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Summary Due to the focus of micro-practice interventions on clinical outcomes and macro-practice interventions on structural outcomes, limited research exists on the clinical benefits resulting from clients’ involvement in macro therapeutic interventions (i.e. structural interventions that target community, organizational, systems, and/or policy-level change and which also have clinical benefits to clients or consumers). In response to this knowledge gap, the authors present four case studies of macro therapeutic interventions in the areas of social enterprise creation, community-based participatory research, transformative organizing, and community-based partnerships. Findings Collectively, these interventions draw from community, economic, and social development theory, empowerment theory, feminist theory, and critical theory. The authors synthesize the key intervention components across case studies that contribute to clinical and collective empowerment outcomes. Applications The authors then offer recommendations to the social work profession for developing, implementing, and evaluating macro therapeutic interventions within clinical practice settings. [ABSTRACT FROM AUTHOR]

Scholars and practitioners have suggested that people with privilege organize their own communities to affect greater action and leverage their power and privilege; however, little research has examined how such a model functions. Emerging research suggests that transformative organizing (TO) models can be modified to effectively move people with class privilege to take action while maintaining accountability to marginalized communities. Financial giving is a measurable social action goal that serves to both support greater economic equity and fund social justice movements, an important goal of movement organizers. The study reported in this article used data drawn from a mixed-methods case study. Ordinary least squares regression analyses suggest that the impact of participation in a modified TO model on giving is positively associated with critical consciousness development, particularly for white participants. Furthermore, the effectiveness of this approach appears to be strengthened when coupled with creating a giving plan. [ABSTRACT FROM AUTHOR]