Syllabus

Master of Social Work

SSW-670 Grief, Loss, and Death in Social Work Practice

Credits - 3

Description

Social workers in multi-level settings encounter clients across the life course facing life limiting illness, dying, death, grief, loss, and bereavement In this course, students are introduced to the perspectives of dying individuals and their families, grievers, and those who provide professional caring services. Current trends in palliative and end-of-life practices as outlined by the World Health Organization, the Institute of Medicine, and the NASW Standards for Social Work Practice in Palliative and End-of-Life Care are discussed. Students are exposed to contemporary and cross-disciplinary death and grief literatures with a critical eye towards how these reflect practice that is health promoting, improves quality of life and attends to the total care of the patient and family. Ethical decision-making, advocacy and the rights of clients are explored. Additionally students will reflect upon how their life experiences, cultural beliefs, personal assumptions, and values inform and ‘make sense’ of practice situations with dying and grieving clients.

Materials

No textbook required.

Learning Objectives and Outcomes

School of Social Work Program Outcomes:

Graduates of the UNE SSWO will demonstrate knowledge, skills, and leadership in the following:

  1. Demonstrates ethical and professional behavior.
  2. Advance human rights and social, racial, economic, and environmental justice.
  3. Engage in anti-racism, diversity, equity, and inclusion (ADEI) in practice.
  4. Engage in practice-informed research and research-informed practice.
  5. Engage in policy practice.
  6. Engage with individuals, families, groups, organizations, and communities.
  7. Assess individuals, families, groups, organizations, and communities.
  8. Intervene with individuals, families, groups, organizations, and communities.
  9. Evaluate practice with individuals, families, groups, organizations, and communities.

COURSE OBJECTIVES

Upon completion of this course, students will:

  1. Demonstrate knowledge of palliative, end-of-life care and bereavement principles and practices and how they are influenced by differential and development factors across the life course, and also individualized according to each patient and family; Program Outcomes 1, 2, 3 EPAS 2, 8
  2. Demonstrate knowledge of how definitions of health (e.g., culture of medicine, WHO definition of health) influence approaches to palliative, end-of-life and bereavement practices as well as how they impact disparities across class and culture in gaining access to quality of life care; Program Outcomes 3 EPAS 2
  3. Apply a range of cross-disciplinary theories of grief and loss to practice with grieving clients and utilize advanced knowledge of relational and empowering theories for practice with individuals, families, and communities faced with circumstances of loss, death and grief, and with health care organizations that deliver services to this diverse population; Program Outcomes 1, 2, 3 EPAS 6, 8 
  4. Apply knowledge, skills and cultural humility with dying and grieving clients and families that are sensitive to their diverse beliefs and customs associated with death, loss, and grieving; Program Outcomes 1, 2 EPAS 2
  5. Apply knowledge of medical ethics and decision-making methods for examining ethical dilemmas that surface in end-of-life and palliative care, and with grieving clients and families; Program Outcomes 6 EPAS 1
  6. Demonstrate competent, empathic and culturally sensitive communication skills for having difficult conversations with seriously ill and dying clients and their families, and with grievers; Program Outcomes 1, 2, 5 EPAS 2
  7. Demonstrate self-reflective practice evidenced by the capacity to identify, explain, and reevaluate underlying assumptions, values and beliefs that affect work with dying and grieving client systems; Program Outcomes 4, EPAS 1
  8. Demonstrate knowledge of the value of interdisciplinary teams in palliative care and end-of-life practice including appreciation for the different and complementary knowledge, skills and values of other health caregivers; Program Outcomes 7 EPAS 1, 8

Assignments

Online Small Group Discussions: (Due each week; 24% of grade). Students will be asked to post 2-3 comments per week.

Reflective Journals: In this course, you will be required to post every week in a reflective journal (visible to only you and your instructor) on specific reflection questions relating to the week’s topics. Your Reflective Journal entries will be assessed using the Reflective Journal Rubric.

The journal assignment will alternate between an art assignment and a reflection on readings and their relevance to your practice. 

The Week 7 reflection entry will be a substantive one. You will select 3-5 peer-reviewed articles and other readings covered during the semester that changed or transformed your views on death, loss, or grief. You are encouraged to find at least one article from the literature that is of particular interest to you. These readings may have had an overall or generalized effect (for example approaching dying clients more openly or with less fearfulness) or may focus on a particular area of interest (for example physician assisted suicide or unrecognized grief). Online multimedia from the course content may also be included but they do not replace a reading selection. The paper should include the following:

  1. Introduce the topic to be discussed
  2. Review articles chosen and describe their common themes
  3. Discuss how and why these particular readings/experiences affirmed, changed or transformed your previous thoughts, opinions, and/or assumptions
  4. Discuss and envision how your newly acquired knowledge has affected or will affect your future practice
  5. Conclude with a reflective commentary.

All readings must be APA cited and included in your reference list. You may cite articles other than those chosen to discuss that reinforce or contradict your choices.

Written Assignment, An Analysis of a Short Story, (Due Week 3; 8-10 pages; 20% of grade) is based on a choice between three fictional readings, Whither Thou Goest, a short story by Richard Selzer (1998) or High Speeds or The Sum of our Parts, short stories in Chris Adrian’s (2008) story collection or A Better Angel. You will critically analyze selected content from the story that reflects readings and class materials covered in the course thus far. You are expected to integrate scholarly references from books, journals, and other academic reading in the body of your paper to support your discussion (6-10 references). You are encouraged to enhance your analysis of the story with personal reflections and viewpoints. You may select another short story or chapter for this assignment however it must be pre-approved by the instructor by Week 2.

Grading Policy

The School of Social Work uses the following grading system for all courses with the exception of field education courses. Students are expected to maintain a “B” (3.0) average over the course of their study. Students with less than a GPA of 3.0 will be placed on academic probation. Students must have an overall GPA of 3.0 in order to receive their Master’s Degree.

Your grade in this course will be determined by the following criteria:

Grade Breakdown

Assignment Point ValuePercent of final grade
Written Paper200 points20%
Weekly Discussion Participation400 points (50 points x 8 weeks)40%
Weekly Reflective Journals 280 points (40 points x 7 weeks) + 120 points (Final Reflection) 40%
Total 1,000 points100%

Grade Scale

Grade Points Grade Point Average (GPA)
A 94 – 100% 4.00
A- 90 – 93% 3.75
B+ 87 – 89% 3.50
B 84 – 86% 3.00
B- 80 – 83% 2.75
C+ 77 – 79% 2.50
C 74 – 76% 2.00
C- 70 – 73% 1.75
D 64 – 69% 1.00
F 00 – 63% 0.00

Schedule

Course Dates: Wednesday, October 25, 2017 through Sunday, December 17, 2017

All assignments must be submitted by 11:59 p.m. EST on Tuesday unless otherwise noted.

Module 1: Death, Loss, and Meaning in our Assumptive Worlds 
Week 1 | Dates: 10/25/17 – 10/31/17

  • Readings:
    • Week 1 – Death, Grief and Loss PPT, articles
  • Multimedia:
    • Institute of Medicine (1997). Approaching death: Improving Care at end of life. Summary.
    • NASW Standards for Social Work Practice in Palliative and End-of-life.
    • WHO Definition of Palliative Care.
    • Six Feet Under: Final Episode
  • Discussions: a small group and a whole class discussions
  • Assignments Introduced: An Analysis of a Short Story (due Week 3); Relfective Journal; Art Assignment Journal – First entry is due

Module 2: Communicating Difficult Information
Week 2 | Dates:  11/01/17 – 11/07/17

  • Readings:
    • Difficult Conversations PPT, articles,
  • Multimedia:
    • Conversations with the dying
    • A good death
    • Zen Dying Project – Moyers on Dying Part I & Part II
  • Discussion questions
  •  Assignment: Reflective Journal

Module 3: Grief and Loss
Week 3 | Dates: 11/08/17 – 11/14/17

  • Readings:
    • Presentations Grief, Loss & Meaning and EOL ETHICAL DECISION-MAKING
    • Legislature and articles
  • Multimedia:
    • Stages of Grief
    • Loss & Separation
    • Decision-making for the dying: Choosing death
    • Personal Plea
    • Terry Pratchett: Choosing to die
  • Discussion questions
  • Assignment Submission: An Analysis of a Short Story
  • Assignment: Art Assignment Journal

Module 4: Culture, Class, and Compassion Fatigue
Week 4 | Dates: 11/15/17 – 11/21/17

  • Readings:
    • Journal Articles
  • Discussion questions
  • Assignment: Reflection Journal

Module 5: Sudden and/or Complicated Losses
Week 5 | Dates: 11/22/17 – 11/28/17

  • Readings:
    • Articles and text
  • Multimedia:
    • Sesame Street Video
    • Suicide story
  • Discussion questions
  • Assignment: Art Assignment Journal

Module 6: Unexpected Loss: Death in Childhood
Week 6 | Dates: 11/29/17 – 12/05/17

  • Readings:
    • Articles and websites
  • Discussion questions
  • Assignment: Reflective Journal

Module 7: Ambiguous Loss and Disenfranchised
Week 7 | Dates: 12/06/17 – 12/12/17

  • Readings:
    • Articles
  • Multimedia:
    • Kenneth Doka & Disenfranchised Grief
  • Discussion questions
  • Assignment: Reflection Journal (comprehensive version)

Module 8: Grief and Spirituality
Week 8 | Dates: 12/13/17 – 12/17/17

  • REMINDER: WEEK 8 is – SHORT WEEK, which ends on Sunday.
  • Readings:
    • Articles and websites
  • Multimedia:
    • Finding faith, spirituality and meaning at end-of-life
    • Engaging people in conversations about faith & spirituality
  • Discussion questions
  • Assignment: Art Assignment Journal

Student Resources

Accommodations

Any student who would like to request, or ask any questions regarding, academic adjustments or accommodations must contact the Student Access Center at (207) 221-4438 or pcstudentaccess@une.edu. Student Access Center staff will evaluate the student's documentation and determine eligibility of accommodation(s) through the Student Access Center registration procedure.

Online Peer Support

Togetherall is a 24/7 communication and emotional support platform monitored by trained clinicians. It’s a safe place online to get things off your chest, have conversations, express yourself creatively, and learn how to manage your mental health. If sharing isn’t your thing, Togetherall has other tools and courses to help you look after yourself with plenty of resources to explore. Whether you’re struggling to cope, feeling low, or just need a place to talk, Togetherall can help you explore your feelings in a safe supportive environment. You can join Togetherall using your UNE email address.

Information Technology Services (ITS)

Students should notify their Student Support Specialist and instructor in the event of a problem relating to a course. This notification should occur promptly and proactively to support timely resolution.

ITS Contact: Toll-Free Help Desk 24 hours/7 days per week at 1-877-518-4673.

Career Ready Program

The College of Professional Studies supports its online students and alumni in their career journey!

The Career Ready Program provides tools and resources to help students explore and hone in on their career goals, search for jobs, create and improve professional documents, build professional network, learn interview skills, grow as a professional, and more. Come back often, at any time, as you move through your journey from career readiness as a student to career growth, satisfaction, and success as alumni.

Policies

Participation:

Participation is measured through your discussion board postings. Postings to the discussion board must add substantively to the discussion by building upon classmates’ ideas or posing critical questions to further the discussion. For example, a posting of “I agree with what people are saying” is not sufficient. I will be monitoring participation on a weekly basis and welcome people to check in with me if you have questions regarding your participation. Keep in mind that weekly postings make up a significant percentage of the final grade. All postings must be respectful. If at any time you are concerned with a posting, please notify me immediately. Please note that you will work in small groups to reflect and respond to the discussion questions. Your Instructor will assign you to a small group at the beginning of the course. This will be the group you work in throughout the course–where small group discussion occurs. Each week you will receive up to 30 points for participation. Please refer to the Participation Rubric to see how your weekly participation will be evaluated.

The majority of your discussions require a certain quantity of posts, but this is a minimum amount. Unless otherwise noted, you should post quality responses of no more than two or three paragraphs in length of the indicated quantity in any preferred combination related to the questions. The recommended method is that you carefully read the existing posts and then think about how to build off the existing ideas by offering additional insights, alternative perspectives, or raising critical questions. As part of this process, be sure to refer back to the original discussion question in order to keep the thread focused on the required topic and address the indicated question(s).

All posts to the discussion boards should be completed by 11:59 P.M. E.T. of the last day of the module as indicated in the “Course Schedule.” Any discussions that extend beyond that date and time will not be considered a part of the grade and/or assignment, but rather optional reading. Even though you technically have until the last day of the module to post, your participation points will suffer if you do not post initially by Saturday as this negatively impacts your classmates’ ability to respond to your posts and your ability to respond to their posts. Posts that no longer relate to the identified topic should be moved to one of the on-going discussion boards such as “Ask You Instructor,” “Hallway Discussions,” or “Resources.”

 

Course Format:

Powerpoint presentations, online class discussion, and case studies case studies will be used to illustrate theory, practice approaches, research, and policy as they relate to practice with individuals, families, and professional care providers working with loss, death and grief. Course readings reflect theories and practice models across disciplines and cultures, and include fiction that illuminates the experiences and perspectives of the dying, their loved ones, and professional careers. Course content encourages curiosity, active inquiry, debate, and creative exploration.

Although the course introduces, organizes, and explains course content, students are expected to take responsibility for analysis and application of content to their learning needs. In the School of Social Work, students are viewed as adult learners. It is expected that students will take responsibility for their own learning, incorporate critical thinking skills, show professional respect to the instructor and each other, and create an online classroom atmosphere that facilitates the teaching/learning process.

Specific expectations include:

  • Online class presence
  • Preparation for each class by completing and studying assigned readings
  • Active participation in online small group class discussions
  • Direct, assertive communication of any concerns or changes affecting attendance or completion of course requirements.

Attendance Policy

8 week: Students taking online graduate courses through the College of Professional Studies will be administratively dropped for non-participation if a graded assignment/discussion post is not submitted before Sunday at 11:59 pm ET of the first week of the term. Reinstatement is at the purview of the Dean's Office.

16 week: Students taking online graduate courses through the College of Professional Studies will be administratively dropped for non-participation if a graded assignment/discussion post is not submitted before Friday at 11:59 pm ET of the second week of the term. Reinstatement is at the purview of the Dean's Office.

Student Handbook Online - Policies and Procedures

The policies contained within this document apply to all students in the College of Professional Studies. It is each student's responsibility to know the contents of this handbook.

UNE Online Student Handbook

UNE Course Withdrawal

Please contact your student support specialist if you are considering dropping or withdrawing from a course. The last day to drop for 100% tuition refund is the 2nd day of the course. Financial Aid charges may still apply. Students using Financial Aid should contact the Financial Aid Office prior to withdrawing from a course.

Academic Integrity

The University of New England values academic integrity in all aspects of the educational experience. Academic dishonesty in any form undermines this standard and devalues the original contributions of others. It is the responsibility of all members of the University community to actively uphold the integrity of the academy; failure to act, for any reason, is not acceptable. For information about plagiarism and academic misconduct, please visit UNE Plagiarism Policies.

Academic dishonesty includes, but is not limited to the following:

  1. Cheating, copying, or the offering or receiving of unauthorized assistance or information.
  2. Fabrication or falsification of data, results, or sources for papers or reports.
  3. Action which destroys or alters the work of another student.
  4. Multiple submissions of the same paper or report for assignments in more than one course without permission of each instructor.
  5. Plagiarism, the appropriation of records, research, materials, ideas, or the language of other persons or writers and the submission of them as one's own.

Charges of academic dishonesty will be reviewed by the Program Director. Penalties for students found responsible for violations may depend upon the seriousness and circumstances of the violation, the degree of premeditation involved, and/or the student’s previous record of violations. Appeal of a decision may be made to the Dean whose decision will be final. Student appeals will take place through the grievance process outlined in the student handbook.