Monday, April 1, 2019
Introduction to social work
intro to neighborly subject field break throughComp atomic number 18, contrast and critically evaluate Crisis interpellation and Task-Centred rehearse. vie what you see as their effectiveness by outlining potential advantages and disadvantages and with reference to look regarding their effectiveness.The British Association of affectionate processers (BASW) Code of Ethics (20021) states thatThe complaisant pass profession bear ons mixer change, fuss firmness of purpose in human relationships and the show-so and liberation of people to enhance advantageously- macrocosm. Utilising theories of human behaviour and affectionate systems, accessible browse intervenes at the points where people interact with their environment.In submit to promote such social change and provide high quality skipper example, social employers utilise several(a) hypothetic simulations and apply them appropriately in raise to help military divine assistance exploiters in the bes t way they endure tooth. The end of this essay is to discus the pigment features of the task-centred pull and crisis incumbrance flakes, two of which atomic number 18 widely apply methods of social wrick coif. With reference to research, the effectiveness and limitations of these processiones go forth be analyzed by outlining potential advantages and disadvantages, and by demonstrating that although these approaches take hold diverse origins, they do have some common features.McColgan (200960) states that task-centred use isa usual method of intervention in social drop dead shape. It does not be on any complex guess, is d give birth to earth, makes sense and is easy to regard in its exertion.Coulshed Orme (2006156) believe that the task-centred approach, also kn own as abbreviated therapy, unmindful term or trim ladder is probably superstar of the approximately researched and commonly used approaches to problem solving in social work figure.Task-centr ed practice was developed out of research into effective social work practice by Reid and Shyne in 1969, who found that planned, short term intervention, was equally as or more effective than long term treatment. Task-centred practice originates at heart social work itself, quite an than being borrowed from disciplines outside of social work, such as psychology and sociology. Indeed, Reid (1992) states that task-centred casework rejects any specific mental or sociological base for its methods and seeks to be eclectic and integrative (cited in Payne, 199797).At the time task-centred practice challenged the long-term psychodynamic theory behind social work which, according to Woods and Hollis (1990, cited in Cree and Myers 200890) expected problems to be deep grow and to require intense and long-term specialist input to address these difficulties, b arly Reid and Shyne disputed this approach in favour of proposed time-limited, structured and focused interventions to cultivat e problems, which was a direct challenge to the exercises that set ahead those with problems to move at their own pace.Reid and Epstein (1972) suggest that the task-centred approach is beneficial for a variety of problems, including inter mortalal, social relationship, organisational, post performance, decision making, resource based, emotional and psychological. Doel and fenland (1992) and Reid and Epstein (1972) suggest that in nightspot to apply effective task-centred practice to such problems, a framework should be adopted, which should firstly look at problem exploration. Doel (2002) states that the first phase should contain of problem s trickning and identification in order to establish the value substance ab drug users perspective of the seriousness of the issues. The user should then be guided to rate the target problems and clarify their signifi washbowlce and define their desired takes or lasts. marsh and Doel (200572) suggest that the use of I want or we for get is a guarantee of a statement which results in a goal being achieved, quite a than using verbs such as need. Epstein and dark-brown (2002155) recommend that a maximum of three problems should be worked with at any one time as Doel and fenland (199231) point out too many selected problems will probably lead to confusion and dissipated effort. The selection of targeted problems should be g everywherened by feasibility of achievement and in accordance with the partnership of the player (Cree and Myers 200893). Doel and Marsh (1992) identify that making an promise and agreeing a goal should be a written statement of what the user wants, based on how to directly pacify the problem. The bene watchs of a written agreement could include that it is in the help users own words and can be referred to at a later date. However, Epstein and Brown (2002) argue that whilst this whitethorn be more necessary with mandated work users, a verbal agreement whitethorn be sufficient. It is all-important(a) to remember that the communion skills of users must be taken into account, and that appropriate media must be used in accordance with the users abilities and skills. Additionally, a verbal agreement may be little frightening for the service user, or they may not be literate, so possibly a tape recording could be used. Healy (2005121) suggests that the agreement should document the practicalities of the intervention, such as the duration, frequency and location of meetings in order for some(prenominal) the service user and the worker to be held accountable. Cree and Myers (200894) state that in one case the practicalities of the agreement have been established, identification of how to address the problems can begin via agreeing to a series of tasks that will contribute towards achieving the goals set out, that is, alleviation of the problem. Dole and Marsh (200536) outline that goals i sightly should follow the SMART principle specific, measurable, achievable, re alistic and timely. Additionally, goals and tasks should be detailed and clarify who will do what, when, where and how and the service user should have a major(ip) influence in deciding on and carrying out the goals and tasks (Cree and Myers 200894). In short, the goal should be the nodes goal, agreed after detailed tidings with the worker about why it is desirable, how it can be achieved and how it is evident that it has been reached. The goal should be as clear as possible, within the cleverness of the client to achieve and ethically acceptable to the practitioner. (Doel and Marsh, 199251)Task implementation addresses the methods for achieving the task(s), which should be negotiated with the service user, and according to crossway and Postle, (200055) should bedesigned to enhance the problem solving skills of participantsit is important that tasks undertaken by clients involve elements of decision making and self-directionif the work goes well then they will forward motionive ly exercise more control over the implementation of tasks, ultimately enhancing their ability to resolve problems independently.According to Doel (2002195) tasks should be cautiously negotiated travel from the present problem to the hereafter goal.Once tasks ar set, it is important to review the problems as the intervention progresses in order to reassess that the tasks be good-tempered relevant to achieving the goals. Cree and Myers (200895) suggest that as circumstances can change, particulars may be superseded by advanced problems. The workers role should be primarily to hold water the user in order to achieve their tasks and goals which may include providing cultivation and resources, education and role-playing in order to handle difficult situations (ibid95).The exit set of the intervention should have been anticipated at the initial phase, in that the contract or agreement will have been explicit about the distance of the intervention, and both the service user and worker will be informed of the timecale in which to complete their tasks. A time limit is important as it guards against drift, allows time for a review and encourages accountability. It also acts as an indicator of progress (Adams, Dominelli and Payne, 2002).According to Cree and Myers (200896)the last session call for to review what has been achieved how the tasks have been ideal to what extent the goals have been met and what the service user has learned from the process that can be use richly taken into their future lives.Wilson et al (2008) suggest that the lowest phase should involve the service user and the worker revisiting the initial problems and canvas them to how the situation is now, along with what the underlying achievements were, and what has been learnt in the process. Additionally, the service user is encourage to explore how to use the skills learnt for the future, and how the intervention will now end, for example, possible new contracts for merely work o r referral to another agency. In contrast, the conceptual origins of crisis intervention come from varied sources, primarily from mental health and have a long history of development (Roberts 2005 cited in Parker 2007116)Caplan (1961) and Roberts (1990) (cited in Parker 2007115) state that crisis isa time limited period of psychological bother resulting from exposure to or interpretation of particular situations or longer term stress that mortals cannot deal with using tried and tested or novel means of coping.The theoretical basis of crisis intervention has developed in sophistication, namely through the work of Gerald Caplan, an American clinician, following Dr Erich Lindemanns study of grief re bodily functions after a night-club provoke in Coconut Grove, Boston, USA in 1943 in which al virtually euchre people died. Lindemann interviewed some survivors and the relatives of those who died and concluded that when faced with sudden crisis, the human substance to deal with probl ems faltered. An individuals usual coping mechanisms argon no longer couple to take on board the experiences involved following a crisis and these experiences wherefore challenge ones popular equilibrium, or homeostasis. Furthermore, during the Korean war in the archaeozoic 1950s, it was discovered that psychiatric first-aid given immediately to front-line soldiers, much quickly restored them back to duty, whereas those who were sent home for protracted institutional treatment reacted slower to intensive therapy, which could suggest that institutionalization confirmed on that point was a serious underlying problem (Fell 2009).The experience and settlement of crises could be said to be a normal process which is inevitable at some point during a persons life, however, shaping exactly which events or situations constitute crises is more troublesome, as they are construed as crises callable to individual perception or re fulfill to an event, not the unfeigned event itself (OH agan 1986, cited in Parker 2007117). The concept of crisis theory provides workers with a theoretical framework of the adaptation processes of the individual following such events that are seemingly overtly stressful and unmanageable. Crisis intervention takes the concept of this theory and applies it to the understanding of the individuals experience, and suggests certain steps to take in order to help those who are experiencing crisis (Wilson et al 2008361).Coulshed (199168) believes that one of the about real features of crisis intervention is that crisis does not always indicate an want or dramatic event. The crisis instead, may be developmental and the result of a new experience such as starting school, adolescence, leaving home, leaving to university, getting married, or the anticipated death of a relative or friend, or indeed oneself. Similarly, an existential crisis refers to inner anxieties in relation to ones purpose, state and autonomy, for example, a middle life cri sis. In both cases adjustment fails because the situation is new to us, or it has not been anticipated, or a series of events has render too overwhelming (ibid). For many people, these challenges will not constitute a crisis, although they may feel stressful, but it could be recommended that, in practice, the worker remembers the immanent nature of crisis, in order not to dismiss a service users experience, which would suggest that there are standard reactions to events, as Hoff (1990) states what is a crisis for me may not be a crisis for you. Alternatively, a situational crisis could be said to be an event that happens which is out of ones control, or out of the realms of normal, everyday experience, for example indispensable disasters, sudden illness or death, sexual assault, abortion, domestic violence, redundancy or relationship breakups (Aguilera 1990). Murgatroyd and Woolfe (1985) however, believe that the threshold level of how an individual deals with such events is not t he same for everyone, which leads one to assume that it is how someone comes to terms with the event sort of than the event itself, in agreement with OHagans earlier statement. Likewise, an individual may be a particularly resilient person, or has previous experience of such situations, or they may have a strong support electronic network of family and friends. Indeed, given an example such as a terminal illness, proviso work may be underway before the inevitable occurs and indeed not develop into a crisis situation (Wilson et al 2008).Caplan (1964) suggests that crises are time-limited, usually lasting no longer than six weeks, and that an individuals capacity to cope with problems and hold to a steady state is based upon a persons internal psychological strengths and weaknesses, the nature of the problem and the help being given. Caplan (1964) also describes the stages of crisis whereby an emotionally equivocal situation presents uncomfortable feelings and signals change in homeostasis, in turn motivating actions to return to normal through employing usual coping mechanisms, which in most cases, are advantageful in a short period of time. Alternatively, in the case of an emotional crisis, the usual coping strategies are ineffective and the aggravation and unpleasant feelings intensify, cognitive disorganisation increases and novel coping methods and problem-solving techniques are use to reduce the crisis. The individual then seeks help and support from others and employs an adaptational crisis liquidation which deals successfully with affective and cognitive issues and new problem-solving and coping behaviours are developed. short-changeflicts raised(a) by the crisis are identified and work to resolve them is begun, upset is after reduced and there is a return to the pre-crisis level of functionality. However, mal adaptative crisis resolution sees the individual implement novel problem-solving and coping and adequate help is not sought. Underl ying issues remain unresolved and sources of help are not fully utilised. Although the disquiet is reduced the individual functions at a less adaptive level than before the crisis. In an adaptive post-crisis resolution, the individual beats less under fire(predicate) in similar situations due to past resolved conflict, inferring that the novel and adaptive coping skills and problem solving behaviours have been learned and applied. Therefore, individual public presentation may have improved, personal growth taken place, and the likelihood of future emotionally tempestuous situations of a similar nature developing into a crisis is reduced. Finally, Caplan (1969) describes the nonadaptive post-crisis resolution whereby the individual is more vulnerable than before because of a failure to deal effectively with underlying conflicts. The individual has learned maladaptive strategies to cope with emotionally hazardous situations, such as drinking or problem avoidance, and in general t heir functioning may be less adaptive than in the pre-crisis state, potentially resulting in further emotionally hazardous situations developing into a crisis.In order to implement effective practice for successful crisis intervention Roberts (2000) recommends practitioners should follow a seven stage sit down beginning with risk assessment, in order to establish if the person needs immediate medical attention, are they considering suicide as a solution, are they likely to injure themselves, if they are a victim of violence, is the perpetrator still present or likely to return, if there are children involved are they at risk, does the victim need transport to a place of safety, has the individual sought emergency treatment of this sort before and if so what was the outcome? It is essential to establish rapport with service users who are experiencing an episode of subtle crisis, to include offering of information regarding help and support, and genuine respectfulness and bridal of the person in line with the anti- authoritarian and anti-discriminatory practice, thereof adhering to the GSCC Code of Practice. The worker then needs to establish the nature of the problems that have led to the crisis reaction and encourage an exploration of feelings. Roberts (2000) believes this is a key element of the model, whereby service users should be encouraged to express their feelings in a safe and understanding environment within the context of an empathic therapeutic relationship with the worker. The worker should consider alternate responses to the crisis through active listening and encourage the service user to telephone about what alternative options there are available and what they feel they can bring to this new situation that they find themselves in. Roberts (2000) concludes that an action plan should be developed and implemented which involves the identification of a particular course of action in order to move beyond the crisis state successfully. The serv ice user needs to establish a full understanding as to what happened, why and what the result was, to understand the cognitive and emotional significance of the event, and to develop a future plan based on real situations and beliefs rather than irrationality. Finally, a follow-up plan and agreement can be drawn up surrounded by both service user and worker if any further help is needed and by whom.It is evident that there are various advantages and limitations as well as some common features between both of these methods of practice. In fact Reid (1992) believes that crisis intervention has been influential to the development of task-centred practice. A major advantage for task-centred practice is that it offers an optimistic approach that moves focus away from the person as the problem, to practical and positive ways of dealing with problems. Coulshed Orme (1998) suggest that task-centred practice does not assume that the problem resides only in the service user and because att ention is paid to external factors such as trapping and welfare and the strengths of individuals and their networks. However, Gambrill (1994 cited in Payne 1997) argues that nevery model deals with social change and may not take account of structural oppression such as poverty, poor health, unemployment or racial or gender discrimination or where the problem may not be easy to overcome without political or social changethe failure of political will to respond realistically to deep-seated problems of poverty and social inequality and its effectiveness in dealing with presenting problems may result in society avoiding longer-term and more late seated responses to social oppressions (Payne, 1997113).In addition, Wilson et al (2008) argue that the crisis intervention model does not take into account cultural differences regarding traditions when coping with cracking distress and the wrong of a loved one for example. The criticism is that crisis intervention theory is based on a very western philosophy, which patches up as quickly as possible. It could be suggested therefore, that if workers carry out a unadulterated and sensitive assessment before intervention, this should be avoided. On the other hand, Coulshed Orme (199855) believes that the task-centred approach is more generic, in that it is considered to be ethnic sensitive and can be applied to many situations with unlike user groupsthe task-centred approach is the one most favoured by those who are trying to devise models for ethnic-centred practice because its method is applicable to people from diverse cultural backgrounds. Therefore in keeping with anti-discriminatory practice which is integral to social work ethic and the GSCC Code of Practice.It could be argued that the success of these two approaches within social work comes from the fact they are brief and time efficient and therefore economical interventions, both for service user and from the care-management perspective. In addition, both app roaches involve the service user in examining and defining their own problems and finding ways in which they can work on them using their own resources and strengths. This enables them to regain control of their lives and promote em fountainment either by success in problem solving in order to build confidence as in the task centred approach, or aid people become emotionally stronger through learned experience, as with crisis intervention, rather than understanding the origins of present problems in past experience. This in turn helps the service users ability to cope in the near and distant future and become more competent of solving subsequent problems without help (Payne 1997). Equally, the fact that short-run interventions should curtail the service users dependency on the worker, further enhances empowerment. As Ford and Postle (200053) stateThe dangers of social work effectiveness becoming dependent on the worker/ client relationship, which may or not work out, are minimis ed in the short-term.The tasks and goals established in task-centred practice are chosen because they are achievable, that is the mutual and specific agreement or contract set up between the service user and the worker ensures that the success of the intervention relies upon the acceptableness and participation of the tasks (Wilson et al 2008). As a result of the mutuality of the partnership, anti-oppressive and anti-discriminatory practice and empowerment are at the core of the task-centred approach, all which are key to the GSCC Code of Practice. However, Rojek and Collins (1987211) point out that as that as task-centred practice is based on contractual intervention, this could set up an unequal power relationship between the worker and the service-userAs long as social workers have access to the economic and legal powers of the state and clients contact social work agencies as isolated individuals with problems, then there is the basis for inequality. bring down work does not g et round these points by affecting an ease up and flexible attitude.Similarly regarding power base, Trevithick (2005) believes that the crisis intervention approach can be a highly intrusive method which is too direct and can raise a number of ethical issues such as making decisions on behalf of the service user if they are too distressed to do so themselves, which in turn may offer potential for oppressive practice on behalf of the worker. However Kessler (1966) believes that during the disequilibrium of crisis, a person has more skill to influence by others than during periods of stable functioning which provides a unique hazard to effect constructive change. This point could be argued in that the susceptibility to influence others that Kessler describes is in itself oppressive, although Golan (1978) Baldwin (1979) Aguilera and Messick (1990) Olsen (1984) (cited in Parker 2007116) maintain that this time of disquiet motivates unbiddenness to change, and this is when the practi cal application of crisis theory is effective. However, it could be suggested that that this is similar to the bargaining stage that Kubler-Ross (1970) describes in the quintet stages of grief, whereby an individual becomes so desperate to resolve a situation, that they are willing to try anything, even if it means striking a deal with God. Accordingly, Coulshed and Orme (2006 cited in Parker 2007117) see its value in working with people at points of loss and bereavement, which they believe has resonance with the use of this intervention. This poses the question as to whether crisis intervention is more of a situation specific intervention. However, Poindexter (1997) believes that crisis intervention is suited to individuals who have undergo a hazardous event, have a high level of perplexity or emotional pain, and display evidence of a recent acute breakdown in problem-solving abilities, therefore implying that this approach could be applied to a range of situations or problemati c events.Both interventions can be seen as time-limited approaches that superficially fit well with care-management (Ford and Postle, 200059) which implies that they are only used because they fit into the routine and schedule driven aspects of care management rather than for their effectiveness. It could therefore be suggested that due to the general pressures of time, the worker may try to fit either intervention around their workload, rather than around the service users needs, which in turn may restrict the development of empowerment within the service user, and ultimately not address any underlying problems. Although this is a rather bureaucratic outlook, it could be said to be a sign of the times that most things are increasingly driven by targets and financial considerations. Whilst both approaches seem to satisfy agency requirements as well as maintaining pro practice, Reid and Epstein (1972) believe that the task-centred approach is more structured compared to crisis inter vention (cited in Payne 199797). It could be suggested in which case, that task-centred practice is more beneficial for the less experienced worker as it follows more defined framework. In addition, it could be fair to say that this method of intervention could be useful for reflective practice due to it following such a framework the worker, as well as the service user, has to be committed to a series of planned work, therefore could be a valuable tool for future guidance in a professional capacity.Further to the constraints of short term interventions Reid and Epstein (1972) suggest that these approaches may not allow sufficient time to attend to all the problems that the service user may want help with and that clients whose achievement was either negligible or partial thought that further help of some anatomy may be of use in accomplishing their goals.Task-centred practice is an approach which depends on a certain level of cognitive functioning. Doel and Marsh (1992) suggest t hat the service user must be of rational thought and be capable of cognition in order for the intervention to be effective, therefore may not be suitable for those with on-going psychological difficulties or debilitations where reasoning in seriously impaired, such as some forms of mental illness, people with huge learning difficulties or a great degree of confusion, task-centre work is often not possible in direct work with that person.It is evident that both the task-centred and crisis intervention approaches are popular and generally successful models of social work practice and can both be used in a variety of situations. Both approaches are based on the establishment of a relationship between the worker and the client and can address significant social, emotional and practical difficulties (Coulshed Orme 2006). They are both structured interventions, so action is planned and fits a predetermined pattern. They also use specific contracts between worker and service user and bot h aim to improve the individuals capacity to deal with their problems in a clear and more focused approach than other long term non directive methods of practice (Payne 1991). Despite their different origins and emphasis, both of these approaches have a place in social work practice through promoting empowerment of the service user and validating their worth. Although there are certain limitations to both of the approaches, they do provide important frameworks which social workers can utilise in order to implement best practice.ReferencesCoulshed, V. and Orme, J. (2006) complaisant work practice . 4th ed. Basingstoke, Palgrave. Macmillan.Doel, M. and Marsh, P. (1992). Task-centred fond Work. Aldershot, Ashgate.Healy, K (2005) social work theories in context creating frameworks for practice. BasingstokePalgravePoindexter, C. C. (1997) Work in the aftermath Serial Crisis Intervention for People with HIV Health Social,May, 22, (2), 1-3. Adams, Dominelli and Payne (2002) Social Wo rk Themes, Issues and Critical deal (2nd edn) PalgraveCoulshed, V. (1991) Social Work Practice An Introduction, Basingstoke Macmillan/BASWFord and Postle (2000) Task-centred Practice and Care Management, in Stepney and Ford Social Work mock ups, Methods and Theories Russell HousePayne, M (1997) Modern Social Work Theory (2nd edn) MacmillanReid and Epstein (1972) Task-centred casework capital of South Carolina University PressReid, W. J. (1992) Task Strategies New York Columbia University PressTrevithick, P (2005) 2nd Edition, Social Work Skills A Practice Handbook, Philadelphia Open University PressCaplan, G. (1964). Principles of preventative psychiatry. New York Basic discsReid, W. J. (1992) Task Strategies An confirmable Approach to Clinical Social Work, New York Columbia University PressReid, W. J. and Shyne, A. (1969) shortened and Extended Casework New York Columbia University PressAguilera, D. C. (1990) Crisis Intervention Theory and methodological analysis 6th edition S t Louis Mosby and CoParker, J. (2007) Crisis Intervention A Practice Model for People who have Dementia and their Carers, Practice 19 (2), 115-126Marsh, P. and Doel, M. (2005) The Task Centred Book AldershotAshgateHoff, L. A. (1990) Battered Women as Survivors , London RoutledgeRojek, C and Collins, S. A. (1987) Contract or Con trick? British Journal of Social Work, 17, 199-211Epstein, L. and Brown, L. (2002) Brief word and a New Look at the Task Centred Approach, Boston, MA Allyn and BaconDoel, M. (2002) Task-centred work, in R. Adams, L. Dominelli and M. Payne (eds) Social Work Themes, Issues and Critical Debates (2nd edition), Basingstoke PalgraveReid, W. J. and Epstein, L. (1972) Task Centred Casework, New York Columbia University PressKubler-Ross, E. (1970) On Death and Dying, London TavistockCoulshed, V. and Orme, J. (1998) Social Work Practice An Introduction, 2nd edition, Basingstoke Macmillan/BASWCree, V. and Myers, S. (2008) Social Work Making a Difference, Bristol The Po licy PressWilson, K, Ruch, G. Lymbery, M. Cooper, A. (2008), Social Work An Introduction to Contemporary Practice, Essex Pearson Education LimitedRoberts, A. (2000), Crisis Intervention Handbook Assessment, Treatment and Research, 2nd edition, Oxford University PressMurgatroyd, S.J. and Woolfe, R. (1985), Helping Families in Distress An Introduction to Family focused Helping, Michigan Harper and RowKessler, J. W. (1966), Psychopathology of Childhood, California Prentice-HallFell, B. (2009)McColgan (2009)BASW (2002)
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