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Practice Model

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Tasha Sacrey

on 20 August 2012

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Transcript of Practice Model

Practice Model
Social Work 307
Tasha Norman Personal &Professional Influences in Relationships I grew up in central Newfoundland in a middle class family. My parents were strong believers in God and instilled these beliefs in me. My parents practiced compassion, love, genuineness, and respect for members of our community. People from low income families that were often oppressed by other community members were treated as equals by my parents. My dad spent a generous amount of time visiting seniors and the less fortunate. My Parents kindness was displayed by mere acts of generosity. Giving gifts of food, supplying winter fire food, and offering a cup of tea over conversation at our home were only some examples of their compassion shown to others. My parents are influential components to how I view the world and the people in it. My Values:
Family
Relationship
Friendship
Respect
Equality
Non-judgment
Forgiveness
Creativity My Beliefs:

Having integrity is important
Everyone has a purpose
Equality in all humans
Everyone has a story
We have a duty to help the less fortunate
People are the experts on their own lives
Everyone has something to contribute Be the Change you wish
to see in the World
- Mahatma Gandhi I couldn't practice as a social worker without being influenced by my world view. My perspectives and experiences play a major role in who I am as a person. Just as these values and beliefs are reflected in my personal life, so will they be in my professional practice. Theories Empowerment Theory Social workers uphold the following core social work values:

Value 1: Respect for Inherent Dignity and Worth of Persons
Value 2: Pursuit of Social Justice
Value 3: Service to Humanity
Value 4: Integrity of Professional Practice
Value 5: Confidentiality in Professional Practice
Value 6: Competence in Professional Practice
-Power point by Trish Smith, 2011 Models
& Methods Solution Focused Narrative CBT-Cognitive Behavioral Therapy

The focus is on finding
STRENGHTS in people

It is important to work with
the client

Helps client to externalize
from being the
problem to having
a realtionship with the problem

Listening and helping the client find
their own solution tells the
client that you have the utmost faith in
them and that you trust they have
valuable skills and talents. In
turn this shows the client respect
and your belief in their worth. Strengths Perspective Strengths Perspective The strengths perspective fits well with my worldview as it emphasizes dignity. I feel it is important to honor people, especially clients. Everyone has their own unique things to contribute, and reconizing strengths and abilities in a person shows them you care. I believe that when you show kindness and respect people feel comfortable. As a social worker I want my clients to feel comfortable. I want them to know that I believe in them and value them as people. I want to collobrate with my clients and not be seen as superior or the expert. People are the experts on thier own lives. Empowerment Theory:
The empowerment theory recognizes the importance of unleashing or strengthning a persons sense of self and agency
(Birkenmaier, 2011).
It seeks to help clients gain power of decision and action over their own lives by reducing the effect of social or personal blocks to exercising existing power.
Increases peoples power by developing their assertiveness, knowledge, skills, and self confidence.
Envolves challenging oppression and making it possible for people to take charge of matters that affect them. (Payne, 2005) References: Birkenmaier, J., Berg-weger, M., & Dewees, M. (2011).The practice of generalist social work. New York.NY.Routledge.

Bishop, A. (2006) Becomming an ally:Breaking the cycle of oppression in people.Novia Scotia. CA. Fernwood Publishing.

Cooper M, McLeod J. Person-centered therapy: A pluralistic perspective. Person-Centered & Experiential Psychotherapies [serial online]. September 2011;10(3):210-223. Available from: Academic Search Complete, Ipswich, MA. Accessed November 19, 2011.

Edelman, S. (2007). Change your thinking:overcoming stress. anxiety, depression & improve your life with CBT. Cambridge MA. Marlowe and company.

Mullaly, B. (2010).Challenging oppression and confronting privilege.Ontario.CA.Oxford university press.

Payne, M. (2005) Modern social work theory. Chicago Illinois. Lyceum books inc.

Smith, T. (2011). Social work with individuals. Powerpoint. Anti-Oppressive perspective

Empowers
clients towards self-initated change

Not knowing what is
happening for the client,
but showing respect by listening and attending. Narrative Approach:

Narrative approach focuses on the "not knowing"and listening for unique outcomes to the clients presenting concerns.

It Helps clients share their stories and then through expanding and externalizing perceptions and meanings of the client's words, the stories are reconstructed to provide a broader, more effective approach to functioning.


It casts a new meaning on the clients life so the client will be empowered to interact differently within his or her world.

Helps the client externalize the problem by re-focusing on the outcome rather than the root cause.

Discovers exceptions

Re-authors or reconstructs a new reality through mapping of the domain of the issue or problem.

Reinforces the change

(Birkenmaier, 2011) Anti-Oppressive Perspective

Anti-oppressive practice aims to provide more appropriate and sensitive services by responding to people’s needs regardless of their social status. It embodies a person-centered philosophy, an egalitarian value system concerned with reducing the deleterious effects of structural inequalities upon people’s lives; a methodology focusing on both process and outcome; and a way of structuring relationships between individuals that aims to empower users by reducing the negative effects of hierarchy in their immediate interaction and the work they do together (Campbell, 2003).
The main aims of anti-opressive social work is to counteract the personal damages associated with oppression and to build strengths in the individual for developing solidarity and community with others and for taking action against oppression ( Bob Mullaly, 2010,p. 222). My skills:

Interviewing/Communication and Listening skills - I feel I have the ability to listen emphatically and the skills to make and continue respectful relationships

Skills in group work. I have facilitated many groups for school aged kids.

A range of intervention skills aimed at promoting well-being, problem solving and empowerment. For example I am trained I ASSIST and crisis intervention.

I have skills in showing empathy, unconditional positive regard and genuineness.

Skills I need to develop:

Self-management and self care skills to cope with the emotional and practical demands of social work.

Assessment skills to better assess and understand strengths, needs and risks.

Skills to effectively and respectfully work with clients from diverse populations, while remaining sensitive, non-oppressive, and valuing their dignity and self worth. These are skills I feel I will never fully develop, but will be on-going throughout my practice. The empowerment theory fits with my world view because it empowers people to actualize their own potential. People sometimes cannot see the power they hold in creating change. Change for themselves and change in their physical and social environments. As a Soial worker I hope to empower people to discover their own strengths and abilities so they can take action towards personal and political change. The anti-oppressive perspective fits with my world view as it is focused on the equality of people. It works to fight oppression and recognize's that people are to be valued and respected.
If I had not already finished the oppression and diversity course last year I may not have picked this as an overal perspective that I feel is important. I learned so much last year about the importance of anti-oppressive practive. It is important for me as a social worker to do right by the people I serve, and take responsibility for my share in the challange of eliminating oppression. How does my practice model expand my understanding and uphold the core social work values and ethics?
meeting the clients in the struggle and starting where their at.
Focuses on empowerment,
collaboration with and
respect for the client system.
does not focus on the history of failures but on successes, resources, and goals for the future. When practicing as a Social Worker there are times I will need to be cautious. It will be hard for me to he hopeful when hearing painful and disturbing stories. I am only human and client’s stories will likely cause many emotions at times. If I am going to use the solution-focused and narrative approaches the goal will be to move the client towards a goal for a changed reality. This requires the use of questions that evoke hopeful and optimistic answers. This may pose difficult as I may struggle to find hope in clients stories. I may need to develop more skills to better move forward with the client, but also be cautious of where my client is at, and sensitive to my clients feelings. I have gained a much better understanding of social work theories and models from my practicum experience at Mental Health. Overall, I have developed an appreciation for the theories, models, and methods that reflect on my values and beliefs. It intrigued me to see how solution-focused approaches use questions to successfully help guide the social worker in helping the client. The single session model was also an interesting concept where I could recognize it's effectiveness.I can see how many of the models/methods overlap and can compliment each other.I am excited to put the models and methods to use to see how effective they are and how effective I am in implementing them. The more I read and learn, the more I understand the importance of these models and methods in social work practice. Solution Focused:

In this approach, the client is seen as the expert on his or her life. It is similar to narrative approach as it builds on strengths and uses solution-focused language to empower clients. There are principles that guide solution-focused approach.
These include:
1.Language is the mechanism for clients and social workers to understand the meanings of the client’s life and actions.
2.Clients have the resources and the answers that will guide the solutions.
3.Clients, not the professionals, are the “knowers”. They are in the best position to create solutions.

(Birkenmaier, 2011) CBT

Cognitive Behavioral therapy is a psychological approach that helps examine and change the way a person thinks. It helps people recognize their own patterns of thinking that create unnecessary distress, and how to respond to stressful situations in a helpful way (Edelman, 2007). My place of work Social work Program Education Practice within Rual, Remote, and Aboriginal communities. My practice model incorporates contextual and cultural realities that are unique to this area by using techniques and approaches that are sensitive and helpful in developing cultural competence. Values cultural contribution There is a focus on individual’s own interpretations of what they need to be successful. Concentrates on clients feelings of self-worth, and helps strengthen their ability to control their lives (Payne, 2005). Giving clients the greatest possible degree of choice. Helps address discrimination and oppression by recognizing abilities and strengths, rather than negative labels. Surrendering the expert role in the relationship so the client is seen as the “knower”. This gives power to the clients to take action. Letting people tell their stories can be empowering for some people, as storytelling is an important component in many cultures. Compliments aboriginal methods, such as healing circles. Non-threatning
approaches Respecting people and their cultures. We are what we think.
All that we are arises with our thoughts
With our thoughts we make the world.
-Buddha I see my practice model being applied on an individual and community level.. My goal is not just to focus on the client themselves but to look at the bigger picture , where social policy, oppression and environmental factors come into play. Have an awareness to the factors that affect the clients ability to change and .grow;therfore., doing my part to make a difference in promoting social justice. Developing my
Social Work
Practice Model
-Tasha Sacrey Emphasizes on affirming and working with strengths found in people seeking help in their environment. It also emphasizes basic dignity and the resilience of people in overcomming challenging obstacles ( Birkenmaier, 2011, p. 26). Humility is the mark of someone who has gone a ways down the road and has caugth a glimpse of just how long the road is.
-Anne Bishop The End People will forget what you said, People will forget what you did, but people will never forget how you made them feel.
(Source unknown) My Culture Children's Mental Health Other Influences Allows Social workers to recognize barriers and imitations that are caused by policy and procedures; therefore giving them an idea of the struggles the client is up against What I like about CBT is it focuses on positive thinking, but even more so on realistic thinking. I have only used CBT briefly and am intrigued by how just challenging and changing your thoughts and beliefs can help overcome major life stressors. Narrative therapy is a type of therapy I am interested in. I have seen it being used in 1:1 sessions; however, hope that I can feel comfortable enough to used this model some day. This is how I feel. I have learned so much through my educational and academic experiences and is excited to utilize what I have learned within my practice ;however, now being employed with mental health I understand that there is a lot more to learn. I feel confident that I will be in a place that will provide me with quality and professional experience and give me the opportunity to build on the skills I already have.. Reflective thoughts throughout practicum: I have seen the importance of advocacy within the social workers role. A social worker can wear many hats and an advocate appears to be a common role for a Social Worker at the clinic. Many times clients are powerless to change policies and make changes to the environmental factors that are causing stress in their life. Social workers can make a difference in questioning policies and directly speaking to policy makers. Sometimes it's about speaking up and taking a stand for a client. Sometimes it's about keeping people accountable and also empowering the client to create change. I have seen that although Social Workers are working under a medical model and working with clients that usually have a diagnosis. Social Work is more about seeing the person for who they are and looking at the systems and environmental factors that effect their life.Its about helping the client find value in their life; working and building on their strengths and supports. The focus is not only on the diagnosis, but the whole person. Mental Health has made a change to their mandate in that they will no longer accept PDD clients at the clinic. There are justifiable reasons for this;however, it doesn't change the fact that it has created yet another barrier to services for clients. As a social worker this directly violates the "Pursuit of Justice" value. My questions have been around how do I, as a Social Worker, create change here. How can I work in a place that has created barriers to services and still support clients?.What is my role if I believe in equal treatment and the right of everyone to have access to services? Before coming into the Practicum, I was insure how I felt about Mental Health and the medical perspective. I have heard a lot of negative comments and tried to be objective and develop my own thoughts and opinions about the organization.

Even when I had told people I was doing my practicum here they would frown and make remarks like" I would never go there, there is so many policies I don't agree with, "They are all about medication" and " Paper work , Paperwork, Paperwork."

I have discovered that all of the things mentioned about have it's appropriate place here in the clinic. I tried coming in with an open mind and now, after spending almost 4 months here, I can say that I have a very positive opinion of the clinic.

The team works hard to put the client first, they support one another and remind each other of the importance of self care. The organization itself is making changes to the wait list to better service more clients and also looking at making changes to decrease the amount of paperwork in the future with the outcome of being able to see more clients.

As for the medication piece, I have had first experience of how effective it can be and the difference it can have for a family. Medication has it's place , but doesn't necessarily take precedence over other important components such as therapy..

My experience has been both empowering and rewarding. I'm fortunate to have the opportunity to be placed here for practicum and trust that the individuals at the clinic are doing their best to service the clients in this region. Some of the issues that have come up Over the course of the practicum I have challenged my own assumptions about how I feel working with clients from diverse populations. Often times it's hard to challenge the beliefs and stereotypes that society has created or instilled in you. Many people grow up with these false ideas about people form different cultures or judge individuals that sway from what would be considered"normal." I have had to challenge and reflect on my own assumptions over the course of the practicum. I feel that it is important for me as a Social Worker to be aware of how although these beliefs have been there for so long, I choose if they stay or go. This placement has exposed me to a population that I had not had experience working with. It was because of this that I was able to really put my Social Work values to work and do some reflection on what it is meant to uphold a person's right to self determination and to respect the diversity in society. I hope that I can continue to practice with awareness and that my practice is always shadowed by an anti-oppressive perspective.
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