Institutional support for social work case management in services for adults with intellectual disabilities has attracted limited literature attention globally. This study aims to explore how social workers in services for adults with intellectual disability make sense of institutional support in the domain of case management. Through purposive sampling, 13 social workers employed in this service setting were invited to attend in-depth interviews to share their views on institutional support for case management. Five themes were developed through qualitative data analysis: ‘ A big dinner without a main course’, ‘“ Tip Si” but not explicit’, ‘ Towards inclusion’, ‘ Fulfilling the requirement’ and ‘ Surviving the “ unfair” salary system’. These findings indicate that the current institutional surrounding is not well-suited to the case management practice, and social workers also passively participate in institutional design. Furthermore, this study implies a coordination between institutions and social workers could enhance case management practice in services for adults with intellectual disabilities. The future academic attention could be paid to the more in-depth context of institution–practice relation in case management and how the service environment shapes social workers’ case management practice.
In Hong Kong, providing support for family carers has been frequently underscored as one of the core agendas in planning disability services during the past decade (Rehabilitation Advisory Committee [RAC], 2020[RAC], , 2016[RAC], , 2007. This study aims to explore disability practitioners' everyday practical experience with clients' families, which is conceptualised as family-oriented practice, in disability services.We situated the analysis in the exploration of practitioner accounts in Hong Kong, a Chinese society (Kapai, 2015), to offer an example of how socio-cultural contexts may influence family-oriented practice. Chinese Confucian culture emphasises interdependence and relatedness of family members (Fan, 2007; Tamis-LeMonda et al., 2008). Family members generally internalise the obligation of providing care for vulnerable relatives (Holroyd, 2003). People with disabilities are culturally represented as the typically vulnerable
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