Table of Contents INTRODUCTION.......................................................................................2 STRUCTURE OF A PROCESS RECORDING.........................................3 CONFIDENTIALITY IN PROCESS RECORDINGS ………………………5 SUPERVISOR COMMENTS AND USE IN SUPERVISION.....................6 PROCESS RECORING FORMAT MICRO…………………………………7 PROCESS RECORING FORMAT MACRO…..……………………………9 PROCESS RECORDING FORMAT GROUP ……………………………..11 SKILLS LIST…………………………………………………………………...13 EXAMPLES OF COMPLETED PROCESS RECORDINGS ....................16 1 INTRODUCTION There are many ways of learning in the Social Work field. You have already gained knowledge by reading, listening, having discussions, and now, in practice. A Process Recording is another tool that many in the Social Work profession have used in their development and education. The purpose of the process recording is to develop and increase your knowledge about yourself as a practicing professional and about the work you are engaging in. Sacred Heart University is committed to the use of the Process Recording as a learning tool and the use of this tool in supervision during the duration of our student’s time in field. Process Recordings allow you to see and assess your skills, techniques, personal insight, self-awareness, and application of knowledge, as well as gain feedback from your field supervisor and field liaison. We encourage you to utilize this as a tool to help you grow. You may choose to keep your process recordings throughout your time here so you can see your own progression over time. 2 STRUCTURE OF PROCESS RECORDINGS Process Recordings may look different based on your placement, but the structure of SHU’s Process Recordings are essentially the same. Process Recordings have been done in a column format or a narrative format. We require that SHU students use a column format. Our Process Recording has a cover page which includes some narrative elements where we ask more information such as the relationship to the person(s) in the session, context of verbatim dialogue, pre-meeting work and goals. SHU uses a 4 column process recording, and students are asked to provide information for 3 of the 4 columns. Column 1: Verbatim Dialogue/Content In this column students are asked to include verbatim dialogue, word for word, in a dialogue format. For example: Client: “I am not sure what I am doing.” Student: “What would be most helpful from me right now?” Client: “If you could help me fill out these forms, I don’t always read very well.” Student: “I am happy to help you with that, and thank you for sharing that with me about not always reading very well,” Students may include a particularly challenging or rich interaction with their client. Students may also choose to use sections of their interactions that relate to area of student growth, student or client change, themes that the student would like to explore more such as loss, feelings of hopelessness or helplessness, areas of growth or leadership by a student. 3 Column 2: Analysis Students describe the client, interaction or event in terms of attitude, tone, affect, non-verbal communication, defense mechanisms, etc. Utilize this area to describe what you are observing and picking up on with your client or interaction. What is it that you are noticing from your interaction that does not involve direct language? For example: Client seemed frustrated as evidenced by furrowing their brow and sighing deeply. Client tone was harsher than their usual voice, and client had their first curled into a ball while they were speaking. Column 3: Self-Reflection Students describe their experience of the interaction in terms of their own cognitive and affective responses, non-verbal communication, defenses, etc. Also, the student identifies the phase of work, skills used or missed opportunity to use a skill. For example: I wasn’t sure if I should label their feeling for them. Rather than exploring their feeling, I asked how I could be helpful. I did not want to assume why they needed help, and wanted to be able to meet their need. I was able to paraphrase here. I was also shocked that they can’t really read. I assume everyone who has graduated high school can do that. Column 4: Supervisory Comments This column is where your Field instructor should support strengths, highlight limitations, clarify use of skills, ask questions etc. Please see page 6 for more details on this section. 4 CONFIDENTIALITY IN PROCESS RECORDINGS Students are expected to protect client/consumer/group confidentiality in accordance with professional practice standards, including HIPPA. All students should check with their Field Supervisors re: Agency specific confidentiality and HIPPA policies. For Process Recordings, this may include, but is not limited to Removing any references to agency, staff, or volunteer names. You may put in “staff,” “volunteer,” as a substitute. Change names and initials of clients and anyone else in the process recording, or substitute by use of “Client.” Delete any reference to any information specifying geographical area, such as street names, businesses, schools or hospitals. Delete any identifying information that would enable a reader to identify any clients, other professionals, agencies, or agency personnel. Also important to remember is that Process Recordings should be completed outside of your internship hours. In most cases, agency records cannot be removed from the agency. So if you need to take notes home, ensure that they adhere to confidentiality requirements and review with your field supervisor any special steps that need to be taken to ensure that confidentiality requirements are adhered to. 5 SUPERVISOR COMMENTS AND USE IN SUPERVISION While the process recordings use is to strengthen the student’s sense of skills, observation, knowledge and insight that is integral to the student’s growth, so is the feedback they receive from their field supervisor. We ask that supervisors review process recordings and comment with feedback for the student. The process recording can be further reviewed and discussed during supervision. Supervisors are encouraged to give feedback on strengths and challenges of interactions, observed behaviors, verbal and nonverbal responses, addressing certain feelings or behaviors, exploring more in depth student insights, demonstration and use of skills, issues of ethics, values, diversity and differences, cultural insight, power dynamics, conflicts, connection to competencies, alternative points of view or suggestions, and input on ways to help students increase empathy, change perspective, and deepen relationship with client or others. This can also be an area to recommend resources or interventions, linking to other levels of practice and the larger field. Supervisors are also encouraged to ensure that process recordings convey the substance of the session or contact, as well if the student is clear about the purpose of the contact or interaction with the client system. Students should also make sure that their interventions support the achievement of the client, session, program or agency goal. Supervisors may want to also see that students are able to focus or partialize issues, meet client where they are at, and that students are communicating with intent to clients, as well as balance hearing both verbal and non-verbal communication and balance empathetic listening with intervention. 6 PROCESS RECORDING TEMPLATE The following are the templates used for Micro, Macro and Group Process Recordings. OUTLINE FOR MICRO PROCESS RECORDING FIELD PRACTICUM I IDENTIFYING DATA Name of client system (individual, family, group, community, organization, or project) Date Which session (#1, #2, etc.)? Worker Who present, who absent Agency II PRE-SESSION ACTIVITIES Preparatory work, meetings, phone calls, research before contact III GOAL OF SESSION Purpose and expected outcomes IV NARRATIVE OF INTERACTION Use Narrative Sheets Include: description of client; what worker saw and did and said; word by word written account; points raised, discussions, decisions, positions, conflicts, and agreements. Be clear about the difference between what you felt, thought, and said. V ANALYSIS OF SESSION (or contact) Did you meet your goals? What do you think happened? What went right? What went wrong? Why? What issues were raised? What contracts were made? What values were expressed? What dynamics occurred between the people present? Who played what roles? What things do you need to watch out for? VI GOALS What are your plans for: A. Next session B. Collateral work VII EVALUATION OF YOUR WORK What were your interventions? Evaluate your work with the client system. Strengths? Areas that need improvement? VIII QUESTIONS FOR NEXT SUPERVISORY SESSION based on this client contact 7 8 Dialogue Analysis Self-Reflection Supervisory Comments SW: Client: SW: Client: This is a narrative of the conversation with the client. Student should use client’s initials to assure confidentiality. Student describes the client in terms of: attitude, tone, affect, non-verbal communication, defense mechanisms, etc. Student describes their experience of the interaction in terms of their own cognitive and affective responses, nonverbal communication, defenses, etc. Also, the student identifies the phase of work, skills used or missed opportunity to use a skill. Field instructor should support strengths, highlight limitations, clarify use of skills, etc. MACRO PROCESS RECORDING TEMPLATE OUTLINE FOR MACRO PROCESS RECORDING FIELD PRACTICUM I IDENTIFYING DATA Name Project/Meeting/Task/Event Date Who present, who absent II PRE-CONTACT ACTIVITIES Preparatory work, meetings, phone calls, research before contact III GOAL OF CONTACT Purpose and expected outcomes IV NARRATIVE OF CONTACT Identify and describe the macro intervention plan used and how it was implemented. What was the process? What steps did you take to help formulate the plan? V ANALYSIS OF CONTACT Did you meet your goals? What do you think happened? What went right? What went wrong? Why? VI GOALS What are your plans for the next step or contact? VII EVALUATION OF YOUR WORK Was the objective accomplished? Why or why not? Is there anything you would do differently to change the outcome? VIII QUESTIONS FOR NEXT SUPERVISORY SESSION based on this contact 9 Content of Contact Analysis Self-Reflection Supervisory Comments As detailed as possible, describe or report on an item, activity, comment, interaction or meeting. Student describes the interaction in terms of attitude, tone, affect, nonverbal communication, defense mechanisms, etc. Student describes their experience of the interaction in terms of their own cognitive and affective responses, nonverbal communication, defenses, etc. Also, the student identifies the phase of work, skills used or missed opportunity to use a skill. Field instructor should support strengths, highlight limitations, clarify use of skills, etc. 10 GROUP PROCESS RECORDING TEMPLATE OUTLINE FOR GROUP PROCESS RECORDING FIELD PRACTICUM I IDENTIFYING DATA Name of client system (individual, family, group, community, organization, or project) Date Which session (#1, #2, etc.)? Worker Who present, who absent Agency II PRE-SESSION ACTIVITIES Preparatory work, meetings, phone calls, research before contact III GOAL OF SESSION Purpose and expected outcomes IV NARRATIVE OF INTERACTION Use Narrative Sheets Include: description of client; what worker saw and did and said; word by word written account; points raised, discussions, decisions, positions, conflicts, and agreements. Be clear about the difference between what you felt, thought, and said. V ANALYSIS OF SESSION (or contact) Did you meet your goals? What do you think happened? What went right? What went wrong? Why? What issues were raised? What contracts were made? What values were expressed? What dynamics occurred between the people present? Who played what roles? What things do you need to watch out for? VI GOALS What are your plans for: A. Next session B. Collateral work VII EVALUATION OF YOUR WORK What were your interventions? Evaluate your work with the client system. Strengths? Areas that need improvement? VIII QUESTIONS FOR NEXT SUPERVISORY SESSION based on this client contact 11 Group Dialogue Analysis Self-Reflection Supervisory Comments SW: Client XX: SW: Client XY: Client XX: Client XY: Client XW: SW: This is a narrative of the conversation with the client. Student should use client’s initials to assure confidentiality. Student describes the client in terms of: attitude, tone, affect, non-verbal communication, defense mechanisms, etc. Student describes their experience of the interaction in terms of their own cognitive and affective responses, nonverbal communication, defenses, etc. Also, the student identifies the phase of work, skills used or missed opportunity to use a skill. Field instructor should support strengths, highlight limitations, clarify use of skills, etc. 12 SKILLS LIST As a part of your Self-Reflection, we ask you to label or name some of the skills you are using. This assist you in seeing how your knowledge is being used and translating to your work. Additionally, it will assist in developing a wider professional language. This is by no means an exhaustive list, but some common skills used in our profession. The following is a list of skills for you to reference: Anticipatory Planning: Planning an idea and putting it into action Active Listening: Nodding, making eye contact, paying attention to what Assisting: Making phone calls, completing an application Advocating: Ensuring clients’ access to rights and entitlements Clarification: Asking the client to give more information on a statement to clarify for the worker (“I am having difficulty keeping the two women straight, which person is the one you enjoy spending time with?”) Confrontation: The worker pushing against a person’s denial (“I understand that you believe your daughter does not have a drug problem, but the test is positive, and she needs to go to rehab.”) Contracting: Clearly defining the issues a goals of treatment Description: Asking client’s for more details during a session (“Tell me what happened when you yelled at them?”) Developmental exploration: A worker talking with a client about their childhood to see how and if it is affecting them today Education: Sharing knowledge or hypotheses with a client Empowering: A worker telling a client that they are capable of completing a task Encouragement: Giving realistic hope Encouraging problem solving: helping and encouraging a client to solve a problem on their own Establishing goals: Working with client on identifying things to work on 13 Exploration of behaviors: Exploring the client’s behaviors (“What did you do when your daughter told you she was moving out?”) Exploration of thoughts: Exploring the client’s thoughts (“What do you think about your daughter’s decision to move in with her friends?”) Exploration of feelings: Addressing the way a client feels Expressing empathy: Putting yourself in your clients shoes; imagining what it is like to be placed in the clients’ situation Focusing/refocusing: Bringing the client back to the subject Identification of feelings: Labeling a client’s feelings (i.e. “it seems that you were infuriated with your boss.”) Introduction: Introducing yourself, the agency and having clients introduce themselves. Limit setting: Setting boundaries Normalizing: Making the client feel that they are not alone in a situation (“I think many people would be upset to find out they were lied to.”) Paraphrasing: Repeating back what the client says in other words Partializing: Breaking the problem down into smaller pieces Pattern dynamic reflection: Looking at a client’s long time patterns and what contributes to that Positive reinforcement: A worker giving praise or positive reward (i.e. “That is awesome you passed your drivers exam! Congratulations!) Probing: Asking general questions to the client Provide feedback: Giving a response to a client Reaching for feelings: Asking client how they are feeling Reassurance: Similar to encouragement but you are verifying the client’s Reflection of body cues: Addressing the client’s hand gestures, physical body gestures etc. Reflection of feeling, meaning and/or words: Using the same exact words the client is using 14 Reframing: Looking at the client’s situation in a different aspect (“Is it possible that your boss is always checking up on you because they want you to be successful? Or because of their own issues with control?”) Rehearsing: The worker rehearses with a client on what he or she is going to say or do in a given task Role playing: The worker and clients acting out roles Self-disclosure: Sharing personal information with a client about yourself. They may ask you and you answer, or you may feel it is appropriate for the therapeutic relationships to disclose a personal story Summarizing: Recapping the intervention towards the end of the session with a client Sustaining: Engaging a client to find our more information Termination: The process of ending the therapeutic relationship Ventilation: When a client is expressing their emotions Visualization: Imagining with a client how things will be 15 EXAMPLE: MICRO PROCESS RECORDING FIELD PRACTICUM I IDENTIFYING DATA Individual Session 10/11/18 Session #4 Client (CC) and Student SH II PRE-SESSION ACTIVITIES Phone call with psychiatrist III GOAL OF SESSION To explore feelings of anxiety and develop more coping skills IV NARRATIVE OF INTERACTION see attached V ANALYSIS OF SESSION (or contact) Did you meet your goals? Yes, we did come up with coping skills to try. I think it went well, CC was very open and engaged easily. We were ale to explore how her anxiety is impacting other areas of her life too. VI GOALS What are your plans for: A. Next session- to continue exploring patters on anxiety B. Collateral work- none at this time EVALUATION OF YOUR WORK What were your interventions? Engaging, sustaining, reframing, contracting Evaluate your work with the client system. Strengths? Areas that need improvement? VII VIII QUESTIONS FOR NEXT SUPERVISORY SESSION based on this client contact How do I best support this client when her anxiety seems logical Dialogue SW: Hi CC, how are you today? 16 Analysis Self-Reflection Engaging with client, I like CC, I look Supervisory Comments Dialogue Analysis Client: I am doing okay, thanks and yourself? SW: I am doing pretty well thank you. Glad it is starting to feel like fall out! Client: I don’t know if I am glad about it SW: How come? Client: It means Winter is not far away SW: How do you feel about Winter? C: I don’t like it all!!! SW: Tell me a little bit more about not liking Winter at all C: Mostly, driving in the snow. I get very nervous when I have to drive in the snow. SW: I would imagine a lot of people feel that way. C: Really? SW: Sure, I know it makes me nervous C: So nervous you stay home? SW: Well, sometimes. C: Really? SW: If it is really bad and I don’t think I can manage it, then I stay home. CC looks well dressed forward to our and smiling, she sessions. always engages easily with me Engaging 17 She sounds bothered about it by her tone She was emphatic about this! Her hand gestures were very prominent. CC is picking at her nails. Self-Reflection I did not see that coming for some reason…it is fall in New England…I assumed everyone likes that. Wow…taken by surprise at her intensity. Exploring I don’t blame her, I can relate. Supervisory Comments You can tell, you engage easily with her. While I agree with you about fall, it is important to remember we cannot look at the world through only our lens. Not everyone will feel the way we feel. Why were you surprised? Let’s talk about this in supervision. Normalizing She looks surprised Self disclosure…I hope it is appropriate! It was. You are disclosing something not too personal and apprporaitely. Just make sure it is useful to the client and not making it about you. She sounded embarrassed, said this while keeping her head down. Oh…maybe? I am getting nervous this can spin out of control. What made you feel this way? Dialogue C: Maybe our definitions of really bad are different. SW: Maybe, want to tell me about yours? C: As soon as there is a coating on the road, I call out of work. I will not leave the house until all roads are cleared and I will go in late and leave early because of black ice. SW: How does this impact your job? C: They are willing to let me work from home, because I have been there for so long, they are a little more willing to work with me. SW: Has this impacted other areas of your life? C: It makes it difficult to socialize in the Winter. I won’t go anywhere after it gets dark if we have had any kind of bad weather, or when the weather warms up and snow melts because of black ice. My friends get mad at me. SW: How do you know they are mad at you? 18 Analysis Self-Reflection Supervisory Comments Exploring She ontinues to have her head down, will not make eye contact That is extreme!! That must be really hard to manage. She finally looked up at me Probing. Not sure why I asked that, maybe I should have asked more feeling related questions? That must be limiting for her. Why did you go there? Let’s think about it and discuss more. I feel relieved to hear that. Probing She seems a little more relaxed, she is making eye contact and sitting back in her seat. That is sad if her friends do that. Maybe she is paranoid? She put her head down again when she said this. Why were you so worried about her job? Good question? Maybe you could have asked, “How does this affect your life?” instead of asking about work before. Maybe? Or anxious? Clarification Good question! Confrontation? Head is still down, speaking softly. You are doing great work here! Dialogue Analysis C: They have not said it, but I can hear it I their voice. SW: Is it possible that is your anxiety talking to you? That maybe, they are not Tearful. mad at you? C: Wouldn’t you be mad? SW: Do you think She is really sad, she your friends would? is really crying now. C: I think anyone would. SW: Would you? C: Maybe SW: Are you mad at yourself in these times? C: Kind of. SW: Why are you kind of mad at yourself? C: Because I want to go out, I want to have fun, but I just…can’t SW: That must be frustrating and sad. C: Yes SW: Would you like to try to practice some skills that might help? C: Yes. 19 Self-Reflection Supervisory Comments Exploration Excellent question. I feel so badly for her. Inference of Feelings. It is hard to sit with people’s pain sometimes, but important to lean to do so. Could you have asked her to pull for a feeling?