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Beginning
Social Work Practice Social Work Is a profession concerned with promoting the well-being of people and includes assisting individuals, families, groups, organizations , and communities achieve life- enhancing goals; the profession is especially concerned about social justice Purposes of social work Promotion, restoration, maintenance and enhancement of social functioning Planning, formulating and implementing policies, services, resources, programs Empowering groups at risk through advocacy Developing and testing knowledge Generalist Social work Practice Generalist practice is the application of professional knowledge, values, and skills to target any size system apply a problem-solving process using critical thinking skills, work effectively within an organizational structure, use appropriate supervision and assume a wide range of professional roles. There are seven key dimensions inherent in this definition. They include: knowledge; values; skills to target any size system; problem-solving process; organizational structure; supervision; and professional roles." Social Work Intervention Skills Defining issues Collecting and assessing data Planning and contracting Identifying alternative interventions Selecting and implementing appropriate course of action Using research to monitor and evaluate Apply research based knowledge and technological advances Termination MSW vs BSW Therapist vs. counselor Specialist vs. generalist Concentration vs. fields of practice Autonomous vs. supervised Advanced standing and the continuum Professional Associations National Association of Social Workers PACE, SPICE, TRUST, Student outreach Council on Social Work Education Licensing, degrees and certification Moved in 2000 to the Public Health Code Board of Social Work
Examiners SWT SW MSW CSW ACSW IS SOCIAL WORK A PROFESSION? Social Work Values Human diversity Self determination Justice Dignity of the individual self determination, non-judgmental Importance of human relationships Integrity Competent practice NASW Code of Ethics Responsibilities to clients Responsibilities to colleagues Responsibilities in practice settings Responsibility as a profession Responsibility to the profession Responsibility to the broader society Theories in Social Work Systems theory micro, mezzo, and macro Ecological Perspective Strength Based Approach Problem Solving Model Attributes of a profession Code of conduct - NASW Code of Ethics Organized system of preparing practitioners - CSWE Accreditation A unique theoretical base and approach A set of specialized skills Autonomous practice Professional Culture (associations) Means of assuring accountability ( disbar, lose of license) - Censure Continuing Professional Education - supervision Professional knowledge base - theory and literature Professional literature Peer reviewed Anonymous submission Written by members of the profession Author's affiliations are stated Usually technical and oriented to other members of the profession Reference other literature Ethics Case for discussion A 62 year old managed care patient was brought into the hospital for treatment and acute episode of end stage emphysema and congestive heart failure (she had difficulty breathing and her heart was not pumping effectively). She was 5'4" and weight 98 lbs, appearing very frail and weak. She was alert and completely oriented. She lived with her daughter who provided 24 hour care. The patient had a reputation for being difficult and stubborn and noncompliant with her medical care. She abused alcohol and continued to smoke against doctor's orders. The daughter was concerned and tried to work with her mother around these issues but said "you can't fight all the time with her either". The patient recovered from this episode and was ready to go home. As the social worker, you worked with the patient and family on the discharge plan. The patient insisted on going home and the daughter said she was willing to take her home. Working with the nurse and therapist, you determined the patient would need oxygen, a hospital bed, a wheel chair, a commode, and a visiting nurse in order to go home When you presented the plan to the doctor, he refused to authorize any of the services because they would be too costly for her managed care plan. He told you to "put her on medicaid and put her in a nursing home. She needs more care than the daughter can give her, it's cheaper, and they can control her better." The patient refused a nursing home and remained in the hospital a week longer than necessary while this was being resolved. Look at the NASW code of ethics on pages 459-478 of your book and discuss the following. 1.Look at the social work values described on pages 461-462. What ethical values apply here?
2. Look at the ethical standards on the remaining pages of the Code. What ethical standards need to be considered in this case? What standards conflict with each other?
3. What do you think is the best outcome/decision for this case? What steps might you take to resolve this situation?
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