From counselling to community work: Developing a framework for social work practice with displaced persons

Abstract

This paper represents the outcome of a process of reflection during and following a practice experience with 400 displaced persons from Kosova who were accommodated in southern Tasmania in 1999. Engaged to provide counselling services, the authors experienced misgivings from the outset that this alone would be an effective and appropriate response to people in circumstances of continuing displacement and uncertainty. The paper describes the evolution of services from counselling to community work, discusses emergent practice issues and identifies key principles for future practice.     

Annoying owners: Routine interactions with problematic clients in a general veterinary practice

Based on a year of fieldwork in a large, mixed-practice veterinary clinic in New England, this discussion focuses on the criteria veterinarians use to evaluate and define certain clients as problematic. Doctors and clinical staff define most negatively those clients who are especially ignorant concerning basic features of being an owner, are argumentative or demanding, display concern for fees over the welfare of their animals, are apparently negligent of or abusive toward their pets, or are problematically over-involved with their animal companions. Comparisons are drawn between the typologizing activities of veterinarians and those of physicians and other service workers. Portions of this paper were presented at the Qualitative Analysis Conference, Carleton University, Ottawa, May 22–25, 1992.     

Extended mutual imagery in work with anxious and phobic clients

Imagery and metaphor have a long history as tools for helping and healing. This article traces that history to the present and defines and explains the author's variation of using imagery called Extended Mutual Imagery (EMI). The emphasis on mutuality is, from the social work perspective, an essential ingredient for the effectiveness of EMI. EMI has been found to be effective with anxious and phobic clients who use metaphoric and imaging language. A case example using EMI with a 47 year old anxious female client is provided followed by discussion.     

China's development loans and the threat of debt crisis in Kenya

The increased access of African countries to external capital markets has rekindled interest in growing external borrowing and placed debt sustainability at the forefront of the continent's policy agenda. In this article, we discuss the conceptual link between external loans and debt challenges. In this article, the analysis is cast in the context of new sources of loans triggered by Sino–African co‐operation. The article examines the main sectors targeted for financing in Kenya, how the Chinese‐funded projects have been structured, the financial models adopted to deliver on the projects, and the overall gains from such projects. Ultimately, the article examines the external debt situation in Kenya and how Chinese loans are likely to precipitate a crisis of sustainability. The analysis shows that, although the external financial support plays a critical role in addressing the gap in Kenya's infrastructure development, the loans also pose risks of debt sustainability in the longer term, Chinese loans particularly are tied and lack transparency. The emerging debt challenges point to the need for policy reforms in favour of enhancing loans transparency and the beneficial impacts. This would enhance the repayment capacity of borrowing countries.     

Walk-in clinic counselling for emotional regulation with low-needs youth on the autism spectrum

A single-session consultation model for low-needs youth on the autism spectrum is presented with the mental health concern of emotional self-regulation, a common issue in family psychotherapy. This research is contextualised within the growing field of short-term therapy as it intersects the growing demand to therapeutically address clients on the autism spectrum. The treatment intervention is delineated through five sequential phases within the walk-in clinic setting for the practitioner clinician. A rationale, overview, and instruction for the practitioner clinician utilising this novel model is provided through a case study format. By using a more structured and integrated approach to treatment, organised through an externalised metaphor, it is suggested that the current model will be more effective for this specific clinical population. Additionally, a case illustration is provided that scaffolds the treatment model, which includes table formats and pictures. The case study illustrates the self-regulation map metaphor visually and interactively linking client challenges, strategies, and motivations simultaneously on multiple electronic devices in session. Relevant works were selected to explore the effectiveness of single-session consultation models for those presenting on the autism spectrum. Treatment interventions for specific clinical populations are recommended, especially within walk-in clinic therapy. This clinical research introduces a paradigm shift towards therapeutically addressing emotional self-regulation with low-needs youth on the spectrum through virtual, interactive technology.     

Exploring the relationship between gambling,debt and financial management in Britain

The issue of how and why gamblers end up in debt has received comparatively little attention in the literature. Data from the 2007 Adult Psychiatric Morbidity Survey (APMS) revealed that although problem gamblers were more likely than non-problem gamblers to have forms of financial debt, just under two-thirds of problem gamblers (62%) reported having no debt. Using a qualitative approach, this study aimed to explore the issue from the perspective of gamblers themselves through interviews with 27 purposively sampled gamblers drawn from participants who took part in the APMS and the British Gambling Prevalence Survey 2010. Analysis, using the Framework method, suggested the existence of four kinds of gamblers categorized by their approach to gambling spending and their approach to their general spending: ‘controlled gamblers’, ‘uncontrolled gamblers’, ‘uncontrolled spenders’ and ‘chaotic spenders’. Also proposed on the basis of these data is an ecological model which aims to capture the different levels of personal and environmental factors that influenced people's financial decisions, including cognitive factors, control and compulsion, normative spending, resource and financial management, and the credit environment. The implications for practice are also discussed.     

An islamic perspective for strengths-based social work with muslim clients

This paper examines the Islamic concept of fi?ra or ‘original purity’ in relation to the strengths perspective in social work as a basis to guide religious and culturally appropriate services to Muslim clients. Both fi?ra and the strengths perspective presuppose a positive view of humankind; people are viewed as resilient and capable of growth and development, albeit in respective Islamic and secular systems, these outcomes are towards different ends. In Islam, growth and development links to the self but, ultimately, also to one's relationship with God. In secular social work systems, individual effort and the ability to overcome adversity and become whole are key and need not necessarily be linked to a God. This paper assesses the concept of fi?ra in relation to the strengths perspective to determine a religious and culturally appropriate equivalent for working with Muslim clients within the broader context of multicultural practice.     

Culturally responsive social work practice with D/deaf clients

ABSTRACT

D/deaf individuals are often marginalized in our society. A lack of cultural understanding among social workers serving this population, coupled with communication barriers, inconsistent access to interpreters, or misperceptions of culture, adds to the potential for further marginalization. D/deaf individuals seeking mental health and social services live in a unique cultural context with which social workers may not be familiar and experience persistent issues surrounding access to mental health and social services. This article reviews some useful best practices, cultural points to be aware of, and suggests some strategies for providing culturally responsive social work when working D/deaf clients.     

Adolescents’ Views on Families as Metaphors in Hong Kong: Implications for Pre‐counselling Assessment

This interpretative study aims to offer metaphors that describe family meanings from the adolescent’s perspective by encouraging them to give a metaphor with their own explanation on a self‐administering essay form. This study has three objectives: to explore the family meanings as a metaphor from the Hong Kong adolescent’s perspective; to reveal any common and unique features of these metaphors; and to search for the possibilities of collecting metaphors from adolescents as a pre‐counselling assessment tool. The 12 participants for this study were referred to me for family counselling because of poor self‐esteem, loss of life goals or ineffective relationships with their parents. Based on the 12 metaphors, the following five themes can be discerned: (i) gender role in a family, (ii) Chinese culture in a family, (iii) heat in a family, (iv) security in a family and (v) the family as honey and a loan company. Based on the above five themes, there are some common metaphors (e.g. a warm place, honey, a shelter, a boat shelter, a chick and a hen, a volcano, a fire, an oven and a loan company), trans‐cultural and unique metaphors (e.g. a wet market and ‘Kung Fu’ experts), and those that are culturally specified. Both strengths and limitations of collecting and analysing metaphors were discussed.     

Do social workers avoid the dilemmas of work with clients?

This article is devoted to Lipsky's suggestion that the purpose of street-level policies is to establish and justify patterns of behaviour that enable street-level bureaucrats to avoid the dilemmas provoked by uncertain working conditions. Based on a review of relevant literature as well as on case studies in the culture of social work service organisations by the authors, the article suggests that two kinds of street-level policies are described by the research. The first one is consistent with the aforementioned idea by Lipsky and follows the wish of social service workers to avoid the dilemmas of their work with clients without trying to change those uncertain conditions that provoke these dilemmas. The actors of the second kind of street-level policy try to negotiate with relevant partners and to change uncertain working conditions that are at the roots of their dilemmas. Both kinds of street-level policy are described by means of empirical examples and their substantive features are summarised.     

Developing cultural competence with LDS clients: Utilizing spiritual genograms in social work practice

ABSTRACT

In recent years, social work has increasingly focused on spirituality and religion as key elements of cultural competence. Consequently, specific strategies have been developed to provide the most appropriate interventions for religious clients. The Church of Jesus Christ of Latter-day Saints (LDS) is the fourth largest and the fastest growing church in the United States and is one of the fastest growing churches worldwide. In an effort to facilitate cultural competence with LDS clients, a spiritual assessment tool was developed based upon the genogram. Evaluation of this tool was facilitated through a survey of 100 practitioners. Participants liked the idea of using a spiritual genogram and felt it would be a useful tool in therapy. In general, they thought the questions associated with the spiritual genogram were appropriate and consistent with LDS culture, although numerous suggestions for improvement were offered.     

Social work educators’ perceived barriers to teaching with technology: the impact on preparing students to work with younger clients

ABSTRACT

The educational needs of current social work students have transitioned in time from fully face-to-face to hybrid and for some, to fully online instruction. This helps to address students’ need to save time and money, as well as it assists the higher education institutions to provide easier and more efficient access to education. The use of technology in educational instruction has a positive impact on the future social workers who have to address the needs of technologically savvy younger clients. This is due to parallels related to the access and the use of technology, communication preferences, and the wide use of social media platforms. A quantitative non-experimental research design was employed in this research study. Non-parametric statistics were employed. A Mann-Whitney U test was used to compare the perceptions of barriers/challenges to eLearning among US and Spanish social work educators. The Kruskal-Wallis test was used to find the differences in the perceptions of barriers/challenges to eLearning across different group characteristics such as age, academic position, and experience teaching online and hybrid courses. There are six main barriers/challenges identified in this article. When not addressed, these barriers could have a negative impact on social work students’ readiness to use technology in their future social work practice.     

Critical factors of intensive family work connected with positive outcomes for child welfare clients

Mechanisms producing positive change in troubled families were analysed. The study aimed to answer the questions: What kind of case and client outcomes does intensive family work (IFW) produce for child welfare clients? From the perspective of family workers, what kind of critical factors for positive child, parent and family outcomes can be identified? The study used child welfare case files of 35 families with 93 children from one social office and interviews with 20 family workers and IFW managers in 5 municipalities in Finland. The shades of worries scale was used in evaluating the change in each family's situation. The case outcome measures for children included changes in the child's status in open care, short-term placement or foster care. During IFW, positive changes took place in 23 families out of 35 (66%). Twenty-seven children from 16 families did not continue as child welfare clients. Eleven children were placed into foster care during IFW and two years after it. The critical processes for outcomes included time, trust building and engagement, practical help, facilitating communication and guaranteeing the best interest of the child. IFW was considered effective for positive outcomes for the majority of families with complex needs.     

Utilizing social media for social work: insights from clients in online youth services

ABSTRACT

This study explored and conceptualised service users’ experiences in online outreach projects supported by the Hong Kong SAR government. Fifteen active users were interviewed. The study used thematic analysis to explore service users’ experiences that might not have been possible without technology. Participant utterances were non-mutually-exclusively tagged with a specific theme. Each utterance reflected an aspect of user experience which combined a technical component with a service-need component. Six themes were identified, including: (i) Personalised newsfeeds help identify service information and news, (ii) Online status indicators improve service accessibility, (iii) Online communications enable a disinhibition effect, (iv) Asynchronous communications facilitate continual feedback loops, (v) Incomplete communicative modalities may cause misunderstanding and (vi) Asynchronous communication may disrupt conversations. The findings reveal that there are middle-level concepts between broad social work concepts and ever-changing technology. Implications for research and practice are discussed.     

Recognition and judgement in social work

The purpose of this article is to argue for recognition as a normative ideal for social work and to confront the ideal with the reality found in the social institutions. I shall use the concept ‘judgement’ to describe institutional routines and ways of thinking which constitute barriers to recognition. In the first part, I outline the normative ideal and show its relevance for practical social work on the basis of social clients’ experiences of disrespect. In the second, I explain the concept of judgement and criticise the prevailing forms of judgement to be found in social institutions. In my interpretation these pose an obstacle to recognition.     

Embedded journalism: constructing romanticized images of China by US journalists in the 1970s

This case study examines the memoirs of American correspondents who were “embedded” within official delegations during the course of the US–China rapprochement in the early and mid-1970s. We seek to analyze how short-term visiting journalists arrived at their romanticized portrayals of Maoist China – when it was going through the chaos of the Cultural Revolution – and how the embedding journalistic practice served to facilitate foreign policy ventures orchestrated by both governments. We conclude that this romantic wave of media portrayal was entwined with journalistic preconceptions and a high level of dependency upon local fixers. Furthermore, we use discourse analysis to identify three “ideological packages” in their interpretation of the “new China” and its Cultural Revolution: material progress through self-reliance; a sense of purpose and morality; and equality.     

The role of empathy in training social work students in motivational interviewing

Motivational interviewing (MI), an evidence-based approach with empathy as a key principle, effectively addresses client concerns found in the child welfare population. Training social workers in MI, and to be empathic, would increase the likelihood of better service delivery. Live supervision (LS) is a form of training that provides real-time feedback by clinical supervisors. This randomized comparison trial compared the effectiveness of LS or Teaching as Usual (TAU) on empathy in 54 MSW and BSW social work students. TAU involved students receiving online modules and assigned readings. Data were collected at baseline, after the interventions, and at five months follow-up. Differences in perceived empathy and empathic behaviors were measured by the Motivational Interviewing Treatment Integrity (MITI) and Toronto Empathy Questionnaire (TEQ). The study also assessed whether demographic variables or perceived empathy (TEQ) predicted empathic behaviors (MITI). Results indicate that, while both groups improved on empathy as measured by the MITI and TEQ, the LS group demonstrated more improvement. Demographic variables had no impact on empathy. The TEQ and MITI also did not demonstrate predictability suggesting the complexity of measuring empathy. The implications for social work education and future training are discussed.     

State of the art in U.S. multicultural social work practice: Client expectations and provider challenges

ABSTRACT

To obtain a comprehensive view of the level of knowledge and development achieved in multicultural social work practice, I conducted a scoping review of U.S. empirical literature for the 10-year period from 2007 through 2016. The review revealed that across the board racial and ethnic minority clients continue to experience marginalization and report low satisfaction with services. Conversely, providers are subject to some tensions and biases toward multicultural practice exacerbated by employers’ lack of emphasis on cultural competence. The problematic findings from the review suggest that our current approaches to cultural competence may need to be reexamined.     

Ethical dilemmas in evaluating programs with family court related clients

Two ethical dilemmas are discussed; breaching client confidentiality in order to intervene in the client's illegal behavior, and defining the role of evaluator as expert witness. The evaluation context concerns a combined program development and evaluation project with clients involved in family court proceedings for child abuse or neglect. Different perspectives, approaches, and experiences in resolving each dilemma are reviewed. The conclusion argues that approaches to ethical dilemmas in evaluation projects must go beyond techniques to disguise data, to include an assessment of the values and value commitments connected to the different roles an evaluator must perform.     

Innovative Moments in Career Construction Counseling: Proposal for an Integrative Model

This article advances understanding of career construction counseling (CCC) by viewing it through the lens of the innovative moments model (IMM) of how clients construct change. The IMM conceives clients’ narrative transformations as resulting from counselors prompting and clients reflecting on exceptions to a problematic self‐narrative (i.e., innovative moments; IMs) that emerges in counseling dialogues. On the basis of intensive IMM analysis of CCC case studies, the authors propose an integration of the 2 models that describes the sequence of client change in IMs across the 3 phases of CCC. This proposal provides both conceptual and assessment tools that make it possible to describe and analyze the process of client change through life‐designing dialogues. The authors illustrate the integrated framework with vignettes from case studies and conclude by suggesting research to examine the validity and usefulness of the client change sequence and interventions for using this pattern of change to foster client transformation.