Social Work with Individuals and Groups II: The Process and Techniques of Social Casework, from Intake to Termination, Hollis's Typology and the Techniques of Intervention, the Principles of Interviewing, and Casework Recording
2. Techniques of casework intervention
Florence Hollis classified casework procedures in Casework: A Psychosocial Therapy (1964). Sustainment expresses the worker's interest, sympathy and confidence in the client, through acceptance, reassurance and encouragement. Direct influence promotes a particular course of action, from underlining what the client already intends to, at most, advice. Exploration, description and ventilation draw out facts and allow the client to express feelings, which often brings relief. Person-situation reflection helps the client think about their current situation, their own and others' responses and the consequences of their actions. Pattern-dynamic reflection helps the client understand the patterns and tendencies in their own behaviour and the reasons for them. Developmental reflection examines how early life experiences shaped present patterns. The first four lean towards support and the last two towards insight; Hollis also described work on the environment, which she called environmental modification.
| Technique | What it does | What it sounds like |
|---|---|---|
| Acceptance and reassurance | Reduces anxiety, conveys worth | "You did the right thing in coming here." |
| Universalisation | Tells the client their feelings are shared by many, reducing isolation and guilt | "Many parents of a disabled child feel angry at times." |
| Ventilation | Allows pent-up feelings to be expressed | "Tell me how it felt when he left." |
| Partialisation | Breaks an overwhelming problem into manageable parts (Perlman) | "Let us deal with the rent first, then the school." |
| Clarification | Helps the client see their situation and feelings more clearly | "So what worries you most is losing your job?" |
| Confrontation | Points out discrepancies between words and actions, carefully | "You say you want to stop drinking, yet you went to the shop again." |
| Interpretation | Offers a meaning or connection the client has not seen | "Could your anger at your boss be linked to how your father treated you?" |
| Environmental modification | Changes the client's situation through resources and others | Arranging a scholarship or a disability certificate |
3. The principles of interviewing
The interview is the casework's main tool: a purposeful conversation between worker and client. Interviews may aim at gathering information (study), at assessment, or at help itself (therapeutic interviews), and most combine these. The principles are well established. An interview has a purpose known to both; it takes place in a setting that assures privacy and comfort; it begins by establishing rapport; it proceeds at the client's pace; the worker listens more than talks; questions are mostly open-ended ("How have things been at home?") rather than closed ("Are things fine at home?"); leading questions ("You must be angry, aren't you?"), double questions and repeated "why" questions, which sound accusatory, are avoided; silence is tolerated and used; the worker attends to non-verbal communication, their own as well as the client's; and the interview ends with a summary and an agreement about next steps.
The micro-skills of interviewing are attending, listening and responding. Gerard Egan (The Skilled Helper, 1975) summarised attending behaviour as SOLER: face the client Squarely, adopt an Open posture, Lean towards the client, maintain appropriate Eye contact and be Relaxed, adjusted for culture, since sustained eye contact is not appropriate in every setting. Active listening includes minimal encouragers ("mm", "go on"), paraphrasing the content of what was said, reflecting the feeling behind it ("You sound hurt that no one visited"), probing for detail, clarifying and summarising. Empathy, Egan's central skill, is communicating an accurate understanding of the client's feelings and experience from the client's point of view; it differs from sympathy, which is feeling sorry for the client from one's own point of view.
4. Casework recording
Records serve several purposes: accountability to the agency, funders and courts; continuity of service when a worker changes; planning and evaluation of the work; supervision and training; research and policy; and, in statutory work such as child protection or juvenile justice, legal evidence. Good records are accurate, objective, concise, timely and confidential, and they separate facts (what was observed or said) from the worker's opinions and assessments. They are written respectfully, because clients increasingly have rights of access to their records and because records follow people into courts and institutions.
| Type of record | Form | Main use |
|---|---|---|
| Face sheet | Identifying data: name, age, address, family, referral source | Quick reference; statistics |
| Narrative record | Chronological account of contacts in the worker's words | Ordinary case files |
| Process record | Detailed, near-verbatim account of an interview, with the worker's feelings and analysis | Training and supervision, especially of students |
| Summary record | Periodic condensation of the work: study, assessment, plan, progress | Transfer, review and closing |
| Problem-oriented record (SOAP) | Subjective, Objective, Assessment, Plan for each problem | Health and multidisciplinary settings |
The problem-oriented record adapts Lawrence Weed's problem-oriented medical record (1968) and is now common wherever social workers work alongside doctors and nurses. Each problem has its own note. S (subjective) records what the client reports; O (objective) records what the worker observes or verifies, such as test results, documents or the condition of the home; A (assessment) records the worker's professional interpretation; and P (plan) records what will be done next. Digital case-management systems now structure much recording, which improves retrieval and reporting but raises new questions about data protection, consent and who can see a client's history.
Key takeaways
- Phases: intake (can the agency help), study or social investigation (facts, home visits, collateral contacts), assessment or social diagnosis (dynamic, clinical, etiological), intervention (planning, contract, direct and indirect treatment), evaluation (continuous), termination and follow-up.
- Hollis (1964): sustainment, direct influence, exploration-description-ventilation, person-situation reflection, pattern-dynamic reflection and developmental reflection, plus environmental modification; support leans on the first four, insight on the last two.
- Techniques: acceptance and reassurance, universalisation, ventilation, partialisation (Perlman), clarification, confrontation, interpretation and environmental modification, each recognisable from what it sounds like in an interview.
- Interviewing: known purpose, privacy, rapport, client's pace, open-ended questions, no leading, double or accusatory "why" questions, purposeful silence; Egan's SOLER (1975), paraphrasing versus reflecting feeling, empathy versus sympathy.
- Recording: accountability, continuity, planning, supervision, research and evidence; face sheet, narrative, process (training), summary and problem-oriented SOAP records (Weed 1968: subjective, objective, assessment, plan); facts kept separate from opinion.
Practice questions (10)
Attempt each one before opening the answer. Every explanation names the tempting wrong option as well as the right one, because that is where marks are lost.
A caseworker helps a client think about how her own responses and her mother-in-law's are affecting the current conflict at home. In Hollis's typology this is:
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Answer: D — Person-situation reflection
Reflecting on the current situation, one's own and others' responses and their consequences is person-situation reflection. Developmental reflection examines early life, sustainment conveys support and confidence, and direct influence promotes a course of action.In a SOAP note used in problem-oriented recording, "A" stands for:
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Answer: C — Assessment
SOAP stands for Subjective, Objective, Assessment and Plan, adapted from Lawrence Weed's problem-oriented medical record. Action, agency and advice are plausible-sounding but wrong; what is to be done appears under P, the plan.Which of the following are sound principles of casework interviewing? Select all that apply.
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Answer: B — Use open-ended questions to encourage the client to elaborate; C — Tolerate and use silence purposefully
Open-ended questions and purposeful silence are standard principles. Repeated "why" questions sound accusatory and put clients on the defensive, and double questions confuse the client and leave one part unanswered.A worker tells a guilt-ridden mother, "Many parents of a child with a disability feel angry with the child at times." The technique being used is:
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Answer: C — Universalisation
Telling the client that her feelings are shared by many is universalisation, which reduces guilt and isolation. Confrontation points out discrepancies, interpretation offers an unseen connection, and partialisation breaks a problem into parts.Process recording, a detailed near-verbatim account of an interview with the worker's own feelings and analysis, is used mainly for:
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Answer: D — Training and supervision
Process records are too long for routine files but make a student's skills visible to a supervisor, so they are a training tool. Statistics and identification come from face sheets, and court evidence normally relies on factual narrative and summary records.Assertion (A): Intake is the phase at which the worker and client decide whether the agency can help with the client's request. Reason (R): At intake the worker completes the evaluation of the outcomes of treatment. Choose the correct option.
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Answer: C — A is true, but R is false
The assertion is true: intake establishes contact, explains services and decides on agency fit or referral. The reason is false: outcomes cannot be evaluated before treatment; evaluation is continuous during intervention and is completed near termination.Egan's acronym SOLER describes attending behaviour in interviewing. How many distinct behaviours does it name? Type the number.
Numerical answer — type the value.
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Answer: 5
Five: face the client Squarely, Open posture, Lean towards the client, Eye contact and Relaxed. Each should be adjusted for culture, since sustained eye contact, for example, is not appropriate everywhere.Breaking an overwhelming problem into smaller, manageable parts so the client can deal with one at a time is called:
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Answer: B — Partialisation
Partialisation, a term associated with Perlman's problem-solving model, makes a problem workable. Ventilation releases feelings, sustainment conveys support, and environmental modification changes the client's situation through resources.Which of the following are legitimate purposes of casework recording? Select all that apply.
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Answer: A — Continuity of service when the worker changes; C — Supervision and training; D — Accountability to the agency and, where needed, the courts
Continuity, accountability and supervision are standard purposes of recording. Publishing identifiable client stories breaches confidentiality and needs informed consent; it is not a purpose of the case record.Which of the following is the best response in the termination phase of a planned casework relationship?
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Answer: A — Reviewing progress with the client and helping them express feelings about ending
Planned termination reviews gains, consolidates them and addresses feelings about separation. An abrupt ending can undo the work; a social history belongs to the study phase; and deciding on agency fit belongs to intake.