Assignment 3 OMSW503

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Morgan State University *

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Sociology

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Apr 3, 2024

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Engagement, Assessment, Intervention, and Evaluation: Internship Kirsten Palmisano Master of Social Work, Morgan State University OMSW 503.W03, Field Practicum and Laboratory I Professor Dorothy Narcisse December 12, 2023

Individual Case: MC MC is a 16-year old African American female who attends Augusta Fells Savage Institute of Visual Arts (AFSIVA) in 10 th grade. She is of a lower socioeconomic status and is a cisgender heterosexual woman. MC began seeking services last school year and has been consistent with services. MC has been diagnosed with adjustment disorder with mixed disturbance emotions and conduct with a low suicide risk assessment. MC long-term goals are to work on her attitude and to get a car. We implemented mental health services into these goals by discussing how she will decrease verbal altercations, decrease tardiness, increase communication with her youngest brother, and using a planner to be organized. MC lives with her mother, her younger sister, and two of her younger brothers while the youngest is living with her grandmother. MC has a tough family dynamic as her and her mother do not always get along and from time to time it leads to discipline, her father has been incarcerated for a few years and still has years to serve before he can come home. MC is trying to navigate her social life but is working on handling her emotions in a healthy way, she has trouble expressing them and tends to become mean and rude when she is upset or frustrated. MC and I have begun working on healthy coping skills such as using a stress ball, taking deep breaths, and taking a step back when necessary. MC and I have a schedule of meeting once a week but some weeks we meet twice if she needs to decompress or is feeling extra stressed. MC has been specifically having trouble with communicating with a teacher who has been giving her a hard time and has not been helping MC in a way that she feels is the most effective, I gave her a stress ball so she can use it in the moment to decompress and release any frustrating feelings. I have pulled activities out of the DBT module book with the objective of MC labeling, identifying, and regulating emotions through decreasing vulnerability factors and changing her behaviors. We have done mindfulness exercises throughout sessions to

give her a chance to sit back and relax which is also a time to think about what she has experienced and is feeling in the moment. Role Play: Class Exercises From the all-class role play that we conducted on December 5, 2023 was very informative, it taught me to think outside of the box and to learn as much as possible about the client before trying to help or fix their situation. It is sometimes hard and feels a bit invasive when you are asking the client nonstop questions to get to know them and their situation. It is also very challenging when you do not know what they might say next or in response to you. It was very nerve wrecking especially when you are not yet experienced and are still learning but I have learned that the client is probably just as nervous. Throughout the seminars and textbook readings, I feel as though I have a better understanding of what social workers do and the situations, they may put in that are ethically challenging. Exploring and Engaging I closely work on the micro level while maintaining my internship at Augusta Fells Savage Institute of Visual Arts as I work with the individual student. On the micro level, I provide direct therapy services to each student on my caseload who may be facing academic challenges, emotional or behavioral concerns, family issues, and mental health issues (Baylor School of Social Work Team, 2023). I explore with my client by providing these services and crisis intervention if need be. When beginning a new case, I love to always talk about the services that will be provided and the limitations to confidentiality. Then I follow up and give three quick interesting facts about me that are appropriate for the therapy setting. With MC, she was an existing client with SMHP that I inherited, so I was able to meet her for a brief contact

interaction along with my supervisor. MC warmed up to me quickly and was very patient with my title of an intern and my development of sessions. Throughout our first two meeting times I like to discuss our roles and responsibilities for each party, the client and the social worker. The client’s job is to participate throughout the session, set goals with the help of the social worker, and reflecting on their thoughts and feelings. Meanwhile, the social worker’s role is to assess and diagnosis the client, show support, give feedback, and develop a therapeutic plan to discuss the goals with the help of the client. Some interview skills that are important are active listening, building strong rapport, questioning skills, and reflective listening. Active listening is crucial, this is paying attention to the individual to the fullest extent which also builds on the rest of the interviewing skills (Williams, 2018). Next, is building a strong rapport which can be done by active listening. This is essential to a positive and trusting relationship with the client, this happens when I can allow the client to be themselves and respectful of what they say and do (Williams, 2018). Questioning skills is used during the interviewing process as well to gather as much information as possible effectively. Open-ended questions are typically asked when I want the client to share more about how they are feeling or their thoughts while close-ended questions are more for when I need to know a specific detail (Williams, 2018). Lastly, reflective listening is done when I want my client to explore their thoughts and feelings a little more, I also do this by summarizing what they said to clarify or expand on what they have already mentioned to get a better understanding and for the client to understand that I am listening (Williams, 2018). On the Mezzo level, I work with small groups of admins at the school to collaborate with the teachers and other admin to do presentations, awareness assembly’s, and back to school night opportunities to discuss services with the individual’s family. On a macro level, I am able to participate in school-wide preventions with a

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