I'm Reading Into Things
This intervention is focused on the "here and now", involves triage and problem solving and is not limited to any particular environment.
Crisis Intervention Model
SW:
If you woke up tomorrow and the problem was completely resolved, what would you notice? How would other people respond?
Solution-Focused Brief Treatment Model
ALL TEAMS (5 minutes!):
Choose 1 partner to be the SW and the other(s) to be client(s).
Explain confidentiality to your client(s).
After 5 minutes, the team volunteers and correctly demonstrate the above receive 100 points.
Important pieces:
-Explain: What we talk about here, stays here
-Exceptions: abuse, harm to self or others
-Clarify: how records are kept, how collaboration with parent and youth works
-Ask: if client has any questions
What is a release of info? How can it be beneficial?
"allows the social worker to consult directly with collateral contacts such as the prescriber or family members, obtain an accurate list of medications and dosages, and talk with caregivers who are responsible for monitoring and dispensing medications" p170
SW: When the abuse happened it made you feel powerless, unsafe and devalued. Now when something reminds you of that time, you notice your heart races. Your body is sensing you’re not safe.
Trauma Informed Care
ALL TEAMS (5 minutes!):
Choose 1 partner to be the SW and the other(s) to be client(s).
Your teen client says:
"This is so stupid. My teacher, who probably smokes weed also, sent me to the office because they think I smell like weed. So many people do it and don't get into trouble. And now I'm here."
After 5 minutes, the team that volunteers and provides a solid attempt at responding receives 200 points.
-Empathic Responding
-Non-judgmental attitude
-Starting where the client is
-What are the laws exactly?
What does SOAP stand for?
SOAP is a way of documenting client notes and stands for:
Subjective Observations
Objective Data
Assessments
Plans
(p187)
SW: I heard you say, ‘I only passed the exam by chance. I’m pretty horrible when it comes to school and really don’t know anything.’ That makes me wonder if it might be one of those cognitive distortions we’ve talked about. What do you think?
Cognitive Behavioral Therapeutic Approach
ALL TEAMS (5 minutes!):
A high school Teacher enters your SW Office at the school and says, 'THIS kid is too much. I barely said anything and he's under the desk like I've just said something horrible. All I did was say he needed to work on his math skills. I have 20 other kids in the room. How the hell am I supposed to handle this all at once?'
Choose 1 partner to be the SW and the other(s) to be Teacher to play the scenario out.
After 5 minutes, the team that volunteers and provides a solid attempt at responding receives 300 points.
-Empathetic Responding!
-Here, we can offer rephrasing, acknowledging the feelings that have come up
-It would also be okay to ask more about what the Teacher notices about the youth and do a bit of psychoeducation around (possible) trauma.
True or False:
Notes should include every single detail of what you discuss with a client.
FALSE:
Notes should not include every single detail of what you discuss with your client. They should be used to document the general themes that arise, changes in the clients presentation/behavior, and any other important changes. p189
SW: Okay, so the program offers tutoring and mentoring for kids which I know is a family need. And we’ve got a meeting scheduled with the school counselor tomorrow at 10a. I also wanted to check in and see how things are going for food this month.
Case Management
The 1st team with the correct answer earns 400 points, GO!
What Chapter and page can you find a full page written about the mental status exam?
Chapter 9, p181
True or False:
If you ask a client if they are thinking about suicide, you may unintentionally plant the idea in their head to be thinking about it.
False:
"If a client is considering suicide, asking them about it gives them the space to discuss their thoughts and conveys to them that you care about them." (p178 DSWP).
SW: Ah, you’re really wanting to set some boundaries at work - to be able to turn off work brain at the end of the day, but on the other hand your worried setting boundaries might upset your supervisor who never seems to take a break. What is it like to turn off the work brain?
Motivational Interviewing
The 1st team with the correct answer earns 500 points, GO!
Give a critique of CBT.
Limitations of CBT:
"In assisting clients to change, however, social wokrers must not mistakenly assume that clients will be able to perform new behaviors solely because of changes in their cognitions or beliefs....without an acknowledgment of oppression and racism, diverse clients may perceive CBT as blaming or just another form of social control and idealogical domination." p306)