Social workers help individuals, families, and groups restore or enhance their capacity for social functioning, and work to create societal conditions that support communities in need. (Workers, 2016) A case study is a description of an actual situation involving a decision to be made or a problem to be solved. A social worker is presented with a case ever so often during his or her career. Marcel is a young African –American, 21year old bisexual young man who is unemployed, homeless, involved in drug and alcohol abuse and has charges pending due to a number of “bounced” cheques. Marcel was kicked out of his family’s home at age 14 because he was suspected to be gay. Marcel has little or no relation with his parents for 7 years. He has an older …show more content…
This orderly process is defined by key concepts in Piaget’s theory on the use of schemas. Schemas are cognitive frameworks or concepts that help individuals organize and interpret information. Using this process, it would better help me understand how Marcel thinks and inject new thought processes for him to look at the situation in different ways. I would also allow Marcel to express himself and encourage him to see which area he thinks is sensitive to him. Once clients are engaged actively in treatment, retention becomes a priority. Many obstacles may arise during treatment. Lapses may occur. Frequently, clients are unable or unwilling to adhere to program requirements. Repeated admissions and dropouts can occur. Marcel may have conflicting mandates from various service systems. He may also have concerns about client and staff relationships, including setting appropriate boundaries, which may compromise care. The intensive outpatient treatment (IOT) programs need to have clear decision making processes and retention strategies to address these and other …show more content…
This therapeutic relationship would reduce resistance and successfully engages the Marcel in working toward mutually defined treatment goals. Learning Marcel’s treatment history. If he dropped out of treatment previously and if so, the reason why. If he was engaged and been retained successfully in treatment before and what made treatment appealing. I would use motivational interviewing. I would help Marcel work through ambivalence by supporting his efforts to change and helping him identify discrepancies between his goals and values and the substance use. Involving Marcel in activities, such as support groups, also would be effective. Providing flexible schedules. Out Patient providers need to consider the Marcel’s populations he serve and schedule group accordingly. It can be difficult for clients to fit many hours of treatment into their
D: Client was on time for intake appointment. Together, discussed the assessment recommendation and barriers to successful treatment outcomes. Client reviewed and signed of all treatment admission paperwork, including treatment agreement, ROIs, THS treatment policies, THS alcohol drug Services patient rights, THS patient responsibilities, THS health and safety information, THS counselor disclosure information, patient grievance procedures, THS HIV/AIDS information, THS notice of privacy practices, referral to Quit smoking, and marijuana policy. Treatment plan was developed, which was focused on Dim 4, 5, and 6; focusing on developing readiness to change, identifying relapse potential, and building a strong family and social support system.
Pt. reported positive activities that he involves himself to stay busy and keep recovery on track are working, remodeling his house, exercising, going to the beach early in the morning and meditating there. Pt. identified his wife and two sons as his main supportive people. Pt. indicated that he loves his wife and trusts her. At the end of the session Counselor explained that no matter how strong someone is, counting on his willpower to remain clean and wanting to be abstinent is not enough by itself. Counselor told him to be open to the idea to come back to the program or to call the program for any help to do
" The client denied his behavior changed. In terms of relapse the client indicated he has never tried to stop using until now. On interview with the client 's wife, she reported she
It is important to provide this information to client which may provide hope for restoration. The video described various areas the client should address in treatment, including sleep, diet, exercise, and social activities. These areas should be assessed in a biopsychosocial assessment prior to treatment. As a clinician, I incorporate all these areas of functioning in my treatment plan for clients. I want to provide effective treatment, and as this video explained, we must do this from a systems perspective, looking at all areas of functioning that can affect
In order to facilitate these kinds of results, the facility focuses on a variety of inpatient treatment programs that are designed specifically around the needs of the patients. Much of the primary residential treatment program is built around the 12-Steps of recovery. After a medically monitored detox, if required, the facility's counselors will use a variety of treatment methods to help patients identify issues and learn the coping skills they will need to avoid drinking for the rest of their lives. When apparent emotional or mental problems are creating additional issues, dual diagnosis treatment can be easily incorporated into the treatment process. Finally, the facility uses a very nice 4-day family program to infuse family members into the treatment process to help create a better support group for future
Within the MFP (Money Follows the Person) program, there has been numerous research performed regarding reinstitution rates, and smaller focus on transition strategies to adequately prepare consumers for returning to the community. Current practice focuses on initiatives to transition persons in institutional settings to community-based waiver services; individuals do not have to wait for community-based services, which have long interest lists. The policies in place outline best practice of collaboration across the broad spectrum, however there is no outlined focus on preparation for success. It is the goal of this writer to develop a standardized plan of care, utilizing evidence based practice to improve patient outcomes. The purpose of this evidence-based practice immersion project will determine if implementation of a readmissions reduction program effects 90 day readmission
With that said, some patients need continuing access to their lives for a variety of reasons. If ongoing employment is at risk, an outpatient treatment program could be used to allow the patient to handle work matters. If the patient lacks the resources for childcare, it could be necessary to allow for outpatient care for the sake of the family unit. At all times, the decision-making process related to which type of treatment methodology will be best should rest with professional counselors and clinicians. They are better prepared to assess the situation and determine whether a patient can handle the responsibility of committing to an outpatient treatment
The theory that I used was motivational interviewing to try and motivate Rachel to try to eat healthily and exercise because her life depends on it. I started off the session by asking Rachel what brings her into therapy. I then asked Rachel for permission to talk about her diagnosis. The interventions I used were reflective listening, the use a scale to determine how confident she was in her willingness to change and goal setting. I also used open-ended questions and summarized our session at the end to gain clarification and to wrap things up with the client.
Selected Intervention Motivational interviewing was designated method of Nancy’s treatment. Motivational interviewing is therapeutic style that is client centered, helps people work through problems, and enhances individuals to readiness to commit to change (Hettema, Steele, & Miller, 2005). According Hettema, Steele, & Miller (2005), “Motivational interviewing places strong emphasis on eliciting the client 's own perceptions, values, and motivations for change.” Measurement Tools After beginning treatment and social services implemented the instrument tool short survey. According to Institute for Healthcare Improvement (2004), “Short surveys are intended to provide just enough simple and prompt feedback to tell you whether your attempts to improve are going in the right direction.”
Phase One (Sessions 1 through 3) • The session 1 and 2 consists of the assessment of the client’s clinical problems and background information. Questions relate to her clinical problems, including (a) the nature of her problems (depression and difficulty with making decisions), (b) reason of seeking psychotherapy, and (c) previous attempts to deal with the problems. For the background information, the client’s histories are assessed in the areas of intimate/family relationship, educational/vocational activities, past history of psychological treatment, and physical condition. Session 3 primarily consists on the further functional assessment around her coping skills (e.g., avoidance) in the areas of interpersonal relationships. Phase Two
Proficient use of skills and techniques, leads to the achieving of one’s ultimate goal. The objective with effective therapy is that you are equipped to generalise skills and coping strategies to a variety of events and circumstances. Clients are thus equipped with strategies for relapse prevention, resulting in long-term
Counselors may allow their own personal experiences and histories to cloud the direction of their treatment due to personal conflicts in their lives. Counselors often ignore the feelings that their clients create in them. In order for me to deal with this type of situation ethically and effectively I would first have to accept the countertransference that is at hand, and seek personal therapy. Therapy will enable me to share my countertransference concerns, and become aware when they are taking place. It is important that I acknowledge these feelings and deal with them right away before it can effect therapy with the client, by seeking personal therapy or consolidation with a colleague or professional.
Piaget’s theory of cognitive development Piaget asserts, children are born with inherited scripts, called schema, these schema are building blocks for cognitive development. As a child grows, he acquires more of these building blocks; moreover, these building blocks become more complex as the child progresses through different stages in development (Huitt, Hummel 2003). Piaget’s 4 stages of cognitive development are as follows. First, The sensorimotor stage where an infant has rudimentary motor skills, and can eventually
The ideal condition for discharge occurs when the client has met his or her desired outcomes and the case manager and client mutually agree that there is no longer a need for case management services. In this instance, discharge may be viewed as the client’s “graduation” to a more independent way of life (Rothman, 1998). At other times, circumstances that result in termination of case management services may be less than ideal. For example, the client may lose eligibility for the service before reaching desired outcomes or the case manager may be unable to continue the relationship due to client non-compliance, lack of progress towards established goals, or health and safety concerns.
One of the most well known theories in cognitive development is Piaget 's theory. The psychologist Jean Piaget theorized that as children 's minds development, they pass through distinct stages marked by transitions in understanding followed by stability. Piaget describes four different stages of development: sensorimotor, preoperational, concrete operation, and formal operations. Each stage describes the thinking patterns of a child depending on his or her age. In order to compare the thinking processes of a three-year old and a nine-year old using Piaget 's theory, you must compare two sequential stages of cognitive development: preoperational and concrete operations.