Thursday, March 12, 2015

SCEP Assessment Results & Action Plan Blog Post



"Self care is not about self-indulgence, it's about self preservation" 
-Audrey Lorde 
Before reading on:

THINK OF THE FOLLOWING

infographic
http://socialwork.buffalo.edu/resources/self-care-starter-kit/how-to-flourish-in-social-work.html


Introduction to Our Project

Self-care plays a vital role in the social work profession. Most social workers are working with vulnerable populations and people who have experienced abuse, neglect, discrimination, as well as people who suffer from disability and mental illness. As members of the social work profession, our group had the desire to research the students in the MSW program for their current level of self-care on the physical, emotional and spiritual level. As students in the MSW program, we are exposed to the stressors of the profession in practicum and sometimes even in the courses required for the program. 




SECTION 1

 1. Identify trends and patterns that appear within the text (i.e., answers to questions, similarly used words and/or phrases)

The survey we administered to The University of Utah’s Social Work Graduate students came directly from the University of Buffalo’sWebsite. According to the Universities self care site their initial project states that, "The Self-Care Starter Kit was initially developed for UB Social Work students, but it is our hope that these resources will be useful for students and professionals alike. " After examining the students at University of Buffalo's project we decided that we would like to do something similar. The results listed below show our initial findings from the University of Utah College of Social Work. 

We had a total of 53 students take the Stress and Burnout Questionnaire and the Burnout Prevention Assessment survey.  The Stress and Burnout Questionnaire had a total of 25 questions and each question was worth two points.   The closer a participant scored to 50 points, the more burned out they are. The mean score for the Stress and Burnout Questionnaire was 21 points.





The Burnout Prevention Assessment survey had a total of 23 questions. The total points a participant could score was 100 points.  The scale used for this survey was as follows:
Under 30 points – You should make adoption of some of these measures a priority.
Over 40 – You have adequate measures in place but should adopt more.
Over 60 – You have a wide range of preventative measures in place.
The mean score for this survey was 51.70 points




Analyzing the burnout survey, data reveals that the majority of students did not score on the extreme side of the scales. This could reveal two different things: either the students are experiencing lower to moderate stress levels or they are more stressed than the chart reveals, but they are using burnout prevention measures to manage and reduce their stress levels.  Since we did not have any previous scores to compare our data to we are using our data as a Benchmark for future comparison. 


2. Provide quotation to support assessment and various trends and patterns:

Newell (2014) states in his article on Teaching Professional Self-care that “Education and training on the use of professional self-care to properly address the emotional and psychological risks associated with working as a provider of social work services with vulnerable populations is an often overlooked issue in social work education” (Newell, 2014). After surveying several second year MSW students, we found that most of them were in the “healthy” levels in regards to their personal self-care and burn out while in the MSW program. There is several research discussing that social work students can not be effective social workers if lacking self-care and it is pleasing to see that the majority of social work students in the MSW program ranked themselves as “above average” on the self-care/burn-out survey.



Although our surveys portrayed positive feedback within the program, we feel it is still important to provide MSW students with resources and skills to effectively manage the stressors that come along with the profession. McGarrigle (2011) discusses the importance of mindfulness, self-care and wellness in the social work profession. He states, “Self-care practices implemented regularly may decrease the impact of the high levels of stress while also serving as strategies for coping during particularly stressful times” (McGarrigle, 2011). Although the majority of the students we surveyed ranked in the “normal” range, it is still important to take into account the students who scored below the average. Our group plans on putting together a “resource packet” for social work students that provides skills and information regarding self-care so that they can implement it and use throughout the rest of their career. Generally it is hard for people to practice any sort of self help skills when they are experiencing extreme stress and hopefully our resource packet will motivate them to practice the self-care techniques regularly, so they don't reach the point where they are too burned out to function. 


Section 2



1. Plan for addressing the issue/problem


In order to address the issue of burnout, our group has looked to social work programs that have successfully developed self-care programs, such as the University of Buffalo, that teach students self-care practices that social work students could engage in on a regular basis to reduce stress and improve their overall well-being. Our group plans to provide the social work students at the University of Utah some of the same education and resources. Using similar instruments and surveys to measure stress and self-care skills of social work students at the University of Utah, not only was the need for self-care curriculum assessed, but it also was a first step in helping the students who participated become more aware of their stress levels, the importance of self-care, and identify personal ways in which they can incorporate self-care. Our group plans on making packets about the importance of self-care, education about self-care practices and ways students can personally implement them, and information about self-care resources that are available to the social work students attending the University of Utah. We will present our information to students in our cohort and make the self-care packets available to all the social work students. Additionally, because of the risks associated with burnout, research suggests that supporting self-care practices becomes a necessary obligation of social work programs in order to fully prepare students to enter the profession. “Social work educators owe it to neophyte social work practitioners, the agencies in which they work, and ultimately to the clients they serve to provide education on the information and skills necessary to prevent and intervene with the effects of professional burnout, compassion fatigue, and secondary traumatic stress” (Newell & Gardell, 2014). We would lastly like to address burnout on a macro in addition to the individual level, by contacting the Social Work administration at the University of Utah and presenting our findings to suggest that self-care education become part of the students course work.


2. Goals for addressing the issue/problem:


The choice of goals, strategies, and tactics require that some type of agreement or consensus is reached among members.(Hardina, 2014) We have taken the data collected from our research and combined it with the findings from our literature review and have established the following goals and objectives for our project:


Main Goal:


The goal of our macro project is to emphasize the importance and benefits of self care among social work students at the University of Utah. 


Ways to address the issue/problem:

-Create a detailed list with resources and ideas on how to implement self care. We want to include free and easy to access ways to improve the quality of life among students. 


-By the end of the Spring 2015 semester we will have a self care resource sheet included in the new student packet given out at orientation that offers students resources to implement self care. 


-We plan on discussing the importance of self care with administration in the college and will request that a small portion of the curriculum cover issues related to self care. 


-All practice instructors will dedicate at least one class that is focused around self care. 


-We hope that 1/2 the student body increases strategies and knowledge to to the content discussed in practice classes as well as the information provided in the new student packet. 




3. Social change model most appropriate to meet the goal:


Social change model most appropriate to meet the goal - Movements for progressive change.

In using the Movements for Progressive Change model we will look to work with a broad scope of key individuals, groups, and systems. With the purpose of arming Social Work Students for their engagement in education and the professional workforce, we will advocate for policy change within the College of Social Work. This will be accomplished by processing our research and data for presentation to administration, faculty, students and staff. based on our preliminary research and data we believe the key players, including end line service users, will benefit from the addition self care education and resources to the core curriculum in the MSW program. We base this belief on our meta-analysis of available research on the topic of social worker burnout and self care. We will also use the bottom up ideology found in the Locality Development model(Maple, 2010), where in addition of self care curriculum encourages students to incorporate self care into their professional orientation thus impacting the work they do and all those they work with. In essence if a social worker is educated about and engaging in regular self care, potentially all services users they come into contact with will benefit. Over the span of a 30 year career this would impact thousands of service users.

Elements of Movements for Progressive Change:

Desired Outcome - Addition and implementation of self care curriculum in the University of Utah College of Social Work, MSW core curriculum action, increase of engagement in self care practices among U of U CSW cohorts, increased in desired outcomes among social services users receiving direct care/interaction from graduates of U of U CSW

Systems Targeted for Change - University of Utah College of Social Work, cohorts within the CSW, social service agencies, government agencies, general public

Primary Constituency - recipients of Social Work service, social work students and professionals, CSW faculty, CSW administration,  CSW staff, communities where recipients of services live, government entities and agencies impacted by the outcomes of social services, leaders, citizens, organizations able to create new visions and social structures

Scope of Concern - Individual well being of social work students/professionals thus impacting their primary domains of functioning, impact of social work professionals on service users/quality of services provided, integrity of the curriculum within the college of social work, well being of administration, faculty and staff in the college of social work

Social Work/Community Practice Roles - Advocate, facilitator, leader, educator


4. Strategies and tactics that can be implemented:



In the article Career Counseling for Longevity: Self-Care and Burnout Strategies for Counselor Resilience describes burnout and the lack of self-care to be connected to the “Caring Cycle” which is a process of repeated empathetic attachments, active involvement, and felt separation (Skovholt, 2001).The article suggests that to be sustainably successful the social worker must have a balance of other-care and self-care. The article suggests that people who work in fields such as social work, labor in a pretty constant one-way caring positions which if not recognized and regulated can be a major contributing factor to burn out and decrease in professionalism (Skovholt, 2001). On the flip side, if a social worker works towards and is aware of keeping a balance between self-care and other-care a worker can achieve more professional successes and an overall increased personal well being. The strategies and tactics our group is taking towards this issues is first understanding the prevalence of the issues by surveying the MSW second year cohort about their level of self care. Secondly in our surveys the recipient can add up and see what kind of self-care they have or have not been utilizing in hopes to increase self-awareness. Lastly we will be using  data to help future students recognize the importance of self-care in the social work profession. We would accomplish this by providing information on different ways individuals can engage in self-care that are at no cost and can be done simply on a break, at home, or during a commute. We will be making a brochure to give to incoming MSW students that will be a resource to them through out their time in the MSW program to help encourage a development of self-care in the culture and in individuals daily lives.



5. Manner in which the target population can play a key role in

 the effort:


The target population for our project is the second year MSW students at the University of Utah. The students can play a key role in advocating for self-care to be implemented into the curriculum. Including the students shows other stakeholders (professors and Social Work Administration) that the interest level is high, and that this change is important to those who are directly affected. According to the Community Toolbox website, the reasons to include students in the change would be to develop leadership and advocacy within the student body, this can lead to long-term social change. Advocacy in numbers can be influential on the stakeholders. Students can talk to their professors who teach classes where implementation of self-care would be easily implemented. Students can also provide self-care information amongst each other, generating ideas for change. Students can also connect and combine similar change projects into one strong collaborative project to present to the administration. With the target population involved, the likelihood of implementation increases and opportunities for different ideas and resources grow exponentially making the case for change a strong one. 


6. Manner in which the action plan can be evaluated 

for effectiveness:

After receiving the results from the surveys we passed out to the MSW students, our next plan of action is to create a resource packet that includes a majority of skills students may use to help them with self-care and burnout. Each group member contributed to the resource packet and we will hand them out to students within the MSW program. A promising way to measure if the resource packet is effectively helping students in the MSW program would be to assess their use of the packet and gather information such as if they have the packet, if they have ever used it when feeling stressed and how regularly they implement the skills into their daily life. The next step would be to measure their level of self-care and burnout after using the resource packet and than compare their results to the previous survey they took before they had access to the resources. 

In order to effectively test if the resource packet is helping MSW student’s decrease their burnout and increase their level of self-care, we will have to ensure that the students we give the packets too have taken the first round of our self-care surveys so that we have something to compare the new results too. I believe that it is important to make sure that students have a reasonable amount of time to look over and implement the resource packet into their daily schedules. This being said, 6 months appears to be a realistic amount of time to reassess if our action plan was successful in increasing self-care. Another option to effectively test our action plan would be too hold an interview or focus group of MSW students who have had access to the resource packet and give them the opportunity to discuss what was helpful and what wasn't. We could also measure MSW students on self-care and burnout specifically based on what population they are working with. Acker (2009) discusses social work and self-care within the profession and how burnout may depend on what population you are working with and your confidence in that area, “A central finding was that social workers who felt competent in their abilities to practice in a managed care environment also reported lower levels of role stress and burnout. Other findings included that those working with clients with severe and persistent mental illness reported lower levels of sense of competence and higher levels of role stress and burnout symptoms”. Assessing students for level of competence and the population they are working with may provide insight into self-care and burnout.




REFERENCES:




Skovholt, T., Grier, T., & Hanson, M. (2001). Career Counseling For Longevity: Self-Care And Burnout Prevention Strategies For Counselor Resilience. Journal of Career Development, 167-176.

Our Self-Care Starter Kit. (n.d.). Retrieved March 11, 2015, from http://socialwork.buffalo.edu/resources/self-care-starter-kit.html



McGarrigle, T., & Walsh, C. A. (2011). Mindfulness, Self-Care, and Wellness in Social Work: Effects of Contemplative Training. Journal Of Religion & Spirituality In Social Work30(3), 212-233. doi:10.1080/15426432.2011.587384



Newell, J. M., & Nelson-Gardell, D. (2014). A Competency-Based Approach to Teaching Professional Self-Care: An Ethical Consideration for Social Work Educators. Journal Of Social Work Education50(3), 427-439. doi:10.1080/10437797.2014.917928



Newell, J. M., & Gardell, D. N. (2014). A competency-based approach to teaching professional 


Self-care: an ethical consideration for social work educators, Journal of Social Work                       Education 50, 427-439. doi:10.1080/10437797.2014.917928

Community Tool Box (2015). Chapter 5: Choosing Strategies to Promote Community Health and Development,    Section 3: Social Planning and Policy Change.

Gamble. (2010). Conceptual frameworks and models for community practice. Community Practice Skills; Local to Global Perspectives, 24-46.

K. maple. (2010, January 1). Thinking critically about community development. Retrieved March 9, 2015, from http://communitydevtheories.blogspot.com/2010/10/locality-development-model.html


Hardina, D. (2014). The Use of Dialogue in Community Organization Practice: Using Theory, Values, and Skills to Guide Group Decision-Making. Journal Of Community Practice22(3), 365-384. doi:10.1080/10705422.2014.929060


Acker, G. M., & Lawrence, D. (2009). Social Work and Managed Care: Measuring Competence, Burnout, and Role Stress of Workers Providing Mental Health Services in a Managed Care Era.Journal Of Social Work9(3), 269-283. doi:10.1177/1468017309334902

Wednesday, January 28, 2015

SCEP Assessment Plan Blog Post (Group)


Social Worker Burnout & the Importance of Self Care 

Assessment Plan

1. Recruitment process utilized in inviting individual to participate in the assessment

Our group will be utilizing the classes we are involved with at the University of Utah Masters of Social Work Program to deliver and collect assessments of  our target population. Each member of the group will invite classmates to participate in a five-minute survey before class.  Each person who agrees to participate in the survey will be receiving a small token of appreciation, in the form of a candy bar, as an incentive to participate in the research.

2. Approximate number of people to include in the assessment:

We have the goal of assessing 70 to 105 individuals who are enrolled in either the University of Utah Masters of Social Work two year or advanced standing program.  Each group member will be distributing and collecting ten to fifteen surveys each. 

3. Approximate number of focus group/interviews/ surveys to be conducted:

Surveys will be the type of assessment being used to collect informational data on social worker burn out among the masters of social work cohort. There will be between 70 and 105 surveys distributed and collected.

4. Time and location of the assessment:

The assessment will be distributed and collected between Thursdays and Fridays at the University of Utah College of Social Work Building. Time will vary depending on class meeting times.

5. Roles and responsibilities of persons planning and facilitating the assessment (including data collection and analysis plan):

We have a subgroup that has dedicated their time to researching different existing surveys that are similar to the questions we are hoping to have answered. This group is currently putting together a survey made up of an array of different assessments that have shown to be useful. Another subgroup will be working on translating and analyzing the data we have found after we have collected the target amount. The analysis will show trends and needs among the masters of social work cohort. It is the role of the person administering the survey to speak with each professor prior to class to gain permission to hand out the assessment tool.

Semi-Structured Assessment Plan

1. Introductory Verbal Script with purpose and procedures of assessment.

For our Macro project we are attempting to assess self-care practices among graduate level social work students at the University of Utah. This survey is intended to provide us with quantitative data reflecting the awareness of, current practice of, and need for self-care. No personal identifying information is needed. All information will be used solely for the above mentioned purpose. This is a voluntary survey and participation is greatly appreciated. If you have any questions, comments, or concerns contact Daniel Henderson u0358875@utah.edu.

2. Discussion of Informed Consent

Our survey is voluntary. Individuals will be made aware that the survey is optional and no penalty will be implemented if students choose to not participate. Members of our group will express gratitude and appreciation for participant’s involvement and time. Members of our group will read the verbal script which encompasses purpose and procedure of the assessment.

3. List of Questions to be Asked:  

Here a link to the PDF of questions our group will be asking:


4. Wrap Up:

In conducting our research we hope to discover the burnout prevalence among MSW students in the University of Utah College of Social Work. After analyzing our findings we hope to have a better look at the depth of burnout our fellow students are facing and use this data to help future students recognize the importance of self-care in the social work profession. Our group has been researching different ways individuals can engage in self-care that are at no cost and can be done simply on a break, at home, or during a commute. We hope to include these resources in our final project.  


Thursday, December 4, 2014

Blog Post 6

(a) who was present: Kappy(Kap Daddy), Kady, Steph, Mariah, Daniel, Danielle, and Gina 

(b) what was discussed/decided and the rationale: Discussion was had regarding "Conceptualizing the Problem" paper, specifically progress and completion of assigned sections, deadline for submission to Gina for editing, editing process, and individual issues in completing sections. Our group seems to have settled in to developing and understanding of the problem, rather than jumping ahead to interventions. This appears to have helped in gaining perspective of the overall project.

(c) tasks completed or pending: all sections of the paper have a deadline of 11/28 and are to be submitted to Gina, out designated editor.

(d) the responsible party for those tasks: Kappy(Kap Daddy), Mariah, Danielle, and Kady have already submitted their sections and Daniel and Steph will submit by 11/28.

Saturday, November 22, 2014

Blog for 11/21


Present was Danielle, Kady, Stephanie, Daniel, Gina, Mariah, Kappy, and Lindsey. The group wanted to clarify with Lindsey the information to be posted on the blog and our ideas of where we want to go with our project. The group continued to conceptualize the project and what specifically we wanted to address with the project, for example; do we want to provide various methods for self-care for SW students and/or therapists, or awareness of burn out, or both. Group members have been conducting informal interviews to determine the need for self-care awareness. The next step after the completion of the paper is to decide if we want to create a survey for SW students and therapists, or to use the one from the University of Buffalo. We will also talk with Brad Lundall about possible resources, or even a workshop. The group confirmed who had the parts of the paper that needed to be accomplished and the deadline to which the paper had to be to Gina for editing and formatting. It was decided that by Dec. 1st everyone should have their portion of their paper to Gina. By our next meeting Kappy will have contacted Brad Lundall to see when we can talk with him about our ideas for the project; we will also bring together our resources and discuss them as a group. 

Friday, November 7, 2014

Blog Post 4: 11/7/14

On 10/31/14 we had a group meeting after class.  Present during our meeting were Daniel, Danielle, Kappy and Mariah and absent were Gina, Stephanie, and Katie. During our meeting we decided who was going to write the different parts of our group paper.  Kappy and Mariah are writing part one and two, Daniel is writing part three, Stephanie is writing part four and Danielle and Katie are collaborating on part five. Gina will be responsible for proof reading and editing our group paper.  Our group is still in the process of researching our topic and have stumbled upon some interesting research related to our topic done by the University of Buffalo. As a group we will decide if we want to implement some of the components from the study done by the University of Buffalo into our project.  Over this last week we have been talking with other students in different classes regarding their perception of self care and how they feel out program here at the U addresses it. We have gathered similar views from almost everyone we have talked to. We also would like to pass around a self care assessment tool that the University of Buffalo produced to see the different results other students in our cohort get. 

Thursday, October 23, 2014

Post 3


A) At our meeting on Friday Kappy, Kady, Steph, Mariah, Daniel, Danielle, and Gina were all present.

B) During our group meeting we discussed who our target population is, whether the issues we are addressing is a problem or a condition, and what specifically that issues is.  We discovered the target population by stating the issue at hand, which was social worker burn out and the possible affects of social work clientele. We discussed narrowing the population down to MSW Students who are working in the field or in practicums. It was decided that the issue at hand is considered to be a condition because it is a phenomenon that hasn’t been labeled by the community as a problem however it is distressing to a sum of people.
C) Pending right now is speaking with people to receive permission to have an arena where we can gather together and invite MSW students to participate mindfulness and yoga and deliver information on self-care.

D) Group members are responsible for coming up with research that supports what we believe to be the condition. Group members are also responsible for putting together an informative pamphlets on social worker burn out prevention, self-care, and mindful exercises to give to MSW students who are interested.

Author: Stephanie Chamberlain

Thursday, October 2, 2014

Post 2: 10/2/14

A. In class on Friday when we met as a group, Mariah, Kappy, Daniel, Kady, Danielle and Stephanie were all present. The only person absent was Gina. 

B. As a group, we discussed trying a few self-care strategies in the hall for students in between classes. After the practice, we would ask the students who participated how they felt. We talked about having one or two yoga poses (specifically poses that promote energy and motivation) as well as have a few minutes dedicated to a small mindfulness meditation practice. 

We also  talked about how each person would take some time to research articles regarding social work burn out and the importance of self-care in our field. These articles will help us with our needs assessment. 

C. After talking to my supervisor this week at my practicum, he gave me some great ideas about implementing the different parts of DBT that would work great for social work burn out and self-care. For example, "improving the moment", self-soothes, mindfulness, self-compassion, etc. I will discuss this with the rest of my group next time we meet and hopefully they are reading this as well, LOL. 

The rest of the assignments that we discussed (yoga in hall before class, gathering articles) are pending. 

D. Everyone in our group is responsible for coming up with ideas to add to our project. We also encourage everyone to be a part of the mindfulness/yoga session in the hall, if possible. Mariah and Daniel said that they would work on some yoga poses and I (Kappy) committed to doing a quick mindfulness exercise. Next time we meet, we will give more direct assignments for each person and work on moving forward since we are now pretty clear on what we are wanting to do. 

Authored by: Kappy Kindred