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Many mental health clinicians in South Africa use informal interpreters, who are employed to perform other functions, such as cleaners and security guards; there are no formally trained interpreters. Drawing on qualitative semistructured interviews, this paper examines the experiences of informal interpreters working within a psychiatric setting. Furthermore, this paper explores how working in this invisible capacity affects informal interpreters’ views of themselves and the contribution they feel they are making by acting as interpreters. An interpretative phenomenological approach enabled an in-depth analysis of the experiences of the ad hoc interpreters. The results of this study reveal a dilemma. On the one hand, informal interpreters interviewed jeopardize ethical principles by breaching confidentiality and reporting on patient behaviour without their consent. On the other hand, they report fulfilling an additional beneficial role in terms of the overall care of patients which goes beyond the ambit of the interpreting session. The impact and extent of the informal interpreters’ involvement in care could not be ascertained solely from the data obtained in this study, but it is clear that informal interpreting may usefully be viewed as a form of hidden care work. A detailed ethnographic study aimed at exploring this further is therefore recommended. [ABSTRACT FROM AUTHOR]

In the UK the number of state social workers supplied by independent employment agencies has increased significantly since the mid-1990s. Although state sectors of welfare such as education and health have always relied upon a steady supply of locum staff, there is no such tradition within social work. This paper explores some of the ethical tensions that have become apparent with the expansion of contingency social work. Questions remain about the ‘opportunity cost’ of agency social work, as well as subsequent problems of recruitment, access to training, collegiate relations and any impact upon service users. The paper notes tensions that persist between a push for more flexible labour, the ethics of practitioners and the needs of service users. Recent policy responses which aim to push responsibility back to local authorities and social work managers are also questioned. [ABSTRACT FROM PUBLISHER]