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Clinical social work is a specialty within the broader profession of
social work Social work is an academic discipline and practice-based profession concerned with meeting the basic needs of individuals, families, groups, communities, and society as a whole to enhance their individual and collective well-being. Social wo ...
. The American Board of Clinical Social Work (ABCSW) defines clinical social work as "a healthcare profession based on theories and methods of prevention and treatment in providing mental-health/healthcare services, with special focus on behavioral and bio-psychosocial problems and disorders". The National Association of Social Workers defines clinical social work as "a specialty practice area of social work which focuses on the assessment, diagnosis, treatment, and prevention of mental illness, emotional, and other behavioral disturbances. Individual, group and family therapy are common treatment modalities". Clinical social work applies social work theory and knowledge drawn from human biology, the
social sciences Social science (often rendered in the plural as the social sciences) is one of the branches of science, devoted to the study of society, societies and the Social relation, relationships among members within those societies. The term was former ...
, and the
behavioral sciences Behavioural science is the branch of science concerned with human behaviour.Hallsworth, M. (2023). A manifesto for applying behavioural science. ''Nature Human Behaviour'', ''7''(3), 310-322. While the term can technically be applied to the st ...
.


History

Many suggest that the roots of clinical social work began with the social casework methods used by Charity Organization Societies around 1877 to 1883. In 1898, the first U.S. social work class was offered at Columbia University by the New York Charity Organization Society. In 1904 Simmons College, in collaboration with Harvard University, established the Boston School for Social Workers. Also, in 1904, Columbia University offered the first graduate program in social work, although it was not named the New York School of Social Work until 1917. In 1917 Mary E. Richmond conceptualized social casework in her text ''Social Diagnosis''. The term social casework began to fade from use after 1920 and the term psychiatric social work became more in common as well as the application of psychoanalytic theory. Ehrenkranz reported that the first use of the term clinical social work was in 1940 at the Louisiana State University School of Social Work which offered a clinical curriculum. The National Federation of Societies for Clinical Social Work was established in 1971, which later became the Clinical Social Work Association in 2006. The Clinical Social Work Journal began in 1973 shortly after founding of the National Federation of Societies for Clinical Social Work. In 1978 the National Association of Social Workers' Task Force on Clinical Social Work Practice drafted the first working definition of clinical social work. The National Association of Social Workers established the Diplomate in Clinical Social Work (DCSW) in 1986. In 1987, the American Board of Examiners in Clinical Social Work was founded, which later became the American Board of Clinical Social Work in 2020, and established the Board Certified Diplomate in Clinical Social Work (BCD) credential. Today, clinical social work is licensed in all 50 of the United States, the District of Columbia, the U.S. Virgin Islands, all 10 Canadian Provinces, Guam and the U.S. Commonwealth of the Northern Mariana Islands, as well as licensed or certified by other jurisdictions around the world.


Practice Methods

The core methods of clinical social work require "the application of social work theory, knowledge, methods, ethics, and the professional use of self to restore or enhance social, psychosocial, or biopsychosocial functioning of individuals, couples, families, groups, organizations and communities. The practice of clinical social work requires the application of specialized clinical knowledge and advanced clinical skills in the areas of assessment,
diagnosis Diagnosis (: diagnoses) is the identification of the nature and cause of a certain phenomenon. Diagnosis is used in a lot of different academic discipline, disciplines, with variations in the use of logic, analytics, and experience, to determine " ...
and treatment of mental, emotional, and behavioral disorders, conditions and addictions. Treatment methods include the provision of individual, marital, couple, family and group counseling and
psychotherapy Psychotherapy (also psychological therapy, talk therapy, or talking therapy) is the use of Psychology, psychological methods, particularly when based on regular Conversation, personal interaction, to help a person change behavior, increase hap ...
. Clinical social workers are qualified to diagnose using the
Diagnostic and Statistical Manual of Mental Disorders The ''Diagnostic and Statistical Manual of Mental Disorders'' (''DSM''; latest edition: ''DSM-5-TR'', published in March 2022) is a publication by the American Psychiatric Association (APA) for the classification of mental disorders using a com ...
(DSM), the
International Classification of Diseases The International Classification of Diseases (ICD) is a globally used medical classification that is used in epidemiology, health management and clinical diagnosis. The ICD is maintained by the World Health Organization (WHO), which is the dir ...
(ICD), and other diagnostic classification systems in assessment,
diagnosis Diagnosis (: diagnoses) is the identification of the nature and cause of a certain phenomenon. Diagnosis is used in a lot of different academic discipline, disciplines, with variations in the use of logic, analytics, and experience, to determine " ...
,
psychotherapy Psychotherapy (also psychological therapy, talk therapy, or talking therapy) is the use of Psychology, psychological methods, particularly when based on regular Conversation, personal interaction, to help a person change behavior, increase hap ...
, and other activities. The practice of clinical social work may include private practice and the provision of clinical supervision". Assessment methods typically refers to a biopsychosocial assessment, clinical interview, direct behavioral observation, and/or the administering, scoring, and interpreting of various tests, inventories,
questionnaire A questionnaire is a research instrument that consists of a set of questions (or other types of prompts) for the purpose of gathering information from respondents through survey or statistical study. A research questionnaire is typically a mix of ...
s, and
rating scale A rating scale is a set of categories designed to obtain information about a quantitative property, quantitative or a Qualitative data, qualitative attribute. In the social sciences, particularly psychology, common examples are the Likert scale, L ...
s. Further, clinical social workers engage in
consultation Consultation or consultative may refer to: * Public consultation, a process by which the public's input on matters affecting them is sought * Consultation (Texas), the 1835 Texas meeting of colonists on a proposed rebellion against the Republic of ...
, program and practice evaluation, and the administration of clinical programs and services.


Psychiatric Social Work

Psychiatric Social Work is a practice area of social work involving the care of individuals with Serious mental illness who require intensive care. They may be involved with referring, treating (with psychotherapy) or otherwise managing such patients. Most Psychiatric Social Workers work in psychiatric institutions or hospitals, though in some programs they may work outside the institution for a period of intense observation.


Education

The Master of Social Work (M.S.W.) degree, accredited by the Council on Social Work Education, is the minimum education requirement in clinical social work and is the terminal practice degree. These M.S.W. degree are typically two full-time years of study in length and require 900 to 1,200 hours of internship practice. If an applicant to a M.S.W. degree program has a
Bachelor of Social Work A bachelor is a man who is not and never has been married.Bachelors are, in Pitt & al.'s phrasing, "men who live independently, outside of their parents' home and other institutional settings, who are neither married nor cohabitating". (). Etymo ...
(B.S.W.) degree, accredited by the Council on Social Work Education, they may be offered "advanced standing" shorting their M.S.W. degree program to one years of full-time study. The Doctor of Social Work (D.S.W.) is the advanced practice professional degree in social work. The D.S.W. may be specialized in an area or in multiple areas of social work practice, one of which may be clinical social work at some universities. The
Doctor of Philosophy A Doctor of Philosophy (PhD, DPhil; or ) is a terminal degree that usually denotes the highest level of academic achievement in a given discipline and is awarded following a course of Postgraduate education, graduate study and original resear ...
(Ph.D.) in social work is typically considered a "research degree;" however, some schools may offer the Ph.D. degree in social work with a clinical social work practice specialization.


Licensure


In the United States

Licensure Occupational licensing, also called licensure, is a form of government regulation requiring a license to pursue a particular profession or vocation for compensation. It is related to occupational closure. Some claim higher public support for ...
is required to practice social work in the United States, and in many other jurisdictions. Clinical social work licensure typically requires 1,500 to 5,760 hours of post-master's clinical work experience under clinical supervision with a board approved clinical supervisor, and a passing score on an Association of Social Work Boards approved clinical level examination. The number of post-master's clinical hours may vary by jurisdiction. Clinical licensure titles also may vary by jurisdiction. The Association of Social Work Boards recommends the use of Licensed Clinical Social Worker (LCSW) as the preferred title. However, some jurisdictions have used other titles including, but not limited to Licensed Independent Social Worker (LISW), Licensed Independent Clinical Social Worker (LICSW), Licensed Specialist Clinical Social Worker (LSCSW), and Licensed Certified Social Worker-Clinical (LCSW-C).


Certification

Certification is a voluntary process that typically does not authorize practice, but may suggest specialization in a subfield of practice. There are several certifications in clinical social work.


In the United States

The American Board of Clinical Social Work (ABCSW) offers the Board Certified Diplomate in Clinical Social Work (BCD), and several clinical social work specialization credentials including practice with children and their families, clinical supervision, and in psychoanalysis. The ABCSW states that the BCD is "the profession's premier" advanced clinical social work certification, having the highest standards of clinical education, training, and experience. The ABCSW offers three specialty certifications including Practice with Children and Their Families, Clinical Supervision, and Psychoanalysis. Each of these specialty certifications require the applicant to hold advanced clinical certification as a BCD in Clinical Social Work, have acceptable peer evaluations, to have accumulated a specified number of clinical practice hours, have the specified number of clock hours of clinical continuing education related to the specialty, and have had a specified number of supervision or consultation hours. The National Association of Social Workers also offers several clinical social work credentials including the Qualified Clinical Social Worker (QCSW), Diplomate in Clinical Social Work (DCSW), Clinical Social Worker in Gerontology (CSW-G), and the Certified Clinical Alcohol, Tobacco & Other Drugs Social Worker (C-CATODSW). The Qualified Clinical Social Worker (QCSW) is the beginning level generalist clinical social work credential offered by NASW; NASW membership is not required to obtain the QCSW. The Diplomate in Clinical Social Work (DCSW) is the advanced level generalist clinical social work credential offered by NASW; NASW membership is required to obtain the DCSW. The Clinical Social Worker in Gerontology (CSW-G) is a specialty credential offered by NASW to clinical social workers who specialize in working in the area of gerontology; NASW membership is not required to obtain the CSW-G. The Certified Clinical Alcohol, Tobacco & Other Drugs Social Worker (C-CATODSW) is a specialty credential for clinical social workers who work in the area of alcohol, tobacco, and other drugs; NASW membership is not required to obtain the CSW-G. The National Association of Forensic Counselors offers the Clinically Certified Forensic Social Worker (CCFSW) credential. The NAFC suggests that the CCFSW is a clinical level certification for clinical social workers who hold an M.S.W. or D.S.W. degree, have obtained clinical licensure in their state, have earned a specified amount of related continuing education, obtained a passing exam score, and work with adult and/or juvenile criminal offenders.National Association of Forensic Counselors. (n.d.). Certifications offered, requirements, application download, and other important information. Retrieved from http://forensiccounselor.org/?Certifications_and_Memberships__NAFC_Certifications_Offered%2C_Requirements_and_Applications


See also

* Behaviour therapy * Child psychotherapy * Cognitive therapy * Cognitive-behavioral therapy * Counseling *
Couples therapy Couples therapy (also known as couples' counseling, marriage counseling, or marriage therapy) is a form of psychotherapy that seeks to improve intimate relationships, resolve interpersonal conflicts and repair broken bonds of love. History Marri ...
* Crisis intervention *
Differential diagnosis In healthcare, a differential diagnosis (DDx) is a method of analysis that distinguishes a particular disease or condition from others that present with similar clinical features. Differential diagnostic procedures are used by clinicians to di ...
*
Family therapy Family therapy (also referred to as family counseling, family systems therapy, marriage and family therapy, couple and family therapy) is a branch of psychotherapy focused on families and couples in intimate relationships to nurture change and ...
* Forensic social work * Grief counseling *
Group psychotherapy Group psychotherapy or group therapy is a form of psychotherapy in which one or more therapists treat a small group of clients together as a group. The term can legitimately refer to any form of psychotherapy when delivered in a group format, i ...
* Interpersonal psychotherapy *
Mental health professional A mental health professional is a health care practitioner or social and human services provider who offers services for the purpose of improving an individual's mental health or to treat mental disorders. This broad category was developed as a ...
* Psychiatric rehabilitation *
Psychoanalysis PsychoanalysisFrom Greek language, Greek: and is a set of theories and techniques of research to discover unconscious mind, unconscious processes and their influence on conscious mind, conscious thought, emotion and behaviour. Based on The Inte ...
* Psychodynamic psychotherapy * Psychoeducation *
Psychotherapy Psychotherapy (also psychological therapy, talk therapy, or talking therapy) is the use of Psychology, psychological methods, particularly when based on regular Conversation, personal interaction, to help a person change behavior, increase hap ...
* School social worker * Caseworker (social work) * Solution-focused brief therapy * Qualifications for professional social work


References

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