Split or Synthesis: The Odd Relationship Between Clinical Practice and Research in Social Work and in Social Work Education

The relationship of practice and research in social work has often been characterized as a ‘split’ in interests and in professional purposes. The same split also appears in social work education. This article examines several issues related to better integrating clinical practice and research in social work and in social work education. The article opens with a historical exploration of the origins of the social work profession as based in differences between practitioners and researchers. Second, differences in the purposes, professional cultures and professional organizations of clinical social workers and social work researchers are examined. Third, the processes and methods of clinical practice and research are systematically compared and contrasted. A chart outlining their similarities and differences is offered. The article closes with several recommendations to improve social work education in both areas that can lead to better integration of clinical practice and research in social work.     

50?Years and the Future of Agency-Based Clinical Social Work Practice: Introduction to the Special Issue

This special issue is a celebration of the Silver School of Social Work??s 50th Anniversary in 2010?C2011. The articles in this issue celebrate the School??s distinct reputation for excellence in clinical social work. They also celebrate the school??s current mission, which includes knowledge development for social work practice, with an emphasis on urban problems, poverty and social justice, and agency-based practice. The majority of the submissions focus on contemporary and future social work practice. This paper concludes with a discussion of several issues that confront the future of clinical social work practice including workforce trends, technology, and the scientific basis for practice, wealth disparity and race as contemporary American issues that affect clinical social work, the globalization of social work and mental health services, and education for tomorrow??s clinical practice.     

The psychological goods on clinical social work: a content analysis of the clinical social work and social justice literature

The purpose of this content analysis was to evaluate the extant literature on clinical social work and social justice. In July 2009, an online search of the university databases EBSCO Host (1988–2009) was conducted to identify articles on clinical social work and social justice. Thirty-six peer reviewed journal articles were identified and extracted. The majority were non-empirical articles (75%) published in the United States (94%) over a 21-year period from 1988 to 2009. Overall, clinical social work practice was described as psychological and/or sociopolitical interventions that had a direct and/or indirect effect on psychological and sociopolitical level social justice outcomes. Theories and practices consistent with social justice were advanced. These findings suggest that clinical social work's promotion of psychological well-being remains an underdeveloped area in the scholarly and research literature. In this era of professional educational reform, additional research and professional training on social justice based clinical social work practice is warranted.     

The new old guard: Beliefs and values of members and nonmembers of societies for clinical social work

Opinions on educational and practice issues relating to clinical social work were solicited from three groups of professionally active, masters level social workers: (1) members of state societies for clinical social work [N=43]; (2) nonmember clinical social workers [N=38]; and (3) nonmember social workers who were not clinicans [N=20]. Results indicate that members of state societies for clinical social work firmly endorse traditional social work values, but differ systematically in their opinions from masters level clinicians who are not members of state societies for clinical social work, and from nonclinicians with masters degrees. Implications for formal organizations in social work are discussed.     

Clinical social work with chicanos: Some unwarranted assumptions

Generally the literature of social work conveys a negative attitude toward the use of clinical social work with Chicanos. These attitudes result from assumptions that have not been empirically tested. Nevertheless these assumptions have been accepted as valid. This paper identifies and discusses these assumptions in the light of the nature of clinical social work and its objectives. The conclusion reached is that clinical social work is not alien to the needs of Chicanos and can be used successfully with them when the therapist has an understanding of the cultural system and can provide therapy within its framework.     

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.     

The Clinical Aspects of Case Management and its Role in Graduate Field Education

In graduate social work education, faculty advisors together with practice instructors can improve social work students' skills to link the practical aspects of ‘work responsibilities’ to the clinical underpinnings of case management. Often students are taught the direct services (case management) with a view solely focused on the practical aspects of care, and this curtails the students' opportunity to learn the clinical interventions that exist in all components of social work: to identify, understand and apply clinical dynamics to presenting problems. The authors discuss their work in addressing case management from a clinical perspective with MSW students and recommendations for its inclusion in graduate social work programs.     

Social Work Education and Clinical Learning: Yesterday,Today, and Tomorrow

Social Work Education and Clinical Learning by Simpson, Williams, and Segall is a welcome and timely statement about the nature of clinical social work and its implications for educational curricula. The authors took on an awesome task. Educating students for clinical practice is increasingly more daunting than it has been previously and is in considerable disarray, if not a state of crisis. In addition to amplifying and expanding some of the major points the authors make, this discussion considers where we have been, where we are, and where we are going. It describes the educational landscape today, which the author views as bleak with respect to its preparation of students for clinical social work practice. In keeping with clinical social work’s inclusive definition that encompasses a broad knowledge base, diverse practice roles, and a wide range of interventions, this discussion emphasizes the importance of numerous unifying themes that help to distinguish clinical social work from other approaches or from the use of a fragmented assemblage of techniques. The paper considers the role of evidence-based practice and makes some suggestions about future emphases in clinical social work. It concludes with a call to alter the educational landscape.     

A Case-based Collaborative Learning Model for Teaching Advocacy

Social work graduate school programs focusing on clinical practice have traditionally attended less to the profession's advocacy role. Masters-level clinical social work students, therefore, may not receive adequate training to understand their roles in advocating for or against policies that directly impact their practice. This article proposes a collaborative learning model called ‘Advocacy Week’, which prepares students for a statewide NASW-sponsored Advocacy Day. Using case presentations prepared in collaboration with clinical and policy social work faculty, aspiring clinical social work practitioners are exposed to the relevance of advocacy. Preliminary findings suggest that graduate students exposed to this model become aware of their advocate role as part of their clinical practice, a knowledge which has implications for social work education.     

Social Constructivist Practice with Youth

Social constructivism is an important and creative perspective for helping social workers in their work with adolescents. This paper demonstrates how theoretical orientations and clinical techniques that adhere to a social constructivist perspective can be integrated with the developmental realities of adolescence to provide effective social work interventions. Fundamental assumptions are discussed and are related to problems of practice. Case studies are utilized to demonstrate social constructivist principles in clinical work with adolescents.     

Social Workers’ Perspectives Regarding the DSM: Implications for Social Work Education

There is a decades-old debate in social work regarding the appropriateness of the use of the Diagnostic and Statistical Manual of Mental Disorders (DSM) by clinicians in this profession. Despite often contentious perspectives, there has been very little study regarding clinical social workers’ experiences, attitudes, and beliefs about the use of the DSM in their work. In this qualitative inquiry, 20 clinical social workers who had recently completed master’s of social work coursework and were working with children were interviewed using grounded theory methods. Results of the inquiry are presented and implications for social work education are discussed.     

The theories of Heinz Kohut and clinical social work practice

Indicated in this paper is the consonance of Heinz Kohut's psychoanalytic psychology of the self with the principles of clinical social work. The traditional values, precepts, and practices of social work were derived from a research of the literature written since 1889. The consistency of these two sets of ideas is further demonstrated in a case example. Unique contributions of social work are pointed up, and ways in which Kohut's theories add to the understanding of human personality and enrich clinical practice are elucidated.     

Social Work's Legacy: Irreconcilable Differences?

Social Work is under attack, not the least of which comes from within its own ranks. Clinical social work appears to the hardest hit as critics question its fit with social work's historic focus on the poor and the oppressed. In addition, there continues to be ongoing controversy regarding the profession as means of social control. Clinical social work has also been attacked for its reliance on the medical model and the growth in private practice. Do these attacks and criticisms signal the end of clinical social work? Or, could this be viewed as part of a process through which social work analyzes its self in its continuing efforts to remain relevant. Is this the evolutionary path of social work? This paper explores some of these controversies and debates. The profession has grown, evolved, and responded to criticism since its inception. A current model for understanding the fit between clinical social work and social justice is presented as an example of how debate continues to lead the profession forward.     

Evidence-Based Practice in Social Work: Challenges and Opportunities for Clinicians and Organizations

Evidence-based practice (EBP) is increasingly emphasized in social work, yet effective approaches for translating research evidence into social work practice remain elusive. Despite a growing body of evidence describing effective interventions with a variety of populations, social workers continue to encounter substantial challenges with incorporating knowledge gained from these intervention studies into their routine practice with clients. This paper presents the current research outlining the known barriers and promoters to using EBP in social work clinical practice. Because social workers practice within the context of organizations, we consider the barriers that exist at both the individual and organizational levels that affect clinical social work practice. In addition to addressing the various challenges to incorporating research evidence into practice, we will also discuss a variety of emergent opportunities accompanying the move toward EBP that can be leveraged by clinicians in their social work practice with clients.     

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.     

Practice theory for clinical social work

It is suggested that practice theory for clinical social work practice is in a state of disarray. Six new books on clinical social work practice are reviewed, with an identification of their contributions to the development of clinical practice theory. The expanded societal functions of clinical social work have resulted in major changes in method and in practice activities, without commensurate development of appropriate theory, as about environmental-situational interventions. Good theoretical advances have been made, as about a basic ecological systems model, though with need for a greater openness to new theories and to an eclectic approach. Advances have also been made in clinical research and knowledge building, handicapped though this may be by current critical inadequacies in the professional schools, particularly in the continued resistance to the development of clinical doctorate programs.     

Enhancing Competence in Health Social Work Education Through Simulation-Based Learning: Strategies From a Case Study of a Family Session

ABSTRACT

Simulation-based learning (SBL) is a powerful tool for social work education, preparing students to practice in integrated health care settings. In an educational environment addressing patient health using an integrated care model, there is growing emphasis on students developing clinical competencies prior to entering clinical placements or clinical practice settings. This article highlights the importance of SBL in the development of the clinical competencies of graduate social work students enrolled in a Social Work Practice in Health course. The development and implementation of an educational initiative using a family-based simulation scenario to enhance classroom learning for health social work practice is described, and recommendations for future educational initiatives using SBL are provided.     

The social worker as psychoanalyst

This paper examines the development of social workers as psychoanalysts to determine whether psychoanalysis is a legitimate function of social work. Historically, social work has found psychoanalytic theory helpful. However, it is generally understood that for the caseworker to competently practice psychoanalytic psychotherapy, advanced training is necessary. Although many social workers have availed themselves of this opportunity, the profession continues to believe that the practice of psychoanalysis is incompatible with social work. This is based upon an inaccurate conception of psychoanalysis. Since the social work psychoanalyst is concerned with the client's adaptation to the environment, his or her practice can easily be defined as clinical social work.     

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.