Search

Mandatory reporting of suspected child abuse and neglect highlights the challenges between the ethical and legal obligations of social workers and the need to maintain the therapeutic relationship with the client. The ability to bridge this tension is paramount to ensure continued psychosocial treatment and the well-being of children. This paper discusses a study to determine the decision-making factors of social work students and practitioners when facing a suspicion of child abuse and neglect, how they justify their decision to report or not report to child protection services, and the current and future relationship repair strategies used with simulated clients during an objective structured clinical evaluation (OSCE). Nineteen BSW, MSW, and experienced practitioners (N = 19) underwent an OSCE with one of two child maltreatment vignettes, physical abuse or neglect. Fisher's exact test was used to examine participants' historical and current reporting behaviors. Independent samples T-tests, Cohen's D, and qualitative content analysis was used to examine participants' decision making and relationship repair strategies when faced with suspected child abuse and neglect. Results showed that six participants discussed the duty to report during the OSCE while 13 participants did not. Participants' who discussed and did not discuss the duty to report during the OSCE articulated clear reasons for their decision and identified relationship repair strategies in working with the client. A sub-group of participants who identified the child maltreatment but did not discuss the duty to report, provided more tentative and complex reasons for their inaction and next steps in working with the client. All participants demonstrated a degree of competence and critical reflection in the OSCE, with integration for future learning. These findings are discussed and implications for future practice are offered.

COVID-19 changed the context for Information and Communication Technology (ICT) use globally. With face-to-face practice restricted, almost all communication with clients shifted to ICTs. Starting in April 2019, we conducted semi-structured interviews with social workers from four agencies serving diverse populations in a large urban centre, with the aim of exploring social workers’ informal ICT use with clients. Approximately 6 weeks after the cessation of face-to-face practice in March 2020 due to COVID-19 measures, we re-interviewed social workers (n = 11) who had participated in our study. Second interviews were based on a newly developed interview guide that explored social workers’ use of ICTs with clients in the context of COVID-19. Analysis of transcribed interviews revealed that the context of COVID-19 had generated two main themes. One, a paradigm shift for social workers was characterized by (a) diverse ICT options, (b) client-driven approach, and (c) necessary creativity. The second theme entails the impact of this transition which involved (a) greater awareness of clients’ degree of access, (b) confidentiality and privacy, and (c) professional boundaries. We discuss these themes and sub-themes and present implications for practice and research in a Post-COVID-19 world.

Knowledge for clinical social work practice is ever evolving and consists of underlying explanatory concepts, practice models, and intervention skills. Conceptualization and identification of competencies for practice provides a bridge from knowledge and understanding to actual skills needed in clinical sessions. Articulating competencies also guides education of students and provides grounded skills and behaviors needed for clinical research. Analysis of simulation-based practice provides a useful methodology to identify generic practice competencies as well as competencies in specialized fields of practice. This paper presents a simulation education model and illustrates how the use of simulation enabled clinical scholars to articulate core competencies in specialized areas of social work practice. Case examples and related competencies for practice with adolescents, victims of elder abuse, and in mental health practice will demonstrate this process. Examples are drawn from reflections on practice wisdom, analysis of experienced social work practitioners, and relevant literature. Resulting competencies contribute to scholarship for clinical practice.

Information and communication technologies (ICTs) have transformed social realms and professional fields of practice including social work. Research is lacking on informal ICT use and its impact on clinical social work. The purpose of the current study was to examine social workers’ informal ICT use with clients between sessions as an adjunct to face-to-face practice, and thus contribute to the paucity of literature on this phenomenon. An online survey, #socialwork, was distributed among social workers with direct client contact, across Canada (n = 2609) and the U.S. (n = 1225), to capture informal ICT use. Findings indicate that informal ICT use by social workers is ubiquitous and consistent across both countries. Older and more experienced practitioners, and social workers in private practice settings and who provide psychotherapy were among the highest users. The findings related to social media and increased interaction outside of work hours reveal that ICTs are impacting the working relationship. Many of the social workers were not aware of a workplace policy on informal ICT use and report that they do not talk with either their supervisors or peers about their informal ICT use with clients. Given the frequency of informal ICT use within social work practice, significantly more attention is required in research, education and practice.

Two Special Issues of the Clinical Social Work Journal have been dedicated to building on the social work discipline’s tradition and commitment to the supervision of staff and field education of students. The first issue included papers on the supervision of professional social work staff. The focus of this issue is field education of students, the signature pedagogy of social work (CSWE in Educational policy and accreditation standards, CWSE, Alexandria, 2008, 2015a). Attention is given to macro structural issues impinging on the profession’s capacity to provide quality learning experiences, in addition to the integration of concepts into our educational practices, and research studies that provide systematic approaches to training practicing field instructors and providing clinical supervision for students. In this Introduction, we share the salient aspects of the articles published, as they relate to contemporary field education, with implications to guide field instructors as they provide learning experiences for students.

Feedback is an important mechanism that enhances student learning in supervision and field education. Constructive feedback that is specific, timely, and based on observations; bridges theory and practice, enhances self-awareness, and builds holistic competence in social work students. There is scant social work research examining how this teaching mechanism facilitates student learning. In this qualitative study we examined the role of feedback in student learning using a simulation-based learning activity aimed at developing holistic competence in the classroom to prepare students for field learning. The study examined the impact of feedback on student learning and the key elements that facilitated learning related to feedback. We identified four themes that described the impact of feedback on student learning: (1) feedback enhanced knowledge, (2) feedback improved skills, (3) feedback developed professional judgment, and (4) feedback increased self-reflection. The processes influencing the impact of feedback were the source of the feedback, type of feedback given, and delivery of feedback. The results deepen our understanding of feedback as a learning mechanism with implications for field education.

Two Special Issues of the Clinical Social Work Journal have been dedicated to building on the social work discipline’s tradition and commitment to the supervision of staff and field education of students. These issues bring together contemporary theorizing, clinical supervisory and field education practice experience and wisdom, and research studies to contribute to the knowledge base for practicing supervisors and field educators. As the first of the Special Issues, this issue has been dedicated to the supervision of staff. In this Introduction, we share the salient aspects of the articles published, as they relate to contemporary social work supervision, relational considerations within the supervisory dyad, models of supervision for fields of specialization, as well as measurement and evaluation. Implications are shared, with highlights and connections for practicing supervisors made throughout.

Field education is arguably the most significant component of the social work curriculum in preparing competent, effective, and ethical clinical social workers. Students and alumni characterize it as such, and national accrediting bodies, both in the United States and internationally, recognize its crucial impact on the quality of social work services delivered to the public. In addition, there is likely more scholarship and research conducted on field education than on any other component of the curriculum. And yet, field educators anecdotally describe a crisis in their ability to implement the best pedagogical practices for students. This paper will discuss the developing evidence-base highlighting best practices for field education, the changing context of field education, and analyze current challenges and potential responses.

Today’s generation of youth and adults relies on communication technologies for entertainment, information, and social connections and more and more, for personal help and advice. With cyber technology having permeated the ways in which individuals seek support for a wide range of issues, the purpose of this paper is to report on a study that examined practitioners’ experiences and views of whether and how online communication has entered their face-to-face practice and of the implication for the therapeutic work. Using qualitative methodology, 15 social work practitioners participated in focus groups and interviews exploring their perspectives about the impact of cyber technology on their traditional face-to-face social work practice. The prevailing finding was that cyber communication has dramatically changed the nature of professional relationships. This key finding was supported by four major inter-related themes arising from the data: (1) client driven practice; (2) Pandora’s box; (3) ethical grey zone; and (4) permeable boundaries. Implications for practice are provided.

Based on a larger process-outcome study on cross-cultural clinical practice, this report focuses on the client-practitioner engagement process during the first session in cross-cultural therapy. Nine cases with complete pre- and post-treatment measures, process measures, and verbatim session transcripts were selected. The cases represent a wide variety of client-practitioner ethno-cultural differences. The outcome of these cases was determined by a combination of objective and subjective measures. Client-practitioner interaction processes were subject to complex coding and process analysis, following a narrative research strategy, to discover patterns associated with positive cross-cultural engagement. Results showed that positive engagement is associated with effectively communicated cognitive understanding of the client’s needs and concerns, emotional attunement, and appropriate handling of specific cultural experiences.

The article discusses misunderstandings and misattunements that occur in the beginning phase of cross-cultural psychotherapy. Sources of micro ruptures are outlined, including client maladaptive patterns, therapist misunderstandings, cross-cultural misunderstandings due to cultural variations, and asymmetrical power relations involving the impact of prior experiences or current therapy practices. Multiple clinical vignettes illustrate the rupture/repair process, drawing on Safran and Muran’s (2000) list of direct and indirect techniques.