UNIVERSITY OF NORTH CAROLINA AT WILMINGTON DEPARTMENT OF SOCIAL WORK Spring 2016 SWK 341 Solution-Focused Practice with Individuals and Families McNeil Hall Room 1027, Monday & Wednesdays 11:00am-12:15pm INSTRUCTOR: WORK PHONE: OFFICE: EMAIL: OFFICE HOURS: Lori Dugan, MSW, LCSW 910-962-7416 McNeill Hall 3057 duganl@uncw.edu (preferred communication) Monday 1:00pm-2:00pm, Tuesday 12pm-1:00pm or by appointment. Course Description This course is the second of a four-part generalist practice course sequence. It integrates the basic strengths-based, solution-focused working relationship orientation into social work practice at the micro level of the generalist practice framework: working with individuals and families. Emphasis will be placed on generalist practice modes of intervention--case management, advocacy, brokering, brief counseling, education, solution focused issue management, and crisis/trauma management within a diverse and multicultural society. Issues of social justice, social policy, ethical and fiduciary responsibilities, empowerment, assessment, and recursive evaluation will be integrated into micro practice knowledge and skills. Purpose This course will prepare students to think and engage client systems in terms of the micro level of the generalist practice framework. Students will learn to think in terms of the contextual implications of the interface of person-in-the-environment and the use of micro level practice knowledge and skills in addressing client system needs. Students will learn through practice the basic process of collaborative articulation of the issues to be addressed by engaging in collaborative and evolving assessments, formulating collaborative options and solutions, taking action, and engaging in recursive evaluation of the process and outcome. Students will learn the various roles within generalist practice through which they may engage those with whom they work: case management, advocacy, brokering, brief counseling, education, and crisis/trauma management with individuals and families. Students will focus on engaging individuals and families in terms of empowerment and strengths by means of a solution focused process. Students will continue to practice integrating ethical and fiduciary responsibilities into practice. Students will continue to integrate knowledge and skills related to diversity and individual uniqueness into their practice. They will recognizes and consider the impact of policy decisions, from the agency to societal levels, on the work they do with individuals and families. Prerequisite: SWK 240 and SWKL 240 Course Objectives 1. Students will demonstrate an integration of the strengths-based /solution-focused working relationship skills and process to the micro level of practice with families 3. Students will understand and demonstrate the basic collaborative steps of engagement, assessment, formulating options, taking action, and engaging in recursive evaluation of the process and outcome case management. 4. Students will understand and demonstrate the use of the basic modes of generalist practice: case management, advocacy, brokering, linking, brief counseling, and education. 5. Students will understand and demonstrate the ability to recognizing, appreciate, and work with people’s strengths and resilience in the context of relationships with other individuals, families, groups and communities in organizing services around individual and familial needs. 6. Students will master the basic steps in engaging crisis situations with individuals, families and communities. 9. Students will demonstrate the beginning skills in creating case records, to include assessment, process recording, progress notes and summaries. 10. Students will demonstrate a continued recognition and inclusion of issues of social justice, social policy, diversity, as well as ethical and fiduciary responsibilities in micro practice. Required Readings: A major task for the course is the assigned readings. The class will move at an appropriate pace to insure meaningful coverage of the material. The value of the class discussions, class exercises and your assignments will depend heavily upon your having read the assigned readings and reacting to them critically. Examinations will include all assigned readings as well as material presented in class and from class exercises. Textbooks Required: Shennan, G. (2014). Solution Focused Practice: Effective Communication to Facilitate Change. New York: Palgrave Macmillan Other Readings on Blackboard: Backhaus, K. (2011). Solution-Focused brief therapy with families (pp. 287-312). In L. Metcalf, (Ed.) Marriage and Family Therapy. New York: Springer. Cowger, C.D.,& Snively, C. A. (2006). Assessing client strengths: Individuals, family, and community empowerment. In Saleebey, D., (Ed.), The strengths perspective in social work practice (4rd Edition). Boston: Allyn and Bacon. Rapp, C. A. (2006). Strengths-based case management. In Saleebey, D., (Ed.), The strengths perspective in social work practice (4rd Edition). Boston: Allyn and Bacon. Fiske, H. (2008). Hope in Action: Solution-Focused Conversations about Suicide. Chapter 4. Solution-Focused Approaches to Crisis, pp. 97-119. Franklin, Kim, & Brigman (2012). Chapter 16. Solution-focused brief therapy in school settings Hendrick, S., Isbaert, L., & Dolan, Y. (2012) Chapter 18. SolutionFocused Brief Therapy in Alcohol Treatment Course Requirements Regular Attendance & Class Participation Regular attendance and active class participation enhances the conduct of this class and the learning that can take place. You are strongly encouraged to ask questions, disagree if you have other ideas, offer ideas and suggestions, participate in demonstrations, and just get as involved as you can. Final grades can be adjusted at the discretion of the instructor based upon your preparation and interaction in the classroom. Required Readings and Assignments Each student is expected to complete all the readings and be able to discuss and/or ask questions about the content of the readings. 1. EXCHANGES OF KNOWLEDGE: We will discuss in class the nature of the information exchanges [what format they will take] and the number of examinations to be given during the semester. 2. Solution focused /Strengths Based Assessment: Each student will complete an assessment after the final (3rd) session described below. This assessment will be done using a classmate as your client, picked by instructor. Full details on the format and content will be given out in class. 3. CASE RECORD: Sections of the case record will be turned in at designated times during the semester to be GRADED and given feedback: You will be working on developing your interviewing skills, learning to do progress notes, engaging in ongoing assessment and evaluation of outcomes, and learn the basics of case management, all in terms of a Generalist Practice strengths based and solution-focused perspective. The CASE RECORD will have a Solution/Strengths based Assessment, 3 Sessions with progress notes and session outcome scores, as well as a Final Summary and a Partner Exchange Commentary: Each student will pair with another student (preferably, someone you do not know that well). Each student will then conduct a series of 3 interviews over the course of the semester with their partner in order to understand his or her specific issues or “problems” they may be facing this semester [this will be discussed and explained in class]. Your first meeting (first interview) with your partner will be a Solution-focused initial interview. Your interview will concern the development of a working relationship, identifying what the client sees as the presenting issue or problem and determining a desired outcome. You will work with the client for two more sessions. After meeting and working together for the first 2 sessions, you will meet a 3rd time to conduct an in depth assessment, a complete strengths based assessment that will be very detailed. It will be conducted as if you have not met the “client” you have worked with for two sessions. This is at the end of your contact which is done in order for you to have time to develop skills in strengths based assessments and case management before completing the assignment. This is being done backwards from what is usually done. Assessments are usually done at the very first session with clients in many settings. An intake form for the social history assessment will be provided to each student. Remember to think about and help focus your interview toward what strengths, resilience, and supports are available for your person that could be mobilized. Remember to think in terms of the individual, friends, colleagues, family, and community. You are required to start to identify the type of client relationship in terms of motivation as described in your texts, and start the process of identifying a specific set of goals toward which your client is willing to work. These goals can be long term, meaning over an extended period of time such as the semester or short term and immediate goals that will change over time. If you are able to initiate client actions, do so. Remember to always evaluate your work with a scaling question at the end of your session. You always want to make sure that you and your client are on the same team and doing what works. Use the ORS at the end of each session to get feed back from your client. Your second interview follows the same basic “what is better” as in any solutionfocused interview. Remember to include a scaling question about any efforts/actions/assignments made during the previous session. Your third and final interview has TWO PARTS: First, it should include a brief “What’s Been Better” with follow through to demonstrate transition plans that are created by the client. This interview should review what has been successful and to support the work of the client. Issues concerning endings and transitions need to be covered. Second, conduct a complete “Intake” or “Assessment” that will be a comprehensive strengths-based assessment. Forms will be used in class learning and used for this intake. The reason for doing this at the end of the series of interviews instead of first is to let you see how your solution-focused work calls into question the typical medical model of starting with a great deal of information that is not necessarily required in the actual work. It has become so standard that almost all agency based practice will see it as a requirement for treatment and for insurance and it just is the “only way”. For each of the solution focused interviews [1-3], you will write a progress note or summary of the issues covered, how you collaboratively approached addressing these issues (remember to think in terms of strengths and resources, and of the various roles you can take in terms of generalist practice), what changes have occurred, and any reassessment statement and new goals due to different issues coming up over the course of your work. Your progress note must be very specific and descriptive of what took place (not of every thing said or done but it needs to address what transpired in terms of the issue being addressed). Also, do not say “it was a good session” but write down what specifically took place that made it a “good session.” This is the information that others may need to read to help your client if you should not be available, particularly in the case of an emergency. Address the question of whether or not there have been changes (even small/subtle changes) in the situation since you last talked. Include any change, can be for the better or the worse. What, if there has been a shift (even a small one), would you and your partner attribute this too? Describe strengths and resources that might have contributed to this shift or could be used to address a negative shift. Describe your efforts at collaboration and working toward a solution with your partner. Remember that you will have a specific and limited number of sessions. Record any actions that are to be taken by your self or partner before the next session. Be sure to include the concepts we are learning if appropriate during your critique of your work. This should be in the form of a very specific detailing of what strengths-based/solution focused/generalist based practice skills you are using or might have used and your assessment as to how well you are doing this. A form with specific questions and content areas will be handed out in class. GRADING will take place as you complete each case record session. We will assign a general time for sessions to start and a general time frame for completion. As each person completes their assignment for each session, that person will turn in their case record for grading and comment (you do not have to wait until class time). Each session will be graded using a letter grade based on a 50 point system. Grades will be based on the extent to which your case record reflects the content of your reading assignments when appropriate and demonstrating an understanding of those concepts, as well as ability to implement interviewing skills as covered in this course and SWK240, SWKL240. The Final Progress Summary (forms will be handed out in class) will be added to your “case record” following your final session with your partner. Be very specific in identifying the issues or problems addressed, the goals or outcomes you created together, and any progress made toward these goals. Remember to be very specific in your descriptions. Describe behavior or actions taken that represent the described goals. Describe specifically what was done to achieve these goals. This Case Record will be worth 200 points It must be complete and VERY NEAT and ORGANIZED. This is practice for the actual case records you will be creating next semester in your field placements. Grading for the Course: The Case Record will be worth 200 points Examinations will be small and often to assure reading and learning content. Timing will be determined during class. Each will be worth anywhere from 20 to 30 points. ##In both the written work and the examinations, you will be graded on how well you demonstrate a working understanding of the material presented in your readings, exercises, and lectures. This means that I will be looking at your skill level in interviewing, your understanding of collaborating with your client, your understanding of the strengths/solution focused interviewing process, as well as your understanding of generalist practice functions/roles, and use of the strengths/solution focused approach in case management and crisis intervention. Summary of assignment: 1. Initial solution focused interview using the case management process given out and reviewed in class with the outcome forms and scaling. 2. The second interview. “What’s Been Better” Likewise with outcome forms and scaling 3. The 3rd interview, “What’s been Better” should demonstrate the endings or transitions out of case management. Likewise with outcome forms and scaling 4. The final Case Summary HONOR CODE: From the University of North Carolina at Wilmington academic honor code: “No form of dishonesty among faculty or students will be tolerated...Academic dishonesty takes many forms, from blatant cheating, stealing, or similar misdeeds to more subtle forms of plagiarism...” UNCW University Catalog and Student Handbook and Code of Student Life. Special Needs: Any student needing assistance in terms of test taking or special arrangements for class notes or any other need, please let the instructor know this at the very start of semester. UNCW Student Gender-Based/Sexual Misconduct Policy UNCW takes all forms of interpersonal violence very seriously. When students disclose, first or third-hand, to faculty or staff about sexual misconduct, domestic violence, dating violence and/or stalking, this information must be reported to the administration in order to ensure that student’s rights are protected, appropriate resources are offered, and the need for further investigation is explored to maintain campus safety. There are three confidential resources who do not need to report interpersonal violence: UNCW CARE, the Student Health Center, and the Counseling Center. If you want to speak to someone in confidence, these resources are available, including CARE’s 24-hour crisis line (910-512-4821). For more information, please visit www.uncw.edu/sexualmisconduct or www.uncw.edu/care. The following sequence and assignments are subject to change as we move through the course. It is important that we do what needs to be done so that the whole class grasps the ideas and are able to demonstrate this in practice. We go at a pace and make changes to enhance that learning. This syllabus is NOT meant to be set in stone as is the nature of social work. TOPICS, READINGS, & ACTIVITIES Jan 11/13 Review: Getting Started: Paying Attention to What the Client System Wants: General review, Student feedback on Semester Goals Jan 18/20 No Class on January 18 – MLK Holiday Exploring for Exceptions: Building on Client System Strengths and Success Required Reading: TBA Jan 25/27 Giving Feedback to Client Systems Required Reading: TBA Feb 1/3 Documentation Required Readings: TBA Feb 8/10/ & Feb 15/17 Case Management and Strengths Based Assessment Required readings: Cowger, C.D., Anderson, K.M., & Snively, C. A. (2006). Chapter 6: Assessing strengths In Saleebey, D., (Ed.), The strengths perspective in social work practice (4th Edition). Boston: Allyn and Bacon. Rapp, C. A. (2006). Chapter 8: Strengths-based case management. In Saleebey, D., (Ed.), The strengths perspective in social work practice (4th Edition). Boston: Allyn and Bacon. Feb 22/24 Working with Families & Couples Feb 29 & March 2 First interview due on March 2nd Required Reading: Backhaus, K. (2011). Solution-Focused brief therapy with families (pp. 287-312). In L. Metcalf, (Ed.) Marriage and Family Therapy. New York: Springer. Mar 7/9 NO CLASS – SPRING BREAK Mar 14/16 Involuntary: Mandated Clients Required Reading: TBA Mar 21/23 & 28/30 2nd Interview DUE March 23rd Working with Children and Adolescents In Schools and Treatment facilities Required Reading: Siegel, D. J. (2013). Brainstorm: The Power and Purpose of the Teenage Brain will be handed out and presented in class Franklin, Kim, & Brigman (2012). Solution-focused brief therapy in school settings Apr 4/6 Finding, Amplifying and Measuring Client Progress in Later Sessions Required Reading: Miley Text: Chapter 15 Recognizing Success 409-435 Apr 11/13 Crisis Intervention and Response to Traumatic Events Required Reading: DeJong& Berg Text: Interviewing, Chapter 10 Fiske, H. (2008). Chapter 8. Hope in Action: Solution-Focused Conversations about Suicide. O’Hanlon, B., & Bertolino, B. (1998). Even from a Broken Web: Brief, Respectful SolutionOriented Therapy for Sexual Abuse and Trauma. New York: John Wiley & Sons Readings from this text will be made available Apr 18/20 Solution Focused Work in Addictions Required Reading: Hendrick, S., Isbaert, L., & Dolan, Y. (2012) Solution-Focused Brief Therapy in Alcohol Treatment. Apr 25/27 Final Interview, Assessment, Summary and Commentary Due Recommended readings for further understanding and use in assignments during the course: Bartolino, B., & Thompson, K. (1990). The Residential Youth Care Worker in Action: A Collaborative, Competency-Based Approach. New York: Haworth Mental Health Press. Berg, I.K. (1994). Family Based Services: A Solution-Focused Approach. New York: W.W. Norton. Berg, I. K., & Steiner, T. (2003). Children’s Solution Work. New York: W.W. Norton. Boyed--Franklin, N. (1989). Black Families in Therapy: A Multisystems Approach. New York: Guilford. DeJong, P. & Berg, I. K. (1998). Interviewing for Solutions. Pacific Grove, CA: Brooks/Cole Publishing Company de Shazer, S. (Summer, 1989). A requiem for power. Contemporary Family Therapy, 10, 69-76. Furman, B., & Ahola, T. (1992). Solution Talk: Hosting Therapeutic Conversations. New York: W.W. Norton & Company. Miley, K.K., O’Melia, M., & DuBois, B. (1998). Generalist Social Work Practice: An Empowering Approach (2nd ed.). Boston: Allyn and Bacon O’Hanlon, B., & Bertolino, B. (1998). Even from a Broken Web: Brief, Respectful SolutionOriented Therapy for Sexual Abuse and Trauma. New York: John Wiley & Sons. Rapp, C.A. (1998). The Strengths Model: Case Management with People Suffering from Severe and Persistent Mental Illness. New York: Oxford Press. Rowan, T., & O’Hanlon, B. (1999). Solution-Oriented Therapy for Chronic and Severe Mental Illness. New York: John Wiley & Sons. Sharry, J. (2004). Counseling Children, Adolescents and Families: A Strengths Based Approach. Thousand Oaks, CA; Sage Publications. Sharry, J., Madden, B., & Darmody, M. (2003). Becoming a Solution Detective: Identifying your Client’s Strengths in Practical Brief Therapy. New York: Haworth Mental Health Press. Scott, D., & O’Neil, D (2003). Beyond Child Rescue: Developing Family-Centered Practice at St Luke’s. Bendigo, Australia: Solutions Press. Selekman, M.D. (1997). Solution-Focused Therapy with children: Harnessing Family Strengths for Systemic Change. New York: Guilford Press Tice, C. J., & Perkins, K. (1996). Mental Health Issues and Aging: Building on the Strengths of Older Persons. Pacific Grove: Brooks/Cole Turnell, A., & Edwards, S. (1999). Signs of Safety: A Solution and Safety Oriented Approach to Child Protection Casework. New York: W.W. Norton. van Wormer, K., Wells, J., & Boes, M. (2000). Social Work with Lesbians, Gays, and Bisexuals: A Strengths Perspective. Boston: Allyn & Bacon Walsh, T. (2010). The solution-focused helper: Ethics and practice in health and social care. Bershire, England: Open University Press