How do social workers handle multiple intersections? The case of a child with a disability in an at-risk family

This article examines how social workers perceive intersectional complexity in practice, how intersections affect their work, and how they adapt their strategies while managing the emotional demands of such cases. The study is grounded in K.Crenshaw’s theory of intersectionality and its adaptation to social work by C.Bernard. A mixed-methods case study included both quantitative (a survey of 101 practitioners working with families of children with disabilities) and qualitative (interviews with eight social workers supporting at-risk families with children with disabilities) approaches. The analysis revealed that the intersection of childhood disability and family adversity goes beyond a simple overlap of disadvantages and creates a complex system shaped by multiple intersecting vulnerabilities, service needs, and institutional responsibilities. This complexity significantly challenges social workers. To handle it, they adapt their practice by modifying communication strategies, time management, and interagency collaboration. However, due to a lack of formal training, they often feel unprepared, which increases stress, affects psychological well-being, and contributes to burnout and intentions to leave the profession. This study highlights the need for enhanced training and support for social workers managing intersectional cases. Practical guidelines, specialized communication strategies, and improved interagency collaboration are essential to improve outcomes for vulnerable service users.