Direct Social Work Practice, 9th edition Rooney, Dewberry Rooney & Strom-Gottfried Chapter 8 Assessment: Exploring and Understanding Problems and Strengths Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc.

Empowerment Series: Overview Empowering Programs with Resources that Enhance Social Work Education Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc.

Social Work: A Competency-Oriented Education Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Social Work: A Competency-Oriented Education Council on Social Work Education (CSWE) Defines Educational Policy and Accreditation Standards (EPAS) Developed Ten “Core Competencies” and 41 Related “Practice Behaviors” Every student should master the Practice Behaviors and Core Competencies before completing the program

Resources Aligned to EPAS 2008 Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Resources Aligned to EPAS 2008 The Textbook “Helping Hands” icons call attention to content that relates to Practice Behaviors and Competencies (insert icon) “Competency Notes” at the end of the chapter help put the Practice Behaviors and Competencies in practical context

Resources Aligned to EPAS (cont) Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Resources Aligned to EPAS (cont) The Practice Behaviors Workbook developed with the text provides assignable exercises that assist in mastering the Practice Behaviors and Competencies Additional online resources can be found at www.cengage.com/socialwork

Multidimensionality of Assessment Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Multidimensionality of Assessment Reciprocal interaction between person and external world Humans are social creatures Interactions between numerous systems Priorities based on: Client’s immediate concern or presenting problem Strengths and resources Legal or safety issues EPAS 2.1.7a

Defining Assessment: Process and Product Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Defining Assessment: Process and Product Process What does the client see as his or her primary problems or concerns? What (if any) current or impending legal mandates must the client and social worker consider? What (if any) potentially serious health or safety concerns might require the social worker’s and client’s attention? Product analysis and synthesis of relevant data into a working definition of the problem identifies associated factors and clarifies how they interact to produce and maintain the problem complex working hypothesis based on the most current data available. EPAS 2.1.10b

Developmental needs and life transitions Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Figure 8-1: Overview: Areas for Attention in Assessing Strengths and Problems Problems as seen by potential clients -Health and safety concerns -Legal mandates -Culture, race, gender, sexual orientation and other areas of difference Problems and challenges -Severity -Sites of problem -Duration -Temporal context -Frequency -Emotional reaction -Meanings attached -Consequences -Resource deficits Strengths and resources -Personal and family coping capacities, skills, values, motivations -Community resources and support networks including cultural supports Developmental needs and life transitions EPAS 2.1.7a

Assessment and Diagnosis Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Assessment and Diagnosis Diagnosis Shorthand categorization based on specific criteria Positives: Common language about grouping of symptoms, facilitates research, identifies available treatments, names a condition Negatives: Self-fulfilling prophecies, obscures uniqueness of the individual, stigma Assessment Helps to describe the symptoms related to a diagnosis Helps to explain the client’s history, current situation Helps to identify supports and resources to manage the symptoms EPAS 2.1.3a

The Diagnostic and Statistical Manual (DSM-IV-TR) Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. The Diagnostic and Statistical Manual (DSM-IV-TR) A multiaxial system used to codify the following: Axis I: Clinical Syndromes Axis II: Personality disorders and mental retardation Axis III: Physical disorders Axis IV: Psychological and environmental problems Axis V: Global Assessment of Functioning (GAF) score Considered by many to be counter to Social Work values for its focus on pathology Widely used as reimbursements are contingent upon diagnosis EPAS 2.1.3a

Culturally Competent Assessment Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Culturally Competent Assessment Possibilities for distinguishing individual members of an ethnic minority Degree of commonality between the two cultures (norms, values, beliefs, and perceptions) Availability of cultural translators, mediators, and models Amount and type of feedback provided by each culture regarding attempts to produce normative behaviors Conceptual style and problem-solving approach of the individual and the mesh with the prevalent or valued styles of the majority culture Individual’s degree of bilingualism Degree of dissimilarity in physical appearance from the majority culture

Emphasizing Strengths in Assessments Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Emphasizing Strengths in Assessments To emphasize strengths and client empowerment Give preeminence to client’s understanding of the facts Discover the client’s wants Assess personal and environmental strengths on multiple levels

Commonly Overlooked Strengths Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Commonly Overlooked Strengths Facing problems and seeking help Risking by sharing problems Persevering under difficult circumstances Being resourceful and creative Seeking to further knowledge, education, and skills Expressing caring feelings to family and friends Asserting one’s rights rather than submitting to injustice Being responsible in work or financial obligations

Commonly Overlooked Strengths (cont) Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Commonly Overlooked Strengths (cont) Seeking to understand the needs and feelings of others Having the capacity for introspection Demonstrating the capacity for self-control Being able to function effectively in stressful situations Demonstrating the ability to consider alternative courses of action and the needs of others when solving problems

Figure 8-2: Framework for Assessment Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Figure 8-2: Framework for Assessment Strength or Resource 1 2 Environmental Factors (family, community) Individual or Personal Factors 3 4 Deficit, Obstacle, or Challenge Source: Adapted from Charles D. Cowger, Assessment of Client Strengths in The Strengths Perspective in Social Work Practice, 2nd Ed. (Figure 5.2, p. 69) by Dennis Saleeby. Reprinted by permission of Allyn & Bacon. EPAS 2.1.7a

The Role of Knowledge and Theory in Assessments Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. The Role of Knowledge and Theory in Assessments Brief, solution-focused Seeking exceptions Scaling the problem Scaling Motivation The miracle question EPAS 2.1.3b, 2.1.10

The Role of Knowledge and Theory in Assessments (cont) Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. The Role of Knowledge and Theory in Assessments (cont) Cognitive Theories: thoughts mediate emotions and actions Assessments would focus on the nature of the client’s thoughts and schemas (cognitive patterns), causal attributions, the basis for the client’s beliefs, and antecedent thoughts in problematic situations Behavioral Theories: actions and emotions are created, maintained “and extinguished through principles of learning” Assessments would focus on the conditions surrounding troubling behaviors, the conditions that reinforce the behavior, and the consequences and secondary gains that might result EPAS 2.1.7a Walsh, 2006, p. 107

Sources of Information Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Sources of Information Background sheets or other forms that clients complete Interview with clients Direct observation of nonverbal behavior Direct observation of interaction between marital partners, family members, and group members Collateral information from relatives, friends, physicians, teachers, employers, and other professionals Tests or assessment instruments Personal experiences of the practitioner based on direct interactions with clients Client self-monitoring

Questions to Answer in Problem Assessment Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Questions to Answer in Problem Assessment See example list of questions Getting started Assessing for safety Identifying the problem, its expressions, and other critical concerns The interaction of other people or systems The family and extended family or kinship network The social network Public institutions Personal service providers The faith community Assessing developmental needs and wants EPAS 2.1.7b

Questions to Answer (continued) Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Questions to Answer (continued) Typical wants involved in presenting problems Stresses associated with life transitions Cultural, Societal, and Social Class Factors Severity of the problem Meanings that clients ascribe to problems Pseudoscientific explanations Psychological labeling Fixed beliefs about others Unchangeable factors References to fixed religious or philosophical principles, natural laws, or social forces Assertion upon presumed laws of human nature EPAS 2.1.4c

Questions to Answer (continued) Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Questions to Answer (continued) Sites of problematic behavior Temporal context of problematic behaviors Frequency of problematic behaviors Duration of the problem Other issues affecting client functioning Clients’ emotional reactions to problems Coping efforts and needed skills Cultural, societal, and social class factors Support systems External resources needed

Assessing children and older adults Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Assessing children and older adults Maltreatment Data sources and interviewing techniques Collateral contacts Interactive activities Developmental assessment Screening instruments Functional assessments Physical examinations 2.1.7b

Summary Internet Resources Notes CAGE Copyright (c) 2012 Brooks/Cole, a division of Thomson Learning, Inc. Summary Internet Resources CAGE http://www.projectcork.org/clinical_tools/html/CAGE.html SAMHSA http://www.samhsa.gov/index.aspx National Institute of Mental Health http://www.nimh.nih.gov/index.shtml The Cochrane Collaborative http://www.cochrane.org The Campbell Collaboration http://www.campbellcollaboration.org/ Walmyr Publishing Company http://www.walmyr.com/ Notes