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Field Note--Talk It out Counseling Clinic: A Field Education Innovation

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Title: Field Note--Talk It out Counseling Clinic: A Field Education Innovation
Language: English
Authors: Lin Fang (ORCID 0000-0002-7944-1882), Catherine Schmidt (ORCID 0000-0003-3046-6082), Yu Lung (ORCID 0000-0003-2435-6725), Lynn Nguyen, Gilda Hui (ORCID 0009-0006-6211-2368), Sylvia Delgado
Source: Journal of Social Work Education. 2024 60(4):640-646.
Availability: Routledge. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
Peer Reviewed: Y
Page Count: 7
Publication Date: 2024
Document Type: Journal Articles
Reports - Evaluative
Descriptors: Social Work, Foreign Countries, Clinical Experience, Partnerships in Education, Access to Health Care, COVID-19, Pandemics, Mental Health Programs, Counseling, School Community Relationship
Geographic Terms: Canada
DOI: 10.1080/10437797.2023.2260850
ISSN: 1043-7797
2163-5811
Abstract: The COVID-19 pandemic introduced an unforeseen challenge to social work field education and drastically changed the landscape of social work direct practice. In March 2021, University of Toronto's Factor-Inwentash Faculty of Social Work launched the Talk It Out Counseling Clinic (the Clinic), training MSW students to provide short-term counseling and wellness workshops to residents in the Greater Toronto Area. Based on a community partnership model with an antiracism and trauma-informed service orientation, the Clinic provides services targeting those who face multiple barriers to health and equity and those who belong to Black and other racialized communities. In this paper, we introduce the Clinic, including its staffing and structure, partnership model, and training curriculum, present operation updates, and discuss future directions.
Abstractor: As Provided
Entry Date: 2024
Accession Number: EJ1453036
Database: ERIC
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  Value: <anid>AN0181567823;swe01oct.24;2024Dec13.02:53;v2.2.500</anid> <title id="AN0181567823-1">Field Note—Talk It Out Counseling Clinic: A Field Education Innovation </title> <p>The COVID-19 pandemic introduced an unforeseen challenge to social work field education and drastically changed the landscape of social work direct practice. In March 2021, University of Toronto's Factor-Inwentash Faculty of Social Work launched the Talk It Out Counseling Clinic (the Clinic), training MSW students to provide short-term counseling and wellness workshops to residents in the Greater Toronto Area. Based on a community partnership model with an antiracism and trauma-informed service orientation, the Clinic provides services targeting those who face multiple barriers to health and equity and those who belong to Black and other racialized communities. In this paper, we introduce the Clinic, including its staffing and structure, partnership model, and training curriculum, present operation updates, and discuss future directions.</p> <p>COVID-19 has affected our communities at an unprecedented magnitude, affecting not only groups with preexisting vulnerabilities, but also a gradient of individuals who faced mental, physical, and financial strains engendered by the pandemic. As the pandemic has progressed, there have been dramatic increases in the number and severity of mental health challenges worldwide (Ambrosetti et al., [<reflink idref="bib1" id="ref1">1</reflink>]; Bonati et al., [<reflink idref="bib2" id="ref2">2</reflink>]; Ding et al., [<reflink idref="bib5" id="ref3">5</reflink>]; Kawohl & Nordt, [<reflink idref="bib9" id="ref4">9</reflink>]; Pfefferbaum & North, [<reflink idref="bib18" id="ref5">18</reflink>]; Watkins-Martin et al., [<reflink idref="bib20" id="ref6">20</reflink>]). In the time of heightened anxiety and uncertainties, people are reaching out for help. In Canada, self-reported depression has more than doubled, and anxiety has quadrupled since the beginning of the COVID-19 pandemic (Kawohl & Nordt, [<reflink idref="bib9" id="ref7">9</reflink>]). Kids Help Phone, a nationwide hotline service for young people in Canada, saw a 350% increase in demand for mental health services during the initial months of the lockdown (Naccarato, [<reflink idref="bib15" id="ref8">15</reflink>]), and the trend has continued throughout the pandemic years (Kids Help Phone, [<reflink idref="bib10" id="ref9">10</reflink>]). The City of Toronto's 211 services, a free helpline that connects callers to social services and community resources, has experienced a 90% increase in calls, with callers getting assistance and counseling. Other national and local helplines, crisis lines, and distress centers have faced a 30% to 50% surge in calls since the beginning of the pandemic, and the demand for mental health services continues to grow (The Canadian Press, [<reflink idref="bib3" id="ref10">3</reflink>]).</p> <p>The pandemic deepened preexisting inequalities as social determinants of health, such as poverty, unemployment, racism, and discrimination, affect communities disproportionally (Fortuna et al., [<reflink idref="bib7" id="ref11">7</reflink>]). Systemic inequalities engendered by racism and classism contributed to the greater COVID infection, and mortality (Kimani et al., [<reflink idref="bib11" id="ref12">11</reflink>]; Kullar et al., [<reflink idref="bib12" id="ref13">12</reflink>]; Schell et al., [<reflink idref="bib19" id="ref14">19</reflink>]) and psychological stress (Fortuna et al., [<reflink idref="bib7" id="ref15">7</reflink>]; Kawohl & Nordt, [<reflink idref="bib9" id="ref16">9</reflink>]) among those who face multiple barriers and those who belong to racialized communities. The situation was further compounded by limited access to accessible, culturally sensitive healthcare (Egede & Walker, [<reflink idref="bib6" id="ref17">6</reflink>]; Garcia et al., [<reflink idref="bib8" id="ref18">8</reflink>]; Patel et al., [<reflink idref="bib17" id="ref19">17</reflink>]; Schell et al., [<reflink idref="bib19" id="ref20">19</reflink>]).</p> <p>Moveover, the pandemic prompted a disruption of social work field practice, as many field practicum opportunities were forced to cease, reduce, or transition to virtual due to stay-at-home orders (De Fries et al., [<reflink idref="bib4" id="ref21">4</reflink>]; B. Mitchell et al., [<reflink idref="bib13" id="ref22">13</reflink>]). At our school close to 25% of field placement agencies withdrew from providing practicum opportunities shortly after the pandemic began. Although the practice context under COVID-19 served as a critical learning environment for social work students, many field agencies such as hospitals needed to deploy their resources, including supervision, to address the pandemic, while others that were considered nonessential services suspended their operation.</p> <hd id="AN0181567823-2">Talk It Out Counseling Clinic</hd> <p>In response to the growing mental health needs of the communities and the urgent quest for quality field education opportunities emerging from the pandemic, the Factor-Inwentash Faculty of Social Work at the University of Toronto (the Faculty) established the Talk It Out Counseling Clinic (the Clinic), a free mental health counseling service for residents who face multiple barriers to health and equity as well as for those who identify as members of the Black and other racialized communities in the Greater Toronto Area (GTA). The Clinic was launched in March 2021, after a series of consultations with stakeholders such as social work educators, service providers, and alumni from our Master of Social Work (MSW) program. To ensure that the Clinic is compliant with the Personal Health Information Protection Act in Ontario and the information technology (IT) security risk checks of the university, we underwent the university's approval process during the prelaunch stage by having extensive consultations with the provincial regulators and legal, liability, and IT security experts at the university, comparing qualified vendors who provided electronic health records and service platforms, and selecting one that fit our client size, needs, and budget.</p> <p>At the Clinic, supervised MSW students provide short-term counseling services to community members who are aged 16 and older via a secure online platform or phone as part of their field practicum. These students also design and deliver wellness workshops based on the requests of our community partners. Below we summarize the Clinic staffing structure, practice model, and training and curriculum, and provide the operation updates of its first year.</p> <hd id="AN0181567823-3">Staffing and structure</hd> <p>Supported through donations and fundraising, the Clinic has a lean staffing. It is staffed by a clinic director (faculty member), a clinic manager, MSW student supervisors (social work PhD students who have clinical and supervision experiences), and administrative staff (work study students). Except for the clinic manager who is full time, all other personnel are on a part-time basis. The clinic director provides strategic leadership and vision to the Clinic. The director also serves as a liaison between the Clinic and the Faculty and the funders. The clinic manager oversees the internal operations, student training and supervision, and partnership engagement. While the clinic manager supervises up to four to six MSW students, the MSW student supervisors also each supervise up to two students and contribute to student training.</p> <hd id="AN0181567823-4">Model of Talk It Out Counseling Clinic</hd> <p>The Clinic operates through the lens of antioppressive practice, antiracism, and trauma-informed care. Although the Clinic provides virtual services and does not have a physical location, it operates on a community-based, integrative, and collaborative model. Referrals from our community partners constitute our clientele. These partners provide services to clients facing multiple barriers to health and equity or to those who belong to Black and other racialized communities. They include four community health centers, one community center, one settlement service, and one agency that serves people who are underhoused or houseless. Together with our partners, the Clinic aims to complement the current mental health services and enhance the mental health and well-being of individuals living in the GTA. The Clinic renders short-term mental health counseling to those who experience anxiety, depression, stress, loneliness and isolation, racial distress, grief and loss, trauma, family issues, bullying, relationship challenges, and issues related to identity exploration. We incorporate a strengths-based, client-centered, and resilience model of practice, building on client strengths and supporting their development of resilience. Models of clinical approaches to short-term counseling include but are not limited to cognitive behavioral therapy (CBT), solution-focused brief therapy, and narrative therapy.</p> <p>Working together with our community partners as a team, the Clinic uses the <emph>warm handoff</emph> approach (D. Mitchell et al., [<reflink idref="bib14" id="ref23">14</reflink>]; Pace et al., [<reflink idref="bib16" id="ref24">16</reflink>]) where the referral worker, the client, and the MSW student have a joint meeting online or over the phone so that the student can formally introduce the Clinic services to the client and answer any questions the client may have before officially starting the counseling services. In addition, we provide regular case status updates to our community partners throughout the treatment process to encourage collaborative care. Throughout the process, we keep the community partner updated about the status of the referrals (e.g., active, inactive, discharged). When the client is about to finish their services at the Clinic, the counselor (supervised MSW student) works with the client to see if their goals have been met, or if they should be referred back to the community partners for further support.</p> <p>In addition to providing individual counseling services, the Clinic also offers wellness workshops based on the emerging needs of the communities and agencies. In collaboration with our community partners, we develop virtual workshops focusing on mental well-being and mental health stigma for community residents and staff. The goal of these workshops is to engage a broader population to talk about mental health issues and therapy. The MSW students collaborate with the staff from the community partners in developing and presenting the workshop content and facilitating discussions. By attending the workshops, the residents and staff of the communities can gain knowledge and skills related to facilitating mental wellness. The facilitation of workshops also serves learning opportunities for MSW students to practice and polish their group facilitation skills and to obtain a broader understanding of the mental health needs in the communities.</p> <hd id="AN0181567823-5">Training and curriculum</hd> <p></p> <hd id="AN0181567823-6">Orientation</hd> <p>MSW students receive an intensive 2-week orientation and training program when they begin the practicum. Students selected for the Clinic already have relevant experience from prior work or placement experiences; however, not all students have had prior counseling experience. The orientation is therefore designed both to familiarize students with the day-to-day operations and policies of the Clinic, and to help them develop their skills in short-term counseling using a trauma-informed approach. A range of topics are covered, including: counseling practice elements with a focus on strengths-based assessment, goal-setting, intervention, and termination; suicide assessment and crisis intervention; best practices for telemental health; trauma-informed care; anti-Black racism and racial distress and trauma; cultural humility; and grief and bereavement. During the orientation, students also meet with the Clinic's community partner agencies and receive training on the web-based electronic medical record system. The orientation is delivered through a combination of workshops facilitated by supervisors and guest lecturers, self-guided learning modules, and practice simulation sessions where students have the opportunity to practice the skills they are learning and get feedback from peers and supervisors.</p> <p>As part of the orientation, students also work in small groups on a Community Profile assignment. For this assignment, each group creates a 20- to 30-minute presentation about one of our community partner organizations based on independent research and interviews with staff from the organization. The presentations highlight the demographic characteristics, strengths, and needs of the geographic community in which the partner is located. Students also delineate the clients served and services provided by each agency, as well as the gaps in services. Students present their profile at our team meetings, helping to familiarize other students with our community partners and the communities from which our clients are being referred. This learning has been extremely important because of the virtual nature of the Clinic and the fact that many students have never set foot in the referring agency's space, and may not be familiar with the geographic community in which they are located.</p> <hd id="AN0181567823-7">Supervision and in-service training</hd> <p>Ongoing training and learning are supported throughout the placement through weekly supervision and in-service training. MSW students receive weekly supervision (alternation of individual and group supervision). Every 2 weeks, students meet with their supervisor individually to discuss their caseload and specific clinical issues, and to process any challenges they encounter. Students who require more support can meet with the supervisor weekly. On weeks when students do not have individual supervision, they attend 2-hour group supervision and in-service sessions focused on different topics related to clinical practice processes or modalities. A curriculum of topics is determined at the beginning of the semester with flexibility to address specific issues that emerge as students work with clients. To date, in-service training topics have included: linking theory to practice, use of self in counseling, building reflective practice, working with clients to create boundaries as intervention, writing case notes, case conceptualization and preparing for case conferences, attachment and childhood trauma, mental health diagnoses and concurrent disorders, harm reduction, solution-focused therapy, narrative therapy, and termination and ending.</p> <hd id="AN0181567823-8">Clinic meetings and other processes</hd> <p>Several processes and structures are in place to ensure smooth clinical operation and student training in light of the working from home arrangement. First, during the weekly supervisor meeting, the clinic director, manager, and all other supervisors review referrals and determine the case assignments, review student progress, discuss any requests or concerns from other partners, and review and refine the training needs materials. Second, the weekly Clinic all-staff meetings are held at the start of each practicum week. Clinic updates, planning for the week, and discussion and assignment of new referrals take place in the first hour of the meeting. The second hour is devoted to student case conferences during which students have a chance to present their work with a client and receive feedback from their peers and supervisors. Third, every other Friday, the clinic manager hosts a Clinical Café where students engage in more informal discussions of clinical issues that are arising in their practice with clients. Fourth, the manager and other supervisors provide on-call support to all practicum students during the Clinic hours. Last, daily check-ins and check-outs have also been designed to support students in building community with each other and ensuring time each day for connection with peers and supervisors, in recognition of the difficulties presented by a remote placement, including isolation and disconnection. Every day begins with a check-in and ends with a check-out facilitated by the clinic manager or a supervisor; these brief meetings provide an opportunity for students to connect with each other, discuss any challenges they may be having, and share highlights of their work. These structures have been successful in enabling students to connect with each other. Despite the remote nature of the work, supervisors have observed that student cohorts have developed strong bonds, and students have commented on the value of the peer support they feel at the Clinic.</p> <hd id="AN0181567823-9">Operation updates</hd> <p>During the first year of operation, the Clinic accommodated 17 MSW practicum students. Eight students are in their first year of the MSW program, and nine are second-year or advanced standing students. Among the 17 students, 11 self-identified as Black, Indigenous, and people of color (BIPOC; 64.7%), including six Black students (35.3%). With regard to service delivery, we received a total of 105 referrals for individual counseling from our community partners from March 2020 to March 2021. Among these referrals, 61% (<emph>n</emph>=64) are self-identified as female, and 70.4% (<emph>n</emph>=74) of the clients are identified as BIPOC (39.0% are Black, <emph>n</emph>=41). The primary reasons for referrals were anxiety (<emph>n</emph>=70, 66.7%), stress (<emph>n</emph>=64, 61.0%), depression (<emph>n</emph>=55, 52.4%), family issues (<emph>n</emph>=45, 42.9%), loneliness and isolation (<emph>n</emph>=42, 40.0%), and relationship issues (<emph>n</emph>=36, 34.3%). Another 34 clients (32.4%) discontinued services because they could not be contacted (<emph>n</emph>=17, 16.2%) or withdrew from the services voluntarily (<emph>n</emph>=17, 16.2%). For clients who received services, they completed an average of eight counseling sessions, excluding the intake session.</p> <p>In terms of community workshops, we have delivered three online workshops in collaboration with two community partners. The content of the workshops was tailored based on community needs. In creating these workshops, our students worked in teams and met and consulted with the community partners on the format and level of content that would best suit the community. They then developed an implementation plan. Specifically, two workshops were developed for community residents: "Power of Words" was for young people aged 16 to 30, concerning the importance of understanding emotions and using words to describe feelings and thoughts; and "Introducing Talk It Out," a mental health 101 workshop for adult community residents aged 30 to 55 years interested in learning about mental health and available mental health services. The third workshop, "Let's Talk Mental Health," was designed for settlement workers who wanted to learn how to talk to their clients about mental health concerns and learn about self-care. The attendance at these online workshops ranged from 8 to 30. Attendees had opportunities to ask questions and exchange ideas with one another.</p> <hd id="AN0181567823-10">Future directions and conclusion</hd> <p>Experiences from the Clinic's first year of operation demonstrate the feasibility of a university-run counseling clinic for the public as well as the need for counseling services from the community. The community partnership model allows MSW students at the Clinic to work closely with community agencies from different neighborhoods and service mandates from the GTA and to serve a diverse clientele, ranging from youth to older adults, and from those who belong to Black and other racialized communities, newcomers, immigrants, to people who are unhoused. Through ongoing supervision and training, students are equipped with the skillset to provide individual counseling as well as to deliver community workshops based on client and agency needs.</p> <p>As the Clinic steps into its second year of operation and society begins to shift to the "new normal" in the pandemic context, it has several strategic and operational priorities. First, while telemental health is here to stay, in-person learning and practice opportunities are critical to student growth and development as social work practitioners. As such, the Clinic will build on the existing structure and begin to provide in-person learning and service delivery opportunities in addition to the virtual format. For example, we are beginning to host our all-staff meetings in a hybrid format. We are also in the process of creating in-person client services, as some of our partnering agencies suggest and welcome the idea for our students to be on-site one day a week, so that clients who prefer to be seen in person can access the services on-site. Second, based on feedback from our community partners and students, we are looking into providing group sessions such as CBT-based wellness groups for specific age or gender groups. By diversifying the services provided by the Clinic, we not only are more likely to meet clients where they are at, but also can equip our students with further knowledge and skillsets to do social work for communities in need. Third, we are in the process of strengthening the Clinic's quality assurance as well as its research and evaluation capacity by incorporating standard audits and conducting and analyzing client, student, and community partner experience surveys. The program evaluation results will allow us to have a better understanding of who came to the Clinic and how and where we can strengthen our client service, student training, and community partnerships. Last, we are examining opportunities to have further curriculum integration, such that faculty members can also be further involved in the Clinic and use the Clinic as an extension of pedagogy for clinical social work practice and community engagement.</p> <p>While the pandemic introduced an unforeseen crisis and unearthed existing social and mental health needs, it also served as an opportunity for direct social work responses. The creation of Talk It Out Counseling Clinic demonstrates that schools of social work can be in the position of providing a variety of direct services to communities through quality field education. Exerting structural and tangible effects via expanding the provision of mental health services to address community needs and training the social work workforce, the Clinic serves as an innovative and meaningful integration of clinical services, community collaboration, and social work pedagogy.</p> <hd id="AN0181567823-11">Disclosure statement</hd> <p>No potential conflict of interest was reported by the authors.</p> <p>Correction Statement</p> <p>This article has been republished with minor changes. These changes do not impact the academic content of the article.</p> <ref id="AN0181567823-12"> <title> References </title> <blist> <bibl id="bib1" idref="ref1" type="bt">1</bibl> <bibtext> Ambrosetti, J., Macheret, L., Folliet, A., Wullschleger, A., Amerio, A., Aguglia, A., Serafini, G., Prada, P., Kaiser, S., Bondolfi, G., Sarasin, F., & Costanza, A. (2021). 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Depression and anxiety symptoms in young adults before and during the COVID-19 pandemic: Evidence from a Canadian population-based cohort. Annals of General Psychiatry, 20 (1), 42. https://doi.org/10.1186/s12991-021-00362-2</bibtext> </blist> </ref> <aug> <p>By Lin Fang; Catherine Schmidt; Yu Lung; Lynn Nguyen; Gilda Hui and Sylvia Delgado</p> <p>Reported by Author; Author; Author; Author; Author; Author</p> <p></p> <p>Lin Fang is Associate Professor, Factor-Inwentash Chair in Children's Mental Health and Founder and Director of the Talk It Out Counseling Clinic at University of Toronto.</p> <p>Catherine Schmidt is a PhD Candidate at University of Toronto and served as an MSW Student Supervisor for the Clinic.</p> <p>Yu Lung is a PhD Candidate at University of Toronto and the Clinic's MSW Student Supervisor.</p> <p>Lynn Nguyen is an MSW student and a Research Assistant at University of Toronto.</p> <p>Gilda Hui is a Research Assistant at University of Toronto.</p> <p>Sylvia Delgado was Clinic Manager for the Clinic at University of Toronto.</p> </aug> <nolink nlid="nl1" bibid="bib18" firstref="ref5"></nolink> <nolink nlid="nl2" bibid="bib20" firstref="ref6"></nolink> <nolink nlid="nl3" bibid="bib15" firstref="ref8"></nolink> <nolink nlid="nl4" bibid="bib10" firstref="ref9"></nolink> <nolink nlid="nl5" bibid="bib11" firstref="ref12"></nolink> <nolink nlid="nl6" bibid="bib12" firstref="ref13"></nolink> <nolink nlid="nl7" bibid="bib19" firstref="ref14"></nolink> <nolink nlid="nl8" bibid="bib17" firstref="ref19"></nolink> <nolink nlid="nl9" bibid="bib13" firstref="ref22"></nolink> <nolink nlid="nl10" bibid="bib14" firstref="ref23"></nolink> <nolink nlid="nl11" bibid="bib16" firstref="ref24"></nolink>
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  Data: Field Note--Talk It out Counseling Clinic: A Field Education Innovation
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  Data: <searchLink fieldCode="AR" term="%22Lin+Fang%22">Lin Fang</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0002-7944-1882">0000-0002-7944-1882</externalLink>)<br /><searchLink fieldCode="AR" term="%22Catherine+Schmidt%22">Catherine Schmidt</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-3046-6082">0000-0003-3046-6082</externalLink>)<br /><searchLink fieldCode="AR" term="%22Yu+Lung%22">Yu Lung</searchLink> (ORCID <externalLink term="https://orcid.org/0000-0003-2435-6725">0000-0003-2435-6725</externalLink>)<br /><searchLink fieldCode="AR" term="%22Lynn+Nguyen%22">Lynn Nguyen</searchLink><br /><searchLink fieldCode="AR" term="%22Gilda+Hui%22">Gilda Hui</searchLink> (ORCID <externalLink term="https://orcid.org/0009-0006-6211-2368">0009-0006-6211-2368</externalLink>)<br /><searchLink fieldCode="AR" term="%22Sylvia+Delgado%22">Sylvia Delgado</searchLink>
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  Data: <searchLink fieldCode="SO" term="%22Journal+of+Social+Work+Education%22"><i>Journal of Social Work Education</i></searchLink>. 2024 60(4):640-646.
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  Data: Routledge. Available from: Taylor & Francis, Ltd. 530 Walnut Street Suite 850, Philadelphia, PA 19106. Tel: 800-354-1420; Tel: 215-625-8900; Fax: 215-207-0050; Web site: http://www.tandf.co.uk/journals
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  Data: 7
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  Data: 2024
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  Data: Journal Articles<br />Reports - Evaluative
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  Data: <searchLink fieldCode="DE" term="%22Social+Work%22">Social Work</searchLink><br /><searchLink fieldCode="DE" term="%22Foreign+Countries%22">Foreign Countries</searchLink><br /><searchLink fieldCode="DE" term="%22Clinical+Experience%22">Clinical Experience</searchLink><br /><searchLink fieldCode="DE" term="%22Partnerships+in+Education%22">Partnerships in Education</searchLink><br /><searchLink fieldCode="DE" term="%22Access+to+Health+Care%22">Access to Health Care</searchLink><br /><searchLink fieldCode="DE" term="%22COVID-19%22">COVID-19</searchLink><br /><searchLink fieldCode="DE" term="%22Pandemics%22">Pandemics</searchLink><br /><searchLink fieldCode="DE" term="%22Mental+Health+Programs%22">Mental Health Programs</searchLink><br /><searchLink fieldCode="DE" term="%22Counseling%22">Counseling</searchLink><br /><searchLink fieldCode="DE" term="%22School+Community+Relationship%22">School Community Relationship</searchLink>
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  Data: <searchLink fieldCode="DE" term="%22Canada%22">Canada</searchLink>
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  Data: 10.1080/10437797.2023.2260850
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  Data: 1043-7797<br />2163-5811
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  Data: The COVID-19 pandemic introduced an unforeseen challenge to social work field education and drastically changed the landscape of social work direct practice. In March 2021, University of Toronto's Factor-Inwentash Faculty of Social Work launched the Talk It Out Counseling Clinic (the Clinic), training MSW students to provide short-term counseling and wellness workshops to residents in the Greater Toronto Area. Based on a community partnership model with an antiracism and trauma-informed service orientation, the Clinic provides services targeting those who face multiple barriers to health and equity and those who belong to Black and other racialized communities. In this paper, we introduce the Clinic, including its staffing and structure, partnership model, and training curriculum, present operation updates, and discuss future directions.
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  Data: 2024
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