Applying intersectionality in practice

Part of the 'Equity Change Project'

Introduction

This section aims to help you use the lens of intersectionality in your interactions with adults and carers and methods of putting intersectionality into action. 

Applying intersectionality in practice

It is not buzz words it is action.

Change Project participant

Using intersectionality to raise consciousness and build understanding is a key part of anti-oppressive practice. For example, people in need of care and support can become convinced that the problem is them and not the landscape they inhabit; they can become so used to a particular context that they lose sight of where the issues are really located. Intersectionality enables people in need of care and support and practitioners together to grasp someone’s context, name what is happening and respond effectively. This raises awareness that the issues and barriers are contextual, which can promote people’s control over their own life.  

Intersectional encounters start with intersectional curiosity. Using intersectional listening can help practitioners to join the dots between different bits of situated knowledge. It’s important that the practitioner is conscious of their own position and holds off judging from their own viewpoint, instead seeking to understand the situated view of the other. The practitioner can use different lenses to examine, alongside the person, the different aspects of their situation. For example, the person might talk about experiences related to their family background or social position. Exploring the information for connecting threads: the practitioner looks for interdependency between different aspects of the person’s life, identity and context. At the right pace and time for the person, the practitioner can put a name to what they hear, and move gradually from the general to the specific. This helps the person to have language to express their experience.  

Intersectionality offers a method of reflective analysis. When working with someone, we can use the analogy of them standing at an intersection to: 

  1. Name the roads of inequity.  

  2. Name the vehicles of oppression on the roads. 

  3. Describe the crash. 

  4. Describe the bio-psycho-social injury. (Nayak, 2022)

Intersection

This provides a basis for exploring with the person:  

  • What has happened?  
  • What ongoing barriers do they face? 
  • What strengths have they developed that they can use to change things? 
  • What can they co-produce with the practitioner to help them overcome injuries and achieve outcomes?  

The intersection analogy repositions the cause of the problem away from the person and to the context they are in, thereby enabling more holistic understanding, analysis and action.

Reflective question

What do you feel are the differences and similarities between professional curiosity and intersectional curiosity?

Use these tools below to:

  • Consider how you can have intersectional conversations with adults and carers.
  • Enable you to draw out the intersecting experiences of adults and carers.

This tool helps you to critically think through a conversation with someone, who may be in need of care and support, using the lens of intersectionality.

View the tool.

This tool helps you to make someone’s intersectional experience visible and identify how to respond. You can use this tool in direct work to co-develop understanding or to reflect on someone’s situation.

View the tool.

Use the examples of Maggie, Pra and Jack to consider intersectionality in practice.

Inter-professional practice

Adult social care is a multi-professional, multi-agency, multi-disciplinary sector. As we develop our understanding of intersectionality and how we can use it to promote equity, we will encounter the need to influence others.  

Categorising people gives a partial and distorting picture (Crenshaw, 1989). This is made worse by different people in different roles and agencies seeing only part of the person – for example, attending to their nursing needs or housing needs only. The social care practitioner can adopt the key role of countering the reductive trend to compartmentalise a person’s life into discrete areas, so that the whole person can become visible instead – with their history, their situated knowledge and their hopes for the future.  

This involves understanding how different professions and agencies view people as a result of the situated knowledge they hold. What is their role, professional focus and knowledge base? How will these influence the way in which they see someone and the parts of the picture that they have? It’s important to explore these questions in discussions with people from different agencies and professions. Joint learning opportunities can be a particularly helpful way of doing this. Positive professional relationships can challenge partial and distorting pictures. What this looks like in practice, and who would be involved, will look different in each situation, but these principles can help:  

  • Working together, with the person at the centre, to build up a complete picture of the person’s identity, experience and context, with their situated knowledge at the centre of all discussions and interventions, to ensure an intersectional holistic response.
  • As an ally, asking intersectionally curious questions about how power, privilege, discrimination and inequity interplay in the person’s life, and agreeing what each profession and agency will do to counter this.

Reflective question

How do you engage with other professionals to enable the person to give a complete picture of themselves, with all the intersecting elements of their identity, experience and context?

Use this tool below to consider how you can use intersectionality when you engage with other professionals.

This tool helps you reflect how to bring an intersectional lens to inter-professional practice. It will help you reflect on the different perspectives other professionals bring, and how you can give a complete picture of a person with all the intersecting elements of identify and experience, to ensure their situated knowledge and voice is heard.

View the tool.

Examples: Using intersectionality in practice

In the Change Project, we discussed examples of how practitioners are using intersectionality in their work. Here’s what some of the participants had to say:

Today I had a conversation with a colleague in the Continuing Health Care team about someone who was female and a wheelchair user and a teenager, so it makes you think about how these all come together – having intersectionality as a lens and spotting things that we might not have noticed before.

Recently I went out to a situation with a colleague. And it was really interesting because the man started telling me about his history and how he had been moved out of Europe during the war and he is now in his 70s, and I was thinking how that affected him. It makes me think about all the layers of people and we are so complex aren’t we. On the surface it might look like one thing but underneath it’s different.

I am an Approved Mental Health Professional. There have been many mental health assessments where people from my ethnic background are picked by the police because they are rooted in religion and they miss their medication, so it is reported that they are not compliant. But when you meet the person you realise there is no understanding of people’s culture or spiritual culture. If you don’t look from a deeper perspective, you will be influenced by judgements that are not right.

I am the safeguarding adult management of the team supporting someone who is black, has learning difficulties and autism, and is a trans-woman. She is excluded from all of the places she was going for help because of the intersections. She has helped us to train others about how she would like to be supported and enabled us to support her so she doesn’t receive discriminatory abuse.

Collection of resources supporting 'Putting intersectionality into action - practice'.