Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families Instructor Office Phone Email Office hours: Class times: Course Description This introductory gero-infused practice course focuses on the practice theories and skills that are needed in the helping process. Various interviewing techniques, assessment tools and intervention strategies are taught within the strengths based perspective. The course includes the following practice models: problem solving, solution focused, motivational interviewing, and crisis intervention. Issues of human rights related to social and economic justice are integrated throughout the course. Course Prerequisite(s) Currently enrolled in SWK 511: Field Practicum. Dee Fink Model/Team Based Learning Application in this Course This course is based upon the Dee Fink Integrative Learning model and uses team-based learning by integrating team activities, reflection and knowledge gained from the readings. CSWE Competency Outcomes Addressed in the course CSWE Competencies Associated Practice Behaviors Session Covered Identify as a professional social worker and conduct oneself accordingly. 2.1.1 (b) Practice personal reflection and self-correction to assure continual professional development. 3 8 – 12 14 Assignments Measuring Practice Behaviors Role Play #1 Case studies Role play #2 1 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families Apply knowledge of human behavior & social environment Engage Diversity and difference in practice 2.1.1 Attend to professional roles and boundaries 2.1.7 Utilize conceptual framework to guide the process of assessment. Apply knowledge to understand the person and environment. 2.1.4 Gain sufficient selfawareness to eliminate influence of personal biases and values in working with diverse populations, with an emphasis on older adults 3 Quiz 1 8 Ecomap and General Systems Theory Case Study #2 14 8 Ecomap and General Systems Paper Recognize and communicate their understanding of the importance of difference in shaping life experiences Engage in 2.1.6 Use research research-informed evidence to inform practice & practice- practice informed research 11 Observation and DSM 5 diagnosis 6 Comparative assessment paper Engage and Assess individuals 11 Observation and DSM 5 diagnosis Case Study #1 Case Study #2 2.1.10.2 a-d collect, organize and interpret client data; assess the individual’s system’s strengths and limitations; 3 13 2 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families Course Learning Objectives Reflected in Significant Learning Types Course Learning Objectives Significant Learning Type Understand the stages of the helping process: engage, assess, intervene, evaluate and terminate. Identify principles of practice theories Foundational knowledge Use interviewing skills and psychosocial assessment skills. Application Make judgment about what theoretical approach best fits the client’s needs. Identify the interaction between client’s problems and the use of practice models. Become aware of one’s own interactional patterns and their impact on clients Integration Value the importance of the helping relationship in empowering diverse clients and affecting change. Caring Frame useful questions in which social work theories are applied effectively in new practice situations. Learning How to Learn Human Dimension Set a learning agenda based on students’ assessment of their strengths, patterns and growth opportunities. Methods of Instruction The course will be taught in the form of guided discussion, team activities and short lectures. 3 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families Required Readings American Psychiatric Association (2013). Diagnostic and Statistical Manual of Mental Disorders – DSM 5 (5th ed.). Arlington, VA: American Psychiatric Association. Hohman, M. (2012). Motivational Interviewing in Social Work Practice. New York: The Guilford Pres. Rosengren, D. (2009). Building Motivational Interviewing Skills. New York: The Guilford Press. Turner, F. (Ed.). (2011) Social Work Treatment (5th ed.). New York: Oxford University Press. Course Policies A complete list of course policies can be found in the Student Handbook located online. Please click on the link listed below: http://dushare.dom.edu/gssw/students/ Grading Policy Grading will follow the Dominican University Graduate School of Social Work grading system (current MSW Student Handbook) with percentage marks associated with corresponding letter grades. Grade A AB+ B BC+ C CF Grade Point Value 4.0 (96-100%) 3.67 (92-95%) 3.5 (88-91%) 3.0 (84-87%) 2.67 (80-83%) 2.5 (76-79%) 2.0 (72-75%) 1.67 (68-71%) 0 (below 68%) Description Excellent Standard 4 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families Attendance Policy Students are expected to attend and participate in all class meetings. One absence is acceptable. Absences will affect the final grade as follows: One Absence: make up the work (Work assigned in class on that day will need to be made up within 2 weeks.) Two Absences: 5% will be deducted from the final grade (After the second absence you should make an appointment with the professor to discuss your progress in the course and any difficulties you may be having.) Three Absences: 10% will be deducted from the final grade (The student should consider withdrawing from the class.) Four Absences: The student will receive an F for the course. (If a student misses 4 or more classes per semester, it is recommended that the student withdraw from the course). Attendance Means: The student is present at the beginning of the class. Professional behavior is expected of all students in the classroom. When students leave class during the class it disrupts the learning process. We will have a 15-minute break midway through the class. Excessive Lateness: (more than 15 minutes late) Arriving late for class 1-2 times will be overlooked. Please be on time. Students who arrive late unintentionally disrupt the learning process. Excessive lateness will have an impact on the attendance and participation portion of the grade. Academic Dishonesty and Integrity All students of the GSSW are expected to observe high standards of academic honesty and integrity. Any student whose conduct violates such standards may be subject to disciplinary action as determined by due process. Plagiarism Students are expected to follow the guidelines of the American Psychological Association Publication (APA) Manual 6th Ed. All major assignments are to be 5 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families uploaded to SafeAssign or Turn-It-In via Canvas to check for Plagiarism. Plagiarism is presenting material from any source as one’s own without proper attribution, which is to include the use of quotation marks when another’s exact wording is used and proper citation when another’s ideas are used but exact wording is not used. Any material other than one’s own that is used in a paper must be properly cited in order to avoid the plagiarism of another’s work. Plagiarism is grounds for a grade of F on the assignment and will be referred to the Dean or Assistant Dean for further disciplinary action. A student suspected of cheating or plagiarism will receive an automatic F for that particular paper, assignment or exam. A written incident report will be sent to the Dean/Assistant Dean. A Student is given a waiver to one offense of Plagiarism. He or she must meet with their academic advisor and develop a plan for resolution. If the student offends a second time they will be referred to the Dean for further disciplinary action and possible dismissal. If the student is dismissed he or she will wait two years for re application to Dominican GSSW. Student must sign Plagiarism Pledge in order to graduate. ADA Compliance Students with disabilities may request special accommodation. Students with special disabilities must provide the professor with a copy of the verification of the disability from the Office of the Dean of Students, Trudy Goggin, by the second week of class in order to receive special accommodations. The Writing Center also provides services to students who need additional reading, writing or computer skills: 708-524-6682. For more information click on the following link: Disability Support Services http://dushare.dom.edu/gssw/students/ Course Requirements # Assignments Associated Practice Behaviors Possible Point % Due Date 1 Assessment Case Study (Case Study 1) 2.1.1 10 Session 3 2 Psychosocial Assessment (Case Study 2) 2.1.1 15 Session 11 and 12 3 2.1.3 Comparative Assessment Paper of Older Adults and a 2.1.10b-a 15 Session 6 6 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families Vulnerable Population 4 Quizzes (3) (TBL Activities) 2.1.2 15 Session 3 Session 7 Session 12 5 Environmental and Systems Theory Reflection Paper Video or In-class Role Play (and short summary) 2.1.1 2.1.4 10 Session 8 2.1.1 2.1.2 2.1.10c-d 15 As Assigned 7 Observation and DSM–5 Diagnosis 2.1.10a-c, b-a 10 Session 11 8 Peer Evaluations N/A 10 Session 7 Session 15 6 Total 100 Description of Assignments 1. Assessment Case Study (Case Study 1): Students will receive a case study and each team will present assessment questions for the “client”. The team will also present potential ethical, cultural and environmental factors to consider related to this case study. After each team completes their questions they will present them to the full class. 2. Psychosocial Assessment (Case Study 2): Students will spend two class sessions on this project. After viewing the movie, Gran Torino, each team will complete a psychosocial assessment and treatment plan using a format approved by the instructor. In addition students will demonstrate their ability to apply critical thinking concerning developmental and practice theory to the case selected. Step One: Complete the assessment and develop a treatment plan (to be presented on large sheets of paper (provided by instructor). 7 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families Step Two: Discussion of the person in the environment as it applies to the client. What strengths and challenges has the client experienced from their community? Have there been themes of oppression and marginalization, which has impacted the adaptive functioning of the client? In addition to the person in the environment discussion, submit a completed Ecomap and genogram with the client. The discussion of the person in the environment should contribute to the understanding of the Ecomap and genogram. Step Three: Select one or more theoretical orientation(s) from the selected texts, readings and class work which influences the assessment and interventions at all levels of practice of a particular client system. Theory discussion can be both developmental and practice theory. Step Four: Consider the NASW Code of Ethics and Standards for Practice and discuss how this client has challenged and/or contributed to the student’s professional development. Specific references to the Code of Ethics and Standards are required. 3. Comparative Assessment Paper of Older Adults and a Vulnerable Population This paper assists students in making connections between the unique needs of different populations and the assessment process. Students will describe important issues impacting older adults (e.g., losses, relocation, chronic illness) and the impact of those issues on the assessment process. Students will also choose another at-risk/vulnerable populations and discuss how the assessment process might be different considering the unique issues of that population. The paper will reflect: An understanding of the components included in an assessment (see Compton, Galaway & Cournoyer reading on Canvas) The unique issues that impact older adults The unique issues that impact the second chosen population A minimum of three sources will be included in this paper Paper will follow APA format (5 pages of content) 4. Quizzes Students will complete three (3) quizzes over the semester demonstrating an understanding of the concepts and theories utilized for practice with families. The quizzes will strongly incorporate information from the readings. Quizzes will be completed individually and that grade will be recorded, a team score will then be completed following the Team Based Learning model. 8 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families 5. Environmental and Systems Theory Reflection Paper Completing an MSW program impacts the ecosystem of students. For this assignment students will integrate information from chapter 15 in the Turner text and the reading on an Ecosystemic Approach to Assessment (on Canvas), upon their own personal ecosystem. Students will then apply the Ecomap assessment tool to evaluate their own social system at this time. This paper should integrate the concepts of general systems theory (e.g., family structure, boundaries, role changes) and environmental supports. Students may also decide to discuss the impact of attending the MSW program on the family life cycle (McGoldrick). This paper will be between 2–3 pages. 6. Video or In-Class Role-Play Each student is expected to participate in one 10-minute video or live role–play situation. In selecting the client system consider how individuals and families present across the lifespan and crises, which present themselves at key stages. It is also important to consider how persons who are marginalized by society engage in the helping relationship. Therefore when considering possible role–play demonstrations consider the following populations: LGBTQ, immigrants, refugees, diverse ability levels, and survivors of violent crime, with a view to the gero– infusion of the course (note: these are only suggestions but are intended to promote creative thought in selecting the video topics). Students will be placed in groups of three and each member will portray a client, the social worker and if needed film the video resulting in three separate roleplays. Each member of the group will choose one of the following phases of therapy: initial, middle or termination phase. This phase will be integrated into the individual role-plays. Phases of therapy will be determined early in the semester and each group will have members representing different phases of therapy. The student role-playing the client will decide on one of the affective disorders from the DSM-5 (review the symptoms/criteria before you begin your role play). A. The role-play is an interview of a social work practitioner with an individual. The role-play is conducted live or videotaped and submitted to the professor. Role-plays will demonstrate individuals across the life span. Students may also choose to complete the role-play in front of the class. B. Students are expected to present their video in class. The video is to demonstrate the individual or family interviewing skills. Students are to pay close attention to issues of values/ethics, diversity, populations at risk, human rights, strengths perspective and global context) demonstrating intentional interviewing skills, the systems approach and clinical diagnosis. 9 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families The role-play is to demonstrate working with an individual or family. C. The paper: a. Students will write a short summary of their role-play situation – who is the client and why are they seeking help? b. Provide context as to the type of agency and where the client is at in the treatment process, as the context of treatment varies depending on the stage of the helping process c. Provide a DSM-5 diagnosis for the client providing a rationale for the diagnoses d. Reflect and summarize the role play through critical evaluation of the role play process and what steps you need to take in the future to become a competent practitioner e. And develop a treatment plan that will be handed in with the video presentation f. Using the DSM-5 text consider what diagnostic criteria is most useful in understanding the client system g. Students are to analyze their peer’s role-play presentation. A “Peer Review” form will be provided. Completeness and analysis are part of the class participation grade. There are no opportunities to make up the peer review. h. Please label your video with your name, and client name i. It is the responsibility of the student to prepare a video of adequate quality for class members and the instructor to hear and evaluate the work being demonstrated 7. Observation and DSM–5 Diagnosis (5%) Students will observe a role-play of a counseling session between the instructor and a guest client. The students will take notes during the role-play observing the behaviors, communication and reported problem. The students will then write a DSM-5 diagnosis on all axes. Student will support their choice of diagnosis with the symptoms and features in the DSM-5. 8. Peer Evaluation At two times during the semester (midterm and final week) students will evaluate the other students in their team. This evaluation is being completed on a structured evaluation form and includes both quantitative and qualitative feedback. Students will be asked to offer both positive feedback as well as suggestions on how to grow in team activities. 10 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families Course Outline Sequence of Learning Activities Session Date In Class Topics and Activities 1 Topics: Overview of course goals Introduction to team based learning Creation of teams TBL Activities: Team project: Team “rules” Out of class work/readings: Sept 2 2 No class – Labor Day Topics: Introduction to the Profession of Social Work Common base for social work practice The Life Model NASW Code of Ethics, CSWE Social Work Values, IFSW Code of Ethics Theory and Social Work Treatment Social work and motivational interviewing TBL Activities: Teams review the Code of Ethics and motivational interviewing and discuss whether Motivational Interviewing is “manipulative” Out of Class work/readings: Hohman (2012) Chapter 1: Why Social Work and Motivational Interviewing? Turner (2011) Chapter 1: Theory and Social Work Treatment Gitterman, A. in Turner, (2012) 11 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families Chapter 18: Advances in the Life Model of Social Work Practice NASW Code of Ethics available at: http://www.socialworkers.org/pubs/code/code.asp 3 Topics: Basic Interviewing Skills The Helping Process: Three Phases Client-centered Theory Person-Centered Approach Therapist roles Social Work in different settings (individuals, families, groups, communities, administration) TBL Activities: Quiz 1 Case study one MI Worksheet Out of Class work/readings: Required Readings: Rowe in Turner (2011) Chapter 5: Client Centered Theory Hohman (2012) Chapter 2: The Heart of Motivational Interviewing Hepworth, D., Rooney, R., Rooney, G. & Strom-Gottfried. (2010) Social Work Practice (9th ed.). Chapter 3: Overview of the Helping Process. pp 35 – 55 (on Canvas) 4 Topics: Engagement Basic Communications Skills and Helping Problem Solving Theory and Steps Helping relationship Engagement process Reflection – Use of OARS 12 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families TBL Activities: Discussion of future Role play Observation of reflective listening (simple, complex) Each team member will present a short description of an interaction they had with a challenging person in their life. Two team members will “interview” and respond to the story. The other team members will observe the type of reflective listening. Team members will switch roles. Out of class work/readings: Required Readings: Hohman (2012) Chapter 3: Motivational Interviewing and the Engagement and Assessment Process Shier, M. Chapter 24: Problem Solving and Social Work (in Turner). pp 364 – 373. Langer, N. (2004.). Resiliency and spirituality: foundations of strengths perspective counseling with the elderly. Educational Gerontology, 30, 611–617. 5 Topics: Assessment of the individual Types of Assessment Assessment instruments Strengths Assessment Empowerment Empathy TBL Activities: Students will practice empathic responses in their teams Out of class work/readings: Required Readings Hohman (2012) Chapter 4: Supporting Self-efficacy, or What if they don’t think they can do it? Chapter 5: Expressing Empathy 13 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families Hepworth, D., Rooney, R., Rooney, G. & Strom-Gottfried. (2010) Social Work Practice (9th ed.). Chapter 9: Assessment Intrapersonal, Interpersonal, and Environmental Factors pp. 215 - 249 (available on Canvas) Hawkins, R. & Kim, E. (2012). The Socio-Economic Empowerment Assessment: Addressing Poverty and Economic Distress in Clients. Clinical Social Work, 40: 194 – 202. 6 Topics: Attachment Theory Systems Theory Elements of the Social Worker/Client Relationship TBL Activities: Teams will create a theory grid to capture the differences between client centered theory, attachment theory and systems theory (additional theories will be added throughout the semester) Out of class work/readings: Page and Goldstein in Turner (2011) Chapter 3: Attachment Theory and Social Work Treatment Chapter 15: General Systems Theory: The contributions to Social Work Theory and Practice Dupuis, S. (2010). Examining the Blended Family: The Application of Systems Theory toward an Understanding of the Blended Family System. Journal of Couple & Relationship Therapy, 9: 239 – 251. McCarthy, G. & Davis, S. (2003). Some implications of Attachment Theory for Understanding Psychological Functioning in old age: An illustration from the Long-Term psychological effects of World War Two. Clinical Psychology and Psychotherapy, 10, 144-155. 7 ASSIGNMENT DUE: Comparison Assessment Paper Topics: 14 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families Assessment of the Environment Person-in-Environment Discrepancy TBL Activities: Peer Evaluation – mid term Students will role play identifying change talk (worksheet) and Techniques for Responding to Resistance (worksheet) Quiz 2 Out of class work/Readings: Hohman (2012) Chapter 6: Developing Discrepancy: Using Motivational Interviewing in a group setting to increase ambivalence Gilgun, J. An Ecosystemic Approach to Assessment found in Compton, Galaway & Cournoyer (2005) Social Work Processes (pgs. 349 – 360). (on Canvas) 8 Topics: Cross Culture and Social Work Assessment and culture Multiple Contextual Perspectives Role plays TBL Activities: Role Plays Out of class work/Readings: Aisenberg, E. (2008). Evidence-based practice in mental health care to ethnic minority communities: Has its practice fallen short of its evidence? Social Work, 53(4), 297-306. Retrieved from EBSCOhost. Miu Ha, K. (2009). Applying cultural competency in clinical practice: Findings from Multicultural experts' experience. Journal of Ethnic & Cultural Diversity in Social Work, 18(1/2), 146-165. doi:10.1080/15313200902875000 15 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families Hodge, D. & Limb, D. (2011). Spiritual Assessment and Native Americans: Establishing the Social Validity of a complementary set of assessment tools. Social Work,56 (3), 213- 223 Hinrichsen, G. (2006). Why multicultural issues matter for practitioners working with older adults. Professional Psychology: Research and Practice, 37(1), 29-35. Retrieved August 23, 2008, doi:10.1037/0735-7028.37.1.29. 9 ASSIGNMENT DUE: Ecomap and systems reflection paper. Topics: Student role plays Using the DSM 5 Examples of Theoretical Approaches in an Interview TBL Activities: Role Plays Practice DSM Case Study Out of class work/readings: Zalaquett, Fuerth, Steing Ivey & Ivey (2008). Reframing the DSMIV-TR From a Multicultural/Social Justice Perspective. Journal of Counseling & Development, 86, 364 – 371. APA DSM 5 Page http://www.dsm5.org/Pages/Default.aspx 10 Topics: Student role plays Resistance and the client Managing resistance Techniques for resistance Strengths Perspective In-Class role play (guest) 16 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families TBL Activities: Out of class work/readings: Hohman (2012) Chapter 7: Rolling with Resistance: Motivational Interviewing with Adolescents, or “You can’t make me” 11 Saleeby in Turner, (2011) Chapter 33: Some Basic Ideas about Strengths Perspective Topics: Student role plays Treatment Plans TBL Activities: Case study #2: Assessment project begins Out of class work/readings: Thomlison & Thomlison in Turner (2011) Chapter 6: Cognitive Behavior Theory and Social Work Treatment 12 ASSIGNMENT DUE: DSM-5 assessment paper (guest role play) due Topics: Student role plays Solution Focused Theory TBL Activities: Quiz 3 Case Study #2: Assessment project (Case study #2) continued Out of class work/readings: Lee in Turner (2011) Chapter 32: Solution –focused theory Bannink, F. (2006). Chapter 3: The First Session in 1001 solution focused questions, pp 49 – 75. New York: W.W. Norton & Company. 13 Topics: Student role plays 17 Dominican University Graduate School of Social Work SWK 510: Social Work Practice with Individuals and Families Treatment Plans Termination Your Own Reaction to Endings TBL Activities: Teams share Case Study #2 Out of class work/readings: Franklin, C. & Jordan, C. (2005) Reading 16: The Clinical Utility of Models and Methods of Assessment in Managed Care. In Compton, B., Galway, B. & Cournoyer, B. Social Work Processes. (7th ed). pp.422 – 432 Seibold, C. (2007). Every time we say Goodbye: Forced Termination Revisited, a commentary. Clinical Social Work, 35:91-95. 14 Topics: MI and Social Work Practice - summary TBL Activities: Out of class work/readings: Hohman (2012) Chap. 9: Integrating Motivational Interviewing into Social Work Practice Chap 10: Final Thoughts 15 Topics: Review of Class Goals TBL Activities: Peer Evaluation 18