#SWFuturesForum2024 and The Future of Social Work

It has been about two years since I posted something. My disappearance has been due to starting my Doctorate in Social Work about two years ago. What made me reappear? A conference about the future of social work. This is confluence of events for me as I have spent this semester narrowing the scope of my dissertation topic. Which is certainly related to the future of our amazing profession. This was an interesting and at times uncomfortable conference but I am reminded that change does not always come from comfortable conditions. Also the social work profession has complexities ahead and beginning to think about how we can resolve them is critical.

The Conference

I attended The Social Work Futures Virtual Forum sponsored by The Social Work Futures Lab. I obviously knew of their existence and knew that this was something, eventually, that needed to be caught up on. The scope of their work right now is to use Foresight Practice to grasp what the future may hold for the social work profession. This concept of Foresight Practice was new to me. What is Foresight, specifically the practice of Strategic Foresight?

Being emersed in it the last 4 days this definition…

Strategic foresight is defined as the “structured and explicit exploration of multiple futures in order
to inform decision-making.”. Strategic foresight typically involves scanning the horizon for signs of
emerging change, developing and exploring a diversity of possible future scenarios, and identifying
potential implications for the strategies and policies being developed in the present. Strategic foresight can provide a powerful foundation for the development of forward-looking public policies and help to ensure the future-readiness of existing policies, particularly in the context of “environments that are both complex and uncertain”.

Foresight and Anticipatory Governance in Practice (oecd.org)

Prior to this conference my thoughts about futurism was a notion of guessing or speculating about the future. I found futurism or foresight practice is not about guessing about the future but challenges you through immersive experiences to engage with a future but not necessarily the future. This was a shift in my thinking.

The question was not simply what one future would be but what multiple futures might look like for social work. This is an important question to me a practitioner, educator, and someone who cares deeply about this work. This year I will be celebrating 21 years since I graduated with my MSW (whew). For most of that time I did direct practice work and last year shifted to a program evaluation position. I have also began doing some consulting for a company using wearable technology to understand strong emotions.

I took most of the week off to attend this conference, wrap up stuff for this semester, and try to breathe a bit. In doing so the conference gave me a little more than I bargained for and here are some big takeaways…

Social Work Values and Ethics: Hold on Tight!

As we considered future scenarios (some of them a bit dystopian) one thread was the importance of social work values and ethics. I often regard the values and ethics of our profession as the “true north”. This was something infused in my doctoral work. As I venture to examine a future use of technology, including social work values has been critical. This is true when thinking about the future of our profession.

Several of the scenarios brought social work closer to being part of a police state, which some pointed out is not that far off in places. A reminder that this was not really about simply predicting the future but imagining your (or the professions’) place in several futures. These exercises put the “core values” to the test.

How will service, social justice, importance of human relationships, integrity, competence, and the dignity and worth of individuals mold our profession? In some of the scenarios holding on to those values seemed subversive. In some of those scenarios some would rather quit our job than enter in a “contract” with the state. For example one of the scenarios, during a climate crisis, put social workers in a role of checking in with people about water regulation. In this scenario we were in a a gatekeeping role about monitoring and reporting water intake as this was related to “wellness”. Again these futures challenged us to suspend reality and think about what might happen.

These scenarios had social workers enter spaces where those values are subversive. Currently social work is questioning our role with partnerships with police. How to we hold space for these values in times when they may be directly challenged? This is certainly happening now and I have to believe they will be tested no matter what future we find ourselves in.

Digging Deeper Into “Cultural Competence”

To it’s detriment, the profession is often shaped by western and/or Eurocentric ideals. I appreciate learning about things from different perspective and this conference was no exception. For example, there were considerations about Afro-Futures, Indigenous Futures, and Queer Futures (just to name a few). The social work profession is good at cultural competence but we have a long way to go. I found that immersion in the how other cultures might see the future as an exercise in cultural competence. We are taught so much about the “how to” of engaging with other cultures. That if we don’t know the “how to” we should practice cultural humility.

Driving into the future looking through other cultures is a powerful next step in cultural competence and humility. It should be fairly obvious that much of the potential future is shaped by the past. Looking through a foresight lens requires deeper exploration than simply “those who don’t study history are doomed to repeat it”. Foresight thinking becomes less about the simply “what happened” study of history but more of the process. In clinical social work speak, history is the content (the facts we see in front of us) versus the process (how you got there).

For example, in considering an Afro-future, Dr. Jose Ramos talked about Rosa Parks. We often learn about her in history but there is a narrative or a process that got her where she was. Her decision to engage in non-violent protest is a part of her story in her community practice. When shaping the future we need to consider not just history but the process that got that person there. This is not just based on knowing what happened to that culture but what it means to their present and potential futures. For example, different cultures have a different conceptualization of anxiety. This conference taught me that in addition to practice conceptualizations, other cultures have a different conceptualization of space and time.

We are often taught what those differences are but rarely understand the context of how that conceptualization was shaped. This not only has tremendous impact on the present state but also how to think about problems in the future. In that way foresight practice challenges us to think about varying versions of how to get to a future. Much like current practice, the future is not bound by one cultural view.

Is a Utopia that Utopian?

The last day was spent thinking about transformation. What happened if the future was truly based on a community that thrived on cooperation? There was less government oversight of individual choice and there were systems in place to protect vulnerable populations. It was a bit more complex but the role of the social work became this informal role of organizing hyperlocal community. As mentioned earlier the previous days were more dystopian in nature. The dystopian questions were challenging but some of the utopian questions were surprisingly hard to reconcile.

For example we talked about the professionalization of social work. For so long we have fought for title protection. But what if the future of social work was based on something else aside from a license? What if life experiences mattered? What if it was something other than your degree that defined you as a social worker? There are serious concerns about the current ASWB license including if it is racist and long standing question of it’s validity to social work practice.

Sitting with how a utopian future was also challenging. Even a bit uncomfortable. In these “imagining the future” exercise sitting with the discomfort was important. Change is not meant to be comfortable but the social work profession may need to sit with the idea that change is coming. The profession should be prepared.

Future Directions … (see what I did there)

For those who attended the conference know there was so much more! These were just the undercurrents that I observed. I encourage you to stay tuned with the Social Work Work Futures Lab. They will be developing a report based on this conference and will continue do this hard but important foresight practice.

Social Work Futures Website

Follow on Linkedin

Follow on Twitter (I refuse to call it X)

Why Social Workers Need To Think Like Designers

Let’s start from the beginning. About five years ago I wrote a post about the need for social workers to be involved in UX design. My argument was that social work was missing from UX design (mostly health product design). That our systems thinking is essential to creating better health care experiences. We can utilize our education and experiences to solve healthcare problems such as reducing friction within the system. I found this especially true when looking at digital solutions. Don’t worry social workers, I still feel strongly about this, however my thinking has changed. Social work superpowers can be further unlocked by understanding user experience and product design.

When I did the original post a social worker who collaborates with designers challenged me to think critically. Don’t worry Joe, it took me about 5 years but I got there 🙂 …

So what has changed for me? Enter my job (about 7 months ago) as a clinical consultant for Awake Labs. Awake Labs is company using wearable data via a watch to better understand the emotional state of those with intellectual and developmental disabilities. As they were designing they recognized the need for hire clinicians as part of the team to design better experiences for caregivers, clients, and clinicians using their product. I was excited to enter this work as I finally got to put my original blog post to the test.

An unexpected outcome for me was able to learn from the product design perspective . I have learned design tools that helped me rethink not only my work at Awake Labs, but my role as a social worker. It was helpful to use these tools to help design digital services, they can also be utilized to design any mental health services.

Here are some of the tools that I have learned so far and how they have helped me rethink mental health service design…

Jobs To Be Done Framework (JTDB)

I will give my amateur version of this framework and provide some resources to dive deeper at the end. “Jobs To Be Done” was born out the business world but has recently gained a lot of traction in the design community. It is the notion that you break down products or services by the tasks they are intended to complete. Seems simple enough but there is some nuance in language that challenges you to shift your thinking about the “Jobs” that need completion. The key is to take your product or service completely out of the process. Then go through the necessary steps to complete particular tasks for that “job”. Here is a clear cut example…. (pardon the pun 🙂

Source: https://jtbd.info/know-the-two-very-different-interpretations-of-jobs-to-be-done-5a18b748bd89

You are examining the overall themes of the task that is meant to be completed plus the optimal outcomes during the process. To put it in more social work example, making a referral to mental health service is the goal. The theme is to do so this so that people have access. The steps might be “patient calling, secretary answering, appointment made, appointment reminder sent, and appointment attended”. Then you would list about the opportunities, pain points, and desired outcomes at each point in the process. To optimize the outcomes you turn these into “outcome statements”. For instance “Minimize the time it takes for for the appointment to be made”. This statement makes you think about how to best design for this job to be completed. Another reframe is “maximize the amount of times people show up for their appointment”. Again thinking through each step is imperative in this process. Through his one realizes how complex finding opportunities while minimizing pain points can be.

We are just finishing up this process but the main take home was slowing down to examine the process. We often adopt services in social work because “we have always done it this way”. That to deviate from the process would somehow be wrong. But to examine our services step by step, one is able to see the various opportunities and pain points. That in thinking like a product designer we can see that a lot of work is ripe for change and innovation. It’s easy to say we “need to increase adherence to appointments” or we “need to make our mental health app easier to use”. It is more of a challenge to figure out how. This requires deeper understanding of the process and the steps you are trying to accomplish. It is definitely more complex than that and for a deeper dive into this method check out this medium post and also the “Jobs to Be Done Playbook” by Jim Kalbach

Behavioral Design / Designing For Behavioral Change

My argument for social workers to be involved in “all things design” was that we are systems thinkers. We can examine individual behavior and but it in it’s environmental context. Social workers have a keen sense to zoom out at look at not only individuals making change but the systems that influence that decision. I believe behavioral design theory strengthens our ability to not only zoom out but more importantly be able to zoom back in. To carefully walk though how we design systems for the people we serve. There are two resources that further assisted me with this.

First is the Behavioral Design Guide by Irrational Labs (you have to scroll down a bit but is there for free). It effectively breaks down how decisions our made. Not by the people who are designing the service but by the people who will be receiving services. In social work, we often center our design decisions with the agency in mind and not those who are receiving services. Behavior design challenges us to again to break things down into smaller, intentional steps. Similar to the Jobs to be Done Framework it challenges us to create a map, think about barriers, opportunities, and how to better use them in design. Behavioral design defines the barriers more for you. Putting a name to some of these barriers can help you reframe the problem slightly…

Reframing problems in this way can lead to more thoughtful design of social work services. Thinking about the referral and intake services; in what way can we create a mental health intake process that is both meaningful for the clinician providing it, but also increase the ease the experience for the client receiving it. Examining this from the behavioral design can help us gain a deeper understanding of the systems we design. Pragmatic things like health insurance (or lack thereof) and transportation are certainly systems issues we can address. We also excel at thinking about considerations like language and cultural competency. However are we considering barriers like cognitive overload in our design of something like an intake or screening prior to a therapy visit? Are we considering how taxing this process is for clients and clinicians? Are we viewing it as “just another thing we have to do” without considering how we might do it slightly differently?

I also have begun to read “Engaged: Designing for Behavioral Change” by Dr. Amy Bucher. Although currently only on Chapter 3, it has been a challenging to think about behavioral change in both a more traditional “behaviorist” view and to better understand context. That thinking this way can get you to think about the individuals “problem” as part of a whole process. It is not just solved in one step, considering one perspective but thinking about the things that perhaps make that step easier to complete.

Design in a Social Work Context

My journey with design theory is just starting as this is only 7 months in. But what I have already learned has opened my eyes to how social work could benefit from thinking more like designer. There is a lot more design theories to uncork but even just introducing these two frameworks has changed my view about social work practice and systems design. I thought people were designing systems wrong because they were not including social workers. Perhaps social workers are designing services wrong because they are not including designers. As us therapists say “perhaps it is both/and”.

Going through the “Jobs To Be Done” to help design part of digital health service forced me to think about how this could be applied to other systems. Whether it be applying to for social services benefits or making a referral, there are a lot of ways we can use these design concepts to improve these experiences. I look forward to learning more as time goes on but excited for the next 7 months. I will certainly keep you posted 😉