Clinical Social Work Processes and Procedures Flashcards
Access Provision
Actions taken by social agencies to ensure that their services (or a program’s services) are available to the target population. Examples include educating the public about the service, establishing convenient referral procedures, and having ombudsperson services to deal with obstacles to getting the service
Categorical Assistance
State welfare programs for particular groups of people identified in the Social Security Act (e.g., the disabled, needy)
Concurrent Therapy
Treatment format in which a social worker sees different members of a family or client system separately in individual sessions. This intervention model is used most commonly in couples therapy to encourage the clients to reveal thoughts, feelings, and behaviors that they might not feel able to disclose in the presence of their spouses
Empathy
The ability to perceive, understand, and experience the emotional state of another person (Barker, 1987). Emphatic responding is used throughout the helping process to develop rapport, maintain a working relationship, and enable social workers to move toward confronting a client’s problematic issues. Fundamental to emphatic responding is reflecting an understanding and acceptance of not only the client’s overtly expressed feelings but also his underlying emotions. Can be conveyed through verbal and nonverbal communication
Formative Evaluation (Direct Practice Evaluation)
Evaluation used to guide ongoing practice decisions. A tool for monitoring an intervention and identifying when one needs to modify a planned intervention
Institutional Social Services
Social services provided by major public service systems that administer benefits such as financial assistance, housing programs, health care, or education
Medicaid
Social security program providing medical and health related services for individuals and families with low incomes through direct payment to suppliers of the program. Low income is only one test for Medicaid eligibility; assets and resources also are tested against established thresholds determined by each state (i.e., means testing). Within federal guidelines, states have discretion in determining which groups their Medicaid programs will cover and the financial criteria for eligibility. States must cover categorically needy individuals, however, which usually includes recipients of SSI and families with dependent children receiving cash assistance, as well as other mandatory low-income groups such as pregnant woman, infants, and children with incomes less than a specified percent of the federal poverty level. States must also cover certain low-income Medicare beneficiaries
Ombudsman
(a) An advocate or spokesperson for the people who are served by an organization to ensure that the organization’s obligations, ethical duties, and rule are being followed, or (b) an individual employed by an organization to investigate potential illegal and/or unethical activities or unintended harmful consequences stemming from the organization’s activities and to facilitate fair negotiations or actions toward satisfactory solutions
Process Recording
A detailed case recording procedure that emphasizes recording objective and subjective information about social worker-client interactions during treatment. It is frequently used to help new social workers and social work students learn practice skills; more experienced workers may use it when they are having unusual problems with a client and want to maintain a detailed record that can be examined by a supervisor, consultant, or peers
Role-Playing
A technique in which a client rehearses behaviors that will be useful in a particular situation so that he can meet a goal or fulfill an expectation. For example, the client practices the behavior in the social worker’s presence and then receives feedback from the worker. When used in this way, as a part of behavioral rehearsal, role-playing is effective for increasing a client’s sense of self-efficacy
Self-Help Groups
Groups intended to improve members’ social functioning through a group experience and discussions with others who have, or had, similar problems or concerns. Examples of self-help groups include those through self-help organizations such as Alcoholics Anonymous, Overeaters Anonymous, and Parents Without Partners. Many self-help groups rely on leaders who are also members of the group but some are led by professionals or by members who have received training on how to conduct and lead meetings
Systematic Eclecticism
An approach to selecting intervention strategies for a client that entails choosing interventions from different practice perspectives, theories, and models based on how well they match a client’s problem and the empirical research showing the interventions to be effective
Veterans’ Benefits
Provided under the Social Security Act. Eligibility for most veterans benefits is based on discharge from active military service under other than dishonorable conditions for a minimum period specified by law. Many of the benefits and services provided to veterans were adopted to help war veterans readjust to civilian life. These benefits include, but are not limited to, disability compensation, benefits for survivors, health care, and educational assistance and training
Advocate
A social worker role that involves working with and on behalf of clients to ensure that they receive the services and benefits to which they are entitled and that the services are delivered in ways that protect their dignity
Categorically Needy
Individuals who are automatically eligible for certain welfare benefits without a means test because they fit certain predetermined criteria
Confrontation (Challenge)
Respectful and gentle efforts to help a client recognize that he is using distortions, deceptions, denials, avoidance, or manipulations that are getting in the way of desired change. The social worker challenges and invites the client to examine a thought or behavior that is self-defeating or harmful to others and to take action to change it. Efforts to confront a client generally emphasize factors that the social worker believes are contributing to the client’s problems and preventing the client from making progress
Empirically Supported Treatments
Specific psychological treatments that have been shown to be efficacious in controlled clinical trials. The research indicates that ESTs, in general, have the following characteristics: (a) Most ESTs include homework as a component; (b) ESTs generally focus on skill building, not insight or catharsis; (c) ESTs are problem-focused; (d) ESTs incorporate continuous assessment of client progress; and (e) ESTs involve brief treatment contact, requiring 20 or fewer sessions
General Assistance (GA)
(A.K.A. General relief, general public assistance) Aid provided by state and local governments to needy individuals or families who do not qualify for major assistance programs and to individuals whose benefits from other assistance programs are insufficient to meet basic needs. General assistance is often the only resource for individuals who cannot qualify for unemployment insurance or whose benefits are inadequate or exhausted. Help may either be in cash or in-kind, including such assistance as groceries and rent. The eligibility requirements and payment levels for general assistance vary from state to state and often within a state. Payments are usually at lower levels and of shorter duration than those provided by federally financed programs. General assistance is administered and financed by state and local governments under their own guidelines
Interdisciplinary Teaming
A form of intervention in which the members of different professions or disciplines (e.g., social work, medical, psychiatric) work together on behalf of a client. For team practice to be effective, team members from different professions must be able to reach an agreement regarding approaches to care and willing to move beyond their own expertise to address the needs of the “whole” client
Medicare
Social security program providing health care benefits (health insurance coverage) to most people over age 64 (i.e., those who are eligible for monthly social security benefits and are U.S. citizens or permanent residents of the U.S. who have lived in the U.S. for at least five years); to some people with disabilities under age 65; and to people of all ages with end-stage renal disease (permanent kidney failure treated with dialysis or a transplant). Part A of Medicare is a compulsory Hospital Insurance (HI) program, and Part B is a voluntary program of Supplementary Medical Insurance (SMI). Part A covers inpatient hospital services, care in skilled nursing facilities, home health services, and hospice care
Open-Ended Questions
Interview questions that define a topic area but allow a client to respond in whatever way he chooses. Effective for encouraging a client to self-disclose or expand on personal information and, thus, tend to elicit valuable data
Programming (Small Group Work)
Involves selecting and planning activities (drama, art, dance, music, sports, parties, work tasks, etc.) to create opportunities for clients to learn new behaviors and experience positive interactions with others and to guide the group process in desired directions
Role-Reversal
A technique used to help clients understand the perceptions and feelings of significant others. It involves having one person (e.g., a spouse, a parent) take on the perspective of another person (e.g., the other spouse, the child) in an effort to better understand him. Is particularly useful in couples and family therapy and is indicated whenever one or both parties in a relationship have little or no awareness of how the other one feels
Service Delivery System
Means of delivering health and human services within communities. Informal services-delivery units include household units and social networks; mediating service-delivery units includes self-help groups, grassroots associations, and voluntary associations; and formal service-delivery units include nonprofit and for-profit private agencies and public agencies
TANF (Temporary Assistance for Needy Families)
Social security program that provides assistance and work opportunities to needy families by granting states federal funds and flexibility to develop and implement their own welfare programs. TANF places restrictions on recipients (e.g., most recipients must work after no more than two years on cash assistance, families receiving assistance for five cumulative years may become ineligible for cash aid)
Voucher System
For example, Food Stamps, housing subsidy checks. Method of subsidizing a person’s needs on the open market; the person is given vouchers to buy a specified service or product
Case Aide
Paraprofessional member of a social work team who helps a social worker provide client services (e.g., contacts the client’s family for information). Typically develops proficiency with particular functions
Closed-Ended Questions
Interview questions that elicit responses that provide either factual information or a simple “yes” or “no”. Used primarily in the latter portion of an interview to obtain missing factual data
Disability Benefit
A form of categorical assistance. Involves the provision of cash, products, and/or services to an individual who is unable to perform certain activities due to a mental or physical condition. For example, DI and SSI
Exceptional Eligibility
Social service delivery policy in which benefits and services are developed for individuals in a special group (such as war veterans) due to sympathy for the group or political pressure. Eligibility is not necessarily based on need or circumstances
Growth/Development and Training Groups
Social work groups used to promote members’ normal growth and development and teach ordinary skills for living. Groups used to teach and train are goal oriented, and the social worker assumes the roles of leader, teacher, and planner and arranger of group activities and relies heavily on programming. Some of these groups emphasize member interaction, building trust, and developing a sense of belonging to the group and others do not. Examples of topics addressed in these groups include parent training, learning communications skills, learning job skills, learning about a medical condition, etc.
Long-Term Care (LTC)
Comprehensive long-term social, personal, and health care services given to individuals who have lost some degree of functioning (i.e., due to a functional impairment, they have limited ability to perform important activities of daily living). LTC may be provided in nursing homes or in the community and is provided in nursing homes or in the community and is provided by professionals, volunteers, and family members
Negotiator
A role of social workers. As a negotiator, a social worker acts as an intermediary who attempts to settle disputes and/or resolve disagreements between various parties. The worker takes the side of one of the parties (i.e., the client system) and seeks to resolve the conflict on behalf of that party
Personal Responsibility and Work Opportunity Reconciliation Act (PRWORA)
PRWORA (1996) was designed to reform the nation’s welfare system into one that requires work in exchange for time-limited assistance. The law either eliminated or placed new restrictions on many national programs and established the Temporary Assistance to Needy Families (TANF) program
Public Housing
Social security program established to provide decent and safe rental housing for eligible low-income families, the elderly, and persons with disabilities. Public housing ranges from single family houses to high-rise apartments for elderly people. The Department of Housing and Urban Development (HUD) administers federal aid to local public housing authorities (PHAs) that manage and operate the housing program for low-income residents at rents they can afford. Public housing is limited to low-income families and individuals. The PHA determines the individual’s eligibility based on annual gross income; whether the applicant qualifies as elderly, a person with a disability, or a family; and U.S. citizenship or eligible immigration status
Section 8 Single Room Occupancy
SRO housing assistance seeks to bring more standard single-room dwelling units into the local housing supply and to use those units to assist homeless individuals. The Department of Housing and Urban Development (HUD) contracts with public housing authorities (PHAs) to rehabilitate residential properties for SRO housing. PHAs make Section 8 rental assistance payments to participating owners on behalf of homeless individuals who rent the rehabilitated dwellings. The rental assistance payments cover the difference between a portion of the tenant’s income (normally 30 percent) and the unit’s rent,which must be within the fair market rent established by HUD. Rental assistance for SRO units is provided for a period of 10 years
Social Security Disability Insurance (SSDI)
(AKA. Social Security Disability Insurance, SSDI) Social security program that provides for the economic needs of individuals who can no longer earn an income because of chronic disability or incapacity. The disability must be expected to last for at least a year or to result in death. Others who may qualify for DI include individuals with HIV infection and disabled children. Pays benefits to individuals and certain members of their family if they are insured (individuals are insured if they have worked long enough and paid social security taxes)
Transtheoretical Model
Prochaska and DiClemente’s model of behavior change that proposes that change involves six stages: precontemplation (the person is unaware of his problem or unwilling to change it); contemplation (the person is considering the possibility of change but remains ambivalent); determination ( a person’s decisional balance tips in favor of change and he becomes ready and determined to change); maintenance ( the goals are to sustain the change accomplished through action and to prevent relapse); and relapse ( may occur before the person achieves stable change and is considered a normal part of the change process, especially when a person is attempting to change a longstanding behavior or pattern)
Worker’s Comp
Social security program that provides benefits to individuals with injuries or diseases traceable to industrial accidents and with certain occupational diseases. The benifits provided include periodic cash payments and medical services to the worker during a period of disablement, and death and funeral benefits to the worker’s survivors. Lump-sum settlements are permitted under most programs
Case Conference
Agency and organizational procedures in which professionals working with a client meet to discuss his case. Typically involves a discussion of the client’s problem, prognosis, and treatment. In addition to professionals working on the case, a case conference may include other professionals who have knowledge or expertise about the client’s problem and friends and family members of the client