11 Casework Lesson
11 Casework Lesson
INDIVIDUALS
SOCIAL CASEWORK
CASE STUDY
CASE MANAGEMENT
TOPIC 1:
CONCEPTS AND
PRINCIPLES
CONCEPTS AND
PRINCIPLES
Social Casework is a method of social work which intervenes in the psychosocial aspects of person’s life to
improve, restore, maintain or develop his social functioning by improving his role performance. -TRUE/FALSE?
Social casework is a problem-solving and helping process. It requires knowledge of the science of human relations
and skills in relationship in order to mobilize capacities in the individual and resources in community appropriate
for better adjustment between the client and all or any part of his total environment. TRUE/FALSE?
Social casework is a process used by certain human welfare agencies to help individuals to cope more effectively
with their problem in social functioning. The process is to promote human growth and development and self-
satisfaction an accomplishment. TRUE/FALSE?
CONCEPTS AND
PRINCIPLES
“As a process used by human welfare agencies to help individuals to cope more effectively
with their problems of social functioning, casework encompasses the four components of
social work practice- the person (client), the problem, the place (agency), and the helping
representative.”
GOAL?
CONCEPTS AND
PRINCIPLES
• To achieve some improvements in the person’s social functioning
• By bringing about change in his economic and social living or
environment
CONCEPTS AND
PRINCIPLES
• Seeks to improve client’s capability to help himself to improve his
living situation
• Rise above the difficult circumstances that may be surrounding him.
• It is also family-oriented.
CONCEPT OF
SOCIAL ROLE
• Social Role is the sum total of the culture
patterns associated with a particular
status. Whether a social role is performed
in a satisfying, effective and acceptable
manner depends always upon the
capacities and motivations of both the
persons occupying given role and those
in roles reciprocal to his..
CONCEPT OF MODES
OF ADAPTATION
• Faced with the threatening situation, a client will
try to use his accustomed modes of adaptation.
When these have failed he will regress to modes
of adaptation used earlier in life: flight or pairing.
Pairing is entering into a dependent and solace-
seeking relationship with another person
perceived as stronger and able to help her handle
the situation. Finally, in extreme situations, he
may become apathetic resigned, mentally
disoriented and immobile or hyperactive.
CONCEPT OF
PROFESSIONAL
COMMUNICATION
• Social workers form relationships for a professional
purpose. In everyday life, satisfying personal
relationship may be an end in itself.
• In professional relationships the worker devotes
himself to the interests of his clients and the needs
and aspirations of other people rather than his own
interests.
• The worker forms relationships based on objectivity
and self-awareness which allow him to step outside
of his personal struggles and emotional needs and
to be sensitive to the needs of others.
PRINCIPLES IN SOCIAL
WORK- FELIX BIESTEK
The worker isn't the one who make decisions for the
client, rather the latter itself. The reason participation in
essential in the helping process.
PRINCIPLES IN SOCIAL
WORK- FELIX BIESTEK
9. CLIENT-WORKER RELATIONSHIP
1877
IMPACT OF WWI AND WWII
1939-1945
CASEWORK IN • Psychiatric social work was
introduced in Welfareville,
THE PHILIPPINES then the seat of
• Casework was the very government child-rearing
professional method of social institutions.
work intervention practiced in
the Philippines
• Was the first introduced by
the Associated Charities of
Manila, a family welfare
agency that employed “home-
visitors”
1917
• Dr. Jose Vergara, then
superintendent of
associated Charities IMPACT
of OF WWI AND WWI
Manila appreciated the
value of psychiatric social
work in the US, employed
social workers to work with
children and youth
• Like the American counter
parts local practitioners
Department of Health issued a recognized that material
circular requiring national, assistance did not atomically
provincial, city, emergency solve individual’s problems
hospitals to employ social workers.
1954 1980'S
TOPIC 3: CLIENT-
WORKER
RELATIONSHIP
CLIENT WORKER
• Client-worker relationship is • The worker is keenly aware of
established with the purpose of the importance and dynamics of
attaining objectives of helping. his involvement, or “professional
The relationship is the dynamic use of self” in relation to the
interaction and psychological dynamic nature of the
interplay both between the interaction, the purpose and
worker and client with their own qualities of the relationship.
particular attitudes and feelings
in a particular situation.
COMPONENTS OF THE RELATIONSHIP
- is realistic and objective perception of
REALITY
existing condition or situation.
INITIAL
PHASE
• Understanding the reason of contact
• Establishing a relationship
• Engaging to treatment
• Beginning treatment
• Psychosocial study
PSYCHOSOCIAL MODEL GORDON HAMILTON
ASSESSMENT
3 TYPES OF DIAGNOSIS:
• DYNAMIC- the interplay between the client and other systems; the
dynamics of the family.
• ETIOLOGICAL- the cause or the origin
• CLASSIFICATORY- classifying individuals base on categories
PSYCHOSOCIAL MODEL
GORDON HAMILTON
PSYCHOSOCIAL MODEL GORDON HAMILTON
ASSESSMENT
TREATMENT
-The ultimate objective is to alleviate the client's distress.
DIRECT TREATMENT - This inolves direct work with the client himself.
"THE INFLUENCE OF MIND UPON MIND"
PSYCHOSOCIAL MODEL GORDON HAMILTON
TREATMENT
DIRECT TREATMENT - This inolves direct work with the client himself.
"THE INFLUENCE OF MIND UPON MIND"
1.SUSTAINING/ PSYCHOLOGICAL
SUPPPORT
PSYCHOSOCIAL MODEL GORDON HAMILTON
TREATMENT
DIRECT TREATMENT - This inolves direct work with the client himself.
"THE INFLUENCE OF MIND UPON MIND"
2. DIRECT INFLUENCE
PSYCHOSOCIAL MODEL GORDON HAMILTON
TREATMENT
DIRECT TREATMENT - This inolves direct work with the client himself.
"THE INFLUENCE OF MIND UPON MIND"
3. CATHARSIS/VENTILATION
PSYCHOSOCIAL MODEL GORDON HAMILTON
TREATMENT
DIRECT TREATMENT - This inolves direct work with the client himself.
"THE INFLUENCE OF MIND UPON MIND"
4. ENVIRONMENTAL
MANIPULATION
PSYCHOSOCIAL MODEL GORDON HAMILTON
TREATMENT
DIRECT TREATMENT - This inolves direct work with the client himself.
"THE INFLUENCE OF MIND UPON MIND"
5. CLARIFICATION
PSYCHOSOCIAL MODEL GORDON HAMILTON
TREATMENT
DIRECT TREATMENT - This inolves direct work with the client himself.
"THE INFLUENCE OF MIND UPON MIND"
6. INSIGHT DEVELOPMENT
PSYCHOSOCIAL MODEL
GORDON HAMILTON
____________
PSYCHOSOCIAL MODEL
GORDON HAMILTON
TASK GROUPS
PROBLEM- SOLVING MODEL
HELEN HARRIS PERLMAN
• Identified with the work of Helen Perlman at the Chicago school in l957.
·The person comes to a helping situation to seek help as voluntary client or required
to use help as involuntary client
·The term client refers to a person, family, group, or community as the focus of
worker’s helping activity
PROBLEM- SOLVING MODEL
HELEN HARRIS PERLMAN
Social work is concerned with problems in social functioning which rests mainly:
Ø On interpersonal relationship
Ø In negotiating with systems in the environment, or
Ø In role performance
PROBLEM- SOLVING MODEL
HELEN HARRIS PERLMAN
The Problem
• Has chain reactions
• Has both subjective significance; internal (felt need) and external (Seen)
· Considerations should be given to:
Ø Client wants and needs (felt),
Ø Worker’s judgment (real), and agency purpose and services
PROBLEM- SOLVING MODEL
HELEN HARRIS PERLMAN
The Problem
• It is usually a problem in the current life situation which is hurting and
disturbing (a difficulty in person to person or person to task relationships)
• An unmet need which hampers or undermines a person’s adequate living
• Usually results to stress (psycho, social, physical) that causes the person to
be ineffective or disturbed in carrying out his/her social roles
PROBLEM- SOLVING MODEL
HELEN HARRIS PERLMAN
PROBLEM TYPOLOGY
PROBLEM TYPOLOGY
PROBLEM TYPOLOGY
PROBLEM TYPOLOGY
IMPACT OF CALAMITIES AND
UNREST
PROBLEM- SOLVING MODEL
HELEN HARRIS PERLMAN
PSP is a helping, analytical, and therapeutic process involved in the dynamic client-worker relationship
·Helps client use and mobilize his/her inner and outer resources
·Helps client cope with problems in carrying out social tasks and relationship which are perceived and felt as
stressful
·Equips client with a way of coping with problems in the future
PROBLEM- SOLVING MODEL
HELEN HARRIS PERLMAN
PSP is a helping, analytical, and therapeutic process involved in the dynamic client-worker relationship
·Helps client use and mobilize his/her inner and outer resources
·Helps client cope with problems in carrying out social tasks and relationship which are perceived and felt as
stressful
·Equips client with a way of coping with problems in the future
PROBLEM- SOLVING MODEL
HELEN HARRIS PERLMAN
PSP HP
Task-centered approach
·Problem specification
·Cognitive-behavioral therapies/interventions:
-Analyzes thinking patterns i.e. distorted and irrational beliefs
-Change: thoughts and behavior patterns (distorted and irrational beliefs)
BEHAVIORAL MODIFICATION
MODEL
·Focus: on the present: here and now:
·Aim:
6.Human beings begin life with a clean slate on which nothing has been written. In effect,
they inherit good or bad habits at the time when they enter the world.
Goals are:
EFFECT - It is stressful and • A.) to reduce the immediate
disruptive and can affect biological, harmful effects of the stressful
psychological and social events.
functioning and can produce • B.) to help mobilize the latent
disturbed emotions, impair motor capacities and capabilities of the
functioning and negatively impact person directly affected so that
ongoing behavior. he can cope more effectively with
the effects of the crisis.
CRISIS-INTERVENTION
APPROACH ERIC LINDEMANN
• The major systems that are p[art of the family’s life and
• The nature of the family’s relationship with various systems
PRESENTING PROBLEM?
STUDY
The Presenting problem
Sources of information
Network linkages
ASSESSMENT
Assessment leads to provision of 3 areas of
service delivery
Direct Services
EX.
CASE MANAGEMENT AND
ADVOCATE
ASSESSMENT
Multidisciplinary Assessment and Case
Management
• Medical Assessment
• Rapid Assessment Instruments
• Psychosocial History
• Psychological Testing
• Psychiatric Evaluation
• Functional Assessment
ASSESSMENT
Planning and Goal Setting
Planning
Goals
• Are ends or desired outcomes of an endeavor
• Usually spells out what is expected to be achieved as a result of all
the efforts of helping;
• Concerned with solutions;
• Should be (1)specific, (2)concrete, (3)measurable and (4)feasible=
realistic and attainable
Levels of goals
• Long-term goal- or overall goal
• Progressive subsidiary- focused on the ongoing work
• Immediate goal- determines the point at which worker could most
effectively intervene in order to start the process that would lead to
the achievement of the above first levels of goals set
ASSESSMENT
Planning and Goal Setting
• Lays out the steps worker and client intend to take to solve the
problem and achieve the goals
• Principle of equifinality- there are many routes to any desire and
state (considering options)
• Consists of specific actions or steps to be undertaken in order to
reach the goals
• It is an action plan, a helping plan, or intervention plan of action
composed of:
Unit of Attention
Strategy
Skills needed:
• Use of range of social work interventions and roles
necessary to carry out the action plan
• Communications skills
• Ability to keep focus on the objectives and the
corresponding action plan
• Ability to support and involve client in carrying out the
action plan
EVALUATION
Formative evaluation
Summative evaluation
• The client will learn to use his/her own resources (instead of those of the worker or
the agency) to manage future difficulties they may encounter
TOPIC 6:
INTERVIEWING
AND RECORDING
SOCIAL WORK
INTERVIEW
The social work interview:
·Gather information
·Assessment of nature of problem
·Deliver information or education
·Provide emotional support
·Assist with generating alternatives and solving
problems
·Counseling
SOCIAL WORK
INTERVIEW
Interviewing is an art, a skilled technique that can be improved
and eventually perfected primarily through continued practice.
SOCIAL WORK
INTERVIEW
Purpose of interviewing
3. Intervention interviews
SOCIAL WORK
INTERVIEW Distinguishing Features of SW Interview
·Has context or setting
(Usually the offering the service, then home of the applicant or the community)
·Purposeful and directed
(Conducted to accomplish specific purposes; not a casual exchange of information or
informal conversation)
·Limited and contractual
(Client and worker come together in a specific context for a defined purpose; their
communications are limited to those purposes)
·Involves specialized role relationship
(Client and worker interact with each other on the basis of their specialized roles; interactions
are usually confined to the expected behaviors of their specialized roles)
SOCIAL WORK
INTERVIEW
Desired outcomes of initial interview:
·Worker explores basic crisis or problem and how the person seeking help views the
situation
·Gathers information and explore what prompted the person to seek help
SOCIAL WORK
INTERVIEW
STEP 3: Affective Dimension
Feelings
·The core of helping, comprises the identification of, accepting of, validation of, and
reflection of the person’s feelings
A. Observation
SOCIAL WORK
INTERVIEW
B. Listening
SOCIAL WORK
INTERVIEW
A. Question/s
SOCIAL WORK
INTERVIEW
A. Talking
SOCIAL WORK
INTERVIEW
A. Leadership /direction
SOCIAL WORK
INTERVIEW
A. Interpretation
SOCIAL WORK
INTERVIEW
Things need to look at when doing an Interview:
• Association of ideas
• Shifts in conversation
• Opening and closing sentences
• Inconsistencies and gaps
• Conceited meaning
SOCIAL WORK
INTERVIEW
Components of an interview- Beginning/Introduction
Greeting and meeting the person is actually the end of the process of preparation on the
part of the worker/agency/ and person
SOCIAL WORK
INTERVIEW
Component (2) Middle as the CORE of the interview
SOCIAL WORK
INTERVIEW
Components of an interview- Ending
1.Both worker and person must be aware that the interview s drawing to a close
2.Ending should not be abrupt or a sunrise
3.Worker
-Summarize what has been done or decided in the interview
-Schedule the follow up interview
-Restate the action that both worker and person have agreed to take
SOCIAL WORK
RECORDING
2.Worker may jot down during interview certain types of information that are
not easy to remember i.e dates, medication names, etc.,
6.Worker writes down the gist of the interview as possible AFTER the interview
ends especially the plans for action or follow-up
USAGE OF FORMS
SOCIAL WORK
RECORDING
3. Purpose of the record
After discussing the reasons for the existence of the social
casework records. It is worthwhile touching even briefly on the
purposes of the record which are as follows:
3.1 For practice
3.2 For administration
3.3 For supervision
3.4 For teaching
3.5 For research
SOCIAL WORK
RECORDING
Three Most Important Styles in Recording
NARRATIVE
SOCIAL WORK
RECORDING
Three Most Important Styles in Recording
SUMMARIZED RECORDINGS
SOCIAL WORK
RECORDING
Three Most Important Styles in Recording
·Responsive listening
·Combines talking and listening
·Indicates that worker heard and understood the client, and is
responding to his/her message
·Allows the worker to be aware of the client’s feelings, thoughts,
ideas, desires, decisions, or expectations
Active Listening
Includes:
ØListening not only with your ears but also with your eyes
Øplus perceptiveness
Verbal Tools in Active Listening
E.X.
ØIt sounds as though you are...
ØIt seems as if...
ØI think I understand you to be saying…
ØYou seem to be saying…
ØIt’s probably difficult to…
ØI’m hearing that…
Verbal Tools in Active Listening
·CAUTION: use too many questions may resemble an interrogation rather than a mutual
conversation
·A question-answer pattern- gives client message that:
ØThe worker knows best what should be talked about
ØAnd in what direction the interview should go
·Use of more reflective statements (rather than questions) are less directive and authoritarian
·Use of more probing questions an open-ended techniques- in active listening
Verbal Tools in Active Listening
7. Open-ended questions:
·Allows the client to answer in own way and to expand on the answer: allows
expression of feelings
·Can be framed as a question or as a statement
·A statement is often the most inviting form of inquiry (i.e. “tell me more about
your concern”)
·Goal is to learn more about client’s perceptions and experiences
·Enables the client to define, discuss, or answer the questions in any way s/he
chooses.
·
Verbal Tools in Active Listening
8. Closed-ended questions:
“Why” questions:
Verbal Tools in Active Listening
Curiosity questions
Verbal Tools in Active Listening
Leading questions
Verbal Tools in Active Listening
Answer-and-agree question
Verbal Tools in Active Listening
Suggestive questions
Verbal Tools in Active Listening
Yes-no question
Verbal Tools in Active Listening
Either-or question
Verbal Tools in Active Listening
Yes-no question
Verbal Tools in Active Listening
Yes-no question
Verbal Tools in Active Listening
2 TYPES OF SELF-DISCLOSURE:
• EYE
CONTACT
Verbal Tools in Active Listening
FACIAL
EXPRESSION
Verbal Tools in Active Listening
VOICE AND
LANGUAGE
Verbal Tools in Active Listening
SILENCES
Verbal Tools in Active Listening
TOUCHIN
G
TOPIC 8:
CASE STUDY
CASE STUDY
Explanatory
CASE STUDY
Types of Case Studies
Exploratory
CASE STUDY
Types of Case Studies
Descriptive
CASE STUDY
Types of Case Studies
Intrinsic
CASE STUDY
Types of Case Studies
Collective
CASE STUDY
Types of Case Studies
Instrumental
CASE STUDY
Types of Case Studies
Prospective
Retrospective
KEEP IN MIND:
A GOOD CASE STUDY IS A PRODUCT OF GOOD
ASSESSMENT
CASE STUDY
SUGGESTED FORMAT OF A BIO-PSYCHOLOGICAL
ASSESSMENT REPORT
• Identifying Information
• Presenting Problems
• Current Situation
• Background History
• Analysis
• Recommendation/ Treatment Plans
CASE STUDY
• IDENTIFYING INFORMATION
• Developmental history
• Family background
• Marital/intimate relationship History
• Education and/or Vocational Training
• Employment History
• Use and abuse of Alcohol or Drugs by self and family
• Health Issues
• Previous Mental Health
• Cultural Background
CASE STUDY
V. ANALYSIS
• Identifying key issue or problem: compare your perspectives and client’s own
perspective of his problem; describe seriousness of the problem
• Describe client functioning effectiveness
• Identify contributing factor: thoughts, behaviors, personality issues and
circumstances that seem to contribute to the problem; determine where factors
reside
• Identify the strengths: sources of meaning , coping ability, and resources that can
be mobilized to help the client
• Identify stressor: obstacles, vulnerabilities and need
• Asses client’s motivation and potential to benefit from intervention
CASE STUDY
VI RECOMMENDATION/TREATMENT PLAN
• Worker’s own perception of the client’s needs and problems alongside the
client’s own needs and priorities
• Value of self-determination as a well as the clients empowerment
• Description of problem area and needs, problem list (rank in priority order),
strengths/assts and obstacles and goads usually presented a behaviorally
specific language
TOPIC 8:
CASE
MANAGEMENT
CASE MANAGEMENT
What is a case?
2. Confidentiality
CASE MANAGEMENT
PRINCIPLES IN CASE MANAGEMENT:
3. Self-determination
CASE MANAGEMENT
PRINCIPLES IN CASE MANAGEMENT:
4. Non-judgmental attitude
CASE MANAGEMENT
FREE RESOURCE PAGE
TIPS IN REVIEWING:
• Know your learning style and create a habit out of it
• Create study group
• Make use of your resources
• Prioritize
• Social Media Detox
• Celebrate small wins
• Give yourself a break/sleep
THANK YOU