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.     

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.     

Promoting Readiness to Practice: Which Learning Activities Promote Competence and Professional Identity for Student Social Workers During Practice Learning?

Practice learning is integral to the curriculum for qualifying social work students. Accreditation standards require regular student supervision and exposure to specific learning activities. Most agencies offer high-quality placements, but organizational cutbacks may affect supervision and restrict the development of competence and professional identity. Undergraduate social work students in Northern Ireland universities (n=396) were surveyed about the usefulness of the learning activities they received on placement for developing practice competence and professional social work identity. Results suggest that students most valued regular supervision, constructive feedback, observing social workers, and thinking critically about the social work role. Differences were reported across placements with students feeling disadvantaged in agencies where there was no clear social work role.     

Practice supervisors’ perceptions of social work students and their placements – an exploratory study in the Norwegian context

Practice placement has been a basic component in Social Work Programmes for many decades in Norway as elsewhere, and supervision of students has been a valued role for social workers. Here, we have carried out a pilot study of nine supervisors from various practice settings, dealing with their experience with and views about supervision of students. The aim was to get more knowledge of student supervision today and the meaning of student supervision in different practice settings. We found that the content of supervision depended on the agency context. Supervision embodies core agency values. There was a lack of common ground between supervisors and the school of social work, and between supervisors and the students.     

Keeping Parents in the Driver's Seat

Parents receive social work services (both voluntary and involuntary) in a variety of settings. Although the parents may have come to need social work interventions for different reasons, one reason is constant: They are experiencing some difficulty with their children. Children are likely to benefit when parenting ability is strengthened. In all settings, social workers have a unique opportunity to assist parents in establishing, restoring, or maintaining healthy family dynamics.     

Training the Future Workforce: Social Workers in Integrated Health Care Settings

The current study explored social work skills and competencies required for work on integrated health care teams. Semi-structured, qualitative individual interviews were conducted with social workers employed in integrated health care settings. Key themes emerged around existing social work strengths, further training that is needed for this work, and fundamental skills for effective team-based collaboration. Incorporation of content, such as the social work role in integrated health care settings, advocacy in team-based treatment delivery, and incorporating medical knowledge into the social work curriculum are key to strengthening the future workforce. Education strategies can include not only infusion of integrated health care material into existing courses but also micro- and macro-specific elective courses and a range of interprofessional learning opportunities.     

Attending to Social Justice in Clinical Social Work: Supervision as a Pedagogical Space

Although social justice is a central professional value of social work articulated in ethics codes, clinical social workers have been long criticized for not clearly incorporating this professed commitment into practice. Supervision is an optimal space within which clinicians can develop knowledge and skills to attend to the issues related to social justice in their practice. A growing body of literature emphasizes social justice in the delivery of clinical services, yet there is a death of literature on how clinical supervision can promote social justice seeking clinical work. In this paper, we draw from existing literature to identify key elements involved in social justice seeking clinical supervision. Using Goodyear’s (Clin Superv 33:82–99, 2014) learning mechanisms of clinical supervision, which consists of modeling, feedback, direct instruction, and self-directed learning, we discuss a case composite to illustrate ways in which clinical supervision can serve as a pedagogical space to advance clinical social workers’ commitment to social justice.     

Designing,Implementing and Evaluating a Social Work Practice Skills Course: A Case Example

Practice skills, such as communication and interviewing skills, are an integral part of every undergraduate course that aims to provide professional qualification for social workers. While there is substantial literature about the skills required to be a proficient social work practitioner, there is a dearth of literature about how to teach such skills and particularly how students experience such a course. By critically reflecting on the design, implementation and evaluation of a social work practice skills course, this article is offered as a contribution toward filling an identified gap in social work education literature. The course evaluation particularly highlights the importance of face to face interaction between students and teachers to the process of learning.     

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.

     

Regression,Self-Disclosure,and the Teach or Treat Dilemma: Implications of a Relational Approach for Social Work Supervision

This paper presents a brief review of a relational approach to clinical supervision and argues for its application in social work settings. Although an integral and essential part of practice, clinical supervision is underrepresented in the practice literature. Given this paucity of writings on supervision, the recent book by Mary Gail Frawley-O'Dea and Joan Sarnat, The Supervisory Relationship: A Contemporary Psychodynamic Approach, stands out as a seminal contribution because the authors present a fully developed relational model of supervision that fills a major gap in the development of contemporary relational theory and practice. We selectively review the basic concepts and principles of Frawley-O'Dea and Sarnat's model and apply this supervisory approach to current social work practice. Our focus will be on exploring three controversial and much-debated topics: self-disclosure, regression, and the teach or treat dilemma. Case vignettes from two supervisory experiences will serve to illustrate how a relational approach enhances both the treatment and the supervisory relationship.     

Use of standardized client simulations in an interprofessional teaching concept for social work and medical students: first results of a pilot study

ABSTRACT

Teaching concepts with standardized clients/patients (SC) had been successfully implemented in the education of health professionals. Benefits were also demonstrated for social work education. Based on former experiences with simulated clients in medical education, we developed an innovative teaching concept for social work and medical students. We focused on the training of consultations with clients suffering from a serious illness like cancer—with different learning goals for medical students (e.g. breaking bad news) and social work students (e.g. psychosocial exploration and counseling). Both groups should gain knowledge about the other professions tasks and learn to handle clients’ emotional reactions. In addition to role-plays with simulated clients in small groups, the concept includes an interprofessional lecture by physicians, psychologists, social workers, and lawyers as well as a visit on the palliative care ward (for social work students only) and a research colloquium. A formative evaluation shows high satisfaction with the teaching concept. The students underline the realistic setting, interprofessional contact, authentic talks and direct feedback. The SC method and its interprofessional application proved to be a practicable and motivating way to enhance conversational skills.     

Defining social work leadership: a theoretical and conceptual review and analysis

With the recent increase in social work leadership literature, a few issues in research and practice have come to light. Social work research employs leadership theory derived from military leadership principles adjusted for application in corporate entities, which have decidedly different goals and processes than social work organisations. These models may be influencing the methods of social work leadership research such that study outcomes reflect business-based rather than human service processes and goals. A dearth of leadership education in social work schools and in professional social work settings contributes to a paucity of social workers in upper level administrative roles. A systematic theoretical literature review on social work leadership is conducted in order to generate a working definition of social work leadership and a series of multi-level social work leadership principles. Implications for future research and practice are discussed.     

Social work field education: believing in supervisors who are living with disabilities

Much of what is written by non-disabled authors about living with disabilities does not mirror people’s experiences or opportunities. Literature is often written about people’s abilities (or disabilities) rather than by or with people. Discourse about supervision of social work students can risk assuming that supervisors are people who do not identify as living with disabilities. This research is a co-operative inquiry into the experience of being an Australian social work student supervisor who is living with disabilities. The article extends the literature about being a social work field educator to include ability, and values the practice wisdom of experienced social workers including a current student supervisor who is living with a disability.     

Social Work Supervision of Staff: A Primer and Scoping Review (2013–2017)

Supervision of staff has a rich history within the social work profession, and is widely valued internationally for the support, knowledge, and skill it is perceived to provide. Moreover, quality supervision is championed for ensuring good client care. However, supervisors practicing within the social work profession have not typically had access to best practice information, nor accessed the parallel research related to the supervision of staff. A supervision primer provides an orientation to the supervision literature, including definitions and disciplinary perspectives. This sets the stage for a scoping review of social work supervision articles for the purpose of supporting supervisors in keeping current, locating, understanding, and applying literature to their practice. Seventy-nine conceptual and empirical articles first-authored by social workers were published in 36 journals between 2013 and 2017. The volume, location, context and nature of these articles are presented, pointing to an increased social work presence in the literature. Implications for supervisory practice, scholarship, and research are discussed.     

The Take Over of Parent-Child Dynamics in a Supervisory Relationship: Identifying the Role Transformation

The literature on supervision discusses processes occurring in the supervisor-supervisee relationship that are similar to, and have parallels in, a parent-child relationship. This slipping from the one type of relationship into the other can interfere with the process of supervision. This shift to the supervisee feeling like a child and the supervisor like a parent is liable to be the natural outcome of transference and counter-transference. The aim of this paper is to examine the pseudo-parental role of the supervisor, in order to make supervisors more aware of, and alert to, the possibility that their supervision of young workers may slip into a parent-child mode, to identify critical points where parental feelings may intrude on supervision, and to suggest a useful support model that can help prevent this intrusion.     

Which Models of Supervision Help Retain Staff? Findings From Australia’s Domestic and Family Violence and Sexual Assault Workforces

ABSTRACT

The contribution professional supervision makes to quality services, staff satisfaction, and retention is well recognised across social work and human service settings. Yet frequent supervision is difficult to provide where organisational resources are limited and urgent client-related tasks must take priority. In these contexts, group-based supervision may offer an alternative to traditional individual approaches, yet its impacts have been infrequently researched. Using survey data (n?=?917), we examine the prevalence of individual and group-based supervision among practitioners delivering domestic and family violence and sexual assault services (DFVSA), and associations these forms of supervision have with staff retention. While individual supervision remains most common, one in eight practitioners report that they never receive it. Multivariate analysis indicates frequent individual supervision is most effective for retaining practitioners. This provides empirical support for prioritising individual supervision within strategies for promoting workforce sustainability and service quality in DFVSA and other social service settings.

IMPLICATIONS

• Individual supervision remains more common than group-based approaches in domestic and family violence and sexual assault services.

• Workplaces should consider prioritising individual supervision over group supervision when attempting to improve practitioner retention.

• Managers should adopt a critical stance and consider evidence when assessing the implications of adopting group-based approaches to supervision.

     

Integrating self-care into clinical practice with trauma clients

ABSTRACT

Self-care is recognized as an important aspect of social work practice. Beginning in educational settings, developing social workers are encouraged to learn about and practice self-care. However, self-care is typically promoted through strategies and approaches outside of the practice context. Social workers are oftentimes encouraged to use individualized self-care plans, which often feature a variety of relaxation and secondary techniques; focus on self-awareness and self-reflection; and have proper use of supervision. Although these strategies are invaluable, they do little to directly benefit the social worker during direct practice or while in session with a client which is a time period when clinicians are particularly vulnerable to distress or burnout. The importance of real-time self-care strategies is particularly critical for clinicians, especially those who engage in trauma work, given the sensitivity of topics that clients may have endured or benefit from assistance in processing. Further, little information has been published on the use of self-care techniques during a session with a client or in a clinical context. The purpose of the present paper is to discuss self-care strategies that can be useful both outside of and within a clinical setting and present a model of such strategies that focus on integrating self-care in clinical practice particularly for those engaging in trauma work. The paper will conclude by discussing the relevancy of the developed model in practice.     

Talking about emotion: how are conversations about emotion enabled in the context of social work practice education?

It is widely acknowledged that emotion is a potent force in social work practice and practice education which can have a significant impact on both practice and practitioner experience. So too, is the recognition that social work students may face higher levels of stress than their qualified colleagues—social work itself, one of the professions where workers often experience higher levels of emotional demand than do other occupational groups. In terms of professional training courses for students entering the ‘helping professions’, there is a visible theme of heightened student pressure that relates, in some way, to the practicum aspect of their qualifying course. Relatedly, there is a clear consensus that the quality of the student-Practice Educator relationship is a key determinant of student learning and student experience. This article presents the findings of a small-scale qualitative research study, investigating how conversations about emotion are enabled within supervision, from a sample of final year qualifying students (n = 4) and Practice Educators (n = 5). It intends to make a contribution to the literature concerned with the development of good practice in this area, with a particular focus on the facilitative approaches of Practice Educators and the preparation of students for professional practice.     

Supervisor and policy roles in social media use as a new technology in child welfare

This analysis examines the role of agency policy and supervision in the decision-making of child welfare workers about their work-related social media use. Data were collected using a mixed-methods internet-based survey of 171 child welfare workers and interns about their social media use related to their direct-practice work with child welfare clients. The study finds that supervisor approval and agency policy is correlated with worker's social media use, and that workers find utility in social media use, but have poor clarity about how they should use social media in the child welfare work setting. These results suggest a need for agency policy and practice guidelines. Implications for child welfare agencies include an opportunity to consider the types of policy development necessary to ensure that multiple stakeholders are represented in policy and practice decisions, and that they reflect the possible benefits and risks of social media use.