Self-Determination & Core Concepts
Medical- Rehab vs Independent Living
Systems, Policy and Change
100

Self-determination is considered a foundation social work value .  ( Why?  in your own words )

Open ended 

100
The process is controlled by Professionals vs Consumers. Maximum Functioning and safety vs Interdependent Living/ Quality of Life

Medical- Rehab vs Independent Living 

100
One agency policy or routine within your internship that either supports or limits client's self-determination.

Intake process limits clients self- determination at times 

200

Client's right to self-determination might conflict agency policy . ( Describe a situation )

Ex: If it affects the wellbeing of their selves or others. Allowing youth to take their meds whenever they want while in treatment

200

Medical- Rehab approach unintentionally limits client autonomy ( How)

The professional takes the lead based of safety -or thinking they know what is best. 

200

Systemic Barriers within your agency that make it hard for clients to have meaningful choice.

Discharging from treatment

300

Social Workers ensure clients have meaningful choice rather than unrealistic or limited options .  ( HOW)?

First seeing what the clients wants. Being transparent and honest which then can lead to options that the client can choose from. 

Example. Helping a mother find stable housing; seeing what she wants/feels comfortable with some of the realistic options. Such as living with family member, shelter, transitional housing, community based living 

300
Independent living model aligns more closely with consumer center practice . (HOW)

The voice and choice with guidance. 

300

Create one new policy for your internship site that would increase client autonomy or participation. (What would it be?  

Individualize the intake process

400

 Clients exercising self- determination at your internship. Give an example 

Key: understanding this is the consumer's treatment. Consumer's are the driver's and the social workers are the GPS.

DBT training asking for a DEAR MAN.

400

Medical model vs Independent model being used at internship - which do you see more ?

Medical at times. Closer to discharge is when I see independent model

400

Interns influencing system level change. Do think we can why or why not?

Yes and no depends on the leadership

M
e
n
u