Scott A-The case study I chose for the ASI Assessment was Kiana. I would recommend intensive outpatient treatment
Scott A-The case study I chose for the ASI Assessment was Kiana. I would recommend intensive outpatient treatment because of increased treatment contact when compared to outpatient treatment. This is because I feel she is significantly vulnerable in a variety of ways. She is a minor and her drug use is progressively getting worse, with higher doses of dangerous prescription drugs to relieve pain. This pain is brought on by irresponsible and abusive behavior both mentally and physically from the adults responsible for her care. Her home environment is likely to not improve, which indicates that there should be numerous strategies considered. These include php, detoxification, and changing her home environment. According to Brooks and McHenry (2015), php involves medical and psychiatric monitoring. PHP clients do not exhibit serious enough symptoms for inpatient treatment (Brooks & McHenry, 2015). Kiana may benefit from a few days of skilled-based programming that PHP provides, as well as counseling.
Kiana would clearly benefit from a detoxification program in my view. Her use is slowly increasing over time with prescription drugs, which can be dangerous when trying self-detoxification. Detoxification is useful because if provides structure for patients while being monitored by health professionals (Brooks & McHenry, 2015). Being monitored by health professionals is important here because her withdrawal symptoms may be intense. Lastly, Kiana may need to be removed from her home, as her mother is abusive and abuses alcohol. Her mother had a partner in the past who sexually abused Kiana. Relatives, foster care, halfway housing, other residential settings should be considered. Your responses should include comments on specific substantive points of each peer\’s post or add new source material relevant to the issues discussed. Use citations from your readings and research to support your statements and suggestions.
2.Orville A-The intervention strategy would be to help Rose see that she has a substance abuse problem, alcohol abuse to be exact, and cooccurring PTSD issues that are linked to anxiety and depression. The intervention strategies would be to get Rose to see that she is in the pre-contemplative stage and the denial that it proports could cause imminent danger to her and others
The treatment strategy must address a diagnosis. Rose’s past with physical and sexual abuse and self-mutilation, witnessing close family dying and another suffering from opioid use. Based on the DSM-5 criteria for both alcohol abuse and also for PTSD Rose treatment strategy would be to employ (APA. 2013). Rose in also in need of some employment counseling, shown by her work history. A treatment strategy would be to implement the Cognitive Processing Therapy (CPT) and Motivational Interviewing (MI) can also be employed (US Department of veterans Affairs. 2020). Based on affordability and her six dimensions of barriers to treatment will help decide her level of treatment Sprong-Davis (2018).
Post treatment strategy will consist helping Rose to address recovery issues. By not doing so she is much closer to relapse. She must consider her environment, physical craving, coping skills and support. She must understand the idiosyncratic relapse patterns, triggers, and warning signs. Rose has a codependent relationship. She and her three friend’s hangouts to drink and exchange stories of their problems. Rose works 70 to 80 hours a week. This is because her drinking and bills cost quite a bit and thus it takes more to make ends meet. This could cause her to be unable to attend any meetings like AA or any other program that could help her with her alcoholism. Encourage Rose to not let pride affect her progress. The key is to listen out for any change talk from her if she does relapse. The strategy also in-cooperates the nine warning phases. Phase I describes the dial system, phase II denial by focusing on others, phase III internal crisis builds, phase IV the client feels that they are just going through the motions and wishing things were different. Confusion, over reaction, loss of faith in phase V, phase VI relapse symptoms are similar to depression, phase VII depression worsens, phase VIII client can reach stage of suicide versus picking up and using again and phase IX marks the return to using the substance and returns to treatment or yields to the addictive use (Brooks & McHenry.2015). Your responses should include comments on specific substantive points of each peer\’s post or add new source material relevant to the issues discussed. Use citations from your readings and research to support your statements and suggestions.
3.Scott B- I see two main problems with Kiana from the ASI Assessment. Most importantly to me is that the people responsible for her well being do not act responsibly and abuse her, in addition to being emotionally distant from her. Her mother has abused her before on occasion and ignored her when she was complaining of pain in her stomach. This pain turned out to be serious, a burst appendix. The problem was worse than it should have been because the mother neglected her. The mother also ignored Kiana when she tried telling her she was being sexually abused by her partner, who was also dealing drugs which was mother was using. The second problem to address is the drug use. The drug use is likely a result of being neglected and abused. Her lone contact in high school is her boyfriend, the one person she is close to, who obtains prescription drugs for her to deal with pain induced mainly by her mother and her lack of care. For each response, analyze each learner\’s problem statements and evaluate their approach to how these problems might be addressed in treatment. Support your statements and ideas with citations from your readings or research.
4.Orville B-The one most important thing that everything else stems from with Rose is that she is in the pre contemplative state/ denial and the barriers to treatment that this creates is evident from the ASI assessment. There are numerous places that this is demonstrated throughout the ASI assessment.
The Family/ Social History highlights her suffering physical and sexual abuse at an early age. Rose stated that she escalated her self-mutilation. These incidents should have been reported to the proper authorities. Rose does not put importance on these incidents and blames herself or dismisses them as not significant by saying it was a long time ago and although she was cutting herself, she never considered suicide and she was at fault because she kept putting herself in the situation where she could be repeatedly raped, she also stated that she did not require hospitalization after her father’s physical abuse. Along with this she had hallucinations and heard voices. Her husbands, uncles and fathers drinking, her brothers fatal drug habit and her sister’s opioid substance use difficulties. The social and environmental aspect of her life has an influence on her life also. Her three friends that she with whom she drinks and discuss their individual woes with has a negative impact on her also. She blames her small town for leaving her with nothing to do but drink. As part of her treatment, she should undergo a psychiatric evaluation. If possible, her family members be included in a family therapy session.
Legal segment shows she has also been caught shoplifting. Other issues that fall under the legal and ethical issues is her driving under the influence and getting a DUI. She states that she is careful now. Not sure if she means she is careful to not drive when she is under the influence or when under the influence she drives carefully so as not to be caught. Driving to work hungover can constitute driving under the influence. In her treatment, connected to the issue of driving to work hungover, she should also get counseling on for her inability to maintain gainful employment at times. The physical abuse and the rape can be placed in this category also.
Psychiatric Status shows that Rose has no previous diagnosis or received any treatment for her disorders
Her husbands, uncles and fathers drinking, her brothers fatal drug habit and her sister’s opioid substance use difficulties. The social and environmental aspect of her life has an influence on her life also. Her three friends that she with whom she drinks and discuss their individual woes with has a negative impact on her also. She blames her small town for leaving her with nothing to do but drink.
Her treatment should then cover her mental health issues based on the trauma and abuse she suffered and her feeling trapped with nothing in the past or present of value to occupy herself with and what appears to be a dim future in which she feels trapped in thus resulting a substance abuse to deal with those issues. For her trauma and resultant mental reaction. initial plan would be to implement treatment for both disorders. The assessment of posttraumatic stress disorder (PTSD) and co-occurring substance abuse disorder (APA. 2013). Assessment Practice treatment that could be used effectively with this disorder is the cognitive processing therapy (CPT) within the biopsychosocial model (U.S. Department of Veterans Affairs. 2020). Motivational Interviewing can also be employed. For each response, analyze each learner\’s problem statements and evaluate their approach to how these problems might be addressed in treatment. Support your statements and ideas with citations from your readings or research.
5.BriaA-\”The Charity Organization society focus was related to the separation of the worthy poor and unworthy poor\” (Stern & Axinn 2017). President Reagan agreed with this ideology and intended on implementing these techniques in his presidency. \”The Reagan economic policy focused on reducing taxes from the federal, which affected how the federal government spent money\” (Stern & Axinn 2017). Both organizations had intentions to help individuals and families, but unfortunately, these techniques only caused more troubles and division between citizens. \”While they may have had good intentions in helping people, they ultimately created a massive divide to separate \”worthy\” poor from \”unworthy\” poor (Stern & Axinn 2017). I completely disagree with this.
6.The recurrent push under President Reagan for distinguishing between the worthy and the unworthy and for the voluntary and private sector to take on more responsibility for social welfare seems to reflect a turn back to the 1800s and the Charity Organization Societies.
I agree with this ideology. The Reagan era policies and the Charity Organization Societies both were periods were social services were set aside in politics and benefits were reduce to the minimal. They were periods where case were compile to proof the situation and be determine if eligible. I disagree with their claims of worthiness, based on NASW\’s Policy Statement on Economic Justice its an equility matter. Everyone is worthy of being helped, of dignity and respect.
7-BriaB-Civil Rights in America is failing and becoming nonexistent in my opinion. African Americans amongst other minority groups have been fighting for Civil Rights for centuries, and we are still fighting in 2021. We will be fighting until the end of time. The government was not set up for minorities to succeed, which is why Civil Rights is a complete joke to some government officials and citizens. The wealthy and whites benefit from the Supreme Court and of course, African Americans and other minority groups suffer. We\’ve always known about African Americans and Caucasians having differences, but let\’s not forget about Hispanics, Asians, Haitians, LGBTQ etc. There are hundreds and thousands of cases that justify my reasonings of why I think like this. George Floyd, Breonna Taylor, Trayvon Martin, Eric Garner, Daunte Wright, Andre Hill, Elijah McClain and so many more unarmed black women and men have been killed by police or American citizens and have gotten no true justice. Recently, the Kyle Rittenhouse case about sums it up for me.
8.DEVON-B-The 1960’s marked a specific period of civil rights that expanded in the 1970’s. In the 1980’s, the civil rights period changed directions with the change of a conservative Supreme Court. Civil rights continue to be expanded and reversed based on specific groups and the current political climate. For example, Roe vs. Wade paved the way for women to be able to make their own health decisions and receive abortions legally under healthcare laws however this decision has been changed and reversed within the state of Texas that now prosecutes women and hose who assist them with abortions and rewards people for turning them in; “In the USA, itself under the strongman rule of Donald Trump, decades of consistent attacks on the Roe vs Wade Supreme Court decision have made abortion rights more fragile than they have ever been before, while Trump\’s global gag rule is depriving women in many countries of essential sexual and reproductive health services (Ditum, S., 2019). Groups that follow strong conservative ideologies were benefitting financially from this change in civil rights and those that did not follow the change were faced with fines and other negative consequences. Women and those who help them receive proper healthcare to complete abortions are suffering from an infringement on their rights. Some public attention was brought to this, but with COVID and other serious global issues, it was brushed away to be dealt with at another time. As of September of 2021, the Texas Heartbeat Act was ended but women and those who assisted them suffered before this was established. The NASW policy on civil liberties specifically state social workers must advocate and facilitate positive change that uphold the values of the NASW (NASW, 2018).
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