RESPONSE 1 · Respond  to at least two colleagues by expanding on their posts with an explanation of the bicultural conflict and tension, experienced by both the social work intern and Helen, as a result of their ethnic and racial identities. · Then, explain how you, as a social worker, might address Helen and her family’s bicultural socialization needs, given what your colleague described. Colleague 1: Lea Introduction In order to provide competent and effective care, the social worker must be able to adapt and personalize treatment to the individual. When working with individuals from different ethnocultural backgrounds, a balance between cultural sensitivity and empirically proven methodology must be found and utilized (Bernal, Jiminez-Chafey, and Rodriguez, 2009). In the case of The Petrakis Family (Plummer, Makris, and Brocksen, 2014), the social worker is faced with providing services to Helen Petrakis taking into account her Greek heritage, culture and belief systems. Helen’s Cultural Influences: For Helen, family is “everything.” She reports the social work intern a number of identifiers of her ethnic identity. She states that she is Greek and practices the Greek Orthodox religion. From there she expresses her cultural practices by explaining that she, as the mother, is the primary caregiver to her husband, her children, and her mother-in-law.  In addition to caring for the family, she also holds down a full-time job and cooks and cleans.  She also relates to the intern that she and her husband support their adult children because they do not believe in taking money from them. Helen does not seem to think this is anything other than “how things are done.” Intern’s Perception of Helen The Intern appears to be surprised by the many roles that Helen plays in her family. She states that she understands why Helen would be showing symptoms of being overwhelmed. Though we are not informed of the cultural background of the social work intern, it is made clear that she is surprised by the cultural practices related by Helen. She is most likely a “modern” woman subscribing to the Anglo-based norms, values, and customs of the ethnic minority. It might be assumed that the intern was raised in a society where children are not supported by their parents indefinitely, working women share family responsibilities with their partners, and aging parents are cared for in retirement homes, or by in-home care. Those values held by Helen and her family are devalued by the dominant culture (the intern), therefore a “deficiency formulation” between the intern and Helen that may affect the efficacy of services provided to Helen (Robbins, Chatterjee, and Canda, 2012). Dual Perspective Model The social work intern will have to address Helen’s issues in a way that is in line with her cultural and ethnic identity while alleviating the stress and anxiety she is experiencing. In this case, the social work intern can utilize the Dual Perspective model to assist ...

1. RESPONSE 1
·
Respond
to at least two colleagues by expanding on their posts with an
explanation of the bicultural conflict and tension, experienced
by both the social work intern and Helen, as a result of their
ethnic and racial identities.
·
Then, explain how you, as a social worker, might address Helen
and her family’s bicultural socialization needs, given what your
colleague described.
Colleague 1: Lea
Introduction
In order to provide competent and effective care, the social
worker must be able to adapt and personalize treatment to the
individual. When working with individuals from different
ethnocultural backgrounds, a balance between cultural
sensitivity and empirically proven methodology must be found
and utilized (Bernal, Jiminez-Chafey, and Rodriguez, 2009). In
the case of The Petrakis Family (Plummer, Makris, and
Brocksen, 2014), the social worker is faced with providing
services to Helen Petrakis taking into account her Greek
heritage, culture and belief systems.
Helen’s Cultural Influences:
For Helen, family is “everything.” She reports the social work
intern a number of identifiers of her ethnic identity. She states
that she is Greek and practices the Greek Orthodox religion.
From there she expresses her cultural practices by explaining
that she, as the mother, is the primary caregiver to her husband,

2. her children, and her mother-in-law. In addition to caring for
the family, she also holds down a full-time job and cooks and
cleans. She also relates to the intern that she and her husband
support their adult children because they do not believe in
taking money from them. Helen does not seem to think this is
anything other than “how things are done.”
Intern’s Perception of Helen
The Intern appears to be surprised by the many roles that Helen
plays in her family. She states that she understands why Helen
would be showing symptoms of being overwhelmed. Though we
are not informed of the cultural background of the social work
intern, it is made clear that she is surprised by the cultural
practices related by Helen. She is most likely a “modern”
woman subscribing to the Anglo-based norms, values, and
customs of the ethnic minority. It might be assumed that the
intern was raised in a society where children are not supported
by their parents indefinitely, working women share family
responsibilities with their partners, and aging parents are cared
for in retirement homes, or by in-home care. Those values held
by Helen and her family are devalued by the dominant culture
(the intern), therefore a “deficiency formulation” between the
intern and Helen that may affect the efficacy of services
provided to Helen (Robbins, Chatterjee, and Canda, 2012).
Dual Perspective Model
The social work intern will have to address Helen’s issues in a
way that is in line with her cultural and ethnic identity while
alleviating the stress and anxiety she is experiencing. In this
case, the social work intern can utilize the Dual Perspective
model to assist Helen in overcoming the obstacles she faces.
Applying assessment skills in order to gain an understanding of
the norms, values, and behaviors, as understood by Helen, will
inform both the intern and Helen of the expectations she has
placed on her by herself, her family, and her ethnic community.
Another skill of importance will be assisting Helen to identify
her nurturing (family, immediate community) and sustaining
(society, educational, service) support systems so that she and

3. Helen can advocate for and work toward additional services to
assist in filling in the gaps. Furthermore, the intern can help
identify skill building opportunities such as educational
programs and cultural studies to help Helen “develop the
flexibility necessary” to manage her cultural beliefs while
caring for herself as well (Robbins, et. al., 2012).
References:
Bernal, G., Jiminez-Chafey, M. I., & Domenech Rodriguez, M.
M. (2009). Cultural adaptation of treatments: A resource for
considering culture in evidence-based practice.
Professional Psychology: Research And Practice
,
40
(4), 361–368.
Plummer, S.-B., Makris, S., Brocksen S. (Eds.). (2014).
Sessions: Case histories
. Baltimore, MD: Laureate International Universities
Publishing.
Robbins, S. P., Chatterjee, P., & Canda, E. R. (2012).
Contemporary human behavior theory: A critical perspective for
social work
(3rd ed.). Upper Saddle River, NJ: Allyn & Bacon.
Collegue 2: Dalicia
A summary of the cultural influences depicted in the video and
explain how Helen and the intern’s ethnic and racial identities
might be relevant to their interaction.
In the video Helen stated that she is from a Greek family that is
very family orientated which means that Helen is the one that
supposed to take care of everyone when they need help or is
sick. Helen does seem overwhelm but is okay with being
overwhelm because she is helping her family out. This may
cause a concern with their interaction because the intern may
not come from a culture where one individual has to take care
of everyone and everything. Having this concern can cause a

4. disagreement between the intern and Helen because Helen may
feel that what she is doing for her family that the intern should
understand but due to the intern culture she may not be able to
understand.
Explain any video evidence of the intern’s perception of
Helen’s culture and further explain how the intern’s cultural
perception might reflect her level of intergroup competence
.
From the video the intern really do not know anything about the
Greek culture so her perception of Helens culture is not clear.
Due to intern perception of not being clear in the video it was
observed that the intern was trying to write down everything
Helen was saying even the things that may not have been
important and not really hearing what Helen is actually saying
(Laureate Education, 2013)
. Also feel that since the intern do not know anything about the
culture it would be hard for the intern to adapt to Helen issue
and family base on the intern own values and beliefs.
Explain what social work skills the intern might use to apply
the dual perspective model in her approach to Helen.
Robbins, Chatterjee, & Canda (2012) stated that “the
term
culture change
has traditionally referred to the modifications, revisions, and
new manners of expression that result from the process of
interaction between cultures.”
One social work skill the intern need to use to apply the dual
perspective model in her approach with Helen is to first get an
understanding of the Greek culture their history and
background. This would help the intern understand Helen more

5. and have more understanding about Helen family. Also the
intern should also reframe from being bias and have an open
mind; every culture is not the same. Another social work skill
the intern should use is to ask questions especially questions for
the things she do not understand; just agreeing with the client
will make it hard to help the client without having a clear
understanding.
Reference
Robbins, S. P., Chatterjee, P., & Canda, E. R. (2012).
Contemporary human behavior theory: A critical perspective for
social work
(3rd ed.). Upper Saddle River, NJ: Allyn & Bacon.
RESPONSE 2
Respond
to at least two of your colleagues’ posts from the opposite group
about their treatment choice by:
·
Discussing any additional important information that should be
considered
·
Suggesting an alternative therapy and supporting your
suggestion with evidence from the Learning Resources or other
scholarly sources.
Colleague 1: Dawn

6. Treating Psychotic Disorders
In the case of Ralph who was diagnosed with Schizophrenia, he
began to gain a lot of weight and what he thought was a tick
(Tardive Dyskinesia, 2017). Taking antipsychotic medication
for long periods of time can cause tardive dyskinesia (Tardive
Dyskinesia, 2017). Tardive dyskinesia will cause random
movements of muscles in different parts of the body (Tardive
Dyskinesia, 2017). Some treated with antipsychotic medications
will see the sign of Tardive Dyskinesia when taking Merrill for
long periods of time (Tardive Dyskinesia, 2017). The current
psychiatrist can test for this with "The Abnormal Involuntary
Movement Scale" first they can decrease the medication they
are currently taken (Tardive Dyskinesia, 2017). If that does not
work then try and switch the medication to a milder medication
such as Abilify (What Is Abilify ?, 2017).
Potential negative side effects with any of the antipsychotic
medication are side effects and may not be right for the person.
Most of the medication can cause side effects finding the right
medication that will work for the person. Outweigh the person
symptoms and the side effects to find the right treatment for
them. Identify symptoms that may not be relieved by this
treatment because Ralph continued to get the side effects and
symptoms when off the medication. It seems as he should be on
a medication if the symptoms are increasing worse but he needs
to weigh the developing side effects of the Tardive Dyskinesia.
Clinically with medication along with psychotherapy have
shown to be more effective (Preston, O’Neal, Talaga, 2017).
One potential ethical concern related to Ralph’s treatment the
Centers for Disease Control (2012) and Prevention research
shows too often a client was inappropriate prescribed (Smith,
2012 ). Ralph could have given a test to see if the medication

7. was given him negative effects related to the medication long
before he started showing signs. Not to over prescribe or use
lesss alternative medications for mental health (Smith, 2012).
The role of a mental health professional when the patient is
stabilized on their medication is to monitor and give the "The
Abnormal Involuntary Movement Scale” on a yearly basis. Also
to ask questions and ensure the patient is taking the medication
as prescribed. Also to monitor if there is anything else going on
and they are not inappropriate prescribed medication.
References
Laureate Education (Producer). (2012g). Psychotic disorder case
study: Ralph [Video file]. Baltimore, MD: Author.
Lieberman, J. A., Stroup, T. S., McEvoy, J. P., Swartz, M. S.,
Rosenheck, R. A., Perkins, D. O., … Hsiao, J. K. (2005).
Effectiveness of antipsychotic drugs in patients with chronic
schizophrenia. New England Journal of Medicine, 353(12),
1209–1223.
Retrieved from the Walden Library databases.
Preston, J. D., O’Neal, J. H., & Talaga, M. C. (2017). Handbook
of clinical psychopharmacology for therapists (8th ed.).
Oakland, CA: New Harbinger.
Colleague 2: Amber
Antipsychotic are potential dopamine blockers and were called

8. neuroleptics and caused neurological issues these were the first
generation of antipsychotics, the second generation of
antipsychotics cause minimal neurological issues and have been
known to reduce the extrapyramidal effects by incorporating a
less potent antipsychotic (Preston, O’Neal, & Talaga, 2017).
Perphenazine is an alternative that can be given to Ralph; it is a
second generation antipsychotic that is used to treat
schizophrenia. The benefit is perphenazine given in low dosage
has the potential to be as effective as the first generation of
antipsychotics but does not have as harsh of side effects
(Preston, et. al, 2017). This would be helpful to Ralph who still
wants the tics to stop. Perphenazine helped diminish the
frequency of extrapyramidal side effects (Lieberman, et al.,
2005).
There are as with any medication the possibilities of side
effects. The side effects of perphenazine include arm or leg
jitters, confusion, seizures, drowsiness, and weakness. There is
always the potential that the antipsychotic medication will have
a negative impact on the person and make the schizophrenia
symptoms worsen( Lichtblau, 2011). There is also the
possibility of unpleasant withdrawal symptoms for those
individuals who may have taken perphenazines for a long period
of time (Preston, et al, 2017).
A mental health professional can use this information to help
the client make an informed decision regarding the use of this
medication. It is the responsibility of the mental health care
professional to make sure the client has all the information
needed to make the best decision based on accurate information
(NASW, 2013).
The mental health professional should communicate with other
professionals but only when a written consent form has been
signed by the client. Upholding the client’s right to privacy is
very important and obtaining permission to release information

9. to other health care providers is just as important. This
communication can help ensure the client is getting the best
treatment and that all the professionals are on the same page.
This can help eliminate possible medication interactions and
reduce side effects (Lieberman, et al, 2005).
References
Lieberman, J. A., Stroup, T. S., McEvoy, J. P., Swartz, M. S.,
Rosenheck, R. A., Perkins, D. O., … Hsiao, J. K. (2005).
Effectiveness of antipsychotic drugs in patients with chronic
schizophrenia.
New England Journal of Medicine, 353
(12), 1209–1223.
Lichtblau, L. (2011).
Psychopharmacology demystified
.
Clifton Park, NY: Delmar, Cengage Learning. Chapter 4,
“Antipsychotic Pharmacotherapy” (pp. 51–62)
Laureate Education (Producer). (2012g).
Psychotic disorder case study: Ralph
[Video file]
.
Baltimore, MD: Author.
National Association of Social Workers. (2013).
Code of ethics of the National Association of Social Workers
Washington, DC. NASW Press.

10. Preston, J. D., O’Neal, J. H., & Talaga, M. C. (2017). Handbook
of clinical psychopharmacology for therapists (8th ed.).
Oakland, CA: New Harbinger
Manag. A.J.(2005).
Anxiety Disorders in the 21st Century: Status, Challenges,
Opportunities, and Comorbidity With Depression
****EACH RESPONSE NEEDS TO BE 1/2 PAGE****