The debate between micro and macro concentrations within the social work profession is a persistent one, with strong opinions on both sides. For a long time, I was firmly entrenched in my own micro-focused perspective. However, engaging with social workers globally through social media has broadened my viewpoint, shifting my perspective towards a more macro-oriented understanding of social work.
Until recently, I was comfortably immersed in my micro bubble, concentrating on individual and familial interventions. However, the growing discourse on social media has highlighted concerns that macro social work is losing its prominence, and that the profession is increasingly skewed towards clinical and micro-focused approaches. This has raised questions about whether we are adequately addressing the interconnectedness between micro, mezzo, and macro levels of social work.
Is the divide between micro and macro approaches hindering our profession? In my view, the strength of social work lies in its versatility. However, the profession often seems to struggle with integrating these different levels of practice. Instead of deepening the divide, we should focus on bridging these concepts and reinforcing their connection. Mezzo social work, also referred to as “meso” in other disciplines, is frequently overlooked in discussions. The levels of micro, mezzo/meso, and macro analysis are fundamental to ecological systems theory and practice, and their application is crucial not only in social work but also in fields such as business, finance, politics, and science.
According to Social Work Degree Guide website, it has this to say about mezzo level social work:
Instead of working with an individual or a familial group to promote individual change, you will work with groups to focus on promoting cultural or institutional change. Because social workers practicing mezzo work face unique challenges, they generally will have experience in both micro and macro work and use this experience in tandem. You will need to be experienced with both interpersonal relations and community involvement when you choose this level of work. Read More
A Twitter chat on sustaining innovation in macro social work underscored the importance of this field. Carly Levy’s response to the chat highlighted a critical issue: “Our desire to be recognized as licensed clinicians dominates social work culture and distorts the purpose of macro social work.” As a clinician with a growing appreciation for macro work, Levy’s observation reflects a significant challenge within the profession. Rather than allowing clinical social work to overshadow macro social work, we should explore how clinical practice can complement and enhance macro processes, and how macro theories can, in turn, enrich clinical practice.
By addressing these issues, we can work towards a more integrated approach that acknowledges and values the contributions of both micro and macro social work, ultimately enhancing the effectiveness and reach of our profession.
@karenzgoda @SunyaFolayan Our desire to be recognized as licensed clinicians dominates #socialwork culture and distorts #macrosw purpose
— Carly Sessions (@carlysessions) October 25, 2014
To illustrate my point, the first therapy group I ran was about 4 years into my career. I had already been practicing family and individual work for quite some time. During this time of clinical growth into groups, the individual skills I learned dovetailed well with group work. Also, I was learning more group work theory which enhanced my family work. Although work in groups enhanced my thinking about organizational change and the tone an organization sets, facilitating organizational change is where social work can excel. Taking clinical skills and growing them into macro skills can make for a powerful combination.
Individuals with Macro social work skills for systems analysis, community organizing, grant writing, and coalition building in policy making positions will affect how we practice. Community Organizer, Mozart Guerrier, stressed in his TedxSyracuse talk the need for listening and consensus making. He says without listening to what people need, it will limit trust and change will not happen.
Macro vs Micro: Therapy is an intervention and by itself was not designed to be the sole basis of social work practice. #MacroSW #socialwork
— SWHELPER (@swhelperorg) October 27, 2014
As social workers, we are often referred to as “change agents”. Change can happen through direct practice but also can be achieved through change at the organizational and community level. There is a huge space between what happens in an individual therapy session and what happens on Capitol Hill. We should attempt to get away from where change happens and how it happens.
No matter what our concentration in graduate school, social workers all have a notion of how change happens. By making the micro distinction this distorts how change happens, and we have the tools and the talent to make change happen at many levels. It is where micro and macro meet that can cause a significant amount of change. Utilizing the macro, mezzo, and micro levels of analysis in all of our practice areas is the best holistic approach to helping our profession and our clients improve outcomes.
