Attitudes Toward Advanced Licensing for Macro Social Work Practice

ABSTRACT

Trends in clinical licensing and a renewed energy to strengthen macro practice are raising questions about the appropriateness of licensure for macro social work practice. This article presents findings from an online survey of macro social work educators and macro social work practitioners exploring their attitudes toward an advanced-level macro social work license. Faculty and practitioner responders agreed that there is a role for advanced-licensing of macro social work practice; however, the lack of a collectively strong response reflects a current state of ambivalence toward advanced-level licensing for macro practice. Implications from these findings on contemporary social work are discussed.     

Macro Practice and Policy in Cyberspace

SUMMARY

The integration of computer training within social work education is necessary for social workers to keep abreast of technological changes occurring within human service agencies. This article presents several techniques to integrate computer simulations and Internet research within the baccalaureate curriculum. Emphasis is placed on the use of these techniques to teach policy and macro practice.     

Why Macro Practice Matters

This article asserts that macro practice is increasingly important in today’s rapidly changing and complex practice environment. It briefly explores the history of macro practice in U.S. social work, summarizes its major contributions to the profession and to U.S. society, and provides some suggestions for how social work programs can expand interest in macro practice among their students and increase the number of students who pursue macro-oriented careers.     

Challenges to Bridging Field and Classroom Instruction: Exploring Field Instructors’ Perspectives on Macro Practice

Field education and macro practice have been highlighted as central educational domains in social work education; however, little scholarship has looked at how macro social work practice competencies have been integrated into field-based learning. This exploratory study aimed to gain perspectives from field instructors regarding macro social work and the integration of macro practice into their work with practicum students. Consistent with scholarship that has elucidated the impacts of neoliberalism on social work, including the marginalization of macro practice, emergent themes demonstrated that field instructors face barriers to incorporating macro work into their training of students. Challenges include prevalence of the medical model, time constraints, and funding limitations. Further, field instructors observed gaps among students, their university, and their organizational setting in regard to expectations for integrating macro practice into field education. Recommendations and directions for future research are discussed.     

Protecting the Inclusion of Macro Content in Generalist Practice

Maintaining the integrity of macro focused curriculum content in a generalist academic program is a central issue in social work education. The authors describe forces affecting social work education that have resulted in an increased focus on micro level practice to the detriment of macro level practice. They present a generalist curriculum model for highlighting macro focused curriculum content. The model's components include: (1) curriculum goals; (2) curriculum themes; (3) liberal arts foundation; and (4) curriculum content and learning strategies. The authors highlight the model's advantages for creating a pro-activist educational atmosphere.     

Reclaiming and Reimagining Macro Social Work Education: A Collective Biography

The authors focus on a collective biography of 12 women social work educators, all either tenured or in tenure lines, from five different universities at the time of the study. The participants represent several aspects of macro practice including administration, planning, community practice, and policy. Beginning with reflections about coming into macro practice, we highlight memories about first teaching experiences and examine cultural shifts discovered in our academic journeys. We feature students who inspired us and perceptions of challenges in curricular development affecting the preparation of students. This article includes comments that emphasize the themes and focus of our collective reflections. Finally, we place what we learned in the context of a report from the Association for Community Organization and Social Administration calling for the visibility of and advocacy for macro social work education.     

Social Workers in Private Practice: A Descriptive Study of What they do

This article reports on the findings of a national study conducted with a randomized sample of NASW members in private practice. The study examined such issues as populations served, lengths of treatment, fees charged, treatment approaches, and whether private practitioners used evidence-based practice or practice-based evidence in their work with clients. The article reflects on such questions as whether private practitioners have abandoned the social work mission, whether graduate schools should aim to prepare social workers for private practice, and whether social workers in private practice adhere to the NASW Code of Ethics.     

Bridging the Gap Between Micro and Macro Practice

The bifurcated structure of social work education, micro and macro, is often unwarranted and restrictive. This split forces a premature and unnecessarily narrow focus in study and practice. In order to adequately pursue social justice and deal with issues of power and oppression in a clinical context, this bifurcated structure of social work must somehow be unified. A narrative–deconstructive model of practice, nested in the postmodern–poststructuralist paradigm and embodied in the work of White and Epston offers a resolution to this dilemma. The authors provide a conceptual base for understanding this model, highlight those socio-political elements of the model that integrate clinical practice with social change, present examples, and discuss implications for social work education.     

Child welfare workers and social justice: Mending the disconnect

While professional social workers are clearly obligated to pursue social justice, controversies abound surrounding what that means in theory and practice. Perhaps nowhere are the paradoxes inherent in practice for social justice seen in sharper contrast than in the field of child welfare. Intended to protect the rights of children, child welfare systems themselves have been characterized as instruments of oppression. This article hopes to enrich that discourse through an examination of how these issues are conceptualized and acted upon by front-line child welfare social workers. Through in-depth interviews with 25 child welfare workers, and 3 focus groups, in two Canadian provinces, and employing grounded theory strategies for data collection and analysis, we have explored understandings of the social justice mandate and how it is expressed in practice. Participants in this study conceptualized social justice in terms of both wider societal goals of fairness and equality, and of the quality of interactions and relationships between social workers and those with whom they work; conceptual emphasis on one or the other of these we found to be associated with differences in practice. We reflect on the implications of each of these emphases for effectiveness in advancing social justice aims in the child welfare context, and make recommendations regarding a grounding for educators and practitioners in theoretical orientations that includes attention to the linkages between macro and micro opportunities to advance social justice.     

Merging Micro and Macro Intervention: Social Work Practice With Groups in the Community

Clinical or micro intervention predominates in social work education and practice. The prevailing assumption in social work practice and education is that one engages in either micro or macro intervention. In this article, we describe how these interventions may be merged into an integrated whole through social work practice with groups. The conceptual and evidence base of community work is summarized, as are efforts to identify practice skills that overlap both approaches. We assert that group work is ideally suited to promote individual empowerment and community change. Case examples illustrate the relative ease with which tasks and skills of group work at the micro level can be used in group work practice in the community. Implications for social work education are discussed.     

Debunking macro myths: findings from recent graduates about jobs,salaries, and skills

Research suggests that interest in macro social work practice is declining, a trend that has been well documented in the United States. Studies find that social work educators and practitioners may foster beliefs among MSW students that discredit macro practice and associated skills while asserting macro graduates are likely to face poorer employment prospects and lower salaries than micro counterparts as they start their careers. This study builds on and extends this literature by examining 27 skills in their current job using a five-point Likert-type scale among the early career trajectory of MSW alumni (N = 182) who graduated between 2008 and 2012 from a public social work institution in the southeastern United States. The skills included in the survey, as well as decisions about how to group them into scales, were made based on theoretical links between the skills by macro faculty members. Findings highlight the use of macro practice skills regardless of concentration focus, no differences in salary, or the time it takes to find employment between micro and macro alumni. Implications for social work education are discussed.     

Promoting sexual well-being in social work education and practice

This paper explores the importance of including sexual well-being within social work practice and education. Social workers often work with individuals for whom opportunities for sexual expression are limited and who face discriminatory attitudes. Sexual well-being is a global concern, and is particularly relevant considering international interest in the influence of notions of well-being on mental and physical health. Implementation of new social care policy in England, underpinned by the well-being principle, provides practitioners with the opportunity to explore what is meaningful to individual’s well-being through person-centred approaches to practice. There is currently little coverage of sexual well-being within social work education, this means students and practitioners lack the knowledge and skills to challenge barriers. Promotion of the concept of sexual citizenship, with its associated rights and responsibilities, enables social workers to engage in rights focused practice. Sexual well-being is a sensitive subject and the social and personal barriers practitioners may experience in addressing this topic are explored.     

Incorporating Substance Use Content Into Social Work Curricula: Opioid Overdose as a Micro,Mezzo, and Macro Problem

Problematic substance use has tremendous implications for the health and wellbeing of communities around the world. Social workers at the frontlines are likely to encounter clients with substance use disorders in the wide array of settings where they are employed. However, few undergraduate and graduate social work programs internationally require students to take coursework in substance use or have substance use specializations. In the short-term, incorporating substance use-related content into existing courses and institutional structures may be more viable for social work programs to educate students about substance-related issues rather than developing entire courses or concentrations. The rates of opioid overdose death are increasing internationally and it is a multifaceted public health problem which would provide students with an opportunity to explore a wide variety of micro, mezzo, and macro practice and policy issues related to substance use. This paper specifically suggests a number of strategies which could be used in practice and policy courses throughout the curriculum. Incorporating overdose-related content into existing courses could be a promising means to still provide students with some knowledge and skills to work with substance-using populations.     

Globalization and Social Work Education: Evaluation of Student Learning in a Macro Practice Class

This paper presents a model for infusing content on economic globalization into macro social work practice classes and assesses student learning in a class on social movements and social action. The analysis of student papers and survey data indicates that students increased their understanding of globalization processes and developed an enhanced commitment to addressing global social problems. The infusion approach adopted, however, was limited in the extent to which it helped students feel prepared for internationally oriented careers. Implications for addressing international content in social work education are discussed.     

Insights on Professional Identification and Licensure from Community Practice Social Workers

ABSTRACT

This article describes a qualitative study designed to explore both how community practice social workers identify professionally and to examine their view towards professional regulation. Thirty-five MSW-level social workers in a large metropolitan region who self-identified as community practice social worker participated in in-depth interviews. The respondents shared their views regarding professional identification as social workers and the impact of professional identity on their work as community practitioners. Approximately half of the respondents indicated that they only sometimes or never identify as a social worker. The respondents were generally critical of the licensing burden placed upon them as community practice social workers.     

Migration of Professional Social Workers: Reflections on Challenges and Strategies for Education

International migration of social workers has had, in recent years, a substantial influence on the political agenda of different countries in the world, and is fraught with challenges. In some countries, recruitment of internationally qualified social workers has even become an important strategy to meet staffing demands and to fill shortages in the social work profession. This paper aims to promote debate on the key role of social work educators in assisting social work students and practitioners to practise within both a national and an international context, by reflecting on specific practice examples from Canada, England and South Africa. We explore challenges, as well as possible strategies for adaptation in new contexts, such as the facilitation of additional training, globally comparable social work programmes, and the development of a stronger professional identity, based on integrated social work values. We conclude that by enabling a stronger professional identity through the development of professional virtues, social workers will be empowered to become more confident practitioners and internationally more adaptable.     

Ethical Dilemmas of Practicing Social Workers Around Psychiatric Medication

Abstract

It is acknowledged that social workers in mental health and other settings routinely experience client-related ethical dilemmas. Further, there is wide recognition of the potential impact of ethical dilemmas on social work practice with clients who use psychotropic medication. Little is know empirically, however, about the experiences of practitioners with these dilemmas. This article describes the results of a national survey of practicing social workers regarding the nature of ethical dilemmas they face related to their work with clients on medication issues. The results make it clear that social workers regularly confront a variety of ethical dilemmas in this type of practice. Many of these dilemmas are related to ambiguities around the knowledge base of practice, appropriate roles of providers, and basic personal and professional values. The authors present implications of these findings for social work practice and further research.     

Linking Practitioners' Attitudes Towards and Basic Knowledge of Immigrants with Their Social Work Education

Based on a survey of 1,124 social workers in the United States, this article examines how practitioners' attitudes towards immigrants and their general knowledge of immigration varied according to the content of their social work education. Although the majority of practitioners reported receiving coursework on practice with immigrants, this showed no effect on their attitudes or knowledge. In contrast, coursework on immigration policy predicted more favorable attitudes towards immigrants. Considering the mounting anti-immigrant sentiment and retrenchment of immigrants' rights in the United States, the results suggest the need to further explore what course work content is needed to prepare social workers for the current needs of the field. We argue that social work education must expand upon existing cultural competence models of practice with immigrants, to better prepare social workers to address the deepening social exclusion of undocumented immigrants in the United States.     

Investigating the quality of social work. An experience of self-assessment with Italian social workers

Evaluating the quality of social work practice is becoming increasingly important for various reasons, among which are changes in the welfare system and the reduction of resources. Meanwhile, it is acknowledged that evaluating the quality of social work is a highly complex task. Different meanings are attributed to the concept of quality and the concept of quality in itself is linked to the notion of social work identity, nature and aims, which is an object in transition. Although performance appraisal systems are spreading, a common understanding about what is ‘good social work practice’ is lacking, also within the professional community. In Italy, social workers seem missing in the arena of investigating and indicating which criteria can be used to evaluate social work practice. To counteract this weakness, a participative research-intervention project was developed from 2006 to 2011, aimed at supporting social workers in evaluating their work. During workshops with practitioners a self-evaluation tool was designed by means of asking social workers for the possible criteria to be used to define ‘good social work practice’. This paper presents the structure and methods adopted throughout such project, focusing on both the self-assessment questionnaire and the emerging notions of quality of social work.     

Educating Resilient Practitioners

Many social workers face challenges maintaining professional optimism and personal well-being in their chosen career. The retention of capable practitioners is important to employers and the wider profession. This paper reports on elements of an ongoing study into practitioner resilience in social work in health and non-statutory practice settings. The project aims to explore experienced social workers' understanding of their resilience in the face of workplace demands and stressors. Findings from a small, qualitative study of experienced practitioners in New Zealand suggest that social work education contributes in multi-faceted ways to preparing resilient practitioners. The authors recommend the strengthening of these elements in pre-service education.