Are curriculum decisions based on the evidence? How social work faculty members make choices in curriculum decisions

An important step in translating evidence-based practice and empirically supported interventions into large-scale service improvements is to develop an understanding of practitioners' education and training in these practices. This understanding begins with discovering the factors that influence the decision-making process by social work faculty regarding curriculum content for master's level social work programs. This exploratory study uses quantitative and qualitative survey data to examine the decision-making process used by 42 master's level social work programs to select the models of direct practice taught in their master's level social work programs, and whether evidence-based practice and research evidence influences those decisions. We investigate faculty perceptions of curriculum effectiveness and discuss implications of our findings for social work educators making content and organization decisions regarding master's level social work curriculum.     

Social Work Training or Social Work Education? An Approach to Curriculum Design

Population ageing, economic circumstances and human behaviour are placing social welfare systems under great strain. In England, extensive reform of the social work profession is taking place. Training curricula are being redesigned in the context of new standards of competence for social workers—the Professional Capabilities Framework (PCF). Students must be equipped on qualifying to address an extensive range of human problems, presenting major challenges to educators. Critical theory suggests an approach to tackle one such challenge—selecting the essential content required for areas of particular practice. Teaching on social work with older people is used to illustrate this. Habermas' theory of cognitive interests highlights the different professional roles served by the social work knowledge base—instrumental, interpretive and emancipatory. Howe's application of sociological theory distinguished four social work roles corresponding to these. It is suggested that curriculum design decisions must enable practitioners to operate in each. When preparing students to work with older people, educators therefore need to include interpretive and emancipatory perspectives, and not construct social work purely as an instrumental response to problems older people present. This approach provides one useful rationale for curriculum design decisions, which is applicable to other areas of practice, and to contexts outside England.     

Research Note—Globalization and Social Work: Influencing Practice Through Continuing Education

This study determined the effect of a continuing education (CE) program on increasing social workers’ knowledge about global issues and subsequently influencing decisions for future practice. Thirty-eight participants took a CE course (3-session face-to-face or 1-month online) on global issues. Social Work Practitioner Globalization Survey was used to test participants’ (1) knowledge about globalization and global references, (2) belief about the importance of globalization for making practice decisions, and (3) intent to seek global knowledge in the future. Pre- and postcourse data from 32 respondents showed increases in knowledge, belief, and intended action toward the use of globalization knowledge in social work practice. Findings help social work educators justify and plan curricula that infuse globalization and global issues as curriculum components.     

How Effective are Interventions to Enhance Adherence to Psychiatric Medications? Practice Implications for Social Workers Working With Adults Diagnosed With Severe Mental Illness

This study integrates eight systematic reviews of adherence enhancement interventions to develop practice guidelines for social workers who work with adults who do not adhere to prescribed psychiatric medications. Findings indicate that existing investigations are disparate in their adherence definitions, methodologies employed, and sampling strategies, rendering it difficult to construct overall guidelines for social work practice. However, themes associated consistently with increased adherence are collaboration between clients and providers regarding medication decisions, consistent follow-up care, and a comprehensive network of professionals and caregivers who support clients in their use of medication to facilitate stabilization of mental health symptoms.     

Giving Our Students Professional Voice: Development and Implementation of a BSW Course on Writing for Agency Practice

In social work practice, writing is a tool for advocacy, communication with clients, and other professionals, and accountability. In virtually all practice settings, workers at every organizational level invest significant time and effort in writing. However, the social work education literature reveals little attention to teaching BSW students to write for practice settings. This article summarizes the development of a BSW course on writing human service agency documents, decisions made and lessons learned in the process, and suggestions for creating similar courses elsewhere.     

A Model of Comparative Ethics Education for Social Workers

ABSTRACT

Social work ethics education models have not effectively engaged social workers in practice in formal ethical reasoning processes, potentially allowing personal bias to affect ethical decisions.¹ Using two of the primary ethical models from medicine, a new social work ethics model for education and practical application is proposed. The strengths and weaknesses of specific extant social work and medical models are reviewed and addressed by the new model and its educational process. The development, components, and use of the social work model are detailed, and an education process example is provided.     

Self-Determination and Confidentiality

ABSTRACT

This article seeks to further clarify the ambiguous nature of two of social work's most important values: self-determination and confidentiality. Previous research indicates that many ethical decisions in social work practice are difficult to make; and, many times decisions are made based on the worker's values and experiences rather than on written ethics, laws, and agency policy. To explore this concept further, an open-ended survey instrument was distributed to 82 social work students after completing the required practice classes. The participants were asked whether they would break confidentiality based on a specific vignette and describe what decision was made and why. Results indicated that degree level (MSW versus BSW) proved to be a significant factor related to whether and/or why the respondent would break confidentiality. In addition, students with more paid work experience were more likely to question the issue of confidentiality and were more likely to break it. Two issues reflected in the decision-making process involved ensuring client safety and self-determination. In conclusion, this article explores possible reasons for breaching confidentiality and pitfalls that can occur for all professionals in making these types of decisions. Furthermore, it explores the ambiguous nature of problem solving in this area, and suggests ways that social workers can improve their decision-making skills.     

Dissemination and implementation of evidence-based practice in the social services: a UK survey

A cross sectional UK-wide survey assessed current levels of dissemination and implementation of evidence-based practice in social care and social work agencies. A structured questionnaire was e-mailed to 357 agencies of which 155 (43.4%) completed and returned it. Although the results show that evidence-based practice in this area is still in its early stages, most respondents reported a good knowledge of evidence-based practice as well as the view that professional decisions should be informed by-but not only-research evidence. The lack of time, resources, information, and training are identified as the main barriers to be overcome for an effective implementation of evidence-based practice in the social services.     

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.     

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.     

The need for explicit argumentation in ethical decision-making in social work

This article addresses the need for social workers' explicit argumentation in ethical decision-making, i.e. the justification offered in adopting a particular course of action with their clients. It is the main assumption of this article that social workers need to be aware and explicit of the personal and professional ideas, concepts, values, and assumptions that guide their practice. In the following sections we clarify central concepts such as argumentation and its explicitness, present a conceptual framework for analyzing ethical decisions in social work, illustrate its applicability on social work dilemmas, and discuss possible implications for social work practice and education. Finally, we recommend that social work education put emphasis on: (1) developing more awareness for inner deliberations and making these explicit and amenable for evaluation; and (2) developing specific skills for explicit argumentation in ethical decision-making.     

Globalization,social exclusion and the possibilities for global social work and welfare

Social work practice in Europe has developed disparately in the context of separate nation states. Yet it has at the level of professional organization a potentially international orientation. Practice can be understood as having a dual configuration: on the one hand it is idiosyncratic to the culture of nation states; on the other it has a dynamic which incorporates an impulse to include broader supranational concerns. This dual configuration is of importance at a time when social work and social policy are increasingly affected by global political and economic processes and compelled to view what were previously national concerns through analysis that is global (cf. Mishra 1999; Deacon et al . 1997; Townsend 1995). Welfare and economic issues are now almost wholly cast in systems that involve a multiplicity of nations, international non-governmental organizations (NGOs), and regional trading blocs that are intricately involved in making decisions that have profound welfare implications. This article will identify the challenge that these developments pose for social work and consider how the social work profession can reflect on a response. We argue that the dual configuration in which it is situated enmeshes social work within a dual set of politics. The first is the politics of the macro-political economy noted above. The second is the micro-cultural politics of identity that are being played out in various national settings but which also contain global impetuses. Thus both contemporary macro- and micro-politics mitigate against practice and analysis situated solely at the level of the national. We argue that a social work that is central to an emerging social development practice based on empowerment and located within a transnational organizational base is best placed to meet the challenges we describe.     

Informed Consent Agreements: Standards of Care for Digital Social Work Practices

The inclusion of remote digital practices (e-mail, texting, blogging, social media) to deliver social work services raises unique ethical and legal challenges for client and practitioner. Competent care necessitates providing clients with information that would materially affect clients’ decisions whether to assume the risks, benefits, and conditions associated with e-practices. As standards of care for distance service provision have not been firmly established, social workers are duty bound to be well-informed about current laws, duties, and obligations including specific rules governing the practice of social work in the states where they deliver remote services. This article identifies distinct threats to privacy and confidentiality associated with e-practices and offers suggested content for a comprehensive informed consent policy.     

The Changing Face of Public Adoption Practice

ABSTRACT

A study analyzing the workload of California's public adoption workers revealed how much adoption practice in the public sector has changed in recent years. Using focused discussion groups, this study found that compared to practice of an earlier time, (1) children available for placement come from more problematic families and are more difficult to place; (2) some decisions traditionally with the domain of adoptions are now being made by other social workers; and (3) increased oversight by the judicial system has had several unanticipated consequences, including adoption work taking on a “paralegal” quality and judges making traditional casework decisions.     

Social workers' assessments of needs and interventions for adolescents with substance misuse problems,criminal behaviour and mental health difficulties: a vignette study

The aim of the current vignette study was to examine how social workers assess adolescents with substance misuse problems, criminal behaviour and mental health difficulties, and how they make decisions about treatment interventions to reduce these problems. Earlier research has shown lack of knowledge concerning factors and processes that govern assessments and decisions in social work practice. In this anonymously administered survey, social workers in Stockholm, Sweden, were invited to assess fictitious youth issues. We found that social workers recognise the problems and needs of young people, but that they find it harder to link needs to evidence-based interventions. Also, there is a tendency to overrate alleged non-serious problems in the vignettes. We conclude that there is a need for increased knowledge about evidence-based methods and more structured procedures to broaden the basis for decisions.     

A comment on ‘Reconstructing and re-conceptualising social work in the emerging milieu’

Abstract

The article by McDonald and Jones raises some very important issues for Australian social work, and identifies some of the key decisions that social workers in Australia will be required to make if their practice is to maintain some degree of relevance in the changing context of the early twenty-first century.     

Suitability for Professional Practice: Assessing and Developing Moral Character in Social Work Education

This article considers the importance of an explicit focus upon the ‘character’ of social work applicants and students in debates regarding suitability for professional education and practice. Drawing upon the growing body of literature concerning gate-keeping decisions and the literature exploring the relevance of virtue ethics for social work, this article examines the benefits of an approach that foregrounds the assessment and development of moral character. The discussion is located within the context of the most recent reforms to social work education within England, whilst recognising the international relevance of these debates. It is argued that incorporating an approach informed by virtue ethics has the potential to bridge traditional fault-lines within selection debates that have focused upon the tensions between a widening access perspective and a focus upon academic ability. Crucially, this article examines the curriculum and pedagogic issues arising from a commitment to provide opportunities to develop moral character and virtue. The article argues that a dual focus upon selection and pedagogic issues, with an explicit focus upon character throughout, is critical to the development of wise, effective and virtuous social workers who are able to exercise sound judgment and wisdom across a range of practice contexts.     

Child protection: An unreflective practice

This paper highlights the need for social work education to focus on the ideological, cultural and organisational influences that shape practitioner perspectives and determine case careers, particularly in the area of child protection. Using the findings from a case study on the processing of child abuse referrals made to a social work team in Ireland's largest health board region, this paper illustrates the dissonance between the 'official' child protection discourse and the complexities and dilemmas of everyday practice. It also highlights practitioners' apparent lack of awareness of the dynamics that determine the way in which decisions and assessments are reached. The need to encourage and facilitate social workers' use of theory as a means of addressing these complex areas is endorsed, and implications for educational programmes are discussed.     

Family participation in child protection

The paper summarizes a Department of Health funded research study of the extent to which parents and children were involved in the child protection work of seven English social services departments. The child protection process and the social work practice with a cohort of 220 consecutive cases is described for the period before the initial conference and the 6 months following it. The authors draw on interview data from parents, young people and social workers and on social work records to assess whether the process and practice were participatory and the extent to which family members were actually involved in the decisions and the work. They concluded that there was benefit for parents and children in attempts to involve them, even thought only 3% of 378 family members were rated as partners in the protection process and a further 13% were rated as participating to a considerable extent. There was a statistically significant association between the participation of family members and the interim outcomes for the parents and children being rated by the researchers as good or moderately good.     

Individualized Educational Approach to Fieldwork in a Community Mental Health Center

Social work educators have voiced differing views about the best preparation for practice. Some feel that two types of social workers are needed: one to help people in trouble and one to work toward changing society. Other educators advise that programs be aimed at developing general skills. The authors discovered that by concentrating on producing truly educated individuals this conflict was avoided and graduating interns were prepared for a multitude of careers. This individualized educational approach involved the interns in all educational decisions, which helped develop a mature, creative thinking style.