Direct Practice in Social Work, 2e Scott W. Boyle Grafton H. Hull, Jr. Jannah Hurn Mather Larry Lorenzo Smith O. William Farley University of Utah, College of Social Work This multimedia product and its contents are protected under copyright law. The following are prohibited by law: any public performance or display, including transmission of any image over a network; Preparation of any derivative work, including the extraction, in whole or in part, of any images; Any rental, lease, or lending of the program. © 2009 Allyn & Bacon PowerPoints by Julie Emmer, University of Central Florida

© 2009 Allyn & Bacon Direct Practice in Social Work Cognitive therapy Assertiveness training Anger management Stress management Crisis management Dialectical behavior therapy Motivational interviewing Spiritual and humanistic strategies Other life management strategies © 2009 Allyn & Bacon In Chapter 8 we will learn to use the following coping skills in within the counseling process:

© 2009 Allyn & Bacon Cognitive therapy Cognitive distortions Negative self-statements Rational responses In cognitive therapy the therapist assists the client in identifying and understanding:

© 2009 Allyn & Bacon Suicide risk Are you thinking of hurting yourself? How would you hurt yourself? What stops you from hurting yourself? In any therapeutic relationship you would include a suicide risk assessment:

© 2009 Allyn & Bacon The SAD PERSON scale

Assertiveness training Helps clients to improve coping skills and leads to more satisfying relationships

© 2009 Allyn & Bacon Five types of assertion Basic assertion Empathic assertion Escalating assertion Confrontive assertion I-language assertion

© 2009 Allyn & Bacon Anger Management: 5 myths about anger 1. Anger is a behavior 2. You should be afraid of your buried anger 3. The human steam kettle 4. Venting is good for your health 5. Anger needs to be expressed

© 2009 Allyn & Bacon Goals of an anger management program Acknowledge that anger has become a destructive force Describe situations in which anger is difficult to manage Identify cues that anger is getting near the boiling point Implement strategies to control outbursts Evaluate effectiveness of strategies Practice the strategies that work best

© 2009 Allyn & Bacon Stress management Three common clinical strategies: Positive imagery Breathing exercises Muscle relaxation exercises

© 2009 Allyn & Bacon Crisis management Four stages of crisis (Caplan, 1964) Initial rise in tension Emergency problem solving skills are utilized Tension increases, acute anxiety or depression ensues Major breakdown or maladaptive coping strategies

© 2009 Allyn & Bacon Social workers frequently respond to the following crises: Bereavement Sexual assault Violence

Dialectical Behavior Therapy “A broad-based cognitive behavioral treatment developed specifically for borderline personality disorders” (Linehan, 1993)

© 2009 Allyn & Bacon Attention is focused on three areas: The immediate and larger contexts for behavior The internal and external components of reality Change and process rather than content and structure

Motivational interviewing These techniques are gaining prominence because they seem to work well with involuntary clients

© 2009 Allyn & Bacon The focus is on five interviewing skills: Use empathy Develop discrepancy Avoid argumentation Roll with resistance Support self-efficacy

© 2009 Allyn & Bacon Social Work may also include other strategies for increasing coping skills: Spiritual and humanistic approaches Other life management strategies Additional Coping Skills

© 2009 Allyn & Bacon Working with disabled people Do Refer to the disability only when relevant Use the word “disability” not “handicapped” Speak to the person, not the disability Ask the person if they need help with something before doing it Assume that the person with disabilities also has other strengths & abilities Introduce yourself and everyone clearly when speaking to a blind person Continue to use words like “see”, “walk”, and “hear” Use the word “accessible” Don’t Use terms like “defective” or “crippled” Refer to people with disabilities as “the disabled” or “the mentally ill” Use derogatory words like “Mongoloid” or “dwarf” Refer to able-bodied as “normal” Use terms like “wheelchair bound” Assume that disabilities within the senses indicate cognitive disabilities Suggest that people with disabilities are in some way special, or heroes Use the term “handicapped” Lean on a person’s wheelchair when talking to them

© 2009 Allyn & Bacon Guidelines for Multicultural awareness