Raising the Titanic: Rescuing Social Work Documentation from the Sea of Ethical Risk

Abstract

One of the most contentious issues in social work practice concerns what should be written about people who access social work services, how comprehensively, and in what format social work assessments, interventions, and outcomes should be documented. The present paper describes a structured approach linked to an action research project that was undertaken by hospital-based social workers to identify and minimise problems associated with documentation in the medical record. The Social Work Ethics Audit provided social work staff with a risk-management tool that highlighted documentation as a key area of ethical risk. Through a process of evaluating existing recording practices, social workers were able to meet the challenge of improving social work recording in medical records, returning it to its proper place as a vital component of clinical and ethical practice rather than an administrative task submerged beneath competing priorities. It was anticipated that the social work documentation proforma that resulted from the ethics audit process would have applicability in other health care settings.     

Ethics for Academics

The ethical delivery of social work education is guided by academic and professional codes of conduct, though often these documents fail to explicitly address the array of dilemmas faced by faculty and administrators. This paper examines commonly occurring ethical dilemmas faced by social work educators in carrying out their roles of teaching, scholarship and service. Specifically, the codes of professional social work organizations from four nations, the American Association of University Professors, the International Federation of Social Workers and the Codes of Conduct and Practice from the General Social Care Council in England are applied to four vignettes for analysis and discussion. Recommendations are offered for discerning relevant guidelines to resolve the unique dilemmas experienced by social work educators and consideration is given to the development of a specialized code for social work educators.     

The Ethical Practitioner in Formation: Issues of Courage,Competence and Commitment

This article reports on a small study exploring students' accounts of ethically difficult situations. Participating students were studying professional qualifying programmes in social education and social work at three higher education institutions in Finland, France and the UK. Variations in how students describe ethically difficult situations are noted—including whether they feature the student as an active moral agent facing a difficult ethical decision and the extent to which they utilise recognisably ‘ethical’ language and concepts. The types of situations reported as ethically difficult are identified as focusing on: the difficulties of challenging service users and colleagues; the power and responsibility of the worker; and defining the boundaries of the professional relationship. Similar types of situations were raised by students in the different countries, although there is some variation in how they describe their ethical difficulties and the specific concerns they raise. Implications for teaching include the need to develop skills and qualities in students that enable them to recognise the ethical dimensions of difficult situations and to develop the courage to act on their decisions.     

Social Work Students' Research-Related Anxiety and Self-Efficacy: Research Instructors' Perceptions and Teaching Innovations

The purpose of this mixed methods study was to examine social work research instructors' perceptions of research-related anxiety and research confidence among social work students, and teaching strategies to identify and manage anxiety. A national web-based survey of 186 BSW and MSW social work research instructors was conducted. Many BSW (70%) and MSW (61%) research instructors reported that they used specific activities or approaches to assess or impact upon student anxiety. Qualitative analysis results suggested a teaching model for social work research instructors designed to reduce students' research-related anxiety, including by enhancing their research confidence. Strategies that instructors can use include creating a supportive class climate, providing activities that are emotion-, cognitive-, and action-focused as well as the use of strategic timing. These findings can be used to guide social work research instructors' facilitation of students' attainment of research competencies and help further students' research–practice integration.     

A Comparative International Analysis of Religion and Spirituality in Social Work: A Survey of UK and US Social Workers

As service populations have changed, the social work profession in the UK and the US has attempted to respond to the needs of diverse cultures, which often include issues of religion and spirituality. This can be problematic, however, due to the extrication of religious and spiritual concerns from the public social services that resulted from the process of secularization. Members of the British Association of Social Workers (BASW) and the National Association of Social Workers (NASW) in the US were sampled to explore the attitudes and perceptions of social workers regarding the placement of religion and spirituality in practice and education. In general, US social workers in this sample were more accepting of religion and spirituality than their UK counterparts, even among those respondents who expressed non‐religious world views (e.g. atheism). A majority of the respondents in the UK (76%) and the US (73%) indicated that their training programs lacked content on religion and spirituality. In the UK, 57% of the respondents believed that social workers should increase their knowledge on spirituality, compared with 90% of the US respondents. The lower level of acceptance of religion and spirituality among UK social workers may be related to higher levels of secularism in UK society.     

Virtue Ethics for Social Work: A New Pedagogy for Practical Reasoning

Virtue ethics has begun to regain popularity among philosophers, and recent commentators have expressed enthusiasm vis-à-vis its appropriateness and strengths in the task of practising ethically in social work. Notwithstanding this growing interest in adopting virtue ethics frameworks, some difficulties arise when the question of how to develop social work virtues is posed. By examining the concept of reflective practice, and building from the work of Alasdair MacIntyre, this article explores how practical reasoning as a collective activity can help social work students in their moral development by developing and nurturing appropriate virtues for social work. A combination of Socratic dialogue activities, lectures and seminar work is highlighted as a potential pedagogical approach to teaching ethics and values on an undergraduate social work module at Coventry University. The approach is then appraised in the light of a set of module evaluation questionnaires distributed to students who undertook the module during the academic year 2006–2007.     

Social Media and Social Work: The Challenges of a New Ethical Space

ABSTRACT

Social media and other online technologies have transformed communication between social workers and service users, with many practitioners engaging and working with clients through social networking sites. While there are numerous ethical issues associated with online practice related to con?dentiality, dual relationships, and boundary crossing, there is lack of clarity about how to deal with such issues. This article uses a case example to develop a nuanced understanding of ethical issues and ethical behaviour in online spaces. We argue that social workers need to link their knowledge of the complex interplay between discourses that underpin daily practice like those related to power, permanency, authorship, audience, embodiment, and professionalism to social media created spaces. In doing this, social workers must retain their commitment to ethical values and critical reflective practice. We conclude with recommendations for education, research, and practice.     

Teaching the Child Perspective in Social Work Education: Ethical Principles and Classroom Strategies

Aimed at graduate and undergraduate social work instructors, this article identifies the problem of inadequate attention to children in social work education in the US. The authors argue that social work ethics require social work educators to address children as a vulnerable population. They argue that children will be more central in social work education if instructors adopt a child perspective defined by three knowledge categories, development, well‐being and hope, that serve as reference points in teaching. A triangular strategy of position, attitude and action is provided to guide the day‐to‐day use of a child perspective in the classroom. The authors examine sources of the problem, describe its effects on students' education and future practice and provide classroom examples and teaching techniques.     

Preparing Social Work Graduates for Digital Practice: Ethical Pedagogies for Effective Learning

ABSTRACT

Debate has arisen in social work about the value of online education, with proponents providing examples of innovative approaches to online teaching and those against it citing the need for face-to-face interactions to suitably teach and assess social work skills. At the same time, social workers are increasingly making use of social media, websites, online databases, email, and text messaging services for work with clients. Consequently, social workers must be adequately prepared to make use of online technologies in their practice. Drawing on examples of online interactive activities used at two regional universities and informed by Chi’s conceptual framework of cognitive processes of learning, this article argues that learning via information and communications technology (ICT) helps prepare graduates for emerging digital practice and should be an integral part of social work education. Further, ICT enables educators to monitor the levels and quality of student rehearsal of practice skills and knowledge in interactive learning experiences helping promote competent practice, grounded in social work values.     

‘Value talk’ in social work research: reflection,rhetoric and reality

This paper begins with an exploration of values in relation to current approaches within social work research thereby revealing tensions between what might broadly be conceived as scientific rigour and relevance to practice. It goes on to examine the purpose of social work research emphasising the notion of the researcher as engaged in a critically reflective dialogic process. Four core values conceived as guiding principles in undertaking research are identified as the basis for further ‘value talk’ in the context of developing culturally sensitive approaches without relinquishing a common sense of purpose in developing knowledge of and for social work practice.     

Community work and community care: Links in practice and in education

This article emphasises the individualising nature of much current community care provision and then discusses opportunities which may have been presented by the emphasis on user-empowerment within the community care changes. Drawing on personal experience and written from a perspective that we need a community care provision infused with the practices and values of community work, the article considers how community work needs to change and how community care workers need to change. The implications for social work educators are brought out throughout the article.     

Navigating Ethical Challenges in Social Media: Social Work Student and Practitioner Perspectives

ABSTRACT

The portable, accessible nature of technology affords social workers opportunities to venture outside traditional service contexts by engaging in the virtual realm. This qualitative article uses two small-scale exploratory case studies to investigate the concept of ethical challenges in online peer networking and blogging by a social work student and social work practitioner. The article seeks to address the opportunities for and complexities of navigating technology and social media, while also emphasising the need for social workers to acquire a range of skills and competencies, and use well-established frameworks to engage in ethical online practice.     

Law in Social Work Education: Reviewing the Evidence on Teaching,Learning and Assessment

This paper presents the findings from a systemic review of knowledge relating to current practice in the teaching, learning and assessment of law in social work education. The research comprised an internationally conducted systematic review of the literature, together with a survey of current education practice in the four countries of the UK. Two consultation events sought the views of a range of stakeholders, including the perspectives of service users and carers. Set in the context of debates about the relationship between law and social work practice, this paper identifies the common themes emerging from the review and offers an analysis of key findings, together with priorities for future directions in education practice.     

Social Work Doctoral Education in Australia: The Case for Further Development

ABSTRACT

Social work education in Australia has been based in universities since the 1940s. There are now 32 higher education providers offering social work programs across Australia. The significant growth in master’s level qualifying programs in Australia, along with recent higher education policy changes, has increased the need for social work academic faculty members with doctoral qualifications. This paper presents the findings of a scoping review of literature on social work doctoral education. Despite a growing literature on social work doctoral education in international contexts, the review found that there is a lack of Australian research and evidence on social work doctoral pedagogy, the number and diversity of doctoral students, the doctoral student experience, and doctoral graduate employment intentions and outcomes. Addressing the lack of Australian research in this area would be an important step to enabling Australian social work to address future research training and capacity needs and directions.

IMPLICATIONS

• There is a lack of research on Australian social work doctoral education and this is a neglected aspect of social work scholarship of teaching and learning (SOTL) research.

• Research into social work doctoral education would provide baseline information on the number and diversity of students, doctoral student experiences, graduate outcomes, and employment intentions.

• Development of social work SOTL about doctoral education would support future research capacity and enable the advancement of social work research knowledge and skills.

     

Including Spirituality in the Social Work Curriculum: Perspectives from South Asia

This article is based on a study of 1,084 social work educators from six South Asian countries on their perspectives on including spirituality in the social work curriculum. Findings revealed that all educators across countries felt that a course on spirituality was desirable. They differed however in aspects such as level of course introduction (undergraduate or postgraduate), the nature of the course (optional or compulsory) and the curriculum content (evidence based or experiential). Further educators construed varied meanings of spirituality (transcendence, mind-soul discourse, relational) and spiritually sensitive practice (actively using spirituality and mindfulness as methods of practice for intervention and drawing upon the spiritual strength and potential of the clientele/group/community to plan intervention). Four log regression models also determined predictors of educators' perceptions on spirituality for micro practice, macro practice, level of course introduction and curriculum content. Country, educators' religious background, years of service and scores on Spirituality Assessment Scale emerged as key predictors. Based on educators' responses, this article provides a suggestive frame for the curriculum. With spirituality and its plausible settings of applications, a case is also made for giving credence to indigenising and decolonising approaches in social work education in South Asia.     

Social Work and the Natural Environment: Embedding Content Across Curricula

Social work is a profession focused on people within their environments. This is reflected in codes of ethics, where our shared mandate is to work towards individual wellbeing and social change. Recently, social work literature has promoted green and eco-social work, drawing on climate change science, notions of expanded and future justice, knowledge of the link between health and the environment, and principles of deep ecology. However, if social workers are to take up their place in a rapidly changing, globalised world, rife with environmental concerns, their education must prepare them to do this. One way of doing this is to embed curriculum on social work in relation to the natural environment in already existing units. This paper describes two examples of how this could be done based on the authors’ experiences from their respective universities.

IMPLICATIONS

• It is incumbent on social work to respond to the mounting evidence related to the environmental crisis.

• Social work is well placed in terms of theory, values, and skills to lead the way in developing an eco-social paradigm of potential relevance across disciplines.

• Social work educators need to educate students about emerging issues, such as environmental degradation. Embedding material in already existing courses, as per examples provided in this paper, provides one way of doing this.

     

Critical Reflection on the Ethics of Mindfulness

Mindfulness is a way to achieve mental wellbeing that has been widely adopted as part of counselling and mental health treatment. However, there is a distinct lack of critical reflection about the origins of this technique, how it is used, and the implications it has for the beliefs of clients. The purpose of this paper is to provide a carefully considered response to the use of humanistic mindfulness. Social workers need to explain why they recommend mindfulness, and explore culturally consistent and sensitive practice, so that they are abiding by the Australian Association of Social Workers Code of ethics.

IMPLICATIONS

• The use of mindfulness in social work practice requires careful consideration as to its impact and relevance to clients’ needs.

• Mindfulness originates in philosophical traditions distinct from mental health treatment.

• In choosing to use mindfulness social workers require consistent and sensitive understanding of clients’ needs, world views, and culture.

     

Issues and Challenges in Gatekeeping: A Framework for Implementation

Social work educators' role in gatekeeping within BSW and MSW academic programs continues to be a concern and challenge for the profession. Social work programs are the entry point in which students develop the required competencies to practice within the field. The social work literature on gatekeeping is extensive and expansive. The literature reviews and addresses the importance and need for gatekeeping as well as challenges in implementing gatekeeping within social work programs. This paper reviews the literature on gatekeeping in social work programs, discusses the legal issues pertinent to gatekeeping, and identifies the challenges faced by social work programs in implementing gatekeeping procedures. The paper suggests an integrated conceptual framework using the Council on Social Work Education's Educational Policy and Accreditation Standards (EPAS) for competencies in gatekeeping in social work programs.     

Social policy and social work in the voluntary sector: the case of Ukraine

Over a decade has passed since the dissolution of the Soviet Union. This major political change has had profound effects on how social welfare is delivered in countries in transition from communism. Using material derived from the author's involvement in social work education projects in Ukraine, this article examines the changing relationship between statutory social welfare provider agencies and the burgeoning voluntary sector. A confusing and rapidly changing picture has emerged. Some prominent themes likely to shape future directions are identified, particularly the imperative to ensure that social work education continues to be sensitive to local political and cultural contexts, rather than relying on importing Western solutions.