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Consumer-centered social work practice: restoring client self-determination

K D Tower1

  • 1College of Human and Community Sciences, University of Nevada, Reno 89557-0068.

Social Work
|March 1, 1994
PubMed
Summary

Maximizing client self-determination in social work is challenging due to resource constraints. This article explores practice models prioritizing consumer control and suggests strategies for enhancing participation across various populations and professional roles.

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Area of Science:

  • Social Work Practice
  • Client Self-Determination
  • Consumer Empowerment

Background:

  • Upholding client self-determination is a core social work value.
  • Current practice faces challenges from budget cuts and high caseloads.
  • The consumer movement is gaining momentum across diverse populations.

Purpose of the Study:

  • To examine practice orientations that center consumers in decision-making.
  • To analyze trends in the consumer movement among aging, disabled, and mental health populations.
  • To compare medical-rehabilitation and independent living paradigms.

Main Methods:

  • Literature review of consumer movement trends.
  • Comparative analysis of medical-rehabilitation and independent living models.

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  • Examination of practice implications for social workers.

    • Main Results:

    • The independent living paradigm emphasizes consumer control more than medical-rehabilitation.
    • Consumer-centered approaches are advancing in aging, disability, and mental health sectors.
    • Significant philosophical differences exist between the two paradigms.

    Conclusions:

    • Enhancing consumer participation requires tailored strategies for direct service workers, administrators, and educators.
    • Social work practice must adapt to better support client self-determination.
    • Further integration of consumer-driven principles is recommended for ethical and effective practice.