SWK 530: Methods of Social Work Practice with

Individuals & Families Presenter: Jennifer D. Street, LCSW

Class Meeting Week Eight

Welcome

Agenda

Agenda Announcements Learning Goals Resource of the Week Is it ethical?? Practice Behaviors Review Questions Chapter 8 Learning Activities Questions Wrap-Up

Announcements

Mid-Term Discussion Biopsychosocialspiritual assessment is based on the video of the case of Jane Clarify Grading

DQ 1=10 DQ3=10 Week 4 Engagement/Paraphrasing=20 Week 6 Rx Planning=10 DQ 14=10 Biopsychosocialspiritual Assessment=100 Case Presentation=100 Video Tape Skills Demo=100 Video Tape Analysis Paper=100 Mid-Term=100 Final=100 TOTAL 660

Mid-Term reminder of policies: 3.0 Cumulative GPA Attendance Requirements

Module 8 Assignment: Bio-psycho-social-spiritual assessmentThe Biopsychosocialspiritual assessment paper is due next week by Sunday at 11:59. You can start working on the paper this week. Click on links below to view the video and the assignment instructions.

Students will observe a video in class from which you will develop a bio-psycho-social-spiritual assessment and intervention plan. An outline to follow for this assignment is attached to this assignment. The paper length is approximately seven (7) pages. 2. Students will select a theoretical approach from class (behavioral, client-centered, cognitive, ego psychology, systems, etc) as a foundation for the assessment. 3. Write a one-page discussion of the rationale for selecting this approach, i.e. how did you select this method for working with this client? What research exists that supports your choice? Include at least 2 references to support your choice. The one page discussion of the theoretical approach will be the first page of the Bio-psycho-social-spiritual Assessment. 4. The following five pages of the paper will be the Bio-psycho-social-spiritual Assessment that includes two measurable goals and objectives. This would be the type of report that might be used for a custody evaluation or in-patient assessment. Use the format attached to this assignment for your assessment. 5. The final part of this assignment will be a condensed Bio-psycho-social diagnostic summary, similar to one that might be found in a medical hospital chart. This would highlight what is viewed as the most important aspects of the five page in-depth assessment - utilize the format attached to this assignment for your diagnostic summary.

SWK530_Biopsychosocial_diagnostic_summary_format.docSWK530_Biopsychosocialspiritual_Assessment_Rubric.pdfSWK530_Biopsychosocialspiritual_Assessment_Guideline.docThe Case of Janehttp://www.edb.utexas.edu/faculty/rochlen/TheoriesApp/person/person_jane.html

Biopsychosocialspiritual

Assessment

Learning Goals

By the end of class today, students will be able to: Identify and exemplify practice behaviors 33, 34, 35

& 38 Utilize the “Six Anger Styles” with a client Demonstrate competence in ethical decision making Teach stress management coping skills to a client Complete assessment questions related to chapter 8 Understand and demonstrate mastery of client

coping skills

Practice Behaviors

33. Assess client strengths and limitations34. Develop mutually agreed-on intervention goals and objectives

35. Select appropriate intervention strategies38. Help clients resolve problems

Resource of the Week

Six Anger Styles

Is It Ethical????

Is it ethical???

Scenario 4: “Cynthia is an outpatient therapist at a hospital and has a client she sees for obsessive compulsive disorder. The client is a successful business man with several companies, and he offers her an unbelievable chance to invest in a company he just started that has the potential to make millions. Cynthia refuses to talk about it during the session, but she arranges to meet him for coffee after work. She decides to invest in this new company.”Taken from Horn, Thomas © 2011 “Is it ethical?: 101 Scenarios in everyday social work practice, a discussion workbook”

Is it ethical???, cont’d

Is Cynthia engaging in ethical behavior? If so, explain your reasoning. If not, explain.

How might this arrangement effect their therapeutic relationship?

How should Cynthia handle this ethical dilemma?

Taken from Horn, Thomas © 2011 “Is it ethical?: 101 Scenarios in everyday social work practice, a discussion workbook”

Chapter Eight Highlights

Role Play a client/counselor session in which you are assessing for the impact of stress on your client and then teaching a stress

management skill of the client’s choosing:Positive Imagery

Breathing ExercisesMuscle Relaxation

You have 10 minutes to be the client and 10 minutes to be the therapist

Review Questions

Question 1

1) According to Burns (1990), a person diagnosed with an alcohol or drug dependent disorder may state, "I'll only have one beer. That won't hurt me. In fact, I’ll feel better" This is an example of which cognitive distortion?

A) DenialB) Fortune tellingC) Emotional reasoning D) None of the above.

Question 2

2.) Lang and Jakubowski discuss five different types of assertion. Which of the following is NOT one of the types? A) Basic assertionB) Confrontative assertion C) Aggressive assertionD) Empathic assertion.

The ToolBox

Teaching Client’s Coping Skills

Let’s practice…

In what type of client or client situation would you use the following strategies? Cognitive therapy(cognitive distortions,

negative self-talk, rational responses) Assertiveness Training Anger Management Stress Management Stress Inoculation Crisis Management Dialectical Behavior Therapy Motivational Interviewing (transtheoretical)

Exercise

Role Play 1

Divide into pairs. Practice using ego-supportive techniques with a client who is experiencing feelings of anger toward his/her boss.

Role Play 2

With a partner in a role play situation, practice using the three steps of systematic desensitization with a client experiencing generalized anxiety.

Role Play 3

Establish a token economy for an eight year old child diagnosed with autism. Include schedules for reinforcement, thinning, shaping, and time-out from reinforcement. The primary goal is to assist the client in improving skills for potty training.

Role Play 4

While working in pairs, practice educating the person role playing a client regarding the concepts associated with the ABC model of cognitive therapy. Then practice using both cognitive and behavioral techniques to help improve the client’s depressed mood.

Questions?

Did we meet our learning goals???

By the end of class today, students will be able to: Identify and exemplify practice behaviors 33, 34, 35

& 38 Utilize the “Six Anger Styles” with a client Demonstrate competence in ethical decision making Teach stress management coping skills to a client Complete assessment questions related to chapter 8 Understand and demonstrate mastery of client

coping skills

For Next Week…

At this point, you should have completed everything from Modules 1-8

This week, complete: Module 9 Turn in Biospychosocialspiritual assessment

Have a great week!