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'We try to jump those hurdles': inter-agency dynamics of referral with self-neglect cases in England.

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Title: 'We try to jump those hurdles': inter-agency dynamics of referral with self-neglect cases in England.
Authors: Orr, David (AUTHOR), Nasrawy, May (AUTHOR), Morrison, Cindy (AUTHOR)
Source: Journal of Interprofessional Care. Jan/Feb2026, Vol. 40 Issue 1, p31-39. 9p.
Subjects: Self-neglect, Qualitative research, Interprofessional relations, Social workers, Psychologists, Research funding, Interviewing, Health policy, Crisis intervention (Mental health services), Uncertainty, Confidence, Descriptive statistics, Institutional cooperation, Sound recordings, Thematic analysis, Attitudes of medical personnel, Research methodology, Communication, Rescue work, Data analysis software, Stakeholder analysis, Medical referrals, Medical triage
Geographic Terms: England
Abstract: In health and social care, disagreements over referrals involve professionals contesting between them the power to define the situation. An aspect of practice that commonly gives rise to such disagreements is self-neglect because of its high ambiguity for services. Self-neglect therefore provides a useful case to explore how professionals anticipate and respond to interagency barriers to referral when criteria and thresholds are only loosely defined, and collaboration is often ad hoc. To investigate the dynamics of interagency referral for self-neglect, we interviewed 69 practitioners: health and social care professionals; and fire and rescue, environmental health, and housing officers, all of whom regularly respond to both crisis and chronic situations of self-neglect. Dynamics that influence referrers and hinder coordination between interprofessional networks included uncertainties about the right route, perceived barriers to referral acceptance, and feeling unable to refer. These present barriers to the anticipatory labor needed to make interagency referrals land successfully with the receiving agency and may lead to a self-fulfilling cycle that discourages practitioners from thoughtful referral practice. Although referral failures are often treated in research on referral in safeguarding as a technical knowledge-deficit problem, the data show the significance of wider interagency relations, perceptions, and expectations in accounting for the barriers. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Interprofessional Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: 'We try to jump those hurdles': inter-agency dynamics of referral with self-neglect cases in England.
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  Data: <searchLink fieldCode="AR" term="%22Orr%2C+David%22">Orr, David</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nasrawy%2C+May%22">Nasrawy, May</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Morrison%2C+Cindy%22">Morrison, Cindy</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Interprofessional+Care%22">Journal of Interprofessional Care</searchLink>. Jan/Feb2026, Vol. 40 Issue 1, p31-39. 9p.
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  Data: <searchLink fieldCode="DE" term="%22Self-neglect%22">Self-neglect</searchLink><br /><searchLink fieldCode="DE" term="%22Qualitative+research%22">Qualitative research</searchLink><br /><searchLink fieldCode="DE" term="%22Interprofessional+relations%22">Interprofessional relations</searchLink><br /><searchLink fieldCode="DE" term="%22Social+workers%22">Social workers</searchLink><br /><searchLink fieldCode="DE" term="%22Psychologists%22">Psychologists</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Interviewing%22">Interviewing</searchLink><br /><searchLink fieldCode="DE" term="%22Health+policy%22">Health policy</searchLink><br /><searchLink fieldCode="DE" term="%22Crisis+intervention+%28Mental+health+services%29%22">Crisis intervention (Mental health services)</searchLink><br /><searchLink fieldCode="DE" term="%22Uncertainty%22">Uncertainty</searchLink><br /><searchLink fieldCode="DE" term="%22Confidence%22">Confidence</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Institutional+cooperation%22">Institutional cooperation</searchLink><br /><searchLink fieldCode="DE" term="%22Sound+recordings%22">Sound recordings</searchLink><br /><searchLink fieldCode="DE" term="%22Thematic+analysis%22">Thematic analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Attitudes+of+medical+personnel%22">Attitudes of medical personnel</searchLink><br /><searchLink fieldCode="DE" term="%22Research+methodology%22">Research methodology</searchLink><br /><searchLink fieldCode="DE" term="%22Communication%22">Communication</searchLink><br /><searchLink fieldCode="DE" term="%22Rescue+work%22">Rescue work</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Stakeholder+analysis%22">Stakeholder analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+referrals%22">Medical referrals</searchLink><br /><searchLink fieldCode="DE" term="%22Medical+triage%22">Medical triage</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22England%22">England</searchLink>
– Name: Abstract
  Label: Abstract
  Group: Ab
  Data: In health and social care, disagreements over referrals involve professionals contesting between them the power to define the situation. An aspect of practice that commonly gives rise to such disagreements is self-neglect because of its high ambiguity for services. Self-neglect therefore provides a useful case to explore how professionals anticipate and respond to interagency barriers to referral when criteria and thresholds are only loosely defined, and collaboration is often ad hoc. To investigate the dynamics of interagency referral for self-neglect, we interviewed 69 practitioners: health and social care professionals; and fire and rescue, environmental health, and housing officers, all of whom regularly respond to both crisis and chronic situations of self-neglect. Dynamics that influence referrers and hinder coordination between interprofessional networks included uncertainties about the right route, perceived barriers to referral acceptance, and feeling unable to refer. These present barriers to the anticipatory labor needed to make interagency referrals land successfully with the receiving agency and may lead to a self-fulfilling cycle that discourages practitioners from thoughtful referral practice. Although referral failures are often treated in research on referral in safeguarding as a technical knowledge-deficit problem, the data show the significance of wider interagency relations, perceptions, and expectations in accounting for the barriers. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
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  Group: Ab
  Data: <i>Copyright of Journal of Interprofessional Care is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
PLink https://search.ebscohost.com/login.aspx?direct=true&site=eds-live&db=pbh&AN=190647858
RecordInfo BibRecord:
  BibEntity:
    Identifiers:
      – Type: doi
        Value: 10.1080/13561820.2025.2525152
    Languages:
      – Code: eng
        Text: English
    PhysicalDescription:
      Pagination:
        PageCount: 9
        StartPage: 31
    Subjects:
      – SubjectFull: Self-neglect
        Type: general
      – SubjectFull: Qualitative research
        Type: general
      – SubjectFull: Interprofessional relations
        Type: general
      – SubjectFull: Social workers
        Type: general
      – SubjectFull: Psychologists
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Interviewing
        Type: general
      – SubjectFull: Health policy
        Type: general
      – SubjectFull: Crisis intervention (Mental health services)
        Type: general
      – SubjectFull: Uncertainty
        Type: general
      – SubjectFull: Confidence
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: Institutional cooperation
        Type: general
      – SubjectFull: Sound recordings
        Type: general
      – SubjectFull: Thematic analysis
        Type: general
      – SubjectFull: Attitudes of medical personnel
        Type: general
      – SubjectFull: Research methodology
        Type: general
      – SubjectFull: Communication
        Type: general
      – SubjectFull: Rescue work
        Type: general
      – SubjectFull: Data analysis software
        Type: general
      – SubjectFull: Stakeholder analysis
        Type: general
      – SubjectFull: Medical referrals
        Type: general
      – SubjectFull: Medical triage
        Type: general
      – SubjectFull: England
        Type: general
    Titles:
      – TitleFull: 'We try to jump those hurdles': inter-agency dynamics of referral with self-neglect cases in England.
        Type: main
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            NameFull: Orr, David
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            NameFull: Nasrawy, May
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            NameFull: Morrison, Cindy
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            – D: 01
              M: 01
              Text: Jan/Feb2026
              Type: published
              Y: 2026
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              Value: 40
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            – TitleFull: Journal of Interprofessional Care
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