Interprofessional Education for Practice: Some Implications for Australian Social Work

Abstract

Social workers work with many other professionals in the workplace and being able to work in a team is both a practice standard for professions and a desirable graduate attribute of most universities. However, student learning about teamwork is often inconsistent and serendipitous, albeit some attention may be given to it as part of field education and work preparation. Students and new graduate social workers usually adopt the teamwork approach that prevails in the agency in which they work and teamwork behaviour is often a result of socialisation and acculturation. Internationally, over the last two decades, interprofessional education for interprofessional practice has achieved prominence in social work curricula. This article covers recent Australian initiatives in interprofessional education and the involvement of the social work program at a leading Australian university in an interprofessional education project. Implications for social work student education and social work practice are discussed.     

Achieving Collaborative Competence through Interprofessional Education. Lessons Learned from Joint Training in Learning Disability Nursing and Social Work

The ability to work interprofessionally is widely regarded as essential to professional education and training for social work. The changing contexts of social work practice and the requirement for integrated working are regular reminders of the need for social work students to develop collaborative competence. Guidance preceding the development of the social work degree emphasised that social work students should undertake specific learning and assessment in partnership working and information sharing. This suggests that aspects of interprofessional education are relevant to the teaching and development of social work students if graduates are to successfully engage in complex practice.

This paper seeks to identify the competencies needed for successful collaboration. It then draws on evaluative research of joint training programmes in learning disability nursing and social work in England to discuss the unique experiences and perspectives of graduates whose social work training was exceptionally interprofessional. The paper will discuss how some of the findings from this research can indicate lessons for promoting collaborative competence in singly trained social work students. It will argue that interprofessional learning opportunities are one of the key ingredients for the development of critical practice.     

Curriculum Implications for Collaborative Practice From Veterans Health Care Sector Social Workers Serving OIF/OEF Veterans

This study examined veterans health care social workers’ perceptions of collaboration and practice with Operation Iraqi Freedom and Enduring Freedom veterans with the purpose of developing curriculum implications for social work education. Using a mixed-methods design, including surveys (n=21) and interviews (n=13), associations between serving this veterans cohort and the occurrence of collaboration were assessed. Surveys revealed that reflection on collaborative processes increased when serving this cohort. Interviews identified frequent high acuity in behavioral health conditions and emotionally overwhelmed veterans as contributors to this finding. Curriculum recommendations include infusing content on interprofessional collaboration in practice courses, improved instruction on intervening with colleagues to promote effective client processes and outcomes, and education on developing positive interprofessional climates.     

Social Work and Interprofessional Education in Health Care: A Call for Continued Leadership

A report from the Interprofessional Education Collaborative and another from the Institute of Medicine cite working as part of interdisciplinary teams as a core proficiency area for improving health care. This article discusses the core competencies of interprofessional education and the essential role for social workers as leaders and facilitators of this practice. Educators will learn how to help students discover the knowledge, skills, and attitudes for successful interprofessional work. Specifically, this article has the following objectives:

1. Discuss essential elements of effective interprofessional practice;

2. Present exemplars of interprofessional education involving social work;

3. Identify the roles for social work in leadership, education, and practice in interprofessional education.

     

Educating Social Workers for Practice in Integrated Health Care: A Model Implemented in a Graduate Social Work Program

ABSTRACT

This article introduces a curricular innovation, the Integrated Health Scholars Program (IHSP), developed to prepare master's-level social work students for practice in integrated health care settings, and presents preliminary findings related to students’ self-reported program competencies and perceptions. IHSP, implemented in a research-intensive school of social work in a large midwestern public university, includes specialized course work, interprofessional education across health science disciplines, and field practicum in integrated health care settings. Curricular components support stepwise learning and follows the British Columbia model of interprofessional education learning tiers: exposure, immersion, and skill mastery. Despite IHSPs successful development in a well-resourced, supportive environment, challenges facing our profession's ability to develop and sustain training of MSW students in integrated health care are discussed.     

The art and science of teamwork: enacting a transdisciplinary approach in work rehabilitation

Teamwork, collaboration and interprofessional care are becoming the new standard in health care, and service delivery in work practice is no exception. Most rehabilitation professionals believe that they intuitively know how to work collaboratively with others such as workers, employers, insurers and other professionals. However, little information is available that can assist rehabilitation professionals in enacting authentic transdisciplinary approaches in work practice contexts. A qualitative study was designed using a grounded theory approach, comprised of observations and interviews, to understand the social processes among team members in enacting a transdisciplinary approach in a work rehabilitation clinic. Findings suggest that team members consciously attended to a team approach through nurturing consensus, nurturing professional synergy, and nurturing a learning culture. These processes enabled this team to work in concert with clients who had chronic disabilities in achieving solution focused goals for returning to work and improving functioning. Implications for achieving greater collaborative synergies among stakeholders in return to work settings and in the training of new rehabilitation professionals are explored.     

Group Work in Graduate Social Work Education: The Price of Neglect

Abstract

Although social work practice with groups is on the rise, social work education has neglected to prepare students for group work practice. The results of a 1991 survey show that graduate education has practically eliminated group work as a specialized area of study. Most schools offer group work only as an elective, and few students graduate with a course in this subject. Additionally, students in foundation courses learn little about group work theory and have limited or no group field work experience in which to develop practice skills. The authors discuss the consequences of this lack on student learning, faculty development, field education, and the social work curriculum. They make recommendations for schools and CSWE to revitalize group work in the curriculum.     

Social work education crossing the borders: a field education programme for international internship

The demand for setting international social work education standards are on the rise. The increased prospects of global exchange in teaching learning process initiated by different international universities, as a part of their agenda for international collaboration and cross cultural immersion in the profession are major impetuses for the same. Social work interns who participated in international exchanges appreciated the need for knowledge of global priorities and strategies to advance social work education, research and skill development for practice which also has lead to future collaboration between the institutions in these areas. But there are many challenges for the intern as well as the institutions involved, which should be integrated during different phases of the exchange process. This requires meticulous planning from the part of host institution. This paper focus on the need for international social work, the challenges involved in international internship and the process and content of field education provided to the international students based on experience of the author. The intention of the paper is to propose a general model of international field education, which may be mutually shared and agreed by the home institution as well as the host institution.     

Using Simulations to Enhance Interprofessional Competencies for Social Work and Nursing Students

There is an increased emphasis on interprofessional education in the healthcare field, including social work. This paper discusses the design and implementation of an innovative idea in teaching that brings social work and nursing students together for skill development to do interprofessional work. Computer generated mannequin simulations have been used extensively in teaching medical, nursing, pharmacy, and other healthcare professions, but are a relatively new pedagogical tool in social work. Using the four interprofessional competencies put forward by the interprofessional collaborative, the authors describe the objectives, the cases utilized, the process of simulations, the technique of debriefing, and the themes that emerged from these reflective observations.     

A Mixed-Methods Evaluation of Social Work Learning Outcomes in Interprofessional Training with Medicine and Pharmacy Students

ABSTRACT

Social work has moved firmly into a need for partnership training models, as our newest Educational Policy and Accreditation Standards explicitly call for interprofessional education (IPE). Although IPE is not a new model, we have not been consistently involved in training partnerships. Three professional schools formed partnerships to provide IPE events for social work (n = 42), medicine (n = 108), and pharmacy (n = 49) students. Social work students showed positive change on a validated measure of attitudes and beliefs regarding interprofessional practice, and debriefing included rich discussions about challenges of communication and boundaries and perceptions of hierarchy and skills of other teammates in the context of case-based learning, guided by faculty from all three professions.     

Interdisciplinary Social Work and Law

Collaboration between social workers and lawyers has been of particular interest to schools of social work due to the increasing frequency with which social workers intervene with clients involved in the legal system. This article presents an educational model specifically designed to teach the interdisciplinary knowledge and skills necessary to work effectively with domestic violence. The model provides training in collaborative practice between social workers and lawyers while integrating domestic violence content with the relevant legal regulations and procedures and social work interventions. The article describes course content, teaching techniques, and student assessment, and discusses special challenges of interdisciplinary collaboration.     

The Role of the Graduate School of Social Work in Criminal Justice Higher Education

This article deals with the extent to which graduate schools of social work are providing education in the field of criminal justice. It raises the question of whether the two-year professional social work model can be adopted for graduate education in criminal justice. A detailed survey taken in 1972 revealed that graduate schools of social work provided insignificant course offerings in the broad field of criminal justice.

The article concludes by showing that graduate schools of social work are appropriate vehicles for criminal justice type offerings, while at the same time indicating that those concerned with criminal justice have the opportunity to experiment with the social work model.     

International Student Exchange in Australian Social Work Education

International student exchange is pursued by Australian schools of social work as a strategy to engage with the internationalisation agenda set by government, universities, and the profession. However, little concrete information about the nature and scope of these activities exists. The study reported here aimed to address this gap. Twenty-seven of the 30 Australian universities that offer social work programs participated in an online survey about international student exchange activities. The results indicate that a majority of schools (n?=?23) do engage in such activities, with international field placements the most frequent form of exchange. Exchanges are most likely to be facilitated and managed by social work staff. The findings, and their implications for the development of good practice in international student exchange, are discussed. This research provides a “point-in-time” snapshot of international exchange in Australian social work education and a benchmark for future analyses of this expanding practice in the profession.     

The use of multidisciplinary teams to support child welfare clients

Meeting the educational needs of young people in the child welfare system (CWS) requires effective collaboration between the CWS and the education system. In Norway and in other countries, there is an increased focus on interprofessional collaboration to support child welfare clients in and around schools. Multidisciplinary teams are employed to facilitate collaboration and coordinate supportive measures. The purpose of this article is to describe how teachers and social workers use such teams as part of a collaborative effort to support children living in difficult conditions. In an inductive thematic analysis of 13 interviews with 7 social workers and 6 teachers, the following five key themes were revealed: (i) solution-focused work; (ii) listening to the child; (iii) parental support; (iv) social/environmental opportunities for successful interactions and (v) ensuring school attendance through adapted education and support. In conclusion, we discuss the ways in which these themes reflect how teams support child welfare clients.     

A look behind the curtain at social work supervision in interprofessional practice settings: critical themes and pressing practical challenges

Supervision has been an integral aspect of social work practice since the early days of the profession. The literature suggests that ‘supervision is an essential and integral part of the training and continuing education required for the skillful development of professional social workers’ (p. 5). The literature does appear to support that all social workers ought to have some level of supervision; however, within interprofessional settings, where social work is one of many professions, that goal may not be easily attained. Although some interprofessional settings, like hospitals, have social work departments, other settings, like schools, may only have one social worker, resulting in a workplace environment devoid of social work supervision. This article presents findings from a national study of social workers employed in interprofessional organizations. It was hypothesized that this cohort could provide important insights about the nature of social work supervision in agencies characterized by an interdisciplinary workforce. Using both open-ended and specific categorical questions, respondents were asked to describe and convey information about the supervision process and experience in their agency. An Internet-based survey was used to reach a broad spectrum of social work practitioners and educators (975 deliverable and 426 completed) across the United States.     

A Model for Distance Education Delivery

Distance education, which has existed for many years, has become even more popular as a result of recent technological advances. This article proposes a model for distance education as a means for schools of social work to deliver curricula to students who face problems enrolling in campus-based or off-campus sites. The components of the model—videotapes, an on-site discussion leader/field instructor, computers, and direct observation by field instructors—fit well within the general requirements of group interaction in the delivery of a social work curriculum. Problems that may arise using the model include the extra time and training required for faculty to produce videotapes, the recruitment of discussion leaders/field instructors, and how to structure the delivery system so students can practice interviewing, assessment, and other abstract concepts. The author also suggests means for evaluating the model as well as policy changes universities and schools of social work may need to effect to successfully implement distance education programming.     

An interprofessional internship model for training master’s level social work and counseling students in higher education settings

ABSTRACT

The mental health needs of college students are steadily on the rise, which compels mental health service providers and educators to explore innovative ways to provide more collaborative, supportive, and interdisciplinary service models of practice and professional training. Graduate programs in social work and counseling are at the crux of producing internship training programs to help accommodate the influx of students with persistent mental health concerns across a variety of needs and cultures. This article describes an interprofessional internship program structured and designed to meet the clinical training needs of master’s level students matriculating in social work and counseling who aspire to provide mental health services in higher education settings. The interprofessional internship training model proposes an innovative interdisciplinary approach to field education which may result in positive training outcomes and learning experiences for social work and counseling students. This paper discusses the model’s emphasis on individual and interdisciplinary group supervision, objectives of the internship experience, internship site criteria, and professional and personal benefits to pre-service social workers and counselors. Recommendations for training and limitations of the model are provided.     

Social Workers as Boundary Spanners: Reframing our Professional Identity for Interprofessional Practice

One of the more difficult tasks for social work educators is socializing students into a professional identity. Social identity theory provides a lens to consider what is needed for a social work identity that will continue to be salient for students as they move into practice. Framing social workers as boundary spanners might offer students a professional identity that is congruent with core values, reflects what social workers do and places less emphasis on old debates about the profession. It also positions students well for work in the increasingly interprofessional realms of health and social care. I consider how social workers are well equipped to meet the demand created by ‘joined-up working’ for people with boundary-spanning expertise. Seeing ourselves as boundary spanners is one way to reconcile our professional and interprofessional identities, thereby increasing the chances that our students will continue to identify as social workers when they move into interprofessional practice.     

Three Voices: Reflections on Homophobia and Heterosexism in Social Work Education

This article reviews recent developments in interprofessional learning in health and social care with a view to identifying the strengths and weaknesses of current initiatives in this area. As the emphasis increases on interprofessional working as a central pillar of intervention across the social work and health professions, corresponding moves have been made to incorporate parallel learning objectives in curriculum guidance issued by accrediting bodies such as the General Social Care Council and the General Medical Council. It is important, however, not to take the assumed benefits of this development as a ‘given’, or to oversimplify the task of turning high‐level aspirations into practically achievable and pedagogically effective learning experiences. This article therefore gives an account of one attempt to deliver realistic and worthwhile practice‐based interprofessional learning opportunities. The development, implementation and evaluation phases of this initiative are considered in order to draw out the key messages as to the strengths and potential shortcomings of this model, and the positive messages for good practice we believe we can offer.     

Cross-Cultural Perspectives in Social Work Practice and Education,Edited by Marta Sotomayor. Graduate School of Social Work,University of Houston,Houston, Texas, 1976. Price Unavailable. 177 Pp.

There is a growing imperative to prepare MSW social work students for trauma-informed evidence-based practice. Given strong recommendations and promising developments within social work education and practice in this regard, a clinical elective for the advanced-year MSW student that combines the guiding principles of trauma theory and problem-based learning was created. This article describes the course objectives, structure, and format and reports on an evaluation based on 7 (total) offerings of the course by 4 different schools of social work. The course methodology was found to be effective in all schools in significantly increasing students’ self-confidence in working with traumatized children, adolescents, and their families. Implications for social work education are discussed.