In recent years, partly in response to significant changes in the economic and political environment in which social workers operate, scholars have called for the integration of micro and macro practice in social work settings. Yet, little attention has been given to how social workers construct their practice to integrate these two types of interventions. This qualitative exploratory study examines the perceptions and experiences of frontline social workers who are expected to carry out micro and macro practice in their daily work. Drawing on in-depth interviews with 30 social workers who work with at-risk young adults in Israel, findings show that social workers support the integration between micro and macro practice and share a profound understanding of its importance in promoting their clients’ interests. However, findings show that social workers are confronted with various challenges and barriers while trying to engage in multilevel practice. Specifically, four types of challenges arose: (a) unequal or limited skills and knowledge associated with both practices; (b) limited hours of work and high workload; (c) incongruity between available supportive services and organizational expectations; and (d) the highly political nature of interventions at the macro level. Implications for policy and practice are discussed.

近年来，部分是为了响应社会工作者所处的经济和政治环境的重大变化，学者们呼吁在社会工作环境中整合微观和宏观实践。然而，很少有人关注社会工作者如何构建他们的实践以整合这两种类型的干预。这项定性探索性研究考察了在日常工作中进行微观和宏观实践的一线社会工作者的看法和经验。通过对 30 名与以色列处于危险中的年轻人一起工作的社会工作者的深入访谈，调查结果表明，社会工作者支持微观和宏观实践的整合，并对其在促进客户利益方面的重要性有着深刻的理解。然而，调查结果表明，社会工作者在尝试从事多层次实践时面临着各种挑战和障碍。具体而言，出现了四类挑战：(a) 与这两种做法相关的技能和知识不平等或有限；(b) 工作时间有限且工作量大；(c) 可用的支持服务与组织期望之间的不一致；(d) 宏观层面干预的高度政治性。讨论了对政策和实践的影响。(c) 可用的支持服务与组织期望之间的不一致；(d) 宏观层面干预的高度政治性。讨论了对政策和实践的影响。(c) 可用的支持服务与组织期望之间的不一致；(d) 宏观层面干预的高度政治性。讨论了对政策和实践的影响。