Talking to Patrick Smith from the University of Cape Town

As a lecturer in Social Work at the University of Cape Town (Department of Social Development), Patrick has been involved in many transformational exercises. He recently conducted a workshop with the staff of the Childline centre, Wynberg.

This workshop was a small start, but given the dedication and enthusiasm of the Childline staff I met, I can see great things, meaningful things, transpiring.
Patrick Smith

‘It’s no news that the problem of child abuse is growing in South Africa. The numbers speak for themselves. A simple maths model shows that there are over 4 million people in the Western Cape, with a large portion of this population falling within the Cape Town region. Through media reports, we are being made increasingly aware of the number of children who are abused within this population alone. The question any organisation involved in child welfare needs to ask itself is, how many people are able to avail themselves of the services offered? Often they are not within reach of the service provider, or otherwise, there is another service provider already operating within a certain area. But bottom line - how many children, of those that we know are being abused do we get to? The answer is, not many. And bear in mind those we don’t know about, where the child abuse has not been reported.

‘I asked the Childline staff to do some true soul searching, to look deep within themselves and at Childline as an organisation and to ask some difficult questions.
• How many children is Childline reaching?
• To what degree are they reaching those children who are not part of the service structure offered by Childline?

‘Once again, the answer has to be, not enough.

‘The next and most obvious question to ask was, what can we do to change the status quo, to provide a service that functions appropriately within the South African context?

Keeping these thoughts in mind, I asked the Childline staff to brainstorm, with a view to shifting their perceptions, both of themselves and of the way in which the organisation currently operates.

‘Next, we looked at the ideal service provider and identified the fact that the services offered should be appropriate and accessible, there should be no language barriers and the life experiences of the children who are being treated should be given serious consideration. In other words, we need to look at the way in which the service is being delivered.

‘The third step of the workshop involved looking at alternative therapeutic approaches, to consider moving away from one-on-one therapy as a sole means of treatment, and seeing what other strategies could be brought into play. To heighten awareness of the problem of child abuse, there must be effective methods of moving into communities and educating people from the inside out. One-on-one counselling is very important, of that there is no doubt, and to treat one client successfully is always a triumph. But maybe, we can also look at transforming counselling methods, so that more people can be helped. The number of children crying out for help is so overwhelming that at times it seems crippling. Issues can no longer be dealt with using a single technique; a multi-pronged approach is called for, so that as many children as possible can be reached as effectively as possible. Group work, community work, community education, psycho-education could become the first steps here. After these have taken place, the need for further, more intensive counselling can be identified - and clients can be referred for more specialised treatment.

‘Looking at all of these factors, we then looked at ways and means of extending the services currently available so that they can become accessible to greater numbers of people. Here, we discussed forming partnerships with, inter alia, schools, faith-based organisations, women’s groups and the police, each of whom have programmes and structures in place. In areas where there are no Childline centres, we looked at ways of moving into the communities - using centres such as libraries and school halls as bases from which to operate.

They shall beget and rear children, handing on the torch of life from one generation to another.
Plato (c. 427-347 B.C.), Greek philosopher.

‘Various points were raised during the workshop session. One of these was that although child abuse is often associated with poverty, cognisance must be taken of the fact that it happens in all sectors of society, whether affluent or poverty stricken. In many instances the child being abused cannot trust his primary care-givers - as they are often the perpetrators.

‘The next stage in the workshop involved asking the counsellors and social workers to do a needs assessment.
• What are the needs of the greater community?
• What is lacking?
• What can be done to empower people?

‘Traditionally, social workers work within an institutional setting where the client comes to the service. This can lead to a rather insular situation, where the service can find itself set apart from, rather than part of, the broader community. This can, if a different approach is used, be turned on its head. Instead of waiting for the community to come to the service, the service can take steps outwards, moving into the community and becoming part of it. If this doesn’t happen, only the few people who can get to the service provider are assisted – either because they are demanding the service or because they have the resources to get to it - but those who receive the service remain just a small drop in a very large ocean of people in desperate need of help.

‘Can we ever afford the luxury of saying that we have too many services? Never. What we can strive for rather, are partnerships, where different organisations share their skills and work together, learn together, within a community, to provide as wide a range of services and options as possible. This would provide people with choices, for at the end of the day, people in need should also be given a choice when deciding how they are going to deal with their situations.

‘And so, in this workshop, there was great emphasis on marrying needs to resources, and a great deal of honest evaluation. Looking at an established organisation which already plays a pivotal role and asking what more it can do is challenging. I asked the staff at Childline to ask themselves very difficult questions:

  • What do we offer, both as individuals and as an organisation?
  • How effective is our outreach programme?
  • To what extent do we work with the community as opposed to for them?
  • To what extent is the community able to claim ownership of processes embarked on?
  • To what extent has the community been involved in the development of these programmes and how sustainable are they?
  • Through ownership comes sustainability. How good is it for a community to have everything done for them?
  • Could this lead to a sense of immobilisation?
  • Would things move forward in a more sustainable way if there was greater integration between the organisation and the community, and, once having started to move, would it gain and be sustained by its own momentum?

‘This in turn led to more tough and demanding questions as we looked at the ethos of service delivery - and the context in which this is delivered.

  • How can members of the community be encouraged to use services constructively?
  • A person who has been deprived of the opportunity of learning the skills needed to drive a process cannot be asked to suddenly take control. Is there a need to learn how to do this in a controlled environment, and once having learned, can the reins be handed over to allow communities to practice self-care in an independent fashion?

‘Some people can be asked to look at their problems psychoanalytically, to determine what they can do to help themselves. But what of the person whose primary concern is finding enough food to feed a family on a day-to-day basis? Enough money to get to work, day-to-day? If survival issues are fundamental, how much capacity and emotional energy is left for self-examination? Bearing this in mind, I asked the Childline staff to look at ways in which they could work with communities - towards making their situations more stable, less precarious. For it is only after basic needs have been met that other needs can be addressed.

‘And so we had to look at walking the walk as well as talking the talk, and find honest answers to questions that centre around basic needs.

  • To what extent do service providing institutions reach to the level where they are addressing basic needs?
  • To what extent does Childline do this?
  • To what extent does a coaching role come into play, allowing people to gain power to empower themselves.
  • How appropriate are the current methods being used?
  • To what extent do they work, and for how many people?

We find a delight in the beauty and happiness of children that makes
the heart too big for the body.

Ralph Waldo Emerson (1803-1882), U.S. essayist, poet, philosopher.

‘There’s an old Chinese proverb, which is often quoted. Give a man a fish and he has food for a day, teach him to fish and he has food forever. I like to add a different spin to this. To start with, some people need to be given the fish, so that they can develop a taste for it. Once they have seen how good the fish is, then they will want to learn how to fish for themselves. People need to be useful, to be of service to others. Through a joint process of learning and working together, of discovering exactly what it is that the community needs, we can utilise and mobilise the skills and abilities of people in the community. In this way, doors are opened, instead of labels being applied and stereotypes reinforced. (Take the ‘nosey’ neighbour who knows everybody’s business. She may well be someone who could become productively and happily engaged in her community - if she is given the chance.)

‘It becomes a case of realigning with present day needs. I asked the Childline counsellors and social workers to consider the recommendations made by the Welfare White Paper, which asks that prevention rather than intervention become a primary approach. Here the challenge for any institution involved in any form of social work is to look honestly at itself and ask:

  • What is our reality?
  • Is our reality in line with the reality and perceptions of the broader community?
  • Have we fallen into the trap of labelling people in order to make their problems more manageable?
  • Do we have to follow one set of therapeutic modalities or can we look at using a good solid eclectic approach where the individual is seen holistically, not as a problem, but as a part of his/her community?

‘This isn’t a one-off process. There’s a continual need to keep probing, to keep asking, to keep evaluating - and follow-up workshops are helpful in this regard, as are meetings with communities, with bodies working in and for communities.
I left the Childline staff with this challenge:

  • Can you think of another organisation with whom you can work in partnership?
  • In places where there is no Childline centre can you identify an alternative base within a community that Childline could use?

‘Taking part in a workshop like this often means that people who are used to working within a defined area, within the boundaries of a established way of doing things have to turn preconceived ideas upside-down, sideways - to look at new angles, new methods and approaches. Being challenged to change, to try different approaches can often make people angry and insecure. Not so with the Childline staff. The response was amazing - bearing in mind that I was asking them to do some radical rethinking. Many of them mentioned that they had been grappling with similar issues and questions on their own. Thinking, is there another way? A few people needed more time, to process all the ideas and information. They talked of the future, of planning, of examining services offered to see how these can be best delivered. All of this led to lively debate, and healthy interchange of ideas and concerns. Teasing out answers to these tangled and often very taxing questions was an exciting process. Childline acknowledges the need to be absolutely relevant; their thinking is line with the need for change. This workshop was a small start, but given the dedication and enthusiasm of the Childline staff I met, I can see great things, meaningful things, transpiring.’

For further information, contact the Childline Centre on
+27 (0)21 762 8198

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