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access to Social Service Review
This paper has been adapted from a speech prepared for delivery
a meeting of the Council on Social Work Education in Boston, January
1963. The authors are members of the faculty of the School of So
Work of the University of Michigan.
416
carries out its common family worker would like to achieve during and
activities.
Not only is the mother a keyasperson
a result in
of the treatment process.
the family situation, but she is therefore,
Goals, moti- may be immediate or
vated to change and is available for pro-
long-range. Whether immediate or long-
fessional interaction with the social range, goals should be stated specifi-
worker. The mother, then, becomescally the enough to make possible evaluation
of their attainment throughout, and at
person with whom the direct interaction
takes place, i.e., she is the primary the conclusion of, the treatment process.
tar-
The initial diagnostic process of case-
get of interventional efforts. The other
members of the family?husbandworkers
and and group workers may be
viewed as an immediate goal that is a
children?become secondary targets,
step toward establishment and achieve-
even though the family may have come
ment of long-range goals. Immediate
to the attention of the agency through
goals for practitioners of both methods
one of the other members of the family.
The worker hopes to effect changemayin well include the alleviation of
acute stress-producing factors and re-
the mother, change which in turn will
inforcement of motivation. In different
have a salutary effect upon the whole
family through modifications in ways contexts,
of practitioners of either method
may utilize social service resources to
thinking, feeling, and acting in response
to or reflective of the change inrelieve
the environmental pressures.
mother. The point may well be raised In some situations either the case-
that other members of the family worker
may or the group worker may en-
deavor to achieve only limited, imme-
also need help in order to avail them-
diate, short-range goals. Either may
selves constructively of the changes
which the mother has made. If others have a purely diagnostic function with-
do need direct professional help, theyout ongoing treatment responsibility.
in turn become primary targets of inter-Either method may be utilized to con-
vention, though the goals of interven-vey information to the client or clients,
tion may then be different. to provide appropriate opportunity for
It will be noted that this example hasventilation, to give advice, and to fur-
avoided designating whether the profes-ther short-term educative efforts.
sional method of helping achieve change Interventional goals must be related
is casework or group work. Workersto and consistent with the purpose of
using both methods of practice may social work practice and agency func-
have the same kinds of primary and tion. Often long-range goals, because
secondary interventional targets, maythey have not been stated specifically,
be working with multiple primary orhave been confused with the purpose of
secondary targets, and may find in var-practice. The essential distinction be-
ious situations that the preponderancetween purpose and goals is that purpose
of their interventional activity must beis general, while goals must be stated
directed toward either primary or sec- and their content specified in relation to
ondary targets. the particular client and his particular
Interventional goals.?^Interventionalsituation. Thus interventional goals are
goals may be conceived of as states orstatements of the ways social dysfunc-
conditions of change in social function- tion is to be ameliorated.15 Both group
ing of the client which client and/or "Vinter, op at., pp. 4-6.
of interventional
work and casework statements imply, goals in casework
tended
in the accomplishment of their to reduce the number to two.
goals,
that substitute satisfactions must be The "supportive" level included efforts
sought to replace those surrendered to andhelp the client improve his function-
that internal and external pressures ing within the framework of his estab-
lished ego mechanisms; such efforts
that militate against social functioning
must be reduced or the client's tolerance
were designed to modify the outward
for them must be increased. form of behavior but not to modify
Interventional levels.?Interventional
internal processes. A second level in-
levels are closely related to interven-
cluded efforts to modify not only the
outward form of the client's behavior
tional targets and interventional goals.
In essence, levels are conceptual state-
but also some selected internal psycho-
ments of the specific aspects of func-
logical processes.17
tioning of the person or his social en-Some of the latest thinking about in-
vironment toward which interventional terventional levels reflects the convic-
techniques will be directed in order totion that, rather than discrete levels of
achieve treatment goals particular totreatment, there is actually a continuum
the individual client. To state this some-
of treatment efforts.18 Analysis of case-
what differently, if we consider the in- work process, in this view, lends itself
terventional target as the person andnot so much to a distinction of levels
consider goals as desired steps towardas to recognition that among and with-
accomplishment of practice purpose, wein cases there is a continuum of aspects
may then say that the interventionalof environment or personality toward
level designates that segment of the en-which change endeavors are directed.
vironment or of the personality which Although intervention levels in group
requires a specific kind of modification work have not had a similar history, dis-
in order to achieve the desired inter- tinctive differences in levels have been
ventional goals. It has been thought that
implied among the variety of group
when the interventional target, goals,
therapeutic methods advocated in the
and levels have been determined thehelping professions. For example, the
techniques to be utilized will to some
descriptions of the processes of group
counseling, activity group therapy,
degree be predetermined. This assump-
tion has involved a closer relationship
group therapy, and analytic group psy-
of technique to level than later exper-
16 Lucille N. Austin, "Trends in Differential Treat-
ience has proved valid. ment in Social Casework," Journal of Social Case-
For over a decade and a half case- work, XXIX (June, 1948), 203-11; and Florence
workers have been attempting to iden-Hollis, "The Techniques of Casework," Journal of
Social Casework, XXX (June, 1949), 235-44, and
tify the levels at which the major em-
Women in Marital Conflict (New York: Family
phasis of practice falls in various kinds
Service Association of America, 1949).
17 Several statements of two levels of treatment
of casework situations. Efforts by Hollis
may be found. One clearly and carefully developed
and Austin in discerning and clarifying
is available in "Statement on Social Casework Prac-
levels of treatment are familiar to case- tice" (New York: Community Service Society, 1957
work practitioners.16 Although the two[mimeographed]).
classifications were somewhat different, 18 Florence Hollis, "Analysis of Treatment Meth-
ods and Their Relationship to Personality Change,"
each set forth four levels of interven-
Smith College Studies in Social Work, XXXII
tion. Further exploration of the problem
(February, 1962), 97-117.
Phases of treatment.?Theofexistence
the client into the agency and the
diagnosis orby
of phases of treatment is recognized formulation of the treat-
ment goals al-
both caseworkers and group workers, for the particular client.
Treatment
though their identifications then is planned, including
of these
the determination
phases are different and to some degree and formulation of
the tasks inherent in the phases are purposes of a treatment
the particular
group.gener-
somewhat different. Caseworkers This phase is followed by group
ally recognize that, althoughcomposition
the study, and group formation, with
diagnosis, treatment, and evaluation
due regard to the relevant theory about
groups.
processes are simultaneous and The worker, through his direct
ongoing,
and indirect
emphasis among these components dif- interventions, facilitates
fers during the beginningthe phase, the processes of the group
interactional
middle phase, and the terminaland thephase
emergence of the structure
within the group. Group development
of treatment. Implicitly, problem-solv-
and group
ing is a process inherent in each phase,treatment to effect tie in-
but the emphasis and perhaps dividual treatment goals for particular
the prob-
lems under consideration mayclients are sought by the worker
be differ-
through
ent throughout the recognized hisof
phases indirect interventions with
casework. More particular specification
the group and his direct interventional
of the content and processes of with
efforts eachparticular group members.
phase has been attempted. TheThere is, in the treatment se-
final phase
except for the beginning phase, little evaluation and termina-
quence includes
casework explication of variations inactivities.
tion of group
Implicitly
the process from phase to phase. Many and explicitly, both case-
of the formulations about thework
terminal
and group work have recognized
phase in casework have been twoborrowed
additional phases which are part of
from other professions. The aprofession-
total sequence, but which fall outside
the treatment sequence proper. The
al literature reflects less experientially
derived casework knowledge first is the
about occurrence of the client's
this
phase than might be anticipated. This
social dysfunctioning problem which
lack may stem from concentration of outside of and prior to
has its genesis
interest elsewhere or from insufficient the treatment sequence proper. The
experience with planned termination ofconsequence of this problem, or the dis-
casework to provide the knowledge nec-comfort concerning it, is sufficient to
essary to identify differences in proc- bring the client of his own volition, or
esses at this phase of treatment. impelled by others, into interaction with
Group workers have identified phasesthe agency. If the agency offers, and
in the treatment sequence in a way that,the client enters, treatment, the se-
from certain points of view, is somewhatquence of the treatment process begins.
more specific. The different treatment Both casework and group work assume
context?that is, the group itself?andalso a final phase of improvement in the
the utilization of research and theoryclient's social functioning in his life-sit-
related to small groups may have con-uation outside of and beyond the treat-
tributed to this specificity. Group work ment situation. Research evidence tends
phases have been identified. The workerto support this final assumption in
speaks of the intake or initial entrance many therapeutic situations. There is