Real Cases Full

Real Cases:
Integrating Child Welfare Practice

Across the
Social Work Curriculum

Carol S. Cohen, Tatyana Gimein,
Tara Bulin, & Sharon Kollar
Editors

New York City Social Work
Education Consortium
&
New York City Administration for
Childrens Services
Project Sponsors

January 2010
Real Cases Project:
Contents

PREFACES

John B. Mattingly, Commissioner, NYC Administration for Childrens Services
Ervine Kimerling, Executive Director, James Satterwhite Academy, NYC Administration
for Childrens Services
Sheldon R. Gelman, Dean, Wurzweiler School of Social Work, for the NYC Social Work
Education Consortium

INTRODUCTION

1-12 Overall Introduction, Carol S. Cohen, Sharon Kollar & Tara Bulin

REAL CASE STUDIES

13-16 Introduction to the Case Studies, Brenda McGowan
17-18 Overview of the Case Studies, Tatyana Gimein
19-26 Andrea R. Case Study
27-34 Anne M. Case Study
35-42 Mary S. Case Study

TEACHING GUIDES

43-58 Social Work Research, Michael Phillips
59-68 Human Behavior in the Social Environment, Rozetta Wilmore-Schaeffer
69-86 Social Welfare Programs and Policies, Michele Sanzone
87-102 Generalist Social Work Practice, Carol S. Cohen
103-110 Social Work Practice with Communities/Community Organizing, Charles Trent
111-126 Social Work Practice with Organizations/Administration, Gerald Mallon
127-136 Social Work Practice with Groups, Shantih Clemans
137-146 Family-Oriented Social Work Treatment, Manny Gonzalez
147-160 Child Welfare Policy and Program Analysis, Bryan Warde
161-198 Social Work Ethics, Elaine Congress
199-210 Social Work and the Law, Elizabeth Palley
211-220 Social Work with Children, Julie Altman
221-246 Social Work Supervision, Janet Abbott

PROJECT EVALUATION
247-250 Introduction to the Evaluation, Carol S. Cohen
251-252 Faculty Feedback Survey
253-254 Student Feedback Survey

APPENDICES &
RESOURCES

Contributed by: Ervine Kimerling, Heide Gersh Rosner & Selina Higgins
Five Key Commitments of the Administration for Childrens Services
Description of the ChildStat Initiative
Childrens Services Domestic Violence Protocol
Creating a Domestic Violence Safety Plan
Childrens Services Domestic Violence Screening Tool
Working with Parents Experiencing Domestic Violence
Finding the Best Placements for Our Youth
Childrens Services Policy Regarding Kinship Care
Legal Issues: Removal Flow Chart
A Trip through Family Court

USEFUL LINKS
NYC Administration for Childrens Services:
http://www.nyc.gov/html/acs/html/home/home.shtml
NY State Social Work Education Consortium: http://www.ocfs.state.ny.us/ohrd/swec
Council on Social Work Education: www.cswe.org
Youth Success NYC: http://www.youthsuccessnyc.org/
New York State Mandated Training Related to Child Abuse:
http://www.op.nysed.gov/camemo.htm

CONTACT INFORMATION

Carol S. Cohen, Real Cases Project Chairperson, Adelphi University School of Social
Work, [email protected]

Alexis Howard, Coordinator, New York City Social Work Education Consortium,
[email protected]

Ervine Kimerling, Executive Director of the James Satterwhite Academy, New York City
Administration for Children's Services, [email protected]

Real Cases:
Across the

PREFACES

John B. Mattingly, Commissioner, NYC Administration for
Childrens Services

Ervine Kimerling, Executive Director, James Satterwhite
Academy, NYC Administration for Childrens Services

Sheldon R. Gelman, Dean, Wurzweiler School of Social Work, for
the NYC Social Work Education Consortium
Real Cases:
Across the

INTRODUCTION

Carol S. Cohen, Sharon Kollar & Tara Bulin

Overview

Purpose and Objectives

Real Case Studies in Social Work Education

Integration and Infusion in Social work Education

Contributions and Acknowledgements

Evaluation and Evolution

References
Real Cases Project: Overall Introduction

1
Real Cases Project:
Introduction

Carol S. Cohen, Sharon Kollar & Tara Bulin

OVERVIEW

Working with children and families in the framework of child welfare system is one of the
most complex areas of social work practice. The purpose of the Real Cases Project is to
expand knowledge and build awareness of students and faculty about social work
practice in a public child welfare context. This Project will give students and educators
already working in the field, an opportunity to bring their experience into social work
classrooms as part of professional training. For those unfamiliar with child welfare, and
those who may have considered it outside the profession, the Project will help reclaim
child welfare as a historical and contemporary cornerstone of social work, and
encourage students to consider it as a career path. The Project will expand faculty
interest in child welfare and its potential as an arena for scholarly inquiry. All students
will be able to develop new perspectives and professional sophistication for working
with a wide range of settings, populations, and intervention methods, by using the real
case-based, course-specific lenses and resources provided by the Project.

The three, real child welfare cases that the Project offers for integration into the
foundation and advanced social work curriculum, demonstrate countless aspects and
challenges of child welfare practice. Such versatile cases become excellent vehicles for
bringing together the depth of academic thought with the sweat of real practice. These
cases allow students of every area of social work, including generalist, clinical, direct
practice, administrative, community and organizational-focused work, to find an
individual niche in the field of child welfare, along with an opportunity to apply their
knowledge and their passion.

On an important level, the Real Cases Project is an attempt by the New York City
Administration for Childrens Services to open their books to the public, so aspiring
social workers can see the children and families they attempt to help and the
environments they seek to improve. As an example of community-education partnership
through the New York City Social Work Education Consortium, the Project can be seen
as a model for collaboration, presenting possibilities for replication, expansion, and
adaptation in other fields of social work practice.

Faculty affiliated with seven social work education programs in the New York
Metropolitan area, developed thirteen teaching guides that integrate these cases into
teaching plans for specific courses, including common foundation areas, practice

2
method/level courses, and key electives. Each guide integrates the cases with course-
specific objectives and suggestions for teaching and evaluation. Administration for
Childrens Services' staff collected ten highly useful appendices to illuminate policies
and practices relevant to the cases, expanding the issues in the cases and teaching
guides. Our evaluation strategy encourages students and faculty to provide feedback on
their experience and to explore the wider impact of the Real Cases Project.

Social work education attracts people with a special sensitivity for social ills, eager to be
involved in a noble cause. Child welfare and especially child protection seem to be such
a cause. Yet, social work graduates are not rushing by the thousands to join the
Administration of Childrens Services. One of the reasons is the feeling that that large
government agencies do not appear to be the right place to cure societys tribulations.
The editors and contributors to this work are determined to change this perception, to
show the real life drama and critical social work practice opportunities in public child
welfare organizations.

For many years in the past, the relationship between social work education and child
welfare training has been off balance. While the Administration for Childrens Services
was sending its frontline workers to social work schools, and the James Satterwhite
Academy for Child Welfare Training was bringing social work expertise and philosophy
into its training process, social work students who did not come from Childrens
Services were learning about child welfare primarily from stories in newspapers,
invariably frightening and hopeless. This project is an attempt to balance this
relationship. In some ways, social work education brought social work into Childrens
Services - now we are bringing Childrens Services into social work education.

New York City, with its cultural and linguistic diversity, as well as economic disparity, is
a demanding place for child welfare workers. We hope that with this guide we will be
able to show earnest and motivated social work students the full scope of the problems
addressed and the thinking they themselves can utilize to ameliorate them.

PURPOSE & OBJECTIVES

Within the broad purpose of increasing focus, content, and study of public child welfare
in social work education programs, the Planning Committee established the following
key objectives for the Real Cases Project:
Increase student and faculty ability to implement and adapt direct and indirect
practice strategies to changing organizational conditions.
Expand student and faculty ability to identify innovative practice models used in
public child welfare that can be incorporated into work in other fields of practice.
Enhance student and faculty ability to connect classroom and field learning
environments, particularly for students involved in public child welfare as well as
those without experience in this field of practice

3
Expand student and faculty understanding of the dynamics of a large public
organization, and how external and internal systems affect practice.

In 2003 the Curriculum Project Committee of the New York City Social Work Education
Consortium was convened with a charge to develop curriculum materials that focused
on social work practice in child welfare bureaucracies. The committee included
Childrens Services administrators, Consortium staff and interns, and social work faculty
from the New York Metropolitan Areas social work education programs.

The Committee conducted an extensive assessment, including focus groups with
current students and Social Work Schools graduates working for ACS, as well as a
review of the curricula of the social work education programs in the Metropolitan New
York area. This process led us to focus on developing curriculum materials, centered on
case studies from Childrens Services practice that could be used across the social
work curriculum, rather than crafting a single course.

Based on our assessment, our expectation is that the Projects case studies will bring a
real life perspective to each course, while enriching connections between course-
specific subject matter and child welfare practice in an organizational context. We
believe that broadly integrating real child welfare cases will bring attention to child
welfare practice; while teaching guides and resources will suggest methods to use the
cases to meet particular course and curriculum objectives. We will conduct an
extensive campaign to engage faculty in using these teaching guides.

On a wider level, the Real Cases Project addresses significant concerns about
recruitment and retention of workers in this essential field of the profession (APHSA,
2005; Strolin-Goltzman, Auerbach, McGowan & McCarthy, 2008; Westbrook, Ellis &
Ellett, 2006), and builds on over 100 years of case study learning in social work
education (Cohen, 2002; Reynolds, 1965; Richmond, 1897; Towle, 1954; Wolfer &
Scales, 2006).

Developed through a long-standing and extensive collaboration among social work
educators and child welfare professionals in a large metropolitan area, the conditions
influencing the projects development provide a model of community engagement and
collaboration (Strand, Carten, Connolly, Gelman & Vaughan, 2009).

REAL CASE STUDIES IN
SOCIAL WORK EDUCATION

The central elements of the Real Cases Project curriculum integration effort are three
case studies, drawn from the ChildStat Initiative -- an innovative, agency-wide case
review process of New York Citys Administration for Childrens Services. As
documented in Brenda McGowans introduction to the case studies and their
development, we went through a rigorous selection process to insure that the cases
would be diverse, engaging, and useful in meeting the objectives of the Real Cases

4
Project. The overview of the case studies, by Tatyana Gimein, (Co-Chair of the Project
before her retirement from ACS), highlights key elements of each case study, and the
profound challenges facing the families, staff and communities involved.

The decision to use real case studies in a curriculum integration effort was adopted after
an extensive assessment phase. In 2004, the Planning Committee initially began the
case selection process, focusing on cases drawn from the ACS Accountability Review
Process. An expert panel convened by the Committee narrowed the selection to one
case. After recruitment and preliminary work by faculty on individual teaching guides,
this case became unavailable. The ChildStat approach was then proposed and access
to cases was granted, resulting in the selection of the three cases in this document.
Faculty authors adopted these three cases as framing elements in their teaching
guides. The three case studies collectively raise critical issues in public child welfare
practice today, show a diverse range of practices, family issues, and populations, as
well as showcase the ChildStat Initiative.

The Real Cases Project is part of the social work tradition of case study education.
During our professions history, social work educators have used case studies in the
classroom to teach particular course content (Richmond, 1897; Towle, 1954), drawing
vignettes from students work in the field (Reynolds, 1965; Wolfer & Gray, 2007),
published case studies and cases from their own practice (Cohen, 1995). The case
study approach appears to be experiencing resurgence, as indicated by the number of
published books of cases and suggestions for their use in the classroom (Fauri, Wernet
& Netting, 2007; Haulotte & Kretzschmar, 2001; Hull & Mokuau, 1994; LeCroy, 1999;
Rivas & Hull, 2000; Stromm-Gottfried, 1998; Wolfer & Scales, 2006). Even with its
widespread use, the efficacy of the case study approach for learning specific content or
integrating multiple content areas has not been extensively tested and remains a fruitful
area for inquiry.

Case studies are especially useful for training professionals in disciplines as social
work, where critical thinking and problem solving skills are necessities (Ross & Wright,
2001). Case studies are often utilized in professional social work education in order to
provide students with a real life example on which to practice their skills of critical
analysis and assessment. In addition to practicing a particular skill set, case studies
also allow faculty to assist students in their application of theory into practice. In
addition, when used properly, case studies can provide students an opportunity to
accept responsibility for their own learning (Armisted, 1984).

This Project contributes to the growing literature on using child welfare case studies in
social work education (Brown, 2002; Johnson & Grant, 2005). We advance this effort,
especially considering that the cases are drawn from a public child welfare agency and
are accompanied by teaching guides that demonstrate how the cases can be used
successfully in different courses across the curriculum. The Real Cases Project does
not suggest that the cases supplant the content of a particular course. Rather, the cases
can be used to illuminate and expand course content. While students may become
familiar with the cases in more than one class, the teaching guides will insure that the

5
use of the cases is not redundant, and is appropriate to each course in the curriculum.
Thus, both the individual courses and the understanding of child welfare as a part of
social work are enriched.

INTEGRATION AND INFUSION
IN SOCIAL WORK EDUCATION

Social work students, teachers and supervisors, as well as service consumers have
long reported frustration at students and graduates lack of proficiency at transposing
classroom knowledge into practice competency (Austin, 1956; Beatman, 1956; Bishop,
1963; Crawley & Gerrand, 1981), and their difficulty in holistically assessing clients
needs and opportunities for change (Gitterman & Germain, 2008; Middleman & Wood,
1990; Schwartz, 1969). The integration of multiple streams of knowledge in service to
clients with complex life situations and challenges is seen as essential and a key area of
difficulty for students entering social work (Saleeby, 2006). As clients and their
environments become increasingly diverse and complex, it is critical that students be
able to incorporate knowledge in order to see beyond the narrow boundaries of
separate client cases or specific fields of practice.

Responding to this challenge, the Council on Social Work Education (2001) mandated
the following nine areas for inclusion in the Professional Foundation at BSW and MSW
levels of social work education: Social work values and ethics; diversity; social and
economic justice; international populations-at-risk; human behavior and the social
environment; social welfare policy and services; social work practice; research; and field
practicum. In addition, the 2001 Policy Statement stipulated that all MSW programs
develop one or more advanced concentrations that built on these foundation areas in
order to bring students to a level of independent social work professional upon
graduation.

In the most recent Policy Statement (CSWE, 2008), core competencies frame the
curriculum as follows:
Identify as a professional social worker and conduct oneself accordingly;
Apply social work ethical principles to guide professional practice;
Apply critical thinking to inform and communicate professional judgments;
Engage diversity and difference in practice;
Advance human rights and social and economic justice;
Engage in research-informed practice and practice-informed research;
Apply knowledge of human behavior and the social environment;
Engage in policy practice to advance social and economic well-being and to
deliver effective social work services;
Respond to contexts that shape practice;
Engage, assess, intervene, and evaluate with individuals, families, groups,
organizations, and communities.


6
The Council on Social Work Education does not require a particular array of discrete
courses in the classroom and field, nor does it recommend a specific method to
integrate these diverse elements. As is true for all of the BSW and MSW programs
accredited by the Council on Social Work Education, the social work programs in the
New York Metropolitan Area are challenged to help students integrate knowledge and
skills, offered in a variety of courses, in both classroom and field settings over a period
of one to four years, before graduates can be launched as competent social work
practitioners. As yet, no program has found a single, validated and effective method by
which to guarantee that curriculum integration takes place, although significant efforts
have been made to bridge foundation areas and evaluate student learning in social
work education (Cohen, 2002; Coulshed, 1988; Meyer, 1986; Starr and Haffey, 1987).

Curriculum infusion efforts such as the Real Cases Project have become increasingly
important in bridging social work practice and social work education. An examination of
the literature revealed that curriculum infusion approaches has been used in a number
of practice areas, including the areas of domestic violence and law (Colarossi & Forgey,
2006, research (Hull & Mokuau, 1994; Ruffolo, 1998), policy practice (Miller, 1987), and
cultural diversity (Carter, 1995; Doyle, 1997; Paulino, 1997).

Given that the population of older adults is rapidly increasing, academic institutions
have recently sought to infuse gerontolological knowledge and skills into social work
education (Appleby & Botsford, 2006; Cummings, Cassie, Galambos & Wilson, 2006;
Fredriksen-Goldsen, Hooyman & Bonifas, 2006; Lee, Collins, Mahoney, McInnis-Dittrich
& Boucher, 2006). Generally, evaluation studies of these efforts have explored this
impact utilizing single group samples; findings indicate an increased level of knowledge
and clinical skills at the end of the semester (Fredriksen-Goldsen, et al., 2006; Lee, et
al., 2006). For example, Cummings, Cassie, Galambos, & Wilsons (2006) study
examined strategies to infuse knowledge of gerontology, as well as gauged students
attitudes and perceptions of the geriatric population and clients during the course of a
semester, as compared with students who did not receive the specified infusion of
content. At the end of the semester, students who were exposed to the infused courses
demonstrated an increase in knowledge related to gerontology, and increased
understanding in the relevance and importance of gerontological knowledge for social
work practice.

As the CSWE National Center for Gerontological Social Work Education (CSWE, 2009;
Hooyman, 2009), funded by the John A. Hartford Foundation, has demonstrated, it is
possible to significantly strengthen an area of focus in social work education through a
range of scholarly and curricular interventions. Targeting child welfare, the Real Cases
project has to potential to infuse child welfare content to reach a broad community of
students and faculty.

Similar to the abovementioned gerontological infusion into social work courses, the Real
Cases Project set a goal of educating all students about social work in the child welfare
system. In order to achieve this goal, teaching guides demonstrate how real cases and
learning strategies in child welfare can be infused into a wide range of social work

7
courses. We think that the focus on child welfare case studies in the Project will not
detract from learning other fields. Rather, the cases will serve as examples for learning
solid social work practice with all populations not just in child welfare. In fact, that is
our goal to insure the use of child welfare examples as prevalent as examples in
mental health, aging, and other fields.

CONTRIBUTIONS AND
ACKNOWLEDGEMENTS

The Real Cases Project traces its beginnings to its convening by the NYC Social Work
Education Consortium in 2003. Members of the Social Work Education Consortium
include:

New York City
Administration for Childrens Services

Adelphi University
School of Social Work

Columbia University


Fordham University
Graduate School of Social Service

Hunter College
of the City University
of New York
Lehman College
of the City University
of New York

Long Island University

New York University
Silver School of Social Work

Stony Brook University
School of Social Welfare

Touro College
Graduate School of Social Work

Yeshiva University
Wurzweiler School of Social Work

Commissioner Mattingly and the Deans and Directors of the Social Work Education
Consortium have supported this Project, facilitated the participation of numerous
contributors from their organizations, and have maintained their commitment to building
a partnership for the professionalization of child welfare services. The Consortiums
efforts are spearheaded by Mary McCarthy, Consortium Director; Ervine Kimerling,
Executive Director of the James Satterwhite Academy, Administration for Childrens
Services; and Alexis Howard, NYC Consortium Coordinator. They have served
essential roles in insuring that the Real Cases Project reached the stage it has today.

Since its inception and through its development, the Project has included the active
participation of many collaborators from three primary constituencies, brought together
in a committed partnership. Carol S. Cohen from Adelphi University School of Social
Work, and Tatyana Gimein, Director of Curriculum Development of the James
Satterwhite Academy of ACS served as Project Co-Chairs for many years, until
Tatyanas retirement. Heide Gersh Rosner, Director of the Professional Development

8
Program of the James Satterwhite Academy, has contributed greatly, and has been with
the Committee since its inception. Sharon Kollar, former Center for Women in
Government and Civil Society Fellow, and Tara Bulin, Adelphi University Adjunct
Faculty and PhD Candidate, were critical in developing and editing this document.

The Real Cases Project website, at: http://socialwork.adelphi.edu/realcases/ is
hosted by the Adelphi University School of Social Work, thanks to the efforts of Peter
Chernack, School of Social Work Associate Dean for Program Development and
Administration and Erica Klein, Adelphi University Manager of Web Communications.

In an attempt to acknowledge their contribution, the following list of participants is
offered with gratitude and apologies in advance for any inadvertent omissions.

Participants from NYC Administration for Childrens Services:

Kathy Blunt
Dorothy Cervano
Diane Connolly
Christiana Cummings
Sandra Davidson
Tatyana Gimein
Selina Higgins

Ervine Kimerling
Donna Lawrence
Marilynn Myles
Maxine Peterson
Irma Quarles
Alicia Rooks
Heidi Gersh Rosner
Lucille Schultze

Participants from Metropolitan New York Social Work Education Programs:

Janet Abbott, Columbia University
Julie Altman, Adelphi University
Tara Bulin, Adelphi University
Alma Carten, New York University
Roslyn Chernesky, Fordham University
Shantih Clemans, Yeshiva University
Carol S. Cohen, Adelphi University
Elaine Congress, Fordham University
Manny Gonzalez, Hunter College
Gerald Mallon, Hunter College
Brenda McGowan, Fordham University
Elizabeth Palley, Adelphi University
Michael Phillips, Fordham University
Michele Sanzone, Adelphi University
Charles Trent, Yeshiva University
Bryan Warde, Lehman College
Rozetta Wilmore-Schaeffer,
Yeshiva University

Participants from the New York Social Work Education Consortium:

Meredith Harris
Alexis Howard
Deidra Houston
Sharon Kollar
Meredith LaFave
Mary McCarthy
Rosemary Sherman


9 9
EVALUATION AND
EVOLUTION

As detailed in this document, the Real Cases Project includes informal and formal
evaluation activities, with both quantitative and qualitative data collection strategies.
Accompanying the wide circulation of the guide in the Metropolitan New York Area is
the launch an evaluation of the approach across classes, schools, faculty members, and
students. The evaluation plan includes analysis of the implementation process and
degree to which the Project achieves its goals. Findings will be widely disseminated,
and used in further development of the project.

Evaluation findings and analysis will assist us to adapt and further develop this case
study-centered approach. If evaluative findings show that the approach has merit, we
will explore further evolution of the effort in the Metropolitan New York Area. The Real
Cases Project is a large and currently local model for child welfare infusion. The Project
can be adapted for use in other venues, and the case study based, multi-course
approach can be a model for other collaborative, integrative initiatives in other fields. As
other venues are interested in this approach, we will collaborate with partners in a multi-
faceted dissemination strategy.

In developing Real Cases Project, we have taken the position that the effort to connect
child welfare practice and social work education must be ambitious and creative,
bringing together the theory and practice of all areas of the social work curriculum. The
Real Cases approach promotes public child welfare as an important arena for
professional practice, policy and research. We believe that students can apply what
they learn by using child welfare-focused cases in studying other settings, and vice
versa, in applying other case material to child welfare practice. It brings together
diverse groups of faculty and draws inspiration and context from actual case studies
from a public child welfare organization. The Project provides course-specific methods
and resource materials for integrating public child welfare in social work education
without altering existing curriculum. We look forward to continuing this important
partnership.

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Real Cases:
Across the

REAL CASE STUDIES

Introduction to the Case Studies, Brenda McGowan

Overview of the Case Studies, Tatyana Gimein

Andrea R. Case Study

Anne M. Case Study

Mary S. Case Study
Real Cases Project: Introduction to the Case Studies

13
The Real Cases Project:
Introduction to the Case Studies
and their History of Development

Brenda McGowan, DSW
Professor, James R. Dumpson Chair of Child Welfare Studies
Fordham University Graduate School of Social Service

In developing cases for analysis in social work classes, our primary objective was to
select and present cases that convey the reality of practice in child protective services
the excitement, the demands, the conflicting expectations, and the enormous variability
of practice. Representatives of the ACS Accountability Review Panel in conjunction
with the James Satterwhite Child Welfare Training Academy initially selected eight
cases for consideration. Six were identified from ongoing ChildStat reviews, and two
from records in Connections.

We reviewed these cases, identified five that seemed like good candidates for this
project. These five were reviewed by the Real Cases Committee and the Director of the
Training Academy who together selected the three presented here. These cases were
selected because they demonstrate good, but not perfect investigations, fairly typical
types of case situations, a range of allegations, and very diverse client populations. One
involves a charge of spouse abuse in an immigrant family from the Caribbean with two
young children, another a charge of grandparents abuse of a black teenage boy whose
parents are out of state, and the third involves a white mother with severe mental illness
who left a latency age boy alone unsupervised. One of these cases has a long history of
involvement with CPS, the others are totally new. All were new to the workers who
were charged with investigating these allegations.

To explain the selection process we followed, it is necessary to describe the complexity
of the two types of CPS records we reviewed. First, Connections is a massive
computerized data information system introduced years ago to track all child welfare
cases in New York State. This system contains a number of narrative sections, as well
as many that require the worker to select among pre-coded options. Designed to cover
each case from intake or the initial complaint through investigation, assessment, service
planning and provision for each family member, it requires multiple entries from all the
workers and supervisory personnel who have any contact with the case or provide any
of the required approvals. An outsider reading a Connections case record gets the
impression that this instrument was designed to monitor compliance with all the
regulations governing child welfare practice, not to tell the story of a case. Entries are
all made chronologically and frozen so changes cannot be made later. Instead, if the
worker or supervisor decides to correct a fact or assessment entered earlier, this can

14
only be done by making another entry. The result is that it is easy to have a lengthy
Connections document of well over 40 pages that is very repetitious, may contain
conflicting information, and cannot be skimmed easily to obtain the basic facts about a
case. However, child protective workers and supervisors must often form their practice
decisions on the basis of the complex and sometimes contradictory information in
Connections.

Second, the Commissioner of ACS recently introduced a new case practice
accountability tool, ChildStat. Modeled on the CompStat program used in the Citys
police precincts, it is designed as a system for communication among all managerial
levels about work at the frontline in child protective services. Staff members from the
agency's Office of Accountability review a sample of the cases from each borough office
and write carefully constructed, very detailed summaries of the essential facts in each
sampled child protective report. These summaries are distributed to a ChildStat
committee that reviews cases from different boroughs on a rotating basis. This
committee is composed of top agency administrators, directors of relevant borough
offices, and case supervisors who answer questions for each case under discussion.
The ChildStat program is widely viewed as a successful innovation that keeps central
administration informed about what is happening at the field level and provides
important feedback to different levels in the field office about errors or omissions the
workers may be making and ways to improve the quality of practice.

The ChildStat program was very valuable for this curriculum project for two reasons:
First, the succinct, factual case summaries written for ChildStat provided an easier way
to view and select a range of cases than the complex Connections records.
Second, these reports are written in a way that highlights the fact patterns that must be
addressed in each child protective report. These include:
basic demographic data;
each family members response to the allegations in the report of child abuse or
neglect;
a full description of the familys house or apartment with attention to space,
sleeping arrangements, and cleanliness;
familys financial situation;
any substance abuse in the home;
any allegation of domestic violence;
information about any prior contact between family and CPS;
summary of interview with each adult member of the household;
parents description of the children and any special concerns identified;

15
summary of interview with and/or observation of each child in the home;
summary of contact with complainant and any other relevant person, e.g., school
teacher;
description of any recent family crises;
any issues that require emergency assistance;
list of all requested services;
workers recommendation about opening this case and making a finding.
We have tried to present the cases here in a very accessible, reader-friendly manner to
encourage class discussion and analysis. However, the Connections and ChildStat
programs are described in detail because it is important for students to understand the
complex regulatory framework within which child protective workers must function. It is
easy to get very frustrated with all the forms and regulations, but these are essential
because childrens lives may be at stake. The rare child fatality case that explodes in
the media every year or two illustrates why responsible public officials must create and
enforce such a firm regulatory framework for protective practice.

In reading each of the cases presented here, students are encouraged to consider the
range of information available, any interesting or troubling omissions or contradictions in
the facts the CPS worker was able to gather, your case assessment, the subsequent
service recommendations you would make, and any glaring deficiencies in the larger
service and/or policy environment highlighted by this case.

16

Real Cases Project: Overview of the Three Case Studies

17
Overview of Three Case Studies

Tatyana Gimein, M.Ed, LCSW
Director of Curriculum Department (Retired)
James Satterwhite Academy, Administration for Childrens Services

The following three carefully selected cases present an authentic and sincere glimpse
into the world of the Administration for Childrens Services. These cases were analyzed
and critiqued at the ChildStat the agencys forum intended to improve the existing
child welfare system and promote the best case practice.

As any real Child Protective cases, these cases contain examples of solid and
thoughtful casework, as well as errors that in the classroom setting will present valuable
learning opportunities. As is the convention, case names are derived from the mother
or guardians name and last initial. Faculty and students using these cases for learning
may decide to include family names for each case.

ANDREA R. CASE STUDY

In the Andrea R. case, prompt referral to Early Intervention is an important part of best
practices when a child demonstrates unusual behaviors. The Early Intervention
Program can be discussed in various Social Work courses. The Child Protective worker
in this case displays good investigatory skills by noticing various marks on the child and
making considerable effort to find the source of these injuries. The worker had shown
great concern for safety of this child by not blindly accepting the report from her
psychiatrist and excellent investigatory skills by asking detailed questions to determine if
this psychiatrist was aware of the multiple psychiatric hospitalizations and medication
non-compliance.

At the same time, this mothers strengths, such as her ability to get her child to school
with good attendance in spite of her psychiatric difficulties, are disregarded. The child
who is diagnosed with autism, but at the same time attends a regular educational
program and can be effectively interviewed by the caseworker may trigger a discussion
about clinical diagnosis and extent of mental illness. This mothers mental illness and
its impact on her ability to parent, which is not received sufficient attention in the case
record, can become an interesting topic in the classroom learning process.
The language of the case record that uses professional jargon (inadequate
guardianship, corporal punishment, drug and alcohol misuse), as opposed to plain
descriptive language, can be an excellent teaching point.

Real Cases Project: Overview of the Three Case Studies

18
ANNE M. CASE STUDY

In the Anne M case, the worker, upon finding no prior ACS involvement, continued to
investigate previous reports of domestic violence in this home by requesting (and
finding) two previous Domestic Incident Reports at the Police department, therefore
indicating good investigative skills. This worker draws up a detailed safety plan with this
mother and demonstrates persistence in following up with emphasis on the childrens
safety.

Domestic violence is a significant part of the Anne M case and an intricate part of Child
Protective practice in general. Although an Elevated Risk Conference was held,
documentation did not include whether a Domestic Violence Clinical Consultant was
present, nor any other participants. Difficult steps this mother had successfully enacted
in order to protect herself and her children are not emphasized in the case record.

Questions such as: who recommended the supervised visits with the father, had he hit
the children before, was the father referred to a Batterers Intervention program, and
could the children have therapy before visiting their father, and then visits upon the
recommendation of a therapist, are not asked or answered. This area of casework
practice is a rich and multifaceted subject for graduate level analysis.

MARY S. CASE STUDY

The Mary S. Case demonstrates a caseworkers creative investigatory techniques and
good skills of initial engagement, as well as good use of collateral resources. The
worker skillfully performs an interview with grandmother, asking questions in many ways
about prior and current incidents of child abuse. Students of social work who are
interested in child protective work must be familiar with this, as well as other
investigatory techniques.

However, the investigation is not complete without examining the prior criminal record of
all adults involved with the child. In this case it is a criminal past of Stanley, the mothers
live-in boyfriend, who was violent with another child, used excessive force as a means
of discipline, and kept a gun in the family home that should be investigated. Interrelation
between a persons criminal past and potential child abuse should be incorporated into
classroom discussion as a teaching point.

Real Cases Project: The Andrea R. Case Study

19
Real Cases Project:
The Case Studies

ANDREA R. CASE STUDY

Case Details

Borough: Queens
Type of Report: Initial
Date of Intake: 9/15/07
Source of Report: Hospital psychiatrist
Date of Initial Visit: 9/15/07
Date Source Contacted: 9/15/07

Current Allegation: Inadequate Guardianship

Household:
Mother, Andrea R., age 27
Son, Vincent, age 9

Other Family Members:
Father, John S., age 33
Sister, Elizabeth, age 29

Allegation: Psychiatrist from Elmhurst Hospital called saying the mother overdosed on
Zoloft last night and was brought to the hospital at 6:30 A.M. She was accompanied by
her 9 year old son, Vincent. She was admitted to the hospital, but refused to give any
information to assist in making a plan for Vincent.

Family Background

Andrea is a 27year old Caucasian woman who lives with her 9 year old son, Vincent in
a one bedroom apartment in Queens that is described as spacious and clean. She is
unemployed and receives $23 daily in food stamps, $68.50 biweekly in cash, and $624
monthly for SSI due to Vincents autism/chronic asthma. Vincents father is 33 year old,
and is unemployed. He receives SSI due to an accident that occurred when he was 14
and left him unable to use his arm. John provides Andrea with occasional financial
support and is involved with Vincent, visiting him 3 times a month. Both Andrea and
John report having positive experiences with each other.

Andrea has been hospitalized at least 3-4 times according to her sister. She has been
diagnosed at different times with schizophrenia, bi-polar disorder, major depression,
and epilepsy. She currently takes Zoloft and seizure medication.


20
Prior Investigations

There have been five prior reports dating from 2001 to January 2007 against this family.
In January 2001 an anonymous source reported Andrea for corporal punishment,
inadequate guardianship, and drug and alcohol misuse. It was noted that Vincent
communicated by crying, yelling, and making loud noises. After investigation and
evaluation of the boy by an early intervention program, he was referred to a specialized
hospital program and the case was closed, unfounded.

In November of the same year allegations of inadequate guardianship, lacerations,
welts and bruises were made against Vincents father John. The allegation was first
made by a police officer to whom Andrea complained after her son returned home from
a visit with his father with a black and blue mark under his eye. A social worker at the
hospital where his mother took him for treatment made the same allegation. The father
claimed that the bruise resulted from Vincent falling off a bed and onto a toy. Andrea
said that he had returned from other visits with bruises so she became suspicious. The
doctor who saw Vincent at the hospital did not think the bruise could have occurred as a
result of an accident, and that it had to be deliberately inflicted. However, after an
extensive investigation including several home visits, and interviews with the boy, his
father, his paternal grandmother, with whom John lives, the doctor, and Andrea, the
worker concluded that he did not obtain any evidence to confirm the allegations.
The case was closed, unfounded.

In 2002 a social worker at the preschool Vincent was attending made allegations of
inadequate guardianship and inadequate food, clothing, and shelter against Andrea. It
was alleged that Vincent often seemed uncared for, goes to school without extra
diapers, in clothes that are often dirty or stained, and misses a day of school a week.
Also, Andrea has usually failed to call the school when he was ill. The precipitating
event for the report to the State Central Registry was that a teacher had to put another
childs pamper on Vincent because his mother had not sent any extras, and he was
wearing the same diaper for 36 hours. Andrea claimed that the diaper incident resulted
from miscommunication with a friend who assists her so she can attend school. She
forgot to ask her friend to change her child, and she does not change his pamper when
he returns from school. The worker concluded that Andrea lacked knowledge of the
childs developmental needs and referred her to a preventive service agency for
services. The case was indicated.

The next report was made in 2006 by Andreas ex-boyfriends mother, who alleged
parental drug and alcohol misuse and inadequate food, clothing, and shelter. Andrea
denied the allegations, but said she knew who made the report. She had been
assaulted by her ex-boyfriend, he was arrested, and she obtained a full order of
protection against him. The CPS worker spoke with the district attorney, a friend who
corroborated the assault against her, and the AHRC where Vincent was receiving
services. All supported Andreas story so the case was closed, unfounded.


21
The most recent complaint was filed by a police officer in January 2007. He reported
that Andrea had become irrational, displaying extremely abnormal and erratic behavior,
walking in circles, running from room to room, and calling 911 while officers were still in
the home. He thought Vincent was also displaying abnormal behaviors similar to his
mother. They were both transported to a major hospital where Andrea remained for
about 2 weeks. During that time his maternal aunt, Elizabeth, cared for Vincent. Andrea
was released with a diagnosis of major depression with psychotic features and
prescribed several medications. She was to be seen by a therapist at the hospital so
the case was closed, unfounded.

In addition to these reports, Andrea lived with her mother when at least 2 reports were
made naming her and her siblings as maltreated. The allegations were educational
neglect, lack of supervision, and inadequate guardianship. These complaints were filed
when Andrea was 14 and 16. In both cases the sources complained Andreas mother
smoked crack, left the family alone when she went to buy drugs, and let Andrea and her
sister be out on the street until late. In the later complaint it was also noted that different
men were frequently seen going in and out of the house. Although both cases were
indicated, it is unknown what services were provided.

Current Investigation

On 9/15 the source, Dr. H., a psychiatrist, told CPS that Andrea was brought to the
hospital by EMS at 6:30 am that morning because she overdosed on Zoloft the night
before. Andreas son Vincent accompanied her to the hospital. Andrea took the
medication in an attempt to kill herself because she was depressed, lonely, and
overwhelmed, along with having conflict with both internal and external family members.
Dr. H. also reported that Andrea was hospitalized for schizophrenia in January 2007 at
another hospital. Andrea was described as being alert, quiet, guarded and
uncooperative, the latter because she failed to give the hospital staff any legitimate
telephone numbers of resources for her son while she was being treated at the hospital.
He asked that ACS make immediate plans for care of Vincent. The worker talked with
Dr. H. about respite care as an alternative to foster care, but after consultation with a
hospital administrator, it was decided that ACS should assume responsibility for
Vincent.

The worker held a face-to-face interview that day at the hospital with the child, Vincent,
a fourth-grader, who reported that he does well in school. During the interview, Vincent
told the CPS that his mother was nice and taking good care of him. He denied that his
mother hit him and said that his mother would talk with him when he would do
something bad. Vincent added that he had been helping his mother to clean the home
since she was not feeling well. In reference to the suicide attempt, Vincent said that he
saw his mother take medication, but did not know the reason. The interview concluded
by Vincent telling the CPS that he helped his mother a lot and hoped that she would be
better soon. The worker also attempted to interview Andrea, however, she did not
appear coherent.


22
During the hospital visit, the worker again spoke with Dr. H., the source. He said that
Andrea was admitted to the Emergency Unit for evaluation. He also told the worker that
Vincents maternal aunt, Elizabeth said that Andrea had been hospitalized over five
times for psychiatric problems and that the family is concerned about Vincents safety.
According to Dr. H., the aunt did not feel that Vincent would be safe returning home to
his mother until there was remarkable improvement in her mental condition.

On 9/16, Vincent was observed at the hospital and found to have no bruises or marks;
he was removed to the Childrens Center awaiting placement with a relative after the
completion of an expedited home study. He was later placed with a voluntary foster
care agency.

The CPS worker had a face-to-face interview with Vincent at the Childrens Center on
9/17, during which Vincent said that he was home with his mother at the time of the
incident. He said that he saw his mother drinking black water, but he later said that it
was black pills. Vincent said that he was afraid his mother was going to turn into a
monster, but he did not elaborate as to what he meant, even after the worker
questioned him. After being asked how he is punished at home, Vincent said that his
mother tells him not to do whatever he did again, and she has also told him that Im
going to punch you in the face. Vincent denied his mother ever followed through. He
did admit to being hit by his mother 4 times with a belt on his arms and legs. When
asked by the CPS whether he has ever seen his mother acting weird or out of place,
Vincent denied that his mother heard voices or talked to herself. He did however, say
that his mother feels better when he takes care of her when she gets sick, and he
clarified his mothers sickness as when she gets a cold or when she doesnt feel good.

Vincent also explained that he makes his mother feel better by listening to her, watching
television and being quiet. Asked about his father, Vincent said he sees his father on a
regular basis. He likes to see his father because they go to the movies and the park.

The CPS observed an old scratch mark on Vincents forehead and an old circular
quarter-sized mark on his right arm. Vincent explained the mark on his forehead came
from a fall while playing, but he did not have an explanation for the mark on his arm; he
denied that it was the result of being hit. Vincent receives speech, counseling, and
occupational therapy at his public school, where he is in special education.

On 09/17 the worker also had a face-to-face meeting with Andrea in the hospital, where
she seemed heavily sedated. When the worker asked her about the incident that led to
her hospitalization, Andrea reported that she took too many Zoloft, but did not know how
many. She went on to explain that she took the pills because she was lonely and
depressed. She said she called 911 after taking the pills so that EMS could take her
and Vincent to a different location.

Andrea said that she was seeing a psychiatrist named Dr. B., but she did not know how
long or what his telephone number was. She denied hearing voices and past suicide
attempts. She admitted she was hospitalized in Virginia while visiting a relative in May

23
or June, but she refused to talk about it. Andrea said she takes Zoloft and Dilantin for
her past diagnoses of depression and seizures, but she has not taken the medications
on a regular basis. When asked how long ago it had been since she took the
medication, Andrea responded by repeating herself. She asked to have Vincent placed
with her sister, Elizabeth who reside in Brooklyn. She reported that she does not get
along well with her mother or sister; and she hadnt seen them in over a month. She
also stated that Vincents father is involved because he brings her money.

An interview was held with Vincents father John S., on 09/17 after the worker received
a phone call from him. Mr. S. said that heard from Andrea that morning advising him
that Vincent was placed in foster care. The worker explained that Vincent was at ECS
because his mother overdosed on pills. Mr. S. said he was aware that Andrea had
mental problems, but did not know how bad. He said that he had never lived with
Andrea, and she appeared fine when he would see her. He said he only became
aware of her mental problems recently, and Vincent never told him about any problems
he was having at home or about any of his mothers unusual behaviors. Mr. S. was not
aware of Andreas prior hospitalizations. Mr. S. Said Vincent is his only child, and they
have a close relationship. He visits his son three times a month, and he has always
found him well groomed. He denied ever seeing marks on Vincent. When asked by the
worker whether he was willing to care for Vincent, he refused because of his living
conditions, which he would not further explain. He thought it would be best for Vincent
to be placed with his aunt, Elizabeth.

The worker interviewed this maternal aunt, Elizabeth on 09/17 by telephone. She
disclosed that Andrea was diagnosed a few years ago with schizophrenia, bipolar
disorder, depression and epilepsy. Andrea was reportedly under the care of a
psychiatrist at that time, but Elizabeth did not have any contact information. She said
Andrea attempted suicide and was in the hospital for at least a month in May or June.
At that time, Elizabeth said she cared for Vincent. Elizabeth further reported that
Andrea had three or four more hospitalizations for the same reason, all occurring within
a year. She could not give details of those hospitalizations. Elizabeth described
Andrea as being unstable because of her mental health problems. She said the last
time she saw Andrea was in July 07, and she had seen her crying and laughing at the
same time. She also saw her talking to herself and hearing voices; however, she did
not know what Andrea was saying. Elizabeth said that she has witnessed this behavior
before. Vincent was described by Elizabeth as being very protective of his mother,
saying nothing negative about her. Although Elizabeth disclosed that she is not close to
her sister and hardly talks to her, she wants to be a resource for Vincent.

In exploring this possibility, the worker found that Elizabeth lives in a two-bedroom
apartment with her husband and two children. She told Elizabeth that a visit would have
to be made to her home to conduct a home study prior to Vincents placement there. At
that point, Elizabeth told the worker of prior ACS investigations, all of which were
unfounded. She explained that these unfair reports were made by a woman in her
building.


24
The worker also contacted Vincents maternal grandmother, who said that she visits
Andrea and Vincent on a regular basis. The worker discovered that this grandmother is
not a placement resource because she currently lives in a rented single room. The
grandmother said she witnessed Andrea acting weird only once when she was
laughing and crying all at the same time, but she never questioned her about her
behavior. She denied that Andrea talked to herself and was hearing voices, or that she
abused drugs and alcohol. She described Andrea as being very loving towards Vincent
so she never considered him in danger while in his mothers care. When asked whether
Vincent ever talked to her about his mothers behavior, she denied this. She too
described Vincent as being very protective of his mother. She said she never felt
Vincent was in any danger with his mother.

On 9/18 the worker contacted Vincents school and spoke with his teacher for the past
two years. She said that Vincent had been attending the school for the past three or
four years and is in a special education program under District 75. She added that
Vincent does have an IEP on file from about three years ago, which states that Vincent
is diagnosed with autism. He has not displayed behavioral problems and is in a regular
education, but he receives speech therapy, counseling and occupational therapy. She
also stated that there was no prior suspicion of abuse or neglect and that he has good
grades and attendance.

On 09/18 the CPS worker filed an Article X petition against Andrea and a remand was
granted. Vincents father did not appear in court as he had previously promised. The
case was adjourned to 10/11.

On 09/20, the CPS called Vincents father to ascertain why he had not gone to court
and to inform him about the next court date. Mr. S. said he had gone to court but he
was late. He said he would show on 10/11. He was then asked if he could provide the
names of any relatives that could be a resource for Vincent if maternal relatives should
not be accepted. He said he did not have any in mind, but he would call back if he
thought of any.

On 09/26, the CPS worker received a phone call from the psychiatrist, Dr. H, at the
hospital where Andrea had been admitted. He said Andrea was discharged from
inpatient psychiatric unit on 9/25 and was diagnosed with major depressive disorder and
prescribed Zoloft. Andrea was also diagnosed with a seizure disorder and was
prescribed medication for this condition as well. The doctor recommended that Andrea
continue to see the psychiatrist she had seen previously as an outpatient.

On 10/1 a 72-Hour conference was held at the foster care agency with the child
evaluation specialist (CES), the unit supervisor, the supervisor and a worker from the
foster care program, a worker from Association for Help of Retarded Children (AHRC),
and Vincents parents. During the conference Andrea produced her discharge form
from the hospital recommending that she follow up at the other hospital with her
psychiatrist, Dr. D. She said she had been seeing the psychiatrist for about a year. It
was reported that Vincent was doing well in his program at AHRC where he was

25
learning daily living skills and receiving after school care, and community integration
services. In discussing plans for Vincent, Andrea could name only her sister, Elizabeth,
and her mother as possible resources for Vincent, but she requested that neither be
allowed to have contact with him without going through her. John said he thought
Vincent should return to his mothers care. The conference ended with Andrea being
advised that she must attend therapy weekly and also attend a parenting skills class.

On 10/11 both parents went to court where Andrea requested a 1028 hearing for
Vincent. She produced a letter from her therapist, Dr. D., stating that she is being
treated for major depressive disorder and has been compliant with therapy. Dr D.
recommended that Vincent be reunited with his mother, writing that Andrea is capable
of caring for her son.

On 10/12 the CPS worker made a home visit and met with Andrea. She noted that they
lived in a clean, spacious one-bedroom apartment

Andrea visited Vincent at the foster care agency on 10/13. Both were happy to see
each other, and Vincent asked when he could go home with his mother. She explained
to him that she couldnt make any promises. The foster care worker described them as
having a strong positive bond and relating well to each other.

In another court hearing on 10/15 Andrea withdrew her 1028 request and asked for
unsupervised visits with Vincent based on Dr. Ds letter of recommendation. The foster
care worker said the visit at the agency had gone well. The judge ordered the CPS
worker to contact Andreas psychiatrist, saying the case would be recalled.

That same day the worker called Dr D. who confirmed that he had been seeing Andrea
for 2 years, found her to be generally compliant, taking her medications as prescribed.
Noting that the doctor had not seen Andrea for several months prior to 9/28 when he
wrote the letter for her, the CPS worker asked if he was aware that Andrea had a
mental breakdown and was hospitalized for this on 1/7, 5/7 and 9/15. The doctor said
he was aware and still recommended reunification.

The worker then asked if the doctor was aware that when Andrea took the handful of
Zoloft, she did this in the presence of her son. The doctor was unaware of this, but did
not change his position. He informed the worker that Andreas condition would worsen
if Vincent remained in care, saying she would become more depressed without him. He
did not believe Andrea posed a risk to the safety of Vincent. He had seen her several
times since her hospitalization and reported that she had been compliant with her 30
minute sessions. When the worker asked why he thought Andrea had not shown up for
treatment for several months before this recent hospitalization, the doctor responded,
she just stopped coming. He added that when he saw her on 9/28, Andrea just said
she was on some sort of a trip. The doctor then ended the call, saying he was
extremely busy, and disconnected.


26
When the case was recalled in court later that month, the CPS worker informed the
judge that Andreas psychiatrist had not seen her for several months prior to writing the
letter. The judge then adjourned the case until 2/6/08 and ordered that all visits be
supervised.
Real Cases Project: The Anne M. Case Study

27
Real Cases Project:
The Case Studies

ANNE M. CASE STUDY

Case Details

Borough: Bronx
Source of Report: Social worker, Douglas Hospital
Date of Initial Home Visit with Subject: 7/17/07


Adults: Anne Taylor M, b. 5/11/75, mother
Peter M, b. 11/9/69, father
Children: Thomas, b. 3/15/01
Megan, b. 2/20/04

Allegation: Social worker from the hospital that treated Ms M. for injuries resulting from
the beatings inflicted on her by her husband during their vacation in Jamaica is
concerned about mother's capacity to care for and protect children.

Children were present during father's attacks on their mother.

Family Background

Anne M. is 32 years old woman employed for the past year as a secretary, earning
about $30,000 a year. She has been married to Peter M. for 7 years. They have two
children, Thomas, aged 6, and Megan, aged 3. Peter is an insurance agent who earns
approximately $70,000 a year. Peter and the 2 children are all U.S. citizens. Anne, who
was born in Jamaica, is a permanent resident of the US. Peter's family is also from
Jamaica, but he was born in the City. They are both Episcopalians. Since the DV
incident and subsequent return to the States, Mr. M. has been living in an apartment he
co-owns with his mother in Brooklyn.

There was no prior ACS contact with this family, but a search of Domestic Incident
Reports at the Police department revealed two prior domestic violence incidents in
which Mr. M. was named as the suspect in 12/2002 and 10/2003.

28

In the morning of 7/17 child protective service (CPS) worker left phone messages for
both Mr. and Ms M. stating her name, contact number, agency, and need to schedule
an appointment. Mr. M. returned the call at 2:00PM. When the CPS said she was
conducting an investigation, he asked what the investigation was about and whom did it
involve? The worker responded that she represented ACS and it was necessary for her
to meet with him to discuss some safety concerns involving his children, Thomas and
Megan. He explained that he was now living in Brooklyn, but he could be in the Bronx
on Friday and agreed to a morning appointment at the worker's office.

Since Ms. M. did not return the call, the CPS made an unannounced visit to her
apartment at 6:00 PM on 7/17. She was not at home, but the super agreed to take an
envelope for her and said she should be home in 15-20 minutes. The worker waited
and Ms M. and the children appeared shortly. When the CPS explained the purpose of
her visit, Ms M. said she was planning to get the children dinner at Burger King and then
go to Mr. M.s apartment with the assistance of the police to serve her husband court
papers for a temporary Order of Protection. She asked if the interview could take place
at the restaurant. The worker replied yes, but a home assessment would have to be
scheduled for the following day. Ms M. said she was very nervous about losing her job,
but agreed to a 6:30 AM home visit on 7/18.

Subject's Account of Allegation

Ms M. said her husband inflicted bruises on her on 7/10 in the presence of the children
during their vacation in Jamaica. When the CPS asked what was going on between her
and her husband when this incident occurred, Ms M. explained that an old friend of hers
called the week after they arrived and offered to show the family around. Her husband
gave the friend directions to the house where they were staying, but when he arrived,
Mr. M. said he didn't want to go and offered to stay home with the children. They were
gone for about 3 hours, but when they returned her husband pulled the friend out of the
car and assaulted him. He was then arrested and stayed one night in jail.

Several days later they got into an argument because he left no money for her when he
went out alone, although he knew she needed to buy food for the dish she was cooking,
and she was counting on his taking the children with him. When he came back, she
yelled at him; he then came at her with a closed fist, saying he saw her friend's car
waiting outside. He punched her repeatedly in the face, neck, shoulders and arms as
he was shouting, "You're making a fool out of me" and "You ruin my vacation." She
realized she was bleeding all over and there was blood on the walls and the floor.
When she went into the shower, he continued punching her. He finally left, saying he
was going to kill her friend.

She tried to call the police by dialing 999, but got no response so she ran with the
children to an upstairs apartment. He came back and was banging at the door with a
brick so she decided to open the door before he got any angrier. She saw a knife in his

29
pocket, but he saw the one she was holding. When he yelled, "let's go at it," she
dropped her knife.

Her husband picked the knife up and held her in a choke hold while the children were
screaming. He then became very frustrated with the children, screaming at them to
shut up. When they did not stop, he took off his belt and started hitting them very hard.
She tried to stop him from beating the children by jumping in front of them where she
was hit across the back, neck and waist with the belt.

At that point the police arrived, alerted by a neighbor that it sounded like someone was
trying to kill a woman. The police reportedly told her that if she had her husband
arrested, she would be too because it takes two people to fight. They also told her if she
wanted to press charges, she would have to stay in Jamaica to present evidence, they
didn't know for how long.

She was able to get a flight to New York City for herself and the children early the next
morning, 7/15. That evening she sought medical attention for herself and the children.
The triage nurse in the ER called the police who interviewed Ms M. and the children and
observed the bruises. However, they said they could just keep a note on file. Because
the incident occurred out of the country, they could not arrest Mr. M. They told Ms M.
she should go to Family Court and get an Order of Protection for herself and the
children.

On 7/16 Ms M. went to Family Court and obtained a temporary Order of Protection for
the children, herself, the children's day care provider, baby sitter, and various family
members.

Initial Home Visit

At the home visit, it was clear that this 2-bedroom apartment was clean, well organized
and furnished, with plenty of food in the refrigerator, locks and guards on the windows,
and smoke and carbon monoxide alarms. Ms M. was able to show the worker the
children's vaccination records and said the children have no special medical or mental
health needs. Since the children share a twin bed in the 2nd bedroom, the worker
explained why this was not a good idea and said she would help Ms M. get a set of
bunk beds for the children.

The worker looked at the medical report Ms M. was given. The doctor wrote that Ms M.
had a perforated ear drum with nerve damage, possibly resulting in some hearing loss,
as well as bruises over her right eye requiring some stitches.

The CPS worker observed the children for marks and bruises. Both of the children had
visible welts on their backs and arms. Thomas reported that "daddy hit me hard there,
and it still hurts. When I was going upstairs, daddy hit me on the back and I was crying
so he hit me again." Megan said, "daddy hit me right there," pointing to the welts on her

30
arm, "daddy did it." When the CPS asked her if she could tell her what happened,
Megan put her hands over her ears and said, "don't talk, don't talk."
Ms M. described her fear about her husband entering the apartment, explaining that
before entering the apartment she leaves the children standing at the front door and
dials 911 on her cell phone; she leaves the number on ready, so it can be pushed in an
emergency. She then does a walk through of the apartment to insure her husband is not
there.

Safety Plan

The worker discussed safety plans with Ms. M. She recommended that Ms. M. gather
all vital documents in one safe place, pack a change of clothes for her and the children,
have sufficient cash available in case she has to move in a hurry, and identify a place
she can go unknown to her husband. Ms. M. agreed to these suggestions, saying she
will request the assistance of a friend she has known for many years and will arrange a
code word so others will know to call the police immediately if she calls and is in danger.

Ms. M. had already obtained an Order of Protection, but since she had difficulty serving
him, the worker suggested she hire a process server.

Ms. M purchased new locks for both doors and requested help in getting them installed.
The worker agreed to this, but suggested she might want to explore the possibility of
other apartments with her landlord. Ms M. said she is not willing to do that at the
moment because she likes the apartment and the community and feels safe once she
enters and locks the door from the inside.

Court Involvement

Because of the safety concerns, the worker checked with a legal consultant in the
agency and was told to prepare a complete W865d. Once this was reviewed, it was
decided there were sufficient grounds for a neglect petition (Article 10) against Mr. M.
The worker completed a COI (Court Ordered Investigation) and the court date was
scheduled for 7/20. At the initial hearing Ms M. was assigned an 18B lawyer, and the
case was adjourned for a week.

Mr. M. refused to attend either court hearing. When he talked with the worker, he said a
friend who works for ACS told him there was something wrong with this hearing. "What
is this court date about?" When the worker explained the hearing involves the safety
concerns ACS has about his children, he responded: "I know my wife must have
reported that while we were on vacation, I hit my kids. She's angry and reported that I
hit them in the US because she wants me arrested." When the worker asked if he could
explain what happened, he said, "We went on vacation and she disrespected me by
going on a date with another man... I was fighting with my wife and I took off my belt
and hit my kids. I know I hit them, but I dont abuse my kids." The worker told him it
was in his best interest to go to the court hearing. She also informed him that an Order
of Protection has been issued, which means he must not contact them, go to their

31
residence or the children's school. He is to make no contact and is to stay away from
them.

At the 856 hearing on 7/20, the children were paroled to their mother on condition of
weekly ACS supervision with announced and unannounced visits. Respondent father
was to have supervised visitation with the children upon consent of the law guardian.
And children were to be evaluated, especially for play therapy. (The children did not
want to see their father at this time, but it was hoped they would be able to move
beyond this incident once they were enrolled in therapy).

At the Article 10 hearing on 8/8, the earlier orders were continued. No decision was
made because Mr. M. did not have an attorney; and the judge said he could not have a
court-appointed lawyer because of his income. The hearing was continued until 8/20.
When he appeared at this hearing, Mr. M. still did not have an attorney. The judge
informed him if he appeared again without a lawyer, he would have to represent himself.

Ongoing Contacts

During the approximate 6 weeks after the initial investigation, the CPS worker had 3
visits with the family, made 3 additional unannounced evening visits but no one was
home, and had numerous telephone conversations with Ms. M. and related others. The
workers supervisors reviewed her activities several times during this time. She also
tried to arrange an Elevated Risk conference with a child evaluation specialist (CES).
This conference was never held because the CES worker was unable to work out a time
with Ms. M. due to her work schedule and child care issues.

During this same period the CPS worker received at least 7 calls from Ms. M. Her calls
involved checking on the phone number of the law guardian assigned to the children,
requesting help with the childrens day care fees because she wasnt sure her husband
would pay, and reports of a couple of text messages she received from her husband.
Also, since the department had provided mattresses and bunk beds for the children,
several of her calls related to the fact that her daughter had a severe allergic reaction to
the bed bugs in the new mattress. (The worker eventually arranged for replacement
mattresses).

The workers calls and visits were focused primarily on the childrens welfare and
response to the domestic violence incident. She also followed up to make sure Ms. M.
had contacted the domestic violence program to which she had been referred. During
her visit on 8/3 she talked with the children and then asked them to go play in their
room. When the worker commented that Ms. M. must be concerned her husband was
not following the Order of Protection, Thomas ran into the room and turned the TV up
loud. When the worker asked why he had done this, he ran to his mother and put his
head on the couch. His mother said that whenever his sister mentions daddy, he says
no more daddy and turns the TV up loud.


32
The worker made a visit to the childrens day care program to discuss the childrens
progress. She was told that there had been no real change in the childrens behavior.
When she learned that Ms. M. had only given a copy of the Order of Protection to the
head teacher, she said that each teacher should have a copy and called Ms. M. to
remind her she must give each person a copy in order to protect the children.

On 8/17 the worker met with the family and the childrens maternal grandmother (whom
Ms. M. had named as her main support) at the day care center. During that meeting
Ms. M. said she wanted to look for a new apartment. She was very nervous about
staying in her current home. Ms. M. told the worker she would like to get some
counseling for herself because she keeps having flashbacks to DV incident in Jamaica.
She is worried that the children may also be having flashbacks and thinks they should
have counseling too. When asked what she does to relieve her anxiety, she said she
prays.

On 8/17 in the evening, the worker met with the mother and the children at the home of
the babysitter whom Ms. M. had hired to cover while she is looking for a new apartment.
Although she still seemed very anxious, the children were reportedly doing well and
related comfortably to the worker.

Elevated Risk Conference

On 8/30 an Elevated Risk Conference was held with Ms. M, the worker, and a child
evaluation specialist. They discussed the history of domestic violence in the family. Ms.
M. said they had several incidents in the past when her husband would get very angry,
bump her and put his finger in her face. Thomas would run into the middle of them and
say, Dont talk to my mommy like that. Mr. M. would then go to the apartment he
shares with his mother in Brooklyn for the weekend. There were two prior complaint of
domestic violence in 2002 and 2003 when Ms. M. called the police after fights in which
he hit and choked her. However, the incident in Jamaica was the only one in which
their father hurt the children physically in any way.

Ms. M. said Megan is very anxious to see her father and keeps asking to call daddy.
She sometimes plays with toys and calls them daddy. She covers her ears if anyone
gets loud. Thomas is willing to talk with his father, but he doesnt want to see him. Ms.
M. wants her children to see their father, but she doesnt know how they can ever have
a normal relationship.

She also mentioned that before the incident in Jamaica, they had a very close
relationship with her husbands brothers and they are her childrens godfathers. They
havent said anything to her since the incident, but she is afraid to have her children visit
them because their father may be there.

The child evaluation specialist said it was very important to get Mr. M. involved in
services such as anger management and batterers counseling. The plan
recommended was that the CPS worker would continue monitoring the family, make

33
strenuous attempts to engage Mr. M, and follow up on the referral of Mrs. M. to a
domestic violence program.

A formal supervisory review was held on 8/31. It was noted that Mrs. M. response to
the domestic violence was more than appropriate. She was always focused on
safeguarding the children and removing them from the potential for more damage. She
is looking forward to becoming engaged with a preventive service program that can help
her deal with the domestic violence and other family needs.

34

Real Cases Project: The Mary S. Case Study

35
Real Cases Project:
The Case Studies

MARY S. CASE STUDY

Case Details

Borough: Manhattan
Source of Report: Mother
Date of Initial Home Visit: 9/29/2007


Adults: Mary S., maternal grandmother and legal guardian
Susan, biological mother

Children: Jason, 15 y/o

Case Details

Allegation: The boys mother, Susan, alleged that Mary S., the boys maternal
grandmother and legal guardian, is physically abusive and intimidating to 15yr old
Jason. Yesterday 9-28-07, she reportedly punched the adolescent in the face after she
told him to clean his bedroom. This is not the first time Mary has used physical force to
intimidate Jason. He is afraid of his grandmother, as she has threatened to shoot him if
he ever hits her back. Also, the grandmother goes out of town for days at a time and
does not leave Jason any money for food. The last time she left was on Saturday and
she did not return until Monday. Mary does not make an alternate plan for Jasons care
when she travels out of state.

Jasons mother, Susan, says she and her husband gave custody of him to her mother
when she was 17 because they did not have any health insurance. Susan says she
went to court and filed a petition to revoke her mothers guardianship and the next court
date is October 26, 2007. However, she has to serve her mother the paperwork first.
Susan says her mother is a retired New York State corrections officer, and she may still
have her weapon.


36
Family Background

This African American family consists of the 53 year-old maternal grandmother, Mary;
her 32year old daughter, Susan; Susans 15year old son, Jason; her 9 and 5 year old
sons; her 43 year old companion, Stanley; and Stanleys 2 daughters, aged 13 and 18.
Mary is a retired corrections officer. She receives $6400.00/month in pension benefits
and an undisclosed amount from disability. Mary has diabetes and high blood pressure
and takes medication for the condition. Mary was granted legal guardianship of Jason
in December 1992, when Susan was 17-years old. It was documented that Susan and
Jasons father signed over guardianship to Mary, so that Jason could be covered by her
medical insurance. Since that time, Jason has alternated between living with Susan and
with Mary. Susan moved to Chicago while Mary continues to reside in NY. Jasons
father is deceased; the cause of death was not mentioned.

In the summer of 2006, Jason asked to live with Mary and has resided with her ever
since. Susan filed a petition in June 2007 for modification of guardianship that was
awarded to Mary in 1992, but the case was dismissed because she failed to appear in
court. In September 2007, she filed another petition regarding the matter of
guardianship; the judge requested that ACS submit a COI (Court Ordered Investigation)
by October 21, 2007.

A courtesy visit to Susans home was conducted by Illinois Child Protective Services
due to the COI request. Susan resides in Chicago suburb with Stanley, her two other
sons and Stanleys two children. They live in a two-story home with three bedrooms.
The home was equipped with carbon monoxide/smoke detectors however there were
no window guards. Susan works at a grocery store and earns $650.00/bi-weekly.
Stanley works at a hardware store and earns $800.00/bi-weekly. Stanley has a criminal
background. During 1984-1989, he was arrested for attempted robbery, resisting arrest
and possession of stolen property. He was imprisoned in 1989 and paroled in 1992.

Mary and Jason reside in 3-story private home in Upper Manhattan. The living room
and kitchen are on the first floor. The worker observed food in the refrigerator. The
family room Jasons bedroom, bathroom and laundry room are located on the second
floor. Jasons room is equipped with a full size bed, dresser, desk and closet. Mary
lives on the third floor, which has an office, bathroom and bedroom. The home, which is
well kept and neat, is equipped with a smoke/carbon monoxide detector.

Jason is dark-skinned, slightly overweight, average height, and has a short haircut. He
began a new Catholic high school this month. Mary pays the tuition for his school. He
was reportedly left back in the 6
th
grade while residing with his mother due to excessive
absences. Jason is active in sports and plays baseball. This past summer he
participated in baseball camp, karate class and weight training. In addition, he attended
tutoring for math and English, once a week. The CPS worker observed that he was free
from marks and bruises. Reportedly, he has had no developmental delays or
disabilities, and no mental health needs.


37

The S. Family first became known to ACS on 9/29/07, at 6:06 p.m. when the mother of
the alleged maltreated child filed a complaint with the State Central Registry. At 6:08 an
Emergency Childrens Services worker was assigned the case for intake. When the
case was received, the CPS conducted family clearances in WMS, CCRS, ACRS+,
LTS, and the SCR. It was noted that the alleged subject, Mary S. is listed in
Connections as a foster parent.

CPS called the source of the report in Illinois to confirm the allegations. The source, the
alleged maltreated childs mother, confirmed what was reported, and also informed the
CPS that she filed a petition with Family Court to terminate the guardianship rights of
Mary S. She told the CPS worker that she had her other two children in her care, she
had not relinquished her parental rights of Jason, and she is seeking to have him live
with her again. She also disclosed that Jason often called her crying and told her that
he fears his grandmother. Jason told her that Mary S. punched him in the face for not
cleaning his room fast enough when he was asked to. She said this incident was not the
first time Mary S. has used excessive corporal punishment while disciplining Jason.
The source also disclosed that Mary S. has left Jason home alone for days at a time,
the last incident having taken place the week before when she traveled to Boston
without him. Mary S. reportedly left Jason without adult supervision and money for
food. The source expressed her concern for Jasons safety and well being, because
Mary S. is a retired corrections officer that might still have a gun in the home.

Later that evening on 9/29 at 11:21 p.m., another worker attempted an unannounced
home visit to the case address, but was unsuccessful. The CPS worker attempted to
make contact with anyone who might have been at the case address by repeatedly
using the intercom that was located at the top of the stairs, as well as calling the home
telephone number listed on the intake report.

The case was reassigned to the Manhattan field office the morning of 9/30 and
assigned to a CPS worker who attempted an initial home visit at 5:00 P.M. There was
no one home then, but the worker made face-to-face contact with the family at 7:30 AM
the next morning, 10/1

Interviews

On 10/1/07, the CPS worker interviewed Mary and Jason at their home address. She
explained the reason for the CPS visit and asked Mary to discuss her relationship with
Jason. Mary began by saying that she and Jason get into conflicts because he does
not listen. She stated that he did not clean his room or bathroom and did not do his
homework when he was supposed to. Mary informed the CPS that she has had legal
custody of Jason since his birth. She showed the CPS the court documents and the
letters Jasons parents wrote to the court. Until 2004, Jason lived with Susan. In the
summer of 2004, Jason visited her with his two brothers and stayed with her since that
time. The worker inquired about the reason why he stayed, and Mary stated that

38
Susans boyfriend, Stanley, punched Jason in the stomach. Mary stated she does not
like the way Stanley treats the children. She also said that all of the children wanted to
stay with her, but Susan would not allow it.

Jason told her that Stanley had his older son get a knife and cut his younger brother on
the back of the foot. He also told her Stanley knelt down and punched him in the face.
The 9 year old reportedly saw a gun in Susan and Stanleys bedroom. She said she
has told Stanley not to put his hands on her grandchildren. She asks her grandchildren
if anyone has bothered them, but the children are afraid to disclose any information.
She feels Susan does not protect the children. Mary S. contacted the Child Protective
Services in Chicago, but they did nothing.

Mary continued that she is very strict with Jason because she wants the best for him.
She did not feel that that he would do well living with Susan. He was left back in the 6
th

grade because Susan allowed him to miss 34 days of school. Mary stated she lives for
her grandchildren. Jason has his own phone and is allowed to speak with his mother at
anytime. Mary said Jasons problem is that he is lazy and does not like to do what he is
told. She sent Jason away to baseball camp last summer and had him participate in
weight training.

The CPS worker asked Mary if she punched Jason in the face. She stated that she told
him to clean-up, but got fed up with him and punched him in the face. The worker
asked if she hits him often, and she said that she has hit him only five times in his life.
She usually yells at him or takes things away. She denied leaving any marks or bruises
on him. She also denied hitting him with an object, but said when he was little, she
spanked him with a belt. Mary told the CPS that she has diabetes and high blood
pressure so she cannot get worked up. When the worker asked if they get along except
for cleaning issues, she said yes.

Mary explained that she is trying to rescue Jason from being a deadbeat. He has no
positive male influences, and she is trying her best to teach him dignity. She does not
want to hurt him, she just wants him to grow up and be something. Mary admitted that
she becomes hot headed when Jason does not listen. The worker asked if she thought
Jason would benefit from counseling, and she stated she would be willing to accept
services. Mary refused to provide her social security number and sign the HIPPA form,
but she gave the contact information for Jasons physician.

The worker met with Jason and first asked him about his summer. He relayed the he
attended baseball camp, karate class, and weight training. He also said that he has
friends and speaks with them on the phone or when he goes outside. When asked if he
likes his new high school, he said that he has made a lot of friends because of his
involvement in sports. The worker asked Jason to describe his relationship with
grandmother, and he said they get into disagreements because he does not do what he
is told. He does not clean his room and bathroom when she asks. When the worker
asked him if he liked living with his grandmother, he responded that he did, but missed
his brothers. Asked if he wanted to live with his mother, he replied, of course, what

39
child doesnt. He continued that he wished he could live with both his mother and
grandmother, but knew it was impossible. The worker asked why and he said because
they do not get along.

Jason informed the CPS that he saw his brothers in June for his birthday and
graduation. He also stated that he went to Chicago for his spring break. He stated he
speaks with his mother daily. The worker asked Jason if he was scared of his
grandmother, and he said no. Asked how he is disciplined, he said that his
grandmother yells and curses at him. She hit him recently because he did not do what
he was told. When asked where he was hit, he replied that she punched him in the
face. The worker asked Jason about the last time she hit him, and he said about a year
ago. In addition, she has thrown a boot at him, and it hit him in the arm. The worker
asked if his grandmother threatened him, and he replied that she told him she will shoot
him if he hits her. The worker asked if she has a gun, and he said he did not know.
The CPS asked if he ever stayed home alone and he said, no.

The worker attempted to contact his mother, the source, but she was unable to reach
her. She contacted the pediatrician, Dr. S, who confirmed that Jason was seen on
6/29/2007. Dr. S. stated Jason has been coming to his office since October 2004, when
he moved in with Mary. He relayed that he has never seen any marks and bruises on
Jason. The CPS asked Dr. S if he suspected that Jason was abused and he said, no.

On 10/7/07, the CPS met the source, Susan, in court and spoke with her about the
case. The CPS asked Susan to discuss the issues and she responded that Jason is
constantly calling her stating he wants to come home. Jason has made continuous
complaints about his grandmother cursing at him and not feeding him every day. Susan
stated that she does not like what is going on. The only reason she allowed Jason to
stay since 2004 was because he asked to, but now he hates his grandmother. The
worker asked how she knew he was punched in the face, and she said he called her
crying about it. She added that Jason had wanted to stay with his grandmother to
complete junior high school and return to Chicago for high school. She is petitioning to
terminate guardianship and that was the reason she was in court.

The worker received a message from Mary regarding the petition that Susan filed for
custody. When she spoke with Mary in court, Mary said she does not want Susan to
obtain custody. She feels that Jason will not have the same opportunities if he leaves.
She just wants him to graduate from high school, and then he can do whatever he
wants.

On 10/10, the CPS received a request for a Court Ordered Investigation that was due
on 10/21/07. Also, the court ordered the Child Protective Office in Illinois to complete a
home study. On 10/14, the CPS worker contacted Marys sister, Dorothy E. and asked
her to describe her sister as a grandmother. Dorothy stated that her sister is very
caring, supportive and concerned for her grandchildren. She stated that she has never
observed any marks or bruises on Jason. She said Mary and Jason are close, and he
never said he was abused. Asked if she knew where Jason wanted to live, she replied

40
probably with his mother because he misses his brothers. However, Dorothy believes
that residing with Mary would be the best for him because he is more adequately cared
for. The CPS asked Dorothy if Mary uses drugs and alcohol. Dorothy stated that Mary
was a corrections officer and a role model for the family. The worker asked if she had
any concerns for the child, and she responded that she is worried that all of these
current issues may affect Jason psychologically.

The CPS worker contacted Marys neighbor, Mr. B. to discuss his relationship with her.
Mr. B. stated that he has been friendly with Mary for eight years. The CPS asked what
Mr. Bs perception of Jason was, and he relayed that Jason is a good and happy child.
He stated that Mary is a good caretaker and takes adequate care of Jason. The CPS
asked Mr. B. if Jason disclosed that he was abused and he replied no. Mr. B. stated
that Jason had his phone number and was told if he needed to discuss male issues to
contact Mr. B. Mr. B. denied having seen any marks or bruises on Jason. He denied
any knowledge of Mary abusing drugs or alcohol. He stated that Mary keeps to herself
and rarely has guests over to her home. The CPS asked if Mr. B. had any concerns for
Jason and he said no.

The CPS worker called Diane G., a friend of Susans for a reference. Diane said that
she has been friendly with Susan for four years. The CPS asked Diane how often she
sees Susans boys, and she said she sees them often. She said that the children
appear happy and they were clean. Diane stated she has not observed any marks and
bruises on the children. She felt the kids are well cared for. Susan is a good mother,
very caring, and always there for her children. Asked if she had ever met Jason, she
said yes. Jason gets along well with his mother, and they are respectful towards each
other. The worker asked if Susan misused drugs and alcohol, and she said no. Also,
she stated that Susan did not have people coming in and out of the home.

The CPS contacted Tara J., another friend of Susans. Tara said that she has known
Susan for two years. She does not see the children often, but she speaks with Susan
often. Tara denied knowing of any drug/alcohol use. She has never observed any
mark or bruises on the children. Tara stated that Susan is very good with her children
so she does not have any concerns. She feels that Susan could care for all the children
including Jason. She said she has never suspected any abuse and thinks the children
are well taken care of.

On 10/19 the worker made an unannounced visit to Marys home. She asked Mary how
things have been going. She responded that Jason has been doing well in school thus
far. Mary denied that Jason was acting any differently since their last court date. She
said he has been his normal self. Mary told the worker that they return to court on
10/26, and she will let the judge make the decision. She would not fight the decision,
but she is still not in agreement with Jason living with his mother. She wants what is
best for him, but does not feel that it is with his mother.

The worker spoke with Jason about school, and he said it was fine. Asked if he was
worried about the court matter, he said that he did not feel his grandmother and mother

41
should be in court. They should settle it within the family. Asked what he wanted the
outcome to be, he stated that he wanted to go with his mother. He misses his brothers
and his mother. The worker then asked how he felt about his grandmother, and he said
he felt the same. He knows that his grandmother just wants him to make something out
of himself and that she had his best interest in mind. He denied having any recent
arguments and being hit by Mary. The worker asked when he last spoke with his
mother, and he said the night before. Asked how he felt when he spoke to her, he said
that he was happy but sad when he would hang up.

The CPS asked Jason if he liked Stanley, and he said yes. Jason stated that he was
nice and that they get along. Asked if Stanley ever hit him, he said yes. On one
occasion Stanley punched him in the face because he was not listening. Another time,
Stanley punched him in the chest, in the presence of his mother for being smart to
him. His mother did not say anything because he was being disrespectful. When the
worker said to Jason, and you still like him, he replied, yes, because Stanley provides
for him and his brothers. Also, Stanley buys food and clothes for them. He stated that
Stanley is like a father figure since his father died.

The CPS asked if Stanley ever hit his brothers, and he said they have gotten a few
spankings. They were hit with a belt. Jason then described an instance where Stanley
beat the 9 year old because Susan was too upset. He was beaten for two minutes
because he stole money from his mothers bag. Asked if his mother hit him, he said
yes, but only on serious cases. He was spanked a few times, but usually his mother
talks to him or takes something away from him.

On 10/21, the CPS worker submitted the COI to the Manhattan Family Court. On
10/28/07, the CPS left a message for Mary regarding the outcome of the court hearing.


42

Real Cases:
Across the

TEACHING GUIDES

Social Work Research, Michael Phillips
Human Behavior and the Social Environment,
Rozetta Wilmore-Schaeffer
Social Welfare Programs and Policies, Michele Sanzone
Generalist Social Work Practice, Carol S. Cohen
Social Work Practice with Communities/Community Organizing,
Charles Trent
Social Work Practice with Organizations/Administration,
Gerald Mallon
Social Work Practice with Groups, Shantih Clemans
Family-Oriented Social Work Treatment, Manny Gonzalez
Child Welfare Policy and Program Analysis, Bryan Warde
Social Work Ethics, Elaine Congress
Social Work and the Law, Elizabeth Palley
Social Work with Children, Julie Altman
Social Work Supervision, Janet Abbott
Real Cases Project: Teaching Guide for Social Work Research

43
Real Cases Project:
Social Work Research

Michael Phillips, DSW
Professor
School of Social Service, Fordham University
Lincoln Center Campus New York, NY 10023
[email protected]

INTRODUCTION

A. Overview of this Course within the Social Work Curriculum

When the first social work training program was founded, teaching strategies and
research was one of the three courses that program provided. Since that time, research
has always remained a part of the social work curriculum. This does not mean
however, that from school to school the course is taught in the same way. Some social
work programs teach it all in the foundation year curriculum and others have a course or
courses in each part of the curriculum. What they have in common is the demand of
CSWE that research be taught, and that it go beyond teaching the ability to competently
read a piece of research. In recently years with the push to evidence based practice
there has been a further support for an in-depth understanding of research methods.

Given the current curriculum demands and differences in approach among the various
schools, the teaching strategies and assignments suggested here are universal in
nature and connect to broad areas of research learning. Research, whether
quantitative or qualitative, follows a set of steps. The learning activities here will reflect
this process. Research begins with creating a clear definition of the problem to be
studied. This is followed by a literature review to clarify what is known and not known
so as to have a conceptual understanding of the problem. Subsequent to that is the
process of data gathering (including issues of sample and measurement). The process
ends with an analysis of the findings and an identification of the use to which the
findings can be put.

B. Relevance of Case Studies to Course

The three case studies provide an opportunity to explore each of these areas.
Ultimately research fails not because of technical issues but failures in
conceptualization. How is it we understand the term neglect? Given the common use
of the category Abuse and Neglect is there no difference between the two? How are
efforts to apply structural analytic measurements useful to case understanding? Moving

44
from case to cause, there is the question of how research based methods can offer
structure to the handling of such cases? Finally it is important to say that the writer of
this curriculum subscribes to the idea that learning is a discovery process facilitated by,
not directed by, the professor. As such the teaching strategies and assignments reflect
the active involvement of the students in the learning process.

For each of the specific learning areas identified specific class activities, assignments
and readings will be suggested. In addition to specific readings, students should be
asked to become familiar with the following sources on information on child neglect: the
Child Abuse and Neglect, Child Abuse Review and Child Welfare Journals and the
materials available from the National Clearinghouse on Child Abuse and Neglect. It is
anticipated that the instructor will use the cited readings as a general framework since
readings, (while classic pieces do exist), go out of date and professors have personal
styles that need to be acknowledged.

C. Specific Learning Objectives Related to Using these Cases in this Course

Along with the readings the cases are a vehicle for students learning the skills
necessary to:
Define how a particular case fits within a larger conceptual definition of the
problem at hand;
Utilize standardized instruments to help in the early identification needs;
Understand how service tracking is an integral piece of good service provision;
Understand how basic research skills can strengthen practice.

D. Overview of What is Included in this Guide

This guide is based on the premise that research and direct practice are integrally
related. In order to understand the difference between fact and belief it is important to
learn how definitions are impacted by culture, race, class and the role of the definer.
Strategy one addresses this issue. Further, since students need to know how to
understand the ecology of a problem strategy two uses the skills learned in defining a
problem to explore the issue of causality and develop skills in researching what is
known about the etiology of child neglect. Conceptual mapping is a skill that relates
directly to the issue of causality. Students are often resistant to the use of standardized
instruments and so one module is devoted to the use of standardized instrument.
Particular emphasis is placed on how standardization can assure quality services
defined by client need rather than the idiosyncratic nature of personal beliefs. Finally
there is an effort to show how tracking a case can prevent the tragedy of cases slipping
through the cracks.


45
TEACHING STRATEGIES

A. Strategy One: Defining Neglect

1. Area/issue of the case studies to be highlighted:
The studies highlight differences in how various persons conceive of child
neglect. One of the things that research can do is to help students see:
1. the need for conceptual clarity and
2. how values impact upon ones understanding of a case.

2. Timing within the semester:
The activities described need to come early in the semester when one explores
the basic steps in beginning the research process. In all research the first step
involves creating a clear statement of the research question. To do that one
must be clear about the terms being used. This is explored through a series of
progressive activities. Some take place in class, either individually or collectively,
and others are outside assignments that are brought back to class for further
exploration.

3. Teaching methods:
These cases have been defined in various ways. Common to the definitions
(inadequate guardianship, inadequate supervision, chronic mental illness, and
domestic violence) is the general category of child neglect. Common to the
literature in the field of child maltreatment is that through the use of the term
abuse and neglect two different conditions with quite different etiology have
been merged. What we want the students to do is unpack that phrase so as to
be clear about what is meant by the term child neglect.

The learning process involves students obtaining clarity about what the term child
neglect means. Two approaches to this are suggested below.

Approach one involves asking students to bring to the next class the definition of
child neglect used in two different States. Students will share the definitions
they have obtained. What will become clear in the class discussion is that while
child neglect is a widely used legal term it is defined differently in different
geographic areas. In addition the legal and commonly held definitions are
unlikely to be the same. For example, in some states the definition is based
upon the childs condition, and in others it is defined in terms of parental action or
fault. Similarly, while social workers may define neglect in terms of child well
being lawyers are likely to demand clear evidence that the parents behavior
resulted in specific physical damage or impairment or some identifiable symptom
of emotional damage to the child.


46
If the reason to intervene is to protect the child, then neglect must infer that the
care being given, or not given, by the parent is harmful to the child. Neglect can
also be defined in terms of increasing the risk of harm to the child. This is further
complicated by the fact that child development researchers are not totally agreed
on what is essential for child development. Finally, it should be noted that the
standard for what is child neglect will vary by the standards of the local
community, by culture, and by social class.

The second approach also has several steps:
Step 1. In class, students are asked to write down their own definition of child
neglect. Students will then share their definitions. The elements of the students
definitions should be listed on the board. In exploring the divergent views, the
professor should stress that since decisions about whether the client is to receive
services or not, or even whether a child will be removed from the home, depends
upon professional judgments, it is extremely important that professionals agree
on the definition of child neglect if clients are to receive equal treatment.

Students will be asked how, if at all, the definition is impacted by race, social
class, and role of the perceiver (policeman, social worker, attorney, etc). For
example the professor might ask: You have mentioned the child being left at
home under the care of a sibling, how old do you think an older sibling needs to
be to take care of a 5 year old child when a single mother is out at work? One
can also explore how geographical area might impact the definition given that
there are still states in which teachers can paddle the children for misbehavior.
The discussion will highlight how values play a part in the definitions we use,
providing an opportunity to discuss the post modern position that all knowledge is
contextual. The in-class activity should end with a commonly agreed upon
definition of child neglect.

Step 2. Students are assigned to review the literature on child neglect and select
a commonly held definition of child neglect. They are then to write a brief paper
that discusses how the definition created in class compares with the definition
they found in the literature. Questions to be explored in the paper are: What
was missing? How comprehensive was it? Why would the identified differences
occur in the interpretation of such a commonly used term? (This second step
can be used as the evaluation of the activity)

Before moving on, whether approach one or two was used, the professor should
use this exercise to emphasis the need to reduce the breath of ones definition if
one is to have a commonly accepted definition.

4. Materials:
None


47
5. Supporting readings:
It is well to use an early and a recent piece from the selections below so the
issue of changes of definitions over time can be considered. For example one
might use the Straus and Kantor paper along with the Zuravin. Articles are
usually easier to obtain unless your social work program has an electronic
reserve that has the selections.

Murray A. Straus and Glenda Kaufman Kantor, Definition and measurement of
neglectful behavior: some principles and guidelines

Child Abuse and Neglect
Volume 29, Issue 1, Pages 1-96 (January 2005) Pages 19-29

Review Vol 29, Issue 5, (May 2005) of Child Abuse and Neglect journal Pages
441-511 and 533-551 have a number of articles dealing with the topic of defining
child maltreatment including child neglect.
M. Giovannoni and R. M. Becera, Defining Child Abuse (New York: The Free
Press, 1979).
S. J. Zuravin, "Suggestions for Operationally Defining Child Physical Abuse and
Physical Neglect," in R. H. Starr and D. A. Wolfe, eds., The Effects of Child
Abuse & Neglect (New York: Guilford Press, 1991).
M. Wald, "State Intervention on Behalf of Neglected Children: Standards for
Removal of Children from their Homes, Monitoring the Status of Children in
Foster Care and Termination of Parental Rights," Stanford Law Review
28(1976):637.

Bensley-L et al. General population norms about child abuse and neglect and
associations with childhood experiences Child Abuse and Neglect. 28(12): 1321-
1337, Dec 2004.

6. Evaluation plan:
The evaluation procedure described here is used for approach one and for
evaluating approach two if the professor chooses to not use step two as an
evaluation technique. Students are asked to write a few sentences to identify
what they have learned from the activity. What students are expected to learn is
that common definitions require reduction to a common core idea and learn how
values impact upon how commonly used terms are defined.

B. Strategy Two: Conceptual Mapping of Child Abuse and Neglect

The second step in research is to identify what is known. While a single best
practice intervention model has yet to be developed in the child neglect area it
remains important that the child welfare worker have an understanding of what

48
might be causing child neglect. In the process the student will learn to create
conceptual maps of a domain. Creating a conceptual map of child neglect, (not
unlike doing an eco-map of a clients life space), enables the social worker to
better plan the intervention strategy to be used. Students will be asked to reduce
what is known from the literature into a systematic mapping of the problem area.

2. Timing within semester:
This assignment is designed to be used when the class is exploring issues of
causality and inference. It also is useful when making the distinction between an
indicator and a causal factor. The assignment also allows one to explore the
nature of independent, dependent, moderating and modifying variables.

In any situation of risk, one needs to identify the causes of child neglect if one is
to intercede, especially if intercession is to be on the primary level rather than on
the tertiary level represented in these cases. This activity begins by the students
reviewing the literature to identify what is known about the causes of child
neglect. They are asked to develop for submission a graphic picture of the
relationship of the various forces that are associated with the development of
child neglect. In the subsequent class students will share their mapping of the
factors associates with child neglect.

The activity will provide an opportunity to talk about the follow issues:
a. What is a cause of and what is an indicator of child neglect. For
example if 43% of neglect cases in the 1988 NIS-2 study found that
the evidences of parental neglect cited were children living in
unsafe housing, not being fed nutritionally adequate meals, and not
having adequate clothes the question remains what is the cause of
the neglect? Is it poverty or something about the parent that
causes child neglect?
b. What are causal variables? The class should be able to recognize
that such variables must precede the dependent variable and the
dependent variable must vary with the severity of the condition.
Also one can explore what variables might modify the causal
relationship (such as is true of resiliency factors)?
c. What is the difference between a statistically significant variable
and meaningful variable? (An attribute may be statistically more
frequent among neglectful parents but be true of far fewer then half
the neglectful families. Should we be using such a variable in
identifying who is at risk?)

4. Materials:
None


49
These readings reflect a variety of ways people have defined the ecology of
neglect. Basically, some articles argue a view that suggests that neglect is as
much determined by the deprivations that the client faces and others see it a
more due to individual factors. The titles are suggestive of different views. Once
again, articles may be easier to obtain over the Internet and thus are perhaps
better selections.

N. A. Polansky et al., Damaged Parents (Chicago: University of Chicago Press,
1987)

N. A. Polansky, P. W. Ammons, and J. M. Gaudin, "Loneliness and Isolation in
Child Neglect," Social Casework 66(1985):38-47.

N. A. Polansky et al., "The Psychological Ecology of the Neglectful Mother," Child
Abuse and Neglect (1985):265-275.

J. Garbarino, "The Human Ecology of Child Maltreatment: A Conceptual Model
for Research," Journal of Marriage and the Family 39(1977):7221-7235.

J. Belsky, "Child Maltreatment: An Ecological Integration," American Psychologist
4(1980):320-335.

S. J. Zuravin, "Child Abuse, Child Neglect and Maternal Depression: Is there a
connection?," in Research Symposium on Child Neglect (Washington, DC: U.S.
Department of Health and Human Services, National Center on Child Abuse and
Neglect, 1988).
Elmer, E. "Etiology of Emotional Maltreatment." In Social Work Treatment With
Abused and Neglected Children, edited by C. M. Mouzakitis and R. Varghese.
Springfield, IL: Charles C. Thomas Publisher, 1985.
Hegar, R. L., and Yungman, J. J. "Toward a Causal Typology of Child Neglect."
Children and Youth Services Review 11(1989):203-220.
Horwath, J. Identifying and assessing cases of child neglect: learning from the
Irish experience. Child and Family Social-Work. 10(2): 99-110, May 2005.

Roditti, M.G. Understanding communities of neglectful parents: child caregiving
networks and child neglect. Child-Welfare. 84(2): 277-298, Mar/Apr 2005.

Ernst, J.S; Meyer, M; DePanfilis, D. Housing characteristics and adequacy of the
physical care of children: an exploratory analysis. Child-Welfare. 83(5): 437-452,
Sept/Oct 2004.


50
McSherry, D. Which came first, the chicken or the egg? Examining the
relationship between child neglect and poverty. The British Journal of Social
Work. 34(5): 727-733, July 2004.

Hazen-A-L; Connelly-C-D; Kelleher-K; Landsverk-J; Barth-R Intimate partner
violence among female caregivers of children reported for child maltreatment.
Child Abuse and Neglect. 28(3): 301-319, Mar 2004.

DiLauro,M. Psychosocial factors associated with types of child maltreatment.
Child-Welfare. 83(1): 69-98, Jan/Feb 2004.

Connell-Carrick, K A critical review of the empirical literature: identifying
correlates of child neglect. Child and Adolescent Social Work Journal. 20(5):
389-425, Oct 2003.

Cash, S. J; Wilke, D.J. An ecological model of maternal substance abuse and
child neglect: issues, analyses, and recommendations. American Journal of
Orthopsychiatry. 73(4): 392-404, Oct. 2003.

Sidebotham, P; Heron, J; Golding, J. Child maltreatment in the "Children of the
Nineties:" deprivation, class, and social networks in a UK sample. Child Abuse
and Neglect. 26(12): 1243-1259, Dec. 2002.

Arad, B.D. Parental features and quality of life in the decision to remove
children at risk from home. Child Abuse and Neglect. 25(1): 47-64, Jan. 2001.

MacLeod, J; Nelson, G. Programs for the promotion of family wellness and the
prevention of child maltreatment: a meta-analytic review. Child Abuse and
Neglect. 24(9): 1127-1149, Sept. 2000.

Dube, S.R. et al. Growing up with parental alcohol abuse: exposure to childhood
abuse, neglect, and household dysfunction. Child Abuse and Neglect. 25(12):
1627-1640, Dec. 2001.

6. Evaluation plan
Students will be asked to add to their conceptual map a critique of what was
missing in their formulation and submit that to the next class

C. Strategy Three: Development and Use of Standardized Instruments

There is no real evidence of best practice in child neglect, only reports from
demonstration projects that have shown mixed results. The interventions at this
point only provide information on what should be included in a good child neglect
intervention (Intervention references are included in the readings below should

51
the professor wish to explore intervention issues.). The literature suggests the
need for a multifaceted intervention including such elements as use of groups,
intensive intervention to obtain resources, structured training in child rearing
skills, and goal oriented problem focused work. Given the lack of a best practice
model, assignment three will focuses not on what research can tell us about the
ideal intervention, but on what we know that can help us in:
1. the assessment process, and
2. in evaluating progress.
Through the review of risk assessment instruments and adequacy of child care
and identification of domestic violence, the class will be able to explore issues of
instrumentation. It will also allow for the discussion of the resistance to the use
of structured measurement.

This activity is designed to be done at the point in the research class when one is
teaching about the development of instruments, including the discussion of
reliability and validity. It is meant to introduce both the use of research based
scales in practice and highlight the issues of reliability and validity.

After the professor has covered the issue of scaling and/or the issue of reliability
and validity of measures, the professor should introduce how standardized
measures can help in the assessment process. This assignment is designed to
reinforce that material through a review of real world instruments. One can
discuss in class how the outcome in the three cases might have been different if
a validated standardized assessment had been used. Consistent with these
cases are scales on child well being, adequacy of care, and scales in the area of
domestic violence. A group of scales are included in the reading list. This list is
not comprehensive and students can find other relevant scales, such as the risk
assessment scales that have been developed and would be relevant in this case.

Students are asked to choose one of the listed assessment scales or some other
standardized assessment instrument that they have found that is relevant to the
cases. They are to review the available research on that scale. At that point they
are to write a brief paper evaluating how well the scale covers the relevant
domains identified as relevant in child neglect. What is it that they are identifying
and what is being excluded will be explored. They are to report how the scale
was developed, with whom was it tested, how was its reliability and validity
tested. Finally, students should discuss the usefulness and difficulties of using
the standardized method in practice.

This activity can also be done by having groups of students work on different
scales and have a debate in class why their scale should be used over all others
by discussing the above issues. This activity highlights how one makes
judgments about the adequacy of a scale.


52
4. Materials:
None

a. Samples of existing instruments:
Alan J. Litrownik et al. Measuring the severity of child maltreatment Review of
Child Abuse and Neglect. Vol 29, Issue 5, (May 2005) P. 553-573.
N. A. Polansky et al. "Assessing the Adequacy of Child Caring: An Urban Scale,"
Child Welfare 57(1978):439449.
S. Magura and B. S. Moses, Outcome Measures for Child Welfare Services (New
York: Child Welfare League of America, 1986).
J. M. Gaudin, N. A. Polansky, and A. C. Kilpatrick, "The Child Well Being Scales:
A Field Trial," Child Welfare 61(1992):319-328.
B. M. Caldwell and R. H. Bradley, Administration Manual, Revised Edition: Home
Observation for Measurement of the Environment (Little Rock: University of
Arkansas, 1984).
Grietens,H; Geeraert, L; Hellinckx, W. scale for home visiting nurses to identify
risks of physical abuse and neglect among mothers with newborn infants. Child
Abuse and Neglect. 28(3): 321-337, Mar 2004.

Jones, J. W. (1982). Preliminary Test Manual: The Children of Alcoholics
Screening Test: (CAST) Chicago: IL; Family Recovery Press. Measures
children's and adults' attitudes, feelings, perceptions, and experiences related to
their parents' drinking behavior; also identifies probable children of alcoholics
(CoAs) and adult children of alcoholics (ACoAs). Reviewed in Conoley, J. C., &
Kramer, J. J. (Eds.). (1989). The tenth mental measurements yearbook. Lincoln,
NE: Buros Institute of Mental Measurements.

Straus, M. A. (1996). The Revised Conflict Tactics Scale (CTS2): Development
and preliminary psychometric data. Journal of Family Issues, 17, 283-316.

Hegarty, K., Hindmarsh, E., & Gilles, M. Domestic violence in Australia:
Definition, prevalence and nature of presentation in clinical practice EMJA. The
Medical Journal of Australia. Retrieved on February 1, 2009 from
http://www.mja.com.au/public/issues/173_07_021000/hegarty/hegarty.html


53
b. Intervention literature:

Berry, M; Charlson, R; Dawson, K. Promising practices in understanding and
treating child neglect. Child and Family Social Work. 8(1): 13-24, Feb. 2003.

Videka-Chairman, "Intervention for Child Neglect: The Empirical Knowledge
Base," in Research Symposium on Child Neglect (Washington, DC: National
Center on Child Abuse and Neglect, 1988).
Gaudin et al., "Effective Intervention with Neglectful Families., Criminal Justice
and Behavior. 20. 1993
P. T. Howing et al., "Effective Interventions to Ameliorate the Incidence of Child
Maltreatment: The Empirical Base," Social Work 34(1989):331.

Turney, D; Tanner, K. Working with neglected children and their families.
Journal of Social Work Practice. 15(2): 193-204, Nov. 2001.

6. Evaluation plan:
Here the evaluation would be based upon the competence of the papers or of the
groups class presentation. The competence would be judged on:
1. Were they able to identify and critique how the reliability of the
instrument was determined?
2. Were they able to identify and critique how the validity of the instrument
was determined?
3. Does the critique identify all aspects of the previous conceptualization
of the Domains of abuse/neglect that have not been included in this
measurement instrument

D. Strategy Four: Development of a System for Tracking Service Delivery

1. Area/Issue of the case studies to be highlighted:
Research is not just about doing research studies, but is also intimately involved
in the development of management information systems. For instance, in the
Andrea R. case there was a lack of coordination between the mental health
provider and other providers involved in the case. This case makes clear that
coordination of effort is fundamental to assuring change. Part of the research
process that needs to be addressed is how does one obtain the necessary
information from persons providing the services?

This strategy will be utilized toward the end of the research course/sequence
when the question of how research can impact upon practice is addressed or this
assignment on designing a management information system is appropriate.

54

This assignment deals with teaching students about the usefulness of research
for setting up a management information system for tracking the activities of the
various parts of the intervention. The process here involves mainly in-class
activities. Students are broken up into groups and they are asked to:
1. Identify the various components of the intervention system in this case.
2. Decide on what the case manager needs from each component part in
order to effectively help this family and to identify the progress of all family
members.
3. They need to consider what the goal of service is.
4. Finally they are to report to class on their plan. The groups should
select one member to report to the total class on their plan.
Discussed in class will be the difference between plans developed by the various
groups. The class would now discuss how they would implement such a system
and how they would get a buy-in from the various reporters.

4. Materials:
None

Logic Model information can be obtained on the Web from University of
Wisconson-extension and from M.W. Kellog Foundation:
www.uwex.edu/ces/pdande/evaluation/evallogicmodel.html
www.wkkf.org/Pubs/Tools/Evaluation/Pub3669.pdf

6. Evaluation:
Subsequent to the class discussion students will be asked to develop an outline
of a goal oriented problem solving reporting mechanism that could be used to
track the progress of the cases. Provision should be made for reporting from
other systems (outside agencies) providing services to the families. Students
may want to look at literature on goal attainment scaling (useful in estimating
change) and the literature on the logic model in developing such an agency wide
reporting system. This outline is to be submitted to the professor.

CONCLUSION

A. Recap

In conclusion, it is important that we return to the relationship of research and other
forms of social work practice. Research is too often conceptualized as something
separate from good practice. Yet research can serve to strengthen Micro and Macro

55
practice in two ways. One, research can provide information about what practice
modalities work best, with whom, under what conditions. If social workers are to have a
part in deciding what will be delivered, we must help to develop that knowledge base
through designing and/or participating in knowledge building projects. Second, as
anyone who does both clinical work and research will tell you, the systematic ways of
thinking that come from research training can help one better focus ones clinical work.

This course outline seeks to engage students in a process that connects them to both
research and to Child Welfare practice via understanding issues fundamental to the
problems identified in each of the three cases. To participate in the discussion of any
problem one needs to find a common language that can stretch across class, gender
and culture. Thus the process we are about in research of seeking to clarify the
meaning of the terms being used, is parallel to our efforts to develop with our clients a
common language (understanding) of what we are working on together. The first
assignment is devoted to that task and provides the opportunity to make the connection
to practice. The second assignment has parallels to our use of the ecological
framework in understanding the dynamics of the cases, dealing with the question of
what is the boundary of the work both across time and place. In research terms, this is
about having a conceptual map of the elements leading to, and residing in, the identified
issue.

In social work we talk a lot about values, such as the value of client self determination.
Too often the use of standardized procedures, whether used in protocol driven
treatment or in the collection of data, is seen as inimical to a focus of values. By looking
at the development and use of standardized instruments we can address this issue
around the equity between clients when all receive an evaluation which assures that the
personal beliefs of a worker do not color the evaluation of the client.

Finally, as the N.A.S.W. code of ethics has pointed out we have a responsibility to
assure that our services are both efficient and effective. To determine that our clients
are receiving quality services we cannot just depend upon workers personal views of
their work. It is important that social workers recognize that the social work services will
always be in short supply and that we put in place systems that enable us to
demonstrate our effectiveness. The final assignment exposes students to the thinking
that underlies the universally dreaded paperwork, so they may participate in developing
more efficient decision making systems.

B. Suggestions for Future Courses

These assignments can be connected to the advanced level in the social work
curriculum by having students use a standardized instrument with one of their cases.
That instrument can be used in evaluating the level of a clients functioning (as in an
anxiety scale) or can involve using a goal attainment scale with a client to define the
work and evaluate the progress being made. Similarly, an administrative student can
use the ideas developed in the last assignment to evaluate and suggest possible
modification of their field placements system for maintaining service delivery records.

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APPENDIX TO THE TEACHING GUIDE FOR SOCIAL WORK RESEARCH

APPENDIX A: MAINTAINING AN UP TO DATE BIBLIOGRAPHY

Reading materials represent a mix of classics that serve as a base for all learning and
new materials that represent current advances on basic practice principles. A good
method to keep up to date on new materials is to use both search engines, such as
Google, and the electronic data bases available through the University library. A google
search for example of the term child neglect would provide information about the vast
variety of information available from the National Clearing House on Child Abuse and
Neglect (NCCANCI) and other data sources. Also of note is the fact that the full text of
many of the articles one might wish to assign can be found on line. Instructor may wish
to develop an early assignment that exposes the students to use of the data bases and
the internet. Such an assignment also provides the opportunity to discuss how one
decides whether materials one has gleaned from the internet can be relied on to provide
reliable and valid information.

APPENDIX B: ISSUES TO CONSIDER IN TEACHING THE COURSE:
A good conceptual map will include three levels as outlined below:

INDIVIDUAL PERSONALITY
Poor reality orientation
Depression
Mental illness
Mental retardation of parent
Poor judgment
Domestic Violence

FAMILY LEVEL
Family size and spacing between children
Income
Marital relationship
Special needs child
Stability of family composition
Parenting knowledge
Marital conflict
Family interaction patterns (verbal / non-verbal)
Parentified children

EXTERNAL FACTORS
Housing- limited housing options for poor and minorities
Job/employment
Neighborhood
Informal social networks

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Cultural factors (age child can care for sibling, language, discrimination, coping style,
discipline style, use of folk medicine)
Availability of services

APPENDIX C: MEASUREMENT OF ABUSE
Stress + Lack of Supports = Child Neglect with certain people.
regardless of level of stress or availability of social support the best predictor of neglect
was emotional stability of the mother . Egeland et al

Personality of parent: Emotional maturity and coping skills of parent, Knowledge about
child rearing, history of feeling unwanted as a child (attachment problem) have not
been shown to be a direct cause of child neglect because most data is available comes
from clinical samples.

Polansky identified five personality types of neglecting parents:
Impulse ridden
Apathetic-futile
Reactive depression
Mentally retarded
psychotic

Identified impacts of child neglect upon the child:
Lack of readiness for learning
Behavior problems
Less interaction with peers
School absence
Delinquency (boys externalized and girl internalized)


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Real Cases Project: Teaching Guide for Human Behavior in the Social Environment

59
Real Cases Project:
Human Behavior in the Social
Environment

Rozetta Wilmore-Schaeffer, PhD
Associate Professor
Yeshiva University
2495 Amsterdam Avenue
NY., NY 10033-3312
[email protected]

INTRODUCTION


This course sequence, Human Behavior and the Social Environment (HBSE) aims to
use the context of the child welfare system to help students develop an appreciation
for the important aspects of the human condition. The course emphasizes the family
as the basic unit of development and reciprocal influences between people and their
environment. These influences are discussed within the context of social factors,
societal, institutional, familial and biophysical forces. The interactions between family,
individuals and environment form the foundation to the ecological approach to human
development. Workers in the child welfare system must take all of this into
consideration as they provide service to clients.

The course is focused on issues that deal with the development of the self in an
ecological context, with specific attention to the study of the individual and family in the
child welfare system. Emphasis is placed on the family as the basic unit of
development and reciprocal influences between people and their environment. This
applies to all HBSE curricula which may or may not be linked to the child welfare
system. In those instances where this is linked to the child welfare system the focus is
placed on life experiences and lifestyles of persons in vulnerable populations and at
risk for crises, conflicts and dysfunction. Consideration is given to the capacity of
persons to use organizational and community resources to improve their own and the
communitys life in response to mezzo and macro system forces.


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B. Relevance of this Case Study to this Course

A case study will be used to highlight relevant themes that have particular meaning to
the study of human behavior. The case will enrich and expand the study of didactic
course material. This will help the student to make connections between the child
welfare system and the study of human behavior. The ANNA M. CASE is of particular
relevance because of the focus on the safety of the children and caretakers. The
vulnerability of the family is related to clarity of the balance between the risks and
resources of the family and the environment.

C. Specific Learning Objectives Related to Using this Case in this Course

At the conclusion of the course, students will demonstrate:

Knowledge of the human condition in an ecological context.
Knowledge of the impact of domestic violence on the developmental functioning
of the person, both children and adults.
Knowledge of the ecological view of person-in-environment through the study of
the family, respective individuals, biological and psychological factors, as well as
other socio-cultural factors in human growth and development.
Understanding the development of the family and the individual across the life
cycle.
Developing an understanding of high risk situations with the ability to identify,
report, assess and intervene in situations of domestic violence, child abuse and
neglect.
An understanding of the micro, mezzo and macro systems as they relate to
human growth and development, with a particular focus on case issues.

D. Overview of this Teaching Guide

1. One specific case example will be used to integrate all didactic HBSE
material within the context of service delivery in the Child Welfare System.

2. The course is structured such that the case example is used as the window
into the understanding of issues involved in services of the Child Welfare
System, identification and evaluation of risks in micro, mezzo and macro
systems that necessitate child welfare intervention.

Teaching methods include didactic lectures, small group exercises and written
assignments.

Evaluation of students mastery of the material will include:

1. Student writing a Weekly Reflective Journal, entries will be responded to by
the professor weekly. This helps the student to process the material that is
being taught and provides for the professor an indication of how well the

61
material is understood and the opportunity to provide supportive material in
weak areas. At the end of the semester the students will review their journal
and analyze the development of their knowledge base, their practice skills
and professional self.

2. Small Group Exercises and Role Play: Student participation and evidence of
their capacity to articulate didactic information from readings and application
of same to the case situation.

3. Written Work: Possibly 2 short papers and one in depth Final Paper. Short
papers are (a) History of Child Welfare in USA, NYC including identification of
basic services to children and families. The second paper might be (b)
Circumstances that Suggest the Need for Child Welfare Involvement or
The Role of Social Work in Child Welfare or Principles Upon Which Child
Welfare Practice is Developed.

Final Paper: Students would have to research major themes such as
domestic violence, complexity of decision to preserve the family or remove
the child, provision of family centered practice interventions in child welfare,
evaluating level of risk for children, involuntary service, agency collaboration
or evaluation of parental dysfunction in domestic violence situations and the
impact on developing children. Then the student would have to explore and
analyze the theme as it relates to the specific case situation and develop a
treatment intervention plan.

TEACHING STRATEGIES

A. Strategy One: Case Study Integration

1. Area/issue of the case study to be highlighted:
This strategy focuses on understanding the various systems of the ecological
perspective and development of the individual and the family.

The individual case will be used throughout the whole course. Case will be
presented to the class at the beginning of the course with the instruction that this
case represents an example of how we can understand human development and
the relevance to child welfare work.

a. Initial lecture on micro, mezzo and macro systems; appropriately
identifying and placing the family, extended family, community, school,
legal system, child welfare system, community resources, policies, culture
and values in each of the respective major systems.

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b. Lecture on family development and stages of family development.

c. Individual self in the context of family and environment: students will be
given assigned readings and class will discuss normative development
using different theoretical perspectives. (See Appendix A.) Faculty will
then facilitate a discussion of each individual in the family and their
developmental stage at the time of the child welfare involvement. Included
in this discussion would be definition and identification of risk factors.

The class will be divided into 2 small groups to discuss the stage of family
development in the ANNA M. CASE. One group will focus on the
normative developmental risks in the family, i.e. marital relationship,
developmental demands of each child, individual pressures on each
parent, cultural values and beliefs. The other group will focus on the
normative necessary resources needed to meet the demands of a
developing family, ie., capacity of each adult to parents the children,
opportunity for each adult to meet own needs in terms of interests and
occupation, capacity of each adult to participate in a healthy give-and-take
relationship, capacity of each adult to recognize and respond to the
developmental needs and safety of each child. Class as a whole will then
discuss the ANNA M. CASE in terms of the balance of risks and resources
and how this informed the resultant behaviors.

d. Nature of individual self and development: Class will be given assigned
readings prior to class session. Class will be divided into 4 small groups;
each group will choose a family member in the ANNA M. CASE for whom
the group will act as advocate. Each group will present to the rest of the
class a history of the case in relation to the specific issues of domestic
violence, normative development, child safety, level of child welfare
involvement needed, services recommended and needs of the individual.
This requires a deep understanding of the person, issues and child
welfare.

e. Assessment of self and family in relation to all systems: students will
have prior assigned readings before this session. Session will emphasize
the structure and process of child welfare involvement. Faculty will
facilitate a discussion of the level of assessment needed at each point of
contact.

A student will function as narrator describing the child welfare agency and
responsibilities, as well as activity and action in the case. Each point of
contact and assessment will be presented by student dyads and groups in
the form of role play. After each role play, the narrator and faculty will
summarize strengths and weaknesses, risk factors in the system, possible
impact on normative development and functioning, needs of each

63
individual and family as informed by the assessment and identify questions
and issues that require further assessment.

4. Materials:
Materials needed are the copies of the case examples.

See attachments of appendix and references.

6. Evaluation plan:
Students will develop an ability to apply the didactic material to case situation,
develop role plays and evaluate the experience in writing and a narrative
reflective process.

B. Strategy Two: Domestic Violence and Assessment

1. Areas/issues of the case to be highlighted:
Major issue to be highlighted is domestic violence and evaluation in the child
welfare system.

This strategy might occur in the second half of the semester.

3. Teaching methods/activities:
Teaching method will include lecture, discussion and role play.

a. Lecture on assessment in the child welfare system, domestic violence
as reaction to developmental stress and poor coping skills, domestic
violence as a traumatic experience and the possible impact on
development and functioning for all individuals involved.

b. Role play of a mock Family Court Hearing in which each parent
presents the case to the judge, the Child Welfare Worker presents the
assessment of the situation and a final decision is made about the safety
and welfare of the children with recommendations for services for the
family.

3. Materials needed:
Materials needed are case example and reading materials.

4. Supported readings:
Same as Strategy One.

5. Evaluation plan:
Same as Strategy One


64

CONCLUSION

A. Recap
Faculty will re-introduce the first lecture with a focus on systems, the family as a basic
unit of development and the need for staff in the child welfare system to have such
knowledge to assess risk situations and provide needed services. The themes of
individual and family development, risk and risk assessment and domestic violence will
be discussed by the class.
Class will discuss application of ecological perspective to the ANNA M. CASE. In
addition, class will identify needed services and ways to implement use of same for this
family.
Finally class will conclude with a brief narrative reflective exercise identifying thoughts
and feelings about the involvement of the child welfare system involvement in the case
and how such involvement might enhance or impede future family development and
resolution of problems.


1. These cases could be used to teach about the impact of traumatic experience on
subsequent functioning.

2. These cases could also be used to teach about the role, structure and process of
child welfare work.

3. These are excellent cases to use to teach supervision in child welfare. The
visualization of the clarity and purpose of the agency, understanding of the human
condition and the skill of fitting all into the practice of social work are the foundation
pieces of supervision in child welfare work.


65
APPENDIX TO THE TEACHING GUIDE FOR
HUMAN GEHAVIOR IN THE SOCIAL ENVIRONMENT

Appendix A: Course Themes

A. FAMILY DEVELOPMENT ACROSS THE LIFE CYCLE

1. Definition of the family
2. Ecology of the family
3. Family as a social system
4. Family as the basic unit of development

B. STAGES OF FAMILY DEVELOPMENT
(Include different roles, goals, crises and conflicts)

1. Joining of individuals in marriage or committed partnership
2. Creating a home together
3. Couple with young children
4. Family with school age children
5. Family with pre-adolescents
6. Family with adolescents
7. Family with unattached young adults
8. Family in later life
9. Family and old age

C. INDIVIDUAL SELF IN THE CONTEXT OF FAMILY,ENVIRONMENT AND
SOCIETY

1. Eriksonian Psychosocial Theory
2. Piagetian Stage Theory
3. Separation and attachment Theory
4. Socialization Process of Development
5. Risk Factors in Human Development

D. NATURE OF INDIVIDUAL SELF AND DEVELOPMENT

1. Biological base
2. Gender issues
3. Traumatic events (domestic violence)
4. Culture/ diversity and value development
5. Impact of risk factors


66
E. SELF IN RELATION TO ALL SYSTEMS

1. Micro system
2. Mezzo system
3. Macro system
4. Person-in-environment perspective
5. Resilience, choice and will
6. Development of Pathology

F. CHILD WELFARE

1. Historical evolution of child welfare
2. Supporting children from neglect and abuse
3. Involuntary service
4. Family preservation
5. Ethics and advocacy: special issues


67
Appendix B: Reference List

Bronfenbrenner, U. (1979). The ecology of human development. Cambridge, MA:
Harvard University Press.

Carter, B. McGoldrick, M. (Eds.) (1999) The expanded family life cycle: Individual, family
and social perspectives (3
rd
edition, 399-416). Boston: Allyn & Bacon.

Coohey, C. (2007). What criteria do child protective services investigators use to
substantiate domestic violence? Child Welfare, 86 (4), 93-122.

Downs, S.W., Moore, E., McFadden, E.J., & Costin, L.B. (2000). Child welfare and
family practice: Policies and practice. Needham Heights, MA: Allyn & Bacon.

Edelson, J.L., Gassman-Pines, J. and Hill, M.B. (2006). Defining child exposure to
domestic violence as neglect: Minnesotas difficult experience, Social Work, 51 (2), 167-
174.

Fantuzzo, J.W., & Fusco, R.A. (2007). Childrens Direct Exposure to Types of Domestic
Violence Crime: A Population-based Investigation, Journal of Family Violence, 22 (7),
543-552.

Fraser, M., & Galinsky, M. (2004). Risk and resilience in childhood: Toward an
evidence-based model of practice. In M. Fraser (Ed.) Risk and resilience in childhood:
An ecological approach. ( 385-402). Washington, D.C.: NASW Press.

Garbarino, J. (19920). Children and families in the social environment (2
nd
edition). New
York: Aldine de Gruyter.

Gratz, K., Paulson, A., Jakupcak, M., Tull, M. (2009). Exploring the relationship between
childhood maltreatment and intimate partner abuse: Gender differences in the mediating
role of emotion dysregulation. Violence and Victims, 24 (1) 68-83.

Haight, W., Shim, W., Linn, L., & Swinford, L. (2007). Mothers strategies for protecting
children from batterers: The perspective of battered women involved in Child Protective
Services. Child Welfare, 86 (4), 41-62.

Humphreys, C. (2008). Problems in the system of mandatory reporting of children living
with domestic violence. Journal of Family Studies, 14, 228-239.

Huth-Bocks, A.C., & Hughes, H.M.(2008). Parenting stress, parenting behavior and
childrens adjustment in families experiencing intimate partner violence. Journal of
Family Violence, 23, 243-251.


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Jouriles, E., McDonald, R., Smith-Slep, A., Heyman, R., & Garrido, E. (2008). Child
abuse in the context of domestic violence: Prevalence, explanations and practice
implications. Violence and Victims, 23, (2), 221-236.

Kohl, P., & Macy, R. J., (2008). Profiles of victimized women among the child welfare
population: Implications for targeted Child Welfare policy and practices. Journal of
Family Violence, 23, 57-68.

Lang, M.J. & Stover, C.S.(2008). Symptom patterns among youth exposed to intimate
partner violence. Journal of Family Violence, 23, 613-629.

Letourneau, N.L., Fedick, C.B., & Willms, J. D. (2007). Mothering and Domestic
Violence. Journal of Family Violence, 22 (8), 649-659.

Malekoff, A. (2000). Bureaucratic barriers to service delivery, administrative advocacy
and mother goose, Families in society, 81 (3), 304-315.

Masten, A., Best, K., & Garmezny, N. (1990). Resilience and development:
Contributions from the study of children who overcome adversity. Development and
Psychopathology, 2, 425-444.

Newman, B.M. and Newman, P.R. (2009) Development through life: A psychosocial
approach (10
th
edition). Belmont, CA:Thompson/Wadsworth.

Norman, M. & Schwartz, R. (2000). Introduction: The strengths perspective and
resiliency enhancement-a natural partnership. In E.Norman (Ed), Resiliency
enhancement: Putting the strengths perspective into social work practice. (1-16) New
York: Columbia University Press.

Saleebey, D. (2000). The strengths perspective in social work practice. New York:
Longman.

Shedlosky, E. (2007). Protecting children from the harmful behavior of adults. Journal of
Criminal Law & Criminology, 98, (1), 299-327.

Spilsbury, J.C., Belliston, L., Drotar, D., Drinkard, A., Kretschmer, J., Creeden,
R.,Flannery, D. & Friedman, S. (2007). Clinically significant trauma symptoms and
behavioral problems in a community-based sample of children exposed to domestic
violence, Journal of Family Violence, 22 (6), 487-499.

Taylor, C., Guterman, N., Lee, S.L., & Rathouz, P. (2009). Intimate partner violence,
maternal stress, nativity and risk for maternal maltreatment of young children. American
Journal of Public Health, 99, (1) 175- 184.
Real Cases Project: Teaching Guide for Social Welfare Programs and Policies

69
Real Cases Project:
Social Welfare Programs and Policies

Michele Sanzone, LMSW
Doctoral Candidate and Adjunct Instructor
Adelphi University School of Social Work
One South Avenue, Garden City, NY 11530
[email protected]

We acknowledge the important contribution of Dr. Alma J. Carten, Ph.D.
Associate Professor, NYU Silver School of Social Work, who developed a previous draft
which served as a basis for this Teaching Guide.

INTRODUCTION

A. Overview of Course Sequence within Social Work Curriculum

Social welfare and social policies are integral components of the social work curriculum
at both the BSW and MSW level. Although there is no universal manner to divide this
subject matter, it is typically divided into two courses.

In general, the first Social Welfare Programs and Policies course provides students with
a historical perspective of the social work profession, social welfare institutions, child
welfare, and the formation of social work values. It also serves to enhance
understanding about the ways social workers can engage in policy practice to advance
social and economic well being and deliver effective services. Commonly, the
subsequent Social Welfare Programs and Policies course emphasizes advanced
concepts in social policy, and the role of social movements in identifying and responding
to social issues. Students are also taught advanced aspects of policy development and
analysis.

This guide may be used if the first Social Welfare Programs and Policies course is part
of the foundation curriculum and the second is housed in the advanced curriculum of a
school of social welfare. However, if this arrangement of courses differs in individual
schools, this guide can be easily adapted.

The guide is in keeping with the Council on Social Work Education Educational Policy
and Accreditation Standards-2009 that outline the following as the scope of content for
policy practice course work offered in accredited schools of social work:
Educational Policy 2.1.8Engage in policy practice to advance social and economic well-being
and to deliver effective social work services.

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Social work practitioners understand that policy affects service delivery, and they actively
engage in policy practice. Social workers know the history and current structures of social
policies and services; the role of policy in service delivery; and the role of practice in policy
development. Social workers analyze, formulate, and advocate for policies that advance social
well-being; and collaborate with colleagues and clients for effective policy action.
(.http://www.cswe.org/NR/rdonlyres/2A81732E-1776-4175-AC42-
65974E96BE66/0/2008EducationalPolicyandAccreditationStandards.pdf)

This guide may be most effective when introduced after students are engaged in their
practicum assignments since it is highly likely that irrespective of fields of practice of
placement agencies, most will have some involvement with cases known to a child
welfare agency. For advanced concentration students, the guide may be used at the
discretion of the instructor since content focuses on the process of policy formulation
and skills for policy analysis, which is the thrust of the second semester course within
most schools of social work.

B. Relevance of the Case Studies to this Course Sequence

These study cases are taken from the archived records of the Child Stat Program of the
Administration for Childrens Services (ACS), the city agency with the legal mandate to
protect and safeguard the welfare of New York Citys dependent, abused, and
neglected children.

All three cases are relevant to the Social Welfare Programs and Policies courses as
they provide great insight to the importance of advocacy and the role of policy in service
delivery. It is hoped that students will take the broader concepts of social programs and
policies (i.e. the helper and investigator role, residual and institutional welfare,
permanency planning, and policy analysis) and apply them to the three specific case
examples.

All three cases used for this guide have come to the attention of ACS since 2001. Two
of the cases (Anne M. and Mary S) were first investigated in 2007. While child welfare
services have gone through many policy changes over the past 20 years, the policies
that govern the investigation and determination of the three cases being studied here
were most heavily influenced by the Adoptions and Safe Families Act of 1996. This act
endeavored to strengthen prevention and permanency planning services for families,
and gave states new authority to expedite the movement of children out of foster care
into permanent homes and in some situations made the process of termination of
parental rights less cumbersome. Three primary directives from the Adoption and Safe
Families Act have provided the framework for all of child welfare services; child safety,
child permanence and child well-being.

Current reforms underway in New York City support a neighborhood-based model of
care with a vision of child protection as the responsibility of the entire community and
supported by a family-focused neighborhood-based system of care that endeavors to
keep children safe in their own homes and communities.


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Note to instructors: Since the study cases focus primarily on the
protective/investigatory role of public child welfare, it may be useful to use guest
lecturers such as ACS workers who are knowledgeable about legal mandates to
present a more comprehensive view of the range of services provided by the agency.

Sequence

The learning objectives in this social welfare programs and policy curriculum guide are
tied to the learning objectives of the study of social welfare policy. As stated earlier, a
common way to divide the course material is to have the first course concentrate on
foundation material and the second course concentrate on more advanced topics. The
learning objectives related to using these case studies are as follows:

Foundation material:
Introduce child welfare as a specialized field of social work practice.
Increase knowledge about the history and current structures of child welfare
policy, services, and practices.
Increase knowledge of policy development and analysis in child welfare.
Enhance understanding of the legal framework of child welfare services, the role
of the judiciary and legislature in child welfare policy formulation process.
Increase knowledge about the role of practice in policy development in child
welfare.
Enhance understanding of the larger policy context within which child welfare
services developed in the United States and the ways social workers can engage
in policy practice to advance social and economic well being and deliver effective
services.

Advanced material:
Analyze current policies within the context of historical and contemporary factors.
Support an understanding of the intent and goals of contemporary child welfare
policy development.
Support skills for analyzing competing values underlying child welfare policy
development and assessing policy impact and goal achievement.
Encourage a willingness to advocate social and economic just policies that are in
the best interest of all children and families.


This teaching guide addresses professional foundation issues and introduces students
to child welfare as a field of social work practice; examines the historical foundation of
American child welfare services and residual influences on contemporary policy and
practice, and the implications of residual approaches for constraining services and
program development for children and families. This guide also builds on this content
and examines the legal framework of child welfare services; the underlying values and

72
intents of contemporary child welfare policy, and supports analytical skills for assessing
child welfare policy impact and goal achievement.

This teaching guide gives consideration to the implications of poverty, culture, race,
discrimination, oppression, and inequality in the development of child welfare services;
identifies opportunities for the integration of content from other curricula areas; and
endeavors to strengthen critical thinking skills that are essential for effective social work
practice in child welfare settings.

TEACHING STRATEGIES

A. Strategy One: Child Welfare as Social Work Practice

1. Areas of the case to be highlighted:
This strategy focuses on child welfare as a field of social work practice and
common issues that are found. It also focuses on the legal framework on the
child welfare system. In the case of Andrea R., mental illness and the policies
surrounding mental illness will be discussed. Domestic violence is the issue at
hand for Anne Ms case. This strategy also explores the workers role as both
helper and investigator in the each of the three cases.

2. Structure:
This strategy may be integrated within the first four weeks of class, in course
content that presents information about the organizational structure of the
institution of child welfare and the unique role of social work among the many
helping professions and occupational groups employed in the field of social
welfare. This teaching strategy may also be used when addressing content
related to the role of the legislature and judiciary in the policy formulation
process.

3. Teaching methods/activities: Lecture and class discussion
a. Suggested lecture content:
Social work has high visibility among the many helping professions present in the
field of social welfare, sometimes referred to as the Health and Human Services.
Social work has historically been the anchor profession in the field of child
welfare and is the acknowledged discipline with the professional competencies
needed for effective child welfare practice.

The National Association of Social Workers defines social work as involving:
Professional activities of helping individuals groups and communities to
enhance or restore their capacity for social functioning and to create
societal conditions favorable to their goals.


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Social work practice consists of the professional application of social work
values, principles, and techniques to one or more of the following ends:
helping people obtain tangible services, providing counseling and
psychotherapy to individuals, families and groups, helping communities
and groups provide or improve social and health services, and
participating in relevant legislative processes

The practice of social work requires knowledge of human development
and behavior, of social, economic and cultural institutions and of the
interaction of all of these factors.
(http://www.naswdc.org/pubs/code/code.asp)

A growing number of social workers are opting to work in independent private
practice. The largest share of social workers, however, continues to be engaged
in agency-based practice. Social welfare agencies employing professionally
trained social workers are typically organized to help people who experience the
effects of a specific social problem. School social workers assist in the resolution
of problems that interfere with the educational process; medical social workers
help with the resolution of problems associated with physical illness, and social
workers practicing in the criminal justice system help in the resolution of problems
that arise from interaction with the legal system.

Child welfare as a field of practice is concerned with the social problem of child
abuse and neglect and problems that arise in relationships between parents and
children. In the ideal, this field of practice should encompass all of the activities
engaged in by society that protect the welfare of children and promote their most
optimum level of development. American child welfare services, to the contrary,
have evolved as a narrow set of services that are offered to children only after
they have been hurt or at risk of abuse and neglect, and when their families have
been found to be failing in the parental role. Child welfare services are strictly
defined in federal and state legislation; carried out in close collaboration with the
Family Court System and organized along a continuum of care that
encompasses: child protective services, preventive services, substitute family
care, and adoption.

Social workers practicing in child welfare settings need generic knowledge and
skills combined with specialized knowledge, expertise, and techniques for
assisting families to resolve problems that contribute to family dysfunction and
jeopardize the safety and well being of dependent children. In addition, workers
must be knowledgeable about child welfare policies and procedures as these are
defined by the New York State Family Court Act, the New York State Social
Services Law and the Administration for Childrens Services administrative and
operational procedures.

Among their varied responsibilities in carrying out professional
responsibilities in the field of child welfare, social workers endeavor to improve

74
interpersonal deficiencies within family relationships and those resulting from
deficiencies in community resources. Child welfare practice embodies the
concept of parens patraie wherein, by virtue of the dependent status, the state is
seen as the parent of last resort for all children when parents are unwilling or
unable to fulfill child caring responsibilities.

Child welfare practitioners have a responsibility for assisting families in the
resolution of problems internal to the family system, and for those external to the
family resulting from institutional resource deficiencies that prevent parents from
meeting material and emotional needs of children. Using the case studies as
examples, situations like unstable mental illness (Andrea R.), physical abuse
(Mary S.), domestic violence (Anne M.), demonstrate the interplay of individual,
family, and community resources.

Early in United States history, children had no rights and were considered the
property of their parents, who were free to do whatever they so chose to do in
their efforts to rear children to be self-sufficient God-fearing citizens. Gradually,
as more was learned about the importance of the period of childhood for future
adult development, the absolute power and authority given to parents began to
give way to a balancing of the rights of children and parents with parental
authority ultimately being defined as encompassing both rights and obligations.
Parental authority was no longer exercised in domination of the child, but viewed
as a sacred trust invested in the parent to be exercised in the best interest of the
child.

This changed ideology and recognition that children had rights separate from
those of their parents, paved the way for the state to intervene in the special
relationship that exists between parent and child, and led to the development of
child welfare legislation and networks of agencies and services to protect and
safeguard the well being of children. Child welfare services in the United States
exist as a result of various state and federal laws authorizing and funding the
operation of these programs. These laws outline the parameters of child welfare
practice and define what child welfare organizations and workers, in their role of
agents for these agencies, can and cannot do with families.

The legal framework for child welfare services consists of the following
primary legislation: the 1974 Child Abuse Prevention and Treatment Act; the
1980 Adoptions Assistance and Child Welfare Reform Act, the 1978 Indian Child
Welfare Act, the 1994 Multiethnic Placement Act, the 1997 Adoptions and Safe
Families Act, and the 1996 The Personal Responsibility and Work Opportunity
Reconciliation Act, which articulates permanency planning requirements and calls
for prevention and family preservation.

These laws define the boundaries and parameters of child welfare practice. The
various provisions and mandates of these laws reflect the competing values
inherent to child welfare practice related to the obligation and duty of the state to

75
protect and safeguard the welfare of dependent children, and the right of parents
to raise their children to their own values and belief without governmental
interference. Child welfare workers often are conflicted as they endeavor to
integrate the expectations of their investigative role with their role as helpers of
parents whose behaviors are often the cause and source of the distress of their
children. In addition, these competing values and conflicts pose ethical and
practice dilemmas for child welfare workers functioning under the residual
influences of poor law traditions that require parents to be fit and deserving of the
right to raise their children.

b. Class assignment:
Balancing the rights of children with those of parents, while at the same time
acting as representative of the state for children who have been placed in
protective custody can be daunting task for child welfare practitioners posing
many dilemmas as workers endeavor to protect children and preserve families.

In a group setting, review the New York State Child Abuse and Neglect Reporting
Procedures. Ask students:
What are the possible explanations of why the allegations in each report
were treated separately and adjudicated as a discrete event in the familys
history of involvement with the child welfare system?
Review each case individually and brainstorm other questions that you
would investigate and why

c. Class discussion:
It appears that case practice with the families in these case studies families
focused predominantly on interpersonal problems that contributed to the failure of
the childrens parents or caretakers to successfully carry out the parenting roles.
Yet contemporary child welfare practice recognizes that in complex modern
societies all families are in need of a wide range of community support services
to meet normative needs of children. This recognition validates a broad based
approach to practice and advocacy as a legitimate role for the social workers
practicing in the field of child welfare.
Facilitate a group discussion and ask:
What are some larger systemic, institutional failures that may have
contributed to Anne M., Mary S., and Andrea R. being at increased risk for
experiencing the effects of social problems identified in the cases?
Do you believe that these failures contributed to the forms of neglect
identified in the CPS reports?
How could the CPS worker work to repair or mend the failures that these
families have faced?

4. Materials needed: None


76
5. Suggested readings:
Bernstein, N. (2001). The lost children of wilder: the epic struggle to change
foster care. New York: Pantheon Books.

Code of Ethics of the National Association of Social Workers. (2008) Retrieved
February 1, 2009, from http://www.socialworkers.org/pubs/code/code.asp

Denby, R.W., Alford, K.A. & Curtis, C.M. (2003). Targeting special populations
for family preservation: the influence of worker competency and organizational
culture. Family Preservation Journal, 7, 19-41.

Parent, M. (1998). Turning stones: my days and nights with children at risk.
New York: The Ballantine Publishing Group.
Pecora, P. J. Whittaker, J.K., Maluccio, A.N. & Barth, R.P. (2000). The Child
Welfare Challenge: Policy, Practice and Research. New York: Aldine De
Gruyter.

6. Evaluation:
Schools have different strategies for examinations and assignments. In the case
that the instructor has discretion he or she could add a question related to this
content to the examination. If this is not possible, this material could be reviewed
at the end of the semester to evaluate the extent to which students understand
its content.
Some possible evaluation questions are:
How were children perceived in the 19
th
century?
The Adoptions and Safe Families Act (1997) is a part of the legal
framework of child welfare services. What are the major tenants of this act
and how does it affect child welfare?
Child welfare practitioners have a responsibility for assisting families in the
resolution of problems internal to the family system, and for those external
to the family resulting from institutional resource deficiencies that prevent
parents from meeting material and emotional needs of children. What are
some resources that social workers can utilize to assist the family system?

B. Strategy Two: The Historical Foundation of Child Welfare Services

This strategy highlights the history of child welfare services and references the
case studies in relation to this history. This strategy also highlights an evaluation
of the social problems that increase risk for child abuse and neglect and
disparities in health, educational, and social outcomes, as they relate to each of
the three families.


77
2. Structure:
This teaching strategy may be used in companion with course content supporting
an understanding of the residual and institutional perspectives on the role of
social welfare and how these have shaped social welfare policy development in
the United States.


American social welfare policy has its most significant identification with the
Elizabethan Poor Laws of 1601. In child welfare, this Old World heritage
established the practice of rescue and punishment based in residual
assumptions about the worthiness of poor parents to be entrusted with the task of
bringing up the next generation. These and other principles like that of less
eligibility, which requires that the situation of the dependent poor who are
supported at the public expense must be worse than that of the lowest paid
gainfully employed worker, fostered the development of an inadequate system of
care that favored practices of apprenticeship and farming out of poor children as
a means for rescuing them from the influence of inadequate parents and
preventing the intergenerational transmission of dependency.

This orientation served as the foundation for the development of child welfare
services in the United States. This view continued to hold sway well into the 19
th

century that saw the beginning development of public systems of care for
dependent children. For example, early reformers, like Josephine Shaw Lowell, a
key player in the New York City Charity Organization Society, supported the
position that the honest laborer should not see the children of drunkards enjoy
advantages that he could not hope for his own. Charles Loring Brace,
considered the founder of the modern foster care movement and the most
important child saver of his era, transported hundreds of children of poor white
ethnic immigrants to the mid west where they were placed in homes to learn the
values of hard work, industry and self reliance.

Children of color were excluded from Braces great social experiment and early
forms of care. In addition to strong self-help traditions within the African
American community, separate facilities were developed for Black children like
the Colored Orphan Asylum, founded by two Quaker women in 1836 as the sole
alternative for care in the public almshouse. With the ending of legal segregation
children of color would be drawn into a system enmeshed in residualist traditions,
which also evolved to mirror the racism and discrimination and devaluation of
their cultural experiences of the larger society. Today African American and
other poor children of color are overrepresented at all levels of the child welfare
system.

The residual approach, a by product of Social Darwinism, laissez-faire economic
philosophy and capitalistic ideals favoring limited governmental intervention in the

78
lives of families, has had great staying power in the United States.
Consequently, the removal of children from there own homes continued as a
preferred child welfare intervention until well into the 20
th
century until the
passage of the Adoption Assistance and Child Welfare Reform Act of 1980.
Importantly, despite nearly two decades of reform legislation the child welfare
system continues to be troubled by residual influences from the past.

As noted in the preceding module social welfare policies and programs do not
evolve in a vacuum but reflect the traditions, values, and norms of the host
society. Child welfare services in the United States are rooted in a residual
perspective, and have evolved as a highly specialized field of practice designed
for children whose parents are unable or unwillingly to care for them in a manner
consistent with prevailing child-rearing norms. An alternative approach to policy
development of children and families, on the other hand, would ascribe to the
provision of a comprehensive array of easily accessible family support services
that meet the normative everyday needs of all families.

Although child welfare services continue to be defined as highly specialized
systems of care, the Adoption Assistance and Child Welfare Reform Act of 1980
broadens the scope of these services to include public services directed towards
the accomplishment of the following purposes:
protecting and promoting the welfare of all children including handicapped,
homeless, dependent and neglected children;
preventing or remedying or assisting in the solution of problems which
may result in the neglect, abuse, exploitation or delinquency of children;
preventing the unnecessary separation of children from their families by
identifying family problems, assisting families in resolving their problems;
preventing break-up of the family where the prevention of child removal is
desirable and possible;
restoring to their families children who have been removed, by the
provision of services to the child and the families;
placing children in suitable adoptive homes, in cases where preservation
to the biological family is not possible or appropriate;
assuring adequate care of children away from their homes, in cases where
the child cannot be returned home or placed for adoption.

The Andrea R. case study highlights the detrimental effects of a residual
approach to service development for exacerbating the stresses experienced by
families. For example, we learn from the case narrative that Andrea R. is
receiving public assistance and food stamps. Both of these are programs based
in a residual model, requiring families to meet stringent eligibility standards and
legal definitions of poverty. These programs are stigmatizing, inadequate and
recipients of these services are required to report periodically for re-certification
of continuing eligibility status. Public assistance programs have been criticized
for ambiguously endeavoring to help children by changing the behaviors of

79
parents believed to be the cause of the problems as opposed to ensuring that
parents have adequate material resources to adequately care for children.

b. Video and class discussion: Supporting critical thinking skills:
The Orphan Trains video makes an effective use of narratives to illuminate the
personal impact of policy that shape practice interventions.

Lead the class in a discussion about the Orphan Trains video:
Ask students what stands out for them as the men and women recall their
early childhood experiences as participants on the orphan trains and in the
new foster homes. Is there one personal story that has special meaning for
you?

c. Class discussion/assignment:
The situation of children of color who are overrepresented in the child welfare
system today in many aspects is similar to that of white ethnic immigrant children
of the 1800s who were removed from their own homes because their parents
were too poor to care for them. Similarly, contemporary approaches anchored in
a neighborhood based approach mirror efforts of the early Settlement House
workers who saw that problems experienced by families were, in most cases, a
problem of urban decay and failing community infrastructures.

Break class into small discussion groups. Discuss policy changes that
may be needed to ensure the success of these new neighborhood based
approaches in the context of contemporary social problems prevalent in poor,
underserved communities of today. Compare and discuss the groups
answers.

d. Class discussion/assignment:
Although the preponderance of families served by the child welfare system are
poor families of color, child abuse and neglect is not solely a problem of the
minority poor. Children living in poverty are more likely to come to the attention
of the child welfare system, not only because of what we know to be biases in
reporting, but because they are more likely to be impacted by social problems
that increase risk for child abuse and neglect and disparities in health,
educational, and social outcomes, as is the case with the Andrea R. family.

Ask students to identify the risk factors resulting from poverty that are
observed in the Andrea R. case that seem beyond the control of the family.
What services might be put in place to mitigate the effects of these on child
safety and family well being?

Video: Graham, J. (Producer/Director), & Gray, E. (Producer/Director). (1995).
American experience: The orphan trains [Motion picture]. Alexandria, VA:
PBS Home Video.

80

The Family Preservation Program: Removing risk from children. NYC
Administration for Childrens Services

Carten, A.J. & Dumpson, J.R. (2004). Family preservation and neighborhood
base services: An Africentric perspective. In Everett, J. E., Chipungu, S.P
& Leashore, B.R. (Eds), Child welfare revisited: An Africentric perspective
(pp. 225-242). New Brunswick, NJ: Rutgers University Press.

Hill, R.B. (2004). Institutional racism in child welfare. In Everett, J. E., Chipungu,
S.P & Leashore, B.R. (Eds), Child welfare revisited: An Africentric
perspective (pp. 57-77). New Brunswick, NJ: Rutgers University Press.

Karger, H.J. & Stoesz, D. (2005). American social welfare policy: A pluralistic
approach. New York: Pearson, Allyn & Bacon. (Chapter 15, Child Welfare
Policy).

McSherry, D. (2004). Which came first, the chicken or the egg? Examining the
relationship between child neglect and poverty. The British Journal of Social
Work, 34(5), 727-733.

Samantrai, K. (2004). Culturally competent public child welfare practice. Pacific
Grove, CA: Thomson Brooks Cole.

Trattner, W.I. (1999). From poor law to welfare state: A history of social welfare
in America. Sixth Edition. (Chapter 6, Child Welfare). New York: The Free Press.

6. Evaluation:
Assignments or questions that could be used for evaluative purposes are:

Unlike other industrialized countries, the United States does not have a
national family policy. Students are asked to find a country that has a national
policy on families in place. See for example, the Scandinavian countries,
Japan, France and Israel. Compare child poverty rates and other indicators of
child and family well being outcomes in this country and the United States.
Consider what accounts for these differences? What national values influence
policy development in the US and the comparison country?
Assume that you are the worker who is assigned the Mary S. case at the
time of the SCR report when Jason is allegedly physically abused and
threatened by his maternal grandmother/legal guardian. Although the family
seems to be stabilized or at least not in crisis, what plan of action would you
take with the family at this time?
What are some residual and institutional concepts of social welfare that
can be of assistance to cases of Andrea R., Anne M., and Mary S.?


81
C. Strategy Three: The Purpose and Goals of Contemporary Child Welfare
Policy Development

1. Areas of cases to be highlighted:
This strategy focuses on permanence planning and how it relates to the three
families. The impact of policy on practice will also be discussed. This strategy
also looks at the three cases in their entirety to evaluate how changes in policies
could have affected the outcome of the cases.

2. Structure:
This strategy should be utilized towards the end of the semester, allowing for
students to clearly understand and be able to apply concepts from various
analytical models covered in the class and to conduct an analysis of policy
development in the field of child welfare generally or an analysis of one specific
policy.

This teaching strategy may be used to assist students as they apply concepts
from various analytical models covered in the class to conduct an analysis of
policy development in the field of child welfare generally or an analysis of one
specific policy identified in Teaching Strategy 1: Child Welfare as Social Work
Practice.

The First White House Conference on Children held in 1909 established the
principal that no child should be deprived of a home life but for urgent and
compelling reasons and never for the reasons of poverty alone. Although this
principal has not been fully integrated in child welfare policy development in the
early years of program and service development, since the passage of the
Adoptions Assistance and Child Welfare Reform Act of 1980 child welfare policy
has been firmly rooted in the principal of permanency planning, or the childs
basic right to stability in a home, preferably their biological family.

Child welfare legislation requires that permanency planning is central to the
service plan developed for each child. In an effort to correct past practices that
resulted in the unnecessary removal of children from their own homes,
permanency planning assumes that the birth family is essential to the care and
rearing of children, since it is here that the childs first attachments are formed
and primary sense of belonging is first established.

Translated into practice, permanency planning, as mandated under-requirements
of the Adoptions Assistance and Child Welfare Reform Act of 1980 and Safe
Families Act of 1996 requires the use of case practices that help a child live in a
home where caring lifetime relationships are established; the development of a
comprehensive service plan developed and delivered in a way that helps secure
such a home on behalf of children, and service delivery strategies that help

82
children live with families that offer continuity of relationships with nurturing
parents or substitute caretakers and the opportunity to establish lifetime
relationships.

In addition to strengthening permanency planning provisions of the 1980 Act, the
Adoptions and Safe Families Act builds in a process of review of the performance
of states in the development and implementation of performance standards.
Beginning in 2001 the federal government began conducting Child and Family
Service Reviews (CFSR) that focus on outcomes of child safety, permanency,
and child and family well being. The case of Mary S. is a good example of
deciding permanency and weighing what is in the best interest of the child.

Social workers are eclectic in their approach to practice, drawing on many
theories to help understand and explain causal relationships in presenting
problems of clients and to support the development of effective interventions.
Social workers may also be eclectic in the choice of analytical models to evaluate
the effectiveness of social policies and programs in solving and ameliorating the
social problem that were designed to treat.

The analysis of child welfare policy may be conducted as (1) process, or the
consideration of the social, economic and political forces shaping the process of
policy formulation over time; (2) performance, or the success of various policies
in achieving stated policy goals; and as (3) product, in the examination of how the
social problem is being defined, and underlying assumptions about problem
causal relationships, and value preferences as reflected in problem solving
strategies.

Students may also have the option of conducting an analysis of factors
contributing to the outcomes of the study cases and presenting recommendations
for alternative approaches that may have changed the final outcome of each of
the cases. Students may be given an opportunity to present their work in class
discussions.

b. Class discussion/assignment:
Case decision making in the Andrea R. case study was firmly grounded in
permanency planning principles. Despite five SCR reports, Vincent remained in
the care of his mother although there was limited evidence of significant changes
in the familys situation to suggest that his mother was able to provide a safe and
nurturing home environment for him.

Lead a group discussion in permanency planning.
Ask students to consider what conditions should exist that would suggest
that efforts to maintain permanency with birth families is not in the best
interest of the child.

83
In the Andrea R. case, were there alternatives that may have preserved
family ties while ensuring Vincent experiences that promoted healthy
psychosocial growth and development?

4. Materials needed: None

Chambers, D. E. & Wedel. K. R. (2005). Social policy and social programs: A
method for the practical public policy analyst. New York: Pearson, Allyn & Bacon.
(Chapter 10, An example of social policy and social program analysis: Selected
features of federal child welfare legislation of the 1970-1998 era concerned with
child abuse).

Finn, J. L. & Jacobson, M. (2003). Just practice: Steps towards a new social
work paradigm. Journal of Social Work Education, 39(1), 57-79.

Hu, T., Snowden, L.R., Jerrell, J.M. & Nguyen, T.D. (1991). Ethnic populations in
public mental health: Service choices and level of use. American Journal of
Public Health, 18(11), 1429-1434.

Phillips, N. K, & Straussner, S. L. A. (2002). Urban social work: An introduction
to policy and practice in the cities. New York: Pearson, Allyn & Bacon. (Chapter
10, Knowledge for social work practice: Diversity of urban populations.)

Mechanic, D. (1989). Mental health and social policy (3
rd
ed.). Englewood Cliffs:
NJ: Prentice-Hall.

Mental health: culture, race and ethnicity, a supplement to mental health: A
report to the Surgeon General. (2001). Retrieved on February 1, 2009 from
http://www.ncbi.nlm.nih.gov/books/bv.fcgi?rid=hstat5.chapter.971

6. Evaluation:
Students to write an essay on the following:
Social welfare policies can have both intended and unintended
consequences for clients. In a retrospective view of the situation of the three
families throughout the history of each of the cases, what can be identified as
the impact of policy reforms? Consider those believed to have a positive or
negative impact on services outcome for this family, as well as unintended
negative consequences.


84
CONCLUSION

A. Recap

This teaching guide helps to introduce students to child welfare as a field of social work
practice, examines the historical foundation of American child welfare services and
residual influences on contemporary policy and practice, and the implications of residual
approaches for constraining services and program development for children and
families. In addition, students are encouraged to examine the legal framework of child
welfare services and the underlying values and intents of contemporary child welfare
policy. The three case studies can be utilized to help teach students analytical skills for
assessing the impact of child welfare policy by strengthening critical thinking skills that
are essential for effective social work practice in child welfare settings.

B. Suggestions for Future Courses: Integrating Cross Curriculum Content

1. Practice:
New York City communities with the highest rates of CPS reports are also
communities where social problems of poverty, unemployment, and substandard
housing are prevalent. Social works person in the environment approach is
anchored in systems theory and the ecological perspective affirming the
interrelatedness of individuals, families and communities to larger social systems.
This perspective posits that people can neither be understood nor helped in absence
of an understanding of the various systems within which they interact. This
conceptual approach has a practical application in the development of intervention
and service plans that match services to the expressed needs of families. Each of
the three families presented with multiple service needs, yet the primary services
offered were substance abuse treatment services for the mother. In future courses
students could be asked to identify other social welfare services and programs that
may have been integrated into the service plan for the family.

Families seen by child welfare system are characteristically receiving services from
multiple agencies as is the case with each of the three families. Case management
is an effective practice tool for ensuring that at-risk families are engaged in
continuous and coordinated systems of care with service providers collaborating to
ensure the achievement of agreed upon goals established in consultation with
families. Explore the ways in which case management may have been used to
improve service delivery and outcomes for each of the three families.

2. Human Behavior in the Social Environment:
The Supplement to the Surgeon Generals Report on Mental Health, identifies
children in foster care as a population with complex mental health needs, and
underserved by the mental health system. Students can be asked to speculate on
each childs mental health status and the possible outcomes of the case studies.
Students are asked to identify theories that support their conclusions or hypotheses.

85
The study cases offer scant information that helps us to understand the problems
and needs of the family. What missing data is needed to assist in the conducting
and development of comprehensive assessment and service plan for the families?
What theories may be drawn on to inform hypotheses in the assessment, and the
development of a plan of intervention that mitigates the effect of poverty on Alex
development as he matures from early infancy to adolescence.

3. Research:
Pose qualitative and quantitative research questions useful for the design of
research studies to contribute to an expanded knowledge base for the provision of
mental health services to children and families in need of child welfare services.

Child welfare policy advancement and practice innovations are increasingly
supporting policy evidenced-based research. There are a number of seminal
research studies that have supported child welfare policy development. For
example, the Kempe study conducted in 1962 introduced the term battered child
syndrome and presented child abuse as an under-reported medical psychiatric
problem prevalent among middle and upper income groups. The study led to the
enactment of the Child Abuse Prevention and Treatment Act 0f 1974 that
established the National Center on Child Abuse and Neglect as a national entity for
the administration of grants to states to conduct research into the causes of child
abuse and neglect, its prevalence and ways to prevent it. Mass and Engler (1959)
identified what was to become known as foster care drift, which referred to children
being unnecessarily removed from their families and left to linger in foster care until
they reached their maturity. Findings from this study were supported by other
seminal studies conducted by Fanshel and Shinn (1978) and Mott (1975) paved the
way for permanency planning reform and the landmark Adoptions Assistance and
Child Welfare Reform Act of 1980. Billingsley & Giovannoni (1972) conducted an
historical analysis of the experience of African American children in the child welfare
system pioneered in the subsequent proliferation of literature in culturally competent
cross cultural child welfare practice.


86
Real Cases Project: Teaching Guide for Generalist Social Work Practice

87
Real Cases Project
Generalist Social Work Practice

Carol S. Cohen, DSW
Associate Professor
One South Avenue, Garden City, NY 11530-0701
[email protected]

INTRODUCTION


The course(s), Generalist Social Work Practice, are a part of the Foundation Curriculum
in social work education programs, on both the baccalaureate and masters level.
Depending on the organization of the curriculum, it is one course, or multiple courses.
Generalist Practice addresses the common stages of work and skills across levels or
methods of practice, as well as across populations and settings.

Overall, the generalist practice model is an integrative approach to practice, which
attends to the professions focus on person in environment. Through this approach,
students can learn to see beyond the narrow boundaries of separate cases, and
appreciate client troubles (e.g., inadequate income, substance abuse, domestic
violence) in the context of public issues (e.g., policy debates on welfare reform and
health insurance) and agency regulations (e.g., eligibility criteria, screening procedures).
Students learn to move across system levels and among practice methods based on
their assessment to improve the adaptive fit between person and environment.

Generalist social work is distinguished by a common base of knowledge (i.e.
ecosystems approach & person in environment framework) and common practice
principles (i.e. centrality of the client and worker relationship & professional use of self).
A solid understanding and use of phases of assessment, planning, contracting,
intervention, and evaluation permeate all generalist social work practice, and do so in
light of changes in fields of practice, demographic trends, and in the reconfiguration of
service delivery systems. This knowledge base is put into practice through the use of
common skills (i.e. engagement and contracting) and roles (i.e. advocate and
facilitator). Generalist practice skills and roles are those that are easily adapted to use
in diverse settings, across client populations, and levels of intervention that include
individual, family, group, organization, and community. This orientation serves
graduates throughout their professional careers, underpinning the capacity to use their
knowledge and skills in serving the needs of clients in a variety of social work venues.

88
B. Relevance of these Case Studies to this Course

The case studies provide invaluable examples of real practice, in the social work setting
of public child welfare. The cases provide enough detail to explore from a range of
vantage points, multiple assessment activities, and a range of possible interventions
and evaluations. Their vivid details and situations provide the opportunity for students to
consider how family members and workers are doing and feeling within a larger
organizational and community context.

B. Specific Learning Objectives Related to Using these Case Studies in
this Course

Three specific learning objectives related to using the three case studies in this course
have been developed. They are:

To deepen self-awareness and build knowledge and skills in preparing for work
with clients, families, communities and organizations;
To develop ability to conduct a multi-faceted psycho-social assessment of clients
and their environments, with in partnership with clients;
To expand capacity to plan multi-level interventions to serve client and
community needs, within an organizational context and with an evaluation
strategy.


Included in this teaching guide are three potential strategies for integrating the case
studies into a Generalist Social Work Practice course. Each of the following strategies
is accompanied by discussion of cases, learning activities, materials needed, suggested
readings and a suggested evaluation plan.

Tuning In to Client, Families, Workers, Community and Organization.
Multi-Faceted Assessment Strategies
Planning Multi-Level Interventions and Accountability

TEACHING STRATEGIES

A. Strategy One: Tuning In to Client, Families, Workers, Community and
Organization

1. Areas/issues of the case studies to be highlighted:
Since these cases and teaching guide are intended for use by a broad range of
students, it is important for all students to read the cases or particular case
selected for this exploration of the tuning in process. For some students, these

89
cases will sound familiar, and for others, they will appear quite unfamiliar. The
first area of inquiry in class can be a sharing of reactions, and previous
experiences with similar cases. These initial responses may set the stage of the
more structured tuning-in process that will deepen students self-awareness and
initial engagement with clients.

Looking at the cases in thinking about the preparatory stage of work will
generate discussion about beginnings and the self-awareness of the worker.
Faculty members can suggest that students try to put themselves in the role of
family members and workers. In addition, students can be asked to identify
moments and events depicted in the cases, in which the workers professional
use of self could be examined and mobilized.

As discussed in this section, self awareness is critical for all social workers, and
generalist practice is often the time when social work students have the
opportunity to grapple with their own ability to use themselves as instruments of
change in their work with other people.

This learning strategy can be used in the early stages of the course, following
discussion of overall course concepts, and as material to explore the preparatory
phase of practice.

This strategy contains three phases of work, all of which take may place within a
single class session, or divided among sessions depending on time constraints.

Phase One: Open Discussion
This strategy begins with discussion of reactions, feelings, concerns and
exposure to social work practice in public child welfare settings. Students with
experience in this area should be encouraged to help fellow classmates
understand some of the basic case practice and jargon when needed. The
instructor should encourage all students to participate and find ways to connect
their own experience in previous practice and in field education, with the case
studies. The purpose of this stage is to universalize the cases, as valuable
learning tools for all students in the class.

Phase Two: Understanding the Tuning In Process
This strategy continues with a lecturette on the Tuning-In process, as originally
developed by William Schwartz, and then further elaborated by Lawrence
Shulman and Carol Germain and Alex Gitterman. This process is discussed in
highly uselful detail in the following sources:

Gitterman, A. & Germain, C.B. (2008). The life model of social work practice:
Advances in theory and practice, 3
rd
Edition. New York: Columbia University
Press

90

Schwartz, W. (1971). On the use of groups in social work practice. In W.
Schwartz & S.R. Zalba (Eds.) The practice of group work (pp.3-24), New York:
Columbia University Press.

Shulman, L. (2009). The skills of helping individuals, families, groups, and
communities, 6
th
edition. Belmont, CA: Brooks/Cole.

The key components of the Tuning-In process involve workers and students
preparing to meet clients by asking the following questions:

a. Identification: What are the facts, what do we know?
b. Incorporation: If I was _(the client/s)___, I would feel _____________.
c. Reverberation: When something happened to me like what happened
to _(the client/s___, I felt _______________.
d. Detachment/Analysis: What can we learn from this exercise?
e. Openness: What do I need to do to be open to this client/s and family?

The detachment and analysis stage is used to inventory the feelings and ideas
generated by the questions and to remember that Tuning-In only helps the
student understand their own feelings and ideas not those of the client.
Openness is the stage in which the student moves toward a true understanding
of the clients perspectives. This is essentially a self-awareness, or mindfulness
exercise that allows students to understand and separate their own feelings (and
biases) from the real story of the clients.

Phase Three: Tuning-In to the Families and Workers Presented in the Case
Studies
Students can be divided into three small groups, and given the task to Tune-In to
the key family members in each of the three cases, or one case can be used and
each group directed to Tune-In to a different family member and worker.

A representative of each group should then share their findings with the larger
class group, guided by the instructor. Instructors can use this experience to
address broader themes of the strengths perspective, and initial engagement
skills and challenges. The issue of vicarious traumatization can be introduced
and discussed at this point in the semester.

If instructors wish to extend this activity, they can ask each small group to
develop a role play to present to the class, focusing on the initial engagement
with the family, focusing a particular moment in the case study. In that event,
students can focus on preliminary sessional skills, including those identified by
Shulman (2009, pp.116-121) as:
1. Tuning In to the Clients Sense of Urgency
2. Tuning In to the Meaning of the Clients Struggle
3. Tuning In to the Workers Realities of Time and Stress

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Phase Four: Tuning In to the Workers Own Life Experiences
Lastly, as Shulman (2009) points out, tuning In to the authority theme is one of
the critical factors in building initial relationships with clients. It would be difficult
to identify a more compelling instance of this phenomenon in practice. Shulman
connects this theme with the importance of understanding the impact of diversity
in initial encounters, and the need to develop culturally competent practice.
These make fruitful areas of class discussion as students relate the experiences
in the case study to the authority theme, cultural competence, and the
professional use of self.

4. Materials:
Other than the case studies, no special materials are needed.

In addition to the aforementioned readings, the following are recommended:

Kirst-Ashman, K & Hull, G. H. (2006). Understanding generalist practice, 4
th

edition. Belmont, CA: Thomson Higher Education.

Barak, M. E. M. (2000). The inclusive workplace: An ecosystems approach to
diversity management. Social Work, 45 (4), 339-352.

Bell, H., Kulkarni, S., & Dalton, L. (2003). Organizational prevention of vicarious
trauma. Families in Society, 84(4), 463-470.

Bride, B. E. (2007). Prevalence of secondary traumatic stress among social
workers. Social Work, 52 (1), 63-70.

Freedberg, S. (2007). Re-examining empathy: A relational-feminist point of view.
Social Work, 52 (3), 251-259.

Miley, K. K., OMelia, M.W., & DuBois, B.L. (2007). Generalist social work
practice: An empowering approach. (5
th
Ed.). Boston: Allyn & Bacon.

Radey, M. (2008). Frontline welfare work: Understanding social works role.
Families in Society, 89 (2), 184-192.

Lemieny, C. (2001). The challenge of empowerment in child protective services:
A case study of a mother with mental retardation. Families in Society, 82 (2),
175-185.

Whitley, D. M., White, K. R., Kelley, S. J., & Yorkes, B. (1999). Strengths-based
case management: The application of grandparents raising grandchildren.
Families in Society, 80 (2), 110-119.


92
6. Evaluation plan:
Instructors may find that this exercise continues to be relevant throughout the
course, and so there will be numerous points to evaluate its impact. A full
debriefing should take place in class before students move on. Assignments of
logs and homework to bring back reports from the field will provide opportunities
for students to think about this powerful content further.

B. Strategy Two: Multi-Faceted Assessment Strategies

This strategy will use all (although instructors may choose one or two) of the
case, and use classic assessment strategies of Genograms and Ecomaps.
Following introduction of these strategies, instructors will discuss how they can
be used With clients and communities, rather than On clients and communities.

This strategy can fit well at the point that assessment strategies are first
introduced and discussed, or later in the course for application to work with
families and communities.

Good descriptions of these methods are available in Generalist Practice texts. A
classic, clear description of the ecomap and genogram is available as follows:
Hartman, A. (1995). Diagrammatic assessment of family relationships. Families
in Society: The Journal of Contemporary Human Services, 76 (2), 111-122.

Students may be interested to hear that Ann Hartman developed the Ecomap
tool for use in child welfare settings. It has since become extraordinary useful
across settings and populations, and can be used for work with individuals,
families, groups, communities and organizations. It is also used as a research
strategy, to depict relationships in micro, mezzo and macro systems.

The Genogram is primarily a family tree, that can also be used for a range of
system sizes. Traditionally, when the family is the unit of attention (which is
compatible with the Real Case studies, students can draw the family
relationships over generations that they can glean from the texts. Students can
also discuss the relevance and usefulness of using this tool with the families
presented in the case studies, and if there are opportunities, how they would
proceed to implement the strategy. Role plays would be useful, especially those
presenting an assessment partnership approach for the worker and clients.

With the Genogram in the center, an Ecomap for each family can be developed.
Again, participatory approaches with families are recommended. My experience
has been that the development of an Ecomap with clients is among the most
potent relationship building and assessment activities. As a snapshot of the
family over time, Ecomaps can be saved, re-drawn, and used on an ongoing

93
basis as a practice intervention and record. Ecomaps can also be used to depict
the relationships of a community or neighborhood with the wider environment.

The following section includes Genograms and Ecomaps drawn by Tara Bulin
from the three case studies.

Andrea R. Case Study Genogram


94
Ann M. Case Study Genogram

Peter
Peter
M.
39
Anne
Anne
Taylor
M.
33
Thomas
Thomas
M.
7
Megan
Megan
M.
4

Mary S. Case Study Genogram

f ather
1976
Susan
33
1994
Jason
15
2000
son
9
2004
son
5
1956
Mary
S.
53
1966
Stanley
43
1991
daughter
18
1996
daughter
13


95
Andrea R. Case Study Ecomap

John
John
S.
33
Andrea
Andrea
R.
27
Vincent
Vincent
9
Elizabeth
Elizabeth
R.
30
Mother
Mother
Mother
Mother

Social
Services
Mental
Health
ACS
School
System
Court
System

96
Anne M. Case Study Ecomap

Peter
Peter
M.
39
Anne
Anne
Taylor
M.
33
Thomas
Thomas
M.
7
Megan
Megan
M.
4

Employment
Childrens
Services
Legal
Involvement
Law
Guardian
Day Care
Babysitter
Maternal
Grandmother

97

Mary S. Case Study Ecomap

f ather
1976
Susan
33
1994
Jason
15
2000
son
9
2004
son
5
1956
Mary
S.
53
1966
Stanley
43
1991
daughter
18
1996
daughter
13

As the preceding illustrations indicate, there is rich data and a fruitful area for
engagement through the process of developing these artifacts.

4. Materials:
Other than the case studies and paper, no special materials are needed.
Instructors may want to develop handouts on both assessment strategies.

In addition to Generalist Practice texts, the following readings are recommended:

Early, T. J. & Glenmaye, L. F. (2000). Valuing families: Social work practice with
families from A strengths perspective. Social Work, 45 (2), 118-130.

School
Child
Services

Legal
Involvement
Sports
Tutor
Peers

Pediatrician


98
Gilgun, J. F. (2005). Chapter 2, (pp. 23-65), The ecosystem perspective and the
use of knowledge. In B.R. Compton, B. Galoway, and B.R. Cournoyer. Social
Work Processes (7th Ed.). Pacific Grove, CA: Brooks/Cole.

Hodge, D. R. (2005). Spiritual ecograms: A new assessment instrument for
identifying clients strengths in space and across time. Families in Society, 86 (2),
287-296.

Silverstone, B. (2005). Social work with the older people of tomorrow: Restoring
the person-in-situation. Families in Society, 86 (3), 309-319.

Strier, R. (2008). Client and worker perceptions of poverty: Implications for
practice and research. Families in Society, 89 (3), 466-475.

Young, D. S. & Smith, C. J. (2000). When moms are incarcerated: The need of
children, mothers, and caregivers. Families in Society , 81 (2), 130-141.

6. Evaluation plan:
Generalist Practice courses often have a written assignment related to
assessment in the early phase of work. Students can use the Genogram and
Ecomap in their own work with clients, and compare that with their experiences in
class with these case studies. Alternatively, students without applicable field
experiences, can use the case studies and these assessment strategies as the
basis for a written assignment or class exam.

C. Strategy Three: Planning Multi-Level Interventions and Accountability

The final strategy contained in this guide focuses on the critical area of planning
interventions in Generalist Practice. There is an old saying: When all you have
is a hammer, everything you see is a nail. In social work practice, this relates to
the tendency for organizations and agencies to see client problems and service
needs in similar ways, leading to mechanized development of service delivery
plans. The ChildStat Initiative is a direct antidote to this practice, and this
strategy suggests a way for students to first look closely at the planning process
in each case study, and then apply a system of inquiry to their own work in the
field.

This strategy can fit well at various points in the course, as it links with planning
and organizational assessment.

After reading and generally discussing the case studies, instructors can ask the
following questions:

99
How does the value and belief system of ACS influence the service
delivery responses of staff in each of the cases?
How do the skills and beliefs of workers influence service delivery?
To what extent are family members partners in developing plans for
service delivery?
Jumping off from this discussion, instructors can introduce a guide to assessing
worker, agency, and client needs to be used in a multi-level planning process.
This activity is primarily informed by the Chapter on Agency Context in Wayne, J. &
Cohen, C.S. (2001). Group work education in the field. Alexandria, VA: Council on
Social Work Education. At Adelphi University School of Social Work, we adapted
this exploration/planning guide for use in expanding assessment, planning and
implementation of macro practice interventions.

The handout is contained in the Appendix to this guide. It is important to
note that the handout was developed to specifically focus on community and
organizational interventions within a generalist practice framework. It has also
been used successfully when focused on work with individuals, families and
groups. This handout can be used in class or by students in their field placement
of work settings. Alternatively, it can be used as an analysis tool regarding the
service delivery to the families in the case studies.
4. Materials: Handouts and case studies are the only materials needed.

In addition to readings in Generalist Social Work Practice Texts, the following
readings are recommended:

Barak, M. E. M. (2000). The inclusive workplace: An ecosystems approach to
diversity management. Social Work, 45 (4), 339-352.

Cohen, C. S. (1995). Making it happen: From great idea to successful support
group program. Social Work with Groups. 18 (1). 67-80.

Shulman, L., (2008). Supervision. In Mizrahi, T. & Davis, L. (Eds.), Encyclopedia
of social work, Vol. 4 (pp. 186-190). Washington, DC: NASW.

6. Evaluation plan
As in the case with Strategy Two, this activity lends itself for a paper or log
assignment, as well as an in-class activity. Instructors can engage students in
comparing service delivery planning among the cases and between a case
study and their experience in the field.


100
CONCLUSION

A. Recap
This guide has presented three teaching strategies, building on the Generalist Social
Work Practice framework, of multi-level, multi-population and multi-settings approaches
to work with clients and communities.


There is no question that Generalist Social Work Practice is a basic building block of
social work education. Horizontally, the use of the cases in this course leads to
connections with Human Behavior and the Social Environment, Social Welfare Policy,
and Social Work Research. Some programs also link with courses in Oppression and
Social Justice, and these cases and teaching strategies address these key themes.
Vertically in moving into advanced concentrations, Generalist Practice prepares
students to go deeper into generalist approaches, as well as focus more intensively in
direct or indirect practice, and/or in social work practice with individuals, or groups, or
families, or communities, or organizations.


101
APPENDIX TO THE TEACHING GUIDE GENERALIST SOCIAL WORK PRACTICE
HANDOUT; PRE PLANNING GENERALIST PRACTICE INTERVENTIONS WITH
ORGANIZATIONS AND COMMUNITIES
*Adapted From: Wayne, J. & Cohen, C.S. (2001). Group work education in the field. Alexandria, VA: CSWE
These focusing questions guide social work students, workers and supervisors in identifying readiness for
working with organizations and communities, assessing the agency environment as the context for social
work practice, and understanding client, agency and community needs in relation to agency capacities.

Phase One: Self Assessment
A. How do I feel about planning and implementing community and organizational interventions?
_____________________________________________________________________________________
_____________________________________________________________________________________
B. What experience and knowledge about social work practice with organizations and communities can I
bring to this process?
_____________________________________________________________________________________
_____________________________________________________________________________________
C. What experience and knowledge about social work practice in general can I draw on?
_____________________________________________________________________________________
_____________________________________________________________________________________
D. What do I need to do to prepare myself to plan and implement community and organizational
interventions?
_____________________________________________________________________________________
_____________________________________________________________________________________
Phase Two: Identification of Past and Present Agency Experience
A. Is there an agency ideology on organizational and community practice strategies?
_____________________________________________________________________________________
_____________________________________________________________________________________
B. What has been the agency experience these types of interventions?
_____________________________________________________________________________________
_____________________________________________________________________________________
C. Do certain groups of staff have a monopoly on working organizationally and with communities?
_____________________________________________________________________________________
_____________________________________________________________________________________
D. If agency staff does not work in these areas, what can be the reason(s)?
_____________________________________________________________________________________
_____________________________________________________________________________________
Phase Three: Assessment of Client Needs and Agency Capacities
A. Are there unmet client and staff needs in this agency which can be appropriately met through the use
of organizational and community interventions and strategies?
_____________________________________________________________________________________
_____________________________________________________________________________________
B. In what ways will agency policies, procedures, and informal organization enhance and/or complicate
such work?
_____________________________________________________________________________________
_____________________________________________________________________________________
C: How will we proceed to develop and implement an organizational or community intervention?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________


102

Real Cases Project: Teaching Guide for Social Work with Communities/Community Organization

103
Real Cases Project:
Social Work Practice with
Communities/Community
Organization

Charles H. Trent, Ph.D., ACSW
Associate Professor
Yeshiva University
2495 Amsterdam Avenue
NY., NY 10033-3312
[email protected]

INTRODUCTION

This teaching guide is designed for use across programs and schools of social work to
show that content in the three case studies can be integrated into courses (single
semester, dual semester, elective semester, and others) to study Social Work Practice
with Communities/ Community Organization.

Although social work students and teachers work with diverse populations, communities
of vulnerable children are of major concern to those engaged in social work practice
with communities/community organization. Given that the three case studies are drawn
from the ChildStat initiative, and contain similarities to other real life social work
encounters, they challenge teachers and their students to identify, discuss, study, and
work on broad practice issues regarding traumatized children and sometimes
immobilizing child welfare systems.

In bounded and risk-limited classroom environments, teachers can create curricula
space for the study of social work practice with communities/community organization,
and students can discover their child welfare practice voices in various social work
courses. In these various social work education settings, students can also learn to
envision helping children using a continua of practice actions, appropriately processed,
analyzed, and designed. The three case studies, along with the conceptual, theoretical,
and skills-building materials which underpin the course, can help students keep
vulnerable children in mind over the length of courses.

Presented below is an overview of a social work practice with communities/community
organization curriculum; the relevance of the three case studies; selected learning

104
objectives; a summary of the content included in this guide, strategies for integrating the
Cases into the courses, and a conclusion.

E. Overview of this Course within the Social Work Curriculum

It is important to maintain the understanding that social work students originate from
diverse communities. They attend social work courses that vary by school/university,
and are placed in fieldwork organizations that vary by age, location, size, program,
mission, staff, auspice, and interest. Practice with children is a venue for some, but not
all, students. Moreover, because neglected and abused children must interact with
various and oftentimes harmful systems, social work practice with communities and
community organization courses can be flexible enough to entertain attention to other
populations who although themselves oppressed, discriminated, victimized, or denied
social justice, may be exacting harm to a child or to children.

Some attention to children and other groups can flow from conceptual, applied, and
theoretical materials contained in scholarly materials such as books, journals, web sites,
newspapers, and references devoted to community organization, community planning,
development, and policy, etc. Moreover, some attention can be transferred to
classrooms from fieldwork settings, where students practice in experiential and applied
roles with segments of childrens communities, and other populations.

Uniquely, the three case studies can help fill gaps in the availability or accessibility of
case materials with which students can identify and share affects, particularly at the
beginning of semesters where many students have no assigned case material, and
have to spend downtime concentrating on other than practice activities. Therefore,
early in semesters, the case studies can be distributed in classrooms to students to
read thoroughly so they can begin to build competencies, skills, knowledge, and
learning associated with problems that each of the families face from the perspective of
the best interest of the individual and within the frameworks of child welfare interest
groups, community based institutions, child-rearing communities, and larger societies.

At early class sessions, students and teachers might spend adequate time formulating
baselines regarding rules of inclusion, agreements on practice principles, teacher-and-
student roles, sessions structures, and other rules that will place the case studies
content most efficiently and uniquely.

F. Relevance of Case Studies to Course

In the process of developing this teaching guide, a group of community organization
students were asked to read a previously developed child welfare case, and then to
participate one week later in a classroom discussion. As this case included some
particularly challenging features, the students were disturbed with some of the content
presented in this case. Every one of the students shared feelings, perceptions and
knowledge about the case, and they offered observations related to the various players
depicted in the case. Students who had worked with similar cases suggested that the

105
case depicts how child welfare systems had worked for a long time and, for some, the
ways they continue to work. One student shared increased emotions, having left a
direct practice setting working one-on-one with children to pursue community
organization studies.

It is important to note that as arrangements were made to submit the remaining pages
of the case to the students, they voiced strong views that they, Community Organizers,
could use this real case in class to pursue practice skills, knowledge, competencies,
and learning.

The students in this pilot use of a case study were advanced-year Community
Organizers, pursuing a Masters Degree in Social Work. Although these students study
theoretical, strategic, and tactical community organization for two specialized semesters
that are linked to customized applied practicum settings, for other students the case
studies can be integrated into one semester, two semester, elective semester courses
or in courses designed around other time frames to accommodate foundation year,
bachelor-level, elective, auditing, matriculated, or non-matriculated students.

G. Specific Learning Objectives Related to using these Cases in this Course

At the conclusion of semesters, students should be able to:

Demonstrate abilities to organize and structure Case Study Teams;

Utilize appropriate content of the three case studies and assigned scholarly
materials to explore how to begin community organization practice.

Discuss specific themes within a case study in submitted assignments such as
essays, practice papers, presentations, and others crafted by teachers.

Demonstrate abilities to understand the primary practice tasks related to
organizing a child-focused community needs assessment related to the
assessment content contained in the case studies.

Demonstrate abilities to organize theoretical projects containing elements of
action, youth participation, and training, as treatment interventions with planned
positive outcomes benefiting children.


Identification, extraction, and implementation of themes contained in each of the three
case studies can be useful to structuring courses. Each instructor can make decisions
regarding which themes will be focused on and how they are integrated into courses.

For example, a teacher extracted three strategic themes (see below) from content in the
case studies and integrated them into the courses mentioned above. These three

106
themes underpinned development of the course objectives, assignment of course
sessions, allocation of time spent on the case content during a school year, and crafting
appropriate student assignments. The discussion below is organized around course
structures, teaching methods, supportive materials, and a conclusion.

A. Strategy One: Entry Point Organizing

In the complex ecology in which child welfare problems exist, students of
community organization are highly concerned about where, when, and how to
begin practice. For example, should practice begin at the point of learning, as
announced on the first page of the Ann M. Case: Social worker from the hospital
that treated Ms M. for injuries resulting from the beatings inflicted on her by her
husband during their vacation in Jamaica is concerned about mother's capacity
to care for and protect children. Children were present during father's attacks on
their mother.

Selecting the theme of entry point organizing can help students struggle with
finding an appropriate, feasible, and efficient place for social work practice with
communities/community organization and the best intervention for use with the
children.

Since the continuum of social work practice involves beginnings, middles, and
ends, and because students are concerned early in semesters with engagement
with client systems, it would be logical to place entry point organizing early in a
semester around the topic of engagement. Teaching methods could include
brief lectures, student group discussions, class reports, debriefings, oral
presentations, and others with or without the support of assigned readings, audio
visual aides, or other venues.

However, it is essential that students be required to read the three case studies.
Teachers can use their personal preferences regarding whether to assign
supportive reading material as preparation for session activities in classrooms.
During the pilot for this guide, one teacher required that students visit at least one
governments child welfare web site, one child welfare organizations web site,
and the Association for Community Organization and Social Administrations
(ACOSA) web site (www.acosa.org) to gather relevant information that promotes
better understanding of points of entry options that might be feasible and
possible, and then report their findings in a large group discussion during a
session.

TEACHING STRATEGIES

107
Sample syllabi are available for the courses mentioned briefly in this guide. If
teachers choose to do so, students can be referred to selected primary literature
regarding children, organizing, and child welfare found in The Journal of
Community Practice, the Journal of Social Problems, and others. One very good
article for the point of entry strategy is Austin. S. (2005.) Community-building
principles: Implications for professional development. Child Welfare, 84, 2, 105-
18.

B. Strategy Two: Community Resource-Needs Assessment

Assessment is a highlighted issue for discussion in each of the three cases. To
varying degrees, interest was reflected in linkage to community resources. This
strategy looks at the role of this assessment process.

Community resource-needs assessment related to the case studies can fit well in
the study of social work practice with communities/community organization
courses. Community resource-needs assessment is taught for a limited amount
of time in one course utilizing teaching methods that include a mini-lecture, one
group task discussion, one group class report, and an instructor-led debriefing
activity.

Students should be encouraged to read the cases and read any ancillary course
session readings, look at sample community assessment tools, and find relevant
articles on assessment contained in a scholarly journal.

These are the types of articles that students might find enriching:

Kerman, J. B., et.al. (2003). Seriously emotionally disturbed youth: A
needs assessment. Community Mental Health Journal, 39, (6), 475

Taylor, K.I. (2005). Understanding communities today: Using matching
needs and services to assess community needs and design community-
based services. Child Welfare, 84, 2, 251-65, or many others that exist in
a myriad of sources.

C. Strategy Three: Participatory Training Handbook Project

The case studies content highlights problems of children, including those
particular to adolescents. They address issues of neglect and abuse, and a
range of economic conditions. The issue of child abandonment (when children
are virtually on their own without resources and support), raises the question of
how these vulnerable people can be strengthened collectively using community
practice options.

108
An example of engaging youth in a participatory training handbook project is a
theme that can fit within the social work practice with communities/community
organization courses.

For example, this theme was taught for a restricted time period in several course
sessions structured in the middle of a semester so that students could
understand some prevailing sustainment issues found in social work practice with
communities/community organization interactions with client systems.

Given individual teacher styles for course delivery, one teaching method used
consisted of a lecture-discussion on how to plan and organize a community
organization project where students were then allotted time to work in Case
Study Task Teams toward the strategy of assembling a participatory youth
handbook. Instructor-led debriefings were held at points in time where it was
deemed important to integrate the primary knowledge attained by each team into
teaching moments on topics related to youth recruiting, and motivating
traumatized youth to participate in a project activity, and youth training.
Later in the semester, a whole-class activity was used to summarize all activities
undertaken to understand this theme.

Project planning and development literature can be very helpful as students gain
knowledge related to conceptually defining project and then operationalizing
project-related Case Study teams from the perspective of social work practice
with communities/community organization around the idea that vulnerable
children have useful attributes (knowledge, experiences, suggestions, and skills)
that can be shaped into assets that benefit themselves and external child
communities.

Rather than the teacher feeding material to students, this course required that
students became competent in identifying issues as they arose in groups,
processed these issues as individuals, discussed these individual processes with
members of the Case Study Task Teams, and harvested information on the
issues from relevant literature, and finally made decisions for issue-resolution for
the sole best interest of the children.

CONCLUSION

This teaching guide demonstrates that schools of social work can integrate social work
practice with communities/community organization study into curricula having the three
case studies as the foundation for learning, knowledge, skill, and competency. Themes
can be extracted from the case studies and utilized to formulate course objectives,
arrange course structures and content, organize teaching methods, and produce child
focused activities that students can find useful as they practice with child communities

109
and other community systems. Examples were offered to show that one school of
social work used the case studies with the urgings of community organization students.

Although several themes were extracted from the case Studies, a myriad of
themes/issues exist in them that could be useful to the development of community
social work students knowledge, skills, and competences in child welfare. Some
additional social work practice with communities/community organization themes
suggested by the case studies include problem formulation, population, community,
neighborhood, child participation, coordination, collaboration, coalition, organizer role(s),
intervention, program, project, service, accountability, professional competence, social
justice, advocacy, empowerment, and many more.

Building these new themes into existing, collective social work practice with
communities/community organization curricula for fixed periods of time, say five years,
continually evaluating, revising, and applying them so that significant numbers of youth
benefit can encourage more innovation, creativity, and help. Best practice themes
could continue to be discussed in papers, manuals, newsletters, web sites, and others
by faculty, students, family members, and children together with professionals and lay
communities. Organized practice should focus on goals that place child participation in
the vanguard of these activities where the survival of and the best interest of the child
prevail.


110
Real Cases Project: Teaching Guide for Practice with Organizations/Administration

111
Real Cases Project:
Social Work Practice with
Organizations/Administration

Gerald P. Mallon, DSW
Professor
Hunter College School of Social Work
129 East 79th Street New York, NY 10021
[email protected]

INTRODUCTION


The course, Social Work Practice with Organizations, focuses on preparing students for
direct social work practice with children, adolescents, and their families in an
organizational context. Emphasis is placed on administrative issues which promote
continuous quality improvement and management strategies, particularly as they pertain
to special problems related to life conditions and events that affect children, youth, and
families. In addition, the social and practice context which frames the service delivery
systems for children is explored.

The course is typically offered as an elective practice course during advanced study at
the MSW level. Material delivered as part of this course builds on that which the
students have acquired in their foundation curriculum. In particular, it builds upon
theoretical knowledge from Human Behavior and the Social Environment core courses
and practice principles from Social Work Practice sequence courses.

The specialization creates the opportunity to expand overall child welfare knowledge and
analytic skills through an in-depth examination of the needs of children, youth, and families
or the dynamics of the child welfare policy arena; to identify and assess a range of
analytical and ideological, administration frameworks, to identify and use specialized
knowledge for policy and program development; and to develop a more sophisticated
understanding of diversity, oppression and the processes of social change. Students
advance their capacity to understand, analyze, and modify social administration and
services develop specialized policy knowledge related to their long-term professional
interests and goals; and learn to generalize what they have learned to other issues and
population.


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B. Relevance of the Case Studies to this Course

The case studies presented as the central learning source for this project have a great
deal of relevance for this course. The cases provided for students, illustrate the
importance of sound management practices in assessing good child and family
assessment, appropriate intervention strategies, case coordination, use of culturally
competent practice, and knowledge and use of self in treatment. The cases also permit
students to abstract further to examine the critical importance of continuous quality
improvement in child welfare cases.

C. Learning Objectives for Using the Case Studies in this Course

Three specific learning objectives related to using the case studies in this course have
been developed. They are:

To build advanced knowledge of administration in a social service agency.
To develop a repertoire of fundamental management strategies related to social
work with children and their families, and to appreciate the importance of
strategic planning and continuous quality improvement of those interventions.
To deepen self-awareness as a manager in considering personal values,
experiences, ethnic, cultural, social and economic factors as they relate to the
social work relationship in administrative practice with children and their families.


Included in this teaching guide are four potential strategies for integrating the three case
studies into a course such as Social Work Practice with Organizations. They are:

1. Help students to understand the importance of supervision in
managing a child welfare case.

2. Assist students in critically analyzing the philosophy of management by
objectives in child welfare cases.

3. Work with students to develop self-awareness about decision-making
in child welfare

4. Ensure students understand the importance of leadership in social
service systems coordination in cases like the Alex Bell case,
highlighting examples of where leadership could have assisted in
moving this case to a positive more outcome.


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TEACHING STRATEGIES

A. Strategy One: Brainstorming about Supervision

1. Area/issues of the case study to be highlighted:
Help students to understand the opportunities the workers and their supervisors
in these cases had to intervene with children and their families, suggest
opportunities that were missed, and how, ideally, would a worker have
intervened, and what the implications may have been utilized to promote a
positive outcome.

To implement this strategy, instructors will need to spend approximately 1 hour of
one class session near the beginning of the course, when administration
principles and practices are usually covered.

Using the case summaries, instructors will ask students to break into three small
groups and brainstorm (recording on newsprint paper) about the three areas of
supervision from Alfred Kadushin:
Administrative - the promotion and maintenance of good standards of
work, co-ordination of practice with policies of administration, the
assurance of an efficient and smooth-running office;
Educational - the educational development of each individual worker on
the staff in a manner calculated to evoke her fully to realize her
possibilities of usefulness; and
Supportive - the maintenance of harmonious working relationships, the
cultivation of esprit de corps. (Kadushin, 2002)
Instructor Overview of Supervision
The instructor must provide an outline of these three areas for the students, what
follows is an example:
It is helpful to think of the three elements as interlinked (or as overlapping). They
flow one into another. If we are to remove one element then the process
becomes potentially less satisfying to both the immediate parties - and less
effective. It is easy to simply identify managerial supervision with administrative
supervision


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Administration
Kadushin presents his understanding of the three elements in terms of the
primary problem and the primary goal. In administrative supervision the
primary problem is concerned with the correct, effective and appropriate
implementation of agency policies and procedures. The primary goal is to
ensure adherence to policy and procedure (Kadushin 2002: 20). The
supervisor has been given authority by the agency to oversee the work of
the supervisee. This carries the responsibility to ensure that agency policy
is implemented - which implies a controlling function - and a parallel
responsibility to enable supervisees to work to the best of their ability.
It also entails a responsibility not to lose touch with the rationale for the
agency - 'to provide a first-class service for people who need it (or in some
cases are required to have it, in order that they or others may be protected
from harm)
Education
In educational supervision the primary problem for Kadushin (2002: 20)
is worker ignorance and/or ineptitude regarding the knowledge, attitude
and skills required to do the job. The primary goal is to dispel ignorance
and upgrade skill. The classic process involved with this task is to
encourage reflection on, and exploration of the work. Supervisees may be
helped to:
Understand the client better;
Become more aware of their own reactions and responses to the
client;
Understand the dynamics of how they and their client are
interacting;
Look at how they intervened and the consequences of their
interventions;
Explore other ways of working with this and other similar client
situations
Support
In supportive supervision the primary problem is worker morale and job
satisfaction. The primary goal is to improve morale and job satisfaction
(Kadushin 2002: 20). Workers are seen as facing a variety of job-related
stresses which, unless they have help to deal with them, could seriously
affect their work and lead to a less than satisfactory service to clients. For
the worker there is ultimately the problem of 'burnout'.

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Kadushin argues that the other two forms of supervision focus on
instrumental needs, whereas supportive supervision is concerned with
expressive needs.
[T]he supervisor seeks to prevent the development of potentially stressful
situations, removes the worker from stress, reduces stress impinging on
the worker, and helps her adjust to stress. The supervisor is available and
approachable, communicates confidence in the worker, provides
perspective, excuses failure when appropriate, sanctions and shares
responsibility for different decisions, provides opportunities for
independent functioning and for probable success in task achievement.
(Kadushin 2002: 292)
Exercise
After a careful assessment of the three case studies, the groups will
discuss each point in time where there appears to be a critical intervention
or systemic breakdown

Once compiled (allow 30 minutes), the groups will post so the entire class
can view. In the full class discussion (allow 30 minutes), look for points of
agreement and themes. The instructor will reinforce examples from each
of the three areas of supervision. Each of the three supervisory functions,
administrative, educational, and supportive could be reviewed in this
context and viewed from the perspective of the worker and the supervisor.

Students can explore alternative styles of supervision and growth through
continuous education by reading the Weinbach reading.

4. Materials:
Newsprint, markers, case studies

Kadushin, A. & Harkness, D. (2002). Supervision in social work. New York:
Columbia University Press, introduction, chapters 1-3.

Weinbach, R. (1998). The social worker as manager. Boston: Allyn & Bacon,
Chapter 6, pp. 152-175.

6. Evaluation plan for strategy one:
At the end of the course, add two Likert Scale items regarding the specifically
identified teaching / learning strategy to the overall course evaluations:

How much did the use of the supervision brainstorming exercise on the three
cases impact your learning in this course?

Strongly Somewhat Not Much Not at All

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How well prepared are you to appropriately make use of supervision in your
practice with children, youth, and families?

byVery Prepared Somewhat Prepared Ill Prepared Not at All

B. Strategy Two: Discussion about Management by Objectives

Management by objective works - if you know the objectives. Ninety percent of the time
you don't. - Peter F. Drucker

1. Area/issues of the case studies to be highlighted:
This strategy involves focusing on each section of the case studies and analyzing
each their objectives.

It is suggested that this strategy be used toward the end of the semester.

Assist students in critically analyzing the repertoire of objectives that were
present in the case studies.

Utilizing the guide from the overview, ask students to evaluate their style of
setting objectives.
Overview of Management By Objectives
Management by objectives (MBO) is a systematic and organized
approach that allows management to focus on achievable goals and to
attain the best possible results from available resources. It aims to
increase organizational performance by aligning goals and subordinate
objectives throughout the organization. Ideally, employees get strong input
to identify their objectives, time lines for completion.

MBO includes ongoing tracking and feedback in the process to reach
objectives.
Core Concepts
According to Drucker (1990) managers should "avoid the activity trap",
getting so involved in their day to day activities that they forget their main
purpose or objective. Instead of just a few top-managers, all managers
should:

participate in the strategic planning process, in order to improve the
implementability of the plan, and
implement a range of performance systems, designed to help the
organization stay on the right track.

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Managerial Focus
MBO managers focus on the result, not the activity. They delegate tasks
by "negotiating a contract of goals" with their subordinates without
dictating a detailed roadmap for implementation. MBO is about setting
yourself objectives and then breaking these down into more specific goals
or key results.

Main Principle
The principle behind MBO is to make sure that everybody within the
organization has a clear understanding of the aims, or objectives, of that
organization, as well as awareness of their own roles and responsibilities
in achieving those aims. The complete MBO system is to get managers
and empowered employees acting to implement and achieve their plans,
which automatically achieve those of the organization.

Where to Use MBO
The MBO style is appropriate for knowledge-based enterprises such as
a child welfare agency when staff is competent. It is appropriate in
situations where one wish to build employees' management and self-
leadership skills and tap their creativity, tacit knowledge and initiative.

Setting Objectives
In MBO systems, objectives are written down for each level of the
organization, and individuals are given specific aims and targets. "The
principle behind this is to ensure that people know what the organization is
trying to achieve, what their part of the organization must do to meet those
aims, and how, as individuals, they are expected to help. This
presupposes that organization's programs and methods have been fully
considered. If they have not, start by constructing team objectives and ask
team members to share in the process.

For MBO to be effective, individual managers must understand the
specific objectives of their job and how those objectives fit in with the
overall company objectives set by the board of directors. A manager's job
should be based on a task to be performed in order to attain the
company's objectives... the manager should be directed and controlled by
the objectives of performance rather than by his or her supervisor.

Here are some ways to think about becoming effective:
1. Get very clear about your intention. Actions are meaningless if you
dont know what your client wants... Work on getting extremely

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clear on what your intention is. The clearer you are with your
intentions, the more engaged you are with your client(s) the more
powerful your actions will be.
2. Start with the end in mind. Develop a clear picture of what you want
to achieve & plan backwards from future to present. Articulate in
as much detail as possible what it is you want.
3. Write it down! The act of writing makes the intention more real, and
supports your commitment to it. The process of writing makes the
intention more real.
4. Develop a plan with measurable objectives, milestones and target
dates. Work from the future to the present when designing your
plan. Strategize actions that will be effective, and that leverage your
strengths and talents.
5. Have others support you. Let others know what youre doing, co-
workers and especially supervisors, so they can support you. The
more communicative you are about your goals and plans, the more
likely youll achieve them. Letting others know what youre up to
both reinforces your commitment, and creates synergy as now
other people are enrolled in the possibility of your
intentions/actions.
6. Design a strategy and give it enough time to have it work. Be
flexible enough however, to know when to use alternate
approaches and strategies for achievement.
7. Create systems to monitor your progress, and be consistent with
them. This doesnt mean that daily or hourly monitoring is
necessary it does mean that creating a feedback loop, even if
youre the only one participating in the feedback loop, is vitally
important. Make time available on a regular basis for self or project
review.
8. Utilize your support system, and identify a "co-worker coach" who is
committed to your success. Develop a structure to ensure that your
co-worker coach and you will communicate on a regular basis. The
accountability factor is significant in helping you to stay on track.
9. Appreciate all that youre doing to stay on track, and celebrate your
progress along the way! Express gratitude to those who are
supporting you, as well as to yourself.
10. Protect yourself from people or things that dont support you. You
want to surround yourself with people and things that are going to
nourish you and propel you closer to the realization of your
objectives with your clients.
The exercise should take between 30 minutes and one hour to complete.
The instructor should have a full knowledge of the NYS CONNECTIONS
system to discuss with students how management by objectives could be
reinforced using this computer based child welfare case management

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system. A review of the FASP Family Assessment Service Plan should
also be an integral part of this discussion.

4. Materials:
None

Mordock, J.B. (2002). Managing for outcomes: A basic guide to the evaluation
of best practices in the human services. Washington, DC: CWLA, Chapts. 1 & 4.

CONNECTIONS materials for review.

6. Evaluation plan for Strategy Two:

How much did the use of the discussion of management by objectives on the
case studies impact your learning in this course?


How well prepared are you to appropriately utilize the management by objectives
approach for your children, youth, and families in practice?

Very Prepared Somewhat Prepared Ill-Prepared Not at All

C. Strategy Three: Management is About Making Good Decisions

Making good decisions is a crucial skill at every level. - Peter F. Drucker

Work with students to develop self-awareness of their decision-making ability by
highlighting the dynamics and issues in the three cases that they most identify
with, supporting them in their critical analysis of such, and reinforce the important
knowledge and use of self in professional decision-making practice with children,
youth, and families.

This strategy can be used at any point in the semester in this course, and is
designed to be flexible to the needs of the instructor.


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If instructor wishes, this decision-making self-awareness exercise can be used as
a small group or paired 15-30 minute discussion. If he/she wishes, this decision-
making self-awareness exercise can also be made into a short written paper
assignment.

Students will be asked to reflect on the following questions as they relate to the
case studies.
What are the five critical decisions that you think should have been made in
these cases?
What are the five best decisions that were made in these cases?
What were the five worst decisions that were made in these cases?
How clear are you in reading these cases that you would have made different
decisions than were made in these cases?
Do you think your supervisor would have provided you with better guidance
than the worker in these cases?
Have you ever been less than properly supervised?
Have you had experiences when you felt less than adequately supported in
your position?
How did that feel?
How might your own experiences of class, culture, race, gender impact on
your decision-making with these families?
How might your own experiences of family / parenting / your own rearing
and/or adolescence help or hinder your work with these families?

4. Materials:
None

Depanfilis, D. (2005). Child protective services. In G. Mallon and P. Hess (Eds.)
Child welfare for the twenty-first century: A handbook of practices, policies, and
programs (pp. 290-301). New York: Columbia University Press.

Shlonsky, A., & Gambrill, E. (2005). Risk assessment in child welfare. In G.
Mallon and P. Hess (Eds.) Child welfare for the twenty-first century: A handbook
of practices, policies, and programs (pp. 302-318). New York: Columbia
University Press.

6. Evaluation plan:

How much did the use of the self-awareness decision-making exercise on the
cases impact your learning in this course?


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How well prepared are you to appropriately know and use decision-making as a
tool in practice with children, youth, and their families?


D. Strategy Four: Role of Leadership in Case Planning

Management is doing things right; leadership is doing the right things. - Peter F. Drucker

1. Area/issues of the case studies to be highlighted:
Ensure students understand the importance of leadership in social service
systems coordination in cases like the three cases, highlighting examples from
the case studies where the communication and follow-through between mental
health providers and community agencies may have placed the children and their
families at greater risk, and emphasizing the leadership role social workers often
play in intervention coordination.

This strategy might best be used at the end of the course, after students have
had substantial content regarding the dynamics of children, youth, and families in
systems of care.

Personal energy is an important component of personal and social service
productivity. Most people cycle between positive and negative energy states
during the work week. But the percentage of time spent in positive and negative
moods varies significantly. Some people seem to be overwhelmingly negative,
while others in similar circumstances can remain much more positive. Increasing
the time spent in positive states will improve personal productivity.
The following ten tips suggest ways to facilitate a more positive leadership.
1. Work first on your relationships.
Relationships are both our best sources of happiness and our
biggest sources of problems and frustrations. Developing good
relationships and improving or ending the poor relationships in your
life will increase your personal energy.
An effective tactic to start improving your relationships is to develop
better personal boundaries and standards and work on reducing
tolerations.
2. Develop a routine to start every day in a positive mental state.

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It is very helpful to start the day with a routine that creates positive
energy. Many people find activities like an early morning walk,
exercise, meditation, quiet time, etc., effective in getting their day
off to a positive start. It is easier to stay positive, if you can start
with a positive attitude.
3. Learn how to monitor your current mental state and changes to
it.
This is a complex area, but if you can link negative mood changes
to a source or cause, then you are frequently in a position to quickly
change back. The important point here is once you are in a
negative state, get the message or value from the situation, and
then take some action to return to a positive state. This is
discussed more in #6 below.
4. Create an energizing physical environment.
Invest some time and money to make your personal surroundings
pleasing and energizing to you. Some small items may make a big
difference to how your personal space affects your moods.
Poor lighting can lower your mental state, especially in the winter.
Some people report a big improvement in their mood just by
cleaning up their bedroom and making the bed before leaving for
work. Clutter is de-energizing to many people. A sink full of dirty
dishes is de-energizing to some.
5. Carefully monitor your self-talk.
Negative self talk is a common source of low moods. When you are
hearing negative self talk, be alert to the unrealistic, overly negative
messages. Focus on getting any truthful message, then shifting out
of overly self-defeating criticism. It is true that we are usually our
own worst critic.
6. Develop methods of shifting yourself to a more positive state.
Once you are aware of your negative moods, and have developed
your own method of getting the value out of the bad mood, then
craft methods of moving back to a positive mood. These methods
can include positive self talk, taking action towards a desirable goal,
and interacting with another person.
7. Deal with problems effectively.

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Problems are a part of life. Few people enjoy problems; but in many
cases we can learn from them. It may help to ask yourself several
questions, such as:
o What am I contributing to this problem?
o What Life Lesson have I been missing here?
o What is the worst that can happen and how can I improve on
that?
o What am I doing right?
o What am I going to do differently?
Getting into a habit of using problems as learning experiences can
help us avoid becoming de-energized when they occur.
8. Focus your energy on attracting more of what you want.
Time and energy spent dwelling on problems is frequently better
spent pursuing desirable goals. It helps to examine your own
contribution to any difficulties and understand how you may need to
change. Then be sure to ask others directly for what you want from
them; don't fall into the trap of under communicating.
In this way, you are always making course corrections and moving
forward. I have found it helpful to print out a list of goals and my
theme for the week first thing Monday morning. This seems to help
me get started on a positive note.
9. Be a positive energy source with others.
Negative energy seems to attract negative results. Keeping your
own mood positive can encourage positive moods and suppress
negative behavior in others.
10. Avoid using negative energy as an energy source
Many people have a shortage of positive energy in their lives and
use negative energy as their energy source. They create busyness,
use deadlines, crises, and problems to keep them going. In many
cases, their motivation patterns shift completely from seeking
pleasure to avoiding pain. In most cases, serious burnout is the
eventual result of becoming dependent on negative energy
sources.
A select group of students will be asked to take on the roles of the
worker in these cases and his or her two supervisors, one of whom
is a Commissioner level person., in relation to the cases in a live

124
class presentation of an Emergency Case Conference. The goal of
the emergency case conference is to ensure the safety and well-
being of the children, but also for the students to learn about
positive and negative leadership styles in supporting positive
outcomes for families. The following roles are to be represented:
Social Worker; Social Workers Supervisor; Commissioner.

After the simulated emergency case conference (allow
approximately 15 minutes), students who played roles are asked to
give feedback about how they viewed both the processes and
potential outcomes of the conference. Then, under facilitation of the
instructor, the discussion is open to the entire class. This
discussion can last for 30 minutes. The instructor should then
summarize critical feedback given.

4. Materials:
None

Drucker, P.F. (1990). Managing the non-profit organization. NY:
HarperCollins, p. 9-27.

Kluger, M.P., & Baker, W. (1994). Innovative leadership in the nonprofit
organization: Strategies for change. Washington, DC: CWLA, chapter 2.

Milner, J., Mitchell, L., & Hornsby, W. (2005). Child and family services reviews.
In G. Mallon and P. Hess (Eds.) Child welfare for the twenty-first century: A
handbook of practices, policies, and programs (pp. 707-718). New York:

6. Evaluation plan:

How much did the use of the role play on systems coordination and leadership
regarding the cases impact your learning in this course?


How well prepared are you to utilize your own leadership with regards the needs
of children, youth and their families?



125
CONCLUSION

A. Recap

The case studies present numerous learning possibilities for a course like Social Work
Practice with Organizations. Nearly every learning objective typically developed for a
course such as this one could be achieved through a strategy linked to the use of these
case studies. Objectives regarding the use of supervision, management by objectives,
the use of self in relationship to decision-making, and the role of leadership in case
planning are only some of the themes addressed in this teaching guide.


Future courses could build on the strategies presented here. Active learning techniques
such as role playing, debates, small or large group discussions as well as in depth
reading assignments and reflective paper assignments are offered here as effective
tools to aid in the learning and teaching process. Instructor creativity with and
adaptation of these and other techniques are encouraged with regard to any number of
other learning objectives for this or any other course.

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Real Cases Project: Teaching Guide for Social Work with Groups

127
Real Cases Project:
Social Work with Groups

Shantih E. Clemans, DSW
Associate Professor
Wurzweiler School of Social Work Yeshiva University
2495 Amsterdam Ave. New York, NY 10033
[email protected]

INTRODUCTION

A. Overview of this Course within the Social work Curriculum

This course is designed to increase students knowledge and skill in social work practice
with groups. Covered are the generic knowledge and skills that social workers require
to work in groups with vulnerable populations. An aim of the course is to assist students
in recognizing the efficacy of practice with groups in a variety of clinical and community
settings. Emphasis is on the necessary skills for influencing individual change through
small groups. Special issues include values and ethics in group work practice and
social justice concerns. This is an elective course that builds upon the knowledge and
skills acquired in the first year Foundations of Practice courses.

A. Relevance of these Case Studies to this Course

Each of the three case studies will be used on many levels in this course. For example,
aspects of each case will illustrate the need/opportunities for various types of groups
such as socialization groups, therapy and counseling groups, support and self help
groups, and task groups. The relevance of each of these types of groups will be
discussed and explored in detail, specific to the cases; how group work can be helpful
to the family members and staff involved in these cases. These cases will show how
specific types of groups are indicated with problems such as abuse/neglect, mental
illness addiction, depression, physical illness, parenting, and social isolation, and other
key issues presented in the cases.

The cases will be used to teach social group work concepts including: agency context,
need, purpose, composition, structure, content, pre-group contact, and evaluation.
Problems present in these cases where social group work may be indicated as an
intervention include: Andreas history with mental illness and subsequent feelings of
isolation, Vincents experiences of having a mentally ill mother, Anne Ms history of
domestic violence and the associated feelings of isolation, shame, and self blame, and
Jasons experiences having an abusive grandmother and unstable home environment.

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Social workers working with each of these three cases could benefit from support
groups as well to help manage the emotional stress of their jobs.

B. Specific Learning Objectives Related to Using the Cases in this Course

Through careful discussion of the cases, students will gain an understanding of
the roots of social group work, particularly its emphasis on work with poor and
oppressed populations, for example children, adolescents, people struggling with
mental illness, people experiencing trauma, people who are in foster care,
homeless, and people with health problems.
Students will learn about various client needs and how group work can meet
some of these needs, for example mental illness, domestic violence, child abuse
and neglect, isolation, addiction, foster care, homelessness, lack of social
support, and depression,.
Students will develop an ability to articulate the potential benefits of a group
experience and when the group is the preferred modality in social work practice.
Students will be learn about different types of groups, for example socialization
groups, therapy and counseling groups, support and self help groups, and task
groups and will generate group examples from each of the three cases.
Students will learn specific group work dynamics, including all elements of the
mutual aid process, and will become practiced in various group work skills,
particularly those pertaining to latency aged children, cases of abuse/neglect,
mental illness and domestic violence, isolation, depression, autism, and other
issues.

C. Overview of What is Included in this Guide

This Teaching Guide includes an overview of the course, Social Work with Groups, the
learning objectives for incorporating the three cases into the course, a discussion of
how the cases will be used as a semester-long centerpiece to teach many core group
work concepts and skills, and a discussion also about how the cases can be used in a
single class session to more deeply illustrate group work concepts in action.
Suggested readings are also included.

TEACHING STRATEGIES
A. Strategy One: Course-Long Integration of Cases

The three cases will be the centerpiece of this course. Various group work concepts,
theories, skills, and ideas will be illustrated through a discussion and careful
examination of the cases. Specific course-long themes include: The Process of
Forming a Group Within an Agency; Planning: Composition, Structure, Content; The

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Dynamics of Mutual Aid; The Beginning Stage of Group Development; Power and
Control; Mutuality and Work; Separation, Termination, Transition.

Students will be asked to identify the problems in the cases and identify missed
opportunities for group work intervention. Students will be asked to identify client
needs and go through the planning of various groups for these cases. Students
will explore these questions: What is the client need? How does it fit into the
agency context? How can group work be helpful? What type of groups are
indicated and for whom? What are the barriers or obstacles to the development
of groups in these cases? How will the obstacles be overcome? What is the
groups purpose? What are the recruitment, composition, leadership and
evaluation strategies?

Students will be asked to select a client from one of the case studies, for
example, Andrea, Vincent, Anne, Mary or Jason, and to identify ways that group
work could have been implemented into the service plan. Problems that could
have been addressed through a group work approach include: Andreas long
history with untreated mental illness and subsequent feelings of isolation, failure,
and low self esteem, Vincents feelings of isolation associated with being the
child of a mentally ill mother; Vincents experiences with autism and his need to
connect with others with similar diagnoses and experiences; Annes experiences
with domestic violence perpetrated against her by her husband and the
associated feelings of pain and her desire to protect her children from harm; and
Jasons experiences with an unstable and abusive grandmother and his need to
connect with others in similar circumstances.

Students will also have opportunities to explore reasons why groups were not
initiated into the cases. One area of focus will be the stress associated with child
protection work and the possible need for staff groups on Vicarious
Traumatization as a way of providing staff with emotional supports to allow them
to be as effective and responsive as possible in these (and all) cases.

Each of the three cases will be used as a centerpiece throughout the whole 14-
week course. It will also be used in more detail for one or two class sessions, for
example a class devoted to Dynamics of Mutual Aid and a class on group work
with populations including children and adolescents and domestic violence

This course will use multiple teaching methods including short lectures, small
group discussions, role play writing and performing, class discussions; the
course itself will be run as a group as a way of modeling, through the parallel
process, group work in action. For example, at the beginning of the class, careful
attention will be paid to atmosphere in the class. The teacher will model core
group work skills such as engagement, contracting, encouraging a safe, open

130
exchange of ideas where everyones voice is valued, much like what would occur
in a social work group. The teacher will pay close attention to both the process
and the content elements of the class, and will encourage students to help each
other through their learning process by directing them to speak to each other not
just to the teacher. Confidentiality, mutual respect, cultural sensitivity, and
demand for work are examples of what will be carefully emphasized in the class,
as model for the students to see good group work in action.

4. Materials:
Multiple Copies of the cases; dry erase board, flip chart with paper, chairs that
can be moved into a circle. For every class, the chairs will be arranged in a circle
or semi circle to allow maximum eye contact and communication among the
students and teacher. At the beginning of the semester, the three case studies
will be distributed to students along with the syllabus. During various class
sessions, the dry erase board (or flip chart) will be used to help students record
answers to questions asked of them during various in-class exercises: such as:
What is the client need? How does it fit into the agency context? How can group
work be helpful? What type of groups are indicated and for whom? At various
points in the semester, the students will use the dry erase board and/or flip chart
to generate lists that will then spring board to larger class discussions.

a. On Group Work/Mutual Aid: [These provide an excellent overview of
social group work, group stages, group formation and the mutual aid
process.]

Northen, H. & Kurland, R. (2001). Social work with groups, 3
rd
Edition. New York:
Shulman, L. (1999). The skills of helping individuals, families, groups, and
communities. Itasca, IL: F.E. Peacock.

Steinberg, D.M. (2004). The mutual aid approach to working with groups. New
York: Haworth Press.

b. On Groups with Teens: [These build on a group work foundation and
provide an understanding of the unique needs/tasks of the adolescent
and pre-teen in group and for the group leader.]

Abrams, B. (2000). Finding common ground in a conflict resolution group for
boys. Social Work with Groups, 23(1), 55-68.

Malekoff, A. (2002). The power of group work with kids: Lessons learned. Social
Work with Groups, 25 (1/2), 73-86.


131
c. On Addictions and Women:

Sauliner, C.F. (2003). Goal setting process: Supporting choice in a feminist group
for women with alcohol problems. Social Work with Groups, 26(1), 47-68.

d. On Trauma and Abuse: [This is a classic in the field of trauma and will
provide students with a solid framework for understanding a range of
human traumas.]

Herman, J. (1997). Trauma and recovery. New York: Basic Books.

e. On Worker Stress and Vicarious Traumatization: [This is a relatively
new area of study where the effects of the work on workers are given
careful attention. Group workers and workers in child protective fields
need to be educated in this area.]

6. Evaluation plan:
The course will be evaluated at two points in the semester: the mid-point and the
last class. Students will be asked to provide anonymous, written feedback on the
course, specifically the integration of the cases into the course and their
experiences with achieving the stated learning objectives. At the midpoint and
the end point in the semester, students will be given a Mid-semester Feedback
Form and a Final Feedback Form. After the forms are handed out, the student
will be asked to take a few minutes to provide written feedback on the course.
After a few quiet minutes of writing, the students will then be asked to also
provide verbal feedback on their experiences in the class. This is an important
component particularly in a class on group work. Student feedback is often
elicited and is woven into the overall class experiences. These forms will be
distributed at the end of the 7
th
class and at the end of the 14
th
class. A sample
of the form is attached.

B. Strategy Two: Elements of Mutual Aid and Group Formation

1. Areas/issues of the cases to be highlighted:
Using one of the cases as a backdrop, students will be asked to create a group
that could have been implemented in this case. For example, Anne M. could
have joined a group for women survivors of interpersonal violence battered
women where she will begin to explore her feelings associated with her
relationship and the violence in her home. Through talking openly with other
women in similar circumstances, she will learn that she is not alone and that
others share her feelings of fear, pain, and isolation. Through sharing these
feelings, she is mobilized to grow and change.


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Through the creation of a hypothetical group, students will learn about dynamics
of mutual aid that would have informed a group with Anne (or any other family
member). These dynamics are:
1) sharing data: the power of introductions, sharing basic facts about ourselves
and our lives in a group setting;
2) discussing taboo areas, where group members explore topics such as
authority or substance abuse that they perceive as forbidden in the outside world;
the all in the same boat phenomenon, experienced when group members
sense that they are not alone in their feelings;
3) developing a universal perspective, is especially relevant with oppressed and
less powerful populations, is likened to consciousness raising and involves
replacing self blame with a broader understanding of societal forces contributing
to ones circumstances;
4) mutual support, where members are encouraged to openly express their
feelings and demonstrate genuine empathy for each other;
5) mutual demand, where members pay attention to and are invested in the
growth and accomplishments of individuals and members of the group as a
whole.
Students will learn about these concepts, will learn how these specific mutual aid
dynamics would be particularly relevant to each of the families and how they
would play out in group. For example, isolation seems to be a relevant theme in
Vincents life. A group, based on a mutual aid approach, would be instrumental
in reducing isolation. The mutual aid dynamics can be applied to Vincent in the
following ways:

1) All in the same boat: Vincent would feel a sense of collectivity when joining a
group with others in similar abusive/neglectful circumstances. He may begin to
realize he is not alone;

2) discussing taboos areas: Vincents mother is mentally ill who has been
unsuccessful in her attempts to get treatment. Vincent is seriously negatively
affected by his mothers mental illness. He, likely, has no one to talk to about
this, as children of mentally ill parents experience shame, self-blame, and
isolation. Being with others in similar circumstances will help him open up and
talk about his feelings about his mothers mental illness and how it affects him;

3) mutual support and mutual demand: Vincent can receive support from the
other group members and he will also be able to offer support to the others. This
reciprocal process is the hallmark of mutual aid.

[Note: The above uses Vincent as the primary client. Any family member could
be used to illustrate these Group Work concepts.]


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Students will learn specific social group work skills needed to foster a successful
mutual aid group. These skills include: engagement, demand for work, endings
and transitions. Each skill area will be broken down into smaller parts for
example, students will learn to be clear about purpose, to establish a caring,
supportive, non-judgmental group atmosphere, to create group rules with an
expectation of confidentiality, to attend to two clients: Vincent and the group as
a whole; to allow silence, to scan the non-verbal forms of communication among
the members; to encourage members to talk to each other (not only to the
worker), to lend a vision, where worker shares hopes of the groups possibilities
and capabilities, to foster group mending, group confrontation, and taking stock,
which allows for successful termination and transitions.

2. Structure:
This unit (on the Dynamics of Mutual Aid) will cover 1 to 2 class sessions in a 14-
week semester.

This unit will include a brief lecture on mutual aid dynamics, how they are
defined, what they look like. Students will be asked to write/create a Scripted
Role Play exercise where one of the individuals in one of the three cases joins a
Mutual Aid group. The Role Play script will need to show purpose, composition,
and mutual aid dynamics. Class members will be asked to play various roles and
the script will be read aloud and discussed as a class in reference to two specific
areas: mutual aid dynamics observed and worker skill.

Black board, copies of the cases

(Readings previously listed under Strategy 1, including the following Sections:
a. On Group Work/Mutual Aid
b. On Groups with Teens
c. On Trauma and Abuse
d. On Worker Stress and Vicarious Traumatization

In addition, for this section the following reading is also recommended:
On Mental illness: [This reading uses gender as a lens for conceptualizing
group work. This may be specifically relevant to a discussion of any of the
mothers in the case studies.]
Sherman, D.M. (2006). I am not alone: A teens guide to living with a parent who
has a mental illness. Edina, M.N.: Beavers Pond Press.

7. Evaluation plan:
The Mutual Aid unit will be evaluated at the end the two-session module. A one
page Feedback Form will be distributed to students where they will be asked to
provide feedback on their experiences with the 2-week Mutual Aid unit. Feedback

134
will be both written and verbal. After the forms are handed out, the student will
be asked to take a few minutes to provide written feedback on the course. After
a few quiet minutes of writing, the students will be asked to also provide verbal
feedback on their experiences in the class. This is an important component
particularly in a class on group work. Student feedback is often elicited and is
woven into the overall class experiences.

CONCLUSION

A. Recap

This Teaching Guide shows various ways that each of the three cases can be woven
into a Social Work with Groups course, specifically how there are missed opportunities
for group work, how group work is often the best practice approach, how problems such
as abuse/neglect, isolation, mental illness, domestic violence, health problems and
parental stress can be addressed through a Mutual Aid group.
This Teaching Guide uses three cases to illustrate the dynamics of mutual aid and
provides an assignment for students to envision, create, and evaluate a group for one or
more of the family members in each of the three cases OR in one of the cases. The
Guide outlines core group dynamics as well as worker skills.


Future courses, such as Foundations of Social Work Practice and Social Work with
Trauma and Interpersonal Violence could also use these cases to highlight intervention
theories and approaches to practice that are grounded in the reality of a specific case.


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APPENDIX TO TEACHING GUIDE FOR SOCIAL WORK WITH GROUPS
Sample Final Feedback Form

Yeshiva University

Social Work with Groups
Final Feedback Form

Directions: Please take a few moments to provide feedback on your particular
experiences in this class. Your feedback will be used to plan future classes.
Thank you.

A specific example of something that was particularly meaningful or important to
me about this class

A specific example of something that was less meaningful or less important to
me about this class

My experiences of the use of the three cases throughout the semester

A suggestion I would make for improving this course

_______________________________________________________________
Please add a few comments on the following class components:

o Textbooks and other readings:
o Written assignments:
o Class climate/atmosphere:
o In class exercises, including the three case examples:

Anything else youd like to add

136
Real Cases Project: Teaching Guide for Family Oriented Social Work Treatment

137

Real Cases Project:
Family-Oriented
Social Work Treatment

Manny J. Gonzlez, DSW
Associate Professor
Hunter College School of Social Work, City University of New York
129 East 79th Street, New York, NY 10075
[email protected]

INTRODUCTION

A. Overview of Course Sequence within Social Work Curriculum

Social work with families is incorporated in the social work curriculum in a variety of
ways. This teaching guide focuses on delivering this content in an elective course, as
part of an advanced clinical social work practice concentration. Faculty teaching this
content in other forms may adapt this material to their own educational structure.

Family-Oriented Social Work Treatment provides an overview of clinical interventions
which see individual clients as part of their family system. It adopts the family systems
theoretical orientation while taking into consideration the impact of the larger ecological
context on the family and the individual. Various family therapy approaches are
introduced in terms of their theoretical framework, assessment, and intervention
strategies.

The overall family systems perspective is also adopted in understanding individuals
even when the whole family cannot be engaged in treatment. Various forms of families
such as single-parent, separated/divorced, remarried, adopted families, gay and lesbian
couples as well as families of diverse cultural and racial background will be also
examined as they impact on assessment and the treatment process. A selected
number of specific topics in working with families will also be discussed. Throughout
the course attention will be given to the various stages of family treatment from
engagement to assessment and intervention.

B. Relevance of the Case Studies to this Course Sequence

The three case studies are instrumental in assisting students to integrate the
intrapsychic, interpersonal and ecological factors that may contribute to child

138
maltreatment. These factors may include parental/family dysfunction, maladaptive role
definitions and role inequalities within the family system, impaired parent-child relations,
disability or illness, economic stressors and an inadequate social support network.

Through the case studies, students can also learn about the negative reverberating
effects of mental illness, domestic violence and intergenerational conflict on adaptive
family functioning. From a mental health perspective, for example, mental illness in a
parent may affect parenting ability, which in turn can harm children. Families in which
parents have met a diagnostic criteria for a psychiatric conditionsuch as
schizophrenia, bipolar depression or an anxiety disorderare also families in which
children have a higher risk for developing mental illness or an array of psychosocial
problems (see Hinden, et al., 2006).

Sequence

Using the case studies in this course, students are expected to:
Be able to view maltreated children/adolescents in the context of their
family using the family systems perspective, and see the family as the unit
of change whether or not the whole family can be involved in the treatment
process.
Effectively engage maltreating families in treatment and build rapport with
family members so that they as clinicians could be accepted into the
system to help effect change.
Be able to assess maltreating and neglectful families in terms of its
internal dynamics, family strengths, the impact of the family life cycle, and
the ecological context including the familys socio-cultural background.
Be able to select from various treatment approaches with child maltreating
families based on evidence-based support.


This guide includes three specific strategies for incorporating the three case studies into
an MSW family treatment course. The first strategy will examine the usefulness of
family treatment with families who are attempting to cope with the negative effects of
mental illness. The second strategy is aimed at exploring evidence-based family
therapeutic approaches with child-maltreating or neglectful families. Lastly, the third
strategy will underscore the importance of family intervention in child welfare/foster care
settings.


139
TEACHING STRATEGIES

A. Strategy One: Mental health Status and Adaptive Family Functioning

1. Areas of the cases to be highlighted:
In one course session, the instructor should focus on the mental health status or
psychiatric condition of Andrea R, its impact on adaptive family functioning, and
its relationship to Vincents neglect and exposure to inadequate guardianship.
From a family systems perspective, students should learn that parental mental
illness is a family problem whether the family is identified as the primary client
system or the parent who meets diagnostic criteria for a psychiatric diagnosis.
Instructors ought to consider the following points under this strategy:
Children of parents with mental illness are at increased risk for the
development of emotional and behavioral problems. These children are
also at greater risk for suffering from psychiatric conditions, and specific
psychosocial factors such as poor social skills and impaired academic
performance. In addition, an inconsistent family environment may
significantly contribute to psychiatric illness in children.
Children of parents with mental illness may be victims of stigma and
discrimination similar to their parents, and may experience the trauma of
family disruption and out-of-home placement due to a parents
hospitalization or inability to care for them on a daily basis. The family-
oriented practitioner, therefore, must understand the service delivery
structure and policies of child protective services including foster care
support and linkage. Parents living with a psychiatric condition often need
assistance in negotiating the child welfare system and child protective
services agencies.
Almost two-thirds of adults who meet criteria for psychiatric disorders are
parents. Women and men with mental illness are at least likely, if not more
likely, than those without a psychiatric condition to become parents. When
these parents interface with the child welfare system there is a 70-80
percent probability that they will lose custody of their children (see
Nicholson, et al., 2004).
From an evidence-based perspective, family psycho-education models
provide practitioners with an array of empirically-supported interventions
and strategies aimed at teaching identified clients and their families about
the signs and symptoms of specific psychiatric conditions, psycho-social
and medication therapies, coping techniques for reducing stress and
family conflict, and identification of community supports and resources.

2. Structure and teaching method:
This strategy should be implemented once the student has been introduced to
the family systems perspective, basic family therapy principles, and the family life

140
cycle. It is recommended that this strategy be presented to students via lecture
and case discussion. No specific teaching materials are needed for this strategy.

Aldride, J. (2006). The experiences of children living with and caring for parents
with mental illness. Child Abuse Review, 15, 79-88.

Crowling, V. (Ed). (1999). Children of parents with mental illness. Melbourne:
Axis Publishing Services.

Goepfert, M. and Webster, J. (Eds.). (1996). Parental psychiatric disorder:
Distressed parents and their families. Liverpool, England: Liverpool
Psychotherapy and Consultation Service.

Hinden, B.R. et al. (2006). A survey of programs for parents with mental illness
and their families: Identifying common elements to build the evidence base.
Journal of Behavioral Health Services and Research, 33(1), 21-38.

Murray-Swank, A. and Dixon. L. (2005). Evidence-based practices for families of
individuals with severe mental illness. In R.E. Drake, M.R. Merrens, and D.W.
Lynde (eds.), Evidence-based mental health practice (pp. 425-452). New York:
W.W. Norton.

Nicholson, J. et al. (2004). Prevalence of parenthood among adults with severe
mental illness. In R.W. Manderschied and M.J. Henderson (eds.), Mental Health,
United States, 2002. Rockville MD: U.S. Department of Health and Human
Services, Substance Abuse and Mental Health Services Administration.

Nicholson J., Sweeney, E.M,, and Geller, J.L. (1998). Mothers with mental
illness: The competing demands of parenting and living with mental illness.
Psychiatric Services, 49, 635-642..

Oyserman, D., Mowbray, C.T., and Mears P.A. (2000). Parenting among mothers
with a serious mental illness. American Journal of Orthopsychiatry, 70, 296-315..

4. Evaluation plan:
In the form of a mini-assignment instructors should ask students to summarize 3-
4 articles specific to the treatment of families living with parental mental illness or
family-oriented intervention with children living with and caring for parents with
mental illness. In the summarization of each article students ought to discuss
how they would apply the clinical knowledge obtain from the articles to the
Andrea R Case.


141
B. Strategy Two: Exploring Evidence-Based Family Therapeutic Approaches

This second strategy is aimed at exploring evidence-based family therapeutic
approaches with child-maltreating or neglectful families. The instructor should
use one class session to introduce studentsvia class lecture and case
discussionto evidence-based family interventions with abusive and neglectful
families. Instructors who may need to become familiarized with the definition and
conceptual framework of evidence-based family treatment are encouraged to
refer to the following citation for instructional guidance: Janzen, C. et al. (2006).
Family treatment: Evidence-based practice with populations at risk. Belmont, CA:
Thomson Brooks/Cole.

In implementing this teaching strategy, faculty should consider the following
points:
Characteristics of the abusing/neglectful parent: socially isolated, may
present with a high need for dominance and control, history of mental
illness and/or substance abuse, limited personal and social skills, often
struggles with the negative effects of poverty and economic deprivation. It
is important to stress that child abuse and other kinds of family violence
occur in families of all social classes, and the number of cases in upper
classes may be underreported.

Characteristics of the abused/neglected child: irritable, negativistic,
demanding, over-dependent, hyperactive, poor school performance,
delinquent behavior and truancy, apathy, withdrawal from social
interactions, delayed intellectual, motor, and language development, and a
history of on-going physical-health problems.


Borrego, J., et al. (1999). Parent-child interaction therapy with a family at high-
risk for physical abuse. Child Maltreatment, 4 (4), 331-342.

Borrego, J. and Urquiza, A. J. (1998). Importance of therapist use of social
reinforcement with parents as a model for parent-child relationships: An example
with parent-child interaction therapy. Child and Family Behavior Therapy, 20 (4):
27-54.

Cash, S. (2001). Risk assessment in child welfare: The art and science. Children
and Youth Services Review, 23(11), 811-830.

142
Chaffin, M & Friedrich, B. (2004). Evidence-based practice in child abuse and
neglect. Children and Youth Services Review, 26, 1097- 1113.

Cohen, J., Deblinger, E., Mannarino, A & Arellano, M. (2001). The importance of
culture in treating abused and neglected children: An empirical review. Child
Maltreatment, 6(2), 148-157.

Corcoran, J. (2001). Family interventions with child physical abuse and neglect:
A critical review. Children and Youth Services Review, 22 (7): 563-591.
English, D.J. (1998). The extent and consequences of child maltreatment. The
Future of Children, 8(1): 39-53.

Eyberg, S. and Robinson, E.A. (1982). Parent-child interaction training effects on
family functioning. Journal of Clinical Child Psychology, 11 (2): 130-137.

Ferleger, N., et al. (1988). Identifying correlates or reabuse in maltreating
parents. Child Abuse and Neglect, 12 (1): 41-49.

Pardeck, J. (1988). Family therapy as a treatment approach to child abuse. Child
Psychiatry Quarterly, 21 (4): 191-198.

Sidebotham, P. (2001). An ecological approach to child abuse: A creative use of
scientific models in research and practice. Child Abuse Review, 10, 97-112.

Sturkie, D.K. and Flanzer, J.P. (1981). An examination of two social work
treatment models with abusive families. Social Work Papers, 16, 53-62.

Tanner, K. & Turney, D. (2002). What do we know about child neglect? A
critical review of the literature and its application to social work practice.
Child and Family Social Work, 8, 25-34.

Timmer, S. G., Borrego, J. and Urquiza, A.J. (2002). Antecedents of coercive
Interactions in physically abusive parent-child dyads. Journal of Interpersonal
Violence, 17 (8): 836-858.

Turner, D. and Tanner, K. (2001). Working with neglected children and their
families. Journal of Social Work Practice, 15 (2): 193-204.

Urquiza, A.J. and McNeil, C.B. (1996). Parent-child interaction therapy: An
intensive dyadic intervention for physically abusive families. Child
Maltreatment, 1 (2): 132-141.

Wells, S. (1981). A model for therapy with abusive and neglectful families. Social
Work, 26 (2): 113-118.


143
4. Evaluation plan:
Using the literature (assigned for this class session) related to child
neglect/abuse and family therapy students should be directed to develop an
evidence-based assessment protocol to assist in conducting an evaluation and
treatment plan for the case studies. Students ought to identify both risk and
protective factors in the cases using an ecological perspective, determine what
data will need to be collected, what kinds of questions would have to be asked to
obtain this data, what kinds of factors would need to be assessed for the child
and for the parent, and what possible evidence-based family interventions might
be recommended in this particular case.

C. Strategy Three: Value of Family Intervention in Child Welfare Settings

This third strategy will assist student in appreciating the value of family
intervention in foster care/child welfare settings.

As in the previous two strategies, the instructor should use one class session to
briefly introduce students to the field of child welfare while concomitantly
emphasizing the importance of family-oriented interventions in foster care
settings. The case studies ought to be used as a means of demonstrating to
students the complexities of a public child welfare system in which social work
practitioners must often provide life-enhancing family interventions.

In implementing this third strategy, instructors should consider the following
points:

Practice in foster care settings involves providing services to two families:
the biological family and the foster family.

Foster placement creates a new, triangular system: As soon as a
maltreated child is separated from his/her home environment and placed
in a foster family, a new three-part system comes into being. This three-
part system is composed of the biological family, the foster care family,
and the foster care agency.

The triangular system (biological family, foster care family, and the child
welfare agency) should be collaborative rather than adversarial, and
should include members of both extended families.

Empowerment of the biological family is crucial. This process of
empowerment, however, must be predicated on a comprehensive family
diagnostic assessment that takes into account both individual and familial
risk and protective factors.


144
Foster care is marked by major transitions, and these transitional periods
require special attention. Examples of major transitions include placement
of the maltreated child with a foster care family, visits by the biological
family with the maltreated child during the duration of placement, and
reunification of the abused/neglect child with the family-of-origin.

A consideration of development issues must be integrated into foster care
services. The differential effects of foster care placement must be
evaluated within the context of the childs age, psychosocial
developmental stage, and response to issues of separation and
adaptation.

Kinship foster care is a special case of foster placement that requires
particular kinds of services. Minuchin et al. (1998) have noted that when
children are placed with relatives, the placement does not create a new
system. Rather, it changes the reality of family members who already
know each other and have established patterns of relating, carrying
authority, and resolving conflict (p. 107).


Cimmarusti, R.A. (1992). Family preservation practice based upon a
multisystems approach. Child Welfare, 71(3): 241-256.

Fox, R. and Whelley, J. (1982). Preventing placement: Goal attainment in short-
term family treatment. Child Welfare, 61(4): 231-238.

Lee, R.E. and Lynch, M.T. (1998). Combating foster care drift: An ecosystemic
treatment model for neglect cases. Contemporary Family Therapy, 20(3): 351-
370.

Lewis, K.G. (1991). A three step plan for African-American families involved with
foster care: Sibling therapy, mothersgroup therapy, family therapy. Journal of
Independent Social Work, 5(3/4): 135-147.

Linsey, E.W. (2001). Foster family characteristics and behavioral and emotional
problems of foster children: Practice implications for child welfare, family life
education, and marriage and family therapy. Family Relations, 50(1): 19-22.

McWey, L. (2000). I promise to act better if you let me see my family: Attachment
theory and foster care visitation. Journal of Family Social Work, 5(1): 91-105.

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Minuchin, P. (1995). Foster and natural families: Forming a cooperative network.
In L. Combrinck-Graham (Ed.), Children in families at risk. New York: Guilford.

Nelson, K., Landsman, M., and Deutelbaum, W. (1990). Three models of family-
centered placement prevention services. Child Welfare, LXIX(1): 3-21..

Triseliotis, J. (1987). Family therapy or working with families. Practice, 1(1): 5-
13.
Recommended Texts:
Crosson-Tower, C. (2004). Exploring child welfare: A practice perspective. Third
Edition. Boston, MA: Allyn and Bacon.

Fein, E., Maluccio, A., and Kluger, M. (1990). No more partings: An examination
of long-term foster family care. Washington, DC: Child Welfare League of
America.

Minuchin, P., Colapinto, J. and Minuchin, S. (1998). Working with Families of the
poor. New York: Guilford.

Sharkey, M. (1997). Family to family: Bridging families, communities and child
welfare. Baltimore, MD: Annie E. Casey Foundation.

4. Evaluation plan:
Using the literature (assigned for this class session) related to family intervention
n foster care/child welfare settings students should be directed to develop a
family-oriented treatment plan for the identified child client in any of the three
cases. The treatment plan should address the goal of family reunification.

146
Real Cases Project: Teaching Guide for Child Welfare Policy and Program Analysis

147
Real Cases Project:
Child Welfare Policy and
Program Analysis

Bryan Warde, PhD
Assistant Professor
Lehman College
250 Bedford Park Boulevard West, Bronx, NY 10468-1589
[email protected]

INTRODUCTION


Child Welfare Policy and Program Analysis can be considered a one semester elective
course that builds on the policy foundation provided by the social welfare policy
sequence 1 and 2 courses.

The course will provide social work students with the assessment tools needed to both
recognize and think critically about the following:
Child welfare policy within the larger milieu of social welfare policy.
The social conditions and unmet needs that have typically precipitated child
welfare policy.
The ideological debates informing child welfare policy.
The historical precedents that shape contemporary child welfare policy.
The impact of child welfare policy on traditionally marginalized groups.
Similarities and differences between child welfare policies of different eras.
Strengths and weaknesses of child welfare policy.
The components needed to formulate effective child welfare policy.


All three case studies appear to have policy themes that have been at the core of
much of Americas contemporary child welfare policy: placement prevention/family
preservation, foster care, and education. These policy themes will provide a frame of
reference for an historical and contemporary analysis of child welfare policy and
programs in the United States. Special attention will be paid to those child welfare
policies and programs that shape and inform contemporary preventive/family
preservation services, foster care and public education.


148
An historical overview and understanding of child welfare policy and programs is
necessary for social work students as it alerts them to the following:
Social conditions and unmet needs that have typically precipitated the need
for policy.
Ideological debates for and against policy.
Evolution of policy over time.
Similarities and differences between policies of different eras.
Past approaches and strategies for policy formulation.
Strengths and weaknesses of past policy.

This in turn allows social work students to not only bring a broader range of
understanding to their analysis of contemporary child welfare policy and programs, but
also to the components needed to formulate policy.


The specific learning objectives related to using the three case studies in this course
are as follows:
To provide a frame of reference for identifying the various policy themes and
programs present in a typical child welfare case.
To provide a frame of reference for tracking contemporary child welfare policy
and programs back to their origins, with specific attention being paid to social
conditions and unmet needs that precipitated the policy, ideological debates for
and against the policy, constituents served by the policy, evolution of the policy
over time, and the strength and weaknesses of the policy.
To provide a frame of reference for understanding the impact of child welfare
policy and programs on traditionally marginalized groups: families of color,
immigrants, women, the economically disadvantaged, substance abusers, gays,
lesbians, transgendred youth and adults, the chemically addicted, and
individuals with mental and physical impairments.
To provide a frame of reference for critiquing the strengths and weaknesses of
child welfare policy and programs, most particularly as they relate to the cases.
To provide a frame of reference from which students can begin to formulate new policy
based on the strengths and weaknesses present in contemporary child welfare
policies.
D. Overview

The following is a description of what is included in this teaching guide:
1) A description of the overall strategy for integrating the three case
studies into the course.
2) A description of the strategy for analyzing the policy themes germane
to the case studies. This description will include the structure of the
course, teaching methods to be utilized, materials needed, supporting
readings/handouts, and evaluation plan for assessing students
achievement of strategy objectives.

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TEACHING STRATEGIES

A. Strategy One: Case Study Integration

The three case studies will each be integrated throughout the Child Welfare
Policy and Programs Analysis course as a framework for identifying and
analyzing the policy themes and accompanying programs that comprise an
actual child welfare case. For example, the Andrea R. case highlights specific
educational concerns, which will provide the framework for exploring the role of
education and foster care within the larger milieu of past and current child
welfare policy. Similarly, the Andrea R. case highlights mental illness, while the
Anne M. case highlights complications related to domestic violence. Both of
these cases will provide the framework for exploring child protection and
placement prevention/family preservation policy within the context of past and
present child welfare policy. Finally, the absence of coordination between the
educational, mental health professionals, preventive, and foster care programs
involved in the three case studies provide a framework for exploring the
weaknesses of current child welfare policy.

Each of the aforementioned policy themes will be divided into individual units for
class analysis. Each unit will be explored over four class room sessions (see
strategy two for timing of the units within the course).

Lecture, interactive and small group discussion, and presentations will be the
teaching methods throughout the course (See strategy two for specific
description).

4. Materials:
No specific technical materials or supplies will be needed to teach this course.

See strategy two for specific readings and handouts to be used in the course.

6. Evaluation plan:
See strategy two for evaluation plan for assessing achievement of course
objectives.


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B. Strategy Two: Analysis of Policy Themes Germane to the Case Studies

1. Areas/issues of the case to be highlighted:
This strategy covers the beginning stage and ongoing development of the
course. In classes 1-4, the overview will examine the historical, social,
ideological, and political factors that have brought about preventive/family
preservation policy as a means of augmenting the functioning of families whose
children are at risk for some form of out-of-home placement. In classes 5-8, the
overview will examine from an historical, social, ideological, and political
perspective, factors that have brought about foster care as the principle out-of-
home-placement for children removed from their families. In classes 9-12, the
overview will examine the historical, social, ideological, and political factors that
have brought about the system of compulsory formal education for Americas
children. The remaining classes will be devoted to individual presentations.

The timing of the units within the course is as follows:

Classes 1- 4 will provide an overview and analysis of the Preventive services/
family preservation policy themes identified in the three case studies. Special
attention will be paid to specific preventive/family preservation policy and
accompanying programs that have shaped contemporary preventive
service/family preservation programs and practice. These policies are as
follows:

1. The Child Abuse Prevention and Treatment Act of 1974 and its
subsequent amendments of 1978, 1988, 1996 & 2003, which
established the National Center for Child Abuse and Neglect within
the Department of Health & Human Services and provided a model
statute for state child protective programs. The act also established a
standard definition of child abuse and neglect, methods for reporting
and investigating abuse and neglect, immunity for those reporting
suspected injuries inflicted on children, and prevention and public
education efforts to reduce incidents of abuse and neglect

2. The 1993-Family Preservation and Family Support (FP/FS)
Services, which is a title IV-B, subpart 2 of the Social Security Act.
The FP/FS provides federal funding specifically dedicated to child
welfare preventive services.

3. The 1997 Family Preservation and Family Support Services,
which was expanded and reauthorized as the Promoting Safe
and Stable Families (PSSF) program. The PSSF program
promotes the view that the welfare and safety of children and of all
family members should be maintained while strengthening and
preserving the family. For this to happen the family as a whole has to

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receive services, which identify and enhance its strengths while
meeting individual and family needs. Services should be easily
accessible, often delivered in the home or in community-based
settings, and they should respect cultural and community differences.
In addition, they should be flexible, responsive to real family needs,
and linked to other supports and services outside the child welfare
system. Services should involve community organizations and
residents, including parents, in their design and delivery. They should
be intensive enough to keep children safe and meet family needs,
varying between preventive and crisis services.

Classes 5 - 8 will provide an overview and analysis of the foster care policy
themes identified in the Mary S. and Andrea R. case studies. Special attention
will be paid to the policies, court rulings and accompanying programs that have
shaped contemporary foster care services at the national and local level (New
York). These policies and court rulings are as follows:

1. The Indian Child Welfare Act of 1978, which came into law as a
result of Native American children being placed in non tribal home;
and as a result not having access to their cultural heritage. The act
established tribes, rather than state courts, as the governing bodies
responsible for Native American foster children.

2. The Multiethnic Placement Act of 1994, which prohibited state
agencies and other entities that receive federal funding and were
involved in foster care or adoption placements from delaying, denying
or otherwise discriminating when making a foster care or adoption
placement decision on the basis of the parent or child's race, color or
national origin.

3. The Adoption and Safe Families Act of 1997, which is the most
comprehensive federal legislation pertaining to foster care. It covers
an array of foster care services and provides the framework for all
foster care and adoption practice in the United States.

4. The Foster Care Independence Act of 1999, which allows states to
use Medicaid dollars to provide health insurance coverage to former
foster children until age 21 and allows youth to have assets worth up
to $10,000 without losing benefits. It also doubles the money for
Independent Living programs (from $70 million to $140 million) and
allows this money to be spent on such activities as life skills training,
substance abuse prevention, and preventive health skills.

5. The Wilder lawsuit of 1973. The suit was filed by Attorney Marcia
Lowry on behalf of Shirley Wilder and five other children who had
suffered in the New York City foster care system because of their

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ethnicity and religion. After litigating the case for fifteen years, Lowry
won a court decree establishing the principle that every child, no
matter what their race or creed, should have an equal opportunity to
receive the best services the New York City foster care system had to
offer.

6. The Eugene F vs. Gross lawsuit of 1986. The suit was filed on
behalf of African American foster children in New York City who were
placed in either non-African-American homes or left with relatives
who had little in the way of resources to care for them. The Eugene F.
v. Gross ruling established that, in emergencies, children must be
placed with relatives immediately, without the usual investigation to
assess whether those relatives could provide a suitable home. In
1989, the New York State Legislature made this no-questions-asked
emergency policy the norm where relatives are concerned.
Moreover, it required that child welfare agencies actively search for
relatives to care for children who need foster care rather than place
them with strangers

7. The Marisol vs. Giuliani lawsuit of 1995. The suit was filed on
behalf of Marisol, a child who almost starved to death in a closet
while she was in the city's child-protection system. The suit sought
the takeover of the New York City child-welfare system by a receiver.
The rationale for this action was that the Child Welfare Administration
as it was then called did not do enough to protect children in foster
care. The settlement of the lawsuit opened the city's Administration
for Children's Services to intense independent scrutiny by a panel of
experts over two years. It also set a moratorium on new class-action
lawsuits during that period. In the process, the agreement dissolved
the Wilder Settlement, the decree in a lawsuit originally filed in 1973,
which was supposed to ensure that all children in need of foster care
were placed fairly and according to their needs.

8. The Joel A. vs. Giuliani lawsuit of 1995. This lawsuit, which was
brought by the Urban Justice Center, a nonprofit advocacy
organization for the homeless, and lawyers at Paul, Weiss, Rifkind,
Wharton & Garrison, working pro bono, charged that because the
plaintiffs are gay, lesbian, bi-sexual or transgendered, they are
routinely subjected to physical abuse by peers and child-welfare staff
members. The lawsuit was dismissed, however, because the judge
ruled that needs of this group would be covered by the Marisol vs.
Giuliani settlement. The judge did stipulate, though, that the plaintiffs
could bring individual law suites against the city.

Classes 9 - 12 will provide an overview and analysis of the Public Education
policy themes identified in the Andrea R. case study. Special attention will be

153
paid to the symbiotic relationship between formal education and child welfare
policy. Special attention will also be paid to the 2000 No Child Left Behind
Act, which is the most comprehensive federal legislation pertaining to the public
education of Americas children.

Classes 13 -15 will be allocated for individual presentations.

Lecture, interactive and small group discussion will be the teaching methods
throughout the course. The lectures, which will be a feature of each class, will
provide students with an historical and contemporary overview of the policy
themes and accompanying programs germane to the three case studies.

The interactive class discussions, which will be a feature of each class, will
provide the students with an opportunity to share their thoughts, ideas,
observations and reactions to the course readings and/or the policy theme(s)
covered in the lecture. These interactive class discussions will be prompted by
questions from the lecturer; whose specific goal is to stimulate the individual
and group learning process by having students share with each other their
analysis of the course readings and/or the policy theme(s) and accompanying
programs that were covered in the lecture.

The small group discussions, which will be scheduled for classes 4, 8 & 12, will
have the students split into groups of four (or other configurations as instructor
sees fit), with the express purpose of each group critically analyzing individual
components of the policies covered in the previous three classes of the
respective unit. For example, one group will critically analyze the ideological
framework and debates related to the policies. One group will critically analyze
the social conditions and unmet needs that precipitated the formulation of the
policies. One group will critically analyze the strengths and weaknesses of the
policies. One group will critically analyze the impact of the policies on the each
of the families. The groups will then reconvene and present their analysis to the
whole class.

The goal of the small group discussions and presentation is to enhance the
students ability, both as an individual and as part of a group, to both recognize
and critically analyze the individual components that comprise child welfare
policy.

Handouts aside, no specific technical materials or supplies are needed to teach
this course.


154
Unless otherwise specified, related articles will be made available for students
to read for discussion in class. See below for a list of the related articles, which
are divided by policy theme unit. Please note that the readings have been
selected because they provide the student with one or more of the following: an
historical overview of policy, an analysis of policy/ program, an analysis of the
impact of policy on a marginalized group or groups, ideological debates about
policy, on-going debates about policy, implications and unintended
consequences of policy.

Preventive services/ Family preservation Unit (Weeks 1-4)

Bagdasaryan, S. (2005). Evaluating family preservation services: Reframing the
question of effectiveness. Children & Youth Services Review, 27 (6), 615-635.

Carten, A.J. & Dumpson, J.R. (1997). Introduction- The status of American
children. Protecting children from substance abuse (p159-179). In Removing
risk from children: Shifting the paradigm. Beckham House Pub. Silver Spring,
MD.

Carten, A.J. & Dumpson, J.R. (2004). Family Preservation and neighborhood-
based services: An Africentric Perspective. In Everett, J.E., Chipungu, S.P., &
Leashore, B.R. (Eds), Child welfare revisited: An Africentric perspective
(pp.225-242). New Brunswick, NJ: Rutgers University Press.

Davidson, C. (1993). Dependent children and their families: a historical survey
of United States policies, (Chapter 3). In More than kissing babies: Current child
policy in the United States, Jacobs, F. & Davies, M. (ed), Auburn House,
Connecticut.

Downs, S, et al (2004). Child welfare and family services: Policies and practice
(7
th
ed): Chapter 3- Services to Prevent Maltreatment and Support Families
(pp77-118); Chapter 8 - Family Preservation Services (pp286-315).New York:
Pearson Education, Inc.

Hill, R.B. (2004). Institutional racism in child welfare. In Everett, J.E., Chipungu,
S.P., & Leashore, B.R. (Eds), Child welfare revisited: An Africentric perspective
(pp.55-77). New Brunswick, NJ: Rutgers University Press.

Jacobs, F. & Jacobs. F. (2005). More than kissing babies: Chapter 1 Child
and Family Policy: Framing the issues, Chapter 10 Considering race, class
and gender in child and family policy, Chapter11On the eve of a new
millennium. Auburn House, Connecticut.

Lind, A. (2004). Legislating the family: Heterosexists bias in social welfare
policy frameworks, Journal of Sociology and Social Welfare, 31 (4):21-35.

155
Smith, E.P. & Merkel-Holguin, L.A. (1996). A history of child welfare: Chapter 4-
An Outrage to Common Decency: Historical Perspective on Child Neglect
(pp61-82). New Brunswick. Transaction

Foster Care Unit (weeks 5- 8)

Ahuja, S., Bowles, J., Courtney, J., Faber, P. & Thrush, G. (2000). Too fast for
families. Center for an urban future (pp1-26). (Handout)

Barbell, K. & Freundlich, M. (2001). Foster care today. Washington, DC: Casey
Family Programs. <http://www.casey.org/NR/rdonlyres/89981DE1-D4B8-4136-
82DDDD1C8FDEF7CE/79/casey_foster_care_today.pdf>

Davidson-Arad, B. (2005). Fifteen-month follow up of children at risk:
Comparison of quality of life of children removed from and children remaining at
home. Children and Youth Services Review, 27(1), 1-20.

Downs, S, et al (2004). Child welfare and family services: Policies and practice
(7
th
ed): Chapter 9: Foster Care for Children and Their Families (pp319-356).
New York: Pearson Education, Inc.

The future of Children (2005). The cost of child protection in the context of
welfare reform. (Class Handout)

McGowan, B.G. (2005). Historical evolution of child welfare services. In Child
welfare for the Twenty-First Century: A handbook of practices, policies, and
programs. G. Mallon and P. Hess, eds. New York: Columbia University Press,
2005.

National Clearinghouse on Child Abuse and Neglect Information (2003). Major
Federal Legislation Concerned with Child Protection, Child Welfare & Adoption.

Smith, E.P. & Merkel-Holguin, L.A. (1996). A history of child welfare: Chapter 8
- From Indenture to Family Foster Care: A brief History of Child placing (pp155-
174); Chapter 9 - A History of Placing out: The Orphan Trains (pp175-192).
New Brunswick. Transaction.

Wexler, R. (2006). Foster care vs. Family Preservation (Class Handout).

Education Unit (Weeks 9-12)
Katz, M.B. (1986). Child saving, History of education quarterly. 26: 413-24

United States Department of Education (2005) No Child Left Behind Policy
Report. (Class Handout).


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Smith, E.P. & Merkel-Holguin, L.A. (1996). A history of child welfare: Chapter 2
- The Dilemma in Saving Children From Child Labor: Reform and Casework At
Odds With Families Needs (1900-1938) (pp21-44); Chapter 7: Janie Porter
Barrett and the Virginia Industrial School for Colored Girls: Community
Response to the needs of African-American Children (pp135-154). New
Brunswick. Transaction

5. Evaluation plan:
To evaluate whether or not the Child Welfare Policy and Programs Analysis
course objectives are met, students will be required to complete a mid-term and
final assignment, as well as an oral, class presentation. The mid-term
assignment (see Appendix A for actual assignment outline) will require students
to complete an 8-10 page paper that identifies an existing child welfare problem
that is not currently addressed by policy. In writing the paper, the student will
have to provide the following information: a description of the problem; a
description of how long the problem has existed; statistical evidence of the
problem; current knowledge about the problem (e.g. scientific, theoretical,
sociological, psychological etc.); current ideological debates about the problem;
and a concluding statement making an argument for a policy to be formulated to
address the identified problem.

To successfully complete their mid-term assignment, students will demonstrate
the ability to think about, and integrate, key concepts learned in the course into
their paper. That is, they will have to be able to think critically about the social
conditions that have led to the their identified problem, they will have to be able
to evaluate the ideological debates about the identified problem, and they will
have to be able to assess the current knowledge about the identified problem,
all of which are prerequisites to analyzing and formulating policy.

The final assignment (see Appendix B for actual assignment outline) will build
on the mid-term assignment by having students devise a policy based on the
problem identified in their mid-term paper. This paper, which will be 8-10 pages
in length, will require the students to provide following information: the name of
the policy; the area of children welfare the policy addresses; a summary of the
unmet need(s) that precipitated policy; constituents to be served by policy;
ideological framework of the policy; an overview of the policy; how the policy will
be funded; organization(s) that will be responsible for administering the policy;
potential strengths and weaknesses of policy; and potential unintended
consequences of the policy.

To successfully complete their final paper, students will demonstrate the ability
to think critically about, and integrate, the courses key concepts into their policy
formulation. That is, they will to be able to recognize and understand the
importance of assessing concepts such as social conditions and unmet needs,
ideological framework/debates, strengths, weaknesses, unintended
consequences, and funding when analyzing or formulating child welfare policy.

157

The last assignment for the students is to give an oral presentation of their
policy to the class. This assignment allows the students to share their policy
with the class, as well as receive comments and feedback.

CONCLUSION

A. Recap

This teaching guide provides instructors with tools that will allow them to provide
students with a frame of reference for identifying the various policy themes and
programs that are present in a typical child welfare case. In addition, students will be
guided in their efforts to track contemporary child welfare policy and programs back to
their origins. Specific attention is paid to social conditions and unmet needs that
precipitate policies, the ideological debates for and against the policies, the constituents
served by the policies, the evolution of policies over time, and the strengths and
weaknesses of those policies.

Students will understand the impact of child welfare policy and programs on traditionally
marginalized groups including: families of color, immigrants, women, the economically
disadvantaged, substance abusers, gays, lesbians, transgendred youth and adults, the
chemically addicted, and individuals with mental and physical impairments. Finally,
students will learn to critique the strengths and weaknesses of child welfare policy and
programs, most particularly as they relate to the three case studies and begin to
formulate new policy based on the strengths and weaknesses present in contemporary
child welfare policies.


The three case studies are rich in themes related to child welfare. As a result, it can be
viewed through a variety of conceptual lenses: policy, practice, program, etc. Given
the multidimensionality of the case studies, it is strongly recommended that future
courses utilize a multidisciplinary lens - a combination of policy, programs and practice
to analyze the myriad of child welfare themes embedded in the case studies. This
allows students to have a greater understanding of the interaction between child
welfare policy, programs and practice.

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APPENDIX FOR GUIDE FOR CHILD WELFARE POLICY
AND PROGRAM ANALYSIS

Appendix A

MID-TERM ASSIGNMENT
Policy Paper 1 - The Identification of a Social Problem

Formulating policy starts with the identification of a problem. For your mid-term
assignment you will be required to identify an existing problem in the child welfare
field. The identified problem cannot be one that is currently addressed by policy.

Policy Paper Guide

Section I: Description of problem
Give a concise, but specific description of the problem. In your description be
sure to identify those groups or individuals most affected by the problem. Also make
some mention of the groups or individuals social standing in society, i.e.
marginalized, privileged, etc.

Section 2: How long has problem existed
Describe how long the problem has been present in society. Also make mention
of how and when the problem first came to the publics attention.

Section 3: Statistical evidence of the problem
Give statistical evidence of a problem, i.e., its prevalence in terms of percentage
of people affected by problem.

Section 4: Current knowledge about problem
Identify the currently accepted knowledge about the problem, i.e., theories
related to the problem. These theories can come from the field of psychology,
medicine, social work, sociology, education, science or other related areas.

Section 5: Current ideological debates about problem
Identify the current debates about the problem? These debates can be between
politicians, social scientists, or social activists.

Section 6: Conclusion
In your conclusion, make an argument for the formulation of a policy that will
address your identified problem. In support of your argument, be sure to utilize
information from the body of your paper.

FORMAT. Paper should be 8-10 pages, double-spaced, plus reference page.

REFERENCES. All sources of information should be appropriately cited in
your paper and reference page following the APA format.

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Appendix B

FINAL PAPER ASSIGNMENT
Policy Paper II - Creating a Policy

For your final paper assignment you will be required to devise a policy based on the
problem identified in your mid-term assignment.

Policy Paper Guide

Section 1: Name of the Policy.

Section 2: Area of children & family practice that policy addresses.

Section 3: Summary of the unmet need(s) that precipitated policy.

Section 4: Constituents to be served by policy.

Section 5: Ideological framework of the policy.

Section 6: Overview of the policy.

Section 7: How the policy will be funded.

Section 8: Organization(s) that will be responsible for administering the policy.

Section 9: Identify potential strengths and weaknesses of policy.

Section 10: Potential unintended consequences of the policy.

Format: Paper should be 8-10 pages, double spaced, plus reference sheet. Please
include the aforementioned section headings in your paper.

References: all sources of information and reference sheet should be
appropriately cited following the APA format.


160
Real Cases Project: Teaching Guide for Social Work Ethics

161
Real Cases Project:
Social Work Ethics

Dr. Elaine Congress
Professor and Associate Dean
School of Social Service, Fordham University
Lincoln Center Campus, New York, NY 10023
[email protected]

INTRODUCTION


Social work values and ethics have long been an integral part of social work practice
and education. Over fifty years ago Muriel Pumphrey wrote about the importance of
educating students about values and ethics (Pumphrey, 1959.) The Council on Social
Work Education (CSWE) in the most recent Educational Policy Accreditation Standards
(2003) emphasizes that curriculum should help students understand their own values,
teach them about professional values and standards as described in the NASW Code of
Ethics, recognize ethical dilemmas, and apply models of ethical decision making.

How have social work schools sought to teach about social work values and ethics? A
CSWE publication Teaching social work values and ethics: A curriculum resource
(Black, Congress, and Gottfried, 2009) provides both separate course outlines on
ethics, as well as modules that can be used in Human Behavior, Policy, Research, and
Practice classes. Some schools have offered a discrete course, while others have
chosen only to integrate content on ethics throughout the curriculum. The number of
schools that offer a separate course on ethics has increased over the years. A study
conducted 15 years ago indicated that 10% of schools include a separate course
(Black, Hartley, Whelley, and Kirk-Sharp 1989), while a more recent study found that up
to 50% of MSW schools had either a required or elective course on ethics (Congress,
2001).

Almost all social work schools (98%) report that content on social work values and
ethics are integrated throughout the curriculum (Congress, 2001.) Those who advocate
for a discrete course have argued that a required course insures that all students
receive content on ethics, while an elective course may lead only to those particularly
interested (and knowledgeable) about ethics taking the course. Those who propose
only an integrative model stress that this approach is in keeping with the CSWE
standards and ensures that ethics content is included in every part of social work
education. An ongoing concern, however, is that social work educators may vary in the
degree to which ethics content is integrated into different courses.

162
There is value in offering a separate course as presented in this outline and it is
recommended that a separate course on ethics be offered at the mid point or toward the
end of MSW program (Reamer, 2001).

Social work students may be initially reluctant to take a social work ethics course, as
they fear that the course might be similar to very abstract Philosophy 101 required
courses from their undergraduate days. An important principle for adult learners is that
content must be linked to actual practice experience; thus the use of case vignettes is
very useful in teaching about social work ethics. The three case studies are particularly
helpful in a course on social work values and ethics. The examples raise many ethical
issues, value conflicts, and dilemmas that can be discussed in an ethics course.
Some of the major themes revolve around confidentiality with issues of cultural
differences in child rearing in the Anne case and confidentiality and rights to receive
treatment in mental health in the Andrea case. For example, Peter and Anne are from a
different culture. Do they have different beliefs about child rearing than what is
considered appropriate in American culture and by the Children Services? Anne was
abused by her spouse. Should she be blamed for the fact that Peter abused the
children, especially as she has complied with the service plan developed by Children
Services.? In terms of the Andrea case what are the rights of a mother with mental
illness? With her mental illness she has periods of health - Should she be deprived
forever of the right to raise her child? What if child welfare laws and agency policy of
returning children to birth parents unless there is clear evidence of the possibility of
abuse conflicts with the caseworkers belief that the parent is not ready to assume
responsibility for the child? Additional themes are what role should the caseworker
have in facilitating interdisciplinary collaboration? How should the caseworker relate to
school personnel, to mental health professionals?

Social work students taking this course with the integration of the three case studies
will:
Learn to identify personal, cultural, societal, agency, client and professional
values
Understand the NASW Code of Ethics and its use in ethical decision-making
Identify ethical issues and dilemmas in professional child practice
Gain awareness of relevant laws and agency policy that affect ethical decision-
making in child welfare
Develop skills in understanding and resolving ethical dilemmas


163
I. Introduction
A. Overview of role of social work ethics in social work curriculum
B. Themes for integration of each of the three case studies into ethics
course
C. Learning objectives for this ethics course using the three case studies
II. Strategy One Course long integration of three case studies
A. Areas of the case studies to be highlighted each week
B. Structure Weekly classes
C. Teaching activities Lecture, Discussion, Role Play Andrea R.
family, Anne M. family, and Mary S. family.
D. Readings from books, articles, and handouts related to values, ethical
issues, and decision making in child welfare
F. Evaluation Plan course evaluation, paper, exam and pre and post
test
III. Strategy Two Class I on Values - Areas of Case Studies to be highlighted
A. Exploration of personal, cultural, societal, agency, client, and
professional values in relation to the three case studies
B. Structure beginning at the beginning with students own values
C. Teaching Methods
Lecture Value definition and examples of different sets of values
Discussion Identification of different values
Case studies - Identification of value conflicts within case
D. Readings on values, moral continuum example, child welfare case
vignettes, role play values conflict
E. Evaluation Plan for Class I Class discussion
IV. Conclusion
A. Summary of key themes
B. Plans for future courses
Law and Ethics in Child Welfare
Development of Modules for different courses

TEACHING STRATEGIES

A. Strategy One: Integrating the Case Studies throughout the Course

1. Areas/Issues of the case study to be highlighted:
The three case studies can be integrated throughout this course. The first three
classes, Class I on values, Class II on the Codes of Ethics and Laws, and Class
III on ethical dilemmas and decision making constitute the foundation in the study
of social work values and ethics within the child welfare field. Lesson I focuses
primarily on values, which is described in greater detail under Strategy Two.
Lesson two looks at law and the Codes of Ethics. Using the case examples,

164
students will be asked to identify relevant laws and policies that impact on the
caseworkers work with all three families. Some relevant laws include the
Adoption and Safe Families Act (1997) , the Violence Against Women Act (1998),
the Immigration Act of 1990, and the Health Insurance Portability and
Accountability Act of 1996.((HIPPA.) Students also should identify what parts of
the Code of Ethics are relevant to each of the three cases. Standards on
confidentiality especially in regard to social work with different family members,
interdisciplinary collaboration, and responsibility to oppressed populations are
particularly relevant. Students should be asked to look at potential areas of
conflict between law and social work ethics.

In Class III students should gain some understanding of the philosophical basis
for social work ethics. They should learn to identify what might be a deontological
(absolutist) approach in working with these families and what would be
teleological (consequential). Students should be asked to look for ethical
dilemmas in the case studies. After an exploration of dilemmas, students should
be introduced to models of ethical decision-making that might be helpful in
resolving these dilemmas. A short, five step ETHIC model of decision making
(Congress, 1999) may be helpful in resolving ethical dilemmas especially for
caseworkers who are very pressed for time, but still want to consider thoroughly
relevant ethical issues. Students could be asked to select an ethical dilemma
from one of the three cases, as for example confidentiality issues in working with
the client and the family and follow through these five steps:

Examine relevant values
Think about relevant laws, policies, regulations, and code provisions
Hypothesize about different consequences
Identify who will be helped and harmed in terms of the most vulnerable
Consult with supervisors and other colleagues.

The first step students have covered in the first class and the second step is
covered in the second class. The third step involves hypothesizing about
different consequences. Sometimes it is helpful to ask students to develop
different scenarios based on following different courses of action. The fourth
step involves looking at vulnerability. Students can become more aware of social
justice issues impacting on these families. What discrimination and oppression
have the families encountered in their community, in the school systems, in the
social service agencies where they have gone for help? Who are the most
vulnerable in these cases? The fifth step requests that students look to
supervisors and others to discuss ethical issues, dilemmas, and decision-making
presented by these cases.

Classes 4-15 continue to demonstrate the integration of these case studies into
teaching and learning about social work ethics. Each case provides the
opportunity to highlight a specific ethical issue. The fourth class looks at social
justice issues in child welfare in general and with the Andrea, Anne, and Marys

165
families specifically. The fifth class focuses on confidentiality issues regarding
technology in child welfare as well as within Mary case and each of the families.
Class VI looks at issues of self-determination with Jason and Mary.

Class VII examines child welfare issues such as divided professional loyalties
and interdisciplinary work. Class VIII examines ethical issues in mental health,
such as the rights of parents with mental health issues such as Andrea to raise
her son.. Class XI looks at issues within the child welfare bureaucracy and its
impact on work with Andrea, Anne, and Mary families, while Class XII examines
whistle blowing, media, and recording for risk management, all relevant issues
for a discussion about these families. Class XIII focuses on the appropriate role
for the caseworker and how to identify and take action when faced by
incompetent work by colleagues. Class XIV examines the role of the supervisor
with Andrea, Anne and Mary families and also the issue of burn out in working
with multi-problem families. The last class deals with research and a discussion
of ethical issues in research with families in the child welfare system. Also the
use of an ethics committee is presented as a method to improve ethical practice
with the families. In summary, each of the three family case studies can be
integrated throughout this course on social work values and ethics.

The following course outline illustrates how the three case studies can be
integrated throughout a course on values and ethics.

I. Overview of the course
A. Use of case studies
B. Value base of social work
C. Values
1. Personal
2. Societal
3. Agency
4. Client
5. Professional values
II. Social work ethics
A. Relationship to Law
B. Professional Codes of Ethics
1. NASW Code of Ethics
a. Relevant part of Code in each of the three case studies
C. Laws affecting caseworker in the three case studies
D. Agency policy affecting each of the families
III. Ethical Decision Making
A. Deontological and Teleological Approaches
B. Identification of Dilemmas In each of the three case studies
1. Self determination of parent and need for child protection
2. Confidentiality of parent and adolescent child

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3. Definition of social work role and interdisciplinary work
C. Social Work Models of Ethical Decision-Making
1. ETHIC model
a. Application to each case study
IV. Social Justice/Conflict of Interest
A. Distributive Justice/ Scarce Resources
1. Social economic differences in child welfare
2. Social justice issues as applied to each of the three families
B. Policy and Direct Practice Issues Application to the three cases
1. Self-Determination -
2. Informed consent
3. Competency
4. Paternalism and vulnerable populations
V. Confidentiality
A. Limits on Confidentiality
B. Privileged communication - Legal system
C. Technology - CONNECTIONS network in child welfare
D. Family and group work conflicts in the Mary S. family
E. Laws (HIPPA Regulations)
VI. Ethical Issues in Child Welfare
A. Divided Professional Loyalties Andrea R. Case
1. Responsibility to agency and client
2. Responsibility to child and family Anne M. Case
B. Interdisciplinary work
1. Relationship with lawyers
2. Relationship with other agencies
VII. Ethical Issues in the Mental Health/Substance Abuse
A. Duty to warn - Tarasoff decision
B. Interdisciplinary work
1. Role of caseworker with mental health issues Andrea R. Case
2. Suicide or homicide risk Andrea R. Case
C. Right to treatment/Right to refuse treatment
1. Substance abuse Andrea R. Case
VIII. Ethical Issues in Health Care
A. Treatment decisions in substance abuse
B. Discharge planning/Outpatient care
C. Long term care
1. Right to die - Living wills/Health Care proxies
IX. Social Work Ethics and AIDS
A. Role of caseworker in AIDS prevention
B. AIDS mandatory testing
C. Confidentiality and duty to warn
D. Treatment issues
X. Social Work Ethics in Administration
A. Social work ethics/bureaucracy
1. Professional/bureaucratic conflicts

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2. Relationship with community
B. Review of case records three case studies
XI Social Work Ethics in Administration (2)
A. Whistle blowing
B. Role of media
C. Recording/Risk management
XII. Ethics and Professional Issues
A. Appropriate professional role
B. Relationships with colleagues
1. Impaired or incompetent colleagues Andrea R. case
2. Dual relationships
XIII. Ethics in Social Work Supervision and Education
A. Role of supervisor
1. Administrative
2. Educational (need for education on substance abuse, mental health)
3. Supportive
4. Burnout Chronicity of Andrea R.s mental health problems
XIV. Social Work Ethics and Research
A. Research Issues and Dilemmas
1. Research questions that arise in each of the three case studies
2. Evaluation of effectiveness in child welfare
a. Evidence based practice
3. Confidentiality and informed consent
4. Incentive to participate in Research
5. Dissemination of Findings
B. Ethics committee
1. Institutional Review Board (IRB)
2. Interdisciplinary committees intragency and interagency
a. Andrea R. family, Anne M. family, and Mary S. family
XV The Future of Social Work Ethics
A. Privitization
B. Non social work management
C. Technology
D. Cultural diversity
E. International

Each class builds upon knowledge learned through readings, class lectures and
discussions, role-plays, videos, and other exercises. First, class 1 provides a
foundation on social work values. This class is described more fully under
Strategy 2. Then Class 2 looks at ethical issues and dilemmas. Class 3 focuses
on ethical decision-making. Class 4 on social justice and conflict of interest and
Class 5 on confidentiality introduce major ethical issues and dilemmas. The
remaining chapters introduce different fields of practice, beginning with child
welfare but then looking at ethical issues and dilemmas that arise in other fields
of practice where families in the child welfare system interface, mental health,

168
health, substance abuse. Also professional issues such as dual relationships
and impaired colleagues conflicts, as well as issues around administration,
education, and research are addressed.

There is a multi-modal approach to teaching and learning about ethics. It is
assumed that each student will do required reading before each class session.
Each class will begin with a PowerPoint lecture followed by discussion of a
related theme from each of the case studies. The use of role plays and other
class exercises like the Moral Continuum and debate, as well as related videos
will supplement learning about ethics.

4. Materials:
Students should receive PowerPoint handouts of all lectures. This is useful for
all teaching, but especially helpful when one uses a specific case example from
each of the three case studies . The use of PowerPoint helps students move
from specific case examples (Andrea R. family, Anne M. family, and Mary S.
family) to more general principles about ethical social work practice. The three
families are from different social economic backgrounds. The Andrea family has
limited income as both parents receive SSI and other public benefits, while the
Anne family comes from a middle class background as the father is an insurance
agent. The third family is headed by Mary who has worked as a corrections
officer. Students can be asked to discuss attitudes toward members of different
classes and how this relates to child welfare practice. Issues of racism and
xenophobia could be discussed with students in terms of Mary, Susan, and
Jason who are African American and Anne, Peter and Thomas in the Anne case
who are from Jamaica..

The following readings are divided according to the session under discussion.
This list is very comprehensive. Current readings on new cutting edge issues in
social work ethics, as well as older classic materials are included. From this
extensive list divided into different topics the instructor can select which readings
he/she prefers to use in teaching about social work ethics and are most
appropriate to the students in the class. An additional resource is the online
journal: Journal of Social Work Values and Ethics, which often has timely
relevant articles.

Session One: Social Work Values

Abramson, M. (1996). Reflections on knowing oneself ethically: Toward a
working framework for social work practice. Families in Society, 77(4), 77.

Brennan, S. (1999). Recent work in feminist ethics. Ethics, 109 (4), 858-893.


169
Congress, E. (1999). Social work values and ethics: Identifying and resolving
professional dilemmas. Belmont, CA: Wadsworth., chapter 3..

Congress, E. (2000). What social workers should know about ethics:
Understanding and resolving practice dilemmas. Advances in Social Work 1 (1),
1-25.

Freedberg, S. (1993). The feminine ethic of care and the professionalization of
social work. Social Work,38(5), 535-540.

Horner, W. & Whitbeck, L. (1991). Personal versus professional values in social
work: A methodological note. Journal of Social Service Review, 14(1/2), 21-43.

Levy, C. S. (1993). Social work ethics on the line. New York: New York. Haworth
Press.

Noble, D. & King, J. (1981). Values: Passing on the torch without burning the
runner. Social Casework, 62(10), 579-584.

Noble, J.H. Jr, Bailey-Etta, B., Reed, A.H. & Zogby, J.A. (2003). Measuring and
interpreting expressed affect toward affirmative action policy: an exploratory
analysis. Journal of Teaching in Social Work, 23(1/2), 87-104.

Manning, S. (1997). The social worker as moral citizen: Ethics in action. Social
Work, 42(3), 223.

McGowen, B. & Mattison, M. (1998). Professional values and ethics. In M.
Mattaini, C. Lowery, C. Meyer, (Eds.) The foundations of social work practice: A
graduate text (2nd ed.). Washington, DC: NASW Press.

.Perlman, H. (1975). Self determination: Reality or illusion? In. F. McDermott
(Ed.), Self determination in social work. (pp. 65-89). London: Routledge and Paul
Kegan.

Rothman, J. (1989). Client self determination: Untying the knot. Social Service
Review, 63, 598-612.

Saleeby, D. (2005). The strengths perspective. New York: Longman.

Wells, C. C., & Masch, M. K. (1986). Social work ethics: Day to day. Prospect
Hts., IL: Waveland.

Webb, S. (1996). Forgetting ourselves? Social work values, liberal education,
and modernity. Studies in the Education of Adults, 28(2), 224-241.

Witkin, S.L. (2000). Ethics-R-Us. Social Work, 45 (3), 197.

170

Session Two: Social Work Ethics and Codes of Ethics

American Psychological Association (1992). Ethical Principles of Psychologists
and Code of Conduct. http://www.apa.org/ethics/code.html.

Clinical Social Work Federation (1997). Code of ethics. Retrieved June 21, 2001
from http://www.cswf.org/ethframe.htm.

professional dilemmas. Belmont, CA: Wadsworth. Chapter 2.

Kopels, S. (1997). Is the NASW Code of Ethics an effective guide for
practitioners? In E. Gambrill, & R. Prueger Controversial Issues in Social Work
Ethics, Values and Obligations (pp. 120-125). Needham, MA: Allyn & Bacon.

Kutchins, H. (1991). The fiduciary relationship: The legal basis for social work
responsibilities to clients. Social Work, 36(2), 106-113

National Association of Black Social Workers. (n.d.). Code of Ethics Retreived
June 21, 2001 from http://ssw.unc.edu/professional/NABSW.html.

National Association of Social Workers. (1999). Code of ethics. Washington, DC:
NASW.

National Association of Social Workers. (1998). Current controversies in social
work ethics: Case examples. Washington, D.C.: NASW Press.

Jayartne, S; Croxton, T. & Mattison, D. (1997). Social work professional
standards: An exploratory study. Social Work, 42(2), 187-199.

Kopels, S. (1997). Is the NASW Code of Ethics an effective guide for
practitioners? In E. Gambrill, & R. Prueger Controversial Issues in Social Work
Ethics, Values and Obligations (pp. 120-125). Needham, MA: Allyn & Bacon.

Miller, I. J. (1996). Ethical and liability issues concerning invisible rationing.
Professional Psychology: Research and Practice, 27(6), 583-587.

McCann, C. W., & Cutler, J. P. (1979). Ethics and the alleged unethical. Social
Work, 24, 5-8.


Reamer, F. (1998 ). Ethical standards in social work: A critical review of the
NASW Code of Ethics. Washington D.C.: NASW Press.

171

Strom-Gottfried, K. J. (2002). Ensuring ethical practice: An examination of NASW
Code violations, 1986-1997. Social Work.

Session Three: Ethical Decision Making

professional dilemmas. Belmont, CA: Wadsworth. Chapter 4.

Crigger, B. (1996). Where do moral decisions come from? Hastings Center
Report, 26(1), 33-39.

Gambril, E., & Pruger, R. (1996). Controversial issues in social work ethics,
values, and obligations. Boston: Allyn Bacon.

Hill, M., Glaser, K. & Harden, J. (1998). A feminist model for ethical decision
making. Women and Therapy, 21 (3), 101-121.

Hugman, R. (2003, March). Professional ethics in social work: living with the
legacy. Australian-Social-Work, 56 (1), 5-15.

Lewis, H. (1984). Ethical assessment. Social Casework, 65(4), 203-211.

Lowenberg, F. & Dolgoff, R. (2000). Ethical decisions in social work practice.
Itasca, Ill: Peacock.

Mattison, M. (2000). Ethical decision making: The person in the process. Social
Work, 45 (3), 201-212.

Reamer, F. (1995). Malpractice claims against social workers: First facts. Social
Work, 40(5), 595-601.

Rothman, J. (1998). From the front lines: Student cases in social work ethics.
Needham Heights, MA: Allyn & Bacon.

Walden, T., Wolock, I. & Demone, H. (1990). Ethical decision making in human
services. Families in Society, 71(2), 67-75.

Session Four: Social Justice/Conflict of Interest

Berkman, C. & Zinberg, G. (1997). Homophobia and heterosexisim in social
workers. Social Work, 42(4), 319-332.

professional dilemmas. Belmont, CA: Wadsworth. Chapter 1..

172

Hartman, A., & Laird, J. (1998). Moral and ethical issues in working with lesbians
and gay men. Families in Society, 79 (3), 263-276.


National Association of Social Workers (2000). Social work speaks: NASW Policy
Statement 2000-2003 (5
th
ed.). Washington, DC: NASW Press.

Orme, J. (2002, Sept). Social work: gender, care and justice.

Specht, H. & Courtney, M. (1994). Unfaithful angels: How social work has
abandoned its mission. New York: Free Press.

Swenson, C. (1998). Clinical social works contribution to a social justice
perspective. Social Work, 43(6), 527-538.

Van Wormer, K. (2004). Restorative justice: a model for personal and societal
empowerment. Journal of Religion and Spirituality in Social Work, 23(4), 103-120.

Session Five
Confidentiality

Alexander, Jr., R. (1997). Social workers and privileged communication in the
federal legal system. Social Work, 42, 387-391.

Dickson, D. T. (1998). Confidentiality and Privacy in Social Work: A Guide to the
Law for Practitioners and Students. New York: The Free Press.

Davidson, J. R., & Davidson, T. (1996). Confidentiality and managed care:
Ethical and legal concerns. Health and Social Work, 21(3), 208-215.

Gelman, S., Pollack, D., Weiner, A. (1999). Confidentiality of social work records
in the computer age. Social Work, 44 (3), 243-251.

Kane, M.N., Houston-Vega, M.K. & Nuehring, E.M. (2002). Documentation in
managed care: challenges for social work education. Journal of Teaching in
Social Work, 22(1/2), 199-212.

Kopels, S., & Kogle, J. D. (1994). Teaching confidentiality breaches as a form of
discrimination. Arete, 19(1), 1-9.


173
Millstein, K. (2000). Confidentiality in direct social-work practice: Inevitable
challenges and ethical dilemmas. Families in Society, 81 (3), 270-282. (Available
on Proquest).

Rock, B. & Congress, E. (1998). The new confidentiality for the 21st century.
Social Work, 44(3), 253-262.

Scarf, M. (1996, June 16). Keeping secrets. The New York Times Magazine, pp.
38-42.

Schick, I. C. (1996). Personal privacy and confidentiality in an electronic
environment. In Bioethics Forum Managed care (pp. 25-30). Kansas City, MO:
Midwest Bioethics Center.

Vandecreek, L., Knapp, S., & Herzog, C. (1988). Privileged communication for
social workers. Social Casework, 69, 28-34.

Wilson, S. (1978). Confidentiality. New York: The Free Press.

Session Six: Ethical Issues in Child Welfare

Berman-Rossi, T. & Rossi, P. (1990). Confidentiality and informed consent in
school social work. Social Work in Education, 12(3), 195-207.

Carten, A. & Dumpson, J.R. (2004). Family preservation and neighborhood
based services: An Africentric perspective. In J. Everett & B. R. Leashore (Eds.)
Child welfare revisited: An Africentric perspective (pp. 225-245). New Brunswick,
NJ: Rutgers University Press.

professional dilemmas. Belmont, CA: Wadsworth., chapter 6.

Congress, E. & Lynn, M. (1994). Group work programs in public schools: Ethical
dilemmas and cultural diversity. Social Work in Education, 16(2), 107-114.

Kagle, J. & Kopels, S. (1994). Confidentiality after Tarasoff. Health and Social
Work, 19(3), 217-222.

Kopels, S. and Kagle, J.D. (1993). Do social workers have a duty to warn? Social
Service Review, 67(1), 101-126.

Pine, B. (1987). Strategies for more ethical decision making in child welfare
practice. Child Welfare, 66(4), 315-326.

Russel, R. (1988). Role perceptions of attorneys and caseworkers in child abuse
cases in juvenile court. Child Welfare, 67(3), 205-216.

174

Sarnoff, S. (2004, Fall). Social workers and the witness role: ethics, laws, and
roles. Journal of Social Work Values and Ethics, 1(1), Online.

Stein, T. (1991). Child welfare and the law. New York: Longman.

Watson, K., Seader, M. & Walsh, E. (1995). Should adoption records be open? In
E. Gambril & T. Stein, Controversial issues in child welfare. Boston: Allyn &
Bacon.

Session Seven: Ethical Issues in Mental Health/Substance Abuse

Appelbaum, P. S. (1993). Legal liability and managed care. American
Psychologist, 48(3), 251-257.

Cocoran, K. & Winslade, W. (1990). Eavesdropping on the 50 minute hour:
Managed mental health care and confidentiality. Behavioral Science and the
Law, 12(2), 351-365.

professional dilemmas. Belmont, CA: Wadsworth., chapter5..

Cornos, F. (1989). Involuntary medication and the case of Joyce Brown. Hospital
and Community Psychiatry, 40, 730-740.

Greenhouse, L. (1996, June 14). Justices recognize confidential privilege
between therapist and patient. The New York Times.
(http://www.nytimes.com.96/14/6/front/scotus/privilege.html)

Furman, R., Downey, E.P & Jackson, R.L. (2004, June). Exploring the ethics of
treatments for depression: the ethics of care perspective. Smith College Studies
in Social Work, 74(3), 525-538.

Houston-Vega, M. K., Nuehring, E. M., & Daguio, E. R. (1997). Prudent practice:
A guide for managing malpractice risk. Washington, D.C.: NASW Press.

Kagle, J. & Kopels, S. (1994). Confidentiality after Tarasoff. Health and Social
Work, 19(3), 217-222.

Kaslow, F. (1998). Ethical problems in mental health practice. Journal of Family
Psychotherapy (9) 2, 41-64.

Kelley, P., Alexander, P., & Cullinane, M. A. (1987). Ethical issues in private
practice. Journal of Independent Social Work, 1(2), 5-17.


175
Kirk, S. & Kutchins, H. (1992). The selling of DSM IV. New York: Aldine de
Gruyere

Munson, C. (1996). Autonomy and managed care in clinical social work practice.
Smith College Studies in Social Work, 66(3), 241-259.

National Association of Social Workers. (1998). Social work role in managed
care: Policy statement. New York: NASW.

Polowy, C. & Gilbertson, J. (1997, June/July). Social workers and subpoenas.
Currents. New York: NASW.

Reamer, F. (1997). Managing ethics under managed care. Families in Society,
78(1), 96-106.

Rosenthal, E. (1993, April 7). Who will turn violent: Hospitals have to guess. The
New York Times, A1, C12.

Tarasoff v. Board of Regents of University of California (1976). 17 Cal 3d 425.

Thompson, R. (1990). Ethical dilemmas in psychotherapy. New York: The Free
Press.

Strom, K. J. (1994). The impact of third party reimbursement on services by
social workers in private practice. Psychotherapy in Private Practice, 13(3), 1-22.

Strom, K. J. (1992). Reimbursement demands and treatment decisions: A
growing dilemma for social workers. Social Work, 37(5), 398-405.

Strom-Gottfried, K. J. (1998). Is "ethical managed care" an oxymoron? Families
in Society, 79(3), 297-307.

Wineburgh, M. (1998). Ethics, managed care, and outpatient p
sychotherapy. Clinical Social Work Journal, 26(4), 433-443.

Wolfson, E. R. (1999). The fee in social work: Ethical dilemmas for practitioners.
Social Work, 44(3), 269-273.

Session Eight: Ethical Issues in Health Care

Biblo, J. D., Christopher, M. J., Johnson, L., & Potter, R. L. (1996). Ethical Issues
in managed care: Guidelines for clinicians and recommendations to accrediting
organizations. In Bioethics Forum Managed Care (p. MC/1-MC/24). Kansas City,
MO: Midwest Bioethics Center.


176

Gibelman, M., & Whiting, L. (1999). Negotiating and contracting in a managed
care environment: Considerations for practitioners. Health & Social Work, 24 (3),
180-190.

Greene, R.R. & Sullivan, W.P. (2004). Putting social work values into action: use
of the ecological perspective with older adults in the managed care arena.
Journal of Gerontological Social Work, 42(3/4), 131-150.

Manning, S. & Gaul, C. (1997). The ethics of informed consent: A critical variable
in the self determination of health and mental health clients. Social Work in
Health Care, 25(3), 103-117.

Strom-Gottfried, K. J. (1998). Informed consent meets managed care. Health and
Social Work, 23(1), 25-33.

Zoloth-Dorfman, L., & Rubin, S. (1995). The patient as commodity: Managed
care and the question of ethics. The Journal of Clinical Ethics, 6(4), 339-357.

Session Nine: Ethical Issues and AIDS

Abramson, M. (1990). Keeping secrets: Social workers and AIDS. Social Work,
35(2), 169-173.

Ainslie, D.C. (1999). Questioning bioethics: AIDS, sexual ethics, and the duty to
warn. The Hastings Center Report, 29 (5), 26-35.

Anonymous, Mack, J, & Emery, A. (1992). Staff reactions to AIDS in the
workplace. Families in Society, 73(11), 559-567.

Childress, J. (1991). Mandatory HIV screening and testing. In. F. Reamer (Ed.),
AIDS and ethics. (pp. 50-76). New York: Columbia University Press.

Cohen, E. D. (1990). Confidentiality, counseling, and clients who have AIDS:
Ethical foundations of a model rule., Journal of Counseling and Development
68(3), 282-286.

Dao, J. (1995, October 10). AIDS test data under accord. The New York Times,
pp. A1, B4.

Field, M. (1990). Testing for AIDS: Uses and abuses. American Journal of Law
and Medicine, 16(2), 33-106.

177
Herman, D. (1991). AIDS and the law. In F. Reamer, AIDS and ethics. New York:

Kaplan, M. S. & Long, L. K. (1993). AIDS, health policy & et ics. Affilia, 8(20),
157-170.

National Association of Social Workers. (2002). HIV/AIDS Policy Statement.
Silver Springs, MD: NASW.

Reamer, F. G. (1991). AIDS, social work and the "duty to protect". Social Work,
36(1), 56-60.

Reamer, F. (1991). AIDS: The relevance of ethics. In F. Reamer, AIDS and
ethics. (pp. 1-25). New York: Columbia University Press.

Reamer, F.G. (Ed.). (1991). Aids and ethics. New York: Columbia University
Press.

Rhame, F. & Maki, D. (1989). The case for wider use of testing for HIV infection.
The New England Journal of Medicine, 320(19), 1242-1253.

Richardson, L. (1997, August 21). Program on AIDS brings movement for early
detection and less secrecy. The New York Times, A1, B4.

Ryan, C. & Rowe, M. (1988). AIDS: Legal and ethical issues. Social Casework,
69(6), 324-333.

Turnock, B. & Kelly, C. (1989, June 16). Mandatory premarital testing for HIV:
The Illinois experience. JAMA, 261(23), 3415-3418.

Session Ten: Social Work Ethics in Administration (1)


Congress, E. & Gummer, B. (1996). Is the Code of Ethics as applicable to
agency administrators as direct service providers? In E. Gambril and R. Pruger,
Controversial issues in social work ethics, values, and obligations (pp.137-150.)
Boston: Allyn Bacon.

Conrad, A.P. (1989). Developing an ethics review process in a social service
agency. Social Thought, 15 (3-4), 102-115.
Cooper, T. (1990). The responsible administrator: An approach to ethics for the
administrative role (3rd Ed.). San Francisco: Jossey Bass.


178
Congress, E. and Sealy, Y. (2001). The role of social work ethics in empowering
clients and communities In Rosa Perez-Koenig and Barry Rock, Editors. Social
work in the era of devolution: Toward a just practice. (pp. 305-330). New York:
Fordham University Press.

Joseph, V. (1983). The ethics of organizations: Shifting values and ethical
dilemmas. Administration in Social Work, 7(3/4), 47-57.

Levy, C. (1979). The ethics of management. Administration in Social Work, 3(3),
277-289.

Session Eleven: Social Work Ethics in Administration (2)


Lewis, H. (1972). Morality and the politics of practice., Social Casework 5(3),
404-417.

Lewis, H. (1988). Ethics and the management of service effectiveness in social
welfare. Social Work in Administration, 11(3/4), 272-284.

O, Neil, M. (1992). Ethical dimensions of non profit administration. Nonprofit
Management and Leadership, 3(2), 199-213

Reamer, F.G. (2001). The social work ethics audit: A risk management tool.
Washington DC: NASW Press.

Reisch, M. & Taylor, C. (1983). Ethical guidelines for cutback management: A
preliminary approach. Administration in Social Work, 7 (3/4), 59-72.

Strom-Gottfried, K.J. (1999). When colleague accuses colleague: Adjudicating
personnel matters through the filing of ethics complaints. Administration in Social
Work, 23(2), 1-6.

Session Twelve: Ethics and Professional Issues

Association of State Social Work Boards. (1995) Social work laws and board
regulations: A state comparison study. (Current laws available at: www.aswb.org)

Berkman, C.; Turner, S.; Cooper, M.; Polnerow, D.; Swarz, M. (2000). Sexual
contact with clients: Assessment of social workers attitudes and educational
preparation. Social Work, 45 (3), 223-236.

Berliner, A. K. (1989). Misconduct in social work practice. Social Work, 34(1), 69-
72.

179
Bonosky, N. (1995). Boundary violations in social work supervision: Clinical
education and legal implications. Clinical Supervisor, 13(2), 79-95.

Borys, D. & Pope, K. (1989). Dual relationships between therapist and client: A
national study of psychologists, psychiatrists, and social workers. Professional
Psychology: Research and Practice, 20(5), 283-293.

Brownlee, K. (1996). Ethics in community mental health care: The ethics of non-
sexual dual relationships: A dilemma for the rural mental health professional.
Community Mental Health Journal, 32 (5), 497-503.

Bullis, R. K. (1995). Clinical social worker misconduct. Chicago, IL: Nelson-Hall
Publishers.


Duran, A. G, Williams C.J. & Akin, J. (2004, Fall). A comparative study of
practitioners and students in the understanding of sexual ethics. Journal of Social
Work Values and Ethics, 1(1), Online.

Edelwich, J. & Brodsky, A. (1991). Sexual dilemmas for the helping
professionals. New York: Bruner Mazel.

Epstein, R. S., Simon, R. I., & Kay, G. G. (1992). Assessing boundary violations
in psychotherapy: Survey results with the Exploitation Index. Bulletin of the
Menninger Foundation, 56(2), 150-166.

Fisher, D. (1987). Problems for social work in a strike situation: Professional,
ethical, and value considerations. Social Work, 32, 252-254.

Gabbard, G. O. (1996). Lessons to be learned from the study of sexual boundary
violations. American Journal of Psychotherapy, 50(3), 311-322.

Gabbard, G. O. (1989). Sexual exploitation in professional relationships.
Washington DC: American Psychiatric Press.

Gechtman, L. (1989). Sexual contact between social workers and their clients. In
G. Gabbard (Ed.), Sexual exploitation in professional relationships (pp. 27-38).
Washington, DC: American Psychiatric Press.

Hardman, D. (1975). Not with my daughter you dont. Social Work, 20(4), 278-
285.

Houston-Vega, M. K., Nuehring, E. M., & Daguio, E. R. (1997). Prudent practice:
A guide for managing malpractice risk. Washington, D.C.: NASW Press.

180
Kagle, J. & Giebelhausen, P. (1994). Dual relationships and professional
boundaries. Social Work, 31(2), 213-220.

Mittendorf, S.H. & Schroeder, J. (2004, Fall). Boundaries in social work: the
ethical dilemma of social worker-client sexual relationships. Journal of Social
Work Values and Ethics, 1(1), Online

.Peterson, M. R. (1992). At personal risk: Boundary violations in professional-
client relationships. New York: W.W. Norton & Company.

Pope, K. (1988). How clients are harmed by sexual contact with mental health
professionals: The syndrome and its prevalence. Journal of Counseling and
Development, 67, 222-226

Pope, K. S., & Bouhoutsos, J. (1986). Sexual intimacy between therapists and
patients. New York: Praeger.

Reamer, F.G. (1992). The impaired social worker. Social Work, 37 165-170.

Rhodes, M. (1992). Social work challenges: The boundaries of ethics. Families in
Society, 73(1), 40-47.

Salisbury, W. A., & Kinnier, R. T. (1996). Posttermination friendship between
counselors and clients. Journal of Counseling and Development, 74, 495-500.
Schoener, G., Milgrom, J. H., Gonsoriek, J. C., Luepker, E. T., & Conroe,

R. M. (1989). Psychotherapists' Sexual Involvement With Clients: Intervention
and Prevention. Minneapolis, MN: Walk-in Counseling Center.

Strom-Gottfried, K. J. (1999). Professional boundaries: An analysis of violations
by social workers. Families in Society: The Journal of Contemporary Human
Services, 80(5), 439-449.

Vasquez, M. J., & Eldridge, N. S. (1994). Bringing ethics alive: Training
practitioners about gender, ethnicity, and sexual orientation issues. Women &
Therapy, 15(1), 1-16.

Session Thirteen: Ethics in Supervision and Education

Apgar, D. and Congress, E. (2005). Authorship credit: A national study of social
work educators beliefs. Journal of Social Work Education 41(1), 101-112..

Burkemper, E.M. (2004). Informed consent in social work ethics education:
guiding student education with an informed consent template. Journal of
Teaching in Social-Work, 24(1/2), 141-160.


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Cahn, S. M. (1986). Saints and scamps: Ethics in academia. Totowa, NJ:
Rowman & Littlefield.

Callahan, D. (1982). Should there be an academic code of ethics? Journal of
Higher Education, 53(3), 335-344.

Cobb, N. H. (1994). Court-recommended guidelines for managing unethical
students and working with university lawyers. Journal of Social Work Education,
30(1), 18-31.

Cobb, N. H., & Jordan, C. (1989). Students with questionable values or
threatening behavior: Precedent and policy from discipline to dismissal. Journal
of Social Work Education, 25(2), 87-97.

Cohen, B. (1987). The ethics of social work supervision revisited. Social Work,
32(3), 194-196.

Cole, B. S., & Lewis, R. G. (1993). Gatekeeping through termination of unsuitable
social work students: Legal issues and guidelines. Journal of Social Work
Education, 29(2), 150-159.

Congress, E. (1992). Ethical decision making of social work supervisors. The
Clinical Supervisor 10(1), 157-169.

Congress, E. (1993). Teaching ethical decision making to a diverse community of
students: Bringing practice into the classroom. Journal of Teaching in Social
Work, 7(2), 23-36.

Congress, E. (1996). Dual relationships in academia: Dilemmas for social work
educators. Journal of Social Work Education, 32(3), 329-338.

Congress, E. (1997). Value dilemmas of faculty advising: Significant issues in a
Code of Ethics for faculty advisors. Journal of Teaching in Social Work, 14(2),
89-110.

Congress, E. (2001). Dual relationships in social work education: Results of a
national survey. Journal of Social Work Education 37(2), 255-266.

Dziech, B. & Weiner,L. (1990). The lecherous professor: Sexual harassment on
campus (2nd Ed.). Urbana, IL: University of Illinois Press.

Gibelman, M., & Gelman, S. R. (1999). Who's the author? Ethical issues in
publishing. Arete, 23(1), 77-88.

Joseph, V. (1991). Standing for values and ethical action: Teaching social work
ethics. Journal of Social Work Education, 5(2), 95-109.

182
Levy, C. (1973). The ethics of supervision. Social Work, 18(3), 14-21. Levy, C.
(1973). The ethics of supervision. Social Work, 18(3), 14-21.

Lewis, H. (1987). Teaching ethics through ethical teaching. Journal of Teaching
in Social Work, 1(1), 3-14

Markie, P. J. (1994). A professor's duties: Ethical issues in college eaching.
Lanham, MD: Rowman & Littlefield.

Payne, S. L., & Charnov, B. H. (1987). Ethical dilemmas for academic
professionals. Springfield, IL: Charles C. Thomas.

Pescosolido, B. A., & Miller, E. (1999). Of nerds, ardent suitors, and lecherous
professors. In B. A. Pescosolido, & R. Aminzade (Eds.), The social worlds of
higher education (pp. 404-417). Thousand Oaks, CA: Pine Forge Press.

Pumphrey, M. (1959). Teaching of values and ethics in social work education.
New York: Council of Social Work Education.

Reamer, F.G. (2001). Ethics education in social work. Alexandria VA: CSWE.

Reamer, F.G., & Abramson, M. (1982). The teaching of social work ethics.
Hastings-on-Hudson, NY: Hastings center.

Reeser, L. C., Wertkin, R. A., & Kolar, P. (1997). No trespassing: Boundary
issues in student/field instructor relationships. Council on Social Work Education.

Saunders, E. J. (1993). Confronting academic dishonesty. Journal of Social Work
Education, 29(2), 224-231.

Stamler, V. L., & Stone, G. L. (1998). Faculty-student sexual involvement: Issues
and interventions. Thousand Oaks, CA: Sage.

Strom-Gottfried, K. (2000). Ethical vulnerability in social work education: An
analysis of NASW complaints. Journal of Social Work Education, 36(2), 241.

Tyler, W.M. (2002, Spring). Teaching social work values within their historical
context. The Journal of Baccalaureate Social Work, 7(2), 33-47.

Whicker, M. L. (1994). Dealing with ethical dilemmas on campus. Thousand
Oaks: Sage Publications.

Zakutansky, T.J. & Sirles, E.A. (1993). Ethical and legal issues in field education:
Shared responsibilities and risk. Journal of Social Work Education, 29, 338-347.


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Session Fourteen: Ethics in Research

Apgar, D.. and Congress, E. (in press). Ethical issues in social work research.
Journal of Social Service Research.

Cohen, C. B. (1988). Ethics committees. Hastings Center Report, 18, 11.

Gilchrist, L. D.& Schinke, S. P. (2001). Research ethics. In J. R. Grinnell (Ed.),
Social work research and evaluation: Quantitative and qualitative approaches.
(6
th
ed). Chapter 4. Itasca, IL: F.E. Peacock.

Gillespie, D. F. (1995). Ethical issues in research. In R. L. Edwards (Ed.)
Encyclopedia of social work (19
th
ed., Vol. 1. pp. 884-893). Washington DC:
NASW Press.

Martin, J., & Knox, J. (2000). Methodological and ethical issues in research on
lesbians and gay men. Social Work Research, 24(1), 51-60.

Massat, C. R., & Lundy, M. (1997). Empowering research participants. Affilia:
Journal of Women & Social Work, 12(1), 33.

Solomon, M.Z. (2001). The ethics and efficacy of behavior change research.
Hastings Center Report, 31(1), 43-46.

Wilks, T. (2004, March). The use of vignettes in qualitative research into social
work values. Qualitative Social Work, 3(1), 78-87.

Session Fifteen: Future of Social Work Ethics

Cayleff, S. E. (1986). Ethical issues in counseling gender, race, and culturally
distinct groups. Journal of Counseling and Development, 64(5), 345-347.

Congress, E. (1999) Social work values and ethics: Identifying and resolving
professional dilemmas. Belmont, CA: Wadsworth, chapter 14.

Congress, E. (in press). Teaching social work values, ethics, and human rights.
Social work around the world, Volume 4. Berne, Switzerland: IFSW

Congress, E. and McAuliffe, D. (2006). Social work ethics: Professional codes in
Australia and the United States . International Social Work, 49(2), 151-164,

Goldberg, M. (2000). Conflicting principles in multicultural social work. Families in
Society, 81(1), 12-21.

IFSW, (2004). Statement of Ethical Principles, Adapted in Adelaide, Australia
(http://www.ifsw.org/en/p38000324.html)

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Kreuger, L. (1997). The end of social work. Journal of Social Work Education,
33(1), 19-27.

Walker, R., & Staton, M. (2000). Multiculturalism in social work ethics. Journal of
Social Work Education, 36 (3), 449.

6. Evaluation plan:
Students are asked to complete evaluations at the end of the course with
questions about the amount of learning, the quality of teaching, and possible
recommendations for changes. It is also helpful to do a pretest and posttest
measurement. One way to conduct a pre- post test measurement is as follows:
Students are asked to write the last four numbers of their social security number
on a short multiple choice examination administered at the beginning of the
course and then repeated at the end, so individual as well as group learning can
be measured (See Appendix A).

The use of case examples is also a powerful way to assess student
understanding of course content. The exam case example will focus on a family
facing similar problems with those in each of the three case studies.

B. Strategy Two: Introduction to Values in Social Work

1. Areas/Issues of the case studies to be highlighted:
The first class focuses on values, as it is essential to have this content at the
beginning of the course. An initial issue is an examination of the students
personal values. This investigation is crucial for beginning social work
professionals so they need to understand their own values to prevent imposing
these personal values on clients. This exercise may be even more important for
more mature students who have had many years of life and work experiences.

An examination of students values begins even before admission to MSW
programs when students are evaluated in terms of possessing values
appropriate for professional social work. Measuring values or beliefs is
extremely difficult, primarily because of a social desirability bias. (Those in the
social work field and many others like to think of themselves as espousing a
sense of fair play, promoting social justice for all.) Little literature exists in this
area, but a recent article suggests that MSW students have values to the left of
middle class and working class clients (Hodge, 2003).

The three case studies are particularly useful in looking at value differences,
including personal, societal, as well as client, agency, and professional values.
Cultural values are part of ones own personal values, as well as those of ones
clients.


185
It is difficult to study values in the abstract and students should be asked in the
beginning of this ethics course to discuss their values in respect to the client and
the family in the case study. What does a student feel about parents who have
substance abuse problems? Should there be universal health care so the
families can have better access to needed health and social services? Who is
the primary client in a family known to child welfare, the identified client/patient,
his/her parents, or the family as a whole? Does a family in the child welfare
system deal with health and social problems differently than in the students own
family? What is the cultural background of the student and how does this affect
his/her values? What is the racial/ethnic background of each of the three
families and how might this relate to their being identified as in need of services,
as well as their access and utilization of public child welfare and other social
services?

A challenge that beginning students often encounter is when the problem
resonates with similar issues they have encountered in their own families. For
example, a student with a history of mental illness in his/her family may have
differing beliefs about the Andrea R. family. Sometimes the student might think
that as mental illness is such a central issue in this family, the caseworker should
be more active in requiring that Andrea R. receives treatment for her mental
health problem. Others might be more supportive and connected to Andrea R.s
child because he is the child in a family with mental health issues.

In studying values as related to these case studies, it is important to look at
relevant agencys values, both the values of the public child welfare agency, as
well as other agencies that the child and families encounter. Does the school
have different values than the public child welfare agency? What impact if any
does this have on the three families?

The student must look at client values evident in the case studies. These values
may be very different from the worker and within the same family there may be
major differences between child and his/her parents values, which is elucidated
in the Mary S. case.

Finally, the student must develop a growing awareness of what professional
values are pertinent in this case. The values or principles as laid out in the Code
of Ethics are all helpful here, service, social justice, dignity and worth of person,
importance of human relations, integrity, and competence. The student has to
learn the importance of providing service to each of the families, that there be
need for involvement with all family members and that child welfare, substance
abuse, and school services need to be coordinated.

The social worker needs to advocate against social injustice and realize the
oppression and discrimination that may have contributed to unemployment,
substance abuse, mental illness, and child neglect in this family. In all his/her
contact with the child and other family members, the social worker needs to treat

186
clients with respect and dignity. This may be challenging if the social worker is
critical of the parents behavior and blame them for the childs problems. An
important social work value reinforces human relations. The social worker has a
responsibility to strengthen the childs relationship with his/her family. With the
value of integrity social workers need to be trustworthy in their contacts with all
family members. This may not always have been apparent in the workers
contact with each of the families because the nature of confidentiality was not
discussed and there seem to have been a major turnover of caseworkers with
this family. There is also a possibility that the caseworker was not regarded as
trustworthy by child or his/her parents. A social worker assigned to this very
complicated, challenging case needs to espouse the value of competence and
enhance his/her skills if necessary. Expertise in substance abuse, family
therapy, and mental health assessment are clearly necessary in order to provide
competent services.

This class will be taught at the beginning of the semester course on Social Work
Ethics.

The class will begin with a lecture about values and then move into a discussion
about personal, social, agency, client and professional values relevant to each of
the families.

Content about values can be conveyed in several ways. First, the class can
begin with a short lecture about what values are and what type of values are
important to consider, and when values conflict. Also the values (principles) in
the Code of Ethics should be included in the lecture. There also should be
discussion, especially about personal values and value conflicts. The teacher
needs to create a safe environment so students feel comfortable in sharing their
own values within the classroom.

Three specific exercises may be helpful in examining values one a more
general model, the second specific for child welfare, and the third especially
tailored for this course. The first exercise called the Moral Continuum uses a
visual method to make students more aware of their own value differences
(McAuliffe, 2002). The teacher continually adds and changes the original story to
illustrate to students how their own values may differ. For example, this following
case study could be used in that way. Should Jason stay with his grandmother
or be returned to his mother? The teacher could ask students who agreed 100%
with having Jason stay with his grandmother to stay on one end while those who
felt 100% that Jason should be returned to his mother should stay on the other
end, while students who had conflicting opinions have the option to stand in
different locations. This could set the groundwork for a discussion about the
conflict between respecting the self-determination of diverse clients.


187
Another value exercise looks at social justice issues in regard to child welfare
reporting (Congress, 1999). The class is divided into two groups, one group is
given the case of a middle class woman with the possibility of child abuse, the
other the case of a poor family suspected of child abuse. Each group is asked to
say whether they would file a report with the Central Registry. The purpose of
this exercise is to demonstrate that often poorer families are more likely to be
referred for child abuse services. This exercise can be used as a departure point
to discuss factors of oppression and discrimination that may have influenced
each of the families. This exercise can also be used in Class IV on social
justice. A final value exercise involves role-play. Students are asked to
participate in role-play interviews with diverse family members at different points
in this case study. For example, having a role-play of the two interviews that took
place with the Mary S. case, one with Mary S. and the other with Jason might
have been fruitful in learning more about the values that influence each of them.

Materials needed include handouts about values, also copies of the Code of
Ethics, and case vignettes demonstrating social justice issues. A copy of each of
the case examples should also be distributed. Students also need a bibliography
with relevant articles and books on values. A white strip laid out across the
classroom is helpful in using the moral continuum exercise. Sometimes a video
can be used to demonstrate value conflicts.

professional dilemmas. Belmont, CA: Wadsworth, chapter 2,3, 4

Green, B., Rockhill, A., Furrer, C. (2006). Understanding patterns of substance
abuse treatment for women involved with child welfare: The influence of the
Adoption and Safe Families Act (ASFA). American Journal of Drug & Alcohol
Abuse 32(2). 149-176.

Moraes, S, Durrant, J., Brownridge, D. and Reid, G. (2006). Professionals
decision-making in cases of physical punishment reported to child welfare
authorities: Does family poverty matter. Child and Family Social Work, 11 (2),
157-169.

Pine, B. (1987). Strategies for more ethical decision making in child welfare
practice. Child Welfare, 66 (4), 315-326.

6. Evaluation plan:
There can be several types of evaluation, testing about knowledge of values and
satisfaction with how the content is conveyed. In terms of objective
measurement, students can be given a short answer test or asked to identify
values in this or other case vignettes. Students can also be asked to evaluate
this teaching method, to ascertain if looking at values through the case study

188
made them more aware of their own values, client values, agency values, and
professional values.

CONCLUSION

A. Recap

This guide uses the three case studies to discuss values, relevant laws, the Code of
Ethics, ethical issues, dilemmas, and ethical decision making. This material is
discussed in the context of child welfare and other related fields. Students also look
at the case examples through multiple lenses, as a caseworker, a supervisor, a
policy maker, an administrator, and a researcher.


A more specific course can be developed based on these case examples that
focuses on Legal and Ethical Issues in Child Welfare: Areas of Concordance and
Difference. Also these case studies can be introduced in modules that are part of
different courses, such as HBSE, practice, policy and research. Teachers in HBSE
can look at issues of oppression and discrimination with each of the families,
practice classes can look at how the case workers could have acted differently to
facilitate work with the families, policy classes can study how policy and legal issues
impact on the families, and research classes could think of some the researchable
questions raised by the families, as well as ethical issues in conducting research
with the families.

References

Black, P.,Hartley, E., Whelley, J., & Kirk-Sharp, C. (1989). Ethics curricula: A national
survey of graduate schools of social work. Social Thought, 15(3/4), 141-148.

Black, P.; Congress, E.; and Strom-Gottfried, K. (2002). Teaching social work values
and ethics: A curriculum resource. Alexandria, VA: CSWE.

professional dilemmas. Belmont, CA: Wadsworth:

Congress, E. (2001). Dual relationships in social work education: Results of a national
survey. Journal of Social Work Education 37(2), 255-266.

Congress, E. (2001). Dual relationships in social work education: Results of a national
survey. Journal of Social Work Education 37(2), 255-266.

189

Council on Social Work Education, (2001). Handbook of accreditation standards and
procedures. Alexandria, VA: CSWE

Hodge, D. (2003). Value differences between social workers and members of the
working and middle classes. Social-Work. 48(1): 107-119

McAuliffe, D. (2002). The moral continuum in social work. Presentation at the
International Conference on Health and Mental Health, Montpelier, France, July.

Pumphrey, M. (1959) The teaching of values and ethics in social work education. New
York: Council of Social Work Education.

Reamer, F. (2001). Ethics education in social work. Alexandria, VA: Council on Social
Work Education.

190
APPENDIX FOR TEACHING GUIDE FOR SOCIAL WORK ETHICS

PRE POST TEST This 70 question test on social work ethics should be administered at the
beginning and end of the class to evaluate how much students have learned.

1. The NASW Code of Ethics provides answers to all social work ethical dilemmas
Yes No

2. There is one right answer for ethical dilemmas in social work.
Yes No

3. Which of the following statement is true?
A. Ethical dilemmas are easily resolved.
B. Social workers usually agree on their resolution.
C. A conflict in values may lead to an ethical dilemma.
D. An understanding of one's values is not necessary for ethical decision making.

4. Most social workers resolve ethical dilemmas quickly.
Yes No

5. Ethical decision making
A. Should involve the Code of Ethics
B. Consideration of values
C. Attention to the most vulnerable
D. All of the above

6. The current Code of Ethics states that confidentiality should be protected except for
compelling professional reasons.
True or False

7. The two principal philosophical principles for resolving ethical dilemmas are
A. Right and Wrong
B. Beneficence and Malfeasance
C. Beneficence and Non-malfeasance
D Beneficence and Wrong

8. Deontological thinkers favor
A. Absolute principles
B. Consequential arguments
C. Beneficence
D. Non-malfeasance

9. A person who always thinks in terms of consequences is using a
____________approach.
A. Deontological
B. Absolutist
C. Rule based
D. Teleological


191
10. Social workers usually use a combination of deontological and teleological approaches
in resolving ethical dilemmas.
True False

11. The Code of Ethics provides absolute answers to ethical dilemmas.
True False

12. Assessing ones values is ______________ in ethical decision making.
A. A final step
B. Of minimal importance
C. The most important
D. A first step

13. Which of the following statements is false
A. One should mainly consider relevant laws in ethical decision making.
B. The NASW Code of Ethics, laws, and regulations should be part of ethical
decision making.
C. Laws and the NASW Code of Ethics may conflict.
D. One should consider the NASW Code of Ethics in ethical decision making.

14. Which of these situations constitutes an ethical dilemma?
A. A client shares with you that he is HIV positive but does not want you to
tell his wife
B. A child very much wants to return to live with his birth mother, but you
know there has been a history of drug abuse
C. A managed care company calls and insists that you fax a clients record
immediately.
D. All of the above.

15. What is the main advantage of developing different scenarios in the process of resolving
ethical dilemmas?
A. It will provide answers to ethical dilemmas
B. It makes ethical decision making more interesting.
C. It helps the social worker anticipate different consequences.
D. It speeds up ethical decision making.

Real Cases Project: Teaching Guide for Law and Social Welfare 192

16. Why would a social worker want to identify who is the most vulnerable client?
A. Social work has a professional commitment to the most vulnerable.
B. It is required by law.
C. The Code of Ethics makes it mandatory to do this.
D. It is part of a psycho social assessment

17. Most social workers use a lengthy process of ethical decision making.
True False

18. Which of the following can a social worker consult with in making an ethical decision?
A. Supervisor
B. Psychologist
C. Social Work Colleague
D. Any of the above

19. In terms of ethical decision-making which of those listed below should the social worker
consult with first.
A. Supervisor
B Psychologist
C. Social Work Colleague
D. Administrator

20. The following statement about ethical decision making is true:
A. A social worker should consult a professional as a first step in ethical
decision making..
B. Hypothesizing only about negative consequences is important
C. Consideration of values is not important in ethical decision making
D. The ETHIC model of decision making can be helpful in resolving ethical
dilemmas.

21. Ethical issues have not changed in the last thirty years.
True False

22. The following technological advances present ethical challenges:
A. Case recording on computers
B. Faxed case reports
C. On line therapy
D. All of the above

23. Which of the following statement about bioethics is true?
A. Euthanasia is the only ethical concern.
B. Organ transplants do not present ethical dilemmas
C. Self determination is a key ethical concern in end of life decisions.
D. Slippery slope refers to a change in hospital locations.

24. Child welfare
A. has the same ethical concerns as always.
B. experts insist that adoptive records be sealed.
C. presents ethical dilemmas about who is the client
D. favors the rights of the birth parent

25. Ethical dilemmas can occur in the following interdisciplinary settings:
A. Hospitals
B. Child welfare agencies
C. Schools
D. All of the above

26. Ways of safeguarding confidentiality have changed over the years.
True False

27. A major ethical concern in regard to online counseling is
A. Clients will not pay for services.
B. State credentials of therapist may not be available.
C. Sessions will be shorter.
D. Disabled people will not have access.

28. Which issue presents new ethical challenges for the social worker:
A. People live longer.
B. New born babies have lower birth weight.
C. There is a limited supply of vital organs for transplants.
D. All of the above

29. Which statement is correct:
A. It is easy to provide cultural competent services.
B. Social work services must be provided in the language of the client.
C. Clients must know in great detail cultural characteristics of their clients.
D. Social workers should strive to know about their clients cultures.

30. Ethical challenges in terms of cultural diversity occur in the following areas:
A. Child welfare
B. Mental health
C. Health care
D. All of the above

31. Which statement best describes how social workers should handle confidentiality:
A. Confidentiality is impossible in modern times.
B. The safety and security of the client can affect confidentiality decisions.
C. The main ethical problem with diagnostic assessment is confidentiality.
D. Social workers should not provide on line therapy.

32. Interdisciplinary consultation can threaten confidentiality.
True False

33. Social workers
A. are more concerned about hard data than doctors.
B. share the same concept of client as lawyers do.
C. often have a different concept of client than lawyers.
D. may not be able to work collaboratively with other disciplines.


34. The most challenging issue in terms of cultural diversity is:
A. Deciding when to accept cultural practices that are very different.
B. Attending agency cultural diversity sessions.
C. Working to assimilate culturally diverse clients.
D. Maintaining a cultural melting pot

35. As the field of ethics is always changing, social workers can best .
A. Study ethics in school
B. Consult agency doctrines
C. Take continuing education on ethics
D. Use their own judgment

36. The NASW Code of Ethics
A. was first developed over 100 years ago when the profession developed.
B. has remained relatively unchanged since the beginning
C. applies to all professionals
D. originally had only 14 principles.

37. The reason(s) why professional organizations have Codes of Ethics are
A. Help practitioners resolve ethical dilemmas
B. Protect the public from incompetent practitioners
C. Provide self regulation of members
D. All of the above

38. The NASW Code of Ethics began to resemble the current Code in
A. 1902
B. 1955
C. 1979
D. 1996

39. The following provisions were first added in 1993
A. informed consent and confidentiality
B. dual relationships and impaired colleagues
C. bartering and dual relationships
D. technology and group work

40. The following issue has the most provisions in the current Code
A. Self-determination
B. Cultural competency
C. Research
D. Confidentiality

41. An ethical concern about managed care is
A. Limits to service
B. Confidentiality
C. Reliance on technology
D. All of the above


42. Which of the following statements is true?
A. Social workers do not know how to use DSMIV
B. Social workers should never use DSMIV
C. Social workers always use DSMIV accurately
D. Social workers may over diagnose or under diagnose.

43. Technology may pose a threat to maintaining confidentiality
True False

44. Confidentiality should be violated when
A. A client threatens to kill herself
B. A client threatens to kill herself
C. A client speaks of abusing her child
D. All of the above

45. Suicidal risk
A. Is easy for the clinician to assess
B. Is not covered in the NASW Code of Ethics
C. Overrides confidentiality
D. Is related to limitation in service

46. In a managed care environment
A. Fees are higher
B. Confidentiality may be compromised
C. Visits are restricted to six sessions
D. Clinician can make all treatment decisions.

47. Technology
A. Provides new challenges in protecting confidentiality
B. Is incompatible with ethical practice
C. Is not an issue for a direct service clinician
D. Refers mainly to computers

48. It is easy for the skilled clinician to assess homicidal risk.
True False

49 The Tarasoff decision
A. Refers to privileged communication
B. Has the same effect in all states
C. Established a precedent in duty to warn
D. Upholds confidentiality

50. In working with a client with suicidal or homicidal risk the first thing a social worker
should do is
A. Refer to the Tarasoff Decision
B. Make a careful assessment
C. Call the police
D. Refer to ones supervisor


51. In applying the Tarasoff decision in work with clients social workers should
A. Call the clients relatives
B. Find out state laws and interpretations of the Tarasoff decision
C. Disregard the Tarasoff decision unless one lives in California
D. Refer to another social worker

52. Privileged communication refers to an ethical principle.
True False

53. Privileged communication originally applied only to
A. Clergy person and parishioner
B. Husband and wife
C. Lawyer and client
D. All of the above

54. The Supreme Court Decision around privileged communication
A. Did not apply to social workers
B. Acknowledged privileged communication in only a few instances
C. Recognized as privileged the communication between social worker and
clients
D. Supported privileged communication in law suits regarding social workers

55. All of the following circumstances can negate privileged communication except for:
A. The client is dangerous to himself and others
B. The judge rules that the social workers testimony is essential to the case
C. There is suspicion of child abuse or neglect.
D. The social worker does not like to appear in court.

56. The Code of Ethics has always focused on impaired colleagues and dual relationships.
True False

57. Which statement about impaired colleagues is correct?
A. Impairment only refers to alcohol abuse..
B. Social workers should not talk to colleagues about a substance abuse
problem.
C. Social workers should first talk to a colleague about a substance abuse
problem.
D. NASW should never be contacted about a substance abuse problem.

58. Some of the signs of impairment might be:
A. Monday absenteeism.
B. Irritability.
C. Smell of alcohol.

59. Social workers never have problems with both impairment and dual relationships.
True False

60. Dual relationships refers only to sexual contact.
True False


61. Substance abuse in a social worker can be an agency secret.
True False

62. Which statement is true about impaired colleagues?
A. Denial is not often a first response to confrontation about a substance
abuse problem.
B. Social workers should go to employers after talking to a colleague if there
is no action taken.
C. Licensing agencies should not be involved with impaired colleagues.
D. Social workers should call NASW first.

63. Dual relationships refers to
A. Sexual relationships.
B. Business relationships.
C. Social relationships.

64. There is less controversy about the following ethical principle:
A. Social workers should avoid sexual relationships with current clients.
B. Social workers should not engage in dual relationships with former clients
C. Social workers should not have a social relationship with current clients.
D. Social workers should avoid sexual relationships with former clients.

65. In assessing the possibility of a dual relationship with a former client the social worker
should look at
A. The length of time that has elapsed since the social work relationship.
B. The type of social work relationship.
C. The diagnosis of the client.

66. Social workers should be sensitive to cultural differences in considering dual
relationships.
True False

67. A key issue to consider in dual relationships is
A. If social worker wants it.
B. If client requests it.
C. Risk of exploitation and harm to client.
D. Degree it will help client.

68. The following group of social workers have been particularly concerned about dual
relationships:
A. School social workers
B. Hospital social workers
C. Rural social workers
D. Substance abuse social workers


69. The main argument that has been made in support of dual relationships with previous
clients is:
A. A client is always more vulnerable.
B. Clients can grow and change
C. There is continued risk of exploitation
D. Dual relationships can help former clients.

70. Dual relationships can be a problem area in supervision.
True False

Real Cases Project:
Law and Social Welfare

Elizabeth Palley, JD, PhD
Associate Professor
[email protected]

INTRODUCTION


This course, Law and Social Welfare Policy, is an elective. It is generally taken after
students have completed the foundation curriculum, and are studying in the advanced
level of the MSW. The purpose of this course is to provide students with a basic
understanding of how law affects social work practice. It begins with a background on
basic legal concepts and a social workers potential role in the legal process. Then, it
reviews the impact of the law on child welfare, domestic violence, adoption practices
and policies, treatment of the elderly, public assistance, immigration and mental health.
Students are given the opportunity to examine the impact of the law on other areas in
which they have an interest for a final paper. Students are not expected to become
lawyers, but rather to be able to understand their role or potential roles in the court, to
understand generally what is happening and to be able to identify issues about which
they should consult an attorney.

This course relies heavily on two primary text books, both of which provide an
introduction to Law for Social Work students.

B. Relevance of the Case Studies to the Course

The case studies will be used both to explain key legal concepts and to help students
understand the impact of law on child welfare specifically. Specifically, the cases will
address the following themes.

a) The basics of the court processes and the courts structure

b) The social workers role in the court process.

c) The use of evidence in court:
We will discuss the basic rules of evidence especially the exclusion of
hearsay and the exceptions to this rule.

Social work investigation and creating evidence for trial: We will discuss
the way in which evidence was and may be used and which types of
evidence would have been admissible or inadmissible during the each of
the three cases. We will also discussion the limitations of these policies
for obtaining information to help prove an instance of abuse or neglect.

d) Civil rights of the parents and the child: Freedom from unnecessary
government intervention and protection from violence:
We will discuss the cases in light of basic Constitutional rights that grant
parents the right to parent their children without unnecessary government
intervention. We will also discuss the reasons that this right is limited
when parents are found guilty of abusing or neglecting their children.

e) The right to due process:
This is the right to a fair trial before the government can take away basic
rights (such as the right to parent). We will discuss the reason for these
rights and their affects on child welfare law in light of each of the three
cases.

f) The best interests of the child standard:
This standard requires courts to decide child related cases with the childs
best interest in mind. We will discuss the implications of this standard for
child welfare cases in each of the three cases.

g) State interests in child welfare:
We will discuss a states interest in protecting children and how it fits with
the Constitutional protections afforded to parents and children.

h) We will discuss the basic laws that apply to child welfare cases (e.g.
state and federal law) especially guidelines for investigations and the legal
definitions of abuse and neglect (ASFA, etc.), termination of parental
rights and foster care options.

i) We will also use the three cases as examples when discussing the
basic legal processes e.g. where the case is filed, by whom and how.

We will discuss agency and worker liability issues

A brief overview of the issues highlighted in each case follows:

Andrea R. Case Study
Court processes and procedures
The role of the social worker in court
Child welfare laws e.g ASFA, Article X report
The rights of the child, the rights of the parents and the obligation of the
state

Non responsiveness to court mandated treatment
Potential agency and worker legal responsibility

Anne M. Case Study
Child welfare laws e.g. ASFA, Article X report, and domestic violence laws
e.g. order of protection
state
Court jurisdiction
Potential agency and worker liability

Mary S. Case Study
Child welfare laws e.g. ASFA, Article X report
state
Potential agency and worker liability
The conflict between parents and custodial grandparents rights

C. Specific Learning Objectives Related to Using Case Studies in this
Course

Students will learn how laws and the practice of law can effects child welfare
practice and their potential roles in the legal process

Students will develop an understanding of the basic rules of evidence and its
implications for social work practice.

Students will learn the basic principles of Constitutional law e.g. the rights to
liberty, property, due process, equal protection and the right to privacy as well as
the impact of these rights on both social work practice and court decisions.


This guide will include a description of the issues related to the case studies which will
be highlighted. It will provide examples of 3 strategies in which the cases may be
included in a semester long elective course on the law and social work. It will explain
the teaching methods to be used and the suggested readings It will provide a tool to
evaluate student learning.


TEACHING STRATEGIES

These cases could be used in one session or for a percentage of the class
(approximately 1/4
th
). As this course must cover many areas of law, it would not make
sense to use these cases in a course long, integrated manner. If however, the course
title and content was changed to Child Welfare and the Law, the cases could be used to
integrate a full semester course. This guide will not address that option.

A. Strategy One: The Three Case Studies for Review of US Law

Issues that are addressed in the first 4 sessions of the class will be reviewed. These
include the basic structure of the court and basic legal processes, the role of a
social worker in court, the use of evidence in court, social work investigation and
creating evidence for trial, the civil rights of the parents and the child: freedom from
unnecessary government intervention and protection from violence, the right to due
process, the best interests of the child standard, the state's interest in child welfare,
as well as basic NY and federal laws that apply to child welfare cases.

We will also use the each of the three cases as an example when discussing the
basic legal processes e.g. where the case is filed, by whom and how.

The cases will be introduced in the fifth class session. In the first four classes, the
students will be taught to understand how law affects U.S. governance, the role of
the courts, the difference between state and federal law, the actual process of filing
a court case, and basic Constitutional principles. In this session, those concepts will
be reviewed using components of the three cases as examples.

Students will be assigned to either read these cases at home or read them at the
beginning of the class session (depending upon whether the professor has the time
in class) and think about it in light of what they learned in the first four sessions.
Lecture and class discussion will focus on the highlighted areas (as described in
Section B, parts a-h of the introduction to this teaching guide). For example, when
discussing the cases generally, we will discuss the types of things that could be
used as evidence in court hearings and the basic NY laws for child protection. We
will discuss how the parental mental health, domestic violence, and addiction issues
may have affected the mother and father's ability to care for the child and the extent
to which these factors provide evidence for abuse and/or neglect. We will consider
the due process rights of the parents as well as the child's rights and the state's
obligations to care for at risk children. We will discuss the mandatory reporting
requirements that may lead to an initial investigation. Finally, we will discuss issues
of agency liability for failure to protect the child. Lastly, the discussion will be open

to other issues that the students raise in relation to the law and the facts of these
three cases.

4. Materials:
A copy of each of the three case studies

Students should review the readings for classes 1-4 which should include:
a) Salzman, A. and Furman, D (1999). Law in social welfare practice. Belmont,
CA: Wadsworth Group. Review chapter 1-5 and read chapter 8.

b) Alexander, R. (2003). Understanding legal concepts that influence social
welfare policy and practice. Pacific Grove, CA: Thomson, Brooks Cole. Review
chapter 1 and 2, read chapters 3 and 4.

Students should read:
c) Smiles, J. (2003). A Child's due process right to legal counsel in abuse and
neglect dependency proceedings. Family Law Quarterly, 37, 485.

d) Foster, S. and Machetto, (1999). Providing safe havens: The challenge to
family courts in cases of child abuse and neglect by substance abusing parents.
Journal of Health Care Law, 3, 44.

6. Evaluation plan
Students will be given an exam, containing both multiple choice and essay
questions concerning the highlighted topics (see Appendix).

B. Strategy Two: Starting Point for Introducing Basic Legal Concepts

These include the use of evidence in court, social work investigation and creating
evidence for trial, the civil rights of the parents and the child: freedom from
unnecessary government intervention and protection from violence, the right to
due process, the best interests of the child standard, the state's interest in child
welfare, as well as basic NY and federal laws that apply to child welfare cases.

Begin the second class with a discussion of the case studies. During the first
sessions of this class, refer to each of the three cases when discussing civil
liberties, childrens rights, parents rights, due process, the interests of the state,
how and why laws are passed and by whom, the creation and presentation of
evidence that can be used at trial when working with a child.

Lecture and discussion


Class 2: Understanding the Courts: How does the legal system play into the
governance of the United States?

In the second class, the lecture and discussion will focus on the understanding
the influence of the courts in the American political system. We will discuss
how the courts work, the differences between duties and privileges, uses of
evidence, and the different material that makes up law In the United States.
We will also talk about how the courts can be used to change and interpret
policy. The development of the Adoption and Safe Families Act will be included
in this discussion as an example of a relevant law.

Readings:
Foster, S. and Machetto, (1999). Providing safe havens: The challenge to
family courts in cases of child abuse and neglect by substance abusing
parents. Journal of Health Care Law, 3, 44.

Salzman, A. and Furman, D. (1999). Chapters 1 and 2

Class 3: State v. Federal Law and the Process
In this class, we will discuss the separation of state and federal power as well
as some basic Constitutional rights. These rights include equal protection, due
process and freedom from unnecessary government intervention. We will also
discuss the mechanics of the hearing process and how these rights affect client
at hearings. We will discuss how the hearing processes occurred or may occur
in relation to these case studies, and what affect their Constitutional rights had
on the process.

Readings:
Salzman, A. and Furman, D. (1999). Chapters 1, 2 and 5

Smiles, J. (2003). A Child's due process right to legal counsel in abuse and

The U.S. Constitution

Class 4: Basics of the Law
This class will continue with a discussion of where law comes from as well as
the discussion of Constitutional rights. We will highlight court cases and their
influence on the development of law and social welfare practice. We will
discuss the difference between Constitutional, Administrative, and Statutory
laws. We will also discuss basic legal terminology such as parens patrie,
privilege, immunity, liberty, property. The three cases will be included in the
discussions and used as an example.

Readings:
Alexander, pp. 1-42

Salzman, A. and Furman, D. Chapters 6, 7

Class 5: Child Protection and Adoption
In this class, we will discuss the specific guidelines of the Adoption and Safe
Families Act and NY State law regarding child protection. We will include the
definitions of abuse, mandatory reporting requirements and the laws
description of the time frame for hearings. We will discuss different instances
that cause parents to be considered for and/or found guilty of child abuse such
as child weight, physical and mental health, parent substance abuse, poor
household cleanliness. We will discuss the balance between states', parents',
and children's rights and how the decisions in other cases may affect each of
the families. We will also discuss issues of children who witness parental
abuse as well as how cases guide us to determine the best interests of a child.

Readings:
Alexander, pp. 43-80

Salzman, A. and Furman, D. Chapter 8

Ramsey, S. (2005). Fixing foster care or reducing child poverty: The Pew
Commission recommendations and the transracial adoption debate. Montana
Law Review, 66, 21-49.

4. Materials:
The three case studies

a) Salzman, A. and Furman, D (1999). Law in social welfare practice. Belmont,
CA: Wadsworth Group. Chapters 1-5 and 8.

welfare policy and practice. Pacific Grove, CA: Thomson, Brooks Cole.
Chapters 1-4

c) Smiles, J. (2003). A child's due process right to legal counsel in abuse and


e) Ramsey, S. (2005). Fixing foster care or reducing child poverty: The Pew


6. Evaluation plan:
Students will be given an exam at the end of the first 5 sessions which includes
multiple choice and essay questions specifically related to the highlighted areas

C. Strategy Three: The Three Cases as Paper Assignment

Students will be expected to highlight issues that are addressed in the first 4
sessions of the class will be reviewed. These include the use of evidence in
court, social work investigation and creating evidence for trial, the civil rights
of the parents and the child: freedom from unnecessary government
intervention and protection from violence, the right to due process, the best
interests of the child standard, the state's interest in child welfare, as well as
basic NY and federal laws that apply to child welfare cases.

These cases will be used in the fifth class session. In the first four classes,
the students will be taught to understand how the law affects U.S.
governance, to understand the difference between state and federal law, the
actual process of passing a law and of filing a court case as well as basic
Constitutional principles. In this session, those concepts will be reviewed
using these cases as an example.

Students will be asked to read the cases at home and write an essay in which
they find the legal issues that are raised in the cases e.g. what are the
parents rights, the childs rights, the state interests, the laws which govern,
the court in which these cases would have been heard, the law which
governed, and the role of the attorneys and social workers in these cases.

4. Materials:
The three case studies

a) Salzman, A. and Furman, D (1999). Law in social welfare practice.
Belmont, CA: Wadsworth Group. Review chapter 1-5 and 8.

welfare policy and practice. Pacific Grove, CA: Thomson, Brooks Cole.
Review chapters 1 through 4.

c) Smiles, J. (2003). A child's due process right to legal counsel in abuse and



e) Ramsey, S. (2005). Fixing foster care or reducing child poverty: The Pew

6. Evaluation plan:
Students will be asked to write a paper in which they explain how these cases
relate to the key concepts that have been discussed in the previous classes.
The papers should be graded based on student ability to identify and present
the legal issues as well as their ability to communicate their knowledge in
writing. Students will submit papers in class and will be graded on their
organization and writing skill as well as the inclusion of the above mentioned
content areas including the Constitutional protections available to the family
and child, which court would listen to the review each of the l cases, what
factors they would consider (using ASFA and NY law), what types of evidence
could be used to help determine what happened, how the social worker would
be able to contribute to this evidence, and the standards that would be used
when making a determination to terminate parental rights or provide
additional services to the family.

CONCLUSION

A. Recap

The key themes addressed in this practice guide are 1) Constitutional rights -e.g.
privacy, equal protection and due process, 2) childrens v. parents rights, 3) the basics
of legal processes, 4) the role of the social worker in collecting and presenting evidence
in court, 5) the development and implementation of law, 6) the impact of law on social
work practice particularly related to child welfare, 7) ASFA and state guidelines for the
protection of children regarding definitions of abuse/neglect, timelines for investigations
and guidelines for foster care placements.


Future courses could evaluate the practice and policy implications of these cases
considering the lack of communication between and within agencies, the way in which
agency practices limited the provision of services to the families, and the need for the
children in these cases and other similar children to receive clinical interventions.
Future courses might provide details about interventions and policy (including court
practices) changes that may have changed the outcome of these cases.


APPENDIX TO TEACHING GUIDE FOR LAW AND SOCIAL WELFARE

Exam Questions related to Student Learning in Law and Social Work

Name ____________________________

Essay questions (10 points each)

1. What is the difference between cases which are heard in a civil court and
caseswhich are heard in criminal courts? Who brings which type of case?
What are the implications of this for your practice as a social worker?

2. What is hearsay? What are some exceptions to hearsay rules?

3. What must you consider, as a social worker, when you are testifying in court? Does
this depend on your role and if so, how?

4. What rights are granted in the 14
th
Amendment? What are the 2 key constitutional
principals are found in the 14
th
amendment? Describe them.

5. What are the different standards of proof which are used by courts and under what
circumstances are they used? What are the implications for social work
practice?

6. Explain how the three branches of government work together. How do they work to
create and implement new laws? Where does the Department of Health and
Human Services fit? What impact does it have on the development of policy?

7. Explain the following terms
a. Standing
b. Ripeness
c. Jurisdictionsubject matter and personal

8. Describe the differences between the perspective on cases taken by lawyers and
those taken by social workers. What are the similarities?

Multiple choice questions (2 points each)

1. The Constitution gives all citizens and legal residents of the U.S.A with which of
the following rights (circle all that apply):
a. The right to raise your own child without undue government intervention
b. Due process
c. The right to a trial when accused of a crime
d. The right to vote


2. Due process is
a. A procedural right
b. A substantive right
c. Both a procedural and a substantive right

3. Federal law mandates that if a child has been placed in foster care for 15 of 22
months, the child welfare agency should:
a. Work to reunify the child with their parent
b. Begin the process of terminating parental rights
c. Place the child in a permanent foster family

4. A state child welfare agency need not work to reunify a child with his or her
parents if: (circle all that apply)
a. The parent murdered the childs sibling
b. The child does not want to be reunified with his or her parent
c. The child has been in care for 12 months
d. The parent suffers from mental retardation

5. When determining whether or not to place a child in foster care, the court should
assess which of the following factors (circle all that apply):
a. Parents level of education
b. Whether the parent has been a victim of domestic violence
c. Current and future threat of the child being harmed
d. The quantity and quality of the evidence that social workers present
regarding whether the child has been abused or neglected

6. Substantive due process means that
a. You cannot be denied basic rights without a trial
b. The government must make reasonable rules
c. Different citizens are entitled to different rights based on historic
discrimination

7. Circle the one that is not one of the different standards that courts apply:
a. Preponderance of the evidence
b. Clear and convincing evidence
c. Prima facie evidence
d. Beyond a reasonable doubt

Which standard is used in termination of parental rights cases?
Which standard is used in criminal proceedings against parents for behaviors
associated with extreme abuse or neglect?


8. Which piece of evidence would be admissible in court?
a. Evidence presented by a child who does not seem to be able to
distinguish right from wrong
b. Non-hearsay evidence presented by a parent who is developmentally
delayed
c. A social worker testifying about something she or he learned in a
conversation that he or she had with a parent about something that the
child had told the parent about something another sibling saw.
d. Non-material facts

9. The Supreme law of the land is
a. ASFA
b. Federal law
c. The Constitution
d. State law

10. All of the following except one are basic rights and protections that were not
specifically addressed by the Constitution but have been interpreted into the
Constitution by cases:
a. Due process
b. Privacy
c. The Least Restrictive Alternative
d. The right to a hearing before being denied federal benefits

Real Cases Project: Teaching Guide for Social Work with Children 211

Real Cases Project:
Social Work with Children

Julie Cooper Altman, Ph.D.
Associate Professor
[email protected]

INTRODUCTION


The course, Social Work with Children, usually focuses on preparing students for direct
social work practice with children, adolescents, and their families. Emphasis is placed
on assessment and intervention strategies, particularly as they pertain to special
problems related to life conditions and events that affect children. In addition, the social
and organizational context which frames the service delivery systems for children is
generally explored.

The course is typically offered as an elective practice course during the advanced year
of study at the MSW level. Material delivered as part of this course builds on that which
the students have acquired in their foundation year. In particular, it builds upon
theoretical knowledge from Human Behavior and the Social Environment core courses
and practice principles from Social Work Practice sequence courses.


The case studies presented as the central learning source for this project has much
relevance for this course. In these cases, illustrations of the importance of good child
and family assessment, appropriate intervention strategies, case coordination, use of
culturally competent practice, and knowledge and use of self in treatment abound.

C. Specific Learning Objectives Related to Using these Case Studies in
this Course

Three specific learning objectives related to using the three case studies in this course
have been developed. They are:

To build advanced generalist knowledge of assessment and to learn assessment
techniques specific to practice with children.

To develop a repertoire of fundamental intervention strategies related to social
work with children and their families, and to appreciate the importance of dose
and timing of those interventions.
To deepen self-awareness in considering personal values, experiences, ethnic,
cultural, social and economic factors as they relate to the social work relationship
in direct practice with children and their families.


Included in this teaching guide are three potential strategies for integrating the three
case studies into a course such as Social Work with Children. They are:

1. Help students to understand the opportunities the workers in these cases had to
assess and treat the needs of the children and their families; how many were
missed; how, ideally, a better assessment of these children and their families could
have been done; and what the implications of better assessments may have been.

2. Assist students in suggesting and critically analyzing a variety of potential
treatment interventions that may be useful in work with these cases.

3. Work with students to develop self-awareness by highlighting the dynamics and
issues in the each of the three cases that they most identify with, supporting them in
their critical analysis of such, and reinforce the important knowledge and use of self
in professional practice with children.

TEACHING STRATEGIES

For each strategy suggested, a clear summary of the particular issue to be addressed is
highlighted. Suggestions as to when and how the teaching / learning strategy should be
employed are included, as are the materials and resources to support its
implementation. Finally, an evaluation plan as to whether or not the learning objective
has been realized is presented.

A. Strategy One: Brainstorm / Discussion on Assessment

Help students to understand the opportunities the workers in each of the cases
had to assess the needs of children and their families, how many were missed,
how, possibly, a better assessment of the children and their families could have
been done, and what the implications of a better assessment may have been.

To implement this strategy, instructors will need to spend approximately 1 hour of
one class session near the beginning of the course, when assessment principles
and practices are usually covered.

Using one or more of the case summaries, instructors will ask students to break
into small groups and brainstorm (recording on newsprint) at least five questions
the social worker should have asked while doing a careful assessment of the
child and familys situation.

Once compiled (allow 30 minutes), post so the entire class can view. In the full
class discussion (allow 30 minutes), look for points of convergence; reinforce the
importance of open-ended, thoughtful assessment techniques; strategize about
what information may have been gained and how that could have helped in
thinking of appropriate interventions. Urging students to think about and articulate
what their verbatim questions might have been had they been the caseworker of
record simulates the kind of theory-driven, real-world practice we hope they will
be capable of soon. How and what kind of useful information might have been
gained? What might have been the consequences (both intended and
unintended) of asking these assessment questions? What might have been
some possible avenues of intervention had the worker not asked these
questions?

4. Materials:
Case Studies; Newsprint; Markers; Tape

Readings from the following list may be selected by faculty based on the
educational level of students in the class, the level of student proficiency
expected by the instructor from the exercise, the relative weight given the
exercise by the instructor within the context of the entire course, the interests /
expertise of the instructor, and the particular clinical emphasis desired.

Fraser, M., & Terzian, M.W.. (2005). Risk and resilience in child development:
Principles and strategies of practice. In Mallon, G., & Hess, P. (Eds.) Child
Welfare for the Twenty-First Century: A handbook of practices, policies and
programs. NY: Columbia.

Cohen, E., Hornsby, D.T., and Priester, S.. (2005). Assessment of children,
youth, and families in the child welfare system. In Mallon, G., & Hess, P. (Eds.)
Child Welfare for the Twenty-First Century: A handbook of practices, policies
and programs. NY: Columbia.

Weaver, C.J., Keller, D.W., and Loyek, A.H. (2005). Children with disabilities in
the child welfare system. In Mallon, G., & Hess, P. (Eds.) Child Welfare for the
Twenty-First Century: A handbook of practices, policies and programs. NY:
Columbia.


Fenster, J. (2005). Substance abuse issues in the family. In Mallon, G., & Hess,
P. (Eds.) Child Welfare for the Twenty-First Century: A handbook of practices,
policies and programs. NY: Columbia.

Hegar, R.L., & Scannapieco, M. (2005). Kinship Care: Preservation of the
extended family. In Mallon, G., & Hess, P. (Eds.) Child Welfare for the Twenty-
First Century: A handbook of practices, policies and programs. NY: Columbia.

Postmus, J.L. (2005). Domestic violence in child welfare. In Mallon, G., & Hess,
P. (Eds.) Child Welfare for the Twenty-First Century: A handbook of practices,
policies and programs. NY: Columbia.

Webb, N. B. (2003). Social Work Practice with Children, 2
nd
edition. New York:
Guilford. Childrens problems and needs (pp. 3-16). Children in substance
-abusing families (pp. 287-315).

Hazen, A., Connelly, C., Kelleher, K., Landsverk, J., and Barth, R. (2004).
Intimate partner violence among female caregivers of children reported for child
maltreatment. Child Abuse and Neglect, 28, 3, 301-319.

Jonson Reid, M., Kim, J., Barolak, M., Citerman, B., Laudel, C., Essma, A.,
Fezzi, N., Green, D.,Kontak, D., Mueller, N., and Thomas, C. (2007). Maltreated
children in schools: the interface of school social work and child welfare. Children
and Schools, 29(3), 182-191.

Smith, B.D., & Mogro Wilson, C. (2007). Multi-level influences on the practice of
inter-agency collaboration in child welfare and substance abuse treatment.
Children and Youth Services Review, 29(5), 545-556.

Hazen, A.L., Connelly, C.D., Edleson, J.L., Kelleher, K.J., Landverk, J.A., Coben,
J.H., Barth, R.P., McGeehan, J., Rolls, J.A., and Nuszkowski, M.A. (2007).
Assessment of intimate partner violence by child welfare services. Children and
Youth Services Review, 29(4), 490-500.

Green, B.L., Rockhill, A., and Furrer, C. (2007). Does substance abuse treatment
make a difference for child welfare case outcomes? A statewide longitudinal
analysis. Children and Youth Services Review, 29(4), 460-473.

DiLauro, M. (2004). Psychosocial factors associated with types of child
maltreatment. Child Welfare, 83, 1, 69-98.


6. Evaluation plan:

How much did the use of the case study-based assessment brainstorming
exercise impact your learning in this course?

How well prepared are you to appropriately assess the needs of children in
practice?
Very Prepared Somewhat Prepared Ill Prepared Not at All

B. Strategy Two: Possible, Probable and Successful Interventions

Assist students in discovering, developing, critically analyzing, and evaluating the
likely outcomes of a range of potential interventions that could have been offered
to the children and their families in the case study examples.

It is suggested that this strategy be used toward the end of the semester, after a
range of interventive techniques have been introduced and explored with the
class.

This strategy could be offered as an exercise in critical thinking and evidence-
based practice technique. Given what students have assessed as the needs and
strengths of the child(ren) and/or families of one or more of the case studies, this
strategy is designed for them to enhance their capacity to suggest and craft
appropriate interventions. Students will be asked to form groups (possibly the
same as may have been used in Strategy One) and choose one of the case
scenarios to focus on. Next, they will be asked to draft a list of ideas of all the
possible intervention strategies they know that could be helpful to this child or
rationales on paper prior to presenting their arguments orally. Discuss the pros
and cons of too much / not enough intervention in general, and what might have
been the appropriate dose and timing of some interventions in each of the cases,
specifically.

The exercise should take between 30 minutes and one hour to complete.

4. Materials:
Case studies.


Readings from the following list may be selected by faculty based on the
educational level of students in the class, the level of student proficiency
expected by the instructor from the exercise, the relative weight given the
exercise by the instructor within the context of the entire course, the interests /
expertise of the instructor, and the particular clinical emphasis desired.

Kazdin, A. E. & Weisz, J. R. (2003). Evidence-Based Psychotherapies for
Children and Adolescents. New York: Guilford.

Webb, N. B. (2003). Social Work Practice with Children, 2
nd
edition. New York:
Guilford.Contracting, planning interventions, and tracking progress (pp. 100-118).
Working with the family (pp. 119-142). School-based interventions (pp. 190-
214).

Smokowski, P. R. (1998). Prevention and intervention strategies for promoting
resilience in disadvantaged children. Social Service Review, 72(3),

Ficaro, R. C. (1999). The many losses of children in substance-disordered
families: Individual and group interventions (pp. 294-317). In N. B. Webb (Ed.),
Play Therapy with Children in Crisis, 2
nd
edition. New York: Guilford.

Dore, M. M., Nelson-Zlupko, L., & Kaufman, E. (1999). Friends in Need:
Designing and implementing a psychoeducational group for school children from
drug-involved families. Social Work, 44, 179-190.

Allen-Meares, P. (1995). Social work with children and adolescents. New York:
Longman Publishers. Chapter 3, Developmental considerations: Assessing and
intervening, pp. 45-60. Chapter 7, Abused, neglected, and sexually victimized
children and adolescents, pp. 117-142. Chapter 8, School failure and special
populations, pp. 143-164.

O'Neil, G.S. (1997). Focusing on strengths in a special education class: a primary
prevention, Social Work in Education, 19 (4) 279-284.

Corcoran, J. (2000). Family interventions with child physical abuse and neglect: a
critical review. Children and Youth Services Review, 22 (7), 563-591.

Chaffin, M & Friedrich, B. (2004). Evidence based treatment in child abuse and
neglect. Children and Youth Services Review, 26, 11, 1097-1114.

Grogan Kaylor, A., Ruffolo, M.C., Ortega, R.M., and Clarke J. (2008). Behaviors
of youth involved in the child welfare system. Child Abuse and Neglect, 32, 1, 35-
49.


Littell, J., & Girvin, H. (2004). Ready or not: Uses of the stages of change model
in child welfare. Child Welfare, 83, 4, 341-366.

Carlson B.E. (2006). Best practices in the treatment of substance-abusing
women in the child welfare. Journal of Social Work Practice in the Addictions.
6(3), 97-115.

Sternberg, K.J., Lamb, M.E., Guterman, E., and Abbott, C.B. (2006). Effects of
early and later family violence on childrens behavior problems and depression: A
longitudinal, multi-informant perspective. Child Abuse and Neglect, 30, 283-306.

Perkins, D., & Jones, K. (2004). Risk behaviors and resiliency within physically
abused adolescents. Child Abuse and Negelct, 28, 5, 547-563.

Staudt, M. (2003). Mental health services utilization by maltreated children:
Research findings and recommendations. Child Maltreatment, 8, 3, 195-203.

Taussig, H., & Talmi, A. (2001). Ethnic differences in risk behaviors and related
psychosocial variables among a cohort of maltreated adolescents in foster care.
Child Maltreatment, 6, 2, 180-192.

Clausen, J.M., Landsverk, J., Granger, W., Chadwick, D., and Litrownik, A.
(1998). Mental health problems of children in foster care. Journal of Child and
Family Studies, 7 (3),283-296.

Leathers, S.J. (2006). Placement disruption and negative placement outcomes
among adolescents in long-term foster care: The role of behavior problems. Child
Abuse and Neglect, 30, 307-324.

Waldrop, D. (2003). Caregiving issues for grandmothers raising their
grandchildren. Journal of Human Behavior in the Social Environment, 7, 3, 201-
223.

Murphy, S.Y., Hunter, A.G., and Johnson D.J. (2008). Transforming caregiving:
African American custodial grandmothers and the child welfare system. Journal
of Sociology and Social Welfare, 35(2), 67-89.

Folsom, W., Christensen, M., Avery, L., and Moore, C. (2003). The co-
occurrence of child abuse and domestic violence: An issue of service delivery for
social service professionals. Child and Adolescent Social Work Journal, 20, 5,
375-387.

Renner, L.M., & Shook Slack, K. (2006) Intimate partner violence and child
maltreatment: Understanding intra- and intergenerational connections. Child
Abuse and Neglect, 30, 599-617.


Postmus, J.L., & Ortega, D. (2005). Serving two masters: when domestic
violence and child abuse overlap. Families in Society, 86, 4, 483-490.

Kohl, P.L., Edleson, J.L., English, D.J., and Barth, R.P. (2005). Domestic
violence and pathways into child welfare services: findings from the National
Survey of Child and Adolescent Well-Being. Children and Youth Services
Review, 27(11), 1167-1182.

Kohl, P.L., Barth, R.P., Hazen, A.L., and Landsverk, J.A. (2005). Child welfare as
a gateway to domestic violence services. Children and Youth Services Review,
27(11), 1203-1221.

Shim, W.S., & Haight ,W.L. (2006). Supporting battered women and their
children: perspectives of battered mothers and child welfare professionals.
Children and Youth Services Review. 28(6), 620-637.

6. Evaluation plan:

How much did the use of the case study-based possible, probable and
successful intervention exerciseI impact your learning in this course?

How well prepared are you to appropriately plan for the intervention needs of
children in practice?

C. Strategy Three: Self-Awareness Exercise

Work with students to develop self-awareness by highlighting the dynamics and
issues in each of the three cases that they most identify with, supporting them in
their critical analysis of such, and reinforce the important knowledge and use of
self in professional practice with children.

This strategy can be used at any point in the semester in this course, and is
designed to be flexible to the needs of the instructor. If he/she wishes, this self-
awareness exercise can be used as a small group or paired 15-30 minute
discussion. If he/she wishes, this self-awareness exercise can be made into a
short written paper assignment.


3. Teaching methods / activities:
Students will be asked to reflect on the following questions as they relate to the
case studies.
Who cares about these children? How do you know?
What feelings does this promote in you as a parent / citizen / social worker
to be?
How would it feel to be this alone / unsupervised / scared / not cared for?
Have you ever been less than properly supervised? How did it feel?
Have you had experiences when you felt less than adequately supported at
home? At work? At school?
What was that like?
What did you do?
How did that feel?
How might it have felt to the children in the case examples?
How do you feel toward the parents / caretakers here?
How responsible do you think parents / society should be held with regard to
their childrens well-being?
How might your own experiences of family / parenting / your own rearing
and/or childhood / adolescence help or hinder your work with these
families?

4. Materials:
Case studies; Reflective Question List

Barth, R.P., Lloyd, E.C., Christ, S.L.,,Chapman, M.V., and Dickinson, N.S.
(2008). Child welfare worker characteristics and job satisfaction: a national study.
Social Work. 53(3), 199-209.

Stalker, C.A., Mandell, D., Frensch, K.M., Harvey, C., and Wright M. (2007)/
Child welfare workers who are exhausted yet satisfied with their jobs: how do
they do it? Child & Family Social Work. 12(2), 182-191.

de Boer C., & Coady, N. (2007). Good helping relationships in child welfare:
learning from stories of success. Child & Family Social Work, 12(1), 32-42.

Whitaker, T., & Clark, E.J. (2006). Social workers in child welfare: ready for duty.
Research on Social Work Practice. 16(4), 412-413.

Peters, J. (2005). True ambivalence: child welfare workers' thoughts, feelings,
and beliefs about kinship foster care. Children and Youth Services Review. 27(6),
595-614.

Kondrat, M.E.(1999). Who is the "self" in self-aware: professional self-
awareness from a critical theory perspective. Social Service Review. 73(4), 451-
477.

Harris, M.S. (1997). Developing self-awareness/racial identity with graduate
social work students. Smith College Studies in Social Work, 67(3), 587-607.

Skrypek, M.M., Wells, S.J., Bauerkemper, K., Koranda, L., & Link, A. (2008).
Developing a case typology for children in out-of-home care: child welfare worker
perspectives. Families in Society. 89(2), 302-311.

Aiello, T. (1999). Child and Adolescent Treatment for Social Work Practice: A
Relational Perspective for Beginning Clinicians. NY: Free Press.

6. Evaluation plan:

How much did the use of the self-awareness exercise on the three case studies
impact your learning in this course?

How well prepared are you to appropriately know and use yourself as a tool in
practice with children and their families?

CONCLUSION

A. Recap

The three case studies present numerous learning possibilities for a course like Social
Work with Children. Nearly every learning objective typically developed for a course
such as this one could be achieved through a strategy linked to the use of these case
studies. Objectives regarding child and family assessment, appropriate intervention
strategies, case coordination, use of culturally competent practice, and knowledge and
use of self in treatment are only some of the themes addressed in this teaching guide.


Future courses could build on the strategies presented here. Active learning techniques
such as role playing, debates, small or large group discussions as well as in depth
reading assignments and reflective paper assignments are offered here as effective
tools to aid in the learning and teaching process. Instructor creativity with and
adaptation of these and other techniques are encouraged with regard to any number of
other learning objectives for this or any other course.
Real Cases Project: Teaching Guide for Social Work Supervision

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Real Cases Project:
Social Work Supervision

Janet Abbott, MSW
Associate Director of Field Education (Retired)
Columbia University School of Social Work
1255 Amsterdam Avenue, New York, NY 10027
[email protected]

INTRODUCTION


As part of the overall curriculum, the supervisory component is going to be examined in
three sections outlined. Supervision is rarely mentioned in the case notes themselves,
and we must wonder what role the supervisor played each time the case was returned
for service. By examining the different aspects of supervision as well as some of the
interactional constructs, we will try to determine how supervision could have been used
to help these children and families.

We will do this using the three case studies as the basis for examining supervisory
principles. The significance of supervision in social work goes back to the idea that we
are an organizationally based practice and within that context workers have to be
socialized and supported in the practices and values of the agency. It is one of the few
professions that examines supervision in an organized fashion because of the
importance of the role. Distinctive aspects of the profession, as demonstrated by these
cases, warrant strong supervisory practice. Students will be asked to be self reflective
about their own supervisory experience and its impact on practice.


The three case studies demonstrate the importance of supervisory interventions to
guide and direct the worker. The primary principle of protecting the client exceeds all
other demands on us as social workers. When we look at the case studies, we see the
failure of the three dimensions of supervision, as discussed by Kadushin, administrative,
supportive and educational, to affect the work by the caseworker and unit on behalf of
the family. While we do not know much about the worker and the supervisor(s) who had
responsibility for the cases, the interaction of worker and supervisor are effected by
similarities and differences between the two. Questions of how they work together to
prioritize service to clients will be critical to the success of the cases involved. The

222
critical issues in supervision outline what makes supervision work on behalf of clients
and what can go wrong.

As we review the case material, each time the case is closed, there are unresolved
issues. Big question in these cases are who is responsible? and how can and should
the issues be resolved?

C. Specific Learning Objectives Related to Using Cases in This Course

To define and explain the purpose and function of supervision within the social
work profession.
To examine the supervisory relationship in the context of power, authority and
parallel process with a focus on the impact on learning and teaching.
To examine the role of the supervisor in the organizational context.
To define how social workers use themselves to address issues of professional
responsibilities and diversity in supervisory roles.

D. Overview of what is included in this guide

This module of the overall curriculum will examine the following areas in regards to the
impact of supervision on the outcome of the cases.
Outline some of the general principles of supervision
Examine the impact of similarities and differences between workers and
supervisors
Detail critical components of supervision that must be addressed for social work
success including relational issues and burnout.

TEACHING STRATEGIES

A. Strategy One: General Principles of Supervision
In each of the three cases there are opportunities for supervisory interventions on
multiple levels. With the exception of the supervisory review, there is no
mention of the on-going supervision and impact of supervisory input. Lets look at
each case in terms of why do we need supervisory control. Suggestion break
class into small groups and have them make this determination.

This strategy can be utilized at the beginning of the semester when the class is
reviewing the goals and principles of supervision and can be spread out over
several class periods depending on the instructors needs/desires.


223
This strategy will incorporate multiple teaching methods including brainstorming,
small group work, and lecture.

Brainstorming What are supervisory controls? Which ones are pertinent in
the each of the three case studies?

Lecturette (using the answers elicited and adding those missing and
expanding on where necessary)

1. Accountability to the larger community:
(The function of the agency is the protection of children. When
instances of abuse occur that result in death or serious harm,
frequently there is an outcry and a new resolution by the agency to
correct the deficiencies. Ex Nizxmary, Izquierda etc.)

2. Accountability for implementing social policy:
(The expectation that ACS will protect children and will provide families
with service to overcome their complex issues)

3. The complexity of the tasks - help the worker with consistency in an
unpredictable world:
(The caseworker in the Andrea R case faced the unpredictability of
mental illness and its impact on the family. What should the
anticipatory guidance be to help the worker when in the field?

4. Since the tasks take place in the field, it is critical to develop methods
of reporting that can protect the worker:
(Protection is both on a safety basis and a legal basis.)

5. Protection of clients!
(The crux of the agency work is the protection of clients. In the Mary S
case, should the supervisor be involved to help ferret out what the real
issues are to insure the protection of Jason? In the Andrea R case,
how should the supervisor be assisting in the understanding of mental
illness and the parentification issues experienced by Vincent? In the
Anne M case, how should the supervisor assist the worker in the
engagement issues with Peter T?

6. Enhance shared decision making:
(Modeling: Had the worker and supervisor discussed these cases in
detail, anticipated different interventions and outcome, it would have
served as a model for work with clients.)


224
7. The nature of if the issues make support desirable:
(The complexity of dealing with domestic violence, mental illness and
inadequate guardianship as well as other issues pertinent to these
cases, make it all the more important to have a shared decision
process. This does occur when there are the 72 hour meetings and the
supervisory review.) However, should this be occurring on amore
regular basis and how should it take place?

8. Tarasoff there needs to be an explanation and discussion of
vicarious liability:

Brainstorming: Ask class about their experience in supervision. On a scale
of one to ten, one being dreadful and 10 being extraordinary, where is their
supervisor? What makes it good/bad? Have they felt protected? Which of
the above characteristics is part of their supervisory experience?

Put questions on board for class to review.
1. What are the different types of supervision?
2. What are the goals and objectives of the different types of supervision?
3. What are the supervisory tasks that each method employs?

Lecturette (using the answers elicited and adding those missing)

Administrative supervision
Goals
Overall, the long-term objective is to provide a systemic
coordination of effort by providing a set of rules that are
applied equally to all staff

Short term objective
provide worker the information necessary to work effectively

TASKS
Work planning
Work delegation.
Monitoring
Evaluation
Communication
Advocacy
Administrative buffer
Change agent


225

Educational supervision
Goals
this is about teaching the worker what needs to be known in
order to perform the job and includes the skills, knowledge
and approach to the work.
Short term objective
improve workers capacity to do an effective job
TASKS
Initial indoctrination creating a common frame of reference
Evaluating the absorption of information- allowing a
diminishment of administrative controls
Content areas regarding the clients, agency, process,
problems/issues and personnel
Purposeful and conscious use of self through self-reflection

Supportive supervision
Goals
according to NASW this provides the management of work
related stress and assistance to staff in coping with work
related issues. The importance of a workers psychological
well-being cannot be underestimated.
Short-term objective
if the worker can be positive about the issues being faced;
the work product will be improved.
TASKS
Reassurance
Encouragement
Recognition of achievement
Constructive criticism
Realistic appraisals
Ventilation
Universalization
Desensitizing
Attentive listening

Brainstorming: What should supervision look like? When does it work?
What makes it work?

Break class up into groups so that you have one/two for each specific method of
supervision. The group should answer the following questions depending on their
focus. Using giant post-it sheets or a blackboard have groups report conclusions
and have the class come to consensus. By the end of this segment the class

226
should be able to differentiate how to use aspects of supervision and identify
within the case studies at least 3 to 4 instances where such supervision may
have been effective.

Where should the supervisor have used administrative controls and
supervision in each of the three cases? (These are clearly outlined in the case
presentations and come up as undone and unattended-to tasks)

Where should the supervisor have used educational supervision in each of
the three cases? (The educational supervision in these cases is on mental
illness, autism, domestic violence and family triangulation as well as the
developmental issues of both latency age children and adolescence. This will
assist the caseworker in her engagement and contracting with the families.)

Where should the supervisor have used supportive supervision in each of
the three cases? (In the Andrea R and Mary S cases, assessing the critical
issues can be frustrating and supportive supervision becomes essential. In the
Anne M case, a caseworker may need supportive supervision around the issues
of domestic violence.) In each of these cases the support is critical for the on-
going work on the part of the caseworker.

Lecturette
PROCESS (of Supervision)
Individual principal; group for common tasks
Time is scarce
Preparation by both parties
Opportunity for guided self reflection
Techniques
Modeling especially as we begin to talk about parallel process
Progression of learning i.e. information to knowledge, knowledge to
understanding, understanding to changes in behavior
Peers and boundaries
Styles
Feedback

Constructive criticism is a critical component of all supervision. What does
constructive criticism consist of?

How To Provide Constructive Criticism
As soon as possible
Specific
Objectifiable
Descriptive rather than judgmental
Highlight the effect of a good performance
Focused on the behavior not the person

227
Offered tentatively for consideration
Focus on what the supervisee needs
Shared ideas and alternative
Can be effectively absorbed
Closure`

4. Materials:
Post-it sheets and markers or a blackboard with chalk for each group

Cohen, B.Z. (1999). Intervention and supervision in strengths-based social work
practice. Families in Society, 80(5), 460-466.

Kadushin, Alfred, Supervision in Social Work, 3
rd
Edition, Columbia university
Press, 1992, Chapters 2,3,4

Kurland, R. & Salmon, R. (1992). When problems seem overwhelming:
Emphases in teaching, supervision, and consultation. Social Work, 37(3), 240-
244.

Weinbach, Robert W. The Social Worker as Manager, Longman, 1990, Chapt. 6.

Young, T.M. (1994). Collaboration of a public child welfare agency and a school
of social work: A clinical group supervision project. Child Welfare, 73(6), 659-
669.

6. Evaluation plan:
A short paper assignment can be utilized to evaluate student learning. Students
are asked to use the class discussions to determine what each of the case study
supervisors might have done and how he or she could provide constructive
criticism to the worker to provide guidance.

B. Strategy Two: Similarities and Differences

As in the previous strategy, the utilization of supervision during each of the three
case studies will be highlighted in this strategy.
This strategy can be utilized at any point during the semester when the instructor
chooses to discuss learning styles as they relate to supervision.

3. Teaching methods
This strategy will utilize small groups, assessment, lecture, and brainstorming.


228
Style and the Learning Cycle

Each of us has a built-in way of learning that may dominate how we do things.
We are going to examine what your style is, the impact on learning and practicing
and the impact on the supervisory relationship.

Exercise (see appendix)
Administer Learning Style Questionnaire (students are to compete each field,
going across with 4 being the closet to who they are and 1 being the least
similar)

When the questionnaire is completed, following the number pattern on the
bottom of the sheet, they add up the columns. Meanwhile make four columns on
the blackboard, CE, RO, AC and AE. Have the students call out their scores
while you record on the board. Now provide them with the characteristics of
Learning Style sheet. (CE=feelings, RO= watching, AC= thinking, AE=doing)

Discuss the four learning styles as designed by Kolb, et.al

Distribute copy of Kolbs Experiential Learning Model (see appendix- Figure 1)
Discuss learning as on a continuum using this model. This should lead into a
discussion about the student experience with their supervisors. There may be
aha moments.

Lecturette

As outlined in Kolb, learning styles and their impact on work. (Figure 2)

Converger dominant styles are AC and AE. Greatest strength lies in practical
application of work. Because of how knowledge is organized, focus is on
problem solving especially project driven material.

Diverger dominant styles are CE and RO. Very imaginative and creative; able
to see problems in a holistic manner. Greatest interests are in people and
creating responses from a generation of ideas.

Assimilator dominant styles are AC and RO. Able to create theoretical models.
Able to take disparate ideas and put them into a one construct. Is happy as long
as the theory is sound and logical.

Accommodator dominant styles are CE and AE. These are risk takers who
enjoy carrying out new plans and experiments. Excels in those situations where
the learner must accommodate to the situation. Action- oriented

Figure 3 Problem solving based on who we are and how we learn.


229
Brainstorming: From what we know in the cases, what kind of supervision
was used in each of the three cases? What kind should have been used?
What are the gaps in learning? How would each of you approach the cases
based on your learning style?

Exercise
Break up into small groups and have each group construct a brief supervisory
session on one of the three cases, using a particular reoccurrence, to address
the issues missed. As each group reports back have them discuss what the
differences were in examining the issue at hand.

Cultural Competency (optional but a brief discussion may be valuable)

In addition to the style issues that face each supervisory dyad, the differences
and similarities that are bought to the table must be discussed. How these issues
are dealt with will parallel the worker-client experience. Have the class discuss
one dimension of difference that is similar and one that is dissimilar with their
supervisors. How has that impacted on the supervisory relationship? Has it been
discussed or is it an elephant on the table? What does this mean when workers
have clients who are either similar or different from them on multiple dimensions
of difference? In both the Anne M and Mary S cases we have information on the
ethnicity and race of the clients. In the Anne M case, consideration must be given
to culture. It is always important to have an awareness of the impact of these
issues on the context of the relationship and therefore the unfolding of the case
content.

Learning Style Questionnaire and supporting materials (provided in Appendix)
Kaiser, Tamara, Supervisory Relationships; Exploring the Human Element,
Pacific Grove, Ca. Brooks/Cole Publishing, 1997, Chapters 4 and 5

Kolb, David A. Learning and problem solving: On management and the learning
process, from KoIb, David A; Rubin, Irwin and McIntyre, James M., ed.
Organizational Psychology: A Book of Readings. Englewood Cliffs, NJ: Prentice-
Hall, Inc., 1974.
OR
Kolb, David, Experiential learning: Experience as the source of learning and
development. Englewood Cliffs, NJ; Prentice Hall, 1984

Leung, P., Cheung, K.M., Stevenson, K., (1994) A strength based approach to
ethnically sensitive practice for child protective workers, Child Welfare, 73, 707-
724.


230
MacEachron, A.E. (1994). Supervision in tribal and state child welfare agencies:
Professionalization, responsibilities, training needs, and satisfaction. Child
Welfare, 73(2), 117-126

C. Strategy Three: Relational Issues
As in the previous strategies, the utilization of supervision during the case studies
will be highlighted here.
This strategy can be utilized at any point of the semester.


Brainstorming: Elicit student perceptions of quality of their supervisory
relationship or past supervisory relationship. Again, what made it work.

Lecturette

Kaiser presents us with a model where the supervisor relationship is paramount.
Shared meaning- what is this and how does it impact on the relationship.
What happens if there are disparate perceptions? How does shared
meaning develop? What happens if dual relationships impinge on the
supervision?
Cultural differences discussion of the dimensions of difference and the
impact on relationship
Trust is a critical variable in the supervisory relationship. What happens if
that trust is violated?

Brainstorming: From what we know, or assume, in the cases, what can you
identify in the supervisory relationship that influenced the practice events.
Can we make any assumptions about the issue of trust and its influence in
the relationship?

PARALLEL PROCESS

Lecturette

What is parallel process?
How does it develop?
The role it plays in the supervisory relationship?
How does supervisor foster it?
The five levels of the supervisory relationship (Fox)
1. intellectual learning

231
2. imitation
3. introjection
4. identification
5. idealizing and mirroring

Brainstorming: Have the class identify instances of parallel process in the
each of the three case studies.

POWER AND AUTHORITY

Begin with Power and Privilege exercise purpose to develop a self awareness
regarding how we experience these. Write HIGH on one end of the blackboard
and LOW on the other end. Explain that Power and Privilege have different
meaning in different contexts. Each student is asked to consider themselves on
the continuum but they do not have to share their own definitions. Have the
students stand up and place themselves on a continuum from high to low first in
relation to Power in their everyday lives. You can use dimensions of difference
like economic status, educational status, race, language, religion, sexual
orientation, ability/disability, age, biological sex, etc. The effect should be a
moving 3-D depending on the dispersion of the participants. Repeat using
Privilege. With each change have the students look around; notice where they
have placed themselves and where their colleagues are. Discussion post
exercise should focus on an exploration of student thoughts and feelings about
these two words.

How does Power play out in the Supervisory relationship. How does Privilege
play out?

Lecturette

Power and Authority is the crux of the supervisory relationship - to implement
administrative supervision one must have the authority -otherwise, the metaphor
is that its building bricks without straw. The more the authority is perceived as
legitimate, the better the voluntary compliance. Authority has to be exercised in
an impartial manner. What happens to the person in authority if they violate this
rule?

The interpretation of rules and regulations in a uniform manner can help
decrease role ambiguity and increase role clarification. Workers may feel
protected from personalized decisions by the rules necessary for organizationally
based practice. Non-compliance must be dealt with equally among all workers.
As a result, behavior is purposive.
What causes non-compliance and/or contradictory rules?
Are there conflicts between demands?
Is there an over-identification creating a more or less satisfying
experience?

232
Why do workers become self-protective?
Do we look at this as psychological; or a real act of hostility?
What is delegate authority? How can a supervisor effectively delegate?

Power is the ability to implement authority. Where does a Supervisor get Power?
There is both functional power and formal power. Functional power relates to what
the supervisor knows, is and can do. Formal power related to title and authority
vested in that title. Kadushin delineates five different power bases inherent in the
supervisory relationship.
1. Reward power - can control tangible rewards
2. Coercive power - control punishment
3. Legitimate or positional power-we accept the power by virtue of being
socialized to it- sense of moral obligation or social duty
4. Referent power- the desire to be liked or approved of by the Supv. Supv
is seen as a model
5. Expert power - the power of professional competence -
Information/knowledge is power as opposed to referent where supervisee
is looking for approval this has to do with expertise in content area.

What is the prevailing kind of supervision in your experience this year?

What Is the Countervailing Power of a Supervisee while the supervisor
may assign work; she is dependent on the supervisee willingness and
readiness to actually do the work. What about the supervisees acting as a
group in trying to control the situation or the supervisor? What if the
supervisor has the need to be liked by the group?

Power and authority play a major role in the relationships not only with
supervisors but in the parallel process with clients.

Break out groups: Using the cases, where are each of the families in terms of
these issues? How does it play out in each of the cases? Do the workers use
power and authority effectively? What is the legitimate power of the agency?
How do each of the families see the power differential with the agency? What
kind of power might have been effective? What would you do in each of these
situations?

4. Materials needed: No special materials required

Fox, Raymond, Relationship: the Cornerstone of Clinical Supervision, Social
Casework: The Journal of Contemporary Social Work, 1989, Family Service
Association of America

Kadushin, A., Games People Play in Supervision, Social Work, 13, 1968


233
Kaiser, Tamara, Supervisory Relationships; Exploring the Human Element, 1997,
Pacific Grove, CA. Brooks Cole Publishing, Chapters 1, 2 &5

Kahn, Eva M.,The Parallel Process in Social Work Treatment and Supervision,
Social Casework: The Journal of Contemporary Social Work, 1979, Family
Service Association of America

D. Strategy Four: Burnout

1. Area/issue of the case studies, timing within semester, and teaching
methods:
Begin with Burnout Inventory and discussion of individuals in class to their self-
assessment.

Lecturette

Lets look at concept of burn-out, the frustrations, the passive-aggressive
components, the disengagement, the depression and the other complex
emotional experiences in that process. At one end we may have overly rigid
compliance while at the other end is a total inattention to the work and the clients.
In between, there can be many facets of behavior that can be defined as burnout.

Burnout Definitions (Maslach and Leiter)
Definition #1: "a state of fatigue or frustration brought about by devotion to a
cause, way of life, or relationship that failed to produce the expected reward"

Definition #2: "A process in which a previously committed professional
disengages from his or her work in response to stress and strain experienced in
the job.

Symptoms of Burnout:
A feeling of lack of control over commitments
An incorrect belief that you are accomplishing less
A growing tendency to think negatively
Loss of sense of purpose and energy
Increasing detachment
Difference between burnout and having a bad week is that burnout is
persistent and symptoms increase in severity.

In each of the three cases where can we see burnout impinging on the
worker?

Who is a candidate for burnout?
Those in the helping profession "compassion fatigue"

234
Young social workers- idealized goal
People who are habitually anxious or depressed
Lack of self esteem
Low tolerance for frustration
Burnout and Alienation: Feelings that social workers may adapt to the
pressures of their job and feeling of burnout (William Powell)

Five aspects of alienation:
Powerlessness: the sense that one can control neither the
conditions of work nor the purposes of one's labor
Meaninglessness- life is devoid of meaning
Normlessness- no overarching rules that guide all of us
Isolation- each individual struggles alone
Self-estrangement: the sense that one's labors have no
relationship to one's sense of self

Burnout and the Organization: Costs of burnout in the organization
Burnout for the organization results in inefficient workers, low morale,
absenteeism, high turnover.
Making organizations supportive settings that mediate stress can be cost-
effective for both the organizations and society.

Four reasons for burnout in the work setting:
The workers perceived lack of autonomy and influence of funding
source
The workers perception the workload is too much
Lack of clarity in workers rights, responsibility, goals, status,
methods, accountability, and role in which the practitioner
experiences conflict, inconsistency, incompatibility, or inappropriate
demands
Relationship between co-worker and supervisor to learn new skills,
evaluate effectiveness, develop competence in position, and
understand the purpose of the agency has bee compromised.
What should be done about burnout and social workers in workplace-?
Improve staff communication,
Review agency policies
If the requirements of an agency interfere with helping relationship
Establish good work boundaries
Define work objectives
Provide clear job requirements
Give adequate training
Offer freedom in client work and studies
Provide a supportive environment

235
Offer regular group meetings with the colleges
Encourage employees to pursue interests outside of agency (self-
worth not on your job)
Good teamwork between co-workers
Provide understanding from senior colleagues
Recognize need for independence, self-esteem, acceptance, and
support.
Create low work pressure and increase job security, do not use threats
Provide supervisory training
Supervisor should help to cultivate self-awareness, expectation for self
& client (written statement), issues of power to control client, set
reasonable goals.
Attempt to increase financial resources- Ex: Restart
Offer opportunities to increase knowledge base
Burnout in the Supervisor/ Individual
Three outcomes to burnout
1. Emotional exhaustion
2. Depersonalization
3. Loss of personal accomplishment
Ways to deal with burn-out by supervisors when working with supervisees.
This is paralleled for workers and needs to be modeled by supervisors.
Increase knowledge base to better understand clients, supervisees. An
increase in knowledge creates a more effective respond to work
In-services
Conferences
Learn to set realistic goals- obtainable, measurable, contracting, not lofty
ideals. Focus on the client's strengths, abilities and resources allows a look at
the positive aspects of the situation which can be less overwhelming

Self awareness:
Set reasonable goals
Know that work can not fulfill all of needs
See when transference is playing a role
Seek feedback from clients, co-workers and supervisors
Advice
Constructive criticism
Build a social support system at work
Group supervision
Colleague lunches
Set boundaries
Leave work on time

236
Utilize vacation time
Learn to say "No"
Arches, J. (1991). Social structure, burnout, and job satisfaction. Social Work,
16, 202-206.

Harrison, W. (1980) Role strain in child protective service workers. Social Service
Review, 54, 31-44

Maslach, Christina and Leiter, Michael, The Truth About Burnout, Jossey Bass,
1997.

Rauktis, M.E., & Koeske, G.F. (1994). Maintaining social work morale: When
supportive supervision is not enough. Administration in Social Work, 18(1), 39-
60.

Soderfeldt, M, Soderfeldt, B., Wang, L., Burnout in social work, Social Work,
1995

3. Evaluation plan:
Burnout in the case studies: Knowing what we know now about burnout, what
would each of you see as ways of intervening with the caseworker? (Can do as
brainstorming or in small groups)

CONCLUSION

A. Recap

Reviewing the case studies demonstrates multiple principles in supervision that apply to
all aspects of practice. In each of these cases we see a caseworker faced with complex
problems working to view the client(s) in a holistic manner. The complexity of the issues
crease challenges to developing solutions. Since there is limited discussion of
supervisory input, we are unclear as to how the supervisor may have assisted or how
the supervisor might have been able to enhance the caseworker interventions. The
educational issues of mental illness in the Andrea R case or the domestic violence
issues in the Anne M case, require particular knowledge bases that can enhance the
casework process. The structural family issues in the Mary S case could thwart a
worker who has limited understanding of issues such as triangulation. In every case,
supportive supervision allows the caseworker the opportunity to test out theories and
ideas that will allow for superior engagement and contracting with each member of the
families. As always the administrative supervision in each case provides for the
protection of the client and insuring that all procedures are followed including the 72

237
hour conference and involvement of collaterals. In the Andrea R case the collaterals are
able to provide critical information about the client that helped with the understanding of
the issues at hand.

The parallel process components of the social work process cannot be underestimated.
Issues of power and authority are inherent in the work of anyone in child welfare
especially in the protective cases. New perspectives provide a more collaborative
approach to this kind of work. Each of these caseworkers sustains a focus on the
critical protective issues and provides opportunities for each member to have a voice in
the process. While we do not know what the supervisory input was, we may be able to
assume that the administrative function of protection was carried out in response to this
process. Hopefully as we see focused purposeful casework, supervision is fulfilling the
three functions outlined in this curriculum.


Because these issues are so prevalent in child welfare, additional thought should be
paid to the concept of vicarious trauma and what that does to the burn-out process.
There are multiple perspectives on supervision, including Munson and Shulman and
others, which can further enrich any social workers development in this arena. Those
working in child welfare need a constant renewal of skills and enrichment. The burnout
so evident in the case studies demonstrates the importance of on-going and supportive
clinical supervision.

Munson, Carlton E. (2002). Handbook of Clinical Social Work Supervision.,Binghamton,
NY: Haworth Press.

Shulman, L. (1993).Interactional Supervision. Alexandria, VA: NASW Press


238
APPENDIX to TEACHING GUIDE FOR SOCIAL WORK SUPERVISION
Appendix A: Burnout Potential Inventory
How often do these situations bother you at work? Use the scale below to rate how often you are
bothered by each situation described in the quiz. Then add up your points when you're done.
(Rarely) 1 -2- 3 -4- 5-6-7 - 8-9(Constantly)
Powerlessness
1. I can't solve the problems assigned to me
2. I am trapped in my job with no options.
3. I am unable to influence decisions that affect
me.
4. I may be laid off and this is nothing I can do.
No Information
5. I am unclear about the responsibilities of my
job.
6. I don't have information I need to perform
well.
7. People I work with don't understand my role.
8. I don't understand the purpose of my work.
Conflict
9. I am caught in the middle.
10. I must satisfy conflicting demands.
11. I disagree with people at work.
12. I must violate procedures to get my job
done.
Poor Team Work
13. Co-workers undermine me.
14. Management displays favoritism.
15. Office politics interfere with my doing my
job.
16. People compete instead of cooperate.
Overload
17. My job interferes with my personal life.
18. I have too much to do into little time.
19. I must work on my own time.
20. My workload is overwhelming.
Boredom
21. I have too little to do.
22. I am overqualified for the work I actually
do.
23. My work is not challenging.
24. The majority of my time is spent on routine
tasks.
Poor Feedback
25. I don't know what I'm doing right or wrong.
26. My supervisor doesn't give feedback on my
work.
27. I get information too late to act on it.
28. I don't see the results of my work.
Punishment
29. My supervisor is critical.
30. Someone else gets credit for my work.
31. My work is unappreciated-
32. I get blamed for others' mistakes.
Alienation
33. I am isolated form others.
34. I am just a cog in the organizational wheel.
35. I have little in common with people I work
with.
36. I avoid telling people where I work or what
I do.
Ambiguity
37. The rules are constantly changing.
38. I don't know what is expected of me.
39. There is no relationship between
performance and success.
40. Priorities I must meet are unclear.
Unrewarding
41. My work is not satisfying.
42. I have few real successes.
43. My career progress is not what I'd hoped.
44. I don't get respect.
Values Conflict
45. I must compromise my values.
46. People disapprove of what I do.
47. I don't believe in the company.
48. My heart is not in my work.

Scoring: Your Risk of Burnout see page after Are You Burning Out

Book: Overcoming Job Burnout Overcomi ng Job Burnout Workshop & Lect ure Info http://www.docpotter.com/beajob pot
test.html

239
ARE YOU BURNING OUT?

Have you noticed changes in yourself over the past 6 months? Assign a number from 1 (for no or
little change) to 5 (for a great deal of change).

__ 1. Do you tire more easily? Feel fatigued rather than energetic?
__ 2. Are people annoying you by telling you, "You don't look so good lately"?
__ 3. Are you working harder and harder and accomplishing less and less?
__ 4. Are you increasingly cynical and disenchanted?
__ 5. Are you often invaded by a sadness you can't explain?
__ 6. Are you forgetting" (appointments, deadlines, personal possessions)
__ 7. Are you increasingly irritable? More short-tempered? More disappointed in the people around you?
__ 8. Are you seeing close friends and family members less frequently?
__ 9. Are you too busy to do even routine things like make phone calls or read reports or send out
Christmas cards?
__ 10. Are you suffering from physical complaints? (aches, pains, headaches, a lingering cold)
__ 11. Do you feel disoriented when the activity of the day comes to a halt?
___12. Is joy elusive?
__ 13. Are you unable to laugh at a joke about yourself?
__ 14. Does sex seem like more trouble than it's worth?
__ 15. Do you have very little to say to people?
TOTAL: _____________________
Don't let a high total alarm you, but pay attention to it. Burnout is reversible, no matter how far along it
is. The sooner you start being kinder to yourself, the better.

Copyright 1995 Search and Rescue Society of British Columbia http://sarbc.ore/cissS.html E-mail: SARBC Contacts

240
Scoring for First Test

48 - 168 Low. Take preventive action.
169 - 312 Moderate. Develop a plan to correct problem areas.
313 - 432 High. Corrective action is vital.
Scoring for Second Test

0-25 Fine 26-35 There are things you should be watching 36-50 You're a candidate
51 -65 You are burning out Over 65 You're in a dangerous situation, threatening to
your physical and mental well-being

241
Appendix B: What kind of learner am I??
i.e. do I have a primary learning style??
This inventory is designed to assess your preferred learning method. As you respond to the
questions, give a high rank to those words which best characterize the way you learn and a
low rank to those words which least characterize your learning style. The purpose is to
discover how you learn, not to evaluate how well you learn. There are no right or wrong
answers.

Instructions
Below are nine sets of four words. Rank order each set of four words by assigning a 4 to the
word which best characterizes your learning style, a 3 to the word which next best
characterizes your style of learning, a 2 to the next most characteristic word, and a 1 to the
word which is least characteristic of your method of learning. Be certain to assign a different
number to each of the four words in each set. Do not make ties or leave any blanks.

1 __discriminating

__tentative

__involved

__practical

2 __receptive

__relevant

__analytical

__impartial

3 __feeling

__watching

__thinking

__doing

4 __accepting

__risk-taking

__evaluative

__aware

5 __intuitive

__productive

__logical

__questioning

6 __abstract

__observing

__concrete

__active

7 __present oriented

__reflecting

__future-oriented

__pragmatic

8 __experiencing

__observing

__conceptual

__experimenting

9 __intense

__reserved

__rational

__responsible
For Scoring Only
CE_________ RO_________ AC___________ AE____________
234578 136789 234589 136789
For scoring, add up the rank order numbers you gave to the items specified below the line.
Your score will indicate how much you rely in your learning on Concrete Experience (CE),
Reflective Observation (RO), Abstract Conceptualization (AC) and Active Experimentation
(AE)
Real Cases Project: Teaching Guide for Social Work Supervision 242

CHARACTERISTICS OF THE LEARNING STYLE

Although everyone learns in each of the four ways, individuals tend to
prefer one style over the other three. The characteristic approach to
learning is noted below for each of the four styles.

Characteristic Learning
Style

Approach to
Learning

Relying Heavily on

Learn Best From

CE
(Concrete Experience)

Receptive
Experience
Based

Feeling based
judgements

Specific examples
Involvement
Discussion

RO
(Reflective Observer)

Tentative
Impartial
Reflective

Careful observation

Situations that allow
impartial
observation

AC
(Abstract
Conceptualization)

Analytical
Conceptual

Logical thinking
Rational evaluation

Direction from an
authority
Impersonal learning
situations
Theory
presentations

AE
(Active
Experimentation)

Active
Doing

Experimenting

Projects
Homework
Discussions

Kolb, David A. Learning and Problem Solving: On Management and the
Learning Process, from KoIb, David A; Rubin, Irwin and McIntyre, James M.,
ed.. Organizational Psychology: A Book of Readings. Englewood Cliffs, NJ:
Prentice-Hall, Inc., 1974.

KoIb, David A., and Fry, Ronal. Towards an Applied Theory of Experiential
Learning, from Cooper, Cary L., ed. Theories of Group Processes. London: John
Wiley & Sons, 1975.

KoIb, David A. Learning Style Inventory. Boston: McBer and Company, 1976.

Appendix C:

Kolb, David A. "Learning and Problem Solving: On Management and the
Learning Process, from Kob, David A; Rubin, rwin and Mcntyre, James M.,
Prentice-Hall, nc., 1974.

Appendix C:


Appendix D:


Appendix D:


Appendix E:


Appendix E:


Real Cases:
Across the

PROJECT EVALUATION

Introduction to the Evaluation, Carol S. Cohen

Faculty Feedback Survey

Student Feedback Survey
Real Cases Project: Introduction to the Evaluation 247

Introduction to the Evaluation

Carol S. Cohen, DSW
Associate Professor
[email protected]

Evaluation is a critical component of any educational innovation, and we believe that
this evaluation will yield important findings to guide the future development of the Real
Cases Project. We have developed both formal and informal systems to collect
feedback about how the Real Cases and Teaching Guides are used. We will be looking
at the impact, evolution, relevance, and need for adaptation of the Project to curricular
interventions in Child Welfare and other fields of social work. Through a combination of
evaluation approaches, we anticipate conducting ongoing and rigorous study of the
Project in relation to its process, outcomes and contribution.

Evaluation updates, forms and feedback will be available at:
http://web.adelphi.edu/socialwork/realcases/

FORMAL EVALUATION

Faculty members are asked to voluntarily participate in the Real Cases Project
evaluation, and encourage their students to participate in the evaluation as well.
Faculty members are free to use Project materials in their classes without permission,
and the evaluation will not interfere with this process. Faculty and students are asked to
complete and submit Feedback Surveys on their experience. There are no
consequences to non-participation in the evaluation, and it is not possible to identify
who do not participate in the evaluation.

Faculty Feedback Surveys include questions regarding the degree to which the use of
the cases and teaching guide helped achieve objectives of the Real Cases Project.
Next, faculty members are asked to rate and explain the helpfulness of the guide they
used. In addition, faculty members are asked to rate and explain the level of difficulty in
integrating the case studies, and strategies and activities that worked and did not work
in the class. The last question asks for additional narrative feedback, and permission to
post feedback on the web.


Faculty members are asked to engage their students in the evaluation process, by
asking them to complete voluntary Student Feedback Survey, either on-line or in hard
copy. Student Feedback Surveys parallel those completed by faculty, with questions
regarding the degree to which objectives of the Real Case Project have been achieved,
and the degree to which course learning was enhanced by the use of the case studies.

Students are also asked for narrative suggestions and feedback, whether they have
heard about the cases in any other courses, and whether they agree to have their
feedback posted on the web. It is anticipated that it will take respondents between 5 and
20 minutes to complete the faculty or student survey.

Electronic survey forms for faculty and students will be available at:
http://socialwork.adelphi.edu/realcases/
. These forms can be completed and
submitted electronically, or can be downloaded and mailed. Electronic submission is
preferred. Survey forms are also presented in hard copy as part of this document.
These forms can be duplicated and submitted by mail, as indicated on the form.

Faculty members are asked to voluntarily identify themselves with their feedback.
Anonymity of student responses is limited to the extent that respondents will be asked
which social work education program they are from, and in which course they
experienced elements of the Real Cases Project. When using paper documents,
Student Feedback Surveys can be mailed together in a single envelope, with or
separate from the Faculty Feedback Survey.

Evaluation survey responses will be held confidential, in that only Dr. Carol Cohen and
designated evaluation assistants will have access to the feedback sheets in the event
they are mailed or submitted electronically. All responses will be held securely, in a
locked file and the use of encrypted electronic storage. Consent to participate in the
evaluation is signified by submission of a Feedback Survey.

There is a limit to the confidentiality that can be guaranteed due to the technology itself
when participants choose to respond through the website. Specifically, although the risk
is small, no guarantees can be made regarding the interception of data sent via the
Internet by any third parties.

We will construct a digest of quantitative and qualitative responses, and work with Real
Cases Project Committee members in the analysis of quantitative data and themes in
the qualitative responses. Findings and themes will be shared with members of the
Social Work Education Consortium of New York and teaching guide authors to gather
their thoughts about the feedback from faculty and student users.

We anticipate that the feedback and experience of respondents will be valuable to
faculty members as they formulate their own plans to use the Real Cases Project in
their classes. Therefore, all respondents (faculty and students) will be asked if they
would like to have their feedback posted on the Project website. If respondents select

the option to post open feedback on the website, their feedback will be grouped and
identified only by course in which the material was used.

The formal evaluations purposes and research methods were reviewed by an
Institutional Review Board for the protection of human subjects. The evaluation was
found to have exempt status, since it focuses on understanding the impact and
gathering feedback on instructional strategies incorporated into established social work
education classes.

In summary, this evaluation is part of an educational process to gather voluntary
feedback from social work faculty and students about the infusion of child welfare
content across social work courses. As such, there are minimal risks to participation.
Students and faculty are encouraged to contact Dr. Cohen at [email protected],
regarding any questions they have about the evaluation. Faculty participants are
welcome to discuss the Real Cases Project with many persons who are ready to
answer questions about the Real Cases Project, including Dr. Cohen, members of the
Social Work Education Consortium, authors of teaching guides, and administrators in
the New York City Administration of Childrens Services.

INFORMAL EVALUATION

Informally, representatives of the member social work programs in the Social Work
Education Consortium participate in ongoing meetings, at which they share feedback
about the utilization and evaluation of Real Cases and Teaching Guides in their home
institutions. We expect this discussion loop to continue, focusing on all aspects of the
Real Cases Project and its future evolution.

Through the process of developing the teaching guides, many of the authors used the
cases in their classroom, to pilot teaching strategies and activities. Reports on this pilot
testing have enriched the guides, and have provided critical early feedback on the
overall Real Cases Project. Preliminary reports suggest that students can apply the
cases to learn course content through the use of thoughtful learning strategies. We will
explore ways to further encourage community dialogue, including the feasibility of a
bulletin board posting function through the Real Cases Project website in the future.


Real Cases Project: Faculty Feedback Survey

251

Real Cases Project:
Integrating Child Welfare Content Across the Social Work Curriculum

FACULTY FEEDBACK SURVEY

Dear Social Work Faculty Member,
Thank you for your interest and use of a Teaching Guide, Resource Materials, and/or Real Cases in your course
this semester. As noted in these materials, by incorporating suggested teaching strategies in your class, we are
hopeful that you will agree to evaluate their use. Your voluntary responses will help the Social Work Education
Consortium of NY to further develop this educational effort. Our evaluation plan includes two instruments. The first
is this Faculty Feedback Survey and the second is the Student Feedback Survey, which should be submitted by
students through our website or duplicated and distributed to all students at the end of this semester, and then
mailed as instructed.
All Surveys can be submitted through the Real Cases Project website: http://socialwork.adelphi.edu/realcases,
or mailed to: Carol S. Cohen, Adelphi University School of Social Work, One South Avenue, Garden City, New York
11530. Please feel free to call (516/877-4427) or email ([email protected]) with any questions or concerns.
Submission of this feedback sheet serves as your consent to participate in the evaluation.
Thank you for your participation Carol S. Cohen, Real Cases Project Chair

Faculty Member: ________________________ School: ____________________________________
Course: _______________________________ Semester/Year: ______________________________
1. Please circle the answer that best indicates the degree to which the use of the cases and teaching guide helped
achieve the following objectives:

Understand the dynamics of a large public organization, and
how external and internal systems affect practice.

Very
Much
Somewhat A
Little
Not At
All
Ability to implement and adapt direct and indirect practice
strategies to changing organizational conditions.

Very
Much
Somewhat A
Little
Not At
All
Identify innovative practice models for use in public child
welfare, which can be incorporated into work in other fields of
practice.
Very
Much
Somewhat A
Little
Not At
All
Enhance ability to connect classroom and field learning
environments, particularly for students involved in public child
welfare as well as those without experience in this field of
practice.
Very
Much
Somewhat A
Little
Not At
All
Expand student learning of the curriculum of this particular
course.

Very
Much
Somewhat A
Little
Not At
All

2. Please circle the answer that best indicates the degree to which the teaching guide was helpful:
Very Much Somewhat A Little Not At All
3. Why was that?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Real Cases Project: Faculty Feedback Survey

252

4. How difficult did you find it to integrate the case studies into this particular course? (Please circle one)
5. Why was that?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
6. What strategies/activities worked best in your class?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
7. What strategies/activities did you find did not work when your tried them?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
8. Please describe if, and/or how you used the cases in the classroom; how might you have used it differently if you
were planning now? (Please feel free to attach another page if needed, and/or any documents used in class)
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

9. Are you willing to have your answers posted as part of the teaching guide on the web? Please note that your
feedback will be posted without your Name and Institution, but will indicate the course identified.
Yes ___________ No ____________
Real Cases Project: Student Feedback Survey

253

Real Cases Project:
Integrating Child Welfare Content Across the Social Work Curriculum

STUDENT FEEDBACK SURVEY

Dear Social Work Student,
Thank you for taking the time to complete this brief survey. We are interested in your feedback about the use of
the Real Cases Project materials in this course this semester. Your responses will help the Social Work Education
Consortium of New York to further develop this educational effort. You do not have to provide your name. We ask
you to provide your courses name and your educational program/school. Your professor will collect these feedback
surveys and send them to us, so anonymity and confidentiality is limited. Alternatively, you can complete the
feedback survey at: http://socialwork.adelphi.edu/realcases. Your participation is voluntary, and there are no
consequences to deciding not to participate. You can choose not to complete the feedback survey, and can choose
to answer some questions and not others.
Please feel free to contact Carol S. Cohen, Adelphi University School of Social Work at 516/877-4427 or at
[email protected] with any questions or concerns. Submission of this feedback sheet serves as your consent to
participate in the evaluation. Thank you for your participation Carol S. Cohen, Real Cases Project Chair

School: ________________________________ Semester/Year: ______________________________
Course: ________________________________
1. Please circle the answer that best indicates the degree to which the use of the case studies and related activities
helped achieve the following objectives:

Understand the dynamics of a large public organization, and
how external and internal systems affect practice.

Very
Much
Somewhat A
Little
Not At
All
Ability to implement and adapt direct and indirect practice
strategies to changing organizational conditions.

Very
Much
Somewhat A
Little
Not At
All
Identify innovative practice models for use in public child welfare,
which can be incorporated into work in other fields of practice.

Very
Much
Somewhat A
Little
Not At
All
Enhance ability to connect classroom and field learning
environments, particularly for students involved in public child
welfare as well as those without experience in this field of
practice.
Very
Much
Somewhat A
Little
Not At
All

2. Please circle the answer that best indicates the degree to which learning was enhanced by the use of the case
studies in this class:
3. Why was that?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
Real Cases Project: Student Feedback Survey

254

4. What are your suggestions regarding how the case studies could be used in this course in the future?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
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5. Have you heard about any of the cases in any other courses?
Yes ________ No _________

If Yes, in which course(s)?
___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________

6. Are you willing to have your answers posted as part of the teaching guide on the web? Please note that your
feedback will be posted without your Name and Institution, but will indicate the course identified.

Yes ___________ No ____________

Real Cases:
Across the

APPENDICES & RESOURCES

Ervine Kimerling, Heide Gersh Rosner & Selina Higgins
Contributors
New York City Administration for Childrens Services

Five Key Commitments of the Administration for Childrens
Services
Childrens Services Domestic Violence Protocol
Creating a Domestic Violence Safety Plan
Childrens Services Domestic Violence Screening Tool
Working with Parents Experiencing Domestic Violence
Childrens Services Policy Regarding Kinship Care
Legal Issues: Removal Flow Chart
A Trip through Family Court

John B. Mattingly
Commissioner

Valerie Russo
Deputy Commissioner

Ervine Kimerling
Executive Director

Division of Quality
Assurance
James Satterwhite
Academy
492 First Avenue -5
th

Floor
New York, NY 10016

646-935-1301 tel
646-935-1583 fax


ChildStat is the Childrens Services staff accountability initiative introduced in July
2006 to continuously monitor child protection cases and performance data from
those families that are the subjects of abuse and/or neglect allegations. Key
indicators are tracked relating to staff performance, outcomes for children and
families and decisions made. The goal is to improve agency and staff performance
on decision making and practice to keep children safe.

ChildStat occurs on a weekly basis with senior management from across Childrens
Services in attendance. Child Protective staff (Borough Commissioners, Child
Protective Managers, Child Protective Specialist Supervisors II) present a case
chosen according to agreed upon criteria by Quality Improvement. The purpose is
to review case practice, learn what areas need to be strengthened and hold agency
leaders accountable for making necessary changes.

During each ChildStat session the ACS commissioner, Deputy Commissioner for
the Division of Child Protection and Associate Commissioner for Child Protection
pose questions to the team responsible for the case, who respond along with their
key managers. Follow-up actions are then specified based on observations and
assessments of strengths and weakness, as well as the need for interventions either
at a systemic or individual level.

The weekly session focuses on two general areas: (1) a review of data and
indicators for two geographic zones; (2) a review of two cases that are open for
investigation from those zones. Cases may be pulled from any of the twenty Child
Protection Borough Zones or from the Office of Special Investigations(OSI) which
investigates abuse/neglect allegations in foster care and for ACS staff. Emergency
Childrens Services (ECS) participates in the discussion when they have been
involved in some aspect of a case.

The data indicators convey information that allows managers to understand staffing
and caseload patterns in the zone. Data also conveys information concerning case
practice and profiles which focus on how well safety is assessed for each child, the
quality of engagement and practice with families and level of compliance with
mandatory regulations and tasks. The case samples allow the senior child protection
team to delve more deeply into actual case practice, to highlight strengths and
weaknesses and provide a learning laboratory to improve case practice in the
agency.

CM-736 (1 of 6)
REV. 11/08
CHILDRENS SERVICES
DOMESTIC VIOLENCE PROTOCOL
Every family with Childrens Services involvement must be assessed for domestic violence in
accordance with Childrens Services policy and standards. In addition, this protocol must be completed
whenever there are allegations of domestic violence on a child abuse and neglect report or whenever
domestic violence is identified or suspected during a CPS investigation.
Domestic Violence is a pattern of coercive tactics, including physical, sexual, emotional, economic,
and/or verbal abuse, and/or using the children to gain control over the adult victim with the goal of maintaining
power and control over the victim.
Domestic violence occurs among all class, race, religious, socioeconomic groups and in adolescent and same
sex relationships.
As many as 324,000 women each year experience intimate partner violence during their pregnancy. For 30%
of the women who experience abuse, the first incident occurs during pregnancy.
Studies suggest that in 30-60% of cases where women are being battered, their children also suffer from abuse.
One study found that 49% of abusive partners physically abuse children and that severely violent abusive
partners physically abuse children at 10 times the rate that non abusive caregivers do.
Studies suggest that children exposed to domestic violence are at an increased risk for emotional or behavioral
problems. Childrens responses vary from no symptoms to symptoms including: anxiety, withdrawal, sleep
disturbances, eating disorders, learning problems, hyperactivity, aggression and other disruptive behavior.
GUIDING PRINCIPLES
The preferred way to enhance childrens safety after the detection of domestic violence in their homes is to
support and help the victim protect themselves and their children while engaging abusive partners in services
and holding them responsible and accountable for their actions.
The primary need of domestic violence victims and their children is safety.
All members of the household should be interviewed separately. Do not confront the abusive partner with the
allegations in front of the victim or children.
Contact the Domestic Violence Police Officer (DVPO) in the precinct serving the case address to determine if
the police have responded to prior reports of domestic violence or child abuse/neglect.
Intervention should focus on safety planning for the victim and the children and holding the abusive partner
accountable. A thorough assessment must be conducted in each case and options must be explored with the
victim that would ensure the safety of the victim and the children including the removal of the abusive partner.
(Information about safety planning and community resources is provided in the Casework Practice Guide, page
22-23 & Appendix F).
Services must be offered to family members whether they choose to remain in the household or separate.
Consult the Supervisor, Domestic Violence Specialists and Family Court Legal Services for additional guidance.
Referrals for emergency shelter, services and information are provided through the following hotline
numbers:
NYC Domestic Violence 24-Hour Hotline (Safe Horizon) (800) 621-HOPE (4673)
NYC Domestic Violence 24-Hour Hotline (Safe Horizon) (800) 810-7444-TDD (For the Hearing Impaired)
NYS Domestic Violence 24-Hour Hot Line (800) 942-6906 (English) (800) 942-6908 (Spanish)
NYC Gay and Lesbian Anti-Violence Project (212) 714-1141 (24 hours)
Crime Victims Hotline (Safe Horizon) (212) 577-7777 (24 hours)
Due to the high volume of victims needing emergency domestic violence shelter, there may be no
vacancies. Families may then be referred to the Department of Homeless Services (DHS) Prevention Assistance
for Temporary Housing (PATH) and / or Project NOVA (No Violence Again). PATH/NOVA only serves families with
children and pregnant women. Services are provided on site at:
PATH/NOVA (24 HOURS)
(917) 521-3000 or (917) 521-3965
346 Powers Avenue
Bronx, NY 10454-1613
CM-736 (2 of 6)
REV. 11/08
Part I of III
INTERVIEWING THE VICTIM
Conduct interview privately and provide appropriate language interpreter.
Do not share victims responses with suspected batterer or other family members.
The victim and children may be afraid to disclose the abuse because of fear of the abusive partner or of
removal of the children.
Reassure the victim that they have a right not to be hurt, they are not alone, they are not to blame and the
caseworkers will assist in safety planning and obtaining other needed services.
A. IDENTIFYING DOMESTICVIOLENCE
1. What is the relationship of the victim to the abusive partner? ____________________________________
2. Has your partner prevented you from going to work, school or place of worship? Yes No
3 Has your partner destroyed your possessions or things of value to you? Yes No
4. Has your partner controlled your money, monitored your activities, tracked your
whereabouts or constantly called or paged you? Yes No
5. Has your partner accused you of being unfaithful, acted jealous or followed you? Yes No
6. Has your partner ever made you feel unsafe or afraid? Yes No
7. Has your partner threatened to injure/kill you, him/herself or other family members? Yes No
If yes, describe: _________________________________________________________
8. Has your partner ever: Hit you Slapped you Punched you Kicked you
Choked you Burned you Attacked you with a weapon or object
Forced or pressured you to have sex against your will Other
Describe: _______________________________________________________________
9. Has the abuse become more frequent or more severe in recent weeks/months? Yes No
10. Does your partner use drugs and/or alcohol? Yes No
11. Does your partner have a mental health problem? Yes No
B. ASSESSMENT OF SAFETY / RISKTOTHE CHILD(REN)
1. Has your partner threatened to hurt, kill you or the child or remove the child from the home?Yes
No
2 Have the children witnessed your partner hurting you Yes No
3. Has your partner hit the child with belts, straps, hand or other objects leaving marks, bruises, welts, or
other serious injuries? Yes No
4. Has your partner assaulted you while you were holding the child? Yes No
5. Has your partner touched the child in a way that made you or the child uncomfortable? Yes No
6. Is your partner the father/mother of the child? Yes No
7. Is your partner employed? Yes No
CM-736 (3 of 6)
REV. 11/08
8. Has your child exhibited physical, emotional, behavioral problems at home,
school or daycare? Yes No
9. Do you find you have to use physical punishment to get your child to behave? Yes No
If yes, describe: _________________________________________________________
10. Has your child ever threatened or tried to hurt him/herself, pets, or destroy possessions? Yes No
11. Is your child anxious and fearful of leaving you? Yes No
12. Have you noticed other changes in your childs behavior (sleeping, eating,
playing, phobias, withdrawal) Yes No
If yes, describe: _________________________________________________________
C. VICTIMS HELP-SEEKING AND SUPPORTIVE RESOURCES
2. What has worked in the past to protect you and the child/ren?
Describe: _______________________________________________________________
2. Have you ever left home to protect yourself and the child/ren? Yes No
(Where did you go? Were you able to take the children? How did the abusive partner react?)
Describe: _______________________________________________________________
3. Have you ever thought about asking the abusive partner to leave home? Yes No
4. Who have you asked for help? (Family, Friends, Police, Social Worker, Court, Clergy, Other)
Describe: _______________________________________________________________
5. What other actions have you taken? (Counseling for yourself/children, pressed charges, Order of
Protection, moved, shelter) What was the result?
Describe: _______________________________________________________________
6. You know your situation best, is there anything you think might be a workable plan for your
and the childs safety now? (Document in CPRS and highlight as sensitive, do not disclose) Yes No
If yes, describe: _________________________________________________________
7. Do you want assistance from Childrens Services in seeking counseling services, an Order of
Protection,
emergency residence or other services for you and the child? Yes No
If yes, describe: _________________________________________________________
8. Are there economic concerns regarding leaving the abusive partner, staying with a friend
or family member temporarily or seeking temporary shelter?
Describe: _______________________________________________________________
CM-736 (4 of 6)
REV. 11/08
D. SAFETY PLANNING
A Safety Plan is an immediate response to ensure safety for the victim and children. The worker will
assist the victim in developing a safety plan. It is vital to consider the victims past experience with help-
seeking, and to acknowledge that ending the relationship or setting limits with the abuser may
Increase Danger in the short-term. It may be unsafe for the victim to write down the safety plan if she lives
with the abuser; if so, the victim should memorize the plan. The CPS must document the Safety Plan in
the CPRS and highlight as sensitive information.
Important Factors to Explore
Cues that precipitated past domestic violence incidents (alcohol, drugs, stress, arguments, weekends,
nights, etc.) Discuss with the victim, the abusive partners work schedule and location, social network and
patterns.
Discuss the safest way to contact the family for future visits?
Discuss what s/he will say if the abusive partner suspects that the victim may be leaving or getting
support regarding the domestic violence.
Help identify who the victim can call or go to for help in an emergency (number, address)
Help identify where the victim can go for help if there is an emergency, including NYPD and hospitals
(number, address) and provide the 1-800-621-HOPE (4673) 24-hour DV Hotline number.
Discuss what can be done legally (Orders of Protection, calling police and or parole/probation officer,
meeting with District Attorney if charges are pending).
If there is a current Order of Protection, make sure school, day care, neighbors, baby-sitters are
aware/have a copy. Ask neighbors to call police if the abusive partner is seen; contact local D.V. P.O. to
discuss other strategies.
Access to important items for victim and children (keys, birth certificates, social security, medication,
money, etc.)
Offer to help victim obtain a cell-phone programmed to dial 911 (contact the Deputy Director of
Administration for your field office).
Discuss available services (Family Violence Prevention Program, PPRS, Alternatives to Shelter Program,
Non-Residential DV Programs, Community, Shelters, etc.) (Refer to Case Practice Guide, Appendix F).
Complete Part II (separately from Part I to ensure that the alleged abusive partner does not see
the victim and childrens responses). (Refer to the specific directions at the top of each section).
After the interviews are completed the entire document must be combined and maintained in the
case record.
CM-736 (5 of 6)
REV. 11/08
Part II of III
SUSPECTED ABUSIVE PARTNERS INTERVIEW
Conduct interview privately.
Do not share victims responses with suspected batterer or other family members.
If suspected perpetrator poses immediate danger to victim or child(ren), delay interview until safe to do so.
If suspected perpetrator is a potential danger to worker, consult supervisor and domestic violence specialist
regarding worker safety prior to conducting interview. Arrange to interview at Childrens Services office and/or
with police at a precinct.
1. Tell me about your relationship: __________________________________________
___________________________________________________________________
2. How long have you been together? _______________________________________
___________________________________________________________________
3. How does your family handle conflict? What do you usually argue about? ________
___________________________________________________________________
4. What do you do when you are angry at your partner? ________________________
___________________________________________________________________
5. What kinds of things do you expect from your partner? From your children? ______
___________________________________________________________________
6. What do you do when they dont meet your expectations? ____________________
___________________________________________________________________
7. Have you ever hurt anyone in your family? Yes No
In what way? ________________________________________________________
8. Have you ever been told your temper or behavior is a problem? Yes No
By whom? __________________________________________________________
9. Have the police ever been called to your home during an argument? Yes No
Describe: ___________________________________________________________
10. Has anyone ever sought an order of protection against you? (Current or former partner) Yes No
Issuing court: Effective date: ____ /____ /____ Expiration date: ____ /____ /____
11. Have you sought an order of protection against anyone? Yes No
Describe ____________________________________________________________
12. Are you currently on probation or parole? Yes No
Explain: ____________________________________________________________
13. Has your partner ever left home or asked you to leave following an argument? Yes No
Describe: ___________________________________________________________
14. Do you believe you have a problem with abusive behavior? Yes No
15. Are you willing to attend an educational program for abusive men (women)? Yes No
CM-736 (6 of 6)
REV. 11/08
Part III of III
A. OVERALL CASE ASSESSMENT
A strong correlation exists between domestic violence, substance abuse and mental health.
An integrated assessment is necessary (refer to the Case Practice Guide)
1. The children may be unsafe or at risk if the victim answers "YES" to any of the following questions:
Part I, Section A, questions 7, 8, and/or Part I, Section B, questions 1, 3, 4.
Actions: Assess immediate danger to the children and adult victim. Consider severity of violence, extreme
imbalance of power, isolation, pattern of escalation, use of or access to weapons, nature of threats of harm to
victim and children, suicidality, substance abuse, mental health of batterer and obsessive control. If the victim and
children are in immediate danger from the batterer, inform and assist the victim in developing a safety plan, such
as family supports, emergency shelter, legal services etc. If the parent/caretaker is not ready or unable to
accept necessary services to protect the children or is responsible for abusing the children, or the
offenders behavior renders services insufficient to protect children from immediate danger: Consult with
your supervisor and arrange for appropriate interventions to protect the children.
2. If the allegations are substantiated and the victim and children are not in immediate danger
of physical injuries but would benefit from support services:
Actions: Discuss your observations and assessment with the victim and explore available options. Most
importantly, discuss safety planning, and inform the victim about appropriate community resources. If the victim is
reluctant, reiterate your concern for her/his safety and the safety of the children and continue to inform parent
about available options and services. Consider the victims cultural context, religious beliefs, and prior experiences
with help-seeking in developing the service plan. Also assess for and address any substance abuse or mental
health difficulties the victim may be experiencing (i.e. depression, severe anxiety). Consult your Supervisor,
Domestic Violence Specialist, Family Violence Prevention Program and PPRS Liaison for appropriate resources
and service planning. If parent/caretaker refuses needed services for children: Request case conference with
supervisor, clinical consultation team/domestic violence specialist, and/or DLS consult.
3. If the allegations of domestic violence and/or risk to the child(ren) are not clear because
you believe the victim and/or family members are denying or minimizing the abuse:
Actions: Request case conference with supervisor, consult clinical consultation team/domestic violence
Specialist, FVPP/ PPRS Resource Consultant/Liaison
B. ACTIONSTAKEN (Reminder: On all cases, contact DVPO for additional information, if available).
Based on your assessment, what actions have you taken?
Supervisory case conference and/or DLS consult
Consulted Domestic Violence Specialist and or Clinical Consultant Team
Referred to FVPP-PPRS Resource - Consultant \ Liaison
Referred to hotline for community based services and Alternatives to Shelter Programs
(excluding PPRS)
Assistance with family and/or criminal court order to remove the batterer
Contacted police, parole, probation and/or district attorneys office
Referred to battered womens residence
Referred abusive partner to batterers intervention program
Emergency removal of child(ren)
Other services (specify): ______________________________________________
Caseworker: ____________________________________________________ Date: ____ /____ /____
Supervisor II: ____________________________________________________ Date: ____ /____ /____
CH LDREN' 8 8ERV CE8 CP8 CORE PRACT CE CURR CULUM MODULE TWO
2008 CDHS/Fr/ FounJ/|on o SU^Y/BSC MoJu/ 2 Un|/ C2 (08/08) 1
F.|J |y [S+ (07/01/08)

Salcty Ianning is about hcIing thc victim to iucntily hci otions to minimizc thc
uangci to hciscIl anu hci chiIuicn.
t is an immcuiatc icsonsc' that wiII cnsuic salcty loi thc victim anu thc chiIuicn.
1his hanuout contains basic inloimation that you nccu to gathci anu cxIoic with thc
auuIt suivivoi in uomcstic vioIcncc cascs to cicatc a Ian loi hci salcty anu to iomotc
thc salcty ol thc chiIuicn.
1. ucntily any cucs that icciitatcu ast uomcstic vioIcncc inciucnts (c.g., aIcohoI,
uiugs, sticss, aigumcnts, wccIcnus, nights, ctc.)
Examp/e: WoiIci iucntilics with thc suivivoi that most inciucnts ol hysicaI abusc occui on thc
wccIcnus whcn hci aitnci is unuci thc inlIucncc ol uiugs oi aIcohoI.
2. Discuss with thc suivivoi thc abusivc aitnci's woiI schcuuIc anu Iocation, hci woiI
schcuuIc anu Iocation, his sociaI nctwoiI, hci sociaI nctwoiI, anu any iucntilicu
attcins ol intciaction bctwccn his cmIoymcnt, hci cmIoymcnt oi thcii sociaI
nctwoiIs that might contiibutc to hci salcty
Examp/e: WoiIci anu suivivoi iucntily that hci abusivc aitnci, whom shc is cuiicntIy
scaiatcu liom, Inows thc usuaI ioutc shc taIcs homc liom woiI. 1hcy iucntily an aItcinatc
ioutc to iomotc hci salcty, as hc has staIIcu hci in thc ast.
3. Asscss with thc suivivoi what has woiIcu in thc ast to iotcct hci anu thc chiIuicn.
Examp/e: n thc ast, shc has Iclt him anu wcnt into hiuing in a shcItci. 1his woiIcu untiI hc
lounu hci altci a icIativc shc uiscIoscu hci Iocation to thcn uiscIoscu it to him.
4. Discuss thc salcst way to contact thc lamiIy loi lutuic visits
Examp/e: 1hc woiIci anu suivivoi agicc that thc woiIci shouIu onIy contact hci via honc at
hci Iacc ol cmIoymcnt, anu not at thc suivivoi's homc.
b. HcI iucntily who thc suivivoi can caII oi go to loi hcI in an cmcigcncy (i.c.,
numbci, auuicss).
Examp/e: 1hc woiIci anu suivivoi iucntily hci sistci who Iivcs out ol statc as a icsouicc shc can
go to il ncccssaiy. 1hcy aIso iucntily a ciisis intcivcntion hotIinc.

Creating a Domestic VioIence Safety PIan
2008 CDHS/Fr/ FounJ/|on o SU^Y/BSC MoJu/ 2 Un|/ C2 (08/08) 2
F.|J |y [S+ (07/01/08)

6. HcI iucntily whcic thc suivivoi can go loi hcI il thcic is an cmcigcncy.
Examp/e: 1hc woiIci anu suivivoi iucntily that shc can contact thc NYPD anu aIso go to a
IocaI hositaI il ncccssaiy. 1hc woiIci ioviucs hci with thc numbcis anu auuicsscs loi thcsc
icsouiccs anu thcy uiscuss how shc wiII gct thcic (such as having moncy sct asiuc loi a taxi oi
caIIing loi a oIicc cscoit oi an ambuIancc).
7. Discuss what can bc uonc IcgaIIy to iotcct thc suivivoi anu chiIuicn liom vioIcncc.
Examp/e: 1hc woiIci ioviucs thc suivivoi with inloimation about gaining an Oiuci ol
Piotcction, caIIing oIicc anu oi thc abusivc aitnci's aioIc/iobation ollicci, mccting with
Distiict Attoincy, il chaigcs aic cnuing).
S. Discuss with thc suivivoi thc nccu to shaic thc cxistcncc ol oi cvcn a coy ol any
cuiicnt Oiuci ol Piotcction with thc chiIuicn's schooI, uay caic, ncighbois,
babysittcis, ctc. aic awaic/havc a coy. Havc thc suivivoi asI ncighbois to caII
oIicc il thc abusivc aitnci is sccn. AIso suggcst that thc suivivoi contact thc IocaI
Domcstic VioIcncc Picvcntion Ollicc to uiscuss othci stiatcgics to iomotc hci
salcty anu that ol hci chiIuicn.
9. Discuss thc suivivoi's acccss to imoitant itcms loi hciscIl anu thc chiIuicn (Icys,
biith ccitilicatcs, sociaI sccuiity, mcuication, moncy, ctc.). PIan with thc suivivoi to
hiuc a bag with thcsc imoitant itcms in it in casc shc nccus to Icavc uigcntIy.
10. Ollci to hcI thc suivivoi obtain a ccII-honc iogiammcu to uiaI 911.
Examp/e: 1hc woiIci contacts thc Dcuty Diicctoi ol Auministiation loi his licIu ollicc to
obtain a honc loi thc suivivoi.
11. Discuss avaiIabIc sciviccs loi thc suivivoi.
Examp/e: 1hc woiIci uiscusscs thc amiIy VioIcncc Picvcntion Piogiam, PPRS, AItcinativcs to
ShcItci Piogiam, Non-RcsiucntiaI DV Piogiams, community shcItcis, ctc., with thc suivivoi anu
asscsscs hci icauincss to utiIizc thcsc sciviccs.
1-800-621-HOPE

Creating a Domestic VioIence Safety PIan
CM-737
Rev. 11/08
CHILDRENS SERVICES
DOMESTICVIOLENCE SCREENINGTOOL
Domestic Violence screening is required for all families with Childrens Services involvement, regardless
of allegations. If the answer is yes to any of the questions below, complete the DV Protocol. Interview
household members separately. The suspected batter should not be confronted in front of the victim or
children. The safety of the victim and children is paramount. Engage victim in safety planning and
explore options on how to hold the batterer accountable. Consult with Supervisor, DV Specialist and the
appropriate Childrens Services or agency legal staff.
Check the left-hand box if any of the conditions apply. Document on the right the name of the person
being interviewed and any other comments.
Check here if none of the conditions apply:
Would you describe your partner (Paramour, Significant Other) as?
Jealous
Controlling
Has your partner?
Made you feel unsafe
Made you feel afraid
Interfered with you ability to parent
Threatened you
Hit you
Hurt you
Child Protective Specialist observation of the household that may suggest domestic violence:
History of Domestic Violence:
Parent reports incident of Domestic Violence
Police Involvement
Prior or Current Order of Protection
Prior CPS Reports with allegations of Domestic Violence
Information from other sources, i.e. Medical, Community Service Provider, DV Provider, etc.
If domestic violence is present, complete the Childrens Services Domestic Violence Protocol
and summarize safety plan and course of action.
2008 CDHS/Fr/ FounJ/|on o SU^Y/BSC MoJu/ 2 Un|/ C2 (08/08)
F.|J |y [S+ (07/01/08)
Child Safety Alert
From Commissioner John B. Mattingly
and Executive Deputy Commissioner Zeinab Chahine
#12 REISSUE
June 12, 2006

Working with Parents Experiencing Domestic Violence: Child Safety
Depends on Careful Assessment and Intervention
(Please note that this is a reissue of Child Safety Alert #12. The original version
included attachments that contained serious errors.)
When child abuse or neglect occurs in a family, domestic violence is a factor 30 to 50% of the time,
according to national research. Domestic violence poses particular challenges for child welfare staff,
and requires diligent assessment, safety planning and service delivery. Collaboration with clinical
consultants and domestic violence service providers is essential. This safety alert provides a review of
case practice expectations in the area of domestic violence. For further guidance, child protective
staff is urged to refer to the Domestic Violence Protocol, appropriate sections of the Casework
Practice Guide and domestic violence training materials distributed by Satterwhite Academy and the
Office of Domestic Violence Policy and Planning, attached. Domestic Violence Consultants in the field
offices are an important resource for this work, and should be consulted on cases involving
allegations of domestic violence.
Assess for Safety and Risk in Domestic Violence Cases
Child protective specialists are expected to conduct universal domestic violence screening
for all CPS investigations regardless of allegations, as described in the Case Practice Recording
Template. Domestic violence screening should be conducted in private - never in the
presence of the caregiver's partner or other family members. Assessment for
domestic violence or other safety factors must be ongoing and not limited to the
initial investigation.
If screening suggests that domestic violence may be present, or if domestic violence is alleged
or suspected, the Domestic Violence Protocol should be used as an interviewing tool with
both the suspected victim and the suspected abuser. It is important to complete all sections of
the protocol including Part 1: Interviewing the Survivor; Part 2: History of Survivors Help-
Seeking Behaviors; Part 3: Suspected Abusive Partner (Suspected Batterers) Interview.
Always interview family members separately.
When interviewing abusive partners, it is important to plan ahead regarding the victims
safety. The victims statements should not be revealed to the abuser, and there should be a
safety plan in place for the victim and children prior to the abusive partners interview.
When interviewing clients with limited English proficiency regarding domestic violence, as in all
child welfare work, it is important to use qualified, professional interpreters. Family members,
friends or other members of the familys network should never be used to interpret child
welfare interviews.
Exposure to domestic violence does not, in and of itself, constitute abuse or neglect. Rather,
we must assess and document whether domestic violence in the home has led to actual harm
or specific risk of harm to the child(ren). For more, see Frequently Asked Questions, attached.
F.|J |y [S+ (07/01/08)
In assessing safety and risk, the following behaviors by abusive partners should be considered
indicators of heightened risk to both the adult victim and the child(ren):
o Use of or threats with a weapon
o Access to or possession of a gun
o Threats to kill the survivor or children
o Stalking behavior including following the victim(s), telephone harassment, pursuit or
surveillance.
o Control of most or all of the survivors daily activities
o Unemployment (While unemployment is unlikely to cause abuse in someone who was
not previously abusive, it may make a batterer more dangerous because he/she has
less to lose.)
o Causing serious physical injury
o Choking or strangling the survivor, or attempting to do so
o Sexual assault
o Drug use
o Frequent and/or heavy drinking
o Abuse during pregnancy
o Violent or extreme jealousy
o Suicide threats or attempts
o Violence outside the home
o Injuries to children
o Serious acts of violence in front of child(ren)
In Addition, the Impact of Domestic Violence on the Children Must Be Assessed:
o Are the children showing signs of serious emotional distress that appear to be
connected to domestic violence? For example, did symptoms such as bedwetting or
behavioral problems begin or escalate following a violent incident?
o Has domestic violence contributed to neglect of the child by either parent (e.g., missing
school, lack of supervision, inadequate food or clothing, etc.)?
o As part of the assessment, be sure to obtain any Domestic Incident Reports
from the NYPD, and obtain copies of any Orders of Protection from the
survivor.
Engage the Survivor and the Abusive Partner
Focus on engaging the survivor as well as the abusive partner and work collaboratively with
each partner to keep the children safe.
Create (an) individualized safety plan(s) for survivor(s). Remember, new safety planning is
required when there is a change in danger and/or risk. Please note that survivors face
increased danger of harm and retaliation when leaving an abusive relationship.
Elevated Risk Conferences are an important tool for establishing appropriate safety
interventions for the family. Always hold separate Family Team Conferences for the
survivor and abusive partner when domestic violence is suspected or identified.
Domestic violence consultants are available to assist in preparation for such
conferences, as well as to participate in the conferences directly.
Focus on Batterer Accountability
Engage the abusive partner in services, as he/she must be held responsible for violent
F.|J |y [S+ (07/01/08)
behavior. Reinforce that the abusive partners behavior has a significant impact on childrens
well-being, and only he/she can stop the violence.
Send a clear message to abusive partners that they are responsible for their violent
behavior and that such behavior can place children at risk. Reinforce that violence against
family members is unacceptable and wrong. Seek to hold the batterer accountable through the
Family Court, and through collaboration with the police and District Attorneys offices wherever
possible and appropriate.
Refer abusive partners to batterer intervention programs. Referrals to anger
management, mediation or couples counseling will not address abusive partners violent and
coercive tactics and are therefore inappropriate. While some abusive partners may need
mental health treatment, this is not a substitute for an accountability-oriented batterer
intervention program, but may be provided in conjunction with such a program. Domestic
violence consultants can be helpful in making appropriate referrals.
Precisely document who is responsible for the violence in the home, and any
resulting harm to children. Name the specific coercive, controlling behaviors that the
abusive partner has exhibited, and describe how these actions have affected the children.
Document any specific and present danger(s) to children that may result from the domestic
violence. Indication decisions and narratives should reflect an emphasis on batterer
accountability; the victim must not be held accountable for the abusers behavior.
Preserve the victim's confidentiality. Use the utmost care to avoid revealing information
that may endanger the victim, such as a domestic violence shelter location or other
confidential addresses, details of his or her safety plan, timing of child visits or the identity of
the victims domestic violence advocate/counselor. When such information is requested in
court proceedings, work with the Family Court attorney to inform the Court that revealing such
information may pose a threat to the victim and/or children. When confidential information
must be included in the case record make sure to identify it as such by writing clearly in the
record "Confidential Information Due to Domestic Violence - Do Not Share.
Explore the continuum of safety interventions to increase safety. There are many
different resources available to assist survivors of domestic violence and their children,
including services that help protect families in their own homes. Always consult with
supervisor(s). In domestic violence cases involving one or more of the risk factors listed
above, seek a domestic violence consultation for assistance with safety and service planning
for all members of the family.
Collaborate with:
Clinical Consultation Teams and Family Court Legal Services when appropriate.
The Children's Services Office of Domestic Violence Policy and Planning (212/341-0408
or 0409) for additional support including access to the Domestic Violence Emergency
Fund and/or assistance in finding immediate shelter for families.
Instant Response Team Coordinators and the NYPD Domestic Violence Prevention
Officers, to obtain Domestic Incident Reports and address safety needs of the family.
The 24 hour Domestic Violence Hotline: 800/621-HOPE (4673).
Remember - if the survivor, children and/or you are in immediate danger, always call 911.

F.|J |y [S+ (07/01/08)

For additional guidance, refer to the attached Domestic Violence Guiding Principles and
Frequently Asked Questions and to the appropriate sections of the Casework Practice
Guides.

You can also find the attached files at: http://10.239.3.195:8080/docushare/dsweb/View/Collection-
774
Childrens Services CPS Core Practice Curriculum Module Two

@ 2008 CDHS/Research Foundation of SUNY/BSC Module 2 Unit D4 (12/08)
Child Safety Alert
From Executive Deputy Commissioner Zeinab Chahine
# 9
March 30, 2006

During the course of a CPS investigation, parents/caretakers may make arrangements with family
members or friends to provide a temporary, short-term safe home for the children. These informal
arrangements must not be considered long-term or permanent solutions to address the safety or
risk to the children.
A relative or family friends willingness to file for custody of a child who is the subject of a child
protective investigation should not be the determining factor for CPS or FCLS when they are
deciding whether to file an abuse or neglect petition in Family Court. If CPS learns during a child
protective investigation that family members or friends have already stepped in or are willing to step
in to care for the children, CPS should consider whether the relative or friend may be an appropriate
kinship foster parent.
Encouraging family members or friends to file a custody petition instead of filing a neglect
petition is an appropriate option for CPS staff to recommend only in exceptional
circumstances. Custody should not be recommended when the family member or friend would not
qualify as a foster parent due to a child abuse, neglect or criminal history. Exceptional
circumstances may exist if all of the following conditions are present: (i) there are no child protective
concerns regarding the relatives or friends who are seeking custody; (ii) it is determined after review
with an FCLS consulting attorney that there is no basis to file an abuse or neglect petition against
the parent or caretaker; and (iii) the parents and relatives or friends agree to the custody
arrangement. Exceptional circumstances may also exist if the abuse and neglect allegations are
unfounded against the parents. In these circumstances, the relatives or friends service needs must
always be identified and addressed.
CPS staff may not recommend that a relative or family friend file for custody during the
course of a child protective investigation without obtaining the expressed approval of their
Child Protective Manager. Prior to granting such approval, the CPM will ensure that the CPS and
their Supervisor II reviewed the decision to make the custody recommendation with an FCLS
consulting attorney.
While relatives and family friends may intend to protect the child(ren) in their temporary care, CPS
must consider in each case whether the children have been neglected or abused by their parent(s),
who are legally required to care for them safely. If either parent/caretaker has demonstrated an
inability to care for their child(ren) safely, it is Childrens Services obligation to determine whether
the child(ren)s parent(s)/caretaker(s) could benefit from the provision of services and whether
Family Court intervention is necessary.
Unless the underlying neglect or abuse is addressed, child(ren) may remain at risk while in the
custody of a relative or family friend. Childrens Services must take all available steps to eliminate
this risk to children. Parents may demand that a relative or family friend return their child(ren), and
the relative or friend may feel that they have to return the child even though they have a court order

that gives them legal custody. A relative or family friend may become unable or unwilling to continue
caring for the child(ren). In either case, children may be returned to their parents without the parents
having received necessary services because Childrens Services failed to pursue a neglect or abuse
case. It is critical to the safety of the children that this be avoided. Once ACS files a neglect or
abuse case, the Family Court retains the option to release the children to their parents with ACS
supervision or to release the children to the custody of a relative or family friend with ACS
supervision.
Staff should consult with their supervisor and manager when considering whether to recommend
that a relative or family friend file for custody of a child during a child protective investigation. Thank
you for your cooperation.


Child Safety Alert
. From Commissioner John B. Mattingly
#15
June 26, 2006

Childrens Services Policy Regarding
Kinship Care
Childrens Services is committed to ensuring that when children need out-of-home care,
every effort is made to place them with kinship resources, including relatives and other adults
who already have a significant relationship with the child or family. Of course, all caregivers
including relatives must be willing and able to keep the children safe.
The Kinship Guidelines update Childrens Services policy regarding kinship care. Note that
ACS and its partner agencies now have expanded responsibilities under New York law to
identify and seek appropriate kinship caregivers.
It is Childrens Services responsibility, with the help of our child welfare partners, to keep
children connected with their families and communities. As you know, kinship placements
can reduce the trauma experienced by children entering foster care and offer permanency
options for children moving from residential or group care into a family setting.
When children enter care, it is particularly important that Child Protective Services (CPS)
staff interview all family members including the child in order to identify adults with whom
the child has a significant relationship and who may be able to serve as a kinship placement
resource. It is imperative for CPS staff to seek to identify appropriate kinship caregivers and
to immediately conduct emergency home studies to initially place children with caregivers
with whom they are already connected.
In addition, foster care providers must continue to make every effort to identify appropriate
kinship placement resources at the time of placement and at any appropriate time during the
childs out of home placement.
The guidelines are available on the intranet at http://nycacs. Click on News then Child
Safety Alert Newsletters.

ACS/Satterwhite Academy CPS Core Phase II PD Legal Handouts (03/09)
LegaI Issues
REMOVAL FLOWCHART

The Constitution of the United States of America and the law of the State of New
York prohibit the interference with parental rights absent the consent of the parents
or a court order except in exigent circumstances. When considering whether it is
appropriate to remove a child from his or her home, a child protective agency must
employ the following analysis:

Is There Imminent Danger To the Life or Health of the Child?
(If Not, No Removal of Any Kind Can Be Made)

Can Reasonable Efforts Be Made
To Prevent or Eliminate the Need for Removal?
(E.g.: provision of services, removal of perpetrator from the home,
alternative living arrangements, additional safety measures)

If Not, Will Parent Consent to the Removal?
(Written, Informed Consent Required)
FCA 1021

If Not, Is there Time to File A Petition and Hold a 1027 Hearing?
(Notice to Parent Required)

If Not, Is There Time to Make an Application for a Pre-Petition Removal Order?
FCA 1022
(Notice to Parent Required Pursuant to 1023)

If Not, Is This an Emergency?
If So, And There Is No Time for Any of the Above, Emergency Removal Can Be Made.
(Petition To Be Filed No Later Than Next Court Day)
FCA 1024
(Note: Childrens Services must keep in mind that, in every case, the court must determine whether a
removal, even if justified, would be in the best interests of the child, balancing the protective need against any
trauma the child might suffer as a consequence of the removal. See NY Court of Appeals decision in
Nicholson.) Chris Guardo/ACS

A TRIP THROUGH FAMILY COURT
INSTRUCTIONS:

You are a caseworker who has been asked by a judge to explain how a case travels
through Family Court. To do so, you must rank in sequence the following events. Place
number 1 by the first event, number 2 by the second event, and so on until all the items
are in order. You have already told the judge that you consulted with the Supervisor II
prior to going on the field investigation visit. You will have 10 minutes to complete this
phase of the exercise.

2 Consultations with Supervisor II

5 701B to Parent/Parents

12 Fact-Finding Hearing

3 Reasonable Efforts to prevent the Need for Removal

10 Remand Hearing

4 Emergency Removal

7 Develop Petition with DLS

9 Case Docketed

14 Court Placement

6 Complete W-865D

13 Dispositional Hearing

1 Imminent Danger to Child/Children

11 1028 Hearing

8 File Petition with Family Court Clerk

DOS__________________________

1. Be respectful of the judge. Say Your Honor. Know the judges name.

2. Get pictures or arrange for pictures to be taken. They may be needed as evidence.
3. Know your case. Be completely familiar with the case record.
4. Get names, titles, badge numbers and phone numbers of other agency
personnel. You just might need to contact them again.
5. Have a plan for your case. Remember your good case management skills.
6. Use free time in the waiting area to go over your case records and
notes and recall details relating to the case.
7. Discuss the case with your lawyer before you enter the courtroom and or testify.
8. Stick to the facts. Testify to what you saw, smelled, heard, touched or tasted.
9. Testify to what you know, not what you believe.
10. Tell the truth.
11. Bring the case record unless otherwise instructed by the Judge or your attorney. You may
need it to refresh your recollection or to submit the record as evidence.
12. Bring your date/calendar book. Youll need it to schedule your next court appearance.
13. Speak clearly during the hearing. Speak louder than you normally speak.
14. Project an image of objectivity.
15. If you give a wrong or unclear answer, correct it immediately.
16. Stop speaking when the Judge interrupts you or when another attorney objects to what you
are saying.

17. Know why you are in court, the goals you are trying to achieve, and the purpose of the
specific court hearing.
18. Be respectful to other court personnel. They can make your job a lot easier.
19. Read these Dos and Donts again.

HANDOUT
DONTS__________________________

1. Miss a court date. The only exception might be a catastrophic emergency, such as an
earthquake.

2. Tell the judge you wont answer a question.
3. Talk back to the Judge.
4. Act holier than your clients.

5. Memorize exactly what you are going to say. It will look staged if
you do.
6. Answer a question you dont understand. Have the question repeated if necessary.
7. Say I think and I believe. If you havent been qualified as an expert witness,
then dont say In my opinion.
8. Guess an answer to a question or be evasive. If you dont understand a question or dont
know an answer, say so.

9, Volunteer additional information when you testify. If an attorney wants more information, let
him/her ask for it.

10. Lie on the witness stand.
11. Exaggerate facts to make your case look better.
12. Personalize these proceedings. Dont take things personally.
13. Dress like a slob.
14. Forget your body language.
15. Act in an undignified manner, such as using loud laughter or foul language before
entering the courtroom.

16. Smoke or chew gum in the courtroom.

Real Cases:
Across the

USEFUL LINKS

NYC Administration for Childrens Services:
http://www.nyc.gov/html/acs/html/home/home.shtml

NY State Social Work Education Consortium:
http://www.ocfs.state.ny.us/ohrd/swec

Council on Social Work Education: www.cswe.org

Youth Success NYC: http://www.youthsuccessnyc.org/

New York State Mandated Training Related to Child Abuse:
http://www.op.nysed.gov/training/camemo.htm

Real Cases:
Across the

CONTACT INFORMATION

Carol S. Cohen, Real Cases Project Chairperson, Adelphi
University School of Social Work, [email protected]

Alexis Howard, Coordinator, New York City Social Work
Education Consortium, [email protected]

Ervine Kimerling, Executive Director of the James Satterwhite
Academy, New York City Administration for Children's Services,
[email protected]

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Integrating Child Welfare Practice

Childrens Services CPS Core Practice Curriculum Module Two

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