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Southern New Hampshire University Week 9 Field Blog and Social Workers Discussion

Southern New Hampshire University Week 9 Field Blog and Social Workers Discussion

Question Description

I’m working on a social science discussion question and need support to help me understand better.

Assignment 1: Week 9 Blog

Refer to the topics covered in this week’s resources, and incorporate them into your blog.

By Day 3

Post a blog post that includes:

  • An explanation of how you have addressed termination or how you might address termination during your field education experience, (Redeem Healthcare Medical Systems in Baltimore, MD)

By Day 4

Respond to the blog post of three colleagues in one or more of the following ways:

  • Validate an idea in your colleague’s posting with your own experience.
  • Expand on your colleague’s posting.

Colleague 1: Ashlynn

I have addressed termination I many ways in my field experience. Working with CPS, termination is within 30 days. When receiving a complaint, I make it very clear of what it is like working with CPS and how long we have to investigate a case. However, there are some cases, where a case cannot be completed within 30 days and an extension is need. I am sure to provide the family with a notice of this so that we are all on the same page.

When I have worked with foster care, termination was much different. I’ve had cases where the children had been in foster care for years and the parents are still working on their treatment plan. In foster care, although the workers have an input, the termination process is up to the judge or referee assigned to the case.

Termination is when it’s time to end services with a client, whether it’s planned or voluntarily done by the client. It is important to create a plan for termination and a general timeline of when it may occur (Garthwait, 2017). Having a plan creates an expectation for the client and what they should expect. Termination should be done in a way that is structured and effective for the client and does not become a negative experience for the client. Clients should always be notified especially as the time comes closer to termination. By having open communication with the client, termination can be a smooth transition.

Reference

Garthwait, C. L. (2017). The social work practicum: A guide and workbook for students (7th ed.). Upper Saddle River, NJ: Pearson.

Colleague 2: Amber

  • An explanation of how you have addressed termination or how you might address termination during your field education experience.

I have experienced termination in my field experience and had to address it with the social work team I work with. I worked with a patient that had very high anxiety and worry. He would have panic attacks and worry about his jaw pain how it may lead to may serious life threatening this worry incapacitated him so much that he could not work or function. He had jaw surgery and was in quite some pain for a while and thinks it may be cancer, although the patient was cleared by his doctor of any illness and is perfectly healthy. He is originally in Kentucky but could not find any hospitals in his area that had an open bed, so he came to Virginia to find a facility that could treat him. While at the facility, he had several discharge dates but persuaded the doctor to postpone his discharge because he did not feel ready, I personally met with him and talked with him how life at home would be and planned what he could do if he felt the “ball in his stomach” showed up again. So finally, his day came to discharge, and he left but and came back 2 hours later. He told me “I just knew something wasn’t right”, the social worker and I asked him, what did he mean by that and he said his “anxiety started up again”.

At this point we have exhausted all resources and his insurance stopped paying out, so he was self-pay and over 30,000 in debt. The medicine that the doctor prescribes takes the edge off, but he needs more intensive therapy, which he cannot get from the hospital. We explained the best course of action for him financially and mentally, which would be transfer to the facility next door. He finally terminated from the facility to go to facility across campus. Although the client still had some anxiety that inhibited his daily functioning the social worker identified that it was beyond her what she could offer, According to NASW Utah chapter termination can occur when a “client has mental health needs that are beyond the social worker’s area of expertise” (2015). When we discharged him to the new facility the social work term made sure it was done properly and explained why his treatment with us was ending because “termination of treatment is an important phase of the therapeutic processing” ( (Felton & Polowy, 2015).

Felton , E. M., & Polowy, C. I. (2015, May). Termination: Ending the Therapeutic Relationship- Avoiding Abandonment. Termination Guidelines .

Colleague: Jacqueline

An Explanation of How You Have Addressed Termination or How You Might Address Termination During Your Field Education Experience

Termination has been a complicated subject at the group home where I am completing my field experience. The children who reside in the home have all experienced abandonment. They often times get attached to adults in their lives because of this. I recently spoke with a group of them about terminating our sessions and they were all extremely sad, it was very difficult for me. Termination occurs for many reasons including there was a predetermined service length, the client may want to discontinue sessions, etc (Garthwait, 2017). In this case I must terminate my involvement at the group home because my field experience is coming to an end. I am addressing this by speaking often with the residents about my departure to help acclimate them to the concept of termination. I have expressed to them that I have learned so much from them and greatly enjoyed our time together, and allowed them to ask any questions they may have. I also plan to have a small party to say goodbye at week 11 during our last day together. In addition, I have my own issues with abandonment and have a hard time saying goodbye so this is something I will need to practice and learn as I go through my educational process in this program.

As a social worker I will work with clients that build rapport or even become dependent upon my assistance. I realize that termination skills are something that I will need to work on and learn with additional experience. It is necessary at one point or another to terminate sessions with clients so it is an important skill to become familiar with. With practice I will learn the best practices for terminating sessions and be able to use them for a smooth effective termination.

Garthwait, C. L. (2017). The social work practicum: A guide and workbook for students (7th ed.). Upper Saddle River, NJ: Pearson.


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