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

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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?