PRE-CONFERENCE
AUGUST 23-26, 1986
“International Comparison of
Social Work
As a Lead Profession:
Gayle Gilchrist James, M.S.W., R.S.W. (
Associate Professor,
Abstract
This
paper describes the models used in North America for defining the professions,
and describes the credentialing processes of registration, certification, and
licensing, using as background material the statements of the Canadian
Association of Social Workers (CASW) and the National Association of Social
Workers (NASW), The author describes in detail the issues which arise and are
of continuing attention in the development of social work as a profession
(control of practice vs. control of title; reciprocity across jurisdictional
boundaries; generic vs. specialty practice, etc.), as well as describing how
CASW has resolved these issues. Finally, the essential elements of a
comprehensive code of ethics are presented, using as a model the CASW Code.
Acknowledgments
I
wish to acknowledge the specific contributions made to this paper and its
presentation in
INTERNATIONAL
COMPARISON OF SOCIAL WORK
AS A LEAD
PROFESSION:
Introduction
It is an honor to be asked to speak, abroad, of one's
profession in one's own country.
Social
work's roots are in charity and as early as 2100 B.C. in recorded history
(James & Gero, 1983). Our antecedents were volunteers in North American
charitable organizations and neighbourhood settlement houses around the turn of
this Twentieth Century; for many, this work represented a lifetime career of
service, and it is to them we owe a debt of gratitude for organizing the first
attempts to mold social work into a profession with educational preparation
based in universities rather than in agency in-service training programs.
In
1898, the "first social work training school (was) established as an
annual summer course for agency workers by the New York Charity Organization
Society," followed by the founding in 1903, of the Chicago School of
Civics and Philanthropy, now known as the University of Chicago School of
Social Service Administration (Alexander, 1986). In that interval, the first
school of social work was established in 1899 in
In
the roughly three-quarters of a century since its inception as a full-time,
paid, professional enterprise, social work in North America has undergone a
high degree of differentiation as the dominant profession within the broad
field of social welfare. New fields of practice, methodological functions,
social problems, populations served, geographic areas covered, systems sizes,
and modalities of intervention have all evolved (Ramsay, 1986). Certain
historical debates, such as generalist (or generic) approaches vs. specialization,
social action vs. social treatment, etc. have been partially tempered by strong
statements, since the early 1970's, concerning the common base of practice
inherent in all professional social work. This unity within the diversity of
practice has permitted the development of a unanimously--accepted Code of
Ethics and definition of social work practice at the IFSW Brighton 1982
meetings, and has permitted CASW to develop a Code of Ethics (CASW, 1983) which
also incorporates a statement of minimum competence for professional practice.
Along
with these achievements has gone a consistent effort in
Giving
this brief background introduction, let us examine social work education in
Canada, what it means to be a profession, the rationale for regulation, the
various means by which social workers may be credentialed (registration,
certification, licensing), the context of the CASW Code of Ethics 1983, and
some general guidelines for the development of a professional association. In
the interest of brevity, these items will be dealt with in point-form whenever
possible.]
Social Work Education in
There
are now 26 schools, faculties, and departments in
In
addition, through a high degree of co-operation with the Council on Social Work
Education (CSWE),
Most
Canadian social work schools offer undergraduate and graduate degrees; the
Bachelor of Social Work (BSW) degree, known within the field as "the first
professional degree", and the Master of Social Work (MSW) degree. Only the
There
exists, as well, community college programs in social services, leading to a
diploma or certificate. Usually of two years' duration, these produce graduates
who work in direct social services, usually under the supervision of a
university trained social worker. Although there is not currently a national or
international accreditation body for these training programs, most have an
active liaison with schools of social work in their region, to provide an
educational ladder for those wishing to continue formal studies in social work.
In
general, the BSW requires four years of study, with an additional year or two
for completion of the masters degree. Some students may enter BSW or MSW
programs with a prior undergraduate degree (usually, a Bachelor of Arts with a
major in the social sciences) although they may be required to take a
qualifying year, particularly for graduate admission. Doctoral studies,
undertaken in
Social
work, like other professions, does not have an exclusive "corner on the
knowledge market"; what is unique to social work is its perspective on
people's problems in living, the solutions to those problems and, therefore,
the body of knowledge required to sustain work from that perspective. Social
workers take a broad view of problems that focuses on the inter-connectedness
and interdependence of individuals with their society, believing that
"private troubles" and "public issues" are intimately
related. The knowledge base, therefore, is derived from research about
individuals and society and, more importantly, about the dynamic relationship
between the two (where general systems theory is a key principle).
(a)
Core Subject Matter
Most
social work education assumes a "two plus two" arrangement in BSW
programs, i.e., a minimum of two years of (liberal) arts education in relevant
areas (psychology, sociology, anthropology, political science and economics)
followed by two years of more specialized subject matter which reflects the
perspective of social workers that individuals and their society are
interdependent.
There
is international agreement on the knowledge base of social work and the core
subject areas are; human growth and social environment; social policy; social
welfare administration; research methodology and design; supervised practice or
field work experiences; and methods courses in the application of and
integration of the learned knowledge base.
In
addition, most Canadian education programs consider an interviewing and
communications course an integral part of the curriculum.
(b)
Specialized Subject Matter
Graduate
and post-graduate education provide opportunities to specialize in a particular
area (casework, group work, policy and administration, community organization,
and research are the traditional forms), or in a given field of practice (child
welfare, education and social work -- social work services in schools,
gerontology, social work in health settings), or in a particular methodology
(family therapy, behaviour modification, social planning, locality development,
supervision).
The
emphasis on research in social work is demonstrated by the requirement that all
graduates must have successfully completed research courses in the arts portion
and/or in the core social work portion of studies. The goal, mainly, is to
train social workers to be good consumers of research and, secondarily, to
design and conduct studies in their own profession, thereby fulfilling the profession's
commitment to evaluation, which is considered a core skill in all forms of
social work practice. Because social work draws heavily on the information
provided by psychology and sociology, it is important that social workers be
able to judge the validity and worth of their studies.
Reprinted from James and Gero, 1983; 86-88
Social Work as a Profession
The
status of social work as a profession has been a subject of debate in
There
are essentially three models for defining and describing professions;
"trait, process, and power" (Popple, 1985). The trait model refers to
a "list of fixed criteria" (Popple, 1985), and some of the
traditional benchmark criteria are:
Dr. Douglas Cameron, January
1980
Professions
must possess:
Rose (citing Leggett, 1970),
1974.
The
power model is a "...description of a certain pattern of
occupational control...a dominant position in a division of labor"
(Popple, 1985).
The
process model of looking at professions maintains that "occupations
span a continuum of professional attributes" and "professionalism is
a process with many different occupations at many points on the continuum"
(Popple, 1985). Popple clearly favors the process model, and cites Caplow and
Wilensky's "life history" of occupations as they go through this
sequence of steps, en route to becoming a profession:
In
conclusion, one cannot help but concur that "although an absolute
distinction between professions and nonprofessions is impossible, 'nevertheless
the term profession clearly stands for something'...power and prestige..."
(Popple, 1985; 563, citing Carr-Saunders & Wilson, The Professions,
1933) and given all of the criteria enunciated, one can also conclude that, at
least in North America, CASW and NASW are professions well along the continuum,
with only the stages of universal registration and control of practice
remaining before they become totally self-governing independent professions.
This
leads, logically, to why "becoming professions" seek regulation; the
former Executive Director of CASW offers this reasoning.
Rationale for Regulation
"By
promoting standards and control, regulation is said to protect the public
against incompetence and fraud which might endanger the life, health, welfare,
safety or property of citizens. Significantly, regulation is delegated to a
profession or a occupation group by the appropriate (governmental)
authority...only when professional or occupational self-government is in the
best interest of the public.
There
are, more subtle, reasons for regulation. From the profession's point of view,
self-regulation confers a special authority and status. Quite apart from its
value as a mechanism for discipline and control, regulation is a recognition of
the profession's legitimacy. Equally to the point, regulation enables a
profession to set its own priorities and standards."
Gowanlock, 1985
While
regulation is seen as desirable, what forms may it take?
Definitions
Two
Broad Categories of Professional Regulation:
1. Private credentialing
a) registration
b) certification
2. Public credentialing
a) registration
b) certification
c) licensing (can only be done by the public sector)
Registration
"...a
listing or registry of persons identifying themselves with (an) occupational
activity....A private association issuing such a register does not have police
powers.... The unregistered practitioner does not draw penalties...for engaging
in the occupation unless the practitioner claims to be registered. Registration
provides few restrictions on the practitioner, but does provide the client or
consumer with a listing of vendors who have met certain standards"
(Hardcastle, 1984, p.828).
"Public"
registration means that there exists some legislated or legal control of title,
but police powers are limited to penalties for misuse of title, i.e., the state
is merely performing the same function as the private association.
Certification
"...involves
the issuance of credentials when the professional association attests that a
person has obtained a specific level of knowledge and skill....Similar to
registration, certification does not prohibit uncertified practitioners from
engaging in the occupational activity, but it does prevent their use of the
term 'certified' ... (however) it lists vendors according to the certification
criteria and makes a more finite judgement as to the practitioner's competency
… (and) provides the public with an a priori judgment of the competency
of certified practitioners … the certifying group cannot enforce its
definition of competency over all who work in the occupation; it can only
enforce the definition over practitioners choosing to be certified"
(Hardcastle, 1983, p. 828). In a sense, it is only a trademark.
"Public"
certification means that there exists some legislated or legal control of
title, but police powers are limited to penalties for misuse of title, i.e.,
the state is merely performing the same function as the private association.
Licensing
"...represents
a quantum leap over registration and certification ....it prevents the
unlicensed practitioner from engaging in the occupational activity. Licensing,
in effect, grants the profession a monopoly over the occupational activity
… (and) it is a 'process by which an agency of government grants
permission to an individual to engage in a given occupation upon finding that
the applicant has attained the minimal degree of competency required to ensure
that the public health, safety, and welfare will be reasonably protected'
(Shimberg and Roederer)" (Hardcastle, 1983, p.830).
Licensing
controls not only title, but practice. It is a mechanism by which "the
state decrees that persons may not engage in particular economic activities and
behaviour, except within the specific conditions set forth by the authority of
the state and under its regulatory power" (Proposed Social Work and Social
Services Personnel Act, Discussion Draft Number 2, April 1980, p.1).
"Licensing
states explicitly the requirements for knowledge and skills, describes how
these are to be obtained and demonstrated, and uses the state's regulatory or
police powers to enforce the definition of standards and behaviours"
(Hardcastle, 1983, p. 830).
Licensing As A Profession
and Licensing as an Occupation Differ; Professions Must:
(Hardcastle, 1983, p. 831, citing the Council
of State of Governments, 1952)
A
key distinction between social work and the mainline organized professions like
law and medicine is that, while virtually all social work associations in
Canada have control of specific titles for their members and registrants, (such
as "Registered Social Worker") there is no professional social work
association in Canada with complete control of practice was well as of the
(assorted) titles. In many provinces people can refer to themselves as a
"social worker" or may practice "social work" without fear
of infringing on any law. This uneven distribution of powers, rights and
obligations of the profession has led to confusion in the minds of the public,
and to difficulties in relating to the mainline professions, particularly
around issues which may, at times, remain unregulated by law (for example,
issues such as sharing confidential information).
In
most provincial social work jurisdictions the initials RSW, following a
particular practitioner s name, indicates that practitioner has subjected
himself to the full range of professional and civil legal responsibilities and
is, therefore, subject to charges of malpractice and incompetence, as well as
breaches of the Code of Ethics.
Social
work most resembles law in the organization of its professional members; while
no particular specialties are recognized by statute, members are allowed to
confine their practice to specific areas but must, upon investigation, be able
to justify why they, by virtue of experience and training, are practicing in a
particular area. Thus, the pattern in medicine (i.e., of specialties involving
specific titles and entitlement) is not the model used by most social work
associations in
Because
of social work's connectedness with governmental and organizational forces, it
is the profession's belief that it is important to demand a degree of
accountability from policy makers and organizational experts who apply what
policy makers and others have developed regarding institutional arrangements
for helping people. It is for this reason that the social work profession has
continued to demand accountability not only from direct service practitioners
but also from those individuals who (while their job description may call them
executive directors, managers, consultants) obtained their position by virtue
of their social work training and are, therefore, still accountable to the
social work profession for their professional performance of duties.
Reprinted from James and Gero, 1983:92
At
the heart of every profession is its Code of Ethics, and CASW is a mere two
years short of the fiftieth anniversary of its first Code.
The
current Code, available in both of
The
Introduction to the Code defines such terms as "client",
"standard of practice", "malpractice and negligence", and
the Preamble describes the philosophy and purpose of social work as well as the
accountability of social workers. This is followed by the "Social Worker
Declaration", which consists of ten first-person statements ("I
will...") that each person makes who subscribes to the Code, the
statements covering key aspects of social work. In turn, the Code provides a
"Commentary", i.e. a series of statements which further explain each
of the ten items in the "Social Worker Declaration". This way of
giving examples of each of the "rules" is a means of making the Code
also a statement of minimum competence to practice, and a model we have
borrowed (with permission) from the Canadian Bar Association. In brief, the
CASW Code covers these items and their meanings in practice:
Because,
in
Guidelines for the
Development of a Profession
There
are some general principles or guidelines beginning professional organizations
may wish to consider as they plan their development:
Building
a credible profession and professional organization is very hard work; were it
not so, professions would be more numerous than they are. Those who struggle
for this goal should be prepared for years of effort, public disbelief, and
even saboteurs from within. These efforts, and those who undertake them, become
part of the culture each profession possesses, however.
Professionals
believe in their discipline and in their right to profess it, and they
exercise, as well, a self-discipline of effort, attention, and commitment that
lasts a lifetime. This takes courage, and it takes persistence. … but you
will also share most of your working life with those who approach life and work
in the same fashion. While it is true that, as a professional, you will likely
enjoy greater benefits in this society than the average person, you will learn
(if you do not already know) that the price for a position of relative
privilege is exacted in a higher standard of behaviour and service, both in
your professional and in your personal life, and that this standard is legally
enforceable. In short, because you are more, and have more, more is expected of
you. With your greater freedom goes greater responsibi1ity.
Professionals
are comfortable possessing a high degree of responsibility and, equally
important, they are comfortable with the authority which accompanies it. They
may well insist on their own authority and the authority of the past, the kind
of expertise that is built-up, over time, in any profession (Lasch, 1979) This
is sometimes misperceived by the public as profession as "professional
arrogance".
Perhaps
the most appealing facet of any profession is its sense of intergenerational
continuity (Lasch, 1979). Here, professions differ most dramatically from
occupations. Any profession is always building, always adding to its knowledge
base, and to its history. Only in a profession are one's ancestors and one's
predecessors so valued as they grow in wisdom as they do in age. A profession
is a good place to come of age and grow old in
Notes
Alexander,
Chauncey A., "History of Social Work and Social Welfare: Significant
Dates". Unpublished manuscript, prepared for The Encyclopedia of Social
Work Eighteenth Edition.
Douglas
C, Cameron (then President, R.C.P.S.C.), "Certification of Professional
Competence" Annals.
Canadian
Association of Social Workers, Code of Ethics (Richard F. Ramsay,
Editor).
Gweneth
J. Gowanlock, Social Work Regulation in
Ernest
Greenwood, "Attributes of a Profession", Emergence of Social
Welfare and Social Work (N. Gilbert and H. Specht, Editors)."
David
A. Hardcastle, "Certification, Li censure, and Other Forms of
Regulation", Handbook of Clinical Social Work. (Aaron Rosenblatt
and Diana Waldfogel, General Editors),
Gayle
Gilchrist James and Bryon M. Gero, "Social Work", in Rehabilitation
Teams: Action and Interaction (Finer Boberg and Eve Kassirer, Editors). Ottawa: Health and Welfare Canada, December 1983; 85-95.
[French version; "Travail Social", in Équipe
de réadaptation : Action et interaction (Einer Boberg et
Ève Kassirer, éditeurs), Ottawa: Santé et Bien-étre
social Canada, Décembre 1983; 99-111.]
Christopher
Lasch. The Culture of Narcissism: American Life in an Age of Diminishing
Expectations.
National
Association of Social Workers, "Standards for the Regulation of Social
Work Practice".
National
Association of Social Workers, "Push for Practice Regulation is Paying
Off", NASW News, 29(5): 3, May 1984.
Philip
R. Popple, "The Social Work Profession: A Reconceptualization", Social
Service Review, 59(4): 560-577, December, 1985.
Richard
F. Ramsay, "Evolution of Specialty Interests in Social Work".
Presentation to the Council of the
Gordon
Rose, citing Leggett (1970), "Issues in Professionalism", A Design
for Social Work Practice.
APPENDIX A
NASW Policy
Statement 5:
Standards for
the Regulation of Social Work Practice,
Approved by
the NASW Board October 1976
APPENDIX B
Evolution
of Specialty Interests in Social Work
Criteria
Basic
Assumptions
Source:
Professor R.F. "Dick" Ramsay
M.S.W., R.S.W. (Alberta)
June 6, 1986