What was the nature of Celia’s relationship with Mr. Brown? How did it change as she worked with him? Do you have any concerns about the relationship?
Celia O’Neil, a 39-year-old baccalaureate social work student, was assigned to complete her internship in a nursing facility where she had been employed for the past 12 years and continued to work three days a week as the Activity Director. The social work director, Betty Williams, LSW, was Celia’s task supervisor but new to the nursing home setting. Therefore, Sally Jones, LCSW, served as Celica’s preceptor. Celia’s client, Mr. Brown, was a 47-year-old man admitted to the nursing home in June 2001 with numerous psychosocial needs. Celia was frustrated by what she interpreted as Betty’s lack of effort to assist Mr. Brown. She began to wonder whether her supervisor cared about the client, and she found the nursing staff uncaring and non-supportive. In addition, the nursing staff made rude comments about Mr. Brown right in front of him, which upset Celia a great deal. She felt the comments were abusive and she wondered how to advocate for Mr. Brown.
Celia was an intern who was very excited about social work. She wanted to help her client, Mr. Brown, who had numerous bio-psycho-social needs. She believed she could address them and enhance his quality of life.
However, Celia seemed to become overly involved in Mr. Brown’s case. Students may identify several concerns about the relationship with Mr. Brown:
• She took money from her own pocket to help him get a drivers license,
• She questioned Betty’s work with Mr. Brown, but did not share her thoughts or concerns about his care with Betty or Sally during weekly supervision until a few months into her internship.
• She did not seek professional consultation in a timely manner.
• She thinks the nurses are abusive in their comments in front of Mrs. Brown, but she is not sure how to respond to them.
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Define direction of association.
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