Volume 5, 2018

supporting, promoting, & advocating for professional * *social work practice & the social work profession

Gretchen Jocelyn Benson Dana Nessel Whitmer Endorsed by M-PACE for Endorsed by M-PACE for Endorsed by M-PACE for Governor Secretary of State Attorney General

Poppy Mallory McMarrow Wayne Schmidt Sias-Hernandez Democrat for State Rep. Democrat for State Rep. Democrat for State Rep. Republican for State Rep. Endorsed for the 24th District Endorsed for the 13th District Endorsed for the 41st District Endorsed for the 37th District

A Call for Macro Social Work 3 140 Social Workers Launch Inaugural Mentorship Program 9 Social Workers Face Tough Ethical Dilemma with Refugee Children 15 MPACE Endorses Candidates for the 2018 Elections 17

741 N. Cedar St., Suite 100, Lansing, MI 48906 (800.292.7871) (517.487.1548) www.nasw-michigan.org Chapter Board of Directors Chapter Office President Maxine Thome, PhD, LMSW, ACSW, MPH Ext. 14 Kevin Holzinger, LMSW, ACSW, CAADC Executive Director [email protected] [email protected] Vice President of Social Policy Duane Breijak, LMSW -Macro Ext. 15 Edward D’Angelo, LMSW Director of Member Services & Development [email protected] [email protected] Vice President of Finance & Budgeting –Elect Allan Wachendorfer, LMSW–Macro Ext. 11 Director of Public Policy Gabrielle D’Angelo, MSW [email protected] [email protected] Tricia McCarthy Ext. 16 Secretary Office & Events Manager Jennifer Strange, LMSW, CAADC [email protected] [email protected] Robin Simpson, RSST Ext. 17 Member at Large Manager of Continuing Education Collaborative Sean Stallworth [email protected] [email protected] www.socialworkcec.com Region I Representatives Megan Farnsworth Ext. 10 Administrative Assistant Judith Krause, LMSW [email protected] [email protected] Caleb Cooley Shelley Ovink, ACSW, LMSW Design & Layout [email protected] NASW-Michigan Chapter Office Region II Representative 741 N. Cedar Street, Suite 100 Toni Hernalsteen, LMSW Lansing, MI 48906 [email protected] www.nasw-michigan.org Region III Representative [email protected] Phone: 517.487.1548 Lindsey DeRousse, LMSW, BS, CDP Fax: 517.487.0675 [email protected] Front cover flag image created by 4vector.com Region IV Representative Pages 7-8 fireworks image created by Freepik.com Robert Lathers, MSW, LMSW [email protected] Region V Representative What's inside ... Richard Osburn, LMSW, LMFT, DCSW * [email protected] Robert Lathers Receives the Hal Region VI Representative 4 Mary Skene, LLMSW, AASW Madden Award [email protected] Region VII Representative Updates to Billing Issues for Ronnie Tyson, LMSW 11 [email protected] Clinical Social Workers Region VIII Representative Abby Segal, LMSW, LCSW, MJLS [email protected] Ethical Dilemmas: Laws, Morals, Region IX Representative and Ethics 28 Marian Tripplett, LMSW [email protected] Region X Representative 2018-19 Pistons NASW Nights Ellen Craine, JD, LMSW, ACSW, INHC Announced 29 [email protected] Region XI Representative Sara Bazydlo, LMSW, CAADC Questions about your state license? [email protected] Contact the Department of Community Health Bureau of BSW Student Representative Health Professions, at 517.335.0918, [email protected] or Alexander Barich www.michigan.gov/healthlicense. [email protected] Questions about continuing education requirements or how to become a continuing MSW Student Representative education provider? Erik Fuller Visit www.socialworkcec.com or Contact Robin Simpson at [email protected] 517.487.1548 Ext.17, [email protected]. 1 www.nasw-michigan.org Regional Programming

Region 1 - Upper Peninsula Region 1 Board Representative, Shelly Ovink, was interviewed by TV6 at the Upper Peninsula Substance Use Disorder Mini-Conference. Ovink stated, “It’s important to educate the people who work with clients who have addiction issues.” To watch the clip, visit https://bit.ly/2pPxLHT. Thank you Marquette-Alger RESA for hosting this mini-conference, and thank you Catholic Social Services for hosting the September workshop on HIV/AIDS Education for the Upper Peninsula! Region 2 - Northwest Lower Michigan NASW-Michigan welcomes new Region 2 Representatives. Thanks to the Traverse City Library for hosting Opiate Crisis: How Did This Happen? On August 29th. Region 3 - Northeast Lower Michigan Thank you Munson Hospital for hosting Opiate Crisis: How Did This Happen? on August 28th. Region 3 members are invited to join our new Facebook page at https://bit.ly/2ylSXsz or search NASW-Michigan Region 3 Network. Region 4 - Western Michigan Don’t miss this year’s NASW-Michigan Legislative Education and Advocacy Day on November 1st! Join together with hundreds of social justice advocates from around Michigan for the largest annual gathering of social workers in the state! This all-day event at the Lansing Center features an advocacy-oriented keynote address, networking opportunities, social justice forums, and nearly two dozen workshops on legislative issues, political action, and advocacy efforts. 5.5 CEs will be awarded to licensed attendees. Register today at www.nasw-michigan.org. Region 5 - Central Michigan Region 5 members are invited to a new networking series Friday Decompression: Coffee and Conversation beginning December 7th from 1:30-3:00pm at Coffee Chaos in Midland. These meetings are an opportunity to get to know local social workers, help plan future programming, and to discuss trends in social work in the region. For more information please email Richard Osburn at [email protected]. Region 6 - Ingham, Eaton, Livingston, Clinton, & Shiawassee Counties Thanks to NCG Cinemas at Eastwood Towne Center and Espresso Royale for hosting Region 6 Night at the Movies: Blackkklansman on September 9th. If you are interested in helping planning future movie nights or other regional activities in Region 6, please email Region 7 - Genesee, Lapeer, St. Clair, Tuscola, Sanilac & Huron Counties Want to get even more connected with NASW Michigan and fellow social workers across the state? Follow us on our new Instagram! Find us using @naswmi. Region 8 - Oakland & Macomb Counties Thanks to the West Bloomfield Library for hosting Babies in Therapy: The Role of an Infant Mental Health Therapist on September 27th. Region 9 - Southwest Michigan Do you want to learn more about the link between trauma and pain without having to leave your desk? NASW Michigan will be offering a free webinar, which includes 1 FREE PAIN MANAGEMENT CE. This webinar is scheduled for Tuesday, December 11th from 12-1pm. Register at www.nasw-michigan.org/events. Region 10 - Jackson, Washtenaw, Monroe, Lenawee, & Hillsdale Counties Join NASW-Michigan and the Michigan Council on Crime and Delinquency for a 2-day, in-depth training for social workers, clinicians and case managers who want to learn how to work more effectively with people who have been incarcerated. We will explore barriers and challenges, clinical implications, hear directly from impacted people, and provide attendees with an opportunity to learn from, and problem-solve with, local experts. This event will be from 9am-4pm both on November 8th and 9th at the UU Church of Ann Arbor. Register at www.nasw-michigan.org/events. Region 11 - Wayne County VOTE!!! Election day is Tuesday, November 6th, and social workers need to show up to the polls and be the voice of the profession. Representative Stephanie Chang, MSW, is running for State Senate and has been endorsed by MPACE. If Rep. Chang wins the election, she will be the first Asian-American woman to be elected into the Michigan State Senate! To see a full list of NASW’s MPACE endorsed candidates for the upcoming election, visit www.nasw-michigan.org/page/MPACE. www.nasw-michigan.org 2 A Call for Macro Social Work

- Duane Breijak, LMSW-Macro, NASW-Michigan Director of Members Services & Development

It is easy to feel siloed in the social work • Accessible training and networking profession. Many of us work as the only social opportunities around macro topics worker at our agency, work in private practice settings, or have ventured into non-traditional • Increased collaboration with Michigan roles. From my experience, however, macro- schools of social work around macro focused social workers can be some of the most education and field placements isolated and often the most under resourced In response to this conversation, NASW- within our field. Michigan is one of only a Michigan has developed a macro social work handful of states that specifically licenses macro speakers bureau. If you have an area of macro social workers, and annually only a few dozen expertise, WE NEED YOU! A database of macro-specific professionals get licensed. On the experts is being developed for consultation, national level, only 163 individuals took at the legislative engagement, collaborative groups, ASWB ‘Advanced Generalist’ exam (the exam for and educational/training opportunities. To add the macro license) in all of 2017. your expertise, please fill out a short form at https://goo.gl/forms/IQMbk8o9BEqcH7Uj1. The dwindling number of macro trained social workers is not a new problem, and many schools Another great resource for macro practitioners of social work, NASW, ACOSA, and CSWE have is the weekly #MacroSW twitter chat. This all been making concerted efforts to reverse collaboration of social workers, organizations, this trend and to expand the macro training social work schools, and individuals host a opportunities across the country. As of now, less different macro-focused conversation each than 10% of all MSW level students are focused Thursday at 9pm. All you need to do to join the in a macro area, according to data from CSWE. chat is use the hashtag #MacroSW. To see a list of One group working to bring that number up is upcoming topics, visit www.macrosw.com. ASWB’s Special Commission to Advance Macro Be on the lookout in the upcoming months for Practice in Social Work. “The primary goal of information on a macro job search resources, the Special Commission is increasing national a future “Macro Summit”, and for additional enrollment of MSW/ masters - level students in brainstorming sessions like this first one. If macro-specialized concentrations to 20% by you have other ideas, or would like to host a the year 2020. A secondary goal is to ensure brainstorming session in your area, please email that the curricula of all BSW and generalist MSW [email protected]. programs include a more equitable balance of Thank you to our initial macro brainstorming macro and micro content. (ACOSA)” group! In Michigan, there has been a concerted effort to incorporate more macro topics into many Robin Floyd programs and trainings through NASW. In Charles Gaines August, a passionate group of Michigan social Aubrey Gilland workers met at The Children’s Center in Detroit Desieree Jones to brainstorm ideas on how to better support Deirdre King macro practitioners across the state. A special thanks to NASW member Lindsay McCracken Douglas Manigault for organizing and facilitating this important Mary Mattson conversation. Lindsey McCracken Ashley McKinne From the meeting came four main themes for Carlynn Nichols macro needs: Doras Patterson • Enhanced visibility around macro social Christina Ramsey work and macro social workers Gabriela Santiago-Romero Reese Shasteen • Additional resources for those across macro practice (including career and licensure Marijo Upshaw resources) Toni Williams Tamarie Willis 3 www.nasw-michigan.org What NASW is Up To...

Social Workers Must Work Together, Take approach in working to respond to the opioid Lead in Addressing Well-Being of Immigrant epidemic. Children Families On November 14th and National policies on responding to families 15th, join your social worker and unaccompanied minors, particularly those colleagues from around entering at the Mexico-U.S. border, recently the world for two days of took a sharp turn as the Trump administration unparalleled professional implemented the so-called zero-tolerance development and continuing policy. This policy - when coupled with education opportunities by family separation policies–has blurred the participating online and earn lines between how families and children are up to 8 CE Credits! traditionally processed when they cross the border. As we know by now, the results have Learn more & register at been that these unclear and rushed procedures virtualforum.socialworkers.org have contributed to potentially life-long harm to both parents and children who are entangled Amicus Brief Filed to Fight LGBTQ in this morass. Discrimination in Foster Care Learn about NASW policy reform NASW has joined other organizations on recommendations, best practices for justice, an amicus brief that supports the City and comprehensive approaches for addressing of Philadelphia’s authority to prohibit the psychosocial needs of immigrant children discrimination against people who are LGBTQ families in a new Social Justice Brief, coauthored in its foster care program. Children ultimately by NASW-Michigan’s Allan Wachendorfer. are harmed when same-sex couples are not allowed to be foster parents. Read this press Change Kwesele Awarded Verne LaMarr release to learn more: https://bit.ly/2Rthftx Lyons Scholarship Social Workers Recruited to Work at Polling Congratulations to University of Michigan Locations School of Social Work student Change Kwesele on being awarded a 2018-19 NASW Verne NASW supports Work Elections because no one LaMarr Lyons Scholarship! The Verne LaMarr who is eligible to vote should be turned away Lyons Scholarship is a monetary grant awarded from the polls. Work Elections is a nonpartisan to master’s degree candidates in social work project that has collected poll worker who demonstrate an interest in, or have information and applications for hundreds of experience with, health/mental health practice counties and other jurisdictions, making it easy and a commitment to working in African for local election officials and potential workers American communities. The scholarship is a to connect. Well-trained poll workers from memorial to social worker Verne LaMarr Lyons, diverse backgrounds are needed! Serve your who committed his life to increasing awareness community this Election Day 2018 by applying of pernicious health concerns affecting African at workelections.com. American such as insufficient prenatal care, Robert Lathers Receives the Hal Madden infant mortality, AIDS, cirrhosis, and general life Award expectancy. Robert Lathers, the 2018 Virtual Opioid Crisis Forum Coming recently retired CEO This November of the Right Door for According to the National Institute on Drug Hope, Recovery, and Abuse, every day more than 115 people in the Wellness, received the United States die from overdosing on opioids. Hal Madden Award at The addiction to opioids has become a serious the Fall Conference of national public health crisis that affects people the Community Mental of all walks of life. Social Workers are an integral Health Association of Michigan. This award part of the collaborative multidisciplinary recognizes persons who have provided selfless

www.nasw-michigan.org 4 What NASW is Up To

leadership through a career of service within sent to adult court by judges at some of the Michigan’s public mental health system. Mr. highest percentages seen in 30 years. “Research Lathers’ leadership of the Right Door, Ionia has proven that adults courts and jails are no County’s Community Mental Health system, place for children -- the brain development of for nearly two decades, has been marked youth is markedly different from adults and by innovation and creativity, by the use of they are more prone to risk taking and not evidence-based and promising practices, by the thinking through the consequences of their development of a diverse range of community actions,” said NASW Social Justice and Human partnerships, and a relentless commitment Rights Manager Mel Wilson. “Youth involved to the individuals, families, and communities in the justice system are also more likely to served by the Right Door. Mr. Lather’s also have mental health needs and have suffered serves as the Region 4 Representative on the from trauma so they need rehabilitation and NASW-Michigan Board of Directors. treatment services that are not provided in most adult jails.” Check out the new report from Transmasculine Spectrum Parenting the Campaign for Youth Justice and NASW that NASW Social Work Press recently examined examines this problem and urges policymakers Transmasculine Spectrum Parenting: Beyond to end generations of racial injustice and make a Gendered Fatherhood and discovers that much needed reforms: https://bit.ly/2DugZaW. little scholarship exists on parenting in the transgender and gender nonconforming NASW Signs On To Support Climate community. In a recent issue of the journal Change Action Social Work Research, researchers presented Climate change is the greatest threat to health their findings in a study designed to examine of this century. It is impacting health in every differences in likelihood of being a transgender country today and is projected to reverse half or gender nonconforming parent across a a century of progress on global health. Global number of sociocultural factors, as well as action is urgent and must be accelerated to some parenting experiences specifically among avoid potentially catastrophic levels of global assigned female at birth transmasculine parents, using data from the National Transgender warming. NASW has signed on to support A Call Discrimination Survey. Characteristics such as to Action on Climate and Health that outlines being assigned male at birth, identifying as a set of ten priority policy actions for health African American/black or bi/multiracial, and leadership to advance ambitious progress having a physical disability were correlated towards global climate and health goals. with increased likelihood of being a parent. A To read the statement and sign on, go to curvilinear relationship between age and the https://buff.ly/2QzU6Fk. likelihood of being a parent was also found, with the likelihood of being a parent increasing Chinese Delegation of Social Workers up to the late 50’s and decreasing after the mid Visits NASW 60’s. On Sept. 12, NASW hosted a Chinese delegation As the research on parenting and fatherhood of social workers from Hangzhou Municipal Civil grows, this population of transgender and Affairs Bureau. Each group shared how social gender nonconforming individuals clearly work is conducted in their respective countries. needs a dedicated space in the emerging literature to ensure that their voices and experiences are heard. Read the full article and others at https:// academic.oup.com/sw. Black Youth Continue to Be Sent to Adult Courts and Jails at Alarmingly High Rates Juvenile arrest rates have fallen sharply in recent years, but black youth are disproportionately

5 www.nasw-michigan.org supporting, promoting, & advocating for professional * *social work practice & the social work profession

The visitors learned about NASW’s mission, systems. The deadline is now Jan. 15, 2019. organizational structure, primary services Visit this link for more information: and programs it offers to members. Staff also https://buff.ly/2LPcZVS explained how members adhere to the NASW Code of Ethics. Additionally, NASW Press is publishing a Special Issue on Children & Schools, highlighting Research Sought on Social Work and Gun free, feasible, and valid measurement tools Violence, School Social Work to assist school social workers. Manuscripts NASW Press will publish a special issue on Social should provide should provide key details Work and Gun Violence to spark action among for school social work practitioners. social workers and researchers to address gun Deadline: 12/1/18 For more information, visit violence across the micro, mezzo and macro https://buff.ly/2x1g7Vw

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www.nasw-michigan.org 6 Welcome to the Association!

Welcome to the Association! The Michigan Chapter would like to welcome the following new members who joined NASW in August and September. Thank you to all our members for keeping our association strong! Brianne Abdo Dana Dicken Raeanna Adams Kelly Diemond Debra Alexander-Maxie Elise DiLaura Daniel Anderson Amber Dobberstein Lindsey Andrews Violeta Donawa Alissa Ayling Shantoria Donson Kathryn Backus Mallory Dorton Sneha Balachander John Eagle Lisa Ball Taylor Eberhart Madison Banks Patrick Edwards Stevie Bartig Renay Ellison Elizabeth Barton Breann Fielder Kelly Beelman Mary Ford David Boggess Sarah Fredricks Amanda Bolam Jacqueline Gallant Amanda Bolanowski Madeline Gazarek Rebecca Bordner Isabella Genzink Megan Boynton Elizabeth George Jessica Brest Aziza Ghanem Grace Bridges Michael Ray Gold Kasie Broe Kalica Good Kimberly Brown Ashley Granger Jaleel Brown Krista Gravatt Marylynn Brown Hanna Gray Danielle Budnick Ashley Griggs Eric Bullen Rachel Grisham David Burlew Dorinda Hackworth Kaysie Burnside Megan Hall Kelly Burrows Chardae Hanks Jeffrey Calkins Alan Haras Dawn Carpenter Carrie Harrison Kelli Celmer Karlee Hartman Yoo Chang Shelly Harwell Paul Chase Haley Hastings Haley Coghlan Laura Havey Phoebe Cole Jaclynn Hawkins Tanee Collins Joanna Hayes Michelle Colvin Danielle Hession Dawn Conroy Lauren Holloway Mariela Contreras-Barajos Nathan Horton Nakedae Cooper Rachel Huard Joe Cooper Kodi Hudson Evan Copeland Kylie Hukill Kathryn Cranston Catherine Isbell Emily Dame-Gibes Rolanda Jackson Melanie Davenport Lia Jacobsen Jeffrey Davis Malinda James Jessi De La Cruz Karah Johnson Kari Decker Shameka Jones Katheryn DeForest Lisa Jones Carlos Delvalle Hannah Jordan Danielle Deveson Hanna Kamp Maryann Dexter Joseph Kanouse Denise Diaz Mariah Kemeter

7 www.nasw-michigan.org supporting, promoting, & advocating for professional * *social work practice & the social work profession

Ariel Kennedy Kawah Rodriguez Leina Keski-Hynnila Kylie Roel Angela King Justin Rolin Erin King Mercuri Rose Tiffany Kiper Pamela Ross Davn Kittinger Nicole Rowley Tammy Kittridge Alison Rudick Heather Knauer Alexander Saleh Badrina Kuhl Monica Sanchez Allison Kwasniak Elizabeth Saylor Tiffany Lemley Amanda Schemmel Carrie Lewis Sandra Schenk Dale Lewis Courtney Schmidt Erica Lewis Gail Schupbach Lianne Lindner Justine Seeley Ebony Lucas Analisa Selden Diontwanette Mach-Parker Cody Selden Aubrey Major Johanna Sherry Michelle Mandley Kari Sherwood Brandi Marable Adrienne Shiels Oliviah Marshall Katherine Smith Matthew Martinez Stephanie Smith Laura Masters Maryssa Spadling-Schneider Michelle Mattison Mackenzie Spencer Thian Mawi Debra Stallings Shayla McCray Hannah Stawkey Blake McGhee Morgan Tallman Veronica McKissack Bailey Tebeau Mary McMahon Alana Thomas Kelly Merrill Bennett Thomson Concetta Millstead Felicia Thornton Barbara Morgan Angelita Valdez Ashley Morrison Kimberley VanHaitsma Amanda Neal Sara Vanmaele Daniel Newberger Sarah Verhaeghe Devin Nicolai Melissa Wagner Brittany Nonamaker Laird Walker Anna Orlando Angela Wallace Whitney Pennington Gisele Wallace Camille Perry Jatayvia Waller Nicholas Perry Toby Ward Lisa Peterson Elizabeth Watts Robin Piach Amy Whitesall Noel Powell Tara Williams Jenna Pryor Kaylee Williams Melissa Pugh Nicole Winans Sara Quach Joshua Winkel Alberta Rayford Meghan Winterstein Jessica Reed Onika Witzke Victoria Rife Paige Wolski Kathryn Rink William Wray Samantha Rios Christine Wright Emmanuel Robinson Blaine Yoder Alice Robinson Katelin Zylka

www.nasw-michigan.org 8 140 Social Workers Launch Inaugural Mentorship Program

Mentoring is an invaluable component of every • Michelle Fitzgerald, LMSW. MIHP Social social worker’s career. Many individuals choose Worker at Cherry Health the profession of social work because they have been inspired or advised by a social worker • Lisa Marquette, LMSW. Medical/Clinical or a mentor. After choosing the profession, Social Worker at the Michigan Department though, social workers must continue to make of Corrections career choices and respond to a variety of • Robert Marvin, BSW Candidate. Spring unanticipated challenges. Over the next decade Arbor University it is expected that a new generation of leaders will begin managing our agencies, and NASW- • Lindsay McCracken, LMSW. Quality Michigan wants to help lead the way in making Improvement & Data Analytics Supervisor sure our field is ready for those changes. at The Children’s Center With that, the inaugural statewide mentorship • Rachel Naasko, LMSW. Field Faculty at the program officially launched this fall with 140 University of Michigan School of Social social workers participating. On September Work 29, 2018, over 70 of the initial mentorship cohort joined together at the University of • Chaundra Randle, LMSW, SSW. School Social Michigan School of Social Work to attend an Worker at Chandler Park Academy all-day orientation and planning session. The mentorship program aims to help develop • Kayla Roney Smith, LLMSW. Executive the next generation of social work leaders by Director at Hazel Park Promise Zone and partnering new professionals with seasoned College Access Network mentors. The mentor/mentee matches have committed to meet at least monthly for the next year to cultivate a strong relationship and to be able to develop leadership skills. A special thanks to the three orientation trainers and the mentorship program task force for pulling together this fantastic program. Trainers

• Lisa Marquette, LMSW

• Rachel Naasko, LMSW

• Whitney Williams, LLMSW Mentorship Program trainers Whitney Williams, Lisa Marquette, and Rachel Naasko Task Force Members/Matching Committee:

• Abagael Adair, LLMSW. Manager-Donor Relations at The Children’s Center

• Sarah Bannon, LMSW, ACSW, FACHE, SSGB. CEO at Lakeview Consultants and Integrated Health Program Director at the Chaldean Community Foundation

• Duane Breijak, LMSW-Macro. Director of Member Services & Development at the National Association of Social Workers – Michigan Chapter

• Denard Fenaud. PATH Outreach Case Manager/ CABHI Peer Navigator at Seasoned social workers meet with Whitney Emergency Shelter Services Williams to explore how to become an effective mentor 9 www.nasw-michigan.org supporting, promoting, & advocating for professional * *social work practice & the social work profession

Mentees gather and plan out their goals for the year

Attendees discuss their personality/ temperament styles and how that might impact their working relationships

Mentors network and explore their experiences with mentoring and supervision

Mentor Andrea Dewey meets with new mentee Sade Richardson www.nasw-michigan.org 10 Clinical Social Work Updates and Resources

one of the most frequent offenders. NASW continues to lobby to fix this issue. Help Patients Manage Pain Beyond Medication Pain affects more Americans than diabetes, Billing Issues and More with Priority Health cancer, and heart disease combined and has been cited as the number one reason to seek Three recurring issues with Priority Health (and some other insurers as well): medical care in the United States. Medications including opioids remain important resources 1. Good News! A long-standing issue with for pain management, but therapeutic Priority Health has been their refusal to techniques utilized by clinical social workers open their panels to social workers in as part of interdisciplinary approaches to pain some regions of the state. NASW-Michigan management are also effective. Learn about worked closely with Rep. therapeutic techniques clinical social workers of Allegan County to push for these panels can use to help patients manage pain in the new to be opened to allow more social workers Practice Perspective, Biopsychosocial Approach to provide services to Priority Health to Pain Management: A Role for Clinical Social beneficiaries. We are happy to announce Workers. our efforts have been successful! If you have Does Your Practice Use Cloud Storage? been denied in the past, please try again. Reach out to us at policy@nasw-michigan. Many clinical social workers have questions org if you continue to have issues with about relying on the cloud to protect patients’ Priority Health or any other insurer (we are health information in accordance with the aware of issues with HAP). Health Insurance Portability and Accountability Act (HIPAA). The use of the cloud allows a clinical 2. Priority Health (and some other insurers) social worker to access information on more refuse to allow therapists to bill for 90837 than one device (computer, tablet, etc.) and (60 minutes) and will only allow billing for enables group practices to share information code 90834 (45 minutes). Some companies across providers to promote continuity of care have sent threatening letters about and standard business practice. Make sure “overuse” of this billing code. Denying this to follow best practices to maintain privacy code is very harmful to patients as many and security standards when using the cloud critical best-practices for outpatient mental in your practice. NASW has released a new health therapy require at 60 minutes, Practice Perspective for private practitioners particularly those used to treat PTSD and at https://www.socialworkers.org/LinkClick. other forms of severe trauma. Additionally, it aspx?fileticket=CfGhYGen_Ms%3d&portalid=0. puts providers in a legal (and financial) bind because if they choose to extend the visit Get Answers to the Top 10 Questions From beyond 45 minutes for the benefit of the Clinical Social Workers in Private Practice patient, but only bill for the shorter session, they are in essence committing insurance NASW receives questions throughout the year fraud, even though it is to the benefit of the from clinical social workers in private practice. patient (and pays less). NASW continues to During the first half of 2018, clinical social lobby to fix this issue. workers in private practice contacted NASW with questions on a range of topics affecting 3. Priority Health is denying services for their businesses and practice, including mobile patients based on their diagnosis. This licenses, supervision, incident to billing, sliding shifting is caused by the bifurcated system scales, opening/closing a private practice, and between mild/moderate disorders (served forming a professional limited liability company. by MHPs), and severe and persistent We appreciate your questions and have disorders (served by CMHs). This issue is not compiled a new resource with answers to these new, but reports indicate Priority Health is frequently asked questions.

11 www.nasw-michigan.org Election Day Information

Make a plan: Be sure to plan how you will get to the polls on November 6, 2018 from 7am to 8pm. Think about time, transportation, daycare, etc. If you think you will not be available to go to the polls on Election Day, you can request an absentee ballot on the MI Secretary of State website or by going to your local clerk’s office. The clerk must receive the request by 2pm on the Saturday before the election. They must receive the completed ballot by 8pm on Election Day. Do your homework: What is on your ballot? You can view a personalized ballot by visiting vote411.org or on the MI Secretary of State Website. This year is BIG! You are voting for Governor and Lieutenant Governor, Secretary of State, Attorney General, United States Senate and Congress, and House, State Boards of Education for K-12 and 3 universities, County Commission, Mayor, City Council, Michigan Supreme Court Justices, Local Judges, County College Boards, Libraries, Local taxes and other local issues, as well as 3 major statewide ballot proposals. Make sure you know what decisions you are going to make before you go to the polls. Also note: this year there will be no Straight Ticket Voting – you will have to check a box in every race. Ballot Proposals: Proposal 1 – Recreational Marijuana This proposal legalizes the possession, use and cultivation of marijuana for individuals who are at least 21 years of age as well as the commercial sales of marijuana through licensed retailers. Currently, marijuana use is restricted to medical purposes by the state of Michigan. In either case it would remain illegal under federal law. NASW-Michigan’s LSP Committee voted to not take a position on this proposal knowing membership would be divided on their position. While there are certainly benefits – decriminalization being one – there are also potentially harmful consequences like increased drug use. Proposal 2 – Non-Partisan Redistricting This proposal would establish, through a constitutional amendment, a non-partisan commission of citizens with the authority to establish boundaries for the Michigan House, Senate, and U.S. Congressional Districts every 10 years. The commission would consist of 13 registered voters (4 Democrats, 4 Republicans, and 5 unaffiliated) randomly selected by the Secretary of State. Currently the district boundaries are redrawn every 10 years by the legislature – with the party in power having the most influence. Unfortunately, the current method has caused extreme gerrymandering to occur – diluting the power of many voters. NASW-Michigan’s LSP Committee voted to support a YES vote on this proposal because it strengthens our democracy and gives vulnerable populations an equal say in elections. Proposal 3 – Voting Rights This proposal would authorize, through a constitutional amendment, automatic and Election Day voter registration, no-reason absentee voting, straight ticket voting, legal requirements for military and overseas voting, and post-election audits. Currently voter registration is opt-in only, there is no Election Day registration, absentee voting can only take place if you meet one of the 6 criteria, and straight ticket voting was eliminated by the legislature last year. Additionally, audits are not a constitutionally protected right and military ballots are often not counted due to delays in the process. Because all of these changes will strengthen our democracy and give vulnerable populations more access to the ballot box, NASW-Michigan’s LSP Committee also voted to support a YES vote on this proposal.

www.nasw-michigan.org 12 Unsocial Consequences of Social Media on Social Workers

There are two interwoven emerging risks that also have a wide range of risks. With proper use, impact professional liability and exposure social media and networking platforms improve to claims and lawsuits. They are Information client compliance and service and strengthen Technology (IT), and Social Media Internet the bond between the practitioner and the Usage. Many articles over the past several years client. However, social media utilization may have discussed particular HIPAA laws and client lead to increased liability risks and widespread records breaches. Here is a brief overview of the negative circulation. topic with some fresh practice pointers. Social media is a great way to connect, but IT refers to traditional electronic records practitioners and students must realize that management and interface with other systems online postings are revealing and permanent. as well as telemedicine, email, Skype, and social They can easily impact licensing and the ability media networking. to practice. Here are some of the IT hazards that you need to Social media professional standards are the be aware of: same online as in any other circumstance.

• Inadequate client file copy digital back up Always think twice to protect yourself before and lack of paper file storage in a secure you post any content that could be viewed location(s) to limit information loss and/or as unprofessional at a minimum, and worse, corruption. fester into a client records breach Licensing Board Inquiry, a HIPAA violation, and a loss of • Hacking of electronic records and files that license. Postings are not private, and they are result in compromised client confidentiality permanent. and possible identity theft. There are two key social media hazards to be • Inappropriate disclosure of client aware of: information contained in text messages, paper notes, faxes, or emails. 1. Violations of client privacy or confidentiality. This can be inadvertent or intentional, • Stolen or lost IT equipment such as laptops, such as negative comments about clients, ipads, notebooks, cell phones, and other therapy disclosures and issues, clients’ handheld devices that contain confidential names or photos, or any other names that information including client names, link identity. telephone numbers, and email addresses. 2. Unprofessional Behavior. This can be Read your Professional Liability insurance policy ethical standards that are breached by the to determine First Party (You) coverage for client practitioner such as comments or photos information breach. This includes misdirected of drug use and alcohol consumption, records sent through electronic channels such profanity, sexually explicit or other as fax and email. Many policies exclude this derogatory comments, negative comments coverage. Look for supplemental insurance about co-workers or employers, or policies that fill the gap arising from stolen threatening or harassing statements. computer devices and third-party information breaches such as client information lost by your Here are some of the social media hazards that employees or contractors, digital warehouse you need to be made aware of: storage vendors, or even by movers who lose your paper records and files. • Online behavior that is inappropriate and breaches of professional etiquette which Insurance protection coverage is provided for all of these perils by the NASW Risk Retention could escalate to HIPAA breaches and Group’s Professional Liability, Cyber Liability, Licensing Board inquiries. and Cyber Device insurance policies. • Pure and simple unauthorized disclosure of The use of social media and related tools offer a protected client healthcare information that wide range of benefits for the social worker, but is mistakenly and/or innocently disclosed. 13 www.nasw-michigan.org supporting, promoting, & advocating for professional * *social work practice & the social work profession

• Potential legal consequences regarding • Beware of connecting clients with former or what the social worker says in the practice’s current clients using social media. marketing materials and websites that may contain implied warranties or implied • Promptly report any client breaches that guarantees. you witness at your workplace, and comply with employer policies regarding the use of • Injudicious postings that were not intended all IT and electronic devices. to create harm, but became the basis of a libel or slander lawsuit. Resources and References Here are some social media content tips to • Learn more about our Professional Liability consider to mitigate liability risks: Insurance for individual social workers.

• Client confidentiality and privacy must • Visit ASI’s Professional Liability Insurance always be maintained, regardless of media Program website to learn even more about or channel used. this exclusive program for NASW members.

• Do not post client pictures or images, or • Call 888-278-0038 to speak with a information that enables the identification knowledgeable, licensed insurance of the client. representative.

• Do not refer to clients in a disparaging • Check out more Avoiding Malpractice Tips way, even if the clients are not specifically sponsored by NASW Assurance Services. identified. • Like us on Facebook or follow us on Twitter • Do not take photos or videos or clients on to receive notifications on news, updates, and cell phones. announcements.

Need an Ethics Consultation? As a service to members, the Office of Ethics and Professional Review provides ethics consultations for current NASW members. Ethic consultations are a resource for members who are experiencing an ethical dilemma. We do not provide advice or tell members what to do. However, we do guide them through the Code and point them through the areas of the Code that address their concerns. We provide dialogue and considerations that allow members to make ethical decisions. We may also refer members to the appropriate areas if their questions do not appear to be related to ethics but are more related to legal issues or standards of practice.

Hours & Contact Info: (800) 638-8799 Tuesdays: 10:00am - 1:00pm (EST) ext.231 Thursdays: 1:00pm - 4:00pm (EST)

www.nasw-michigan.org 14 Social Workers Face Tough Ethical Dilemma with Refugee Children

Dear Members, For as long as social workers have been advocates for social justice, there have been instances when social workers were complicit in facilitating injustice – often due to the intertwining of caring and social control roles and the competition between the Code of Ethics and government rules and regulations. Some of the most egregious examples include facilitating Japanese Internment during WW2, carrying out “social hygiene” policies leading to the Jewish Holocaust, the “stolen generation” of Indigenous Australian children being removed and placed with white families, Native Americans being “assimilated” in boarding schools, and “Mexican Repatriation” efforts in the 1930’s. We are now at a crossroads of a similar dilemma, and it is imperative that we take a leadership role in steering the profession to the right side of history. In June of 2018, the Office of Refugee Resettlement (ORR) entered into an agreement (MOA) with the Department of Homeland Security (DHS) and its respective enforcement agencies (ICE and Border Patrol) to share information between these agencies. The information to be shared includes the legal status of the sponsor household members that contracting agencies engage with during their work placing refugee and unaccompanied children. Most children placed are between the ages of 14 and 17 and are escaping some of the worst violence imaginable from countries in Central America. Bethany Christian Services, in Michigan, is one of the largest contractors for this work in the nation. They were also heavily involved in the placing or reunification of separated children – most of whom were younger than 14 (most of those placed in Michigan have been returned, fortunately). Until the MOA was in place, a typical social worker’s role in placing a child with a sponsor would be a simple background check and routine documentation. Priority is placing with family members. Now that the new MOA is in place, the social worker must gather this information from every member in the household and turn it over to ORR – who in turn hands it over to ICE. The result, so far, has been a minimum of 40 deportations. Anecdotally the number is much higher. Essentially, ICE is using children as bait to arrest and deport their family members. Social workers are complicit in this. Some have stepped forward looking for a way out of this policy due to the following conflicts with the Code of Ethics:

• Social workers should be alert to and avoid conflicts of interest that interfere with the exercise of professional discretion and impartial judgment. Social workers should inform clients when a real or potential conflict of interest arises and take reasonable steps to resolve the issue in a manner that makes the clients' interests primary and protects clients' interests to the greatest extent possible.

• Social workers should protect the confidentiality of all information obtained in the course of professional service, except for compelling professional reasons. In all instances, social workers should disclose the least amount of confidential information necessary to achieve the desired purpose; only information that is directly relevant to the purpose for which the disclosure is made should be revealed.

• Social workers should inform clients, to the extent possible, about the disclosure of confidential information and the potential consequences, when feasible before the disclosure is made. This applies whether social workers disclose confidential information based on a legal requirement or client consent.

15 www.nasw-michigan.org supporting, promoting, & advocating for professional * *social work practice & the social work profession

The MOA is already impacting the reunifications of children with their families by extending the length of stay for children in care. For example, it now takes approximately two weeks to schedule the required finger printing appointment because of the number of people who need printing and the lack of resources to accomplish this in an adequate period of time. In addition, it now takes approximately one month to even receive results for both sponsors and household members, thus, extending the length of stay of children in care. Bethany staff are also reporting a general increase in apprehensiveness from sponsors and household members. They are no longer able to reassure sponsors that claiming their children won’t lead to their arrest and potential deportation to a country that they fled to escape violence and persecution. Sponsors are being forced to choose between the safety of their households and their children – a decision no parent should ever have to make. Household members are growing especially resistant and concerned with the forced fingerprinting. If household members are not willing to get fingerprinted, sponsors must move or have household members move out, which many of them do not have the resources to do. Even more, in a September 21 memo, ORR informed service providers that they are granting a waiver to the fingerprint background check result. This means that all adult members of a household are still required to be fingerprinted even though the results will have no impact on the release of an unaccompanied child to a sponsor. In other words, household members get their fingerprints taken to be tracked in the system, without the purpose of safety evaluation. It is important that social workers - for the sake of these children and families and for the profession itself - take an ethical stance against implementing this policy and take aim at eliminating the MOA all together. Members should be assured that NASW-Michigan is working closely with our national office, Bethany staff, and our advocacy partners to end this harmful policy and support the social workers who are standing up against it. If you have any questions, please reach out to us at [email protected]. Thank you for your membership. Without it, we would not be here to do this kind of important work. Sincerely,

Maxine Thome, PhD, LMSW, ACSW, MPH NASW-Michigan Executive Director

Allan Wachdorfer, LMSW Director of Public Policy

www.nasw-michigan.org 16 MPACE Endorses Candidates for the 2018 Elections

The National Association of Social Workers - For the State Senate, M-PACE endorses: Michigan Chapter (M-PACE Political Action for • Stephanie Chang (MSW) for District 1 Candidate Election) is excited to announce the candidates receiving our endorsement for the • Sylvia Santana for District 3 2018 election cycle. • Dayna Polehanki for District 7 The goal of any endorsement is to elect candidates who support NASW policy • Mallory McMarrow for District 13 positions and increase visibility for NASW • Bill LaVoy for District 17 in the process. NASW also gains candidates’ recognition, improves connections with • Jeff Irwin for District 18 elected officials, advances NASW’s policy • Kelly Rossman-McKinney for District 24 agenda, and builds respect for NASW as a powerful and committed activist organization. • Winnie Brinks for District 29

NASW-Michigan members and staff are • Poppy Sias-Hernandez for District 24 working harder than ever to get social workers • Wayne Schmidt for District 37 and our allies elected to the Michigan House, Senate, and the Governor’s office. With the • for District 28 help of qualified and socially conscious candidates, we can increase our capacity to For the State Representative, M-PACE continue fighting for the issues we care about endorses: as social workers. • Sherry Gay-Dagnogo for District 8

These issues include: • Michelle LaVoy for District 17

• Increasing social worker salaries and • for District 23 reimbursement • for District 23 • Passing loan forgiveness for social workers • Robert Wittenberg for District 27 • Promoting the role of social workers in all • Kelly Breen for District 38 settings • for District 40 • Promoting voting rights and increasing civic participation • Padma Kuppa for District 41

• Ensuring access to services that social • for District 50 workers provide • for District 52

We are convinced that these candidates exhibit • Alberta Griffin for District 61 the deepest commitment to upholding the values and ethics of the social work profession • for District 62 and are most qualified for serving the • for District 67 communities that they will represent. • for District 68 For the State Executive Office, M-PACE endorses: • for District 69 • for District 71 • and Garlin Gilchrist II for the Governor and Lt. Governor • for District 76

• Jocelyn Benson for Secretary of State • Kristen Brown for District 99

• Dana Nessel for Attorney General • Ken Summers for District 110

17 www.nasw-michigan.org supporting, promoting, & advocating for professional * *social work practice & the social work profession

Poppy Sias-Hernandez Democrat for State Rep. Endorsed for the 24th District

Stephanie Scott Dianda Chang, MSW Democrat for State Rep. Democrat for State Rep. Endorsed for the 1st District Endorsed for the 28th District

Wayne Schmidt Republican for State Rep. Endorsed for the 37th District

Padma Kuppa Alberta Griffin Democrat for State Rep. Democrat for State Rep. Endorsed for the 41st District Endorsed for the 61st District

Mallory McMarrow Democrat for State Rep. Endorsed for the 13th District

www.nasw-michigan.org 18 Michigan Legislation Impacts Mental Health Services – Parenting Coordination - Susan Boyan, LMFT, Director of the Cooperative Parenting Institute It is important that licensed mental health PC Benefits Children By: providers be aware that Michigan has passed legislation (Statute #MCL 722.27c) that allows • Reducing the child’s symptoms of stress as the Michigan courts to order high-conflict parental conflict decreases. parents to appoint a parenting coordinator. • Diminishing the child’s sense of loyalty This is an opportunity to educate your clients binds. and to add a unique service to your current practice. • Increasing the likelihood of keeping two Parenting Coordination (PC) is a non- active parents in the child’s life. confidential, child centered process for conflicted, divorced, and divorcing parents. • Creating a more relaxed home atmosphere It is a form of dispute resolution for parents allowing the child to adjust more in which mediation would be inappropriate effectively. or ineffective due to high levels of conflict. • Enhancing the child’s confidence and Through education, mediation, and case self-esteem by creating an optimal management, the family’s progress is environment for growth. monitored to ensure that parents are fulfilling their obligations to their child while complying PC Benefits Parents By: with the recommendations of the court. With prior approval of the parties and/or the court, • Reduces the emotional and financial the parent coordinator may make temporary cost of continued conflict and court decisions, within the scope of the court order intervention. or appointment contract, to help high-conflict • Educating parents regarding the impact parents who have demonstrated an inability or of their contribution to conflict on their unwillingness to make parenting decisions on child’s development. their own. The role of the parent coordinator is outlined by the authority granted in the • Monitors compliance of each parent and appointment document such as a consent their behaviors. order or the stipulation of the parties. Parenting coordinators assist parents to • Clarifies any allegations made between the establish and maintain a healthy co-parenting parents. relationship by reducing parental conflict and • Providing a neutral who can take action the risk factors that influence a child’s post- on the day to day crisis that arise in high- divorce adjustment. The overall emphasis is conflict cases. to offer children the opportunity to grow in a home environment free from the devastating • Teaching parents anger management, stress of being caught in the middle of communication and conflict resolution parental conflict. skills. Unlike co-parenting counseling, Parenting • Recommending additional services such as Coordination is a non-confidential process. reunification treatment, counseling, drug As a result, parenting coordinators document and alcohol treatment etc. parental behaviors and compliance with court orders. This is usually done through memos • When pre-divorce-Working with parents in and, if necessary, by testimony to the court. developing a detailed parenting plan. The parenting coordinators may share their concerns regarding each parent and make • When post-divorce-Working with parents recommendations regarding unresolved to clarify and correct errors in their issues. parenting plan.

19 www.nasw-michigan.org supporting, promoting, & advocating for professional * *social work practice & the social work profession

PC Benefits Families By: micromanagement of the difficult case.

• Reducing the number of litigated cases. • Improving client behavior and cooperation. • Communicating to parents that the child(ren) come first. • Providing prompt and consistent resolution. • Offering families a valuable resource. • Monitoring compliance with the court • Providing prompt resolution to daily child- order. rearing issues. • Determining when parental alienation • Monitoring parental compliance with the exists versus estrangement and other court orders. visitation refusal factors.

• Providing the court a comprehensive • Reducing the number of litigated cases. picture of the family “in action” by way of court testimony. • Providing prompt resolution to daily child- rearing issues. PC Benefits the Legal Community By: For more detailed information visit • Decreasing the number of client calls and www.cooperativeparenting.com.

Promoting Michigan’s Public Behavioral Health System

The November general election is quickly approaching and now is the time to reach out to candidates running for election in your area. We are asking for your help to educate/inform candidates about Michigan’s public behavioral health system. The Community Mental Health Association of Michigan created an infographic that gives candidates a 10,000 ft view point of the key pillars to our current system and necessary points to move it forward in the future. Obviously, this is not a complete list and only the beginning of the conversation, but it is important we have these conversations with future legislators, so they know how vital this system is to the well-being of our clients. Additionally, we expect that issues impacting the public CMH system will come up during the Lame Duck session, so the graphic on the following page can also serve as an advocacy tool. Use this link to access the document: https://www.dropbox.com/s/s9n37gikys6nfou/KeyPillars-FINAL.pdf?dl=0 The best ways to reach out to candidates would be local coffee hours (if current elected official), community forums, local fundraisers. Below is a link to a list of candidates running in November: https://miboecfr.nictusa.com/election/candlist/2018GEN_CANDLIST.html * See next page for infographic

www.nasw-michigan.org 20 New social work student loan repayment program plan introduced in the Michigan House of Representatives! "Licensed Social Workers Student Loan Repayment Act" House Bills 6137 and 6138 Sponsored by Rep. (R) and Rep. Stephanie Chang (D) NASW-Michigan is thrilled to announce the introduction of two *critical bills for the social work profession. If passed, qualified licensed social workers (both BSW and MSW) can receive up to $15,000 each year for up to 4 years for service ($60,000) to go towards repayment of student loans. To qualify, 2 of the following 3 criteria must be met:

• Services are provided full time in a mental health practitioner shortage area (defined by HRSA)

• Services are provided full time in a high need social work related sector (i.e. mental health, schools, criminal justice, etc.)

• Applicants are below 250% of the poverty level

More information will be available soon (please continue to check www.nasw-michigan.org). NASW-Michigan will be organizing efforts in the coming weeks and months to mobilize social workers, agencies, schools, and to gather stories about the impact of student loan debt and the potential impact of these bills.

21 www.nasw-michigan.org New social work student loan repayment program plan introduced in the Michigan House of Representatives!

Mental Health System

Michigan’s public mental health system is one of the most comprehensive and clinically advanced in the country. However, as healthcare continues to evolve, we must prioritize certain fundamental concepts to preserve and advance Michigan’s public mental health system.

Local governance, oversight, policy-making and Michigan’s mental health system public management. Keeping management at must have the ability to retain and the local level enhances cooperation with train competent staff across all levels: community partners like law enforcement, psychiatrists, nurses, socialssocial workers workers judges, public health and schools and direct care staff Addressing Social DeterminatesDeterminants

Addressing the Social DeterminatesDeterminants of Health – Funding must meet community services beyond “health care” – transportation, expectations and obligations. housing, employment, nutrition NO fundingunfunded mandates mandates

Ability to share health information, access A consistent set of standards and systems and continued development of clinical level of care across the state coordination at the provider/patient level:

• Electronic Health Records between physical and behavioral healthcare

• Locating mental health professionals in primary care sites and vice versa

www.nasw-michigan.org 22 Policy Matters: Legislative Updates

- Allan Wachendorfer, LMSW & Noah Smith

Harmful Changes Proposed for SUD (DHS) and Office of Refugee Resettlement Counselors (ORR), a proposed change to the definition Reorganizing by the Executive Branch in of “public charge” which will likely cause tax Michigan has left Licensing and Regulatory paying immigrants to not seek important food Affairs (LARA) in charge of rewriting and health benefits available to them, and a credentialing for substance use providers new rule that allows for the indefinite detention and clinicians that will be quite harmful to of children. NASW-Michigan is working closely the treatment community. Two of the biggest with immigrant rights attorneys, advocates, concerns revolve around who is allowed to social workers, and the appropriate government be credentialed by the Michigan Certification officials to try and stop these harmful policies. Board for Addiction Professionals (MCBAP) and Additionally, NASW-Michigan will be submitting requirements for residential detox centers. public comments to the latter two issues, with the support of our advocacy partners in this LARA is proposing that only licensed work. professionals (LMSW and LPC) be allowed to provide treatment services. This would In addition, we are working closely with our potentially cut out LLMSW, LBSW, LLBSW, national office and Bethany Christian Services and anyone working on their professional to remove the MOA between ORR and DHS. development plans to be certified addictions This policy has created a tremendous ethical counselors. This cuts off the bottom of the dilemma for social workers in the agency career ladder for LMSW and CAADC addictions by requiring them to share information professionals and takes away nearly 1300 that ultimately puts members of sponsor providers from the system. households at risk of arrest. Please read more about this earlier in the newsletter within the The second issue is a proposed requirement letter from the directors. that medical staff be on duty 24 hours a day at residential detox programs. This requirement Ballot Proposals – Now legislation will likely cause many sites to close their doors MI One Fair Wage Petition – A proposed citizen- due to difficulty finding or paying for nursing initiated law to gradually increase the hourly staff. Residential detox programs have decades minimum wage to $12 by 2022 (including of successfully treating patients without the tipped workers) was taken up by the legislature need for 24-hour staff. These sites closing their within the 40-day window of time before it was doors will mean thousands of social work jobs to go on the ballot. This means it now becomes and tens of thousands of patients without care – law. We expect to see this law amended during during the worst opioid epidemic in history. lame duck – likely to remove the tipped wage NASW-Michigan has worked closely with our measure. partners, including MCBAP, to amend these MI Time to Care – A proposed citizen-initiated proposed rule changes. Letters were written by law to require paid sick time (1 hour per 30 members and the Chapter before the October hours worked) be provided by employers was 17th deadline and conversations were had with also taken up by the legislature within the 40- LARA, the Governor’s office, and key legislators. day window. This is also expected to be tinkered We will continue to work on fixing this issue with during the lame duck session. and will keep members updated as more information becomes available. In both cases this was a maneuver by GOP leadership that will allow them to amend the Immigration Issues legislation later with a simple majority rather As you know, there have been many concerning than a ¾ majority (required if it would’ve have issues related to immigrants and refugees in the been passed by the voters on the ballot). news lately. While the spotlight has somewhat However, many Democrats still voted for the gone away, the problems remain. They include, measures despite knowing this because these a harmful memorandum of agreement (MOA) initiatives were issues they cared about – in fact, between the Department of Homeland Security some of the Dems had previously introduced

23 www.nasw-michigan.org legislation with a similar effect. personal protection order held by the Several other citizen-initiated proposals other parent or a student’s guardian. made their way onto the November Ballot, The bills passed the Senate and are currently including marijuana legalization, non-partisan before the House Judiciary Committee. redistricting, and voting rights. Detailed descriptions are available for those in the Raise the Age preceding pages. Raise the age is a bill package that is now Sexual Assault Bills – “Nassar Package” in its third term of the legislature and heard testimony recently in the House Law and As of the date of this report, there are over Justice Committee. The measure would raise thirty bills that have been introduced and the age of juvenile court jurisdiction from 17 advanced in the Legislative process in to 18, among other things such as codifying a response to the MSU/Nassar tragedy. Three family advisory board for the MDOC. Currently bills have been signed into law (expanding 17-year-olds are automatically charged, statute of limitations). The remaining bills in sentenced, and incarcerated in the adult justice the package are poised for final passage on system and cannot be offered the supports the Senate floor, but no action has been taken in services available in the juvenile system. since June. Given how few days remain in the Michigan is one of 4 remaining states yet to 2017-18 session, and the impending election, enact such legislation. NASW has long been a there is increasing pressure on the Senate to supporter of this legislation and has submitted move the bills. written testimony and actively lobbied for its Survivor Address Confidentiality Legislation passage. A package of four Senate bills would provide Provider Fitness survivors of domestic violence, sexual assault, Starting back in November, the state stalking, and human trafficking with a means Medicaid office developed a policy to screen of keeping their addresses confidential. out Medicaid providers who have criminal SB 655 (sponsored by Sen. Margaret O’Brien, backgrounds typical of service providers R-Portage) would establish an “address with lived experiences – particularly peer confidentiality program,” with the Office of supports, recovery coaches, and social workers the Attorney General reviewing and certifying in substance use treatment. We’ve been eligible participants in the program, and the successful so far in forcing rewrites of this Department of Technology, Management policy. We expect to see a 3rd draft that will and Budget serving as the address to receive have a proposed effective date of January 1st. mail for participants, and providing the mail It is expected to be a much improved version forwarding service to participants; of the one that originated but may still have some problems. • SB 656 (also sponsored by Sen. O’Brien) would protect the actual address of a Private Police Forces program participant from being listed in Senator Meekhof’s (R-Ottawa County) SB 594 the otherwise public “Qualified Voter File;” and 595, bills that would allow local units of • SB 657 (sponsored by Sen. Rick Jones, government to contract with a private police R-Grand Ledge) would exempt current agency, though still in the Senate Government program participants from participation in Operations committee, are likely to see some jury duty; action after the election. Adding to the mix before the summer recess was Senator Kowall • SB 658 (sponsored by Sen. Tonya (R-White Lake), who introduced SB 924. SB 924 Schuitmaker, R-Lawton) would prohibit allows for a school or business to contract with schools from disclosing records to a parent a third party private police agency, and gives when such disclosure is prohibited by a the agency’s officers misdemeanor arrest

www.nasw-michigan.org 24 Policy Matters: Legislative Updates

authority. SB 924 is on the Senate Floor, having duly-elected board, legislative body (like a passed out of Senator Meekhof’s committee County Commission or City Council), or elected in May. The bill has been changed slightly official (like a Mayor or Sheriff) to whom or since its introduced version, which at least which to complain or hold accountable. In requires MCOLES certification for officers of addition, other public freedoms, like FOIA, are private police agencies. MCOLES is the agency missing from the bill, as a private agency is not that oversees law enforcement officer training subject to FOIA. Moreover, questions about standards. Law enforcement organizations from around the state oppose the legislation transportation and lodging at the jail remain, on the grounds that there is no recourse for as is prosecution, and adjudication. Finally, wrongdoing. The legislation allows an armed MCOLES certification requires one to work at private citizen to detain another private citizen, an agency and complete ongoing professional but if and when things go wrong in the course education and development, so there is a of that conduct, a citizen has no recourse – no certification issue that remains.

Social Work Advanced By Your Support NASW-Michigan offers our community and professional partners a unique opportunity to assist in the advancement of the social work profession throughout the state. Social Work Advanced by Your Support (SWAYS) ensures the support, promotion, and advocacy for professional social work practice, social work students, and NASW-Michigan legislative efforts. We would like to send out a special thanks to our current SWAYS partner organizations: Gold Partners Flint Odyssey House (www.odysseyvillage.com)

Michigan Association of School Social Workers (masswmi.org)

Michigan State University School of Social Work (socialwork.msu.edu) Silver Partners NASW Assurance Services (naswassurance.org)

Organization of Latino Social Workers – Michigan Chapter (olasw.org) Bronze Partners Concerto Health (www.concertohealthcare.com)

University of Michigan School of Social Work (ssw.umich.edu)

University of Michigan-Flint Social Work Program (umflint.edu/socialwork)

Saginaw Valley State University Social Work Program (www.svsu.edu/socialwork)

If you are interesting in learning more about the SWAYS program or becoming a partner organizations visit nasw-michigan.org/?page=SWAYS or call the NASW-Michigan office at 517-487-1548.

25 www.nasw-michigan.org Moving from Insurance to a Cash Practice

NASW receives questions from clinical social Addressing Patients’ Concerns workers about how to terminate their contracts Clinical social workers should be prepared as insurance providers and move to a private to discuss this transition with patients, and pay fee-for-service practice. This practice the conversation may include financial perspective highlights several important steps practicalities and clinical concerns. Patients to facilitate the transition. may express feelings of abandonment, guilt for Notifying Insurance Companies missing sessions in the past, or concerns about the clinical social worker’s well-being. The first step toward terminating with your insurance contracts is to review each contract Transitioning Patients to determine each insurance company’s When patients want to continue therapy but guidelines for termination. All insurance cannot afford services without insurance companies will require you to provide written coverage, the clinical social worker should notice that you are terminating your contract. work with the patient to make an appropriate Some companies will require you to provide referral. A patient may identify a new provider services to patients for a period of time after by contacting his or her insurance company submitting notice. and sign a release of information for the Notifying Patients clinical social worker to speak with the new provider to coordinate care during the In addition to giving notice to insurance transition. companies, patients will also need to be notified. Let your patients know in writing Resources when you will be terminating as an insurance Legal Issue of the Month: Social Workers and provider. It is recommended that you give Fee Collection: https://www.socialworkers.org/ between 30 and 90 days’ notice to clients About/Legal/Legal-Issue-of-the-Month/Social- when any fee changes are made. This gives Workers-and-Fee-Collection patients time to review their financial situation and clinical needs as they determine how to This article was a Summer 2018 NASW Practice adjust to changes in the practice. Patients Perspective, written by Yael “Ellie” Silverman also have the option of remaining with their MSW, LICSW, Senior Practice Associate, insurance company and seeking another [email protected]. provider. Updating Policies & Fee Schedules The clinical social worker may need to update billing policies and fee schedules when terminating with insurance. New policies regarding payment and fees should be shared with patients. Best practice is to have patients sign updated policies and fee schedules when making changes. You may consider how you will accept payment, document payment, and provide receipts to your patients as you update policies. Clinical social workers may also need to consider whether they will become an out- of-network provider by providing a superbill or another document to patients who wish to submit for out-of-network benefits with their insurance company.

www.nasw-michigan.org 26 Ethical Dilemmas: Laws, Morals, and Ethics

Merriam-Webster defines ethics as: organizations we work for also fall into this “the discipline dealing with what is good and bad category. This can be especially challenging and with moral duty and obligation” (2018). when social workers are employed in “host” organizations whose sole focus is not social This sounds simple: make “good” choices service. However, laws and policies are and avoid “bad” choices. Follow policies and made and enforced by a set of “imperfect” procedures. Know your Code of Ethics. Seems institutions, which we know are not always simple…right? perfectly thought out, executed or enforced. In theory, the concept of ethical practice For instance, we may work with clients whose seems simple enough, but in reality, ethical substance use, while illegal, is not causing dilemmas can be multi-faceted and the answer harm to the extent to drive us to violate our may not always be clear. Experienced social commitment to the client’s confidentiality. work practitioners know that ethical practice Another interesting scenario discussed in my can sometimes be a complex issue. Even classroom involves a cognitively intact older Merriam-Webster’s definition, when unpacked, couple in a nursing home who disclose to discusses three different aspects: what is good the Social Worker that they are involved in a and bad, and moral duty, and obligation, sexually active, romantic relationship, despite which align at times and other times may be the institution’s policies against such behavior. opposed. Our legal/policy obligation and our ethical obligation to our profession may conflict in Let’s review some varying ways of looking at these scenarios. ethical situations: Ethics are standards of behavior expected of Our first instinct about what is the “right” an individual by a group. The NASW Code choice is often rooted in our personal morals of Ethics are specific to the value base of the and values. Through our social work education, profession of social work, and outline how we we learn that our upbringing and environment should respond as professionals. While most help shape the belief systems, values, and of us choose the profession of social work sense of right and wrong of both our clients based on its values, this does not always mean and ourselves. As social workers, it is essential that every ethical standard aligns perfectly to understand our sometimes rather ingrained with our instincts on how to respond to beliefs about what is right and wrong and certain situations. There are also times when how they influence our practice as social two ethical standards may seem to compete workers. While the morals and values that with one another. For instance, this week we draw most people to a career in social work, encountered a decision as to whether or not such as altruism and a sense of service, serve to accept a child with behavioral and medical us well, other times our belief systems may challenges into a volunteer-staffed therapeutic interfere with our ability to view situations camp. Which is more important in this objectively and make good practice decisions. instance, the ethical obligation in providing For example, you may be working with a teen service to this child, or our uncertainty as whose parents tell her she needs to quit her to whether or not the camp staff will be sports team in order to stay home to babysit competent in responding to the child’s many her younger siblings. Does your personal belief needs? system support this idea or oppose it? How Sometimes behaviors we encounter in would this reaction influence your response? practice are clearly all immoral, unethical and How does this belief system align with—or illegal, such as the severe abuse of a child, oppose—our role as a social worker? and decision-making is clear. This is called a The law, or society’s system of rules that “violation” and our response is straightforward. tells us what we can or can’t do, are often Other times, issues we encounter such as those considered society’s ultimate driving force mentioned above may seem complex and in regulating the behavior of its citizens. The there may be competing perspectives; policies and procedures of the agencies and 27 www.nasw-michigan.org supporting, promoting, & advocating for professional * *social work practice & the social work profession in other words, it may look like there is more Ann Crandell-Williams, LMSW, is a member of than one “right” answer. These are true ethical the NASW Michigan Chapter Ethics Committee, dilemmas. Consultation with a supervisor, which seeks to assist fellow members with trusted colleague, or NASW can help you ethical dilemmas. For assistance, contact the explore a situation and examine alternatives. Michigan Chapter office or go to www.nasw- As responsible practitioners, we must continue michigan.org/page/Ethics to submit a question to educate ourselves and make an active effort online. Find more ethics resources at www. to engage in ethical practice. socialworkers.org/ethics.

Ethics

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Morality ML Law

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* * Legislative, Education, & Advocacy Day Save the Date! November 1, 2018 Lansing, MI 6 CEs