Intro to Social Work: Chapter 3 Lecture Notes
Intro to Social Work: Chapter 3 Lecture Notes Sowo 2000
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This 7 page Class Notes was uploaded by Emilee Tru on Thursday January 28, 2016. The Class Notes belongs to Sowo 2000 at Auburn University taught by in Winter 2016. Since its upload, it has received 34 views. For similar materials see Introduction to social work in Social Work at Auburn University.
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Date Created: 01/28/16
Generalist Social Work Practice Lecture Generalist social work practice: the use of social work knowledge, professional values, and an array of skills that can be adapted to work with diverse client systems of all sizes in a variety of settings Requires: viewing a problem situation in terms of the personinenvironment concept. Being willing and able to intervene at several different levels, if necessary, while assuming any number of roles. The change process Engagement o The process of eliciting information in an open and trusting manner using bother verbal and nonverbal communication Engaging client system Build rapport Should the first question of an assessment by “were you ever sexually abused as a child?” NO Be aware of your “customer service” First impressions are critical clients do not have to return o Be interested and interesting Assessment o The professional activity conducted with the client that provides the basis for understanding the client’s system’s situation and planning the intervention Gathering relevant information Collateral information – friends, teachers, probation officers, parents, other mental health professionals, physicians Evaluation information Define and prioritize issues Plan intervention Intervention o The phase of the social work relationship in which the actual work is completed Identifying needs, strengths, and resources Prioritizing client’s needs Mobilizing client strengths and resources Evaluation o The process by which the social worker and the client system access the progress and success of the planned change effort and determine whether it is time to terminate the relationship Process evaluation Outcome evaluation The is more to do with how the client feels, NOT how you feel about your work This can be ongoing and evolving process Termination o Defined as the official breakingoff of the social worker – client relationship Concept is introduced at the first encounter Built into the intervention Termination should not be a surprise to the clients 8 Skills required 1. Engage clients in an appropriate working relationship 2. Identify issues, problems, needs, resources, and assets 3. Collect and assess information 4. Plan for service delivery 5. Use communication skills, supervisions, and consultation 6. Identify, analyze and implement empirically based interventions designed to achieve client goals 7. Apply empirical knowledge and technological advances 8. Evaluate program outcomes and practice effectiveness Biopsychosocial Assessments Commonly referred to as “psychosocial” assessments The biopsychosocial assessment is very much aligned with the personin environment perspective We still need to be mindful of the interplay between the 3 components: 1. Biological – role of genetics, medication needs, family history, physical health 2. Psychological – thoughts, hallucinations, feelings 3. Social – interpersonal skills, work, school, environment Cause of illness is not seen as linear but as a combination of factors Social Work with Individuals Biological component Family risk – 1 degree relatives, distant relatives Twin Studies – identical and fraternal twins o How does this contribute to our knowledge of genetics and mental illness? Adoption studies – twins reared apart o What would this tell us about the role of genetics? Polygenetic inheritance – multiple genes interact > Schizophrenia o This is why family history is so important when assessing clients! Assessment questions: Biological Does anyone in your family have a history of mental illness? Substance abuse? What has your sleep been like? Any nightmares? What are they about? How has your appetite been in the past few weeks? How many times a day do you eat? Have you ever made yourself throw up? Have you ever refused to eat for days at a time? Psychological How has your mood been the past few weeks? Have you been feeling depressed? Anxious? Manic? Have you ever tried to kill yourself? When? How? How many times? Means? Lethality? Has anyone in your family attempted suicide? Do you have any delusions? Do you ever hear or see things that aren’t there? Do you ever thing that people are out to hurt you? Do you ever believe that you are receiving special messages through the tv or radio? Social Did you have a good childhood? Are your parents still alive today? What is your relationship like with them? Do you have any siblings? Do you have any children? Have you ever been pregnant? Were you ever married? What do you like to do for fun? Do you have many friends? Are you involved with any support groups? How is your financial situation? Were you ever in the military? Do you go to church? Values and Ethics Values defined as a society’s system of beliefs, principles, and traditions that guide behaviors and practices Individual or personal values Group Societal values Professional values You cannot separate yourself from your social work values when you are “off work” Core social work values Service Social justice Dignity and worth of the person Importance of human relationships Integrity Competence Ethics a system of moral principles and perceptions about right versus wrong and the resulting philosophy of conduct that is practiced by individual, group, profession, or culture Ethical dilemma when a social worker must choose between two or more relevant, but contradictory, ethical directives, or when every alternative result in an undesirable outcome for one or more persons Ethics in social work Not everyone gets to keep their license o Alabama state board of social work examiners Some acts of misconduct are the result of blatant disregard for clients’ rights whereas others may have been a temporary lapse in judgment NASW code of ethics is primarily a set of guidelines – not a definitive, concrete set of answers Some infractions result in licensure sanctions, others may result in form legal charges Social workers should strive to behave in a professional, respectful manner with clients, colleagues, the community, and the profession o Focus on clients Competency Our goal is to protect our clients Competency: do we know what we are doing? o Are we properly trained in the approach we are providing? Practice within your scope Informed Consent Clients need to be properly informed as to: o What services you provide o What is expected of them o Time commitment o Costs o Other options/treatments o Do they understand the information? o Letting them know what you can and can not keep secret Health insurance portability and accountability act o Answering all of their questions or helping them to find answers o What happens if you see them in public? o All agencies should have standard forms for informed consent Confidentiality All mandated reporters – which means we are required by law to report suspected abuse and neglect o Report abuse and neglect to DHR and the police if immediate safety is a concern Necessary to breach when a threat to self or others Duty to warn – Tarasoff case Remember to avoid conversations where other clients may be listening Be especially careful in small towns where everyone knows everyone Client retains privilege, even in court situations unless ordered by the judge Selfdetermination Encourage clients’ independence and ability to make their own choices Should we respect clients wishes to end their lives if they want to commit suicide? o Physician assisted suicide In extreme circumstances, clients may be involuntarily admitted to a psychiatric hospital if they are found to be a threat to themselves or others o Suicide, homicide, and psychosis Boundaries Professional relationship o When working with clients, social workers are in a position of power which means clients may be exploited o Receiving gifts – avoid accepting anything with a large monetary value o Remember, as a social worker we are to help out clients, not to figure out a way that we can get something from them Avoid dual relationship Hiring a client with a landscape business Hiring a former client to babysit your children Some are dual relationships are tough to avoid Client goes to your church Selfdisclosure Sometimes it may be helpful to disclose personal information with clients, but you should do so cautiously It can be encouraged and very powerful when building rapport o Substance use o Veterans How to protect your license Are your actions in the best interest of the client? Do your actions reflect the least amount of harm to the client? Remember it is the social worker’s job to maintain professional boundaries, not the client’s Have you consulted with a colleague or supervisor about the matter? Have you documented your efforts? Problemsolving method for ethical dilemmas 1. Determine that there is a dilemma – a conflict between two values or duties 2. Identify the key values and key principles involved 3. Rank the most relevant values or issues involved 4. Implement plan of action that is consistent with ethical priorities 5. Reflect on the outcome
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