Micro, Mezzo, & Macro Practice Skills
          Jump to:
          • Micro Practice Skills
          • Mezzo Practice Skills
          • Macro Practice Skills


          I.  Micro Practice Skills
          • THE WORKER/CLIENT RELATIONSHIP
            • Purposes and definition of the professional relationship
            • Establishment and termination of relationship
            • Professional versus personal relationship
            • Characteristics of the professional relationship
            • Transference and countertransference
            • Relationships with diverse populations--class, race/ethnicity, sex, age, sexual orientation and other characteristics
            • Use of the self in the professional relationship
          • Communication
            • Communication process
            • Types of communication
              • VERBAL AND NONVERBAL BEHAVIOR
              • Attentive listening
            • Communication Process
              • Sender - Intent
              • Receiver - Impact
              • External environment:  Noise and distraction
            • Barriers and motivation to communication
            • Enhancing communication with a diverse population
          • Interviewing:  Exchange information in order to illuminate and solve problems, promote growth, and plan strategies or actions aimed at improving people's quality life
            • Worker responsibility in the interview
            • Starting the interview
              • The interview's setting
                • Office door
                •  Home visits
              • How to dress for the interview and for the job
                • Nicely and relatively conservatively
                • Type of agency
              • Thinking ahead about an interview
                • Specific information needed
                • Time frame of interview
                • Interview's purpose
                  • Diagnostic
                  • Therapeutic
              • Initial introductions
                • Be perceptive of the client's reactions
                • Be perceptive of cultural differences
                • Be brief with initial innocuous exchanges
              • Alleviating the client's anxiety
              • Portraying confidence and competence
                • Acknowledge the truth
                • Respond to the client with a question
                • Share statements about your own competence
              • Beginning statement of purpose and role
                • Clearly explain the interview's purpose
                •  Explain the worker's role to the client
                • Encourage the client's feedback on purpose
                • State the usefulness of the intervention process
            • DOING THE INTERVIEW
              • Verbal responses to the client
              • Simple encouragement
              • Rephrasing
              • Reflective responding
              • Clarification
                • Client's benefit
                • Worker's benefit
              • Interpretation
              • Providing information
              • Emphasizing client's strengths
                • Reinforces client's sense of self respect and self-value
                • Provide positive rays of hope
                • Identify ways to solve problems by relying on the specific strengths
              • Self-disclosure
                • Information about your own professional role
                • Feedback regarding your feelings and impressions about the client and the behavior
                • Perceptions concerning your ongoing interaction and relationship with the client
                • Relating aspects about your life or problems
              • Summarization
              • Eliciting information
                • Closed-ended questions
                  • Seek simple yes or no answers
                  • Number of clearly defined answers to choose from
                  • Do not encourage an elaboration of thoughts or feelings
                • Open-ended questions
                  • Seek the client's thoughts, ideas, and explanations for answers
                  • Encourage elaboration and specifics
              • The use of "why"
                • Can be very threatening to clients
                • Use action when using "why"
              • Overlap of techniques
              • Specific Skills for Intervention
                • Differential diagnosis
                • Timing
                •  Partialization
                • Focus
                • Establishing partnerships
                • Structure
              • Basic Techniques
                • Small talk
                • Ventilation
                • Support
                • Reassurance
                • Confrontation
                • Conflict
                • Manipulation
                • Universalization
                • Advice giving and counseling
                • Activities and programs
                • Logical discussion
                • Reward and punishment
                • Role rehearsal and demonstration
                • Audiovisual devices
            • Issues and Hurdles in Interviewing
              • Confidentiality
                • Absolute - All that transpires between client and worker goes no further
                • Relative - Worker does best to ensure the confidentiality but can't guarantee it
              • Silence in the interview
                • Client-initiated silence
                  • Client may come to a point where s/he needs time to organize thoughts
                  • Client may be trying to pressure the worker to give some answer or solution to a problem
                  • Client may be resisting
                • Negative worker-initiated silence
                  • Worker who demonstrates a quiet, non-involved, non-assertive personality style
                  • Worker's mind becomes blank and s/he can think of nothing to say
                • Focusing on the client instead of yourself
                • Therapeutic worker-initiated silence
                  • Pacing the interview
                  • Silent focusing
                  • Sensitivity to cultural differences
              • Confronting clients
              • Involuntary clients
              • Suspicion of untruth
            • Terminating the interview
              • Mention exactly how much time is left in the interview before the interview termination time
              • Share ending feelings
              • Ask for a review of the learning
              • Reach for ending feelings
          • Social Work Roles with Micro Systems
            • Broker
            • Enabler
            • Mediator
            • Educator
            • Evaluator
            • Case manager/coordinator
            • Advocates
          Required Reading:
            Kirst-Ashman, Karen K. and Hull, Grafton H. Jr.  Understanding Generalist Practice,  Nelson Hall Publishers:  Chicago, 1993. Chapter 2.
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          II.  Mezzo Practice Skills:  Working with Groups
          •      A. Tasks groups:  Exist to achieve a specific set of objectives or tasks
            • Boards of Directors
            • Task forces
            • Committees and commissions
            • Legislative bodies
            • Staff meetings
            • Multidisciplinary teams
            • Case conferences and staffings
            • Social action groups
          • Treatment groups:  Exist to create change in individual group members
            • Growth groups
            • Remedial groups
            • Educational groups
            • Socialization groups
            • Mutual aid groups
          •  Worker Roles in Groups
            • Broker:  Assists client in obtaining needed resources
            • Mediator:  Helps group members with conflicts or other dissension
            • Educator:  Provides group members with new information, structures the presentation of that information, and uses modeling to help participants learn new skills
            • Facilitator:  Eases or expedites the way for others
          • Basic Group Dynamics
            • Group development
              • Stage 1:  Most groups display a strong reliance on the leader
              • Stage 2:  Group members begin to assert themselves
              • Stage 3:  Group productivity increases and there is greater attention to achieving group goals
              • Stage 4:  Separation
            • Group culture, norms, and power
              • Establish a climate of trust and safety
              • Model appropriate behavior
              • Support group members
            • Group size, composition and duration
              • Heterogeneous:  Members with different problems and personality characteristics
              • Homogeneous:  Members with similar problems/personalities
            • Decision making in groups
              • Decision making by consensus
              • Decision making by compromise
              • Decision making by majority
              • Rule by an individual
              • Persuasion by a recognized expert
              • Averaging of individual opinions
              • Persuasion by a minority
              • Nominal group technique
              • Brainstorming
              • Parliamentary procedure
          • Group roles
            • Task functions:  Help to keep group on task and working toward agreed upon ends
            • Maintenance functions:  Ensure the needs of members of the group receive attention
          • Task roles
            • Instructor:  Clarifies and reminds other members about what they have agreed to do
            • Information seeker:  Frequently questions the leader and other members on various topics
            • Opinion seeker:  Wants to know what other members think about an idea before expressing his/her own thoughts
            • Evaluator:  Makes judgments about ideas presented and often comments on the appropriateness of any ideas
            • Elaborator:  Expands on ideas proposed to the group
            • Energizer:  Serves as the spark plug for the group
            • Recorder:  Keeps a record of decisions or actions
            • Procedural technician:  Ensures the group will act according to rules previously agreed to
          • Maintenance roles
            • Harmonizer:  Emphasizes harmony
            • Compromiser:  Emphasizes compromise
            • Encourager:  Encourages other members to participate
            • Follower:  Follows the directions of others
            • Tension reliever:  Relieves rough moments in a group, often through humor
            • Listener:  Listens carefully
          • Individual roles
            • Aggressor:  Attacks others, puts them down
            • Blocker:  Always has a reason why an idea will not succeed
            • Recognition seeker:  Engages in behaviors designed to focus attention on him or her
            • Dominator:  Has personal needs not being met
            • Help seeker:  Seeks help of group for his/her own problems
            • Confessor:  Embarrasses the group by inappropriately disclosing personal or other behaviors
          • Nonfunctional roles
            • Scapegoats:  Draw the wrath of other members, serve as someone to blame when things aren't going well
            • Defensive members:  Do not accept blame for anything and deny responsibility for their actions
            • Deviant members:  Engage in behavior they know the group will oppose or find annoying
            • Quiet members:  Do not participate
            •  Internal leaders:  Vie for leadership and attempt to get control from the designated leader
          • Micro Skills in Groups
          • Task and Treatment Group Skills
            • Conflict resolution
            • Modeling and coaching
            • Team building
            • Confrontation
            • Consultation
            • Coordinator
            • Using structure
          Required Reading:
            Kirst-Ashman, Karen K. and Hull, Grafton H. Jr.  Understanding Generalist Practice,  Nelson Hall Publishers:  Chicago, 1993. Chapter 3.
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          III.  MACRO PRACTICE SKILLS: WORKING WITH ORGANIZATIONS AND COMMUNITIES
          • Social work practice geared toward bringing about improvements and changes in general society
          • Four additional dimensions:
            • Usually targets one of three tasks:
              • Changing or improving policies and procedures which regulate distribution of resources to clients
              • Developing new resources when what client needs in unavailable
              • Helping clients get their due rights
            • Targets "the system" to determine where and how changes need to be made
            • Frequent need for advocacy on behalf of clients
            • Agency's policies or constraints which limit workers' behavior
          • THE ORGANIZATIONAL CONTEXT OF SOCIAL WORK PRACTICE
            • Professional-organizational conflicts
            • Limitations and risk assessment
            • Types of change
              • Social reform:  The development and improvement of social conditions
              • Social action:  Overlaps social reform but emphasizes greater involvement by intended beneficiaries
                • Three types of activity:
                  • Advocacy around specific issues and populations
                  • Working in local and national elections
                  • Networking with other groups pursuing a similar agenda
              • Cause advocacy:  Related to an issue of overriding importance to a group of clients
              • Case advocacy:  Refers to activity on behalf of a single case
            • Three methods of community organization
              • Social action
              • Social planning
              • Locality development
          • Micro Skills for Organizational and Community Change
            • Conflict resolution
            • Developing win-win outcomes
            •  Team building
            • Public speaking
            • Consultation
            • Coordination
          • Macro Skills for Organizational and Community Change
            • Building and maintaining organizations
              • Fund-raising
              • Managing a budget
              • Gathering information through surveys
              • Using specific tactics to accomplish goals
            • Evaluating outcomes
              • Practice evaluation:  Evaluating the effectiveness or results of what individual social workers do
              • Program evaluation:  Addresses the effectiveness and results of entire programs
            • Fund-raising
              • Individual donors
              • Corporate donors
              •  Foundations
              • Membership dues
              • Benefits
              • Church organizations
              • Service clubs
            •  Budgeting
              • Line item budgets
              • Program budgets
              • Incremental budgets
              • Zero-based budget
            • Negotiating
            • Mediating
            • Influencing decision makers
              • Petitioning
              • Using the Media
              • Educating
              • Persuading
                • Issue consensus
                • Issue difference
                • Issue dissensus
              • Confrontation
                • Action system--people and resources to help achieve desired changes
                • Target system--individual, group, or community to be changed or influenced
                • Two most difficult forms:  Legal action and public embarrassment
              • Collaboration
              • Letter writing
            • Needs assessment:  Estimate extent of demand for particular service or program
              • Key informant
              • Community forum
              • Rates-under-treatment
              • Social indicators
              • Field study
            • Planning
            • Working with coalitions
          • Worker Roles in Organizational and Community Change
            •  Initiator:  Call attention to an issue
            • Negotiator:  Try to find middle ground
            • Advocate:  Decide what client is entitled to and what problem is keeping client from receiving it
            • Spokesperson:  Present the organization's views and position without bias
            • Organizer
            • Mediator: Maintain neutrality
            • Consultant
          Required Reading:
            Kirst-Ashman, Karen K. and Hull, Grafton H. Jr.  Understanding Generalist Practice,  Nelson Hall Publishers:  Chicago, 1993. Chapter 4.
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