Intro to case management & counseling

Social work
Jeffrey Brackett (1860-1949)
Social – focus on interactions with forces that change our lives
Work – emphasis on professional practice
Definition – professional activity of applying helping techniques in a disciplined manner to address social problems
Social Worker professionally prepared
education, knowledge
social workers increase or decrease in the near future
Employment of social workers is expected to increase faster than the average for all occupations through 2014 Particularly rapid growth among gerontology SWs”
“Strong demand is expected for substance abuse SWs”
Employment of school social workers also expected to grow Employment of social workers in private social service agencies also will increase.
tangible
shelter, food, clothing, financial assist
intangible
counseling, emotional support,
the whole person in all their environments
Views the client as a whole biological, intellectual, emotional, social, familial, spiritual, economic, communal, and all other dimensions of the person.
5. What personal qualities are needed to be an effective social worker
compassion, empathy, genuineness, creativity, hopefulness, energy, values, warmth, flexibility, persistence, optimism, maturity, sense of humor
6. What is personal “baggage” as applied to the social worker,
is your stuff family history, experiences, relationships w/friends, spouse, children, parents, sell-worth self-image ect any unfinished businesses unresolved issues
How baggage affect working with client
social and systemic problems with client may get too involved because you have the unresolved issues, causing harm to client.
7. The six core values and what each one means
1. Service (obligation to serve clients over self)
2. Social Justice (sensitivity to vulnerable, oppressed members of society)
3. Dignity & worth of the person (treat all clients with respect)
4. Meaningful Relationships with Clients
5. Integrity (ensure trust, privacy, confidentiality)
6. Competence (possess & use appropriate knowledge & skill to help and practice only within your area of competence)
Broker
Assess situation and Connect people with resources (provide information & referral)
Client Advocate
one of the oldest roles. Working for client’s rights to resources & services – especially for those who cannot advocate for themselves supporting positive change (policies & programs)
Teacher
may teach basic living skills, social skills stress management, conflict resolution, behavior management, parenting skills, etc.
Counselor/clinician
providing direct services -assessment, diagnosis, helping clients cope
Case Manager/coordinator
›one of most common roles
›accepts referrals
›intake & assessment
›plans & coordinates services,
›arranges meetings
›is the link to other agencies & services
Workload Manager
›prioritizes work
›manages time
›documents
›maintains responsibility to agency employer
Staff developer
facilitate professional development of staff through training, supervision, consultation, personnel management
Administrator
plan, develop, implement policies, services, & programs within an organization
Social Change Agent
– identify problems, work for change to improve quality of life; generating interest, lobbying for legislation
Researcher/Evaluator/Professional
maintaining competence through –
›continuous self-assessment & self-care
›Assess success or failure of efforts
›personal & professional development
›enhancing and advancing the profession
SW should only practice social work
Not to practice religion, spiritual beliefs, or medicine not even natural one.
SW should engage in conscious use of self
Do not bring baggage, must have self-acceptance, bring your unique style, strength their weakness, have a degree of emotional detachment in needed
SW should maintain professional objectivity (maintain boundaries)-
Person distance and being neutral, not being uncaring or unconcern, no not get too involved or take not to identifies with the, try to keep a balance.
SW should embrace human diversity
be open to all walks of life same sex marriage, different cultures, religions of all beliefs, ethnic backgrounds, sw must understand and respect differences
SW should challenge social injustices-
Like bullying, making fun, judging for how they look, racism, or sexual jokes. Eliminate injustices carry out social change efforts
SW should seek to constantly assess & improve their professional competence-
Not trying things in research, only use things you are train for.
Noncompliant/nonadherence
Failing to follow instructions
-Miss appointments
-Don’t do hom\on’t follow suggested activities

›May be result of cultural, self-determination issues
›Free to do so unless legal mandates – don’t be offended
›Continue to treat with dignity & respect

Informed consent
Client has the right to know, before giving consent, explanation of:
-services & costs
-risks associated with treatment side effect of drugs electric shock
-alternatives available to them
-what they are signing & why
Normalization
helping people live their lives within their environment and in the manner consider normal for them
Self- determination
client has the right to decide what is right for them right or wrong.
4 specific things related to confidentiality
Do not let your office unlocked when you are not in it.
Do Not send faxes or Email clients of records unless positive only the person you are sending it to can get it.
Never discuss a client in public or with someone not involved in case
Never say hi to a client in public unless they speak to you first
when can you break confidentiality
when risks of physical harm and death to self or someone else
Generalist Perspective/Model
Characterized by:
1. Being multidimensional & focusing on interrelated aspects of human problems, life situations, & social Conditions.
2. Assessments that are not constricted by a particular theory or intervention strategy (draws from many frameworks – eclectic)
3. Selection of strategies & roles based on individualized assessment of the client’s problem, goals, situation & systems
4. A knowledge & skill base that is transferable among different contexts, locations & problems.
(Generalist is the most widely used and universally held perspective among social workers)
Behavioral Model
– emphasis is on decreasing maladaptive (opposite of adaptive, more than one start with the dangerous one 1st) behaviors & increasing adaptive behaviors
– must define behavior to be changed (observable & measurable)
-select/implementconsequences/reinforcements (does this seem to be helping)
– data collection and analysis
(attractive to professionals working in residential treatment and correctional facilities)
COGNITIVE-BEHAVIORAL THERAPY
•HISTORY & FOUNDER Albert Ellis
•AREAS OF DEVELOPMENT IN THE THEORY
•CHARACTERISTICS- Irrational Beliefs
• GOALS
•THERAPIST’S FUNCTION & ROLE
PSYCHODYNAMIC (FREUD, JUNG, ADLER, ERIKSON)
•HISTORY & FOUNDERS
•AREAS OF DEVELOPMENT IN THE THEORY
•CHARACTERISTICS
•GOALS
•THERAPIST’S FUNCTION & ROLE
Freud’s -id, ego, & superego, unconscious mind symbolic interpretation, hypnosis, dreams, free association, ink-blocks, projection techniques, defense mechanism, denial, regression,
Psychoanalysis 2-3 a week up to 2 years. Personality disorder and psychosomatic (o-5 years old), & conversion, saw people with paralysis, blindness, & mute for no physical reason,
Therapist role – be neutral, little self-disclosure, interpretation and ask questions to create insight. Careful with transference- when client transfer feeling anger or love to therapist. Countertransference – when therapist shows same feelings back.
Alfred Adler “whole” person within their environment, family relationship, birth order, and behavior is purposeful, pulled goal, Inferiority complex.
Goals – teach, encourager, collaborator, a therapeutic relationship, you study family, early recollections (3-5 years),Private logic, insight, re-educate
PERSON (CLIENT) CENTERED THERAPY
•HISTORY & FOUNDERS
•AREAS OF DEVELOPMENT IN THE THEORY
•CHARACTERISTICS
•GOALS
•THERAPIST’S FUNCTION & ROLE
Carl Rogers – trustworthy, good potential help people, develop self-esteem through (unconditional positive regard) Empathy, understanding them, self- actualization, Advanced accurate Empathy takes beyond where they are, and Primary Empathy, just try to walk in their shoes. Therapist- refection of feelings, understanding, non-deceptive ( just reflect)
CRISIS INTERVENTION MODEL
TYPES:
•DISPOSITIONAL – do not have enough information must make a quick decision
•ANTICIPATED LIFE TRANSITIONS -mid-life crisis, 1st baby, normal things still have to adjust.
•TRAUMATIC STRESS- rape, assault, combat, sudden death, natural disaster.
•MATURATIONAL DEVELOPMENTAL CRISIS- college student home sickness, sexual orientation
•PSYCHIATRIC EMERGENCY (PSYCHOPATHOLOGICAL CRISIS, including suicide, psychosis) – more serious meltdowns, cannot stop crying.
COMMON FEELINGS
•LOSS OF CONTROL & POWER, FEAR
•DEPRESSION, GUILT
•APATHY
•LOSS OF SELF-ESTEEM
•DISORIENTATION, CONFUSION
•DENIAL, ANGER
May feel numb, disorientated, most common sexual assaultedor death of a young child.
THERAPIST’S FUNCTION/ROLE
Rapid response/establish quick rapport
Cushion impact of a crisis (comfort measures) get coffee, get a private place, help them feel better
Frequent contact/short time
Focus on empowering client; assist w/ decision-making
Connect client w/ social networks/support systems (gentle confrontation) – gently tell them no it would be better to do this now.
TASK CENTERED MODEL
•Emphasizes agreed upon tasks & action steps to complete them (based on the belief that people are more likely to change as a result of taking action rather than simply changing their thoughts and feelings)
•Large tasks are broken into smaller ones
– setting goals
– prioritizing
– structuring and setting time limits
– measuring & monitoring progress
Getting A contract with client to achieve goals.
SOLUTION-FOCUSED MODEL Grief therapy modal
ASSUMPTIONS
Change can occur in a relatively short time
Don’t need to understand or analyze what caused a problem to solve it
Therapist’ role: Help client recognize their control and ability to resolve their own problems
FAMILY SYSTEMS MODEL
•HISTORY & FOUNDERS – Jay Haley & Milton Erikson structural family therapy
•AREAS OF DEVELOPMENT IN THE THEORY
•CHARACTERISTICS & CONCEPTS
•GOALS
•THERAPIST’S FUNCTION & ROLE
They assume the problem is how the system malfunction “identified Patient” expressing family dysfunction,
Therapist – tells you what to do , gives homework, confronts, balances-blame
Families – boundaries(adaptability) cohesion (closeness or connection)
Rigid- never changes the rules, Problem chaotic – no boundaries
Structured & flexible are healthy
Disengaged – all goes their way, no one cares.
Separate- Healthy
Enmeshed – everyone feels everything and everyone knows everything
SELF-HELP PERSPECTIVE/MODEL
•Focuses on changing through group experience and discussions with others who have similar problems
•Most likely done in groups (Discussion groups, Task groups, Recreational groups, Exercise groups, Training groups)
•Assumptions: People need to tell their story and be heard, and are helped as they help others
•AA, NA, OA, PWP, PA (Alcoholics Anonymous, Narcotics Anonymous, overeaters Anonymous, parents without partners, Parents Anonymous)
The integrative (eclectic) model
•ALL APPROACHES HAVE SIMILAR GOALS BUT DIFFERENT TECHNIQUES & ASSUMPTIONS
•WHICH ONE IS THE BEST? Based on problems
•HOW TO DECIDE?