Knowledge for clinical social work practice is ever evolving and consists of underlying explanatory concepts, practice models, and intervention skills. Conceptualization and identification of competencies for practice provides a bridge from knowledge and understanding to actual skills needed in clinical sessions. Articulating competencies also guides education of students and provides grounded skills and behaviors needed for clinical research. Analysis of simulation-based practice provides a useful methodology to identify generic practice competencies as well as competencies in specialized fields of practice. This paper presents a simulation education model and illustrates how the use of simulation enabled clinical scholars to articulate core competencies in specialized areas of social work practice. Case examples and related competencies for practice with adolescents, victims of elder abuse, and in mental health practice will demonstrate this process. Examples are drawn from reflections on practice wisdom, analysis of experienced social work practitioners, and relevant literature. Resulting competencies contribute to scholarship for clinical practice.
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Abbott-Chapman, J., Denholm, C., & Wyld, C. (2007). Pre-service professionals’ constructs of adolescent risk-taking and approaches to risk management. Journal of Sociology, 43(3), 241–261. https://doi.org/10.1177/1440783307080105
Almeida, R., Jorge, B. M., Souza-Junior, V. D., Mazzo, A., Martins, J. C. A., Negri, E. C., & Mendes, I. A. C. (2018). Trends in research on simulation in the teaching of nursing: An integrative review. Nursing Education Perspectives, 39, E7–E10.
Bland, A. J., Topping, A., & Wood, B. (2011). A concept analysis of simulation as a learning strategy in the education of undergraduate nursing students. Nurse Education Today, 31, 664–670. https://doi.org/10.1016/j.nedt.2010.10.013
Blundo, R., & Bullington, J. (2007). Abuse of elderly male clients: Efforts and experiences in rural and urban adult protective services. Journal of Elder Abuse and Neglect, 19(1–2), 173–191. https://doi.org/10.1300/J084V19n01_11
Bogo, M. (2018). Social work practice: Integrating concepts, processes, and skills (2nd ed.). New York: Columbia University Press.
Bogo, M., Katz, E., Regehr, C., Logie, C., Mylopoulos, M., & Tufford, L. (2013). Toward understanding meta-competence: An analysis of students’ reflections on their simulated interviews. Social Work Education, 32(2), 259–273. https://doi.org/10.1080/02615479.2012.738662.
Bogo, M., Rawlings, M., Katz, E., & Logie, C. (2014). Using simulation in assessment and teaching: OSCE adapted for social work. Alexandria, VA: Council on Social Work Education.
Bogo, M., Regehr, C., Logie, C., Katz, E., Mylopoulos, M., & Regehr, G. (2011). Adapting objective structured clinical examinations to assess social work students' performance and reflections. Journal of Social Work Education, 47(1), 5–18.
Bogo, M., Regehr, C., Power, R., Hughes, J., Woodford, M., & Regehr, G. (2004). Toward new approaches for evaluating student field performance: Tapping the implicit criteria used by experienced field instructors. Journal of Social Work Education, 40(3), 417–426.
Bogo, M., Regehr, C., Woodford, M., Hughes, J., Power, R., & Regehr, G. (2006). Beyond competencies: Field instructors' descriptions of student performance. Journal of Social Work Education, 42(3), 191–205. https://doi.org/10.5175/JSWE.2006.200404145.
Burnes, D. (2017). Community elder mistreatment intervention with capable older adults: Toward a conceptual practice model. The Gerontologist, 57, 409–416. https://doi.org/10.1093/geront/gnv692.
Burnes, D., Acierno, R., & Hernandez-Tejada, M. (2019). Help-seeking among victims of elder abuse: Findings from the National Elder Mistreatment Study. The Journals of Gerontology, Series B: Social Sciences, 74, 891–896. https://doi.org/10.1093/geronb/gby122.
Burnes, D., Rizzo, V. M., Gorroochurn, P., Pollack, M., & Lachs, M. S. (2016). Understanding service utilization in cases of elder abuse to inform best practices. Journal of Applied Gerontology, 35, 1036–1057. https://doi.org/10.1177/0733464814563609.
Cant, R. P., & Cooper, S. J. (2017). Use of simulation-based learning in undergraduate nurse education: An umbrella systematic review. Nurse Education Today, 49, 63–71.
Cesare, P., & King, R. (2015). Social workers’ beliefs about the interventions for schizophrenia and depression: A comparison with the public and other health professionals—An Australian analysis. British Journal of Social Work, 45(6), 1750–1770.
Cheetham, G., & Chivers, G. (2005). Professions, competence and informal learning. Cheltenham: Edward Elgar.
Council on Social Work Education. (2017). Specialized practice curricular guide for gero social work practice. https://www.cswe.org/Education-Resources/2015-Curricular-Guides/Gero_Guide_WEB_final_NewSite.aspx.
Council on Social Work Education, CSWE. (2015). Education Policy and Accreditation Standards (EPAS). https://www.cswe.org/File.aspx?id=81660.
Craig, S. L., McInroy, L. B., Bogo, M., & Thompson, M. (2017). Enhancing competence in health social work education through simulation-based learning: Strategies from a case study of a family session. Journal of Social Work Education. https://doi.org/10.1080/10437797.2017.1288597
Craig, S. L., McInroy, L. B., Goulden, A., Eaton, A. D., Kourgiantakis, T., Bogo, M., et al. (2020). The health social work competency rating scale: Development of a tool for education and practice. Social Work Education. https://doi.org/10.1080/02615479.2020.1768233
Damasio, A. (2005). Descartes’ error: Emotion, reason, and the human brain. New York: Harper Collins.
Duncan, R. E., Williams, B. J., & Knowles, A. (2012). Breaching confidentiality with adolescent clients: A survey of Australian psychologists about the considerations that influence their decisions. Psychiatry, Psychology and Law, 19(2), 209–220. https://doi.org/10.1080/13218719.2011.561759
Freake, H., Barley, V., & Kent, G. (2007). Adolescents’ views of helping professionals: A review of the literature. Journal of Adolescence, 30(4), 639–653. https://doi.org/10.1016/j.adolescence.2006.06.001
Gaba, D. M. (2007). The future vision of simulation in healthcare. Simulation in Healthcare, 2, 126–135. https://doi.org/10.1097/01.SIH.0000258411.38212.32
Gonsalvez, C., Deane, F. P., Terry, J., & Gooi, C. H. (2020). Anatomy of psychology practitioner competence: Clustering approach reveals the hierarchical organization of competencies. Clinical Psychology: Science and Practice. https://doi.org/10.1111/cpsp.12347
Gushwa, M., & Harriman, K. (2019). Paddling against the tide: Contemporary challenges in field education. Clinical Social Work Journal, 47, 17–22. https://doi.org/10.1007/s10615-018-0668-3
Halarewicz, A. K., Gelman, C., Ghesquiere, A., & Rogers, G. (2019). “Opening the door”: Developing and pilot testing an adult protective services worker engagement training in New York City. Journal of Elder Abuse and Neglect, 31(3), 191–208.
Harden, R. M., Crosby, J. R., Davis, M. H., & Friedman, M. (1999). AMEE Guide No. 14: Outcome-based education: Part 5—From competency to meta-competency: A model for specification of learning outcomes. Medical Teacher, 21(6), 546–552.
Harden, R. M., Stevenson, M., Downie, W. W., & Wilson, G. M. (1975). Assessment of clinical competence using objective structured examination. British Medical Journal, 1(5955), 447–451.
Issenberg, S. B., McGaghie, W. C., Petrusa, E. R., Gordon, D. L., & Scalese, R. J. (2005). What are the features and uses of high-fidelity medical simulations that lead to most effective learning? BEME Guide No. 4. Medical Teacher, 27(1), 10–28.
Iverson, L., Bredenkamp, N., Carrico, C., Connelly, S., Hawkins, K., Monaghan, M. S., & Malesker, M. (2018). Development and assessment of an interprofessional education simulation to promote collaborative learning and practice. Journal of Nursing Education, 57(7), 426–429.
Jenkins, P. (2010). Having confidence in therapeutic work with young people: Constraints and challenges to confidentiality. British Journal of Guidance and Counselling, 38(3), 263–274. https://doi.org/10.1080/03069885.2010.483128
Katz, E. (2019). Using simulation to teach advanced competencies in mindfulness to social work students: A teaching note. Journal of Social Work Education. https://doi.org/10.1080/10437797.2019.1593902
Kourgiantakis, T., Bogo, M., & Sewell, K. (2019a). Practice Fridays: Using simulation to develop holistic competence. Journal of Social Work Education, 55(3), 551–564. https://doi.org/10.1080/10437797.2018.1548989.
Kourgiantakis, T., Sewell, K. M., Hu, R., Logan, J., & Bogo, M. (2020). Simulation in social work education: A scoping review. Research on Social Work Practice, 30(4), 433–450. https://doi.org/10.1177/1049731519885015.
Kourgiantakis, T., Sewell, K. M., Lee, E., Adamson, K., McCormick, M., Kuehl, D., & Bogo, M. (2019b). Enhancing social work education in mental health, addictions, and suicide risk assessment: A teaching note. Journal of Social Work Education. https://doi.org/10.1080/10437797.2019.1656590.
Lamb, E. I., Jenkins, N., Male, P., McFetrich, J., Towart, M., & Sudlow, M. (2019). Primary care emergencies: Improved confidence in clinical and non-clinical members of the multidisciplinary team using a simulation programme. BMJ Simulation and Technology Enhanced Learning, 5(4), 192–193.
Lee, E., Kourgiantakis, T., & Bogo, M. (2020a). Translating knowledge to practice: A simulation-based learning to enhance mental health competence in social work education. Social Work Education, 39(3), 329–349. https://doi.org/10.1080/02615479.2019.1620723.
Lee, E., & Toth, H. (2016). An integrated case formulation in social work: Toward developing a theory of the client. Smith Colleges Studies in Social Work, 86(3), 184–203.
Lee, E. (PI), Williams, C., Bogo, M., Johnstone, M. W., Fox, M. J., & Kourgiantakis, T. (2020b). Fostering Socially Just and Culturally Competent Practice (SJCCP) in social work education: Simulation-Based Learning (SBL) using digital technologies to create an innovative e-learning space. Ottawa: Social Sciences and Humanities Research Council.
Lloyd-Hazlett, J., Moyer, M. S., & Sullivan, J. R. (2018). Adolescent risk-taking behaviors: When do student counselors break confidentiality? Journal of Child and Adolescent Counseling, 4(2), 178–193. https://doi.org/10.1080/23727810.2017.1381934
Logie, C., Bogo, M., Regehr, C., & Regehr, G. (2013). A critical appraisal of the use of standardized client simulations in social work education. Journal of Social Work Education, 49(1), 66–80. https://doi.org/10.1080/10437797.2013.755377.
McAuliffe, D., & Chenoweth, L. (2008). Leave no stone unturned: The inclusive model of ethical decision making. Ethics and Social Welfare, 2(1), 38–49. https://doi.org/10.1080/17496530801948739
Motola, I., Devine, L. A., Chung, H. S., Sullivan, J. E., & Issenberg, S. B. (2013). Simulation in healthcare education: A best evidence practical guide. AMEE Guide No. 82. Medical Teacher, 35, e1511–e1530.
Neander, L., Hansona, B. L., Edwards, A. E., Shercliffe, R., Cattrella, E., Barnetta, J. D., et al. (2018). Teaching SBIRT through simulation: Educational case studies from nursing, psychology, social work, and medical residency programs. Journal of Interprofessional Education and Practice, 13, 39–47. https://doi.org/10.1016/j.xjep.2018.08.002
Osmo, R., & Landau, R. (2001). The need for explicit argumentation in ethical decision-making in social work. Social Work Education, 20(4), 483–492. https://doi.org/10.1080/02615470120064723
Pillemer, K., Burnes, D., Riffin, C., & Lachs, M. S. (2016). Elder abuse: Global situation, risk factors and prevention strategies. The Gerontologist, 56, S194–S205. https://doi.org/10.1093/geront/gnw004
Regehr, C., Stern, S. B., & Shlonsky, A. (2007). Operationalizing evidence-based practice: The development of an institute for evidence-based social work. Research on Social Work Practice, 17(3), 408–416.
Renouf, N., & Bland, R. (2005). Navigating stormy waters: Challenges and opportunities for social work in mental health. Australian Social Work, 58(4), 419–430.
Sacco, P., Ting, L., Crouch, T. B., Emery, L., Moreland, M., Bright, C., et al. (2017). SBIRT training in social work education: Evaluating change using standardized patient simulation. Journal of Social Work Practice in the Addictions, 17(1–2), 150–168. https://doi.org/10.1080/1533256X.2017.1302886
Sarfati, L., Ranchon, F., Vantard, N., Schwiertz, V., Larbre, V., Parat, S., et al. (2019). Human-simulation-based learning to prevent medication error: A systematic review. Journal of Evaluation in Clinical Practice, 25(1), 11–20.
ten Cate, O. (2017). Competency-based postgraduate medical education: Past, present and future. GMS Journal of Medical Education. https://doi.org/10.3205/zma00146
Thomas, M. S. C., Ansari, D., & Knowland, V. C. P. (2019). Annual research review: Educational neuroscience: progress and prospects. The Journal of Child Psychology and Psychiatry, 60(4), 477–492. https://doi.org/10.1111/jepp.12973
Trumble, S. (2012). The reason for clinical simulation. The Clinical Teacher, 9, 273–274. https://doi.org/10.1111/j.1743-498X.2012.00639.x.
United Nations. (2013). World population ageing 2013. https://www.un.org/en/development/desa/population/publications/pdf/ageing/WorldPopulationAgeing2013.pdf.
Whitaker, T., Weismiller, T., & Clark, E. (2006). Assuring the sufficiency of a frontline workforce: A national study of licensed social workers. Executive summary. Washington, DC: National Association of Social Workers.
Williamson, E. C. (2020). Advancing field education as a key area of focus in the 2022 EPAS. Field Educator, 10(1), 1–9.
Winterton, J. (2009). Competence across Europe: Highest common factor or lowest common denominator? Journal of European Industrial Training, 33(8/9), 681–700.
World Health Organization, WHO. (2018). Mental health atlas 2017. Licence: CC BY-NC-SA 3.0 IGO. Geneva: World Health Organization.
Yunus, R. M., Hairi, N. N., & Choo, W. Y. (2017). Consequences of elder abuse and neglect: A systematic review of observational studies. Trauma, Violence, and Abuse. https://doi.org/10.1177/1524838017692798
The projects described in this paper were supported by The Larry Enkin Simulation Fund at the Factor-Inwentash Faculty of Social Work, University of Toronto.
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Bogo, M., Kourgiantakis, T., Burns, D. et al. Guidelines for Advancing Clinical Social Work Practice Through Articulating Practice Competencies: The Toronto Simulation Model. Clin Soc Work J 49, 117–127 (2021). https://doi.org/10.1007/s10615-020-00777-6