Macro Client System

Improved Essays
Who is the macro client or system in this vignette and why?
Macro client system- “The macro client system includes those people who will ultimately benefit from the change process, typically a particular client population having similar characteristics and receiving similar agency services. In addition, a macro client system can also be an entire community or agency that benefits from the change” (Kirst-Ashman & Hull, 2015, p.205-206). In this case scenario Eduardo and all the population at the adult daycare center would be considered the client system because they have similar characteristics and are receiving similar agency services. However, this macro client system could include the agency if changes occur because the social worker
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As a result, the social worker does have a couple of colleagues that agree about the situation, however, it will take much more support to make changes. However, in the text it states “that an agency may not initially believe that it needs to change, but the goal is ultimately designed to improve services provided to its own clients” (Kirst-Ashman & Hull, 2015, p.205).
Who could be part of the action system and why? Co-workers and trying to get hospital administration as part of the action system might influence the daycare administrators and the boss to change their mind and nursing homes might even be part of the action system since is all about improving care for the clients. Of course, even though they were not concerned about it if they could understand what is going on they might decide to jump on the bandwagon and support the process.
Action System- “The action system includes those people who agree and are committed to work together to attain the micro change. As a change agent, you need to recruit supporters for the action system very carefully. It is best to muster support from staff who are well respected and competent” (Homan, 2011,
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If the agency becomes the target than changes can be made their first to improve services provided for the clients than other changes may need to be made elsewhere to improve conditions such as licensing requirements for nursing homes. It depends on what the social worker decides to want to change and what changes need to be made such as the agency, hospital, and nursing home licensing requirements.
Identify and discuss how you would apply one of the following perspectives to this situation: the ecological, social systems, or social structural. Which one would seem to be the most helpful and why? When looking at this case scenario the problem is associated with Eduardo and others having only have Social Security or limited income and Medicaid and because of this the social worker is concerned about placing them somewhere that is not up to standards for their care such as nursing homes. As a result, I feel the social systems and social structural perspectives might be a good fit because they are closest to the situation.
Social Structural Theory- “This theory focuses on understanding how these various subsystems affect the individual and the group. Attention is directed to how some social structures (systems) empower clients and others alienate

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