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CMI Teaching Tips



The Decision-Making Process










Identify problem(s)





Identify positive aspects of situation







Delineate outcomes







Analyze contributing factors







Identify available options







Evaluate pros and cons







Choose best option







Develop plan of action







Project possible outcoms



Figure 1. The decision-making process. McWilliam, P. J. and Snyder, P. (1993) "Teaching through the case method." Paper presentation at the International Early Childhood Conference on Children with Special Needs (CEC-DEC).  San Diego, California.



The Decision-Making Process

         Most descriptions of the decision-making or problem-solving process followed in conducting case discussions include the steps outlined in the figure above and described in more detail below. This particular version was developed by P.J. McWilliam and Pat Snyder several years ago to describe the steps they follow in conducting case method teaching with early interventionists.



      Identify problems.
What has gone wrong in the situation? What issues are the various characters in the case story struggling with? What is it that needs to be attended to in order to improve the situation?


      Identify positive aspects of the situation.
Although this step is not typically included in other renditions of the problem-solving or decision-making process, it is included in our model, to guard against the propensity of students to be overly critical—always looking for the negative. The question to be answered here is what, if anything, has gone right in the situation so far? Has the service provider(s) featured in the case story done anything that audience members approve of? In some cases, it may also be appropriate to ask about any positive characteristics of the families that are described in the story.


      Delineate outcomes. What is hoped to be achieved in solving the dilemma? In what ways does the situation need to be changed? What would be the ideal outcome and what would be an acceptable outcome? Oftentimes this aspect of the process is discussed in conjunction with identification of the problem; however, it is at times very helpful to distinguish the current problem(s) in the situation from what the situation might look like if it were resolved successfully. Hoped for outcomes may include the types of services that will be provided to the child and family and how they will be delivered, the developmental outcomes for the child, the quality of the relationships between various characters in the situation, the types of feelings experienced by family members or by the professionals, and so forth.


      Analyze contributing factors.
How did this problem arise in the first place? What caused it? Answering these questions involves looking at the actions (or inaction) of the various characters in the story, deliberating about the possible motives behind their behaviors, and considering the numerous circumstances surrounding the situation as a whole (e.g., political factors, resources available in the community, the structure of services).


      Identify available options.
What should the service provider(s) featured in the story do next to repair the damage or to improve the situation? Given the circumstances as they exist, what options are available? Depending on the particular case being discussed, this may involve identifying both short-term and long-term solutions. It may also involve identifying solutions for more than one problem. It is extremely important that several alternative solutions be generated for each problem addressed in this phase of the discussion.


      Evaluate pros and cons. Of all the options suggested for handling this situation, which has the highest likelihood of producing the desired results? What are the pros and cons of each?


      Choose best options.
Given the pros and cons of the various options, which one should be implemented in this situation? Why?


      Develop a plan of action.
If the chosen solution were implemented, what would the service provider(s) do tomorrow? Next week? Over the next 3 months…6 months? This aspect of the decision-making process is comprised of fleshing out the chosen solution. For some cases this may involve identifying resources that are needed to implement the solution and deciding how the service provider(s) might go about securing these resources. For other cases, it may involve deciding on the exact words that a service provider might use in a conversation with the parent in the story or with a professional from another agency.


      Project possible outcomes.
Although the preferred solution has been selected largely on the basis of its ability to produce the desired outcome(s), there may be unanticipated effects. What are these? How might the various characters in the story react when the plan of action is implemented? What should the service provider do in the event that the chosen solution doesn't work out as well as it is hoped that it might?

     In looking over the process outlined above, it becomes immediately obvious that there may be considerable overlap among the steps in conducting a case discussion. This is to be expected and should in no way be considered a problem. It's perfectly okay to let the audience jump from one step in the process to another. Trying too hard to prevent this would be very disruptive to the flow of the discussion. Nevertheless, the instructor should always keep the decision-making process in mind and use well-placed questions to re-direct the group back to neglected steps. Furthermore, it is important to realize that not every case discussion has to be carried through to a complete resolution, for it is the process of arriving at a solution rather than the solution, per se, which is of primary benefit to trainees.


Tips for Facilitating the Discussion


  • Use open-ended questions to guide the discussion
     
  • Allow the audience to carry the discussion
     
  • Encourage audience members to talk to one another
     
  • Maintain a nonjudgmental stance
     
  • Make good use of boards or flipcharts
     
  • Encourage full audience participation
     
  • Assist participants in communicating
     
  • Stick to the case as much as possible
     
  • Gently challenge assumptions
     
  • Listen carefully
     
  • Discourage premature solutions
     
  • Acknowledge and deal with affective responses
     
  • Summarize the discussion periodically
     


Note: The material presented on this page is reprinted with permission from McWilliam, P.J. (2000). Instructors Guide for Lives in Progress: Case Stories in Early Intervention, Baltimore: Paul H. Brookes Publishing Company.

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