Social Work Theories, Methods and Skills
Within this assignment I will recognise what and who is priority in relation to the case study involving Sharon, Alice and James. I will ascertain and analyse the models of assessment and look at methods of intervention and identify which is most appropriate when working with Sharon, Alice and James. I will identify why I have used the theories, methods and skills that informed the care plan I have used. My main priority would be Sharon and the appointment her mother, Alice, has made with the GP. Under the Human Rights Act 1998, articles 8, 12 and 14, Sharon has “the right to respect for private and family life, the right to marry and to start a family…….the right not to be discriminated against in respect of these rights and freedoms”. Under the Mental Capacity Act 2005 “every adult has the right to make his or her own decisions and must be assumed to have capacity to do so unless it is proved otherwise”. An assessment of capacity is decision specific and there are different levels of decision making, when carrying out a capacity test it is essential to determine the ability to make those decisions. Therefore the ‘decision maker’ is responsible for undertaking the capacity test. An assessment would need to be carried out to determine Sharon’s level of understanding. Before visiting Sharon to carry out an assessment, I would gather as much information as possible. I would contact the GP, to ensure they are aware that it is not Sharon’s decision to be sterilised and I may possibly discuss what Sharon’s plans are. I would obtain information on how independent she is, how she interacts with others and her level of understanding by liaising with Sharon’s tutors from college and the Day Centre, this information will also assist me when carrying out a capacity test. From the information given regarding the referral it may be deemed necessary to contact Sharon’s mother, Alice and her boyfriend James beforehand. Under section 47 of the National Health Service and Community Care Act 1990, local authorities have a legal obligation to carry out assessments to determine if service users are eligible for services. There are many definitions of what an assessment is and how it might be understood. An assessment, as defined by Coulshed and Orme (2006), is an ongoing process which the service users participates, the purpose is to understand people in relation to their environments and is the basis for planning what needs to be done to improve, maintain and bring about change. Middleton (1997, p. 5), begins her definition by stating an “assessment is the analytical process by which decisions are made”. She goes to say “assessment involves gathering and interpreting information in order to understand a person and their circumstances: the desirability and feasibility of change and the services and resources which are necessary to effect it. It involves making judgements based on information”. There are different models of assessment as identified by Smale and Tuson (1993). “The Questioning Model”. The social worker identifies the problem via a question and answer assessment to find the appropriate resources or solutions, the social worker is seen as the expert. This model developed from psychosocial theories whereby congruence and empathy are needed to achieve positive relationships between social worker and service user. Smale et al (1993) argue that the social worker will already have preconceived ideas prior to the assessment with the end result not meeting the service user’s needs in full. Tew (2006) say the service user can become disenfranchised when dealing with social workers who occupy a role of perceived power. “The Procedural Model”. The social worker gathers information to determine whether the service user fits the criteria for services. Smale et al (1993) state the focus being that a risk or need will be met by a prejudged level of service, reducing the level of autonomy that...
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