problem solving approach in social work pdf

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Social Work: A beginner's text - Chapter 6 'Social Work Practice'

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This is a beginner's text to social work published in 1997, which is now out of print. Since the chapters I have posted on academia.edu have proved so popular and I am no longer contracted to the publisher, I am not able to upload an electronic copy of the book, which I hope won't be too outdated.

Adrian D Van Breda

Social development has been adopted as South Africa’s social welfare approach and is increasingly being adopted in Africa and other parts of the developing world. The translation of developmental social welfare to social work has, however, been difficult for many social workers. A particularly challenging aspect of this translation concerns the practice of social case work within a social development approach, a topic that has received virtually no attention in the social development literature. This paper constructs a process model for a form of social case work that is informed by social development principles and priorities.

poorvi poozaa

The method of social work with individual (social case work) has emerged before social work with group and community work methods, as a planned intervention process for the realization of professional applications. Social work with individual method, as social work with group and community work methods came about and developed in England and the USA. Applications of social work with individual method differed greatly in parallel with the age's changing psychological, socioeconomic and cultural conditions in the process. Previously, only with clients in problem areas arising from the structural and individual reasons such as poverty, dependency and guilt, issue-oriented vocational studies were conducted. It was thought that the problems arose from individuals and the environmental factors weren't taken into consideration. Then, with the changing circumstances and the diverse problems as a bio-psycho-social being, an individual is considered to be a living being who forms interactions in the community and who are affected by these interactions. The idea of not only the individual but also environmental factors and even the processes of non-functional interaction between the individual and the environment caused the problems gained importance in social services and science environment. In this study, as the oldest method of social work in the history, social work with individual is examined under the influence of currents of thoughts and cyclical factors. Also, from the emergence of social work as a discipline and a profession to the present day, how the social workers who are representatives of this profession, carry out their professional activities to guide their clients is outlined in this study.

Journal of Religion & Spirituality in Social Work: Social Thought

Michael Béchard , Rick Csiernik

Panagiotis Pentaris

penny moema

Ewa Domagala- Zysk , Iwona Szewczak , Bożena Piekarska , Marian Nowak

Pheona Agard

Faruk Arslan

I want to publish my master of social work writings in between 2012 and 2014 at Wilfrid lauriert University, The Faculty of Social Work to help individuals about social work field in Canada and elsewhere. As an expereinced MSW and RSW in Ontario, Canada, I’ve learned and practiced Over Mind Mood (CBT), a brief therapy in hospital setting as a discharge planner, strength-based solution focused in CAS, Trauma-Focus Emotion Regulation, Narrative and mindfulness modalities as well as social work counselling. I am a collaborative team member and proven ability to effectively problem solver with a strong desire to help individuals, groups, families, especially seniors, children and vulnerable population. Provide Psychotherapy, Spiritual Care, Spiritual Growth and using person-centered to collaborate in the self-cure system. Guiding and helping people develop a stronger connection with their authentic self, release constricting patterns in their mind, body or spirit, and manifest their true potential. It is my joy to work with all dimensions and all modalities. Currently, I am a PhD candidate in Human Relationships- Psychotherapy and Spiritual Care at Martin Luther College University. Specialized: Anxiety, Stress, Depression, Relationship Concerns, Pain Management, Grief, Obsessive Compulsive Disorder (OCD), Couples Issues, Life Transitions, Family conflict, Borderline Personality Disorder (BPD), Self-esteem and Confidence, Lack of Copings Skills, Anger Management, Lack of Focus, Communication and Motivation issues, Trauma, Neglect and Abuse, Childhood and Adolescence dysfunction, Parenting challenges and Panic Attack.

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The social worker's role in the problem-solving process

problem solving approach in social work pdf

First, a question: what's that mean exactly?

The Problem-Solving Process

The problem-solving process is a systematic approach used to identify, analyze, and resolve issues or challenges. It typically involves several steps:

Identification of the Problem: The first step is to clearly define and identify the problem or issue that needs to be addressed. This involves understanding the symptoms and root causes of the problem, as well as its impact on individuals, groups, or the community.

Gathering Information: Once the problem is identified, relevant information and data are gathered to gain a deeper understanding of the issue. This may involve conducting research, collecting data, or consulting with stakeholders who are affected by or have expertise in the problem.

Analysis of the Problem: In this step, the information collected is analyzed to identify patterns, underlying causes, and contributing factors to the problem. This helps in developing a comprehensive understanding of the problem and determining possible solutions.

Generation of Solutions: Based on the analysis, a range of potential solutions or strategies is generated to address the problem. Brainstorming, creative thinking techniques, and consultation with others may be used to generate diverse options.

Evaluation of Solutions: Each potential solution is evaluated based on its feasibility, effectiveness, and potential impact. This involves considering factors such as available resources, potential risks, and alignment with goals and values.

Decision-Making: After evaluating the various solutions, a decision is made regarding which solution or combination of solutions to implement. This decision-making process may involve weighing the pros and cons of each option and considering input from stakeholders.

Implementation: Once a decision is made, the chosen solution is put into action. This may involve developing an action plan, allocating resources, and assigning responsibilities to ensure the effective implementation of the solution.

Monitoring and Evaluation: Throughout the implementation process, progress is monitored, and the effectiveness of the solution is evaluated. This allows for adjustments to be made as needed and ensures that the desired outcomes are being achieved.

Reflection and Learning: After the problem-solving process is complete, it's important to reflect on what was learned from the experience. This involves identifying strengths and weaknesses in the process, as well as any lessons learned that can be applied to future challenges.

The Social Worker's Role

Okay, so social worker's assist with all of that. The trickiest part (and the part most likely to show up on the ASWB exam) is decision making. Do social workers make decisions for clients, give advice, gently suggest...? The answer is no, sometimes, and sort-of. Client self-determination is a key component of social work ethics. Problem-solving and decision-making in social work are guided by these general principles:

Client-Centered Approach: Social workers prioritize the autonomy and self-determination of their clients. They empower clients to make informed decisions by providing them with information, options, and support rather than imposing their own opinions or solutions.

Collaborative Problem-Solving: Social workers engage in collaborative problem-solving with their clients. They work together to explore the client's concerns, goals, and available resources, and then develop strategies and plans of action that are mutually agreed upon.

Strengths-Based Perspective: Social workers focus on identifying and building upon the strengths and resources of their clients. They help clients recognize their own abilities and resilience, which can empower them to find solutions to their problems.

Non-Directive Approach: While social workers may offer suggestions or recommendations, they typically do so in a non-directive manner. They encourage clients to explore various options and consequences, and they respect the client's ultimate decisions.

Cultural Sensitivity: Social workers are sensitive to the cultural backgrounds, beliefs, and values of their clients. They recognize that advice-giving may need to be tailored to align with the cultural norms and preferences of the client.

Ethical Considerations: Social workers adhere to ethical principles, including the obligation to do no harm, maintain confidentiality, and respect the dignity and rights of their clients. They avoid giving advice that may potentially harm or exploit their clients.

Professional Boundaries: Social workers maintain professional boundaries when giving advice, ensuring that their recommendations are based on professional expertise and not influenced by personal biases or conflicts of interest.

On the Exam

ASWB exam questions on this material may look like this:

During which step of the problem-solving process are potential solutions evaluated based on feasibility, effectiveness, and potential impact?
In the problem-solving process, what is the purpose of gathering information?
Which ethical principle guides social workers in giving advice during the problem-solving process?

Or may be a vignette in which client self-determination (eg re sleeping outside) is paramount.

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Social work treatment : interlocking theoretical approaches

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Theories Used in Social Work

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Social workers are employed throughout a variety of settings and guide people from all walks of life. Regardless of their context, social workers can leverage some core theories and practice models to help clients throughout the industry.

Common Theories and Practice Models in Social Work

In many ways, social work is a science. Social workers can guide their clients, but they don’t carry out their practice based on their own opinion and/or style. Instead, social workers study specific clinical theories that are grounded in research to inform how they implement clinical practice in a methodological manner. In fact, clinical social workers need to obtain both a bachelor’s and master’s degree in order to fully understand these theories and master therapeutic practice models.

At its core, social work focuses on “person-in-environment” (PIE) theory. This considers clients within their psychosocial contexts, and it connects to micro, mezzo, and macro levels of social work practice. This guide explores how each theory and practice model functions within the PIE theory.

Social workers learn about these theories during their education. You can learn more about these academic programs with these resources: a guide to social work bachelor’s degrees , master’s degrees , and online master’s degrees .

Why is Theory Important in Social Work?

As any social work professor can tell you, understanding clinical theories are an essential part of a social worker’s job. It allows social workers to explore certain origins of behavior with evidence-based approaches. Social workers also lean on these theories and practices to address client problems with research to back up their practice. This is especially important, as social workers need to avoid personal assumptions or biases from interfering with effective treatment plans.

Learning about these theories can also help social workers implement effective solutions rather than grasping at straws. If a certain therapeutic approach does not work, social workers can examine the reasons and use what they’ve learned to try a different approach.

Common Social Work Theories

Social workers can incorporate components of several different clinical theories in their work with clients. Some popular approaches for social workers include theories of systems, social learning, psychosocial development, psychodynamic, transpersonal, and rational choice.

Many of these theories have been developed within the past century, and several draw upon Sigmund Freud’s theories of psychoanalysis. Some of these theories encompass a broad outlook (such as systems theory), while others focus on specific conflicts (like psychosocial theory). Not every social worker uses every theory, while some social workers might use elements of each one. You can read more information about the most common social work theories below.

Systems theory assumes that human behavior is the result of a larger system comprised of several elements, including the relationships between these elements, as well as external factors like their environment. These factors could involve a person’s family, peers, school, work, or community. Sociologists have identified many different types of systems, including microsystems, mesosystems, exosystems, and macrosystems.

Social work professionals examine how the systems in which their clients live affect their behaviors. For instance, living in a system of poverty can have a significant impact on how a person makes decisions. Social workers can devise strategies based on these systems in order to provide a more concise treatment plan for their client.

Developed by psychologist Albert Bandura in the 1970s, social learning theory accounts for how the behavior of other people can affect somebody’s behavior. Bandura argued that individuals pick up behaviors by observing and imitating the people around them. Unlike behavioral theories, social learning theory proposes that people actively and mentally process other people’s behaviors before imitating them.

Social workers may take into account social learning theory when working with children who take on aggressive or violent behaviors, for example. The children may mimic their parents or other significant adults in their lives. When social workers are able to identify the origin of a child’s behaviors, they are able to effectively create a treatment approach.

Influenced by the seminal work of Freud, psychologist Erik Erikson proposes several stages of development relating to a person’s ego identity, personal identity, and social and cultural identity. Erikson’s theory argues that humans struggle with specific conflicts throughout different stages of their life. Those conflicts include:

Trust vs. mistrust in infancy
Autonomy vs. shame and doubt in early childhood
Initiative vs. guilt in preschool age
Industry vs. inferiority in school age
Identity vs. role confusion in adolescence
Intimacy vs. isolation in young adulthood
Generativity vs. stagnation in middle adulthood
Ego integrity vs. despair in maturity

Erikson’s theory suggests that if humans effectively navigate these tensions at each stage of their life, they can develop a healthy ego. Social workers may consider these conflicts when working with their clients. It is important to note that each stage correlates with an emotional stage which could also be in conflict with a developmental stage.

Introduced by Freud at the turn of the 20th century — and popularized by Carl Jung, Melanie Klein, and Anna Freud — psychodynamic theory argues that our personalities develop because of various internal forces. Freud wrote that our personalities are largely shaped during our early childhood, and our personality consists of three main parts: id (impulse), ego (decision-making), and superego (conscience). Psychodynamic theory also prioritizes a person’s unconscious thought process as the root of their behaviors.

Social workers may use psychodynamic theory to help clients examine the underlying causes of certain behaviors — often considering the clients’ childhood — to help explain why they act a certain way. Social workers may offer different types of therapies based on psychodynamic theory, including transference and dream analysis.

Transpersonal theory approaches humans with a holistic philosophy, and considers factors like spirituality, the relationship between the body and the mind, and consciousness. Psychologists generally do not consider transpersonal theory to be scientific, but many therapists or mental health professionals integrate elements of transpersonal theory into their practice. They might use meditation, mindfulness practices, or hypnotherapy on their patients.

Rational choice theory argues that people make decisions and carry out behaviors based on their own rational thought processes, especially if those decisions ultimately benefit the individual. This theory directly opposes some other clinical theories that suggest people make decisions on unconscious thought processes.

Although rational choice theory is often found within economic theory, social workers can also apply these principles to their job. To understand why clients make certain decisions, social workers can examine how those clients believed their choices would benefit them. Social workers also can develop solutions and suggest resources to assist clients with achieving their goals.

Common Practice Models in Social Work

While social workers integrate various clinical theories into their practice, they can also implement specific therapeutic models. The theories above may explain the causes of a person’s struggles; however, practice models allow social workers to carry out specific approaches to treat those struggles.

The section below outlines some of the most common practice models, including cognitive behavioral therapy, crisis intervention model, narrative therapy, problem-solving model, solution-focused therapy, and task-centered therapy. Some of these methods overlap or share characteristics with each other, but each serves a purpose for specific clients and circumstances.

Cognitive behavioral therapy (CBT) identifies unhealthy patterns of thinking and attempts to rewrite these patterns.

People often convince themselves that their frequently distorted thoughts are true. CBT forces individuals to question and confront these distortions. For instance, somebody might find themselves in fear of social situations, because they imagine a worst-case scenario that they will humiliate themselves. CBT pushes that person to examine these assumptions and instead consider new scenarios and outlooks.

People who struggle with anxiety and depression often find CBT helpful, and many clinical social workers incorporate CBT into their therapeutic practice.

Crisis intervention model is much what it sounds like: in times of acute psychological strain or distress, social workers and mental health professionals intervene before that crisis turns into harm. Albert Roberts and Allen Ottens propose seven steps to crisis intervention. These include conducting a safety assessment, establishing psychological contact, identifying the major problems, helping the patient explore their feelings, looking for new coping mechanisms, creating an action plan, and planning follow-ups.

Social workers can use the crisis intervention model for clients suffering from major trauma, post-traumatic stress disorder, or suicidal thoughts, among others. This model of crisis intervention works in a voluntary manner, which means that clients must be open to the process.

Narrative therapy is based on the theory that individuals turn their personal experiences into stories. In other words, they create narratives of their own lives. This type of therapy relies on four major principles: “objective truth” does not exist; reality is a social construct; language can influence how we view reality; and narratives help us organize our personal realities.

Narrative therapy encourages clients to distance themselves from their personal experiences by taking on the role of a narrator and rewriting the script. This can help them change harmful and disruptive thinking patterns, especially those shaped by trauma.

Helen Harris Perlman proposed the problem-solving model in the 1950s specifically for the field of social work. At the time, many social work theories and therapies relied on psychotherapy; Perlman instead argued that social workers could more effectively help clients by focusing on one problem at a time.

Focusing on smaller problems allows clients to develop and follow through with action plans to confront those issues in a manageable way. This method — also called “partializing” — would make therapies more manageable for social workers and clients alike, and professionals still use Perlman’s proposals.

Solution-focused therapy, or solution focused brief therapy, concentrates on an individual’s present and future situations. This therapy involves a departure from psychodynamic-influenced theories that focus on a person’s past and childhood.

Solution-focused therapy proposes immediate, manageable solutions that allow patients to better cope with their problems. A mental health professional or social worker employing this type of therapy might challenge a client to imagine their future life without their problem, or they might help individuals recognize and better harness copy mechanisms that they already use. Social workers might implement solution-focused therapy for adolescents with behavioral problems or families with conflicts, to name a couple of examples.

Task-centered practice shares many principles with the problem-solving model and solution-focused therapy, but it tends to follow an even more focused and quick approach. Task-centered practice usually only lasts 8-12 sessions, and clients concentrate on achieving measurable goals. Clients and social workers create action plans with specific tasks, and then clients carry out those tasks.

Social workers can integrate this type of therapy into many different types of settings. They might work with students with disruptive behavioral issues, soon-to-be-discharged hospital patients, or older clients at nursing homes.

Reviewed by:

Melissa Russiano, LCSW, LISW

Melissa Russiano is a licensed clinical social worker in private practice that has organically developed into a specialty working with helping professionals. Russiano has a proven track record helping professionals avoid burnout in a unique way that holds clinicians accountable through laughter, tears, blunt (yet very supportive) feedback and quirky analogies that are grounded in solid theoretical research. Russiano practices solely in a virtual setting in the states of California, Florida, Ohio, Pennsylvania and Tennessee. Additionally, Russiano is a professor imparting her experiences and knowledge in the field to future social workers in a graduate program through Simmons University online.

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Whole Person Health: What It Is and Why It's Important

.header_greentext{color:greenimportant;font-size:24pximportant;font-weight:500important;}.header_bluetext{color:blueimportant;font-size:18pximportant;font-weight:500important;}.header_redtext{color:redimportant;font-size:28pximportant;font-weight:500important;}.header_darkred{color:#803d2fimportant;font-size:28pximportant;font-weight:500important;}.header_purpletext{color:purpleimportant;font-size:31pximportant;font-weight:500important;}.header_yellowtext{color:yellowimportant;font-size:20pximportant;font-weight:500important;}.header_blacktext{color:blackimportant;font-size:22pximportant;font-weight:500important;}.header_whitetext{color:whiteimportant;font-size:22pximportant;font-weight:500important;}.header_darkred{color:#803d2fimportant;}.green_header{color:greenimportant;font-size:24pximportant;font-weight:500important;}.blue_header{color:blueimportant;font-size:18pximportant;font-weight:500important;}.red_header{color:redimportant;font-size:28pximportant;font-weight:500important;}.purple_header{color:purpleimportant;font-size:31pximportant;font-weight:500important;}.yellow_header{color:yellowimportant;font-size:20pximportant;font-weight:500important;}.black_header{color:blackimportant;font-size:22pximportant;font-weight:500important;}.white_header{color:whiteimportant;font-size:22pximportant;font-weight:500important;} what is whole person health.

Whole person health involves looking at the whole person—not just separate organs or body systems—and considering multiple factors that promote either health or disease. It means helping and empowering individuals, families, communities, and populations to improve their health in multiple interconnected biological, behavioral, social, and environmental areas. Instead of just treating a specific disease, whole person health focuses on restoring health, promoting resilience, and preventing diseases across a lifespan.

Multilevel Whole Person Health Framework

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Health and disease are not separate, disconnected states but instead occur on a path that can move in two different directions, either toward health or toward disease.

On this path, many factors, including one’s biological makeup; some unhealthy behaviors, such as poor diet, sedentary lifestyle, chronic stress, and poor sleep; as well as social aspects of life—the conditions in which people are born, grow, live, work, and age—can lead to chronic diseases of more than one organ system. On the other hand, self-care, lifestyle, and behavioral interventions may help with the return to health.

Chronic diseases, such as diabetes, cardiovascular disease, obesity, and degenerative joint disease, can also occur with chronic pain, depression, and opioid misuse—all conditions exacerbated by chronic stress. Some chronic diseases increase the immediate and long-term risks with COVID-19 infection. Understanding the condition in which a person has lived, addressing behaviors at an early stage, and managing stress can not only prevent multiple diseases but also help restore health and stop the progression to disease across a person’s lifespan.

.header_greentext{color:green!important;font-size:24px!important;font-weight:500!important;}.header_bluetext{color:blue!important;font-size:18px!important;font-weight:500!important;}.header_redtext{color:red!important;font-size:28px!important;font-weight:500!important;}.header_darkred{color:#803d2f!important;font-size:28px!important;font-weight:500!important;}.header_purpletext{color:purple!important;font-size:31px!important;font-weight:500!important;}.header_yellowtext{color:yellow!important;font-size:20px!important;font-weight:500!important;}.header_blacktext{color:black!important;font-size:22px!important;font-weight:500!important;}.header_whitetext{color:white!important;font-size:22px!important;font-weight:500!important;}.header_darkred{color:#803d2f!important;}.Green_Header{color:green!important;font-size:24px!important;font-weight:500!important;}.Blue_Header{color:blue!important;font-size:18px!important;font-weight:500!important;}.Red_Header{color:red!important;font-size:28px!important;font-weight:500!important;}.Purple_Header{color:purple!important;font-size:31px!important;font-weight:500!important;}.Yellow_Header{color:yellow!important;font-size:20px!important;font-weight:500!important;}.Black_Header{color:black!important;font-size:22px!important;font-weight:500!important;}.White_Header{color:white!important;font-size:22px!important;font-weight:500!important;} Is whole person health being used now in health care?

Some health care systems and programs are now focusing more on whole person health.

.header_greentext{color:green!important;font-size:24px!important;font-weight:500!important;}.header_bluetext{color:blue!important;font-size:18px!important;font-weight:500!important;}.header_redtext{color:red!important;font-size:28px!important;font-weight:500!important;}.header_darkred{color:#803d2f!important;font-size:28px!important;font-weight:500!important;}.header_purpletext{color:purple!important;font-size:31px!important;font-weight:500!important;}.header_yellowtext{color:yellow!important;font-size:20px!important;font-weight:500!important;}.header_blacktext{color:black!important;font-size:22px!important;font-weight:500!important;}.header_whitetext{color:white!important;font-size:22px!important;font-weight:500!important;}.header_darkred{color:#803d2f!important;}.Green_Header{color:green!important;font-size:24px!important;font-weight:500!important;}.Blue_Header{color:blue!important;font-size:18px!important;font-weight:500!important;}.Red_Header{color:red!important;font-size:28px!important;font-weight:500!important;}.Purple_Header{color:purple!important;font-size:31px!important;font-weight:500!important;}.Yellow_Header{color:yellow!important;font-size:20px!important;font-weight:500!important;}.Black_Header{color:black!important;font-size:22px!important;font-weight:500!important;}.White_Header{color:white!important;font-size:22px!important;font-weight:500!important;} U.S. Department of Veterans Affairs (VA) Whole Health Approach

The VA’s Whole Health System of Care and Whole Health approach aims to improve the health and well-being of veterans and to address lifestyle and environmental root causes of chronic disease. The approach shifts from a disease-centered focus to a more personalized approach that engages and empowers veterans early in and throughout their lives to prioritize healthy lifestyle changes in areas like nutrition, activity, sleep, relationships, and surroundings. Conventional testing and treatment are combined with complementary and integrative health approaches that may include acupuncture, biofeedback, massage therapy, yoga, and meditation.

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The Total Force Fitness program arose within the U.S. Department of Defense Military Health System in response to the need for a more holistic approach—a focus on the whole person instead of separate parts or only symptoms—to the demands of multiple deployments and the strains on the U.S. Armed Forces and their family members. The focus extends the idea of total fitness to include the health, well-being, and resilience of the whole person, family, community, and U.S. military.

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Established in 2020, the Whole Health Institute’s Whole Health model helps people identify what matters most to them and build a plan for their journey to whole health. The model provides tools to help people take good care of their body, mind, and spirit, and involves working with a health care team as well as tapping into the support of family, friends, and communities.

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The North Carolina Department of Health and Human Services has incorporated a whole person health approach into its health care system by focusing on integrating physical, behavioral, and social health. The state has taken steps to encourage collaborative behavioral health care and help resolve widespread inequities in social conditions, such as housing and nutritious food access.

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The Ornish Program for Reversing Heart Disease is an intensive cardiac rehabilitation program that has been shown to reverse the progression of coronary heart disease through lifestyle changes, without drugs or surgery. The program is covered by Medicare and some health insurance companies. The program’s lifestyle changes include exercise, smoking cessation, stress management, social support, and a whole-foods, plant-based diet low in total fat. The program is offered by a team of health care professionals who provide the support that individuals need to make and maintain lasting changes in lifestyle.

.header_greentext{color:green!important;font-size:24px!important;font-weight:500!important;}.header_bluetext{color:blue!important;font-size:18px!important;font-weight:500!important;}.header_redtext{color:red!important;font-size:28px!important;font-weight:500!important;}.header_darkred{color:#803d2f!important;font-size:28px!important;font-weight:500!important;}.header_purpletext{color:purple!important;font-size:31px!important;font-weight:500!important;}.header_yellowtext{color:yellow!important;font-size:20px!important;font-weight:500!important;}.header_blacktext{color:black!important;font-size:22px!important;font-weight:500!important;}.header_whitetext{color:white!important;font-size:22px!important;font-weight:500!important;}.header_darkred{color:#803d2f!important;}.Green_Header{color:green!important;font-size:24px!important;font-weight:500!important;}.Blue_Header{color:blue!important;font-size:18px!important;font-weight:500!important;}.Red_Header{color:red!important;font-size:28px!important;font-weight:500!important;}.Purple_Header{color:purple!important;font-size:31px!important;font-weight:500!important;}.Yellow_Header{color:yellow!important;font-size:20px!important;font-weight:500!important;}.Black_Header{color:black!important;font-size:22px!important;font-weight:500!important;}.White_Header{color:white!important;font-size:22px!important;font-weight:500!important;} What does research show about whole person health?

A growing body of research suggests the benefits of healthy behaviors, environments, and policies to maintain health and prevent, treat, and reverse chronic diseases. This research includes several large, long-term epidemiological studies—such as the Framingham Heart Study, Nurses’ Health Study, and Adventist Health Studies—that have evaluated the connections between lifestyle, diet, genetics, health, and disease.

There is a lack, however, of randomized controlled trials and other types of research on multicomponent interventions and whole person health. Challenges come with conducting this type of research and with finding appropriate ways to assess the evidence. But opportunities are emerging to explore new paths toward reliable and rigorous research on whole person health.

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Yes, NCCIH plans to fund research on whole person health . (Details can be found in the NCCIH Strategic Plan FY 2021–2025: Mapping a Pathway to Research on Whole Person Health . )

By deepening the scientific understanding of the connections that exist across the different areas of human health, researchers can better understand how conditions interrelate, identify multicomponent interventions that address these problems, and determine the best ways to support individuals through the full continuum of their health experience, including the return to health.

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Nccih clearinghouse.

The NCCIH Clearinghouse provides information on NCCIH and complementary and integrative health approaches, including publications and searches of Federal databases of scientific and medical literature. The Clearinghouse does not provide medical advice, treatment recommendations, or referrals to practitioners.

Toll-free in the U.S.: 1-888-644-6226

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Know the Science

NCCIH and the National Institutes of Health (NIH) provide tools to help you understand the basics and terminology of scientific research so you can make well-informed decisions about your health. Know the Science features a variety of materials, including interactive modules, quizzes, and videos, as well as links to informative content from Federal resources designed to help consumers make sense of health information.

Explaining How Research Works (NIH)

Know the Science: How To Make Sense of a Scientific Journal Article

Understanding Clinical Studies (NIH)

A service of the National Library of Medicine, PubMed® contains publication information and (in most cases) brief summaries of articles from scientific and medical journals. For guidance from NCCIH on using PubMed, see How To Find Information About Complementary Health Approaches on PubMed .

Website: https://pubmed.ncbi.nlm.nih.gov/

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Aggarwal M, Ornish D, Josephson R, et al. Closing gaps in lifestyle adherence for secondary prevention of coronary heart disease. American Journal of Cardiology. 2021;145:1-11.
Centers for Medicare & Medicaid Services. Decision Memo for Intensive Cardiac Rehabilitation (ICR) Program—Dr. Ornish’s Program for Reversing Heart Disease (CAG-00419N). Accessed at https://www.cms.gov/ on April 26, 2021.
Deuster PA, O’Connor FG. Human performance optimization: culture change and paradigm shift. Journal of Strength and Conditioning Research. 2015;29(suppl 11):S52-S56.
Gaudet T, Kligler B. Whole health in the whole system of the Veterans Administration: how will we know we have reached this future state? Journal of Alternative and Complementary Medicine. 2019;25(S1):S7-S11.
Malecki HL, Gollie JM, Scholten J. Physical activity, exercise, whole health, and integrative health coaching. Physical Medicine and Rehabilitation Clinics of North America. 2020;31(4):649-663.
National Center for Complementary and Integrative Health. NCCIH Strategic Plan FY 2021–2025: Mapping a Pathway to Research on Whole Person Health. National Center for Complementary and Integrative Health website. Accessed at https://www.nccih.nih.gov/about/nccih-strategic-plan-2021-2025 on May 14, 2021.
North Carolina Department of Health and Human Services website. Healthy Opportunities and Medicaid Transformation. Accessed at https://www.ncdhhs.gov/about/department-initiatives/healthy-opportunities/healthy-opportunities-pilots/healthy on April 26, 2021.
Military Health System website. Total Force Fitness. Accessed at https://health.mil/Military-Health-Topics/Total-Force-Fitness on April 26, 2021.
Tilson EC, Muse A, Colville K, et al. Investing in whole person health: working toward an integration of physical, behavioral, and social health. North Carolina Medical Journal. 2020;81(3):177-180.
U.S. Department of Veterans Affairs website. Whole Health. Accessed at https://www.va.gov/wholehealth/ on April 26, 2021.
U.S. Department of Veterans Affairs website. Whole Health Library. Accessed at https://www.va.gov/wholehealthlibrary/ on April 26, 2021.
Vodovotz Y, Barnard N, Hu FB, et al. Prioritized research for the prevention, treatment, and reversal of chronic disease: recommendations from the Lifestyle Medicine Research Summit. Frontiers in Medicine (Lausanne). 2020;7:585744.
Whitehead AM, Kligler B. Innovations in care: complementary and integrative health in the Veterans Health Administration Whole Health System. Medical Care. 2020;58(9S)(suppl 2):S78-S79.

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Alborzkouh P, Nabati M, Zainali M, et al. A review of the effectiveness of stress management skills training on academic vitality and psychological well-being of college students. Journal of Medicine and Life. 2015;8(4):39-44.
Bisht K, Sharma K, Tremblay M-È. Chronic stress as a risk factor for Alzheimer's disease: roles of microglia-mediated synaptic remodeling, inflammation, and oxidative stress. Neurobiology of Stress. 2018;9:9-21.
Buettner D, Skemp S. Blue Zones: lessons from the world’s longest lived. American Journal of Lifestyle Medicine. 2016;10(5):318-321.
Chen T-L, Chang S-C, Hsieh H-F, et al. Effects of mindfulness-based stress reduction on sleep quality and mental health for insomnia patients: a meta-analysis. Journal of Psychosomatic Research. 2020;135:110144.
Conversano C, Orrù G, Pozza A, et al. Is mindfulness-based stress reduction effective for people with hypertension? A systematic review and meta-analysis of 30 years of evidence. International Journal of Environmental Research and Public Health. 2021;18(6):2882.
Katz DL, Karlsen MC, Chung M, et al. Hierarchies of evidence applied to lifestyle medicine (HEALM): introduction of a strength-of-evidence approach based on a methodological systematic review. BMC Medical Research Methodology. 2019;19(1):178.
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Ornish Lifestyle Medicine website. The Ornish Reversal Program: Intensive Cardiac Rehabilitation. Accessed at https://www.ornish.com/intensive-cardiac-rehab/ on April 26, 2021.
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Seal KH, Becker WC, Murphy JL, et al. Whole Health Options and Pain Education (wHOPE): a pragmatic trial comparing whole health team vs primary care group education to promote nonpharmacological strategies to improve pain, functioning, and quality of life in veterans—rationale, methods, and implementation. Pain Medicine. 2020;21(suppl 2):S91-S99.
Tamashiro KL, Sakai RR, Shively CA, et al. Chronic stress, metabolism, and metabolic syndrome. Stress. 2011;14(5):468-474.
Whayne TF Jr, Saha SP. Genetic risk, adherence to a healthy lifestyle, and ischemic heart disease. Current Cardiology Reports. 2019;21(1):1.
Whole Health Institute website. Accessed at https://www.wholehealth.org/ on May 19, 2021.

Acknowledgments

NCCIH thanks Mary Beth Kester, M.S., and Helene M. Langevin, M.D., NCCIH, for their review of this publication.

This publication is not copyrighted and is in the public domain. Duplication is encouraged.

NCCIH has provided this material for your information. It is not intended to substitute for the medical expertise and advice of your health care provider(s). We encourage you to discuss any decisions about treatment or care with your health care provider. The mention of any product, service, or therapy is not an endorsement by NCCIH.

Person-Centred Approaches to Social Work Practice

Living reference work entry
First Online: 14 May 2022
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Adrian D. van Breda 5

Part of the book series: Social Work ((SOWO))

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This chapter addresses social work practice approaches (or theories and models) that focus on facilitating change in the person, rather than change in social environment, for example. The author notes that in many countries social workers gravitate towards individual, person-centred social work. These person-centred approaches to social work, however, are not oblivious to the environments surrounding individuals. The author argues strongly that person-centred practice does and must take cognisance of the social environment, though this is made complex by social work’s reliance on practice models drawn from other professions, notably psychology. In light of this, four practice approaches developed by and conceptualised within social work receive thorough attention: task-centred social work, strengths-based social work (including the strengths perspective), relational social work and narrative therapy (with mention of solution-focused brief therapy). In addition, the chapter also addresses five practice approaches that do not emanate from social work, but are used extensively by social workers, viz. person-centred therapy, cognitive behavioural therapy, mindfulness-based interventions, psychodynamic therapy and motivational interviewing. The author draws not only on classical writings and contemporary summaries of these approaches, but also cutting-edge social work research on each of the approaches. The chapter concludes with a call to social workers to ensure the location of person-centred practice approaches within the broader social, systemic and structural environments around persons.

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Psychological and Clinical Theories

Application of Mindfulness-Based Approaches in the Context of Social Work

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van Breda, A.D. (2022). Person-Centred Approaches to Social Work Practice. In: Hölscher, D., Hugman, R., McAuliffe, D. (eds) Social Work Theory and Ethics. Social Work. Springer, Singapore. https://doi.org/10.1007/978-981-16-3059-0_8-1

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Within the problem-solving approach it is relationship that warms the intelligence, sustains th spirit, and carries thperson f rward in wh at would otherwise bea cool, rational process. It rewards of nurture and steadfastness and recognition make itpossible tobear the frustrations and compromises that problem-work inv since lves, there are few life situations that yield easily toproblem ...
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Levi.indb. 11. Problem Solving. T eam problem solving is studied using three different approaches: how teams go about solving their problems, what types of behavior con-tribute to effective problem solving, and what techniques can be used to improve group problem solving. Teams should base their problem-solving approaches on a rational model of ...
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Social work treatment : interlocking theoretical approaches
This sweeping overview of the field untangles the increasingly complex problems, ideologies, and value sets that define contemporary social work practice. The result is an essential A-to-Z reference that charts the full range of theoretical approaches available to social workers regardless of their setting or specialty"--Provided by publisher
PDF Social Work: A Problem Solving Profession
Social Work: A Problem Solving Profession
Theories Used in Social Work
Common Social Work Theories. Social workers can incorporate components of several different clinical theories in their work with clients. Some popular approaches for social workers include theories of systems, social learning, psychosocial development, psychodynamic, transpersonal, and rational choice. Many of these theories have been developed ...
Problem Solving and Social Work
Problem-solving theory (Shier, 2011) was also found to be important in this process. Nezu, Nezu, & Perri (1989) have defined social problem-solving as "…a process by which people both understand ...
Whole Person Health: What It Is and Why It's Important
The Total Force Fitness program arose within the U.S. Department of Defense Military Health System in response to the need for a more holistic approach—a focus on the whole person instead of separate parts or only symptoms—to the demands of multiple deployments and the strains on the U.S. Armed Forces and their family members.
Person-Centred Approaches to Social Work Practice
This chapter addresses social work practice approaches (or theories and models) that focus on facilitating change in the person, rather than change in social environment, for example. The author notes that in many countries social workers gravitate towards...
Social Work: A Problem Solving Profession
There have been a number of professions in the world, but social work is central among them. It has a scientific base and problem-solving theories and processes.