ESSENTIAL SOCIAL WORK COMPETENCIES FOR SOCIAL WORK PRACTICE IN HEALTH CARE

Transcription

1 ESSENTIAL SOCIAL WORK COMPETENCIES FOR SOCIAL WORK PRACTICE IN HEALTH CARE THIS WORK IS A DERIVATIVE WORK AND ALSO OWNED EXCLUSIVELY BY THE CLEVELAND CLINIC, TOGETHER WITH THE WORK ENTITLED. Essential Social Work Competencies for Social Work Practice in Health Care ALL RIGHTS RESERVED. NOT TO BE REPRODUCED WITHOUT THE EXPRESSED PERMISSION OF THE CLEVELAND CLINIC SOCIAL WORK DEPARTMENT. ADVOCACY STRENGTHS/AREAS FOR IMPROVEMENT INTERVENTION Identifies barriers and investigates what alternatives are available Provides patient with reasonable alternatives, without necessarily involving the patient in the process Limited awareness of the potential of political influences May underestimate the meaning of barrier presented Requires significant supervisory guidance ADVANCED BEGINNER: Readily identifies barriers and locates other alternatives Sometimes collaborates with patient in creating alternative ideas Has a developing awareness of political influences and how to negotiate them Raises questions about the meaning of the barrier presented Often requires supervisory guidance

2 COMPETENT: Consistently creative in locating alternatives Uses community resources, and the client, in building alternative solutions that can succeed Can confidently take a stand, even if the stand is unpopular Appropriately selects strategies that are most likely to succeed based on an adequate assessment of the meaning of the barrier and growing knowledge of political influences Occasionally requires supervisory guidance Create one s own system of resources, utilizes creative alternatives, develop one s own network of community and personal resources Empowers patients, according to the patient s capacity, to reduce barriers or locate alternatives Educates colleagues about advocacy Knows when to seek consultation Demonstrates a high level of mastery in advocating for patients Moves beyond individual advocacy to groups and populations Identifies trends and develops strategies to change reality Gets involved in legislative advocacy, writes letters, provides testimony Educates and promotes advocacy with patients and colleagues Is frequently sought out for expert opinion

3 ENGAGEMENT STRENGTHS/AREAS FOR IMPROVEMENT INTERVENTION Knows basic skills of interviewing: conveys respect, identifies patient issues and engages patient in problem solving Developing good communication skills May have an over reliance on structure, less able to read where the patient is Requires significant supervisory guidance ADVANCED BEGINNER: Has basic skills and can complete adequate psychosocial assessments, including recommendations and plans Is able to connect in a positive way with majority of patients Some difficulty with resistant patients Developing interviewing and motivational skills Often requires supervision COMPETENT: Practices independently Successfully engages most patients Assessments are complete and accurate Can confront without disengaging the patient Is self-assured with skills and knowledge concerning engagement Is able to elicit confidence and trust from patients, and is regarded as capable by physicians and peers Occasionally requires supervision Practices with a high degree of successful engagement even with difficult and resistant patients

4 Sets clear boundaries and empowers patients to act in their own behalf, thereby increasing patients selfesteem and wellness Knows when to seek consultation Demonstrates high level of mastery in promoting collaborative relationships with patients through the engagement process Is frequently sought out for expert opinion ETHICS STRENGTH/AREAS FOR IMPROVEMENT INTERVENTION Familiar with the Ohio Social Worker s code of ethics as well as organizational policies regarding ethical behavior in the workplace. Able to identify situations that might compromise or threaten the rights and welfare of a patient or family Has limited interventional skills, but seeks supervisory guidance appropriately ADVANCED BEGINNER: Beginning to incorporate ethical principles into daily practice Aware of how professional roles and professional behaviors impact relationships with patients, families and colleagues. Routinely assesses situations for ethical concerns Developing a decision-making model for practice. Developing an ability to communicate ethical issues with inter-disciplinary team members Relies upon supervisory guidance for complex dilemmas COMPETENT:

5 Consistent awareness and assessment of ethical issues impacting patients and families Full knowledge of ethical principles Ability to apply ethical principles appropriately Models ethical behavior in professional practice in a disciplined manner Capable to being a resource for the inter-disciplinary team in addressing ethical concerns Seeks supervisory guidance appropriately Mastery in identifying and ranking ethical principles in social work practice Demonstrates integrity of purpose in applying these principles Ability to communicate salient issues about sensitive, complex ethical situations with patients, families, colleagues, and other social systems in the community at large Ability to teach and supervise others regarding ethical matters Ability to research, publish, and contribute to the development of current social work practice Viewed as a resource within the organization and by other professional seeking guidance regarding ethical issues Has a well-developed network of resources for consultation and utilizes these resources appropriately HUMAN BEHAVIOR STRENGTH/AREAS OF IMPROVEMENT INTERVENTION Knowledge of basic definitions of pathology, but may lack skill to apply knowledge May personalize difficult interactions with patients

6 Requires supervision and guidance to intervene appropriately ADVANCE BEGINNER: General knowledge of various theories of behavior and can diagnose obvious mental illness Knows when to seek consultation from supervisor Beginning to apply theory to intuition Developing appropriate use of self Often requires supervisory guidance COMPETENT: Ability to apply theory and understand the nuances of various theories Ability to diagnose confidently, demonstrate efficacy with interventions, and refer as appropriate with efficiency Has developed appropriate use of self, in most cases Occasionally requires supervisory guidance Consistent, disciplined application of theories Ability to teach and coach other team members and colleagues Mastery of assessment, diagnosis, psychosocial interventions and referrals Has developed mastery in use of self Knows when to seek consultation Demonstrates a high level of mastery of psychopathology and is recognized as an educator in the field by publications, speaking engagements, and media events Has highly developed awareness of skills and can take risks in practice to benefit the patient

7 Creative use of self Is sought out for consultation PROBLEM ASSESSMENT STRENGTH/AREAS OF IMPROVEMENT INTERVENTION Beginning knowledge of the content and process of a psychosocial assessment and the impact illness can have on patients/families Beginning knowledge of theory, but is unclear as to the application Repeated contacts with patient are required to complete the assessment Unable to see the significance of some issues May avoid uncomfortable topics Formulation is basic Requires significant supervisory guidance ADVANCED BEGINNER: Greater range of clinical skills with different clinic situations Better able to integrate the patient s, family s, and treatment team s points-of-view More self-aware in the process of engagement Developing use of self, in assessment and intervention processes With supervision, identifies complex issues and potential problems Often requires supervisory guidance COMPETENT: Ability to develop and implement interventions based on the information gathered Works independently Communicates clearly with the treatment team regarding relevant patient issues impacting treatment Ability to focus the interview and ask the most relevant

8 questions. Identifies complex issues and potential problems Occasionally requires supervisory guidance Consistently able to complete basic and complex assessments Adept at quickly determining the level of case complexity and modifies the clinical approach to address the most salient issues Able to speak with patients about sensitive, difficult issues with ease Has the clinical skill and self-confidence to effectively manage disagreement among team members and assist in the development of a unified approach to the patient and family Knows when to seek consultation Demonstrates a high level of mastery completing comprehensive assessments Teaches and mentors others in developing the same skills Has a journal publication(s) related to conducting assessments and interventions, globally or with specific populations Is well respected by the treatment team and is sought out for expert opinions, especially in difficult situations PSYCHOSOCIAL ASSESSMENT STRENGTHS/AREAS OF IMPROVEMENT INTERVENTION Beginning knowledge of the content and process of a psychosocial assessment and the impact illness can have on patients/families Beginning knowledge of theory, but is unclear as to the application

9 Repeated contacts with patient Unable to see the significance of more complex issues May avoid uncomfortable topics or situations Formulation is basic Requires significant supervisory guidance ADVANCED BEGINNER: Greater range of clinical skills for different clinical situations Increasing confidence in interview and assessment skills Better able to integrate the patient s, family s, and treatment team s points-of-view More self-aware in the process of engagement Developing use of self in the assessment and intervention processes With supervision, identifies complex issues and potential problems Often requires supervisory guidance COMPETENT: Ability to develop and implement interventions based on the information gathered Works independently Communicates clearly with the treatment team regarding relevant patient issues impacting treatment Ability to focus the interview and ask the most relevant questions Identifies complex issues and potential problems Occasionally requires supervisory guidance Consistently able to complete basic and complex assessments Adept at quickly determining the level of case complexity and modifies the clinical approach to

10 address the most salient issues Able to speak with patients about sensitive, difficult issues with ease Clinical skill and self-confidence to effectively manage disagreement among team members and assist in the development of a unified approach to the patient and family Knows when to seek consultation Demonstrates a high level of mastery completing comprehensive assessments Teaches and mentors others in developing the same skills Has journal publication(s) related to conducting assessments and interventions, globally or with specific populations Is well respected by the treatment team and is sought out for expert opinions, especially in difficult situations CULTURAL COMPETENCY STRENGTHS/AREAS OF IMPROVEMENT INTERVENTIONS Recognizes some differences, but makes assumptions based on stereotypes May interpret behaviors as odd or unusual, missing the pattern of beliefs or values May not recognize patient/team tensions related to beliefs Rarely identifies these issues as clinical issues in supervision Unfamiliar with laws protecting special populations Requires significant supervisory guidance ADVANCED BEGINNER: Recognizes differences, but initiates discussion with the patient about the meaning of his/her special

11 circumstances only when they are very obvious Sometimes interprets behavior to the team as resulting from patterns of beliefs and values Often seeks supervision to better understand different populations in individual cases Has a beginning knowledge of legal protections and sometimes informs patients about them Often requires supervisory guidance COMPETENT: Routinely assesses for the influence of any differences and is comfortable with initiating discussions to understand their meanings Generally successful in engaging patients Team relies on assessments and interpretation in treatment planning Is knowledgeable about legal protections and routinely informs patients Sometime needs supervisory guidance Initiates and easily engages the patient in a discussion about the meaning of his/her values within the context of the health care experience Consistently includes discussion of beliefs, values and/or differences in psychosocial assessments Team trusts the interpretation of beliefs in planning treatment Knows legal protections and routinely informs patients Knows when to seek consultation and supervisory guidance Demonstrates a high level of mastery in identifying individuals who represent various special populations Teaches and mentors others in developing these skills

12 Has published and/or is invited to speak to other professionals on the topic Is frequently sought out for expert opinion LISW CANDIDATE STRENGTHS/AREAS FOR IMPROVEMENT INTERVENTION PROFESSIONALISM Respect towards peers and faculty Actively listens and responds Shares insights about cases discussed Participates readily Identifies learning goals Identifies interventions needed to obtain goals Punctual and prepared Effective written communication Effective oral communication