STANDARDS FOR SOCIAL WORK PRACTICE WITH FAMILY CAREGIVERS OF OLDER ADULTS (NASW 2010) Presentation by: Sandra Edmonds Crewe, PHD, ACSW Howard University School of Social Work Washington, DC FAMILY CAREGIVERS ALLIANCE WEBINAR FRIDAY, JULY 29, 2011 3:00 - 4:30 PM EST PRESENTATION OVERVIEW Background II. Standards III. Case study presentation IV. Review of each standard V. Case study discussion of each standard VI. Implications for practice VII. Acknowledgements I. http://www.socialworkers.org/practice/standards/ NASWFamilyCaregiverStandards.pdf WHY HAVE FAMILY CAREGIVER STANDARDS? FAMILY CASE STUDY REVIEW OF 12 STANDARDS 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. Ethics and Values Qualifications Knowledge Cultural and Linguistic Competence Assessment Service, Planning, Delivery & Monitoring Advocacy Collaboration Practice Evaluation and Improvement Documentation Workload Professional Development and Competence Social workers practicing with family caregivers of older adults shall adhere to the ethics and values of the social work profession using the NASW Code of Ethics to guide ethical decision making. Services Social justice Human dignity and worth Importance of human relationships Integrity Competence STANDARD 1: ETHICS AND VALUES Social workers who practice with family caregivers of older adults shall possess a degree in social work from a school or program accredited by the Council of Social Work Education; shall comply with statebased licensing and certification requirements; and shall have knowledge, skills, and professional experience in aging and family caregiving. Emphasizes importance of social workers practicing in areas other than aging and family caregiving gaining requisite knowledge of systems of care and support STANDARD 2: QUALIFICATIONS Social workers shall acquire and maintain a working knowledge of current theory, practice, sociohistorical context, policy, evidence-based research, and evaluation methods related to aging and family caregiving; and shall integrate such information into practice. Aging Physical health Mental and behavioral health Family caregiving experiences Resources Professional social work role STANDARD 3: KNOWLEDGE Emphasizes that cultural differences manifest in multiple ways and that culture varies not only among but within families. AND LINGUISTIC COMPETENCE Social workers shall provide and facilitate access to culturally and linguistically appropriate services to family caregivers of older adults, consistent with the NASW Indicators for the Achievement of the NASW Standards for Cultural Competence in Social Work Practice (2007). STD 4: CULTURAL Social workers shall assess family caregivers of older adults on an ongoing basis, gathering comprehensive information to develop and amend plans for care or services. Client-centered Strengths-based Family characteristics-dynamics Risk assessment Goals and effects of family caregiving STANDARD 5: ASSESSMENT Social workers shall collaborate with family caregivers of older adults to plan, deliver and monitor individualized services that promote caregivers’ strengths and well-being. Care plans shall be based on assessments and have measurable objectives. Biopsychosocial needs Collaborative engagement Short and long-term care plans STD 6: SERV. PLANNING, DELIVERY & MONITORING Social workers shall advocate for the needs, decisions, and rights of family caregivers of older adults. The social worker shall engage in social and political action that seeks to ensure that family caregivers of older adults have equitable access to resources to meet their biopsychosocial needs. Self-advocacy Enhance capacity of communities Creativity and flexibility Micro and macro levels Inclusion of caregiver STANDARD 7: ADVOCACY Social workers shall promote interdisciplinary and interorganizational collaboration to support, enhance, and create services delivered to family caregivers of older adults. Continuity of care Creating organizational cultures that promotes collaboration Integrate strengths perspective STANDARD 8: COLLABORATION Social workers serving family caregivers of older adults shall participate in ongoing, formal evaluation of their practice to maximize family caregivers’ wellbeing, assess quality and appropriateness of services, improve practice, and ensure competence. IMPROVEMENT Internal and external feedback Caregiver involvement Privacy STD 9: PRACTICE EVALUATION & Social workers shall document all practice with family caregivers of older adults in the appropriate client record. Social work documentation may be recorded in writing or electronically and shall be completed, maintained, and disclosed in accordance with regulatory, legislative, statutory, and employer requirements. New service delivery models Use of caregivers’ “own words” STANDARD 10: DOCUMENTATION Social workers shall advocate for a workload that allows for efficient, high-quality service delivery to family caregivers of older adults. The size of the social work staff shall represent both the scope and complexity of the organization and the nature and numbers of the populations served. Joint responsibility for workload Comprehensive description of workload STANDARD 11: WORKLOAD Social workers practicing with, or on behalf of, family caregivers of older adults shall assume personal responsibility for their professional development and competence in accordance with the NASW Code of Ethics (2008), the NASW Standards for Continuing Professional Education (2002) and the state licensure or certification requirements. Development in social work theory, practice and research Professional and personal self care STD 12: PROFESSIONAL DEV . & COMPETENCE The NASW Standards for Social Work Practice with Family Caregivers of Older Adults ends with links to various resources that will support the social work professional in his or her role. Professional development related to the needs of family caregivers of older adults should cross all practice settings RESOURCES EXPERT PANEL MEMBERS Amy Berman Patricia Brownell Rita Choula Catherine A. Clancy Sandra Edmonds Crewe JoAnn Damron-Rodriquez Lorraine Hedtke Forest Hong Jamie Huysman Phyllis Mensh Brostoff Nora O’Brien-Suric Susan Reinhard Miriam Sterk Cynthia Stuen IMPLICATIONS Recognizes the importance of family caregivers and social work practice related to this population Emphasizes cultural and linguistic competence Emphasizes importance of evaluation that can result in new approaches and models of effectiveness Gives primacy to the voice of the family caregiver Potential to attract a new generation of social workers with this area of specialization THANK YOU Family Caregiver and Son appreciation to Chris Herman (NASW) Dr.Tracy Whitaker (NASW) AARP FOUNDATION U.S. ADMINISTRATION ON AGING FAMILY CAREGIVER ALLIANCE NASW AGING SPECIALTY SECTION JOHN A. HARTFORD FOUNDATION APPRECIATION TO NASW AND PARTNERS Special Thank You secrewe@howard.edu CONTACT INFORMATION Sandra Edmonds Crewe Professor Howard University School of Social Work Multidisciplinary Gerontology Center 601 Howard Place NW Washington, DC 20059