SENIOR PROJECT Nicole M. Wolfgang
SENIOR PROJECT Nicole M. Wolfgang
AGENDA• Agency Overview
Social Work Background & Code of EthicsMission of AgencyAgency BackgroundAgency Culture & PoliciesPrograms Offeredo My Experience• Stages of Project
IntroEngagement/Assessment Evaluation/TerminationQuestions
Who is a social worker?
• Highly trained and experienced individual who is competent in
human behavior and development• Who are social workers employed
by?- hospitals, schools, mental health
clinics, senior centers, private practices, prisons, military, and in numerous public
and private agencies
• Over 200,000 clinically trained social workers which is more than
psychiatrists, psychologists, and psychiatric nurses combined
• U.S. Department of Veterans Affairs - 10,000 MSW
What do social workers do?
• Enhance human well-being & help meet the basic human needs of all
people• Help heal with life’s most difficult
challenges:- poverty, discrimination, abuse,
divorce, loss, unemployment, disability, mental illness, addiction
2016
CODE OF ETHICS1. 1. Service2. 2. Social Justice3. 3. Dignity and worth of a
person4. 4. Importance of human
relationships5. 5. Integrity 6. Competence
OVERVIEW OF AGENCY
Click icon to add picture
AGENCY CULTURE & POLICIES• Team approach (integrated primary care)• Policies- Confidentiality & Mandated Reporting- Custody- Treating a minor- Risk assessment policy- Specific polices to clinic: only take referrals from PCPs• Research- Use of evidence-based interventions- Treatment is short-term and problem-focused
AGENCY BACKGROUND• Pottsville, Bloomsburg, Selinsgrove, Mount Pleasant, Lock Haven, Knapper clinics• Integrated for a little over 5 years • 1 licensed psychologist• 1-2 post-doctoral fellows• Social work extern• Social worker embedded in some sites
MY EXTERNSHIP• Completed my 400 hours at Geisinger Medical Center in Pottsville, PA• Start date September 13, 2016 – end date December 8, 2016 “It is our mission to enhance quality of life through an integrated health service organization based on a balanced program of patient care, education, research, and community service.”
TREATMENT OPTIONS OFFERED• Evidence based, problem-focused interventions/practice wisdom• Psychological evaluations• Individual psychotherapy and family therapy• Crisis evaluations• Warm handoffs•Treatment and skills groups Disruptive Behavior Clinic (DBC) Acceptance and Commitment Therapy (ACT) Anxiety Group
PATIENT BACKGROUN
DS Met with children who would benefit from our services: - ADHD - Disruptive Behavior Disorder - Anxiety - Depression - Crisis Situations - Adjustment Disorder - Disordered Eating - Body Image
MY EXPERIENCE• Observe therapy sessions • Exposure to diagnoses• Set up: -Everyday supplies -DBC materials• Score Vanderbilts, MASC-2, CDI-2 & ECBI •Journal Club & Trainings•DBC & ACT Group Databases
DISRUPTIVE BEHAVIOR CLINIC• 5-10 year old patients• Disruptive Behaviors/ADHD• Evidence-based treatment• Child & Parent Programs• Social Skills, Emotional Regulation• Behavior Strategies
PARENTS INVOLVEMENT WITH DBC
• Behavior modification• Evidence-based tools: -Positive reinforcement / Token economy -Praising -Ignoring -Time out
SENIOR PROJECT• Collecting data and recording in a database shows: - What worked? - What didn’t work? - Factors determining why it worked for some patients, didn’t work for others - Data will be analyzed at the end to better illustrate results
WHAT DID I DO?
Developed data collection
procedures across all 6
clinics for DBC
Clarified the procedure for collecting and
scoring
Created a database for
managing the data of DBC
Created a codebook for the database
ALSO…
• Scored Eyberg Child Behavior Inventory (ECBI)• Entered the data in DBC database• Recorded attendance and homework completion• Created a database for ACT Group
WHY CREATE A DATABASE?
Central database to get outcome data Determine what factors contributed to higher success rates Help shape future successful DBC
Factors that were important to include in the database to ensure evaluation of successes could be properly determined
•
CLIENT SYSTEM
FOR DBC_________
ADDRESSES MICRO PRACTICE
DBC children aged 5-10Significant enough to cause distress to parents and/or teachers Pottsville clinic Currently 10 white children, 1 biracial child 9 males, 2 females Ages: 5(4); 6(2); 7(2); 8(2); 9(1); 10(1) Referred by PCPs & disruptive behaviors/ADHD
ENGAGEMENT/ASSESSMENTDBC
•ECBIs (pre and post)
•Top Problems (pre and post)
IMPLEMENTATION
DBC DATABASE
• Shared across all 6 clinics• More consistent recording of data• Codebook
EVALUATION/TERMINATION
• Post ECBIs Post Top Problems•Continue or terminated?• Database will be evaluated by colleagues due my externship ending before group ends
• What did I learn?
• What would I do differently?
ANY QUESTION
S?