Graeme Martin

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Position: Quality assurance officer/Outreach Worker

Years with Next Step (as of Jan 1998)

Work Experience prior to Next Step Care Management Limited:

1984 – 1985 Cranston Residential Project – RSW 16+

1985 – 1990 Lewisham and North Southwark Learning Disabilities Team 

1993 – 1996 Cabrini House Senior Residential Social Worker – Young adults with mild learning disabilities. I was employed to establish independence training and support

1996 – 1998 Cabrini House, Senior Residential Social Worker part time


NVQ 3 Health and Social Care



  • Enrolling for NVQ 4 care
  • Training Courses Attended:
  • I completed Unit 1 of CSS course in 1988/89 but withdrew due to financial reasons
  • Drug Awareness
  • Emergency Treatment
  • Basic Health and Safety
  • Risk Assessment
  • Welfare Rights
  • Resistance and Low Motivation
  • Dyslexia Awareness
  • Moving and Handling
  • First Aid
  • Management Skills
  • Working with People with low motivation
  • Supervision
  • Drug Awareness and Treatment (Danos Level 3)
  • Health and Safety at work
  • 12 week counselling skills course


Languages Spoken:




Graeme Martin

Please describe a Next Step young person’s case study and describe any aspects of your work with him/her which was particularly challenging, rewarding, or served as an indication of gaps in provision in services for young people:

D was a young man referred to us on the back of a sudden breakdown in his previous placement in a residential unit. He was a young adult who had gender identity issues and was being seen by the Portman Clinic with a view to a gender reassignment surgery being carried out later in life.

He had not felt comfortable enough to discuss any of this with his peers, and had been strongly advised by residential staff not to dress in his female persona. When news did eventually get out to the others on the unit he was victimised and ridiculed to the extent that his placement was untenable.

When he arrived at Next Step he was angry, untrusting of support staff and particularly anxious of his own ability to cope in a semi independent setting.

In addition he was still suffering intense confusion about his own sexuality and reluctant to discuss his feelings with anybody else.

He was initially offered intense support to take care of the more mundane yet important tasks, such as registering with British Gas, Thames Water or contacting the Council Tax department, signing on for JSA, applying for college courses, buying new furniture etc.

Despite reservations, and his reluctance to be on a semi independent program, he was very quickly able to acknowledge that his placement with us was more appropriate to his needs than foster or residential care, and was soon able to gain confidence from using his own self help skills practically and began feeling comfortable taking on new challenges. He started to widen the range of foods he purchased and began cooking healthier meals, leaving his skin free of acne for the first time in ages. He started to enjoy and benefit from the space and privacy his flat afforded him feeling comfortable to dress in his female persona without the fear of somebody barging into his room.

This continued to allow him the confidence to step outside on occasions wearing make up and experiencing other people’s reaction to his gender issue.

With the freedom to do this and ample opportunity to discuss emotional issues with his Next Step Outreach Worker, he eventually informed him that he felt his gender identity issue wasn’t something he wanted to do anything hastily about, and had decided to put thought of gender reassignment onto the back burner for the time being and explore the emotional issues he had around the sexual abuse he had suffered by his stepfather.

Though D continued to find it very difficult, he did continue with Next Step for another 18 months. He eventually moved into his own local authority flat, and was assisted by Next Step to decorate it to his requirements.

Though he continued to suffer emotional crises after emotional crises, he has been able to acknowledge that the level of support and kind of assistance he received from Next Step allowed him the opportunity and space to make one or two important decisions about his own future at a very important time for him, and gave him the confidence to explore his gender identity issues at his own pace, as well as learning the practical skills of living independently.


Read 1049 times Last modified on Saturday, 19 September 2015 19:28
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