Saturday, August 6, 2011
First week on the job…
We discussed ethics, privacy, compliance and the like. The HR person described some ethical issues in the past, and honestly, I am shocked at some of the choices people make. One employee had to get something signed over the weekend, so she stopped by the home with a car full of people. Um, seriously? Major HIPAA breach. Another employee had a home for rent and rented it out to his client. Yes, this is a nice gesture, but it is absolutely forbidden to enter into any sort of dual relationship with your client, during and after service.
I was assigned my first 4 clients yesterday. I have not yet made contact because I am waiting to hear from the employee I will be shadowing next week. I plan to call Monday and set up first appointments at the end of the week. I also have to do a ton of online trainings next week on-site.
As far as my clients go, what a doozy! Four males. Three of them have been treated by the agency before, two of them have a Conduct Disorder Dx, two have ADHD/Anxiety. One of them is a refugee from Africa! THAT is way amazing, for me, because it is a population I am extremely interested in working with. To say I am hella nervous about meeting these people next week is putting it mildly…
-SWS
Thursday, September 16, 2010
My first group experience: The Good, The Bad, and The Whoa.
So I did my first group with children last night! I have so much to learn. *sigh* In case you didn’t know, I’m interning at a domestic violence program. The children have witnessed the violence in many different forms, and they attend group while their parents (just the victim, and I don’t say women/mothers because we have one male – it does happen!) attend group. I’ve been working with the child therapist for the last few weeks and she gave me the floor tonight. She actually left the room while we did the activity, and I think it went ok. The children are 1-6 grade, and they are at different levels of maturity. While they were being typical kids, they did complete the activity and actually talked about it afterwards. To me, that equals a win.
It is very obvious that I don’t know proper ways of getting children to settle down and behave. We do things differently in a therapeutic setting. Telling little Johnny to sit down and be quiet doesn’t work so much. I may not have as much control as the child therapist, and she certainly has an entirely different style than I, but I think I did ok. I’m alive, they’re alive. I’ll get better, right? :)
However, I met a young man tonight who I will refer to as E. He’s in 1st grade and is very troubled, as exhibited by his behavior in group. He used a few bad words, talked about Hell, and ran around the room like some sort of big cat, growling all the way! He was very agitated and certainly did not want to participate in an activity where he sat the entire time. I was told that he is going to be my first client, and I must say, I am nervous as heck! We will be using the playroom, where he will likely get our his anger and frustration and wild-childness. I do think this young man is in desperate need of someone to pay attention to him, to tell him that he is special, to let him know he matters. I haven’t read his file yet, but I bet it’s a doozy.
I am also going to start working with an adolescent girl (I will refer to her as Y) who has siblings in the program, as well. In fact, her 2 younger siblings are in one of the child groups, and they journaled about some ugly stuff happening with big sis. She has been inappropriately dealing with her anger lately and we want to find out what's beneath the anger. The adolescent group facilitators says she doesn’t speak much in group, so hopefully I can gain her trust and give her an outlet.
I met with my supervisor today and she really put things into perspective for me. I’ve never had a therapy session yet, so I feel at a real disadvantage about providing it! However, she said some things that make so much sense and eased up my anxiety a tad. She said the most important thing about therapy is the human connection. The relationship. She said just be human to human, be present and actively listen. Don't worry about what theory or model l should be following - that comes with experience. Just listen, and be genuine. She also added that she still gets nervous 15 years later but said working through that fear is what will make me grow…
Monday, August 23, 2010
I am starting my FINAL year of Graduate School today!
I am entering my final year of graduate studies in Social Work! I’ve decided to go full-time my last year so I can finish up start a family. So, that means 4 classes (12 hours/wk) and 20 hrs/wk of internship. Of course, this doesn’t include the countless hours spent reading textbooks (my psychopathology textbook is over 1500 pgs long!!), writing papers/presentations and studying for horrible exams.

Fall Semester courses:
- Psychopathology (SCARY!)
- Advanced Evaluation (MORE SCARY!)
- Advanced Practice with Children and Adolescents (Excited for this class)
- Field Practicum (Not a strenuous course)
In addition to my courses, I will be interning in a Domestic Violence program. I think I will mainly be working with the children, but I definitely have the opportunity to engage in the full spectrum of services. To save on study/reading/writing time, I decided to do 2 – 10 hour days. I am freaked out about this, but I’m sure the days will go by fast, and then I will come home and crash hard.
Mon-Thurs is jam PACKED. 6 hours of classes (until 10 PM!) Mondays, back-to-back 10-hour days at internship on Tues/Wed, then 6 hours of classes on Thurs. I will no doubt be a ZOMBIE!
I’ve also taken on a position in the Social Work Student Association. I am the Communications and Marketing Chair, which means I run the Blog, Facebook page, email communications, etc. It’s a strength of mine, which is why I was asked to take it on. :) I look forward to it, honestly. We have a fantastic team of people and we are going have some stellar professional development and community service events. All good for my future in Social Work.
Ciao!
Monday, June 28, 2010
Cause of the Month: The Girl Effect
Being a woman, an activist, a humanitarian and someone who wants to empower young women, this video gets me every time. I honestly do not remember how I came across this amazing message, but is definitely a message that we all need to hear. Females are very lucky in the United States of America. In fact, most of us do not know how good we really have it. Despite our equal opportunities here, we still see discrimination, and the so-called "glass ceiling" effect.
In many countries around the world, women have no voice, and even though we had to fight for it here, women elsewhere sometimes literally face death in such a fight. Situations have changed and continue to change in a lot of countries, but females have a long way to go. It is unfortunate that so many people do not realize the value of females, aside from their baby-making abilities. Yes - that is a major and very important piece. But they have so much more to offer, as the video above describes.
The Girl Effect is an interesting and inspiring organization.
"The Girl Effect is the powerful social and economic change brought about when girls have the opportunity to participate. It’s an untapped force in the fight against poverty, and it’s driven by champions around the globe: the Nike Foundation, the NoVo Foundation, the UN Foundation, the Coalition for Adolescent Girls, CARE, Plan, the Population Council, ICRW and the Center for Global Development – and many others."
Because there’s poverty, and war, and hunger, and AIDS, and because when adolescent girls in the developing world have a chance, they can be the most powerful force of change for themselves, their families, communities, countries, and even the planet.
But while those 600 million adolescent girls are the most likely agents of change, they are often invisible to their societies and the world."
- Girls really are an untapped resource. In developing countries, there are usually no identifying documentation, so a girl doesn't know her age, and cannot protect herself from child marriage, vote, open a bank account, find a job.
- 70% of the world's school-aged children who are not in school are GIRLS! Girls have the human right, just as much as boys, to be educated and given a chance to make a better life for themselves!
- Child marriages are the norm in many countries because women's bodies aren't considered their own! Many adolescent girls die from childbirth. This is a major violation of body and soul!
- Girls can be educated about HIV but it is not enough. Until they don't risk the chance of rape the minute they leave their home, or have a voice when it comes to sexual relations, no amount of education will help.
- Girls can learn the skills for economic independence! They need to be given the tools, the education, and the respect first.
- A girl is said to reinvest resources within her community at a much higher rate than a boy would. Girls are better investments.
- Girls are a distinct category. They deserve this distinction when it comes to aid, education, sports, civic participation, health and economics.
- Girls need US - YOU and ME - to speak up for their human right to live a life of their OWN! We all have a stake in the future of these young ladies. Their future is our future.
Thursday, June 17, 2010
Thursday's Thoughts: Gay Adoption
You don't say? Obviously, you will get bad apple parents with homosexuals, just as you do with heterosexuals. However, that does not mean that all homosexuals are evil incarnate, just like it doesn't mean all heterosexuals are bad parents. Obviously. I actually know someone in my Social Work program who has one of the most successful homosexual parent-child situations I've ever heard of. He and his partner of 9 years have joint custody of his biological daughter. She spends the other half of her time 1 mile down the road at her biological mother and step father's home. That young lady has FOUR LOVING, DEVOTED PARENTS, whereas many children don't even have one. How this is bad for her emotional/physical/mental development is beyond my knowledge. In my opinion, she is one lucky child, who will grow up with a very diverse background, and will have acceptance for those who are different.
Tuesday, June 8, 2010
Remember the 7 Cs
I can't Cure it.
I can't Control it.
I can Care for myself by
Communicating my feelings,
Making healthy Choices, and
By Celebrating myself.

Monday, June 7, 2010
GREAT resources for motivating clients to CHANGE!
| Parent’s Stage of Change and Motivational Tasks for Child Welfare Workers | ||
|---|---|---|
| Parent's Stages of Change | Motivational Tasks for Child Welfare Worker | |
| Precontemplation | No perception of having a problem or need to change | Increase parent's perception of the risks and problems with their current behavior; raise parent's awareness about behavior |
| Contemplation | Initial recognition that behavior may be a problem and ambivalence about change | Foster and evoke reasons to change and the risks of not changing; help parents see that change is possible and achievable |
| Decision to Change | Makes a conscious determination to change; some motivation for change identified | Help parent identify best actions to take for change; support motivations for change |
| Action | Takes steps to change | Help parent implement strategy and take steps |
| Maintenance | Actively works on sustaining change strategies and maintaining long-term change | Help parent to identify triggers and use strategies to prevent relapse |
| Lapse or Relapse | Slips (lapses) from a change strategy or returns to previous problem behavior patterns (relapse) | Help parent re-engage in the contemplation, decision, and action stages |
- Establish rapport and build trust
- Raise concerns about a parent's substance-related risk behaviors to self and children
- Elicit the parents' perceptions of their level of risk
- Elicit the parents' perceptions of their children's level of risk with respect to safety, well-being, and health
- Explore the benefits and risks of risky behaviors and treatment, including the timetable of the dependency court
- Express concern and remain available.
- Help parents understand that ambivalence about change is normal
- Elicit and weigh their reasons to change and not to change, including the consequences for the child if the parent does not meet the requirements of the dependency court
- Emphasize parents' free choice, responsibility, and self-efficacy for change
- Elicit self-motivational statements of intent and commitment from parents
- Elicit ideas regarding parents' perceived self-efficacy and expectations
- Summarize self-motivational statements
- Elicit ideas for the child's well-being and safety
When parents are in the preparation stage on a specific issue, child welfare professionals can use the following motivational strategies to help move them to the next stage:
- Clarify the parents' own goals and strategies for change
- Offer a menu of options for change or treatment
- Offer expertise and specific guidance, with permission
- Make sure that parents follow through on referrals for treatment assessment
- Help negotiate a change or treatment plan and behavior agreement
- Consider how to help parents lower their barriers to change
- Help parents enlist social support
- Explore the parent's treatment expectations
- Elicit from the parent what has or has not worked in the past
- Have the parent publicly announce plans to change
- Explore legal and social consequences to the parent and the child
- Help parents make plans for dependent children
When parents are in the action stage on a specific issue, child welfare professionals can use the following motivational strategies to help move them to the next stage:
- Support a realistic view of change through small steps
- Acknowledge difficulties for the parent in early stages of change
- Help the parent find new reinforcers of positive change
- Help parents assess whether they have strong family and social supports, and how these can be used to support child safety and well-being
- Help parents engage community supports
- Reflect on appropriate legal and social interactions and gains
When parents are in the maintenance stage on a specific issue, child welfare professionals can use the following motivational strategies to help them sustain the benefits that they have achieved.
- Support parents' lifestyle changes
- Affirm parents' resolve and self-efficacy
- Support parents' use of new communication or coping strategies
- Maintain supportive contact and availability
- Sustain parents' resolve to meet statutory timetables
- Review long-term goals with parents
- Advocate for legal and community supports and rewards
- Help parents make plans for dependent children
- Help parents, kin caregivers, and children recognize risk factors and behaviors involved with substance abuse
Motivational Strategies for the Relapse Stage
Many clients will not immediately sustain new changes they are attempting to make. Substance use after a period of abstinence may be common in early recovery. Clients may go through several cycles of the stages of change to achieve long-term recovery. Relapse should not be interpreted as treatment failure or that the client has abandoned a commitment to change. With support, these experiences can provide information that can facilitate subsequent progression through the stages of change and identify new areas in which treatment and case plans can be enhanced. When parents lapse or relapse, child welfare professionals have an especially important role helping parents to reengage by using the following strategies:
- Help parents to reenter the change cycle
- Explore the meaning of relapse as a learning opportunity
- Maintain nonjudgmental, supportive contact
- Help parents find alternative coping strategies
- Keep parents' attention focused on the social and legal consequences of relapse for themselves and for their children
| The FRAMES Strategies | ||
|---|---|---|
| F | Feedback regarding the parent's impairment or risk behavior | |
| R | Responsibility for change is the parent's | |
| A | Advice (guidance) to change is provided by the social worker | |
| M | Menu of treatment and self-help alternatives is offered to the parent | |
| E | Empathy and non-blaming style is used by the social worker | |
| S | Self-efficacy or positive empowerment is facilitated in the parent | |
Monday Morning Musings

Family preservation services are family-focused, short-term, intensive therapeutic services designed for families with a child at imminent risk of out-of-home placement. That is good, right, because when children are removed from their parents and their environment, it is serious trauma! Also, if the child is young and they are placed in foster care for a length of time, the attachment process can be interrupted. Research has shown the disastrous effects of disrupting the attachment/bonding of a young child and their main caretaker.
The goals of the program are to resolve the crisis that led to the decision to remove the child and teach the child's family the skills they need to stay together. It emphasizes the strengths of the family and seeks to empower families to solve their own problems. What a concept! Obviously, children who have been abused will be removed from the home and really don't qualify for these types of services. (Other services are provided, obviously, as the primary goal of child welfare is to reunify the child with their biological parents). But what about the families who have been neglectful due to inadequate housing, addiction, mental health issues or poor child care skills?
{rant}
FPS could work for them, but my findings so far are a bit disappointing. It seems as though the caseworkers in the field don't always identify the proper families for FPS. Meaning, some inappropriate families receive it, and the ones that could have benefited from FPS have the child removed. I think a lot of caseworker's err on the side of caution because they are afraid to leave a child in a home that has been identified as neglectful, etc. Makes sense - I know I'd feel that way - but it leads me to my next rant. Proper Training, please! I've come across a lot of literature that says caseworkers are not trained on proper assessment of the families and treatment of the above problems, as well as many others. This isn't the first time I've heard this! When are we going to put trained human services people in these positions and quit hiring any joe blow off the street? I doubt that their intentions are bad but they aren't educated/trained to assess these families properly, and therefore, the families are provided incorrect services. The system is not meeting their needs. We are failing them!
{/rant}
Wednesday, May 26, 2010
Child Abuse: What are we doing wrong?

- new to the job
- no social service background
- little training
- few workers, which meant major caseloads
- pressure to close cases ASAP
- little follow-up


