SWK 530: Methods of Social Work Practice with Individuals & Families Presenter: Jennifer D. Street, LCSW Class Meeting Week Ten

Welcome

Agenda Agenda Announcements Learning Goals Resource of the Week Is it ethical?? Practice Behaviors Overview of GIM process Chapter 13 Highlights & group questions Evaluation of Practice Discussion Single System Design Learning Activity Review Questions Questions Wrap-Up

Announcements Case Presentations are class agenda for next week Video skills demonstrations should be in progress now.

Learning Goals By the end of class today, students will be able to: Identify and exemplify practice behaviors 20, 22, 37, 41 Utilize multiple evaluation and measurement tools Verbalize all steps in the Generalist Intervention Model Demonstrate competence in ethical decision making Complete assessment questions related to Chapter 13 List and categorize types of evaluation approaches Practice using one form of single system design

Websites for Evaluation Tools: Resource of the Week Websites for Evaluation Tools: www.mhcinc.org http://www.healthyplace.com/psychological-tests/

Is It Ethical????

Is it ethical??? Scenario 6: “Marlene works on an acute psychiatry ward and has been told by both the psychiatrist and the unit manager that a particular patient must be discharged within the hour to free up a bed. She believes that this patient is not ready for discharge, given that he continues to be actively suicidal. The patient is homeless, has no social supports, and no follow-up has been arranged. He has been banned by all local shelters because of his past threatening behavior. He has been on the unit for the past 72 hours, but the psychiatrist will not re-certify him and does not want him as a voluntary patient. The patient wants to continue the work he started with the social worker, Marlene, however. She decides not to challenge the decision to discharge because she is afraid of being fired or at the very least blacklisted by the hospital. Security escorts the patient out to the street within the hour with just the clothes on his back” Taken from Horn, Thomas © 2011 “Is it ethical?: 101 Scenarios in everyday social work practice, a discussion workbook”

Is it ethical???, cont’d Was Marlene’s behavior (or lack of action) ethical? Would it have been ethical for Marlene to give the patient her business card and suggest he call her so she could help him “off the record” ? Why or why not? How would you handle this situation if it were you as the social worker? What ethical principles apply in this case? Taken from Horn, Thomas © 2011 “Is it ethical?: 101 Scenarios in everyday social work practice, a discussion workbook”

Practice Behaviors 20. Engages in practices that advance social and economic justice 22. Use research evidence to inform practice 37. Implement prevention interventions that enhance client capacities 41. Critically analyze, monitor, and evaluate interventions

Generalist Intervention Model Overview of GIM Generalist Intervention Model

Generalist Intervention Model Engagement Greet the client Demonstrate effective attending skills Listen carefully Make eye contact (aware of cultural differences) Focus on client thoughts and feelings (use open ended questions) Use silence as necessary Take notes of information you are unlikely to remember Discuss agency services and client expectations Decide if the agency and worker can help Offer agency and worker services to the client Orient the client to the helping process Client needs to know the rules and conditions Negotiate with clients as to frequency of sessions, time and place, and total number of sessions. Complete required paperwork Assessment (Acquire an understanding of a problem or issue, what causes it, and what can be changed to minimize or resolve it) Articulate a clear statement of the need, problem, or situation Recognize the strengths, assets, skills, and abilities of clients Formulate a clear description of the client system Understand the client system’s interactions with other systems Identify any missing information that is important Put all the information together

Generalist Intervention Model Planning Work with the client Prioritize problems Translate problems into needs Evaluate levels of intervention for each need Establish goals Specify objectives Specify action steps Formalize a contract Implementation Follow plan Monitor progress Revise plan (when necessary) Complete plan (to greatest extent possible)

Generalist Intervention Model Evaluation (choose one) Single subject design Goal attainment scaling Task – Achievement scaling Client satisfaction questionnaire Target-problem scaling Termination Decide when to terminate Evaluate achievement of objective Maintain and continue progress Resolve emotional reactions of the worker and client Make appropriate referrals Follow-up Actively represent the consumer Discuss problems Straighten out difficulties Prepare the consumer

Chapter 13 Highlights We will split into 2 groups. Take 10 minutes to discuss one thing you each learned from Chapter 13. Then formulate one question your group has about evaluation of practice that your group will ask the class when we return to the main classroom. Please type your group’s question into the chat bar for me to see.

Evaluation of Practice

Single System Designs Group Designs AB Design= Baseline then Intervention B Design= Intervention Only ABA Design= Baseline, Intervention, 2nd Baseline ABAB Design= B, I, B, I ABCD= Baseline, Intervention 1, 2, & 3 happening sequentially and building on each other Goal Attainment Scale Target Problem Scaling Task Achievement Rating Satisfaction Survey Group Designs Experimental Designs use of control groups randomization Pre/Post test control group Post test only control group Quasi-Experimental Designs nonequivalent control groups Time Series Designs Multiple Time Series Designs

Review Questions

Question 1 1) Through the outcomes of research and evaluation, being able to state with confidence that an intervention is likely to benefit a broad range of individuals, families, or groups, is referred to as: Summation results B) Conclusions C) Reliability D) Generalizability

Question 2 2.) Being able to answer the question "Does what I am doing with this client or client system seem to be making a difference?" is best answered by which of the following evaluative designs? A) Coordinated B) Double matrix C) Single system D) None of the above.

Single System Design Learning Activity

Let’s Practice… In your groups, role-play create a Goal Attainment Scaling Sheet (sample on page 450) with one goal for a mock client. The client’s diagnosis is panic disorder with agoraphobia (panic attacks with fear of leaving home/being in a situation where attacks could happen). Assume for this role play that the client has already expressed her most pressing problem as missing work due to panic attacks and fear of leaving home to attend work. This primary problem is already rated with a weight of 10. Your job is to work with the client to create the levels of success for this problem. See the next slide for a blank GAS form to reference.

Questions?

Did we meet our learning goals??? By the end of class today, students will be able to: Identify and exemplify practice behaviors 20, 22, 37, 41 Utilize multiple evaluation and measurement tools Verbalize all steps in the Generalist Intervention Model Demonstrate competence in ethical decision making Complete assessment questions related to Chapter 13 List and categorize types of evaluation approaches Practice using one form of single system design

For Next Week… At this point, you should have completed everything from Modules 1-10 This week, complete: Module 11 Prepare your case presentation for next class Be working on your Video Skills Demonstration

Have a great week!