The group sessions were virtual, but group dynamics were real. During the last group session, participants expressed that they highly valued the supportive and collaborative nature of the groups, recalling the ‘helper therapy principle’ described by
Riessman (1965), which suggests that when an individual (the helper) provides assistance to another person, the helper also benefits. Therefore, those who participate in a mutual-self-help group assume the roles of both the helper and the helped and develop greater wellbeing through the very act of being a helper. While sharing their expectations and uncertainties, social workers looked forward to the future with the hope of returning to full in-person social work practice. Referring to injustice and inequalities that characterized our world,
Johannesen (2020) stated that the ‘COVID-19 pandemic is a solidarity test for society’ (p. 399). For most social work organizations, this health emergency has been a test to prove their creativity, resilience, and flexibility. Social workers have the opportunity to renovate their commitment toward the most vulnerable people in society, discovering unusual ways of helping, together with solidarity with other practitioners, citizens, volunteers, and local communities. As recently affirmed by
Dominelli (2020), ‘Dealing with a pandemic requires concerted international action as well as national and local action’ (p. 1). ‘Social Workers Helping Each Other’ was not only a slogan but a real process of reciprocal learning and helping among professionals. This initiative confirmed that mutual support groups can be a source of help and wellbeing not only for service users but also for social workers, even beyond the COVID-19 pandemic. The art of helping others involves giving and receiving help as people, as professionals, and as members of a community.