Critical Thinking and Child Welfare Training Dr. Carolyn Hilarski SUNY College of Buffalo School of Social Work © 2007 CDHS/Research Foundation of SUNY/BSC 1 Critical Thinking and Child Welfare Training Child welfare service providers need to be empowered with effective thinking skills to increase the likelihood of child safety, permanence, and well being (Brandon et al., 2005). But, how is this done? What professional training programs have included critical thinking and what were their outcomes? Objectives: 1. 2. 3. Develop a literature review on critical thinking and job training outcome studies Summarize the literature review Develop a power point presentation of suggestions for critical thinking methods that might be infused in child welfare training modules © 2007 CDHS/Research Foundation of SUNY/BSC 2 Critical Thinking is Imperative The department of defense asserts that critical thinking skills are essential in this time of global complexity and ambiguity (Gerras, 2006). A review of the literature suggests that critical thinking is crucial “not only in the clinical practice setting but also as a daily experience in nursing education…” (Simpson & Courtney, 2002, p. 96). © 2007 CDHS/Research Foundation of SUNY/BSC 3 Can Better Thinking be Learned? Lehmann and Nisbett (1995) examined the spontaneous transfer of selected thinking skills both in and out of the classroom. Results were supportive that critical thinking can be learned and used in novel domains as students reported using the thinking skills taught in class several months after the semester ended across milieus. © 2007 CDHS/Research Foundation of SUNY/BSC 4 What Models are Useful in Teaching/learning Critical Thinking (CT)? Active Learning Promotes Critical Thinking (Burbach, et al, 2004) The professional is actively involved in acquiring and applying new knowledge through active learning approaches Active learning may include but is not limited to the following teaching methods * Concept mapping Problem-based or case based instruction, and Logic modeling. © 2007 CDHS/Research Foundation of SUNY/BSC 5 Concept Mapping Concept mapping can promote critical thinking through the visual representation of relationships among ideas or suppositions (Hsu, 2004; Plotnick, 2001) procedures, or principles (Akinsanya & Williams, 2004). New meanings are constructed regarding events or objects based on the professional’s prior beliefs or experiences (All, et al, 2003). The theoretical framework for concept mapping comes from the Constructivist learning theory, Cognitive continuum theory, and Experiential learning theory (Sewchuk, 2005) Concept mapping is suggested as an easy teaching strategy when complex material or circumstances are at issue (Fonteyn, 2007) © 2007 CDHS/Research Foundation of SUNY/BSC 6 Concept Maps Four basic concept maps are described in the literature (All et al., 2003; Ferrario, 2004; Glendon & Ulrich, 2004) Basic Maps Hierarchical Spider Flowchart Systems concepts © 2007 CDHS/Research Foundation of SUNY/BSC 7 Fatigue Unhappiness Strain Loss Decreased interest in activities Weight loss or gain Trauma Tension Suicidal ideation Attributes Antecedents Hopelessness Insomnia or hypersomnia Stress Beck’s Inventory Psychology Epidemiologic Studies Depression Scale Depression Empirical Referents Integrated health care Disciplines consequences suicide death Sociology Zung Depression Scale Hamilton Rating Scale of Depression Self-neglect All & Huycke (2007) Example of a spider concept map that shows system relationships © 2007 CDHS/Research Foundation of SUNY/BSC 8 Reaction to an event Beck’s Depression Inventory Chemical imbalance Hamilton’s Depression Scale Trauma Substance Abuse Lack of coping Instruments Death Antecedents Negative Stress Depression Consequences Self Neglect Suicide Psychology Hopelessness Integrated health care Disciplines Attributes Work difficulty Self Image change Contrary Case: Self-Harm Anxiety Sociology Social Withdrawal Sense of Failure Less community involvement Invented Case: Borderline case: All & Huycke (2007) © 2007 CDHS/Research Foundation of SUNY/BSC 9 Research and Concept Mapping A quasi-experimental study evaluated the effectiveness of concept mapping in a convenience sample of 76 nursing students. The experimental group (n=44) was taught to use concept mapping as a tool for clinical assessment while the control group (n=32) used traditional methods. Results suggested that concept mapping was effective in helping to develop critical thinking skills in the clinical experience (Wheeler, & Collins, 2003) © 2007 CDHS/Research Foundation of SUNY/BSC 10 Example of flowchart concept map © 2007 CDHS/Research Foundation of SUNY/BSC 11 Developed by W. Huitt, 1999 Concept Mapping a CT model Military Based on interviews with active duty naval officers (N=31), a framework was developed for decision making called Recognition/Meta-cognition R/M) model (Cohen, et al, 1996). The next slide uses mapping to explain the model’s ideas and processes © 2007 CDHS/Research Foundation of SUNY/BSC 12 Real World Situation Model Plan Verify If YES, inhibit Quick Test Is cost of delay acceptable Is the cost of an error high? Is the situation unfamiliar or problematic Revise If YES Look for Incompleteness: Missing arguments If none… Look for Conflict: Arguments w/contradictory conclusions Critiquing Correcting If none… 1. Collect more data 2. Shift focus/retrieve knowledge 3. Add/drop assumptions Cohen & Freeman, 1997 Example of a hierarchy concept map Look for Unreliability: Arguments that depend on unconsidered assumptions The map highlights the distinction between recognition and metacognitive processes (shaded boxes). The meta-cognitive levels exert control over the recognition levels. The R/M model is dynamic and interactive and explains how experienced decision makers are able to exploit their experience in a specific domain and at the same time handle uncertainty and novelty. © 2007 CDHS/Research Foundation of SUNY/BSC 13 Real World Situation Model Plan Verify If YES, inhibit Quick Test Is cost of delay acceptable Is the cost of an error high? Is the situation unfamiliar or problematic Revise If YES Look for Incompleteness: Missing arguments If none… Look for Conflict: Arguments w/contradictory conclusions Critiquing Correcting 1. Collect more data 2. Shift focus/retrieve knowledge 3. Add/drop assumptions Look for Unreliability: Arguments that depend on unconsidered assumptions If none… Critical Thinking Training based on the R/M model has been developed and positively evaluated with active duty officers at two Navy training facilities. The officers increased their notations of conflicting evidence (58%); their understanding of underlying assumptions regarding their initial hypothesis (27%), and the number of alternative assessments they generated ((41%) while making decisions under stressful circumstances. CT improved the accuracy of assessments by 79% (Cohen & Freeman, 1997; Cohen, et al., 1996, 1998). Cohen & Freeman, 1997 © 2007 CDHS/Research Foundation of SUNY/BSC 14 Real World Situation Model Plan Verify If YES, inhibit Quick Test Is cost of delay acceptable Is the cost of an error high? Is the situation unfamiliar or problematic Revise If YES Look for Incompleteness: Missing arguments If none… Critiquing Correcting Look for Conflict: Arguments w/contradictory conclusions The critiquing process identifies problems in the arguments that support a conclusion (e.g., evil intent) within the situational model or plan. If none… 1. Collect more data 2. Shift focus/retrieve knowledge 3. Add/drop assumptions Look for Unreliability: Arguments that depend on unconsidered assumptions © 2007 CDHS/Research Foundation of SUNY/BSC Cohen & Freeman, 1997 15 Real World Situation Model Plan Verify If YES, inhibit Quick Test Is cost of delay acceptable Is the cost of an error high? Is the situation unfamiliar or problematic Revise If YES Look for Incompleteness: Missing arguments If none… Critiquing Correcting Look for Conflict: Arguments w/contradictory conclusions If none… Critiquing can result in the discovery of three kinds of issues: -Incompleteness, -Unreliability -Conflict 1. Collect more data 2. Shift focus/retrieve knowledge 3. Add/drop assumptions Look for Unreliability: Arguments that depend on unconsidered assumptions © 2007 CDHS/Research Foundation of SUNY/BSC Cohen & Freeman, 1997 16 Real World Situation Model Plan Verify If YES, inhibit Quick Test Is cost of delay acceptable Is the cost of an error high? Is the situation unfamiliar or problematic Revise If YES Look for Incompleteness: Missing arguments If none… Look for Conflict: Arguments w/contradictory conclusions Critiquing Correcting 1. Collect more data 2. Shift focus/retrieve knowledge 3. Add/drop assumptions If none… Look for Unreliability: Arguments that depend on unconsidered assumptions © 2007 CDHS/Research Foundation of SUNY/BSC Cohen & Freeman, 1997 Correcting can instigate external action. These processes in combination help to 1. Fill gaps in the model or plan 2. Resolve conflict among arguments 3. Search for more reliable arguments 17 Real World Situation Model Plan Verify If YES, inhibit Quick Test Is cost of delay acceptable Is the cost of an error high? Is the situation unfamiliar or problematic Revise If YES Look for Incompleteness: Missing arguments If none… Look for Conflict: Arguments w/contradictory conclusions Critiquing Correcting 1. Collect more data 2. Shift focus/retrieve knowledge 3. Add/drop assumptions If none… The quick test controls critiquing and correcting. This process considers the facts and if conditions are appropriate inhibits recognition based responding and interposes a process of critical thinking. The quick test allows immediate action based on the current best response. Look for Unreliability: Arguments that depend on unconsidered assumptions © 2007 CDHS/Research Foundation of SUNY/BSC Cohen & Freeman, 1997 18 Another example of Concept Mapping a model Gerras (2006) suggests the following CT model: based on Halpern’s (2003) definition that critical thinking is a purposeful, reflective, and careful evaluation of information as a way to improve one’s judgment and derived from Paul and Elder’s (2002) suggestions But, how do we develop helpful judgment skills? Logic and reasoning skills Self reflection and education © 2007 CDHS/Research Foundation of SUNY/BSC 19 Stimulus requiring judgment Make Decision/Clarify position/Use judgment Requires Critical Thinking ASSUMPTIONS POINT OF VIEW INFERENCES Egocentric Tendencies Often the first step CLARIFY CONCERN EVALUATION OF INFORMATION Argument Analysis IMPLICATIONS Impact of Bases and Traps Gerras, 2006 © 2007 CDHS/Research Foundation of SUNY/BSC 20 Stimulus requiring judgment Make Decision/Clarify position/Use judgment Requires Critical Thinking ASSUMPTIONS An assumption is something which is taken for granted and believed to be true. The more in touch we are with our assumptions, the better we are at critical thinking (CT). Our assumptions influence all aspects of the process of CT. POINT OF VIEW INFERENCES Egocentric Tendencies CLARIFY CONCERN EVALUATION OF INFORMATION Argument Analysis © 2007 CDHS/Research Foundation of SUNY/BSC IMPLICATIONS Impact of Bases and Traps Gerras, 2006 21 Stimulus requiring judgment Make Decision/Clarify position/Use judgment Requires Critical Thinking ASSUMPTIONS Egocentric tendencies are a significant barrier to effective CT (Gerras, 2006). POINT OF VIEW INFERENCES Egocentric Tendencies CLARIFY CONCERN EVALUATION OF INFORMATION Argument Analysis © 2007 CDHS/Research Foundation of SUNY/BSC IMPLICATIONS Impact of Bases and Traps Gerras, 2006 22 Stimulus requiring judgment People typically assess the likelihood of an event by 1. the ease with which examples of that event can be brought to mind, 2. prior experiences with the event, 3. overconfidence (look for supporting evidence of hypothesis), or 4. believing that people behave according to their personality type rather than from some type of external stimulus Make Decision/Clarify position/Use judgment Requires Critical Thinking ASSUMPTIONS POINT OF VIEW INFERENCES Egocentric Tendencies CLARIFY CONCERN EVALUATION OF INFORMATION Argument Analysis IMPLICATIONS Impact of Bases and Traps Gerras, 2006 © 2007 CDHS/Research Foundation of SUNY/BSC 23 Problem Based Learning (PBL) In PBL, issues encountered in clinical settings (scenario) are presented or discussed first before the professional is exposed to new information (Winter, et al., 2002). The scenarios becomes part of the explanation for new knowledge that is encountered through group interaction (Dane, 2000). PBL improves clinical reasoning skills, increases retention of learned material, and enhances self-directed study (Williams, 2002, 2004). Can be time consuming © 2007 CDHS/Research Foundation of SUNY/BSC 24 Case-Based Instruction (CBI) In CBI, professional learners are exposed to new concepts or theories then introduced to cases as a way to develop critical thinking. Case studies provide a participatory process that facilitates active and reflective learning (Gilboy & Kane, 2004). © 2007 CDHS/Research Foundation of SUNY/BSC 25 CBI and CT Physical therapy students explained that case based instruction encouraged critical thinking behavior regarding how they approached and perceived a treatment plan (Hayward, 1999) © 2007 CDHS/Research Foundation of SUNY/BSC 26 Logic Model and Critical Thinking Logic has been identified as a cognitive dimension of critical thinking and is a systematic appraisal used to analyze cause and effect relationships that then allows assumptions about inferences that are supported by the evidence (Scheffer & Rubenfield, 2000) Logic models are tools that are useful to conceptualize actions (MacDonald & Hilton, 2001) © 2007 CDHS/Research Foundation of SUNY/BSC 27 Logic Models Using a logic model (e.g., the R/M model-slide 12) helps the professional to dialogue about a concern, think about context in relation to the concern, consider any time issues or ‘why now’, and reflect on personal assumptions, flaws, and plan; evaluate outcome the core elements of the critical thinking process (Forneris, 2004). © 2007 CDHS/Research Foundation of SUNY/BSC 28 (Alter & Egan, 1997) © 2007 CDHS/Research Foundation of SUNY/BSC 29 More information about LM Logic modeling… Is a technique that can help professionals think critically about social work practice. It enables professionals to organize what are often vague and diffuse ideas about why we intervene, with whom, and to what end. Rather than simply accumulate facts, professionals organize their ideas about practice into concise statements that, taken together, are hypotheses which can be tested and replicated (Alter & Egan, 1997) © 2007 CDHS/Research Foundation of SUNY/BSC 30 Flow chart concept map example Health Nutrition Education System Food Shopping Environmental & Practices & Policy Resource Change Management Food Safety Dietary Quality and Physical Activity Food Safety Outputs Inputs Activities (Medeiros, et al., 2005) Participants Independence Outcomes Short © 2007 CDHS/Research Foundation of SUNY/BSC Medium Long 31 INPUTS OUTPUTS Activities S I T U A T I O N Food Stamp individuals & households those eligible for Food Stamps Short Term Medium Term Long Term Individuals… Individuals & household level Educational programs on core elements using direct & indirect methods OUTPUTS-Impact Participation Gain awareness knowledge & skills Incorporate skills change behaviors Decrease risk factors for health problems Dietary Quality Indicator Examples Plan menus/choose Improve intake of Decrease chronic foods using Pyramid food group servings disease risk factors Food Security Indicator Examples Identify emergency food sources P R I O R I T I E S Enroll in non emergency Reduce anxiety related food programs to food security Food Safety Indicator Examples -Financial resources Able to practice personal hygiene -Planning processes Increase practice of Decrease illness due to food contamination personal hygiene Shopping Behavior/Food Resource Management Indicator Examples List available food Use three careful resources shopping practices -Materials Reduce reliance on others for food Communities & Institutions Level -People Community partnerships related to core elements Agency Partners Agency partners… Gain awareness Develop plans Indicators show: involvement of community groups in actions to address core elements Indicators show: Community group actions to adopt plans addressing core elements Social Structures, policies, practices Efforts to Policy create/revise social systems Makers & public policies related to core elements ASSUMPTIONS Solve community problems Indicators show: evidence of improved conditions related to core elements The goal of community nutrition is to provide educational programs that increase the likelihood of people making healthy food choices consistent with the most reflected in the Dietary Guidelines for Americans and the Food Guide Pyramid, w/special attention to people w/limited budgets Policy makers… Identify & define issues Work toward needed changes Revise laws, policies and practices Indicators show: Identification of issues related to core elements Indicators show: Actions to address charges needed in core elements Indicators show: Evidence of policy changes related to core elements © 2007 CDHS/Research Foundation of SUNY/BSC (Medeiros, et al., 2005) EXTERNAL FACTORS 32 Literature Review Regarding Logic Models and Critical Thinking Critical thinking is developed through consistent application of logical systems thinking via conceptual mapping and reflection (Ellermann, et al., 2006) Logic models enable the application of CT to assessment, intervention planning, and evaluation at the individual, organizational, and community level Logic models make explicit the reciprocal connections among practice, program, and policy in addition to the connections between theories of human behavior and social interventions The professional must be able to explain the underling logic of the action and outcome (causal relationships that support the intervention) (Alter, et al, 1997) © 2007 CDHS/Research Foundation of SUNY/BSC 33 Conclusion Critical thinking is an essential skill for professional practice logic models, concept mapping, problem based, and case based practice are empirically based methods intended to aid in the development of critical thinking that benefits both the consumer and the service provider. Although these methods have been evaluated primarily in military and nursing milieus, it is reasonable to assume a successful outcome in other contexts such as child welfare training. © 2007 CDHS/Research Foundation of SUNY/BSC 34 CT Training Suggestions The literature suggests that Child Welfare workers involved in CT training would benefit from teaching methods that include include concept maps, logic models, problem based and case based practice issues. These teaching techniques are found to increase the frequency of critical thinking strategies, improve the accuracy of assessment, and ultimately appropriate interventions in real world venues (Cohen & Freeman, 1997). © 2007 CDHS/Research Foundation of SUNY/BSC 35 CT Training Suggestions As critical thinking skills develop in the trained supervisor, for example, the ability to invite and empathize with other points of view will emerge empowering co-workers to contribute to the solution of issues and engage in CT themselves increasing job satisfaction (Gerras, 2006). © 2007 CDHS/Research Foundation of SUNY/BSC 36 CT Training Suggestions Dynamic, multidimensional, and creative critical thinking is an essential part of effective practice. The use of various types of logic models encourage hypothesizing, gathering data, and focusing on the client’s entire context (Ellermann, et al., 2006). © 2007 CDHS/Research Foundation of SUNY/BSC 37 Finally Child welfare workers make critical decisions regarding the care of their clients. Enhancement of these decision making abilities is significant. © 2007 CDHS/Research Foundation of SUNY/BSC 38