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31 Prof. Edith Chaparro, LCSW, PhD Candidate ~ www.lcswexambootcamp.com ~ 877-888-6758 & 917-683-8601 gsheoretical Approaches used in Clinical Practice: 1. Generalist Framework: Most flexibility, think “eclectic approach”. Social worker may be open to and use a variety of theories, models, and methods of treatment. ' 2. Problem Solving: to selve one problem at a time. Assisting clients with COPING SKILLS. 3. Behavior Modification: Learning alternative positive/acceptable behaviors. Behaviorists observe and measure the way people respond to certain triggers. 4. Cognitive Therapy: Symptom reduction of negative THOUGHTS & dysfunctional beliefs. 5. Rational Emotive Behvrl. Therapy: REBT —Cognitive therapy using a confrontational approach, stops negative, irrational thoughts. “stinking thinking” 6. Paradoxical Directive: Instructing your clients to continue their maladaptive behaviors with the goal of bringing about awareness and change. Ex: “tell your clients to continue bickering/couples treatment” 7. Crisis intervention: Brief treatment of reactions to crisis situations and reestablish the client’s equilibrium. **Need to have a goal within the first session. 8. Family therapy: treats the whole family system and sees the individual symptom bearer as indicative of a problem in the family as a whole. * identify the client who is in crisis/center of the problem. 9. Narrative therapy: Therapist co-constructs alternative, more affirming/positive stories with the client. 10. Ecological or life model: Focuses on life transitions, environmental pressures, and the maladaptive fit between individual and family or the larger environment. I1._Task-centered: Focuses on accomplishing tasks to reinforce self-esteem and reestablish usual capacity for coping. Assist client with identifying goals FIRST. 12. Feminist Framework: Most relevant when the client is female, or when the client’s issues are based on @ gender or sex role stereotyping and discrimination, women’s rights. 13. Strengths Perspective: Identify the inherent strengths of a client or family, and then builds on them. 14. Psycho-analysis: Long term treatment to resolve inner conflicts and past experiences. 15. Gestalt Therapy: Emphasizes awareness & here & now. Techniques: empty chair and the use of “I”’ language. Theoretical Approaches QUIZ Example: 1. Nancy has full responsibility for taking care of her two young children. She has been on welfare two years, and her benefits are running out. Nancy is afraid that she cannot manage alone. She meets with Nina, the social worker from Transitional Assistance to assess and plan for Nancy’s housing, job training, and child care needs. Nancy seems remarkably passive in their conversations, ready to agree to any plan, but with no apparent interest in following through. Using STRENGTH’S PERSPECTIVE, how might Nina best engage Nancy in finding and acting on solutions to her problems A- Offer to transfer her case to another worker as Nancy doesn’t seem to connect with Nina.-DIST-do nothing B- Assist Nancy to identify her best coping skills and strengths from the past and support her applying them to her present situation.-CHOOSE- CONSISTENT WITH STRENGTHS PERSPECTIVE C- Provide Nancy with alternate plans and support her choosing one-KW-she’s ready to agree to anything D- Explain to Nancy the potential negative consequences of her inaction-KW-will not engage her