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Getting Started with Clients 2013-2014 JumpStart!/Orientation UNC at Chapel Hill School of Social Work Rebecca J. Macy, PhD, ACSW, LCSW L. Richardson Preyer Distinguished Chair for Strengthening Families Associate Dean for Academic Affairs

Getting Started with Clients - School of Social Work

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Getting Started with

Clients2013-2014 JumpStart!/Orientation

UNC at Chapel Hill School of Social Work

Rebecca J. Macy, PhD, ACSW, LCSW

L. Richardson Preyer Distinguished Chair for Strengthening Families

Associate Dean for Academic Affairs

Acknowledgments

Many thanks to Dr.

Mimi Chapman & Dr.

Kim Strom-Gottfried

for giving this same

talk in the past & for

generously sharing

their materials with

me!

Today’s Workshop…

Professional social work interviews:

what they are not & what they are

Importance of relationship

Preparing your office/space &

yourself

Common interview issues &

challenges

Strategies for successful interviews

Exercise, Debrief & Wrap-up

Professional Social Workers are

NOT Oprah Winfrey

In closing her interview,

Winfrey asked

Armstrong a question

that left him

perplexed: “Will you

rise again?” – New York

Times, 1/18/2013

Sensational

Preconceived answer

Professional Social Workers are

NOT Joe Friday

“Where were you last week

when you were supposed to

be at work?”

Interrogatory

Confrontational

More than “Just the facts,

ma’am. Just the facts.”

Professional Social Workers are

NOT Larry King

“What is your new movie

about???”

“How does it feel to be

married into royalty?”

“What in the world were

you thinking??”

Curious

Wandering

Professional Social Workers are

NOT Dear Abby

[Based on your two

paragraph history]

“You should use

tough love to deal

with your daughters

drug problem.”

One-directional

Advice giving

Professional Social Work

Interviews Are…

Purposeful

Structured

Flexible

Explorative

Engaging-

Social workers seek to

build positive, working

relationships

Why Are Relationships Important to

Social Work Practice?

Change & growth often occur in

a relational context

Having a relationship with a

client gives you a position to

facilitate change

Relationship dynamics &

interpersonal interactions

provide the worker with an

important assessment tool

Components of Relationships that

Facilitate Change

1. Empathy A worker’s ability to verbally & behaviorally convey a deep

understanding of the client’s feelings, beliefs & perspective

2. Authenticity/Genuineness A worker’s ability to be “real” with clients

Behaviors & verbal statements should not be contrived, fake, or pandering

3. Understanding the Client’s Story A deep sense of trust enables clients to take risks to be open &

honest

Gathering the important information to create change

Social Work Interviews are Grounded in Our

Professional Ethics & Values

CLIENTS HAVE THE RIGHT TO:

Be treated as an individual

Express their feelings

A sympathetic response

Not be judged

Make their own choices

Have their secrets kept

Biestek, 1957: The Casework Relationship

http://en.wikipedia.org/wiki/Felix_Biestek

Is Your Office or Interviewing

Space Prepared?

Confidential space?

Space that facilitates

comfortable conversation?

Technology consideration?

Space signals that you are

comfortable with relevant,

challenging topics?

Professional dress as

appropriate to your setting?

Are YOU Prepared?

Anxiety, Boredom,

Distracted, Overwhelmed?

Calm, Energized, Focused,

Fully-Present, Receptive?

Aware of your body language

& physical presence?

Know your organization’s

mission, purpose &

resources?

Know the purpose of this

interview?

Professional Social Work Interviews:

Not Just WHAT Clients Say…

Body Language & Tone of Voice

Face; Posture; Gestures,

mannerisms, motor behavior;

Appearance; Mood; Affect

Attend to these nonverbal cues

& pieces of information

Adjust pace & questions

accordingly

Potential Interviewing Challenges

Differences between you & the client: language, culture, age, gender, social economic background, life experience

Your personal biases & prejudices

Interviewees who are: Verbose; Involuntary, reluctant or resistant; Angry, derogatory, threatening; Non-talkative; Disorganized

Common Professional Social Work

Interviewing Errors

Hearing what you want to hear

Sermonizing/moralizing/lecturing

Asking questions that don’t relate to answers

Offering false assurances

Making glib interpretations

Offering premature solutions

Overusing phrases or cliches

Becoming distracted (by interviewee’s dress, manner, style, statements, etc.)

Being uncomfortable with silence

Professional Social Work

Interviewing Strategies:

Building Relationships

& Creating Change

Questioning

Close-ended question Do not allow for

elaboration

Useful for gathering specific information, e.g., aspects of an assessment

Open-ended questions Facilitate understanding of

the client’s story & perspective

Allow client’s to discuss related aspects of their story

Seek Specifity & Concreteness

Importance of clarification

When client’s tell us their story using vague terms or generalities, we may misunderstand or not fully comprehend

Get the details & check-out client’s perceptions & feelings Tell me more about . . .

What do you mean by . . . ?

I want to understand . . .

Show me . . .

Paraphrasing & Reflecting

Useful to reflect both on content & emotions

Can help move meeting or session forward

Clients know they were understood & heard, building a sense of empathy & caring

Clarification of your understanding of the client’s experience or story

Maintaining Boundaries, Clarifying

Expectations & Limit Setting

Clarify client expectations & your role early Be specific about your role &

what services & help you can provide

May be necessary to clarify use of professional & personal self with clients Social work relationships can feel

like friendships to clients

Necessary & appropriate to address in appropriate behaviors, e.g. intoxication, inappropriate interactions

Providing & Maintaining Focus

When overwhelmed, emotional, or anxious people may find it challenging to organize their experience

Useful for workers to use gentle guides to get clients back on the task at hand

Use skill of partializing to help create a focus

Summarizing

Useful to condense & review client’s stories, content of an interview, topics addressed, work or progressed accomplished

Shows an understanding of the client’s story

Make certain you are on the same page with the client E.g., are you ending the

interview with the same expectations?

First Interview Endings

Create a plan for next steps…

Develop homework/next steps for client

Do what you say you are going to do

Referral: Make it & follow up

Next Appointment: Schedule it & keep it

Concrete Assistance: Provide it

Applying What You Are Learning…

Pair up with someone you do not know well or at all

Both of you will be the interviewer & the interviewee

First interviewer will be tasked with finding three pieces of information about the interviewee in a 10 minute conversation; the interviewee does not know what information the interviewer wants; it’s secret!

Two minute silent reflection: write down your thoughts about what went well in the interview, what could be improved

Then, the interviewer & interviewee swap roles & the second interviewer gets new information gathering tasks

Interviewer #1: Gather the

Following Pieces of Information

The interviewee’s

most favorite movie

ever

The best teacher the

interviewee ever had

growing up

The interviewee’s

biggest concern

about graduate

school

Interviewer #2: Gather the

Following Pieces of Information

The interviewee’s most

favorite book ever

The best vacation the

interviewee ever took

The interviewee’s most

embarrassing

experience from high

school

Debrief the Exercise….

Were you able to use some of the strategies we discussed

today when you were the interviewer? Why or why not?

What could you have done differently as the interviewer to

achieve better results? Make the interviewee more

comfortable? Obtain needed informaiton? Build a more

positive relationship?

In your experience as the interviewee, what did you learn

about how our clients feel? Think? React?

What is one lesson-learned from today that you will take with

you into your first professional social work interview?

As a New Social Worker, You Will Make Mistakes! However…

We will make many

mistakes along the way,--

saying things we will

later regret and having

to apologize to clients,

learning from these

mistakes, correcting

them, and then making

more sophisticated

mistakes

Lawrence Shulman, The Skills

of Helping