Process recording by d56FZ3E

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									              School of Social Administration
              OFFICE OF FIELD EDUCATION
              TEMPLE UNIVERSITY



                                    PROCESS RECORDINGS
                          Foundation (BSW and MSW)/MSW Advanced Clinical

One of the most important skills to develop in social work practice is that of self-reflection. The process
recording is a tool that helps to guide the acquisition of this skill, as it helps focus on one’s thoughts,
beliefs, actions and reactions in relation to practice. A good process recording will capture the various
facets of a “practice moment”, and allow for identification of what one did well and where improvement
is needed. The process recording addresses and examines both the content and the process of the
interaction with the client/client system.

The objectives of process recording are:
    To structure thinking about professional practice
    To conceptualize what happens in the transactions between the social worker and the client
       systems
    To heighten awareness of oneself in action and as part of a transaction
    To distinguish “facts” from judgments and impressions.

The student determines the setting or “practice moment,” though the student should select events that will
provide insight and feedback on his/her practice. It is suggested that the process recordings help address
learning areas, as identified in the learning contract, that the student, field instructor, or faculty liaison
believe need improvement.

BSW Seniors and MSW Foundation students should use the format described below. Advanced Clinical
students should begin with the format described below, but with more depth of analysis; by the second
semester these students may wish to design their own format and protocol.

The process recording should be turned into the field instructor for review and comment, and then to the
field liaison by the due dates listed on the course syllabi.

In doing the process recording, care should be taken to disguise identifying information (in accordance
with HIPPA regulations). This is particularly important when material is used in class assignments or
discussions. Students should ask their field instructors about the confidentiality guidelines used by the
agency.

Directions/Format:

1. Cover Page:
      a. Put your name on the upper left hand corner, with the date of the interview below your name
      b. Setting: describe the place in which this interaction occurred (e.g. office, home, playground)
      c. Why you selected this interaction:
      d. Client background (be sure to change any identifying characteristics to maintain the
          anonymity of the client): provide general age of the client, race, gender and any other


    Adapted from the Process Recording Protocol provided by Dr. Ruth Gilman, SSA.


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           information that might be useful without disclosing the identity. Indicate how many times
           you’ve seen this client and in what capacity or context.
        e. Purpose of the interaction: You are seeing this client for a professional reason – what is that?
           What goals to you have for this interaction?
        f. Tuning in: What do you think the client is expecting from this interaction? What are you
           expecting or anticipating (describe your thoughts and feelings prior to the interaction)?

2. Recreate all or part of the actual interaction (should be at least a 15 minute time period). You should
   write this as soon as possible after the actual interaction. Be as precise as you can in terms of verbal
   and nonverbal communication. You CAN NOT tape record.

    Use the following format (see sample):

              Content                    Skill Used                Gut Reactions               Thoughts
 Include all verbal and non-        Identify social           Focus on your feelings,   Indicate your thoughts
 verbal interactions, including     work knowledge            not thoughts. In that     about the client (i.e.
 interruptions or other unplanned   and skills, if any,       moment, were you          what the client means)
 events                             that you used.            nervous, upset, mad,
  Beginnings and endings                                     disgusted, scared,        Examine the client’s
  Both you and client              You may want to           proud, overwhelmed,       actions during the
  Include other people if          refer to the skill list   smart, dumb, etc.         exchange
     relevant                       that accompanies
  Word for word description        these directions.         “I feel ________          Identify your values
     of what happened                                         because of _____”
 Number each interaction so it                                                          Give specific examples
 can be referred to in the                                    Focus on YOU, not the     of what could have
 evaluation section                                           client.                   been done differently

3. Summarize any parts of the interaction not included in Step 2 (i.e. be the remainder of the session).

4. Impressions and Analysis
      a. What was your overall impression of the interview?
      b. How do you understand the client(s) system’s situation and behavior
      c. Briefly characterize your role(s) in the transaction
      d. Indicate what intervention skills were and were not useful
      e. Did you achieve your purpose/goals? Why or why not?

5. Overall Assessment
      a. How effective were you?
      b. What can you improve on for next time?

6. Plan/contract for future interventions
       a. What have you and the client decided to work on?
       b. Indicate next steps

Final Pointers:

       Remember the focus is on you, the social worker, not the client. It is important to remember what
        you communicated (verbally and non-verbally). Your ability to recall will improve over time.




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       Perfect practice is not expected, so do not write this up in the manner that makes you look like a
        “text book” practitioner. You are writing honestly about this interaction; not writing a work of
        fiction. We all make mistakes, which are essential to our learning and professional
        development.
       Be sure to leave room throughout (such as wide margins) for comment from your Field Instructor.
        Your field instructor must review and provide feedback before you submit the process recording
        to your field liaison.
       Proofread your paper. Correct grammar (except when reporting the interaction) and spelling are
        expected.

Social Work Skill Sets

These skills are from Barry Cournoyer’s The Social Work Skills Workbook (1996/2nd edition).

Generic Social Work Skills (apply throughout all phases and processes)

   Self-understanding                                      Ethical Decision Making
     Self-esteem                                             Understanding the legal duties of
     Acceptance of others                                       professional helpers
     Responsible assertiveness                               Understanding the fundamental values
     Self-control                                               and ethics of social work
   Talking and Listening                                     Identifying ethical and legal
     Voice, speech and language                                 implications
     Body language                                           Ethical decision making
     Active listening

Phase Specific Skills

   Preparing                            Reflecting content                   Rehearsing action steps
     Preparatory reviewing              Reflecting feelings                  Reviewing action steps
     Preparatory exploring              Reflecting meaning                   Evaluating
     Preparatory consulting             Partializing                         Educating
     Preparatory arranging            Assessing                              Advising
     Preparatory empathy                Organizing descriptive               Reframing
     Preparatory self-                    information                         Confronting
        exploration                      Formulating a tentative              Pointing out
     Centering                            agreement                            transitions/endings
     Preliminary planning             Contracting                           Progress recording
        and recording                    Reflecting                        Ending
   Beginning                            Sharing your view                   Reviewing the process
     Introducing                        Specifying what to                  Final evaluating
     Describing initial                   work on                            Sharing ending feelings
        purpose                          Establishing goals                    and saying goodbye
     Outlining roles                    Developing an                       Recording the closing
     Discussing policy and                approach                             summary
        ethical factors                  Identifying action steps
     Seeking feedback                   Planning for evaluation
   Exploring                            Summarizing the
     Probing                              contract
     Seeking clarification            Working and evaluating


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                                                         Sample Process Recording

1. Cover Page

 Student:       Catherine
 Date:          August 20, 2006
 Setting:       This interview took place at the HIV Clinic of the XYZ Hospital. The clinic is in the basement, and is broken into two divisions.
                The main division is the clinic itself. This area consists of a waiting room, a front desk and three exam rooms. The second
                division is the case management office. The area consists of a filing area and two offices. Each office has one computer and two
                desks. The offices are a little crowded because two people share them. This interview took about 1 hour, so I recapped about a
                half hour of the interview process.
 Why this       This was the most challenging interview I’ve had so far. It was the first time I’ve done n assessment by myself and I wanted
 interaction    some feedback on my skills and to look at my mistakes.
 was
 selected
 Client      The client is a thirty-six year old, African American female. She is a new patient at the clinic, and would like some case
 background: management services. She followed her primary care physician to the clinic when her previous clinic closed down. Many new
             patients feel disconnected with the clinic because they do not know how things are run. There are many new procedures, rules
             and faces. The client was diagnosed a HIV positive in 1998. She is a former intravenous drug user but has been clear for years.
             She lives with her husband and child and her other child lives with her grandmother. This is the first time I am meeting her.

 Purpose:       The purpose of this interview is to complete a biopsychosocial assessment form. All clients that would like to seek case
                management services at the Clinic must complete this form. This allows the clinic to obtain information on the patient’s physical
                and mental health history, their drug and alcohol history, assessment of HIV risk behaviors, legal issues and concerns, housing,
                money management, family history, and social support networks. This information helps the case management coordinator assess
                the client’s needs in order to properly assign them to a permanent case manager.
 Tuning in:     This interview caught the client and myself off guard. She went to the clinic to get a physical and told her doctor that she wanted
                a case manager. The physician’s assistant her to me. The one case manager that usually does the assessments was out sick and
                the other case manager was on the phone. I know the client was probably nervous because she doesn’t know who I am, and she
                doesn’t know what is about to happen. She knows she has to provide me with information, but she is not sure what kind. I am
                also very nervous because I have never completed one of these required forms I was not sure how this interview would go
                because this woman and I have not built a relationship yet and I didn’t know how she would feel about disclosing this
                information.




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2. Interaction:
                  CONTENT                            SKILLS USED                         GUT REACTION                         THOUGHTS
Summary:                                      Beginnings. I was very open       I was very nervous because this is
I introduced myself, told the patient my      in my body language and           the first time I am meeting this
position at the clinic and asked for verbal   tone of voice. I think this       woman and I was told that she
permission to use this anonymous              made her feel comfortable.        does not like to complete these
interview for a class. I then told her                                          assessment forms.
what the purpose of the meeting was, and
explained the issues of confidentiality.
After our introductions, we walked to the
case management office to complete the                                                                               We sat at a 90 degree angle
assessment form.                                                                                                     from each other because it
                                                                                                                     allows for more open and
1. Catherine (worker)                                                                                                interactive communication.
(sitting across from each other). This
form is very extensive and there is a lot
of personal information.
                                                                                                                     I wonder if she is nervous. I
2. Mary (client)                                                                                                     was trying to let her know that
(looking at me with a very weird face.)                                         Why is she looking at me like        she had a choice about
                                                                                that?                                participating in the interview.
3. Catherine
If there is any information that you do not
feel comfortable with, let me know and                                          I know I shouldn’t give her the
we can skip that section. Just to assure                                        opportunity to skip the section,
you, everything is confidential.                                                but I guess this is my desire of
                                                                                getting accepted and fee
4. Mary                                                                         comfortable with me.
Yeah, I’m ready. (crossing her hands on       Informing the client what we
her lap, giving me a friendly smile).         will be discussing next
                                              because it allows her to
5. Catherine                                  understand what topics we
(cross my legs and get out a pad and          will be discussing. This also
paper to begin recording.) This next          gives her a sense of power
section is about your diagnosis and           because I am not withholding
current status.                               information from her.



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                PROCESS RECORDING TEMPLATE
1. Cover Page

 Student:
 Date:
 Setting:




 Why this
 interaction
 was
 selected


 Client
 background:




 Purpose:




 Tuning in:




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2. Interaction:

           CONTENT                          SKILLS USED                       GUT REACTION                          THOUGHTS




Note: use as many interaction pages as necessary to record your interaction. Be sure to have your name and page number on each page.



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Post Interaction Narrative:

3. Summarize any parts of the interaction not included in Step 2 (i.e. be the remainder of the session).

4. Impressions and Analysis
      a. What was your overall impression of the interview?
      b. How do you understand the client(s) system’s situation and behavior
      c. Briefly characterize your role(s) in the transaction
      d. Indicate what intervention skills were and were not useful
      e. Did you achieve your purpose/goals? Why or why not?

5. Overall Assessment
      a. How effective were you?
      b. What can you improve on for next time?

6. Plan/contract for future interventions
       a. What have you and the client decided to work on?
       b. Indicate next steps




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