Margaret(age 38), identifies as a Mexican American homemaker, is seeking services
from a local service agency. Margaret tells the caseworker that she feels overwhelmed with her
usual responsibilities with the additional pressures of the current COVID-19 pandemic.
Additionally, she feels depressed, doesn’t sleep well or eat much, and is irritable much of the
time. She has eliminated most of her social interactions and the only outside activity she feels
comfortable doing is attending Sunday Mass with her family. Recently, Margaret’s father (77)
had a fall, and is no longer able to live alone. Margaret helped him move into a local assisted
living, but is struggling to ensure his emotional needs are met. She was able to sign him up for
food stamps to assist with the cost of food. Margaret lives with her family in Yuma, AZ (for
history of Yuma https://www.yumaaz.gov/about-yuma for census information
https://www.census.gov/quickfacts/fact/table/yumacountyarizona/PST04521).
Her partner Jenna (age 42) also identifies as Mexican American, is an architect who
works long hours and often unwinds after work by enjoying a few drinks. Margaret
communicates that Jenna’s drinking upsets her because her father was an alcoholic and she is
concerned about the few times Jenna has picked up the kids after she had a few drinks. Jenna is
passionate about her architecture work and was awarded the Yuma Architect of the year in 2019.
Due to COVID-19 Jenna moved her architecture practice to her home and now all four family
members are under the same roof for the bulk of the time together. In talking with the case
worker, Jenna reports the line between family and work has been blurred due to COVID-19, her
drinking has increased after work to destress. She reports her work load has increased since
working from home and she has no energy left to engage with her children or partner at the end
of the day. She says that when she tries to cut back drinking during special events or during Lent,
she finds that she is irritable and craves alcohol. She believes that if she wanted to she could
https://www.yumaaz.gov/about-yuma
https://www.census.gov/quickfacts/fact/table/yumacountyarizona/PST04521
probably cut back but feels alcohol helps her relax. Jenna reports she is concerned about Lisa’s
inability to focus and her struggling grades.
They live with their 2 children Lisa (age 15) who is capable of caring for herself and
helping around the house, but prefers to hang out with her friends and be involved in sports and
other extracurricular activities; and their youngest son, David (age 9), who has Down’s
Syndrome and needs assistance in self-care and day-to-day activities.
Lisa (15) is very socially active in extracurricular and athletic events. In school
she fidgets and has a hard time sitting still. She also struggles with time management and tends
to be disorganized. She chronically misplaces everyday objects like her backpack, mask and cell
phone. She will often be late to volleyball practice and her friends comment on how forgetful she
is. Although she wants her school work to be perfect, she is prone to making careless mistakes.
The struggle for perfection makes starting a new assignment feel very stressful, leading her to
procrastinate starting in the first place. As a consequence, she recently failed a big test, which
has led to her acute fear of failing 10th grade, and not being eligible to play volleyball. She
recently made the varsity volleyball team as a 10th grader.
David (9) is thriving in his current school environment. He has great support in his
special education classroom and is mainstreamed for several classes. Margaret and Jenna keep a
consistent schedule for him throughout his entire day that sets him up for success.
First read the Case Study attached.
You need to address the following questions in your response:
1. How would you demonstrate empathy for your client, either Margaret or Jenna, (be specific to which client and how you would demonstrate empathy)? How is this different than showing sympathy to your client?
2. Out of the theories and frameworks discussed in Chapter 6, which one do you think would benefit your client the most? Why? Include a citation from the text to support your answer.
3. After reviewing the NASW Code of Ethics Ethical Standards “Social Workers’ Ethical Responsibilities to Clients,” pick one of the 16 areas listed (1.01 through 1.16). Describe how it could come up as an ethical dilemma with the case study/client and how you would address it.
4. Create a combined eco map and genogram for the case study on a power point slide. Include all known family members, relationships, religion, school, activities, community engagement, and strengths of each relationship. Use this reading for reference (
https://ferrisintroductiontosocialwork.pressbooks.com/chapter/chapter-4-generalist-practice/ (Links to an external site.)
).
5. What is one question that you have about your case study/client and its relation to this week’s module material?
SWU 171- Intro to Social Work
1/25/22
Hilary Haseley, PhD, MSW
Overview
Chapter 6
Generalist Social Work
Social workers who employ a wide range of approaches with different theories and emphases
Primarily used to guide and coordinate services
p.i.
Micro Practice
Case management
Small group practice
Macro Practice
Administrators
Intervention at the community level
Working in organizations
Moving legislation forward for social change
Strengths Based Perspective
Using person-in-environment
Each individual, group, family and community has strengths
Trauma and abuse, illness and struggle may be injurious but they may be a source of challenge and opportunity
Every environment is full of resources
Diversity Perspective
Being aware of and sensitive to human diversity
Value- Dignity and worth of the person
Ethical Principle: Social workers respect the inherent dignity and worth of the person.
Historical Influence
Psychodynamic Theory- Freud. People’s behaviors were purposeful and determined and some determinants were unconscious
Psychosocial Treatment- influenced by Anna Freud and Erikson
Core tenant interacting genetic, biological and sociocultural factors explain the cognitive and emotional processes both conscious and unconscious that motivate human behavior
Current Theory Base
Problem solving Method
Task-centered casework
Cognitive Behavioral Theory
Crisis Theory and Crisis Intervention
Task Centered and Problem Centered Theory
CBT
Based on the belief that how and what a person thinks determines or contributes to how the person feels and behaves
Maladaptive behaviors can be explained by irrational or distorted thinking that results from misperceptions and misinterpretations of the environment
What is Cognitive Therapy
Aaron Beck, Father of CBT
Developed the BDI, Beck Depression Inventory
CBT Worksheet
Crisis Theory & Crisis Intervention
Crisis- situation in which a person’s normal coping mechanisms are inadequate or are not working
Crisis Intervention- short term model designed to assist victims and survivors to return to their pre-crisis level of functioning
Crisis in Action
Mindfulness-Based Theories & Therapies
MBCBT- Mindfulness-based Cognitive Behavioral Therapy- learning about the relationship between thoughts and feelings and how to be more fully present using meditation
Mindfulness-Based Stress Reduction- learn to actively focus on what is happening in the present moment
8 week program
Gain mindfulness skills with medication
Yoga
https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/mindfulness-exercises/art-20046356
Mindfulness in Action
Deep Breaths
https://video.search.yahoo.com/yhs/search;_ylt=AwrWnenIvi9hWgUA2DEPxQt.;_ylu=Y29sbwNncTEEcG9zAzEEdnRpZANDMjAxNF8xBHNlYwNwaXZz?p=mindfulness+breathing+exercise&type=asbw_8063_CHW_US_tid22041¶m1=%2Fk7YAyUoOVNE0MvR1Q2KnVyDPreUKM66V7dAfgcQHDP5Gm2mc%2Fvui3pcw3hMv3KN¶m2=9dUI1n2R0BLDxNuWfiP4aSFOTltNdSPoIx38%2BUf%2FiXrvPdoGmStdlfwLFZYDvqkAJrWWk4yNReCLnBD%2FqPsDZd7olTZcV8HMx1G%2Fk786sE2Tis1g8dJd8zxVWs%2BbKztBnq1TfqUiqPYK9pXifXmJF23GuXP%2F%2FuMqmznMxQq%2BppBABkAUYrsGxOzuXmFs%2FgGQwUJ4ZXwoM815tGlzK9UUqMhWYmpz21YQuou9Oi6P8RANE%2BCkWMz2wQkmqdXMr7bRCs3oj2vSd5I8gYGFKGRSBIjJbE6OfMOuZan4IhVI%2Ffo%3D¶m3=NwVEMR%2FzKcG52XsVBYEh2zk2Yklq85vdfspZPoqz2M1qypHRDDTed5vIiOf0QJloJAws3N4BZ2OFCPQG%2BRw4WpTnzaTq2VmIHxERXcUW3rVQCtxOG%2BsIEOUp0%2Ff9ylXTGucyJu3wBF4BE4auNWzgxO3StFjks4kbjSOSKoAXCTid8NxxCOM9aXLF24eM27GD75rWM1JeyRpF%2F45YK1TAC9R5TfAyU89EE0S4m94aR83p%2FgjnpznIb4weH2T7DhGRje3iKJerX9ywLAWbQwMmp20Buq2Zs4ti1FRkzxb%2FMGao%2FHBH5Ays9j%2F3JrhKpfMkRj3iEwASpKeeWHfVUb54%2Bhs1xj1Do8CGdFWcryeRNuyxKlstG9nlAQdHM7c%2FxyBu7U1ExvlqmuMZk6JYYQqeYg%3D%3D¶m4=vChxdiCgCsW3Vuej1Rmo%2FkfUWTODnyFqFtL3z8sXYDA%3D&hsimp=yhs-syn&hspart=iba&ei=UTF-8&fr=yhs-iba-syn#index=-99&id=2&vid=ca5371d1e19545fa6ebe12c959a23f61&action=view
Case Management
“A collaborative process of assessment, planning, facilitation and advocacy for options and services to meet an individual’s needs through communication and available resources to promote quality cost-effective outcomes”
Case Management Process
Engagement/Empathy
Rapport and Relationship Building
Evaluation/Assessment
Identifying needs, Biopsychosocialemotional
Intervention
Referring to agencies, assisting with service delivery
Closure
Ethical Considerations
Rural social workers higher risk for dual relationships
Duty to report
Danger to self
Danger to others
Elder abuse
Child abuse
Generalist Social work with Groups
Social Action Groups
Achieve social change when unacceptable societal conditions have been neglected or inadequately addressed by agencies of authority
Self-Help Groups
Brining people together who share a specific need problem or concern to provide social and emotional support
AA biggest example of a self help group
Support and Counseling
Parents who have lost a child
Children of divorced parents
Socialization Groups
Reduce isolation by brining people together for a shared purpose
Ethical Considerations with Groups
Confidentiality
Need clearly defined group roles
When to intervene on an individual level and group level
Group safety & Cultural sensitivity
Community Practice
Community Organizing
Bringing people together to work for needed change
Community Planning
Collecting data, analyzing a situation and developing strategies to move from a problem to a solution
Community Development
Helping individuals improve the conditions of their lives by increased involvement in thee social and economic conditions of their communities
Community Change
Desired outcome