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Reflective Practice

  • Examples of reflective practice
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  • When to use reflective practice
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Superficial

Superficial (= descriptive reflection)   non-reflectors

Reflection at this level is very basic – some would say it is not reflection at all, as it is largely descriptive! However the description should not just be of what happened but should include a description of why those things happened. Reflection at a superficial level makes reference to an existing knowledge base, including differing theories but does not make any comment or critique of them.

Example - Superficial reflection

Today I spent time with James (client) and his family on the ward. The family had a lot of questions about the rehabilitation process and wanted to know what was going to happen for James.

I wanted to reassure them that things were OK because I knew this was what they needed to know. I said that while it was difficult for anyone to know the rate of James’ improvement I could be sure that he would improve and that it was important for the family to keep hopeful about his future.

James’ father became angry and after raising his voice at me, telling me I was a “patronising little fool”, he stormed out of the room. James mother sat weeping beside his bed and I felt I had really stuffed things up for this family. I need to get some advice about how to handle angry families.

Medium (= dialogic reflection) reflectors At this level of reflection, the person takes a step back from what has happened and starts to explore thoughts, feelings, assumptions and gaps in knowledge as part of the problem solving process. The reflector makes sense of what has been learnt from the experience and what future action might need to take place.

Example - Medium reflection

Today I spent time with James (client) and his family on the ward. The family had a lot of questions about the rehabilitation process and wanted to know what was going to happen for James. I wanted to reassure them that things were OK because I remembered from a uni lecture by a carer that carers needed reassurance, information and hope for the future of the person they cared for. I said that while it was difficult for anyone to know the rate of James’ improvement I could be sure that he would improve and that it was important for the family to keep hopeful about his future.

James’ father became angry and after raising his voice at me, telling me I was a “patronising little fool”, he stormed out of the room. James mother sat weeping beside his bed. I felt confused and like I had done the wrong thing. I remembered from the same lecture about the emotional rollercoaster of caring for someone after a brain injury and how families could experience a range of emotional responses as they adjusted to their new reality.

I started thinking about what was happening in this family and how James’ parents were both clearly distressed and may have been having difficulty supporting each other due to their own distress. James’ father’s abuse of me was possibly not a fair reflection on me but said a lot about how he was feeling.

I decided to ask James’ mother how things were going for the family and she started to open up about how she felt. She revealed that James’ accident had opened up longstanding conflict between her and her husband, and that she didn’t feel hopeful about anything. It seemed like a useful conversation.

Deep (= critical reflection) critical reflectors

This level of reflection has the most depth. This level of reflection shows that the experience has created a change in the person – his/her views of self, relationships, community of practice, society and so on. To do so, the writer needs to be aware of the relevance of multiple perspectives from contexts beyond the chosen incident – and how the learning from the chosen incident will impact on other situations.

For some critical reflective writing tasks it is expected that your writing will incorporate references to the literature - see  Example - Deep reflection incorporating the literature below. Note that these are short excerpts from longer documents previously submitted for assessments (Permission granted by author).

Example - Deep reflection

I started thinking about what was happening in this family and how James’ parents were both clearly distressed and may have been having difficulty supporting each other due to their own distress. James’ father’s abuse of me was possibly not a fair reflection on me but said a lot about how he was feeling. I wondered about his parent’s differing emotional responses and tried to put myself “in their shoes” to consider what it must be like for them. I could see that their questions and behaviours were driven by their extreme emotional states. They both needed an outlet for their emotions.

I also thought about what James needed from his parents to optimise his participation in the rehabilitation program and how I could support them to provide that. I knew I didn’t have the skills or confidence to provide the grief counselling they probably needed but I thought I could provide them with some space to share and acknowledge their grief and to suggest options for them to get further assistance in this area. I sat by his mother and said “This is really hard for you all isn’t it”. She responded with “so hard” and cried some more. We sat without talking for a while and when she was calmer I said “a lot of families find it helpful to talk with our social workers about how they are feeling when things like this have happened”. She agreed it would be good to talk and I helped her organise an appointment for the next day.

From the experience today I have learned that families don’t need superficial reassurance and that this can be perceived as patronising. It will be more helpful if I can acknowledge their emotional distress and fears and reassure them that their response – whatever it is – is normal and expected. If I show that I can cope with their distress I can assist them to get the support they need and this will be critical in getting the best outcome for clients like James.

Example - Deep reflection incorporating the literature

NOTE: These short excerpts are from longer documents previously submitted for assessments (Permission granted by authors). Also note the format of the in-text citations reflect this.

I needed to understand more about what resilience actually is, and whether it is learnable or inherent in a person’s personality.  McDonald, Jackson, Wilkes, & Vickers, (2013) define resilience as the capacity to deal with “significant disruption, change or adversity” (p.134) and that in the workplace, adversity relates to the difficult or challenging aspects of the role. The authors identify traits associated with resilience such as “hardiness, hope, self-confidence, resourcefulness, optimism flexibility and emotional intelligence” (McDonald et al., p.134) and discuss how training programs have been established within the workplace to teach people these skills.

A plan for building resilience for my future role as a midwife would need to start now in order that positive patterns are embedded in my practice and everyday life. This would include activities discussed above as well as attempting to engage in habits of mindfulness on a day to day basis (Foureur, Besley, Burton, Yu, & Crisp, 2013).

Foureur, M., Besley, K., Burton, G., Yu, N., & Crisp, J. (2013). Enhancing the resilience of nurses and midwives: Pilot of a mindfulness-based program for increased health, sense of coherence and decreased depression, anxiety and stress. Contemporary Nurse: A Journal for the Australian Nursing Profession , 45 (1), 114-125.

McDonald, G., Jackson, D., Wilkes, L., & Vickers, M. (2013). Personal resilience in nurses and midwives: Effects of a work-based educational intervention. Contemporary Nurse: A Journal for the Australian Nursing Profession , 45 (1), 134-143.

It is vital to ensure a healthy work-life balance (Pelvin, 2010). Imbalances in professional and personal life can cause burnout (Fereday & Oster, 2010). Burnout increases with the incidence of family-work conflict (Jordan et al., 2013). Non work-related interests help reduce the risk of burnout; exercising, resting, leisure-time and self-pacing all assist in managing stress (Jordan et al., 2013; Mollart et al., 2013). Self-awareness and mindfulness positively affect our personal relationships and make valuable contributions to the professional workplace (van der Riet et al., 2015). Mindfulness also enables midwives to be totally present with women and their families (White, 2013). Keeping an up-to-date family diary has assisted in planning and pacing my study, work, personal and social activities.

Fereday, J., & Oster, C. (2010). Managing a work–life balance: The experiences of midwives working in a group practice setting.  Midwifery, 26 (3), 311-318.

Jordan, K., Fenwick, J., Slavin, V., Sidebotham, M., & Gamble, J. (2013). Level of burnout in a small population of Australian midwives.  Women and Birth , 26 (2), 125-132.

Mollart, L., Skinner, V. M., Newing, C., & Foureur, M. (2013). Factors that may influence midwives work-related stress and burnout.  Women and  Birth , 26 , 26-32.

Pelvin, B. (2010). Life skills for midwifery practice. In S. Pairman, S. Tracy, C. Thorogood & J. Pincombe (Eds), Midwifery: Preparation for practice (2 nd ed.). (pp. 298-312). Chatswood, NSW: Elselvier Australia.

van der Riet, P., Rossiter, R., Kirby, D., Dluzewska, T., & Harmon, C. (2015). Piloting a stress management and mindfulness program for undergraduate nursing students: Student feedback and lessons learned.  Nurse Education Today , 35 , 44-49.

White, L. (2013). Mindfulness in nursing: An evolutionary concept analysis. J ournal of Advanced Nursing , 70 (2), 282-294.

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The Critical Blog

The home of critical thinking, observations and reflections on my first year placement.

Adrian Bloxham.pdf

This essay was written by Adrian Bloxham and was the winning social work entry in this year’s Critical Writing Prize 2019. Adrian is studying for an MA at Anglia Ruskin University and he was nominated by his lecturer Dr Wendy Coxshall.

I am currently on placement in a Supported Housing Hostel for adults in Cambridgeshire. This assignment is based on my work with one particular resident who I will refer to using the pseudonym ‘Alice’. The case study will explore core social work tenets including relevant knowledge and skills, critical reflection, processes of oppression and discrimination, communication and partnership working. I will seek to examine and reflect on my interactions with Alice, primarily by applying a reflective model to a ‘critical incident’. I will also attempt to view Alice’s life, and my professional relationship with her, from a broader social work perspective. My initial observations and impressions of the hostel were largely defined by the levels of socio-economic deprivation that dominate many of the residents’ lives. In virtually all cases the people that live at the project either have an underlying mental health condition or experience drug or alcohol misuse, often there are a combination of these factors. The very nature of this type of accommodation means that the population is transient.  This often means that residents have little consistency and no control over who they live with, resulting in an enforced togetherness that can lead to feelings of insecurity, anxiety and fear (Bengtsson-Tops, et al., 2014). I observed during my early conversations with Alice that she often seemed subdued and that her mood fluctuated unpredictably. As the initial phase of my placement progressed I became increasingly aware of Alice’s persistent and chronic low self-esteem and her tendency to depressive episodes. I noted this in my journal and tried to “…think, to be self-aware and to question…” as a first step towards reflecting on practice (Rutter & Brown, 2012, p. 30). My vague sense of unease and concern about Alice and her general well-being crystalized early one morning as I arrived at work to find Alice upset and in tears in the communal lounge. I now recognise the ensuing conversation as a ‘critical incident’ that changed my learning and the way that I thought about the staff and my placement setting. What qualifies as a critical incident is not rigidly defined but the event should be important or significant in some way to the practitioner and should offer the opportunity for professional learning (Fook & Gardner, 2007, p. 77). During the course of this exchange Alice disclosed to me that she felt trapped, bullied by a member of staff and other residents, and that she was feeling utterly powerless with no hope of moving on from the hostel. Alice showed me a scar on her right wrist and stated that she had tried to commit suicide in the past and was now experiencing suicidal ideation once again. This type of situation, with all its complexities and difficulties, is described in the seminal work of Schön (1983) as the ‘swampy lowlands’ of practice (Schon, 1983). In more recent times ‘reflective practice’ has been developed further into a concept of ‘critical reflection’ (Payne, 2014). The application of critical reflection challenges accepted modes of thought, social organisation, dominant discourses and assumptions (Graham, 2017; Savaya & Gardner, 2012; Thompson, 2010). The two-stage reflective model developed by Fook & Gardner (2007) seeks to examine power relations and structures of domination, which in turn intrinsically challenges oppressive and discriminatory thought processes and practice (Graham, 2017, p.49; Fook, 2012, p.47). As will become apparent, forms of oppression and discrimination are a vital aspect of Alice’s narrative, and for this reason I propose to apply Fook & Gardner’s (2007) model to my critical incident and the subject of my case study. Alice’s disclosure was deeply concerning and very challenging for a number of reasons. My inexperience, the fact that Alice has a diagnosis of schizophrenia and the gravity of what she was saying all contributed to a feeling of unease. The first ‘stage’ of the reflective model is designed to question the underlying structural and social assumptions of the practitioner and analyse how and why feelings of discomfort and concern have been generated (Fook & Gardner, 2007, p.92). Adopting this process has helped me to identify possible assumptions that I suspect I may have held. For example, could my knowledge of Alice’s dysfunctional relationships in the past have resulted in me making assumptions about inherent personality ‘traits’? Did I view her mood swings and depression as simply emanating from her diagnosis of schizophrenia? Did my upbringing, that instilled and encouraged a deference to authority and ‘professional’ figures, blunt my critical faculties in relation to the ‘care’ and ‘support’ offered by individual staff members? It would also be remiss to discount the influence of gender and class on the assumptions I may have held. A closer critical analysis of the factors and experiences that have shaped Alice’s life expose the fundamental flaws and prejudices in my misplaced assumptions. As I began to work with Alice it became increasingly clear to me that she had experienced discrimination and oppression throughout her life. I learnt that Alice had endured severe and multiple adverse childhood experiences. Both of her parents committed suicide, she was raped and endured physically abusive relationships with two consecutive partners. This culminated in Alice being admitted to various psychiatric institutions in order to treat her schizophrenia and personality disorder. Eventually Alice became homeless, living on the street and addicted to heroin. The physical scars on Alice’s body as a result of these experiences can be understood from a postmodern perspective as embodied manifestations of power and oppression (Tangenburg & Kemp, 2002). Taking a postmodern perspective that conceptualises the body as the site of power relations (Foucalt, 1977) leads to an understanding that “…the body is fundamentally implicated in mechanisms of domination and control.” (Tangenburg & Kemp, 2002). Postmodernism rejects overarching general theories, instead adopting an approach that acknowledges individual narratives, social context and recognises multiple identities that may intersect (Graham, 2017; Fook, 2012). The intersection of Alice’s gender, her adverse experiences both as a child and as an adult, her diagnosis of schizophrenia and the fact that she has experienced poverty for the entirety of her life has led to oppression and discrimination at multiple levels. A reliance on members of staff who are experienced as oppressive reinforces feelings of hopelessness, stigma, discrimination and disempowerment (Williams, et al., 2015). Alice has been exploited by fellow residents who target her on the days when she receives benefits, this form of oppression takes place at a personal level and is often experienced by adults with serious mental illnesses in the “…forced intimacy of supportive housing.” (Forenza & Bermea, 2017). Oppression and discrimination also takes place at a wider level. People diagnosed with schizophrenia are often stigmatized by a discourse of ‘otherness’ which portrays people with mental health challenges as a ‘problem’ who must be ‘controlled’ by bio-medical, biogenetic models (Beresford & Wilson, 2002). Despite the dogged insistence of the dominant ‘medical model’ discourse, contemporary evidence points to a causal link between social factors and a diagnosis of schizophrenia (Read, 2010). Typical triggers include poverty, adverse childhood experiences, rape and physical or psychological violence (Read, 2010; Burns, et al., 2014). It is essential that social workers acknowledge this increasingly influential discourse which suggests that schizophrenia and other forms of mental illness are bio-psycho-social manifestations of social conditions and health inequalities, not an inherent physiological condition (Bywaters, 2015; Karban, 2017; Friedli, 2009; Marmot, 2010; Read 2010). Revisiting the assumptions that I outlined above has helped me to explore how I experienced the initial incident. Firstly, I now believe that I saw and understood the situation in simplistic, binary terms. Identifying assumptions and binary thinking, regardless of how uncomfortable this may be for the practitioner, is crucial and demonstrates reflexivity (Fook, 2012, p.107). By ‘deconstructing’ and ‘resisting’ this binary thinking the practitioner can then go on to address how change might be achieved and what values and assumptions have been challenged (Fook & Gardner, 2007). Arriving at an understanding of the multiple levels of oppression and discrimination that have shaped and distorted Alice’s life has not only heightened my awareness in this particular case but it has also changed the way I will approach practice situations in the future. The importance of recognising multiple perspectives and social contexts in a non-linear, fluid and multifaceted way leads to more ‘bottom up’ practice that in turn empowers marginalised people by recognising and legitimising their experiences and voice (Fook, 2012; Graham, 2017; Parton & O’Byrne, 2000). Alice’s deteriorating mental health led me to conclude that her social worker needed to be informed of the situation. The worker expressed a great deal of frustration at the lack of inter-agency communication, written or otherwise, and a failure to disclose key pieces of information. This can often be attributed to a defensiveness on the part of housing organisations “…due to fear of damaging reputation…or fear of over-reaction” (Parry, 2013, p.19). As a plethora of Serious Case Reviews illustrate, clarity of inter-professional and interagency communication is vital for safe practice (Moss, 2017; Hall & Slembrouck, 2009; Flynn, 2010). In the case of Alice there are three primary agencies involved. In addition to this, Alice also has contact with a psychiatrist and regular medical reviews with her GP. The number of professions and agencies involved with this single client illustrates the multiple points of contact and potential challenges that operating in this contemporary inter-agency environment presents. Understanding the communication process requires an acknowledgement of the complexity and meaning of language itself. That is to say, ‘communication’ is not neutral and does not necessarily have a universal meaning to each element of the agency or profession (Hall & Slembrouck, 2009). ‘Communication’ can be seen as a process whereby “…information passes from one person to another and is understood by them.” (White & Featherstone, 2005, p. 214). This rather simple statement camouflages the multi-layered nature of the exchange which involves an array of subjective attitudes and feelings which are projected onto the communicated information both from the perspective of ‘sender’ and ‘receiver’ (Sarangi & Slembrouck, 1996). The diversity of roles within Alice’s network highlights the danger that various professions and agencies may assign different levels of priority or even conceptualisations to the arising issues (Hudson, 2015). This means that each communication is potentially ‘categorised’ differently and therefore there is a danger that co-agencies conceive of a given situation in completely different ways (Hall & Slembrouck, 2009). I continued to learn more about Alice’s life over the following weeks.  I observed the patience and empathy that Alice’s social worker demonstrated during the interview process. Often Alice would experience what appeared to be moments of psychosis during which she seemed to be transported back in time to a particularly traumatic event which resulted in repetitive phrases and sentences being used to describe what had happened. Although these moments appeared to be traumatic for Alice she said on many occasions that she wanted to speak about her past. I noted the way that Alice’s social worker handled difficult or emotionally salient passages during interviews (Goss, 2011), particularly the use of silence and the importance of being patient rather than asking superfluous questions to fill uncomfortable pauses (Trevithick, 2012). The importance of ‘iatrogenic health’, the process whereby possibilities and opportunities are acknowledged and explored, is part of a constructive narrative approach founded on a postmodern perspective (Parton & O’Byrne, 2000). The whole thrust of the conversations, whilst acknowledging the trauma of the past and the difficulties of the present, were very much focused on the aim of Alice moving-on in both a literal and metaphorical sense. The social worker talked through the steps that needed to be taken by Alice and the support that she would need in order to achieve this goal, a process referred to as the amplification of personal agency (Parton & O’Byrne, 2000, p.60). This relationship-based work (Woodcock Ross, 2011) with Alice highlights the importance of partnership working and emphasises the need to avoid ‘top-down’ structural models (Hudson, 2015, p.102). Whilst the idea of ‘partnership’ suggests equality and collaboration, practitioners should still manage power relations with service users carefully, especially where a lack of confidence inhibits the service user from taking on the responsibility of partnership (Dalrymple & Burke, 2006). This aspect of partnership practice was and is very pertinent in the relationship between Alice and her social worker. The asymmetry between the social worker and service user emphasises the need for the practitioner to be cognizant of the inherent power imbalance in the relationship (Leung, 2011). Even where social work is undertaken with the best of intentions, for example in anti-oppressive practice, there is a danger that the voice and knowledge of the service user is lost by the intervention of the ‘expert’ practitioner (Wilson & Beresford, 2000). The difficulties Alice experienced at the hostel which culminated in such a troubled state of mind calls into question the place of adult safeguarding both within the organisation and in the wider context. The implementation of The Care Act 2014 introduced new responsibilities and statutory duties on local authorities and partner agencies with an emphasis on moving away from process-driven practice (Cass, 2015). The new legislation was adopted into Company policy, statutory guidance makes it clear that there is an onus on employers to ensure that staff working in a housing environment are adequately trained in recognising signs of abuse or neglect, which includes self-neglect under the terms of The Care Act 2014 (Department of Health, 2014). At the time of my critical incident Alice was failing to attend to personal hygiene on a regular basis, frequently appeared to be experiencing low mood and would often break down in tears even when engaging in mundane, everyday conversation. Supported housing is often regarded as a positive environment that promotes recovery-oriented practice (Harvey, et al., 2012), but it can also be experienced as an oppressive and hostile setting where staff are at best indifferent to the needs of service users or can actively act as the oppressor (Bengtsson-Tops, et al., 2014). This is especially concerning when one considers that housing staff may be the only service that residents have contact with (Cass, 2015). Risk assessments are an integral aspect of work with vulnerable people (Parry, 2013). Yet risks remain, in essence, unpredictable phenomena that defy reliably accurate outcomes (Munro & Rumgay, 2000). From a postmodern perspective, practitioners should not seek to totally eliminate risk by a ‘scientized’, calculated approach because this is doomed to failure (Parton, 1998, p. 23). Instead, there should be an acceptance that uncertainty and complexity are inherent in human interaction and therefore consideration should be given not only to ‘negative’ risk but also to the benefits of ‘positive’ risk (Macdonald & Macdonald, 2010). Risk management can be seen as a continuum (Nolan & Quinn, 2012), so whilst service user vulnerabilities must be taken into account when assessing risks there is also a balance to be struck. Planned risk-taking can and should promote a good quality of life, develop new skills and expand life experiences (Barry, 2007). Alice wishes to live independently and this is the preferred option for the social worker. However, a judgment will ultimately need to be made as to whether the rights and needs of a vulnerable service user are best served by advocating for Alice’s wishes or actively encouraging another course of action that is ‘safer’ for Alice (Kemshall, et al., 2013). This case study has demonstrated the complexity and breadth of contemporary social work. Whilst there is not universal agreement (Ixer, 2016), the central importance of critical reflection to the profession of social work is widely accepted (Thompson, 2010, p. 183). The opportunity to work with Alice has provided much to reflect on and learn from. My work with Alice has taught me many things, most notably the impact of personal and structural processes of oppression and discrimination. However, I believe the key lesson that I take from my professional relationship with Alice is to try and show the same level of astonishing resilience and generosity of spirit that Alice has demonstrated throughout her life to the present day. Works Cited Barry, M., 2007. Effective Approaches to Risk Assessment in Social Work: An International Literature Review. [Online]  Available at: www.scotland.gov.uk/Resource/doc/194419/0052192.pdf BASW, 2014. The Code of Ethics for Social Work, Birmingham: BASW. Bengtsson-Tops, A., Ericsson, U. & Ehliasson, K., 2014. Living in supportive housing for people with serious mental illness: A paradoxical everyday life. International Journal of Mental Health Nursing, 1(23), pp. 409-418. Beresford, P. & Wilson, A., 2002. Genes Spell Danger: Mental health service users/ survivors, bioethics and control. Disability & Society, 17(5), pp. 541-553 Bywaters, P., 2015. Inequalities in Child Welfare: Towards a New Policy, Research and Action Agenda. 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Risk, Advanced Liberalism and Child Welfare: The Need to Rediscover Uncertainty and Ambiguity. British Journal of Social Work, 28(1), pp. 5-27. Parton, N. & O’Byrne, P., 2000. Constructive Social Work. 1st ed. Basingstoke: MacMillan Press Ltd. Payne, M., 2014. Modern Social Work Theory. 4th ed. Basingstoke: Palgrave MacMillan. Piat, M., Sabetti, J. & Padgett, D., 2017. Supported housing for adults with psychiatric disabilities: How tenants confront the problem of loneliness. Health Soc Care Community, Volume 26, pp. 191-198. Read, J., 2010. Can Poverty Drive You Mad? ‘Schizophrenia’, Socio-Economic Status and the Case for Primary Prevention. New Zealand Journal of Psychology, 39(2), pp. 7-19. Rutter, L. & Brown, K., 2012. Critical Thinking and Professional Judgment for Social Work. 3rd ed. London: SAGE. Sarangi, S. & Slembrouck, S., 1996. Language, Bureaucracy & Social Control. 1st ed. Harlow: Addison Wesley Longman Limited. Savaya, R. & Gardner, F., 2012. Critical Reflection to Identify Gaps between Espoused Theory and Theory-in-Use. Social Work, 57(2), pp. 145-154. Savaya, R., Gardner, F. & Stange, D., 2011. Stressful Encounters with Social Work Clients: A Descriptive Account Based on Critical Incidents. Social Work: National Association of Social Workers, 56(1), pp. 63-72. Schon, D., 1983. The Reflective Practitioner: How Professionals Think in Action. New York:Basic Books Schön, D., 1987. Educating The Reflective Practitioner. 1st ed. San Francisco: Jossey-Bass. Schwartz, S., 1982. Is there a schizophrenic language?. The Behavioural and Brain Sciences, 5(1), pp. 579-626. Skills for Care, 2015. The Social Work ASYE: Guidance for NQSWs completeing the ASYE in adults and child settings. [Online]  Available at: www.skillsforcare.org.uk Tangenburg, K. M. & Kemp, S., 2002. Embodied Practice: Claiming the Body’s Experience, Agency, and Knowledge for Social Work. Social Work, 47(1), pp. 9-18. Tannebaum, R. P., Hall, A. H. & Deaton, C. M., 2013. The Development of Reflective Practice in American Education. Ameican Educational History Journal, 40(2), pp. 241-259. Teater, B., 2014. Contemporary Social Work Practice. 1st ed. Maidenhead: Open University Press. Thompson, N., 2010. Theorizing Social Work Practice. 1st ed. Basingstoke: Palgrave MacMillan. Trevithick, P., 2012. Social Work Skills and Knowledge ; A Practice Handbook. 3rd ed. Maidenhead: Open University. White, S. & Featherstone, B., 2005. Communicating misunderstandings: Multi agency work as social practice. Child and Family Social Work, 10(2), pp. 207-216. Williams, C. C., Almeida, M. & Knyahnytska, Y., 2015. Towards a Biopsychosociopolitical Frame for Recovery in the Context of Mental Illness. British Journal of Social Work, 45(1), pp. i9-i26. Wilson, A. & Beresford, P., 2000. ‘Anti-Oppressive Practice”: Emancipation or Appropriation. British Journal of Social Work, 30(1), pp. 553-573. Woodcock Ross, J., 2011. Specialist Communication Skills for Social Workers: Focusing on Service Users’ Needs. 1st ed. Basingstoke: Palgrave MacMillan.

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Top tips on reflective writing for social work students

Many students are verbally very reflective, but struggle to explore this in writing. this guide suggests a variety of tips you can offer them.

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Reflection is an essential part of social work practice, for students, experienced practitioners and everyone in between. Supporting students on social work placement to develop their skills in reflection is one of the most important tasks for practice educators and supervisors. Reflecting allows us to consider different perspectives, consider why something is happening, and learn from our experiences.

Reflective writing

Since academic assessment is predominantly about written work and reflective practice is so important to social work, it seems obvious that assessment in social work education will focus on reflective writing. Many students, and indeed social workers undertaking post-qualifying qualifications, find this difficult. They may well be very reflective in their practice, but often struggle to explore this in writing.

However, as Brown and Rutter (2015) point out, “it is not what you think or do but the way you articulate it [in writing] that is graded.” So, like it or not, practitioners need to develop their skills in reflective writing.

Jennifer Moon has written extensively on reflective writing for many years (for example, 1999, 2004). She argues there are many benefits to reflective writing:

  • It forces us to give time to reflection.
  • It helps to slow down the thought process and so helps us to sift material.
  • It makes us organise and clarify thoughts as we seek to structure the writing.
  • It gives us control over the material we reflect on, as we choose what to include and what not to include.
  • It helps us to recognise whether we really understand something, since we have to try to explain it in words.
  • It records the moment – enabling us to step back and reflect further at a later stage.

Students will need to do some sort of reflective writing around their placement, usually in the form of a practice-based assignment. It can also be useful to ask them to keep a reflective journal. Some students are keen to develop their skills in writing reflectively. It isn’t unusual to work with a student who is verbally very reflective, but who struggles to write this up in any meaningful way. In this situation, there are various ‘tips’ you can offer students:

  • Most students will have a smartphone with the ability to voice record. Suggest they record their thoughts about a case – if you don’t object they could even record a short part of supervision (so long as no service users’ names or personal details are shared). They can then play this back to themselves when they are starting their writing.
  • Ask the student to bring their ongoing reflective notes/ journal entries to supervision for discussion.
  • Share the “highlighter pens” top tip. Many students can do this on their computer – generally I use actual highlighter pens as I don’t like reading too much on screen. The advice is to read through the writing and “highlight” all the sentences which are descriptive in yellow, then highlight reflection in pink, discussion of theory in blue and so on. A good piece of reflective writing will be multi-coloured. If you find that there are “chunks” of colour, such as two yellow paragraphs followed by a pink paragraph, then it is likely that the themes are not well synthesised in the writing. This approach can be really useful for editing too – if the student tends to go way over the word count, then they can see more clearly where to edit the work (cutting down the yellow, for example).

Brown, K and Rutter, L (2015) Critical Thinking and Professional Judgement for Social Work Sage: Learning Matters

Moon, J (1999) Learning Journals: A Handbook for Academics, Students and Professional Development Kogan Page

Moon, J (2004) A Handbook of Reflective and Experiential Learning: Theory and Practice Routledge Falmer

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Social Work and Human Services Guide: Reflective Practice

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Some reflective models (click to enlarge)

What? So what? Now what? Model

Rolfe et al's Reflective Model

Source: The Open University

Kolb's Experiential Learning Theory

Source: The Starting Point project

Gibbs' Reflective Cycle model

Gibbs' Reflective Cycle

Reflective writing.

Engaging in reflective writing will develop your understanding in many ways, including helping you to:

  • Become a critical thinker
  • Identify weaknesses in your understanding
  • Gain a deeper understanding of course content
  • Become an independent learner and problem-solver.
  • Academic phrasebank
  • Examples of reflective writing
  • Practice-based and reflective learning

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Reflective Practice in Social Work

Reflective Practice in Social Work

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Self-reflective practice and skill development, reflective practice as a catalyst for improvement.

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Reflective Practice in Social Work: A Key to Continuous Improvement essay

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Reflective practice toolkit, introduction.

  • What is reflective practice?
  • Everyday reflection
  • Models of reflection
  • Barriers to reflection
  • Free writing
  • Reflective writing exercise
  • Bibliography

reflective practice example essays social work

If you are not used to being reflective it can be hard to know where to start the process. Luckily there are many models which you can use to guide your reflection. Below are brief outlines of four of the most popular models arranged from easy to more advanced (tip: you can select any of the images to make them larger and easier to read).

You will notice many common themes in these models and any others that you come across. Each model takes a slightly different approach but they all cover similar stages. The main difference is the number of steps included and how in-depth their creators have chosen to be. Different people will be drawn to different models depending on their own preferences.

ERA Cycle

  • Reflection 

The cycle shows that we will start with an experience, either something we have been through before or something completely new to us. This experience can be positive or negative and may be related to our work or something else. Once something has been experienced we will start to reflect on what happened. This will allow us to think through the experience, examine our feelings about what happened and decide on the next steps. This leads to the final element of the cycle - taking an action. What we do as a result of an experience will be different depending on the individual. This action will result in another experience and the cycle will continue. 

Jasper, M. (2013). Beginning Reflective Practice. Andover: Cengage Learning.

Driscoll's What Model

Driscoll's What Model

By asking ourselves these three simple questions we can begin to analyse and learn from our experiences. Firstly we should describe what the situation or experience was to set it in context. This gives us a clear idea of what we are dealing with. We should then reflect on the experience by asking 'so what?' - what did we learn as a result of the experience? The final stage asks us to think about the action we will take as a result of this reflection. Will we change a behavior, try something new or carry on as we are? It is important to remember that there may be no changes as the result of reflection and that we feel that we are doing everything as we should. This is equally valid as an outcome and you should not worry if you can't think of something to change. 

Borton, T. (1970) Reach, Touch and Teach. London: Hutchinson.

Driscoll, J. (ed.) (2007) Practicing Clinical Supervision: A Reflective Approach for Healthcare Professionals. Edinburgh: Elsevier.

Kolb's Experiential Learning Cycle

Kol's Experiential Learning Cycle

  • Concrete experience
  • Reflective observation
  • Abstract conceptualization
  • Active experimentation 

The model argues that we start with an experience - either a repeat of something that has happened before or something completely new to us. The next stage involves us reflecting on the experience and noting anything about it which we haven't come across before. We then start to develop new ideas as a result, for example when something unexpected has happened we try to work out why this might be. The final stage involves us applying our new ideas to different situations. This demonstrates learning as a direct result of our experiences and reflections. This model is similar to one used by small children when learning basic concepts such as hot and cold. They may touch something hot, be burned and be more cautious about touching something which could potentially hurt them in the future. 

Kolb, D. (1984) Experiential Learning: Experience as the Source of Learning and Development. Upper Saddle River: Prentice Hall.

Gibb's Reflective Cycle

Gibbs' Reflective Cycle

  • Description
  • Action plan

As with other models, Gibb's begins with an outline of the experience being reflected on. It then encourages us to focus on our feelings about the experience, both during it an after. The next step involves evaluating the experience - what was good or bad about it from our point of view? We can then use this evaluation to analyse the situation and try to make sense of it. This analysis will result in a conclusion about what other actions (if any) we could have taken to reach a different outcome. The final stage involves building an action plan of steps which we can take the next time we find ourselves in a similar situation. 

Gibbs, G. (1998) Learning by Doing: A Guide to Teaching and Learning Methods. Oxford: Further Education Unit, Oxford Polytechic .

Think about ... Which model?

Think about the models outlined above. Do any of them appeal to you or have you found another model which works for you? Do you find models in general helpful or are they too restrictive?

Pros and Cons of Reflective Practice Models

A word of caution about models of reflective practice (or any other model). Although they can be a great way to start thinking about reflection, remember that all models have their downsides. A summary of the pros and cons can be found below:

  • Offer a structure to be followed
  • Provide a useful starting point for those unsure where to begin
  • Allow you to assess all levels of a situation
  • You will know when the process is complete
  • Imply that steps must be followed in a defined way
  • In the real world you may not start 'at the beginning'
  • Models may not apply in every situation
  • Reflective practice is a continuous process 

These are just some of the reflective models that are available. You may find one that works for you or you may decide that none of them really suit. These models provide a useful guide or place to start but reflection is a very personal process and everyone will work towards it in a different way. Take some time to try different approaches until you find the one that works for you. You may find that as time goes on and you develop as a reflective practitioner that you try different methods which suit your current circumstances. The important part is that it works - if it doesn't then you may need to move on and try something else.

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Critical Reflection Log - Beginning the ASYE

Critical Reflection Log Part 1: Beginning the ASYE

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In the Assessed and Supported Year in Employment (ASYE) in adult services, Newly Qualified Social Workers are expected to work on a portfolio which includes reflecting on their practice.

This example of a critical reflective log is the first of four reflective logs required for the ASYE portfolio.

Consider your learning needs for the next three months and over the course of the year.

critical reflective log

Looking back on what I have learned over the last couple of years and my learning needs within the next three months, Gibbs reflective cycle will be used in this reflective piece to unpick the learning that I have gained and what I hope to achieve over the next three months.

In this critical reflective piece, I will highlight my strengths and weaknesses as well as my learning needs in relation to the Knowledge and Skills Statement for Social Workers in Adult Services (KSS) as well as the Professional Capabilities Framework (PCF).

Over the last couple of years, I have gained tremendous experience and knowledge as a student social worker. My placements were with adults and children’s services. 

I learned to be professional, recognise the fundamental principles of human rights and equality, recognise oppression, discrimination and to conduct myself ethically while striving to meet the requirements of Social Work England Professional Standards. 

Following the end of my last placement, I received a comprehensive report from my Practice Educator.

Feedback on my future learning needs highlighted I needed to work on my emotional resilience and grow in confidence.

In hindsight, I realised that occasionally; I became overwhelmed with some cases because of their complexity and the significant impact on the service user’s wellbeing.

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Critical Reflection Log Part 2: Reflection on Learning in the First 3 Months of ASYE

Critical Reflection Log Part 3: Reflection on Learning in the First 3 Months of ASYE

As part of the Assessed and Supported Year in Employment (ASYE) as a Newly Qualified Social Worker (NQSW), I attended an event which gave me an overview of the required skills within the Professional Capabilities Framework (PCF) and the Knowledge and Skills Statement for Social Workers in Adult Services (KSS).

The event made me aware that the KSS sets out what I should know and be able to do by the end of my ASYE programme. This awareness has made me mindful of the fact that working within the PCF and KSS framework would help me develop essential skills to help improve my practice.

Below is a discussion of my current level of learning against 2 KSS domains:

Person-Centred Practice: In the past, I have been able to work in a person-centred way with service users by identifying their needs.

For instance, I signposted a mother who needed help with parenting to a parenting class where she received the encouragement and support to thrive as a parent.

However, the learning need I have identified within this area is the need to know which support and services are available to complement people’s own resources and networks.

Safeguarding in adult services: I would like to be able to work on safeguarding cases over the next 3 months.

The learning need identified in this area is the ability to recognise the risk indicators of different forms of abuse and their impact on the service user and their families/support networks. 

I would like to work in accordance with the adult risk management guidance and apply personalised approaches that maximise the service user’s opportunities and wellbeing.

In order to achieve this, I would need to understand how the six adults’ safeguarding principles apply in practice. The learning need here will be to increase my knowledge in this area by carrying out assessments, training and through supervision.

Consider key legislation relevant to adult services generally and your employment setting specifically.

critical reflective log for newly qualified social worker

As a social worker, the law plays an important role in my practice. Knowledge of key legislation would provide me with a practical understanding of my duties, as well as the service user’s rights and responsibilities.

In my professional opinion, the Care Act 2014, the Mental Health Act 1983, Human Rights Act 1998, the Equality Act 2010, the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS) as an amendment to the Mental Capacity Act 2005 are key legislations I should aim to consider throughout my career in adult services.

I aim to demonstrate the application of these legislations in my assessments. For instance, I will carry out assessments in accordance with the Care Act 2014 and take steps to prevent, reduce, or delay the need for care and support for service users.

Furthermore, I hope to demonstrate the ability to work within the standards set out in the Mental Capacity Act 2005. I will aim to comply with the code of practice and use the Act’s five statutory principles as a benchmark to underpin any mental capacity assessment I undertake. In addition, I will use knowledge of the MCA to protect and restore power to service users who lack capacity.

Organisation–specific policies and legislation dictate who is eligible for services, standards for record keeping, confidentiality and other client rights.

Legislation relevant to my employment settings, such as the LA Adult Risk Management guidance. This would provide me with a framework to help facilitate effective multi-agency working with adults aged 16+, who are deemed to have the mental capacity and who are at risk of serious harm or death through severe self-neglect, risk-taking behaviour or refusal of services.

I am aware that there may be dilemmas in managing the balance between protecting adults at risk from self-neglect against their right to self-determination and personal freedom.

However, I feel that an understanding of the Human Rights Act 1998 and the Equality Act 2010 will help me manage such conflicts and help bring such imbalances to an equilibrium encouraging proportionality in practice.

How do you plan to obtain the practice evidence you need?

social work critical reflective log

I will use a wide range of approaches to obtain the practice evidence I need.

Firstly, I will aim to obtain feedback from service users after I have carried out an assessment.

Prior to me requesting this, I will consider their capabilities and abilities. For instance, if a service-user is dyslexic, I will make sure my feedback forms are dyslexic–friendly with large fonts and colours to help separate words and make reading easier.

This feedback will help me evidence the success of my assessment in identifying how the care and support needs of the service user will be met.

Another approach to obtaining feedback will be from other professionals I have worked with who have observed my practice. This may be from social workers, supervisors, or other professionals.

The feedback obtained will help me identify how I need to improve upon my inter-professional and collaborative working relationship. Accordingly, I will be able to streamline my practice in order to improve upon my social work skills and abilities.

In addition, I will use supervision to gain feedback on my development. I will seek feedback on my ability to carry out strength-based assessments and the proportionality and appropriateness of my assessments. I will also use this platform to seek feedback on areas to improve.

Finally, I will seek feedback from the observations and comments I receive from my ASYE supervisor throughout my ASYE year.

I am confident that prior to my first review, I would be able to carry out strength-based assessments which are concise, as well as personalised care and support plans aimed at achieving desired outcomes.

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What is a social work case study, example of a social work case study, question 1: what are the main challenges in this case study, question 2: what interventions can be implemented, question 3: what are the ethical considerations in this case study, question 4: what are the potential long-term implications of this case.

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  1. Introduction to reflective essays

  2. How to incorporate references into a reflective paper with examples from nursing

  3. Observations in Social Work. Tips for Student Placement Social Work. Uni Course in Social Work

  4. EDU406(Critical Thinking & Reflective Practice)Midterm Paper Spring 2023-Tip & Trick for Preparation

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  6. Critical Self-Reflection in Social Work Practice

COMMENTS

  1. Example of Critical Reflective Log

    This is an example of a reflective log to help you think about your own reflective writing. In this social work reflective log, I will focus on the social work. PCF domain 7: Intervention and Skills. I will also draw on other domains such as values and ethics, rights, justice and economic well-being, critical reflection and analysis, diversity ...

  2. Examples of reflective practice

    Example - Superficial reflection. Today I spent time with James (client) and his family on the ward. The family had a lot of questions about the rehabilitation process and wanted to know what was going to happen for James. I wanted to reassure them that things were OK because I knew this was what they needed to know.

  3. Observations and Reflections on my First Year Placement

    Observations and Reflections on my First Year Placement. May 14, 2019September 8, 2021 / thecriticalblog. This essay was written by Adrian Bloxham and was the winning social work entry in this year's Critical Writing Prize 2019. Adrian is studying for an MA at Anglia Ruskin University and he was nominated by his lecturer Dr Wendy Coxshall.

  4. PDF The Social Work Pocket Guide to… Reflective Practice

    Why do social workers find reflective practice difficult?..... 58. PG to Reflective Practice_Booklet.indd 4-5 01/11/2010 11:40. 7. WHAT? It is generally agreed that reflective practice is an essential aspect of good practice in social work and increasingly in social care. ... Reflective writing

  5. Social Work Reflective Essay

    Reflection forms a central part of social work practice and education, and it is particularly important for social workers in placement settings or newly qualified social workers (D'cruz et al, 2007; Parker, 2010). In its simplest terms, reflection "provides us with an opportunity to review our decisions and decision-making processes ...

  6. Reflective practice, in practice

    Abstract. The need for professionals to use reflection to learn about and develop their practice is now a universally stated goal. In social work however there has been little research into whether and how reflection in action actually occurs and this paper explores the possibilities and limits to reflective practice by drawing on research that observed encounters between social workers and ...

  7. Sitting with you in uncertainty: a reflective essay on the contribution

    This reflective essay was co-written by two social workers at very different points in their career paths. At the time of writing, [Rebecca] was newly qualified and embarking on her first role in palliative care. ... For example, unlike their younger counterparts, they may have faced more certainty in their chosen careers or the expected ...

  8. Top tips on reflective writing for social work students

    Reflective writing. Since academic assessment is predominantly about written work and reflective practice is so important to social work, it seems obvious that assessment in social work education will focus on reflective writing. Many students, and indeed social workers undertaking post-qualifying qualifications, find this difficult.

  9. Social Work and Human Services Guide: Reflective Practice

    Reflective thinking. The figure below shows that the reflective thinking process starts with you. Before you can begin to assess the words and ideas of others, you need to pause and identify and examine your own thoughts. This involves revisiting your prior experience and knowledge of the topic you are exploring.

  10. PDF REFLECTIVE WRITING

    Example of reflective writing Critical reflection essay in Social Work (extract) Stages / function Level of reflection The incident occurred during my first fieldwork placement, in a children's service. I was given the opportunity to assist a caseworker, Rose, in her work with the Jackson family -

  11. Reflective Practice in Social Work

    Reflective practice is a key element of learning and development on social work courses and it is an important aspect of social work practice. This accessible and introductory text explores a range of approaches to reflective practice that will help students become more confident in answering the question 'what is reflective practice?' There are sections on writing reflective journals ...

  12. Best Reflective Log Example

    There are several reflective models such as Rolfe et al. reflective model, Gibbs reflective cycle and Kolb reflective model. For this example reflective log, I will use Gibbs reflective piece to unpick the learning gained. Taking into account my learning at the onset of my social work placement, this reflective piece is to show how I have ...

  13. Reflective Practice, Risk and Mistakes in Social Work

    'Smart questions', reflective frameworks, reflective friends, concise reflective writing are some of the easiest and more effective strategies aimed at improving the quality of decision-making on the basis of new learning developed by reflecting on mistakes.

  14. Critically Reflective Practice in Social Work Development

    Critically Reflective Practice in Social Work Development. As a developing social worker, it is crucial to analyse and discuss change in society, understand societal structures disadvantage and marginalise individuals and groups in society as well as an understanding of processes around ageing, social demography, gender and ethnicity amongst ...

  15. Reflective Practice in Social Work

    Preview. Reflective practice is at the heart of becoming a competent and confident social worker. It's both a key element of learning and development on social work courses and an important aspect of social work practice. This accessible and introductory text explores a range of approaches to reflective practice, its main aim being to help ...

  16. Critical Reflective Log Example (log 1): Reflection on learning

    Reflecting upon past experience is a vital capability for all social work professionals to develop improved communication skills, commend ourselves for what went well, enhance future performance, and continuing professional development.Example of Critical Reflective Log (log 1): Reflection on learningThere are several reflective models such as Rolfe et al. reflective model, Gibbs reflective ...

  17. Reflective Social Work Practice Social Work Essay

    Reflective Social Work Practice Social Work Essay. "Social workers are knowledgeable about and apply the principles of critical thinking and reasoned discernment. They identify, distinguish, evaluate and integrate multiple sources of knowledge and evidence. These include practice evidence, their own practice experience, service user and carer ...

  18. SWK172 Task 1 Reflective Essay on Social Work Values

    Social work is both a practice and an academic discipline aimed at promoting self-determination, social change, and the liberation of people (ISFW, 2014). The term human services refers to an interdisciplinary field that aims to meet human needs and provide clients with a sense of agency.

  19. Reflective Practice in Social Work: A Key to Continuous Improvement

    Views. 792. Reflective practice, the ongoing process of self-assessment and adjustment in one's professional role, holds paramount importance for social workers. In the dynamic field of social work, where no two cases are identical, the ability to remain reactive and reflective becomes indispensable. This essay explores the pivotal role of ...

  20. Critical Reflection Log Part 3: Reflection on ...

    In the Assessed and Supported Year in Employment (ASYE) in adult services, Newly Qualified Social Workers are expected to work on a portfolio which includes reflecting on their practice.Considering all your learning to date, reflect critically on how you have progressed in your development as a professional over the last three months and consider your

  21. LibGuides: Reflective Practice Toolkit: Models of reflection

    The next stage involves us reflecting on the experience and noting anything about it which we haven't come across before. We then start to develop new ideas as a result, for example when something unexpected has happened we try to work out why this might be. The final stage involves us applying our new ideas to different situations.

  22. Crisis Intervention in Social Work Practice

    Introduction. Crisis intervention is a critical component of social work practice, designed to provide immediate, short-term assistance to individuals experiencing a crisis. Such crises can be precipitated by a myriad of factors including natural disasters, personal loss, mental health episodes, and other traumatic events.

  23. Social Work Practice

    Reflective social work practice is a key learning and development process in social work courses which enable social work trainees to apply theories and models in critical and challenging situations in practice to enhance professional developments (Scragg and Knott, 2007). Great emphasis is placed on developing skills of critical reflection ...

  24. Confrontations in Social Work: Challenges and Promoting Change: [Essay

    Confrontation is an integral aspect of social work practice that involves addressing and challenging problematic behaviors or situations in order to promote positive change. This essay explores the role of confrontation in social work, highlighting its importance, challenges, and potential implications.

  25. Critical Reflection Log Part 1: Beginning the ASYE

    In the Assessed and Supported Year in Employment (ASYE) in adult services, Newly Qualified Social Workers are expected to work on a portfolio which includes reflecting on their practice.Critical Reflection Log Part 1: Beginning the ASYEThis example of a critical reflective log is the first of four reflective logs required for the ASYE portfolio.Consider your learning

  26. Integrity in Social Work: a Key Component for Ethical Practice

    When it comes to social work, integrity plays a critical role in ensuring ethical and effective practice. As professionals in this field, social workers are entrusted with the responsibility of advocating for vulnerable populations, promoting social justice, and upholding the highest standards of ethical conduct.

  27. Reflective Practice in Social Work

    Reflective Practice in Social Work. "Reflection is central to good social work practice, but only if enhanced action result from that reflection" (Williams, 2006: xi) The underlying principles for this assignment are to critically evaluate my professional development in a practice placement setting and record reflections for future learning.

  28. Social Work Case Study Questions and Answers

    Let us consider an example of a social work case study to better understand its application in practice. Sarah, a social worker, has been assigned to work with a family experiencing domestic violence. The case involves a mother, Lisa, and her two children, Emma and Alex. Lisa is struggling to leave her abusive partner due to financial ...