For this assignment, you will refer to the section "
Course Case Study
"(below). Reread the case study, looking specifically at issues related to cultural competence. Examine the ACA's and APA's ethical guidelines related to the issue of cultural competence and respond to the following:
Describe the ethical issues related to cultural competence.
Examine the influence of your own personal values as related to the diversity issues presented in this case. Reflect on how you felt as you read the case study, how your values came into play, and how you would handle your values in a situation such as this.
Make recommendations based on your readings and the
APA
or
ACA
ethics codes.
Be sure to apply specific ethical principles.
Paper should be atleast 2 pages long not including title and reference page. Use APA format.
Course Case Study
Joe, a thirty-five-year-old, male mental health counselor, received a client referral, thirty-five-year-old Jill,
from a community counseling clinic. He began providing counseling services to her. Jill's complaint was that
she was unsatisfied with her current job as a bank teller and was experiencing mild anxiety and depression.
Joe had been providing services to Jill for three weeks when she disclosed that she was confused about
her sexuality because she experienced sexual attraction toward some women. Joe immediately responded
to Jill with wide eyes and a shocked look. He told Jill that he was a traditional Catholic, who felt that this
type of feeling was immoral and wrong. He informed her that she should avoid thinking about this and pray
for forgiveness. He also told her that he felt uncomfortable talking about the issue any further. Jill continued
to talk to Joe about dealing with her family issues.
Joe had recently read about a new technique and immediately became excited about trying it. He explained
to her that he had read an article in a magazine about a new technique called rebirthing. The new technique
was being used in Europe to help people change their views about their relationships with their family. Joe
said, "It is supposed to be really effective in almost wiping out your memory of your family; it is like
hypnosis." "I would really like to try it on you today, what do you think?" Jill declined his offer and continued
to talk about her family. Joe thought to himself that even though Jill said no, he was still going to try to
hypnotize her as they talked because he thought she could benefit from the technique.
Jill disclosed that she was raised in a traditional Asian American home with many cultural influences and
culture-specific rules and behavior. Jill was struggling with balancing her individualism and her cultural
heritage. Joe explained to her that because he was living and working in a rural community, mostly
consisting of people of East European descent, he could not relate to Jill’s culture and the issues with which
she was .
1. Share your perception of someone who has developed a substance .docxjackiewalcutt
1. Share your perception of someone who has developed a substance use illness with mood-altering substances. What are your beliefs about the characteristics, strengths and weaknesses of this individual? Discuss your capability to assist this individual in a personal face-to-face session where this person is requesting your assistance.
2. INDIVIDUAL SESSION BACKGROUND INFORMATION: This older Jewish woman's husband died after a long illness. She was referred to the practitioner by the hospital social worker after surgery for cancer. The hospital social worker described her as a woman with many strengths who is discouraged, depressed, and angry. The sessions are held in her home and the practitioner comes to her. Answer and post these questions prior to watching the first video. • How would you prepare for a first meeting with this client? • What are your hunches about what the client might be thinking, feeling, and expecting? • What are your concerns about working with this client? • What, if any, personal issues would working with this client bring up for you?
3. FAMILY SESSION BACKGROUND INFORMATION: This African American and Caucasian family includes three boys ranging in age from 7 to 13 years old. This family was referred by the school counselor who is concerned about the low grades of the oldest boy. In the initial phone call, the mother mentioned that she and her husband have serious disagreements about discipline. All of these sessions occur in the family counselor's office. Answer and post these questions prior to watching the first video. • How would you prepare for a first meeting with this client? • What are your hunches about what the client might be thinking, feeling, and expecting? • What are your concerns about working with this client? • What, if any, personal issues would working with this client bring up for you?
4. GROUP SESSION BACKGROUND INFORMATION: Psycho-educational support group: This group of women live in a low-income area of an urban community. Responding to an identified need, the local neighborhood community center announced a group for mothers who wanted to talk about issues such as parenting, stress, and family life. The group sessions will be held at the community center. Answer and post these questions prior to watching the first video. • How would you prepare for a first meeting with these clients? • What are your hunches about what the clients might be thinking, feeling, and expecting? • What are your concerns about working with these clients? • What, if any, personal issues would working with these clients bring up for you? Post answers and engage in a discussion with your colleagues about this case.
Marcus Hill is the temporary practitioner in a large nursing home in a city of 25,000 in the Midwest. He is filling in for Julie Anderson, who is on medical leave. Marcus is a tall, African-American man in his 30s. He has 6 years of experience as a nursing home practitioner and now works for a private ...
As the intake worker at a local community mental health access cente.docxbob8allen25075
As the intake worker at a local community mental health access center, a thorough assessment needs to be completed for every person that comes in looking for support and services. Because of the variety of illnesses and treatment options, the more accurate your assessment and treatment plan the more help you will provide for the client.
Choose from one of the provided
case studies
to complete the
assessment and treatment plan
using the template provided.
Directions:
Choose a case study.
Fill out the assessment and treatment form.
Write a separate summary at the end of the form explaining the best psychological theory that would best fit understanding this case study. Be sure to include ethical and cultural considerations.
Assignment 1 Grading Criteria
Maximum Points
Assessment form.
20
Description of the disorder and explanation of the symptoms best explain the behavior of the case study.
32
Apply assessment information to treatment planning stage.
36
Choice and justification of a theory that fits best with this particular case.
32
Complete treatment plan form.
20
Summary of case study.
28
Analysis of the most appropriate treatment theory.
36
Explanation of where ethical and cultural considerations may arise and what could be done to provide ethical and culturally sensitive treatment.
32
Organization: Writing, Ideas, Transitions, and Conclusion
16
Usage and Mechanics: Grammar, Spelling, and Sentence structure
16
APA Elements: Attribution, Paraphrasing, and Quotations
24
Style: Audience, and Word Choice
8
Total:
300
*
Case Studies to choose from Just choose The easiest one an there is a Acessment form that needs to be completed all are attached.
Case Study #1
Young-Hwa, a 40-year-old Korean male, had immigrated to the United States 15 years ago without proper documentation. He had a hard life because, despite his training as a chef in Korea, he had difficulty finding a well-paying job without proper documentation. He also had a hard time getting along with others for long periods of time in some of the kitchens that he worked for.
He would do really well for a while talking about how much he enjoyed the job thinking that this was going to be his lucky break, but after several months he would either quit or get fired.
During these times of being out of work he is very depressed and irritable and will sleep for days without coming out of his bedroom.
After many years of various positions including kitchen assistant and assistant cook, he finally landed his dream job of a top chef in a Korean restaurant.
He recently was married to a Caucasian woman who had a daughter from a prior relationship and now they have twin sons.
Their marriage would be described as fairly good with some hard times.
His wife knows his work history and occasionally will threatened that if he messes this one up, she and the children will be leaving him.
However, most of the time she only threatens this when she is angry about not being able to .
Date 62915SWI met with resident for individual session tod.docxsimonithomas47935
Date: 6/29/15
SWI met with resident for individual session today. SWI met with client last week and was introduced as an intern at the program. Client is a 36-year-old, AA female living in the community. Client has a diagnosis of paranoid schizophrenia. Resident’s mood was neutral and affect was congruent with mood. Resident’s ADL’s were fair; presented well with clean clothes. SWI and resident explored past to current situations involving IR’s family along with describing her mental illness and how treatment stabilizes her. IR stated that before being treated for her mental illness she was having auditory hallucinations telling her to harm herself and her two younger children. At the current time, one of her sisters is granted custody of her two children. IR is permitted supervised visitation rights and saw her children last on January 01, 2015. IR loves her children and wishes she were able to be the mother they need. IR has goals of finding employment to help support them in any way that she can. Due to being undocumented, finding employment is not possible at this time. Insight is limited; speech is soft; concentration was poor; IR was restless and constantly was moving her hands or body during the session; thought processes are fair; judgment and impulse control appear fair. Worker gave IR an assignment to write down 10 goals to work towards in regards to learning something new. IR enjoys being educated but has difficulty concentrating. Next individual session is scheduled for 07/07/2015.
The next steps are to continue to work weekly with IR and speak about her future and her children. I will also give her mini homework assignments to complete.
Dialogue
Identify skills or techniques
Analysis or observation of client behavior
Personal reactions and self-reflection to the interaction
Good Morning IR, how are you doing today?
Sustaining
Resident’s mood was neutral and affect was congruent with mood.
Ct: I am doing fine
SWI: Do you remember me from last week?
SWI was happy that client agreed to talk with her
Ct: Yes, Ms. John right
Client spoke softly, not looking directly at intern
SWI: Yes, Mrs. St. John, but you can call me Ms. John
Ct: ok
SWI: Ms. IR can you tell me a little bit about yourself? Comment by Angela Gaddis: Great non threatening question
Open-ended question to probe
SWI was nervous but did not want client to know how much so I took a deep breath and looked at client, she wasn’t looking at SWI
Ct: What do you want to know, I am here, I am taking my medication and doing fine, I would like to see my kids. Comment by Angela Gaddis: Did she seem defensive here? Sounds like she might have been. Just curious
Client seems anxious, bit tense
SWI: How many children do you have?
Closed-ended Question
IR was restless and constantly was moving her hands or body during the session
Ct: I have 2 kids
Client seems happy, she smiled
SWI did not want to push but I needed to find out ho.
PRACTICE29Working With Survivors of Sexual Abuse and.docxChantellPantoja184
PRACTICE
29
Working With Survivors of
Sexual Abuse and Trauma:
The Case of Angela
Angela is a 27-year-old, Caucasian female, who first came to
counseling to address her history of sexual abuse. She graduated
from college with a BS in chemistry and has since been employed
by pharmaceutical companies. After obtaining a new job, she relo-
cated to an apartment in an East Coast city where she knew no
one. Both of Angela’s parents live on the West Coast, and she has
one younger brother who also lives in a different state. Angela has
limited contact with both her mother and brother and does not
have any contact with her father. Angela is obese and disclosed
a history of struggling with her weight and eating issues. She has
few friends, and those she does have live far away.
Angela has a long history of trauma in her life. She was sexually
abused between the ages of 9 and 21 by her father, sexually assaulted
at the age of 14 by a classmate in school, and mugged as a young
adult. There was domestic violence in the home, also perpetrated by
her father. Angela’s father is considered an upstanding member of
the community, and he is well liked and respected by others. No one
in Angela’s family believes that she was sexually abused, and her
father joined a “false memory syndrome” group and is outspoken
about that issue. There has been little discussion in her family about
what took place in the home while she was growing up.
Angela struggled with daily functioning and exhibited symp-
toms of post-traumatic stress disorder (PTSD). She had a history
of cutting herself and binge eating and displayed some charac-
teristics of borderline personality disorder. Angela also mildly
dissociated when under duress. Angela suffered from depression
and anxiety and had trouble establishing new relationships, both
socially and at work. Although Angela has a stable job and was
able to complete her work each day, at times she became over-
whelmed by her emotions and retreated to the bathroom where
she cried and sometimes cut herself before returning to her work-
station. Angela relied on writing, artwork, and her cat for solace
SOCIAL WORK CASE STUDIES: FOUNDATION YEAR
30
and comfort. She was also very active outdoors, often hiking,
biking, and going on camping trips by herself. Her goals in life
were to own her own home, lose weight, enjoy relationships with
others, and find peace with her traumas.
As a result of the abuse she experienced, it was necessary to
begin treatment focusing heavily on establishing trust and a rela-
tionship with the client. After 1 year of therapy, deeper process
work was being done around her traumas, and she was able to
open up much more. She disclosed more painful experiences to
the therapist and began expressing her feelings, including intense
anger at her family members.
Angela also joined a group for survivors of sexual violence in
the same program where she was receiving individual therapy. .
Of the substance disorders, alcohol-related disorders are the most p.docxarnit1
Of the substance disorders, alcohol-related disorders are the most prevalent even though only a small percentage of individuals actually receive help. Recidivism in the substance treatment world is also very high. As research into treatment has developed, more and more evidence shows that genes for alcohol-metabolizing enzymes can vary by genetic inheritance. Women have been identified as particularly vulnerable to the impacts of alcohol. Native Americans, Asians, and some Hispanic and Celtic cultures also have increased vulnerability to alcohol misuse.
Even with these developments, treatment continues to spark debate. For many years, the substance use field itself has disagreed with mental health experts as to what treatments are the most effective for substance use disorders and how to improve outcomes. The debate is often over medication-assisted treatment (MAT) versus abstinence-based treatment (ABT). Recently the American Psychiatric Association has issued guidelines to help clinicians consider integrated solutions for those suffering with these disorders. In this Discussion, you consider your treatment plan for an individual with a substance use disorder.
To prepare:
Read the case provided by your instructor for this week’s Discussion and the materials for the week. Then assume that you are meeting with the client as the social worker who recorded this case.
Post
a 300- to 500-word response in which you address the following:
Provide the full DSM-5 diagnosis for the client. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may need clinical attention). Keep in mind a diagnosis covers the most recent 12 months.
Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis.
Describe the assessment(s) you would use to validate the client’s diagnosis, clarify missing information, or track her progress.
Summarize how you would explain the diagnosis to the client.
Explain how you would engage the client in treatment, identifying potential cultural considerations related to substance use.
Describe your initial recommendations for the client’s treatment and explain why you would recommend MAT or ABT.
Identify specific resources to which you would refer the client. Explain why you would recommend these resources based on the client’s diagnosis and other identity characteristics (e.g., age, sex, gender, sexual orientation, class, ethnicity, religion, etc.).
Note:
You
do not
need to include an APA reference to the DSM-5 in your response. However, your response should clearly be informed by the DSM-5, demonstrating an understanding of the risks and benefits of treatment to the client. You
do
need to include an APA reference for the assessment tool and any other resources you use to support your response.
Case of Jordan
Intake: June 2020
IDENTIFYING/DEMOGRAPHIC DATA:
Jordan (31) an.
1. Share your perception of someone who has developed a substance .docxjackiewalcutt
1. Share your perception of someone who has developed a substance use illness with mood-altering substances. What are your beliefs about the characteristics, strengths and weaknesses of this individual? Discuss your capability to assist this individual in a personal face-to-face session where this person is requesting your assistance.
2. INDIVIDUAL SESSION BACKGROUND INFORMATION: This older Jewish woman's husband died after a long illness. She was referred to the practitioner by the hospital social worker after surgery for cancer. The hospital social worker described her as a woman with many strengths who is discouraged, depressed, and angry. The sessions are held in her home and the practitioner comes to her. Answer and post these questions prior to watching the first video. • How would you prepare for a first meeting with this client? • What are your hunches about what the client might be thinking, feeling, and expecting? • What are your concerns about working with this client? • What, if any, personal issues would working with this client bring up for you?
3. FAMILY SESSION BACKGROUND INFORMATION: This African American and Caucasian family includes three boys ranging in age from 7 to 13 years old. This family was referred by the school counselor who is concerned about the low grades of the oldest boy. In the initial phone call, the mother mentioned that she and her husband have serious disagreements about discipline. All of these sessions occur in the family counselor's office. Answer and post these questions prior to watching the first video. • How would you prepare for a first meeting with this client? • What are your hunches about what the client might be thinking, feeling, and expecting? • What are your concerns about working with this client? • What, if any, personal issues would working with this client bring up for you?
4. GROUP SESSION BACKGROUND INFORMATION: Psycho-educational support group: This group of women live in a low-income area of an urban community. Responding to an identified need, the local neighborhood community center announced a group for mothers who wanted to talk about issues such as parenting, stress, and family life. The group sessions will be held at the community center. Answer and post these questions prior to watching the first video. • How would you prepare for a first meeting with these clients? • What are your hunches about what the clients might be thinking, feeling, and expecting? • What are your concerns about working with these clients? • What, if any, personal issues would working with these clients bring up for you? Post answers and engage in a discussion with your colleagues about this case.
Marcus Hill is the temporary practitioner in a large nursing home in a city of 25,000 in the Midwest. He is filling in for Julie Anderson, who is on medical leave. Marcus is a tall, African-American man in his 30s. He has 6 years of experience as a nursing home practitioner and now works for a private ...
As the intake worker at a local community mental health access cente.docxbob8allen25075
As the intake worker at a local community mental health access center, a thorough assessment needs to be completed for every person that comes in looking for support and services. Because of the variety of illnesses and treatment options, the more accurate your assessment and treatment plan the more help you will provide for the client.
Choose from one of the provided
case studies
to complete the
assessment and treatment plan
using the template provided.
Directions:
Choose a case study.
Fill out the assessment and treatment form.
Write a separate summary at the end of the form explaining the best psychological theory that would best fit understanding this case study. Be sure to include ethical and cultural considerations.
Assignment 1 Grading Criteria
Maximum Points
Assessment form.
20
Description of the disorder and explanation of the symptoms best explain the behavior of the case study.
32
Apply assessment information to treatment planning stage.
36
Choice and justification of a theory that fits best with this particular case.
32
Complete treatment plan form.
20
Summary of case study.
28
Analysis of the most appropriate treatment theory.
36
Explanation of where ethical and cultural considerations may arise and what could be done to provide ethical and culturally sensitive treatment.
32
Organization: Writing, Ideas, Transitions, and Conclusion
16
Usage and Mechanics: Grammar, Spelling, and Sentence structure
16
APA Elements: Attribution, Paraphrasing, and Quotations
24
Style: Audience, and Word Choice
8
Total:
300
*
Case Studies to choose from Just choose The easiest one an there is a Acessment form that needs to be completed all are attached.
Case Study #1
Young-Hwa, a 40-year-old Korean male, had immigrated to the United States 15 years ago without proper documentation. He had a hard life because, despite his training as a chef in Korea, he had difficulty finding a well-paying job without proper documentation. He also had a hard time getting along with others for long periods of time in some of the kitchens that he worked for.
He would do really well for a while talking about how much he enjoyed the job thinking that this was going to be his lucky break, but after several months he would either quit or get fired.
During these times of being out of work he is very depressed and irritable and will sleep for days without coming out of his bedroom.
After many years of various positions including kitchen assistant and assistant cook, he finally landed his dream job of a top chef in a Korean restaurant.
He recently was married to a Caucasian woman who had a daughter from a prior relationship and now they have twin sons.
Their marriage would be described as fairly good with some hard times.
His wife knows his work history and occasionally will threatened that if he messes this one up, she and the children will be leaving him.
However, most of the time she only threatens this when she is angry about not being able to .
Date 62915SWI met with resident for individual session tod.docxsimonithomas47935
Date: 6/29/15
SWI met with resident for individual session today. SWI met with client last week and was introduced as an intern at the program. Client is a 36-year-old, AA female living in the community. Client has a diagnosis of paranoid schizophrenia. Resident’s mood was neutral and affect was congruent with mood. Resident’s ADL’s were fair; presented well with clean clothes. SWI and resident explored past to current situations involving IR’s family along with describing her mental illness and how treatment stabilizes her. IR stated that before being treated for her mental illness she was having auditory hallucinations telling her to harm herself and her two younger children. At the current time, one of her sisters is granted custody of her two children. IR is permitted supervised visitation rights and saw her children last on January 01, 2015. IR loves her children and wishes she were able to be the mother they need. IR has goals of finding employment to help support them in any way that she can. Due to being undocumented, finding employment is not possible at this time. Insight is limited; speech is soft; concentration was poor; IR was restless and constantly was moving her hands or body during the session; thought processes are fair; judgment and impulse control appear fair. Worker gave IR an assignment to write down 10 goals to work towards in regards to learning something new. IR enjoys being educated but has difficulty concentrating. Next individual session is scheduled for 07/07/2015.
The next steps are to continue to work weekly with IR and speak about her future and her children. I will also give her mini homework assignments to complete.
Dialogue
Identify skills or techniques
Analysis or observation of client behavior
Personal reactions and self-reflection to the interaction
Good Morning IR, how are you doing today?
Sustaining
Resident’s mood was neutral and affect was congruent with mood.
Ct: I am doing fine
SWI: Do you remember me from last week?
SWI was happy that client agreed to talk with her
Ct: Yes, Ms. John right
Client spoke softly, not looking directly at intern
SWI: Yes, Mrs. St. John, but you can call me Ms. John
Ct: ok
SWI: Ms. IR can you tell me a little bit about yourself? Comment by Angela Gaddis: Great non threatening question
Open-ended question to probe
SWI was nervous but did not want client to know how much so I took a deep breath and looked at client, she wasn’t looking at SWI
Ct: What do you want to know, I am here, I am taking my medication and doing fine, I would like to see my kids. Comment by Angela Gaddis: Did she seem defensive here? Sounds like she might have been. Just curious
Client seems anxious, bit tense
SWI: How many children do you have?
Closed-ended Question
IR was restless and constantly was moving her hands or body during the session
Ct: I have 2 kids
Client seems happy, she smiled
SWI did not want to push but I needed to find out ho.
PRACTICE29Working With Survivors of Sexual Abuse and.docxChantellPantoja184
PRACTICE
29
Working With Survivors of
Sexual Abuse and Trauma:
The Case of Angela
Angela is a 27-year-old, Caucasian female, who first came to
counseling to address her history of sexual abuse. She graduated
from college with a BS in chemistry and has since been employed
by pharmaceutical companies. After obtaining a new job, she relo-
cated to an apartment in an East Coast city where she knew no
one. Both of Angela’s parents live on the West Coast, and she has
one younger brother who also lives in a different state. Angela has
limited contact with both her mother and brother and does not
have any contact with her father. Angela is obese and disclosed
a history of struggling with her weight and eating issues. She has
few friends, and those she does have live far away.
Angela has a long history of trauma in her life. She was sexually
abused between the ages of 9 and 21 by her father, sexually assaulted
at the age of 14 by a classmate in school, and mugged as a young
adult. There was domestic violence in the home, also perpetrated by
her father. Angela’s father is considered an upstanding member of
the community, and he is well liked and respected by others. No one
in Angela’s family believes that she was sexually abused, and her
father joined a “false memory syndrome” group and is outspoken
about that issue. There has been little discussion in her family about
what took place in the home while she was growing up.
Angela struggled with daily functioning and exhibited symp-
toms of post-traumatic stress disorder (PTSD). She had a history
of cutting herself and binge eating and displayed some charac-
teristics of borderline personality disorder. Angela also mildly
dissociated when under duress. Angela suffered from depression
and anxiety and had trouble establishing new relationships, both
socially and at work. Although Angela has a stable job and was
able to complete her work each day, at times she became over-
whelmed by her emotions and retreated to the bathroom where
she cried and sometimes cut herself before returning to her work-
station. Angela relied on writing, artwork, and her cat for solace
SOCIAL WORK CASE STUDIES: FOUNDATION YEAR
30
and comfort. She was also very active outdoors, often hiking,
biking, and going on camping trips by herself. Her goals in life
were to own her own home, lose weight, enjoy relationships with
others, and find peace with her traumas.
As a result of the abuse she experienced, it was necessary to
begin treatment focusing heavily on establishing trust and a rela-
tionship with the client. After 1 year of therapy, deeper process
work was being done around her traumas, and she was able to
open up much more. She disclosed more painful experiences to
the therapist and began expressing her feelings, including intense
anger at her family members.
Angela also joined a group for survivors of sexual violence in
the same program where she was receiving individual therapy. .
Of the substance disorders, alcohol-related disorders are the most p.docxarnit1
Of the substance disorders, alcohol-related disorders are the most prevalent even though only a small percentage of individuals actually receive help. Recidivism in the substance treatment world is also very high. As research into treatment has developed, more and more evidence shows that genes for alcohol-metabolizing enzymes can vary by genetic inheritance. Women have been identified as particularly vulnerable to the impacts of alcohol. Native Americans, Asians, and some Hispanic and Celtic cultures also have increased vulnerability to alcohol misuse.
Even with these developments, treatment continues to spark debate. For many years, the substance use field itself has disagreed with mental health experts as to what treatments are the most effective for substance use disorders and how to improve outcomes. The debate is often over medication-assisted treatment (MAT) versus abstinence-based treatment (ABT). Recently the American Psychiatric Association has issued guidelines to help clinicians consider integrated solutions for those suffering with these disorders. In this Discussion, you consider your treatment plan for an individual with a substance use disorder.
To prepare:
Read the case provided by your instructor for this week’s Discussion and the materials for the week. Then assume that you are meeting with the client as the social worker who recorded this case.
Post
a 300- to 500-word response in which you address the following:
Provide the full DSM-5 diagnosis for the client. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may need clinical attention). Keep in mind a diagnosis covers the most recent 12 months.
Explain the diagnosis by matching the symptoms identified in the case to the specific criteria for the diagnosis.
Describe the assessment(s) you would use to validate the client’s diagnosis, clarify missing information, or track her progress.
Summarize how you would explain the diagnosis to the client.
Explain how you would engage the client in treatment, identifying potential cultural considerations related to substance use.
Describe your initial recommendations for the client’s treatment and explain why you would recommend MAT or ABT.
Identify specific resources to which you would refer the client. Explain why you would recommend these resources based on the client’s diagnosis and other identity characteristics (e.g., age, sex, gender, sexual orientation, class, ethnicity, religion, etc.).
Note:
You
do not
need to include an APA reference to the DSM-5 in your response. However, your response should clearly be informed by the DSM-5, demonstrating an understanding of the risks and benefits of treatment to the client. You
do
need to include an APA reference for the assessment tool and any other resources you use to support your response.
Case of Jordan
Intake: June 2020
IDENTIFYING/DEMOGRAPHIC DATA:
Jordan (31) an.
8Signature ASSIGNMENT The following is a brief, highly inc.docxblondellchancy
8
Signature ASSIGNMENT
The following is a brief, highly incomplete case study of a fellow who presents with symptoms of a specific psychiatric illness. He is interviewed and given some IQ testing. IQ testing would not be the best test to understand his problems, in fact it might be contraindicated in his current state but for the purposes of the assignment, IQ testing provides the clearest example of data and its use in a critical thinking exercise which is one of the goals of this assignment.
CASE STUDY
Mr. A. Soprano is a 55-year-old white male who presented as an “emergency” to a psychologist at a local ER. After establishing rules of confidentiality he revealed he was a high level crime boss; essentially a mobster. Throughout the interview he spoke in a rather pronounced Brooklyn accent. He preferred to call himself “a highly creative business man.” The client’s chief complaint was a concern over a vague desire to “hurt” himself, sleep problems and was experiencing disturbing “thoughts that don’t make any sense.” He stated his thinking had become very negative, “and weighs heavy on me”, where he doesn’t see anything good or positive in his life, “and I’m normally a positive kinda guy.” Dr. Psychologist proceeded to request the client cooperate with psychological testing to help determine potential causes for the client’s reported problems. This included a clinical interview.
Mr. Soprano began his interview by telling a story about ordering a fellow mobster killed, “a couple months ago.” He said, “I liked the guy. He was my right hand man, but he screwed up Doc and coulda’ got me whacked so ahh, ya know, he had to go but I felt really bad about it. Hey ‘fergit’ about it, it was a business decision. Sometimes ya make those tough one’s but this one really bothered me ya know.” He stated he noticed in the days following, his thoughts would race and be dominated by feelings of guilt. In the last seven weeks, he went through periods of sleeping much more than normal or suffering from insomnia when he felt “stressed out and I don’t get stressed out, Doc. Normally I sleep like a baby.” He also related in the last month, he had been battling with the strong desire to stay home and “hibernate” and would struggle to fight the fatigue and loss of interest through these times “but I have a business to run. So I get out but most days I don’t wanna.” On the days where he simply couldn’t bring himself to leave home he said he sometimes hears voices telling him he is a “bad man” and deserves to die. He added he finds himself peering out the curtains fearing the cops will come arrest him at any moment. He added he’s noticed other changes that cause him concern, “I don’t know Doc, I used to really enjoy roughin’ people up a little. You know, gettin’ their attention, a busted finger or a knee, but here lately I don’t enjoy it so much.” He said these changes in his feelings, thoughts and behaviors had been going on for “a couple months.” When asked ...
Working With Clients With Dual Diagnosis The Case of Joe .docxambersalomon88660
Working With Clients With Dual Diagnosis: The Case of Joe
Joe is a 34-year-old, Caucasian male who came to the County Division of Social Services to
apply for General Assistance (GA) benefits. The GA program provides cash assistance, Medicaid
coverage, and housing for homeless single adults. Joe is in need of Medicaid benefits in order to
remain active in his treatment program. Joe is receiving treatment at the Mentally Ill Chemical
Abuser (MICA) partial hospitalization program at the local community mental health center for
clients who are dually diagnosed.
Joe has a dependence on marijuana, although he has stopped using it for approximately six
months, and has been diagnosed with major depressive disorder. He is being prescribed
medication. Joe reports that he is unable to work due to mental illness, and without an income or
health insurance, he is unable to obtain his medication. Joe reports that while he was enrolled as
a student at the state university, he would sell marijuana to other college students. Eventually, he
was arrested and convicted of possession with intent to distribute a controlled dangerous
substance (CDS) and served 3 years in prison. Joe has had no further arrests; however, he has not
been able to secure permanent housing or employment since his release. Joe reports that this
event has ruined his life. His lack of employment results from an inability to pass most
background checks. If he discloses that he was arrested, Joe reports that he is never called for
interviews. But when he once failed to disclose the information to the prospective employer, Joe
was terminated for lying on his application. Joe believes that he has little hope for future
employment.
Joe has few natural supports in his life. He reports that following the incarceration, his family
distanced itself from him and his girlfriend at the time broke up with him. He reports that his
only supports are his local Narcotics Anonymous (NA) sponsor and his mental health counselor.
Joe reports that his housing situation has been unstable and sporadic for the past 10 years. Joe’s
mental health counselor from the MICA program has contacted me to advocate for Joe’s
approval for benefits. I explained that under the current state regulations, Joe is ineligible for
benefits due to his CDS distribution conviction. The only program options that I can offer him
are food stamps and access to a homeless shelter outside of the county. The counselor explained
that relocation would cause a disruption to Joe’s mental health treatment and would cause him to
lose contact with his local NA sponsor. In response to the counselor’s concerns, I suggested that
Joe contact the local faith-based organization for assistance. Although they do not house single
males, they have an extensive network of volunteers, mentors, and donors who may financially
support people in need. I referred Joe to a program that offers bonding t.
Select one of the cases available in Engage. Using the Steps in.docxlvernon1
Select one of the cases available in Engage. Using the Steps in Ethical Decision Making on pp. 80-81, discuss how the social worker should handle the situation moving forward.
Your initial discussion board post should be no less than 250 words in length. Be sure to use APA style and format: in-text citations and references. You should also include a descriptive subject line in this initial post.
Vignette #1
A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. The patient repeated this line of questioning during the first face-to-face session. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. His mother had suffered from a combination of severe respiratory problems and Alzheimer’s. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. During the last two years, she required total care. He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills. Medical personnel never questioned the death as the woman had been quite sick and “It was only a matter of time.” Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. His father has declined rapidly since the death of his wife and now requires total care. Mr. Tellanyone reveals that recently he had a conversation with his father in which the father commented how peaceful his wife’s death was and how he hoped for a similar passing. Mr. Tellanyone is feeling quite guilty about his mother. Simultaneously, he strongly believes he made the right decision. He would like help to work through the issues. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case.
Vignette #2
A social worker had an intake appointment with a new client. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. The prospective client was using her maiden name and gave no indication that she had known about her ex-husband’s treatment with the psychologist. When asked about the reason for the referral, she said that her physician had referred her for anxiety. During the session, she stated that he is still in communication with her ex-husband because they share three children.
Vignette #3
Dr. Smith is a social worker who has worked with a young woman for about 9 months. The patient pr.
Generalist practice in social work is an approach to client servic.docxJeanmarieColbert3
Generalist practice
in social work is an approach to client service that makes use of a variety of methods, schools of thought, and perspectives. The term describes social work practice that is not limited to only one method or point of view. Generalist social work practitioners stay informed of current research in their field, and they select methods that seem most appropriate to the different situations that their clients face.
For this Assignment,
select one of the case studies provided in the Readings. Consider different ways of describing generalist practice and how you might identify it in social work.
Submit a 2- to 3-page paper in which you address the following criteria:
Create a definition of generalist practice using your own words.
Identify at least three specific examples of generalist practices you see portrayed in your selected case study.
Indicate the characteristics that make each an example of generalist practice.
Explain the effectiveness (or ineffectiveness) of each example in terms of its benefit to clients.
Reference
Plummer, S.-B., Makris, S., & Brocksen S. M. (Eds.). (2014).
Working with survivors of sexual abuse and trauma: The case of Angela
. In
Social work case studies: Foundation year.
Retrieved from http://www.vitalsource.com
Working With Survivors of Sexual Abuse and Trauma: The Case of Angela
Angela is a 27-year-old, Caucasian female, who first came to counseling to address her history of sexual abuse. She graduated from college with a BS in chemistry and has since been employed by pharmaceutical companies. After obtaining a new job, she relo¬cated to an apartment in an East Coast city where she knew no one. Both of Angela’s parents live on the West Coast, and she has one younger brother who also lives in a different state. Angela has limited contact with both her mother and brother and does not have any contact with her father. Angela is obese and disclosed a history of struggling with her weight and eating issues. She has few friends, and those she does have live far away.
Angela has a long history of trauma in her life. She was sexually abused between the ages of 9 and 21 by her father, sexually assaulted at the age of 14 by a classmate in school, and mugged as a young adult. There was domestic violence in the home, also perpetrated by her father. Angela’s father is considered an upstanding member of the community, and he is well liked and respected by others. No one in Angela’s family believes that she was sexually abused, and her father joined a “false memory syndrome” group and is outspoken about that issue. There has been little discussion in her family about what took place in the home while she was growing up.
Angela struggled with daily functioning and exhibited symp¬toms of post-traumatic stress disorder (PTSD). She had a history of cutting herself and binge eating and displayed some charac¬teristics of borderline personality disorder. Angela also mildly dissociated when under duress..
1 MHC 610 Client Case File Charles CJ” Jones You aAbbyWhyte974
1
MHC 610 Client Case File Charles “CJ” Jones
You are a counselor in an on-campus counseling center.
Charles “CJ” Jones is a 21-year-old, single, straight, African American and Lakota man who sought
treatment because he “feels lost,” withdrawn from friends, and “worried about money.” He said he had
been feeling increasingly depressed for two months, and he attributes this to two essentially concurrent
events: the end of a three-year romantic relationship (four months ago) and being unable to find his
ideal employment situation. Mr. Jones has been on a job search for around five months.
Mr. Jones has supported himself financially since high school and is accustomed to feeling nervous
about making ends meet. He has become more worried after breaking up with his longtime live-in
girlfriend, so he approached a family friend for financial help. He was turned down, leading him to feel
alone in his financial struggles. This disappointment revived long-standing anger and sadness about not
feeling close to and supported by either of his parents. His friends taunted him for “falling apart” over
wanting to be financially stable saying, “We’re young. You have time to figure this out!”
Mr. Jones is a full-time undergraduate student in his final year of college studying computer science; he
also works full-time as a midnight-shift warehouse worker. When he finishes his early-morning shift, he
finds it hard to “slow down,” and he has trouble sleeping. He has been looking for work daily and applies
for jobs that are less physically demanding, with more flexible hours, but never gets past the phone call
or interview. His appetite is unchanged, and his physical health is good. His grades have recently
declined, and he has become increasingly discouraged about money and about being single. He has not
previously sought mental health services, but a supportive cousin suggested seeing a counselor.
Mr. Jones was raised as an only child by his mother and her extended family who all identify as African
American. Mr. Jones reports that his extended family identifies as Baptist and, in his youth, he spent
some time with family members at church; however, he now identifies as spiritual rather than religious.
Mr. Jones describes that he has been drawn to exploring the spiritual beliefs and practices of the Lakota
Nation. Mr. Jones regularly keeps in touch with his maternal extended family.
Growing up, Mr. Jones mentioned he was a “good student and popular kid.” High school was
complicated by his mother’s two-year period of unemployment and his experimentation with alcohol
and marijuana. He recalled several heavy drinking episodes at age 14 and first use of marijuana at age
15. He smoked marijuana daily for much of his junior year and stopped heavy use under pressure from a
girlfriend. At the time of the evaluation, he had “an occasional beer” and limited marijuana use to
“being social” several times a month. Mr. Jones described ...
1
MHC 610 Client Case File Charles “CJ” Jones
You are a counselor in an on-campus counseling center.
Charles “CJ” Jones is a 21-year-old, single, straight, African American and Lakota man who sought
treatment because he “feels lost,” withdrawn from friends, and “worried about money.” He said he had
been feeling increasingly depressed for two months, and he attributes this to two essentially concurrent
events: the end of a three-year romantic relationship (four months ago) and being unable to find his
ideal employment situation. Mr. Jones has been on a job search for around five months.
Mr. Jones has supported himself financially since high school and is accustomed to feeling nervous
about making ends meet. He has become more worried after breaking up with his longtime live-in
girlfriend, so he approached a family friend for financial help. He was turned down, leading him to feel
alone in his financial struggles. This disappointment revived long-standing anger and sadness about not
feeling close to and supported by either of his parents. His friends taunted him for “falling apart” over
wanting to be financially stable saying, “We’re young. You have time to figure this out!”
Mr. Jones is a full-time undergraduate student in his final year of college studying computer science; he
also works full-time as a midnight-shift warehouse worker. When he finishes his early-morning shift, he
finds it hard to “slow down,” and he has trouble sleeping. He has been looking for work daily and applies
for jobs that are less physically demanding, with more flexible hours, but never gets past the phone call
or interview. His appetite is unchanged, and his physical health is good. His grades have recently
declined, and he has become increasingly discouraged about money and about being single. He has not
previously sought mental health services, but a supportive cousin suggested seeing a counselor.
Mr. Jones was raised as an only child by his mother and her extended family who all identify as African
American. Mr. Jones reports that his extended family identifies as Baptist and, in his youth, he spent
some time with family members at church; however, he now identifies as spiritual rather than religious.
Mr. Jones describes that he has been drawn to exploring the spiritual beliefs and practices of the Lakota
Nation. Mr. Jones regularly keeps in touch with his maternal extended family.
Growing up, Mr. Jones mentioned he was a “good student and popular kid.” High school was
complicated by his mother’s two-year period of unemployment and his experimentation with alcohol
and marijuana. He recalled several heavy drinking episodes at age 14 and first use of marijuana at age
15. He smoked marijuana daily for much of his junior year and stopped heavy use under pressure from a
girlfriend. At the time of the evaluation, he had “an occasional beer” and limited marijuana use to
“being social” several times a month. Mr. Jones described ...
1COUNSELING, RELATIONSHIP BUILDINGWrite a mock dialogue wi.docxdrennanmicah
1
COUNSELING, RELATIONSHIP BUILDING
Write a mock dialogue with a suicidal client. You may create a new scenario.
In your dialogue, demonstrate basic counseling skills, including reflective listening, empathy, and summarizing, as well as advanced skills like problem solving and goal setting. You will also need to demonstrate your sensitivity to the diversity characteristics of your client. Once you have agreed on a safety plan with your client, you will go on to develop goals and a treatment plan for future therapy sessions in collaboration with your client.
The dialogue portion of your project should be approximately half of the total length of your final paper. The rest of the paper should explain why you did what you did in the session based on empirical evidence from at least 20 references.
Abstract
Illustrated in this final assignment is a mock dialogue with a client expressing suicidal behaviors. Within the report, writer aims to demonstrate basic counseling skill like summarizing, empathy, reflective listening, problem solving, goal setting and cultural competency for diverse clients. Also included in the report will be treatment planning, goal setting and therapeutic plan developed with the client’s participation.
Counseling, Relationship Building, Goals, Treatment Planning
Introduction
Psychotherapeutic processes are in a constant level of flux across all aspects of psychological study. Amongst the most consistent questions posed by practitioners involves psychotherapeutic efficacy and efficiency. Through this constant intrigue a plethora of therapeutic processes has emerged. Theories rooted in the perspective of common factors to evidence based medical philosophies were being developed. The dimensions of the treatment setting were the only common factor across the varied processes. More specifically contributing procedures like therapist confidence, expectation for improvement and a therapeutic relationship rooted in warmth, understanding acceptance, kindness, trust and human wisdom (Castelnuovo, 2010).
Suicide is a constant concern when conducting psychological assessment for therapeutic considerations. Psychological practitioners should always include a risk assessment that allows them to gauge client’s potential for self-harm. An effectual suicide assessment consists of the following: 1) Mustering information related to the risk factors, protective factors and warning signs of suicide. 2) Amassing information on the patient’s suicide ideation, planning, desire, intent and behaviors. 3) Formulating a clinical resolution of risk with the information collected (Shea, 2009). The suicide rate is something that will also assist the practitioner in developing a sound suicide assessment. Suicide rate differs across all cultural factors. Females are more likely to attempt suicide than males although males are more likely to succeed. Native Americans report the highest suicide rate followed by white males but suicide among African-Ameri.
Running head VIGNETTE ONEVIGNETTE ONE 2VIGNETTE ONE .docxjenkinsmandie
Running head: VIGNETTE ONE
VIGNETTE ONE
2
VIGNETTE ONE
2
Vignette One
California Southern University
Vignette One
Question 1
Jack is unwilling association with women is due to his fear to get trapped in their love. This is a result of his mother’s unconditional love. His mother consistently gave him a warm, unconditional love. She constantly attempted to draw Jack under the care of her while securing him. She didn't give Jack time to act naturally and to communicate. Jack was limited to a life with instructions and reliance to his parents. Jack may have built up his character further from the time he began lacking parental control because of his folks' separation. He likewise built up an existence of self-will in his connections with the people around him. Jack lack of self-will made him feel less worth. Several drives might have originated to explain Jack’s view of his life as just an image and nothing more than that. Such drives include a feeling of anger and resentment. He was too reliant on his parent’s instructions thus lacking an opportunity to grow as an independent individual. Jack has chronic worry emanating from ruminative thoughts and an anticipation to failure.
The most probable explanation to his condition is presence of an aggressive drive. Aggression is basically a typical psychological feature in males. The organizing feature in males results from hormones within their body (Parsons & Zhang, 2014). Male species always feel the urge to control and organize issues around them. Jack’s mother did not allow him to experience control thus slow development of anger. Aggression might be resulting from a response to hardships, threats and injuries. Jack developed a hostile aggression that developed from fear, anger, frustrations, feeling of loneliness and pain. He developed a character of unwillingness to become vulnerable to people surrounding him. Jack lacked enough parental care since the divorce withdrew his mother’s unconditional love. The divorce did not stop her from loving him. Explain. These experiences are related to Jack’s current relationship with women. He relates lack of love to all women using his mother as a reference. Jack struggles to be independent since his mother overprotected him.
Question 2
Jack describes his father as a controlling and cruel person who had archaic ideas. Jack’s rejection of his father has a number of underlying psychological aspects. The feeling of hate towards his father is apparent and it resurfaces in Jack’s adult life. He deals with sadness, anger and rejection. Jack felt the need to escape from his father’s control thus creating a defense mechanism. He developed a defense mechanism of defiance. At the end, he ended up becoming the exact opposite of what his father wanted him to be. An over controlling father led to anxiety symptoms and thus Jack feels the urge to rebel. There are certain psychological factors and aspects involved in the way Jack rejects his father’s wishes. The .
Complete your treatment plan template ( I WILL COMPLETE THIS)for Eli.docxskevin488
Complete your treatment plan template ( I WILL COMPLETE THIS)for Eliza based on LAST WEEKS assignments findings. Additionally, write and submit a 700-1,050-word essay that includes the following:
The treatment theory you would use and why.
A description of how you would address any mental health, medical, legal, and substance use issues that the client exhibits in the case study through the lens of your counseling theory of choice.
Include at least three scholarly sources in your paper.
Submit the paper and the treatment plan to your instructor.(I WILL COMPLETE THE ATTACHED TREATMENT PLAN) I JUST WANTED YOU TO HAVE IT FOR REFERENCE, PLUS THE PAPER YOU WROTE LAST WEEK.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful
CLASS TEXTBOOK REFERENCE:
Schwitzer, A. M., & Rubin, L. C. (2014).
Diagnosis and treatment planning skills: A popular culture approach
(2nd ed.). Los Angeles, CA: Sage Publications. ISBN-13: 9781483349763
Here is the example BPS for eliza
PCN-610 Eliza D Psychosocial Example
Name: Eliza Doolittle Date: ********* DOB: ********
Age: 18 Start Time: 1:15p End Time: 2:00p
Identifying Information:
The client is a Caucasian female with average height and slender build. The client stated that she is currently a freshman in college, majoring in engineering. The client also stated that her family resides in a small town approximately two hours away.
Presenting Problem:
At the onset of the session, the client stated that she had come to counseling as a result of being caught in a campus dorm with alcohol (it is an alcohol-free campus). Concerning the incident, the client stated “the RAs were called because my friends were being too loud in my dorm. When they arrived, they saw us with alcohol, and we got in trouble.” The client stated that her friends in the dorm were intoxicated but she was not, adding, “I was just buzzed” and adding that she was drinking “because they were” and “it’s just something to do.”
Life Stressors:
The client identified school as a life stressor, adding “things came easy to me in high school, I just figured it would be the same in college”. The client went on to state that, in addition to the difficulty in increased study requirements, she had struggles in making friends, stating, “a lot of my friends from high school have either gone to college somewhere else or are doing other things,” although the client denied feeling lonely.
Substance Use:
Yes
No
The client denied having a drug or alcohol problem, adding that she tried marijuana once in high school but “I didn’t like how it made me feel” and had not taken it since. The client stated that she was introduced to alcohol in HS when “friends asked me to drink it with them.” The client .
Student Project There is no extension of the due date for t.docxflorriezhamphrey3065
Student Project
There is no extension of the due date for the project. Late projects will not be accepted. A grade of zero will be given if the project is not turned in on time. Hard copy of the paper must be turned in to this instructor on or before the due date . No electronic submission
Paper Requirements
Use the DSM V to identify a coded disorder and use the symptoms of that disorder to create a client and case vignette. The client you create should meet all the criteria for the diagnosis you select. See following page
Student project paper organization and points distribution:
· 2 pts APA cover (page 1)
· 3 pts APA format entire paper (running heads and citations etc.)
· 20pts Accurately completed Multiaxial sheet (page2)
· 50 pts Create a client and present your client in a narrative using clinical language and terminology to describe symptoms of a DSM disorder. DSM V guidelines and criteria. This section must be at least 4 pages long and no longer than 5 pages (pages 3, 4, 5, 6) you will be penalized 5 points for each ½ page short of the 4 page narrative.
Make this person real…
· What do you observe when you meet and speak with this client
· What does this client say and how do they say it
· Describe symptoms of your client that represent indicators for an Axis I diagnosis
· Include medical issues. You must include at least one medical from Axis III
· Describe background and environmental contributors to the diagnosis at least three Axis IV factors Also provide demographics, age, race, sex etc…
· Discussion of the GAF explains criteria as it relates to your client (a paragraph 5pts.)
· You must give your client at least one assessment/ inventory/test relevant to confirming your diagnosis (depression inventory, substance abuse, OCD, bipolar or anxiety inventory etc...)
· Discuss and explain the results of the inventory ( a paragraph 5pts)
· Justify your diagnosis using DSM V criteria, terms and rule outs.( a paragraph 5pts)
· Use information secured from your two peer reviewed journal articles on the subject of the diagnosis to support your diagnosis,(a paragraph for each article 10pts)
· 10pts APA Resource/ reference page (page 7or 8) you must use and document the following:
· DSM V
· You must use, document and cite in text, at least two peer review journal articles on the topic of your diagnosis.
· The articles appear in reputable psychological research journals.
· Articles must have a publication date of 2001 to present.
· Document where you secured your assessment
· 10pts Appendix Place a copy of the inventory/assessment you used with your client in the appendix
Multiaxial Assessment
Multiaxial Evaluation Report Form
AXIS I: Clinical Disorders
Other Conditions That May Be a Focus of Clinical Attention
Diagnostic code DSM-IV name
___________ ___________________________________________
AXIS II: Personality Disorders Mental Re.
To prepare Use a differential diagnosis process and analysis maryettamckinnel
To prepare:
Use a differential diagnosis process and analysis of the Mental Status Exam in "The Case of L" to determine if the case meets the criteria for a clinical diagnosis.
Questions:
Provide the full DSM-5 diagnosis. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may need clinical attention).
Explain the full diagnosis, matching the symptoms of the case to the criteria for any diagnoses used.
Identify 2-3 of the close differentials that you considered for the case and have ruled out. Concisely explain why these conditions were considered but eliminated.
Identify the assessments you recommend to validate treatment. Explain the rationale behind choosing the assessment instruments to support, clarify, or track treatment progress for the diagnosis.
Explain your recommendations for initial resources and treatment. Use scholarly resources to support your evidence-based treatment recommendations.
Explain how you took cultural factors and diversity into account when making the assessment and recommending interventions.
Identify client strengths, and explain how you would utilize strengths throughout treatment.
Identify specific knowledge or skills you would need to obtain to effectively treat this client, and provide a plan on how you will do so.
These questions are based on the following case:
The Case of L Presenting Problem Client presented in the emergency room (ER) having been brought in the previous night by her parents. Following an argument with her parents, L cut her right wrist. L's mother reported that L started screaming rapidly and became physically violent toward her prior to cutting her own wrist. Psychological Data L is a 17-year-old Hispanic female who resides in Pennsylvania with her mother, father, and older sister. She is in 11th grade at the local public school. L appeared to be of average to above-average intelligence, as she was able to respond to numerous questions in an articulate and intelligent manner. She was well versed about world history and current affairs. Her mother confirmed that she has done well in school, maintaining a B+ average and participating in various school activities (e.g., chorus, school paper) until last year. L slowly dropped out of many activities she liked in the past. Her mother noticed about 8 months ago that L had also begun having difficulty doing schoolwork. Erratic behavior arose during episodes when L also became irritable and explosive. During these repeated episodes, she became quite defiant, cut classes, had to be placed in school detention, and had even assaulted the principal. L has numerous friends and believed she can relate to all types of people. She has a boyfriend who adores her, but she said she doesn't feel the same about him. The school counselor confirmed that L is outgoing, popular, and smart; but during these episodes she became another person, one who is very ...
12Working With FamiliesThe Case of Carol and JosephCa.docxAlyciaGold776
12
Working With Families:
The Case of Carol and Joseph
Carol is a 23-year-old, heterosexual, Caucasian female and the
mother of a 1-year-old baby girl. She is currently unemployed,
having previously worked for a house cleaning company. The
baby is healthy and developmentally on target, and she and the
parents appear to be well bonded with one another. Carol lives in
a rented house with her husband, Joseph. Joseph is a 27-year-old,
heterosexual, Hispanic male. He was recently arrested at their
home for a drug deal, which he asserts was a setup. Both parents
were charged with child endangerment because weapons were
found in the child’s crib and drugs were found in the home. The
parents assert that the child never sleeps in the crib but in their
bed. As a result of the parents’ arrest, social services was notified,
and the child was temporarily placed in a kinship care arrangement
with the maternal grandmother, who resides nearby. As a
result of Joseph’s arrest, he was fired from the cleaning company
where he worked, and the family is now experiencing financial
difficulties.
After initial contact was made with the parents, a number of
concerns were noted and the family was recommended for additional
case management. Carol’s mother indicated that she had
concerns about Carol’s drinking habits and stated that Carol’s
father and grandfather were alcoholics. She and the father separated
when Carol was a baby, and Carol has had only limited
contact with him. There appears to be significant tension between
the grandmother and Carol and Joseph. I addressed the alcohol
issue with both parents, who denied there was a problem, but
shortly after the discussion, Carol was involved in a serious car
accident with the baby in the car. She was determined to have been
under the influence of alcohol. I advised Carol that she could not
have any unsupervised contact with her child until she completed
intensive inpatient substance abuse treatment. I made arrangements
for her placement, but after a week, she was discharged
for noncompliance with the rules. She was then referred to an
intensive outpatient program and began therapy there. Initially
her attendance was erratic because she had lost her license as a
result of the DUI. Eventually, however, she became engaged in the
program and began to address her issues. She acknowledged that
she had started using drugs at a very young age but said that she
had only begun drinking in the previous year or so. We discussed
the genetics of her family, and she said that she realized that she
had deteriorated rapidly since beginning to drink and knew that
she simply could not drink alcohol.
Joseph’s mother is deceased, and his father travels extensively
in his job and is not available as a support. Joseph was
very devoted to his mother and was devastated by her premature
death. We discussed the strengths that he and Carol demonstrated
in staying together and working out their p.
Sample of Process Recording #21 of 3.docxjeffsrosalyn
Sample of Process Recording #2
1 of 3
PROCESS RECORDING OUTLINE
Student’s Name: Minerva Garcia Client’s Name:
JS
Interview Date: 03/14/07 Session #: 7
I.
PURPOSE OF THE SESSION: To address my concern about Pt’s health and emotional state, refer Pt. to a mental health center, help him cope with the seriousness of his mental health, and assist Pt. will setting up an appointment with a local mental health center.
II.
OBSERVATION: Pt. was affected when I voiced my concern; however he also recognized that he is also worried that he is going to harm himself. Pt. was disappointed and discouraged to seek these professionals help because he has previously been turned away by a couple of the mental health centers on the list that I gave him. He did not want to accept help from his family and repeated affirmed that they would not be able to help him financially to pay to seek this help.
III.
CONTENT: The content is from the middle of the session.
SUPERVISORY
COMMENTS
INTERVIEW CONTENT (I said, she said)
STUDENT’S GUT LEVEL FEELINGS
CLIENT’S FEELINGS/AFFECT
IDENTIFY INTERVENTIONS & MAJOR THEMES
I said: “I want to make sure that you understand why I am referring to you a mental health center. As I told you in the beginning of this session I am concerned about your mental health, you need to seek further professional help which I can not provide. ”
He said: “(puts his head down for a moment) I know that I need help. My mother said that if you can recommend me to a see a psychologist? She said that I need help. ”
I said: “Yes. That is what I am going to do, but I want to make sure that you understand the reason why I am doing this. ”
He said: “(Nods his head) I understand because like I told you before I don’t plan on harming myself, I just do it. Like when I made these scratches here (points at his lower forearm) I was frustrated that I kept doing these to my arm and I didn’t feel it.”
I said: “ Yes. This is why your mother and everyone at this clinic is concerned about your mental health state. Because if you made scratches with a knife and you didn’t feel it, you can do other serious things to yourself which can puts your life in endanger.”
He said: “Where are you calling? Where am I going to ? I have already been to this one place by Van Nuys and it is called something like El Nido and they didn’t help me. From the outside it looks like it’s a building for kids but they also help adults. ”
I said: “Well, here I have a list of different mental health centers and I am going to refer you to once that is more closer to your house. (I show him the list) I was planning of referring you to this clinic (I am pointing to the clinic located in Van Nuys) its called the center of family living have you been there before?”
He said: “I think so. Is it the one that is locate.
The Levy FamilyJake Levy (31) and Sheri (28) are a married Cauca.docxcdorothy
The Levy Family
Jake Levy (31) and Sheri (28) are a married Caucasian couple who live with their sons, Myles (10) and Levi (8), in a two-bedroom condominium in a middle-class neighborhood. Jake is an Iraq War veteran and employed as a human resources assistant for the military, and Sheri is a special education teacher in a local elementary school. Overall, Jake is physically fit, but an injury he sustained in combat sometimes limits his ability to use his left hand. Sheri is in good physical condition and has recently found out that she is pregnant with their third child.
As teenagers, Jake and Sheri used marijuana and drank. Neither uses marijuana now but they still drink. Sheri drinks socially and has one or two drinks over the weekend. Jake reports he has four to five drinks in the evenings during the week and eight to ten drinks on Saturdays and Sundays. Neither report having criminal histories.
Jake and Sheri identify as being Jewish and attend a local synagogue on major holidays. Jake’s parents are deceased, and he has a sister who lives outside London. He and his sister are not very close but do talk twice a year. Sheri is an only child, and her mother lives in the area but offers little support. Her mother never approved of Sheri marrying Jake and thinks Sheri needs to deal with their problems on her own. The couple has some friends, but due to Jake’s recent behaviors, they have slowly isolated themselves.
My first encounter with Jake was at an intake session at the Veterans Affairs Health Care Center (VA). During this meeting, Jake stated that he came to the VA for services because his wife had threatened to leave him if he did not get help. She was particularly concerned about his drinking and lack of involvement in his sons’ lives. She told him his drinking had gotten out of control and was making him mean and distant. Jake had seen Dr. Zoe, a psychiatrist at the VA, who diagnosed him with post-traumatic stress disorder (PTSD). Dr. Zoe prescribed Paxil to help reduce his symptoms of anxiety and depression and suggested that he also begin counseling.
During the assessment, Jake said that since his return to civilian life 10 months ago he had experienced difficulty sleeping, heart palpitations, and moodiness. He told me that he and his wife had been fighting a lot and that he drank to take the edge off and to help him sleep. Jake admitted to drinking heavily nearly every day. He reported that he was not engaged with his sons at all and he kept to himself when he was at home. He spent his evenings on the couch drinking beer and watching TV or playing video games. When we discussed Jake’s options for treatment he expressed fear of losing his job and his family if he did not get help. Jake worked in an office with civilians and military personnel and mostly got along with people in the office. Jake tended to keep to himself and said he sometimes felt pressured to be more communicative and social. He was also very worried that Sheri woul.
· Referral information Client reported that she has been struggli.docxalinainglis
· Referral information: Client reported that she has been struggling with her mental health and symptoms have been worsening since last year. Being recommended by CMH to agency. Client said she wants to "Getting to what I used to be, being able to get to a functioning level, take care of my child and work". Specifically need therapy, case management.
· History of presenting problem(s):
· She reported that she sleeps all day, has difficulties getting out of bed, has low energy, low motivation and has been unable to attend work, has been hopelessness, worthlessness, isolating and not able to tend to her activities of daily living. Stated that she has been endorsing symptoms of depression for "quite a while" and the past several months things have been worsening.
· She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019. She also has history of suicide attempts prior to the most recent attempt stating that in the past she "has many overdoses mostly on pills that were prescribed and Tylenol". She reported a history of self-harming thoughts and behaviors. Stated that in the summer and fall of 2019 she has cut self and prior to that she hasn't cut herself since her early 20s.
· Client works at a Senior day program in Ypsilanti and has housing at this time however is at risk of losing employment and housing due to her worsening symptoms and inability to care for herself.
· Bio-psycho-social-spiritual history:
· Biological domain: Client is a 35years old female-single with two children. White. She reported that she was previously on the following: Paxil, Celexa, Lexapro however all have been discontinued and uncertain why.
· Psychological domain: Denied any auditory of visual hallucinations or paranoia. She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019 with an attempt in august.
· Social domain: Born and raised in Dexter by both parents. Her parents are still together and alive. She has three siblings (two brothers and a sister) and client is the middle child. She stated that her siblings and her "get along but aren't super close". She reported a history of sexual assault.
She shares custody of her 4years old son with her ex. Her son has been staying mostly with his father due to her worsening depression. She stated that she hopes to get better soon so he can return to her home. She stated that when she spends time with her 4 years old son she feels "drained" after her son leaves. She worked at the senior center after earned a Bachelors in Social Work at EMU. Is at risk of losing her employ.
· Referral information Client reported that she has been struggli.docxodiliagilby
· Referral information: Client reported that she has been struggling with her mental health and symptoms have been worsening since last year. Being recommended by CMH to agency. Client said she wants to "Getting to what I used to be, being able to get to a functioning level, take care of my child and work". Specifically need therapy, case management.
· History of presenting problem(s):
· She reported that she sleeps all day, has difficulties getting out of bed, has low energy, low motivation and has been unable to attend work, has been hopelessness, worthlessness, isolating and not able to tend to her activities of daily living. Stated that she has been endorsing symptoms of depression for "quite a while" and the past several months things have been worsening.
· She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019. She also has history of suicide attempts prior to the most recent attempt stating that in the past she "has many overdoses mostly on pills that were prescribed and Tylenol". She reported a history of self-harming thoughts and behaviors. Stated that in the summer and fall of 2019 she has cut self and prior to that she hasn't cut herself since her early 20s.
· Client works at a Senior day program in Ypsilanti and has housing at this time however is at risk of losing employment and housing due to her worsening symptoms and inability to care for herself.
· Bio-psycho-social-spiritual history:
· Biological domain: Client is a 35years old female-single with two children. White. She reported that she was previously on the following: Paxil, Celexa, Lexapro however all have been discontinued and uncertain why.
· Psychological domain: Denied any auditory of visual hallucinations or paranoia. She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019 with an attempt in august.
· Social domain: Born and raised in Dexter by both parents. Her parents are still together and alive. She has three siblings (two brothers and a sister) and client is the middle child. She stated that her siblings and her "get along but aren't super close". She reported a history of sexual assault.
She shares custody of her 4years old son with her ex. Her son has been staying mostly with his father due to her worsening depression. She stated that she hopes to get better soon so he can return to her home. She stated that when she spends time with her 4 years old son she feels "drained" after her son leaves. She worked at the senior center after earned a Bachelors in Social Work at EMU. Is at risk of losing her employ ...
This has the therapist and client conversationCase Conceptuali.docxchristalgrieg
This has the therapist and client conversation
Case Conceptualization and Treatment Plan
Develop a clear and thorough understanding of the presented case in the video shown in class.
Write a 2,800- to 3,500-word paper using the Clinical Case Study Guidelines document to prepare your analysis of the video presented in class.
Review your notes taken during the counseling session presented in class. Use the DSM 5 and additional professional sources as you explore the client's situation, potential diagnosis, treatment planning, and legal and ethical concerns.
Select a theoretical orientation to complete the analysis of the client.
Discuss the presenting problem from the theoretical perspective, and include language from the theory throughout the case conceptualization. Include the following:
•Summarize the client's background and present living situation, addressing diversity and the human life cycle.
•Discuss the client's present level of functioning and provide examples from the Unnamed Video to support your assessment.
•Identify the client's key problems and issues. Discuss which problems the client is experiencing and why the client is having these problems.
•Propose a theoretical orientation that would be appropriate to use with this client and discuss the theory and application.
•Provide a logical and rational assessment of the client and a diagnosis that is consistent with the assessment. Support the diagnosis using the DSM 5 and other research.
•Identify appropriate goals and interventions that are consistent with the assessment, diagnosis, and theoretical orientation. Discuss how these might be addressed within the treatment sessions.
•Recommend psychometric tools that would be appropriate for further assessing the client's needs based on background and diagnosis. Justify your recommendations.
•Identify thoughts and behaviors that you would use as criteria to determine readiness for successful client termination.
•Identify important legal and ethical issues and propose resolutions. Support your resolutions with appropriate codes of ethics and legal statutes.
•Use peer-reviewed sources to support your ideas throughout the paper.
Format your paper consistent with APA guidelines.
4 goals – 3 short term and 1 long term each having 3 interventions = 12 interventions. No objectives only goals and interventions.
CLIENT NAME: LIZ
DATE OF BIRTH:
PHONE:
PRIMARY LANGUAGE: English
EDUCATION:
REFERENCE BY: Friend
OCCUPATION: Homemaker
ASSESSMENT DATE: 01/05/2017
EVALUATED BY:
DESCRIPTION OF THE CLIENT The client is a 34-year-old woman Hispanic female, dressed casually and neat, clean clothing. She made normal eye contact, she spoke in expressive voice, and appeared sad manifested by tears. PRESENTING PROBLEM The client reports for the past two months her experiencing hopelessness, depression and anxiety because of negative core beliefs that she is inadequate, worthless and a failure. The client reports “I have a lot on my ...
Assignment2Due Week 3This assignment provides the oppo.docxedmondpburgess27164
Assignment
2
Due Week 3
This assignment provides the opportunity for you to demonstrate your ability to apply the concepts covered throughout the course. This assignment MUST be typed, double-spaced, in APA style, and must be written at graduate level English.
You must integrate the material presented in the text
and cite your work according to APA format.
Culture and Legal/Ethical consideration are required
. [This information can be found in Part I as well as in chapters throughout the course text]. You are also encouraged to use outside cultural resources to enhance your understanding.
Use the Case of Stan and Case of Gwen as a guide to theoretical application, referencing in APA style.
See Sample Vignette Analysis located under Resources
Your response to
each
vignette should be 1-2 pages
per vignette
for a total of
5-6 pages for the entire assignment
plus
a title and reference page.
Do not copy and paste the vignettes into your written response
Vignette One
Jack, a 28-year old man, tells you: “Most of my life I have felt pushed and pulled. My father pushed me into school, sports, and so forth, and over the years my resentment grew for him. He was always directing and controlling my life and beating me when I challenged his authority. My mother always gave me a warm, unconditional love and tried to pull me under her protective wing. My parents divorced when I was 18 and without parental control I began a life of self-will in my relationships and in my use of drugs and alcohol. On graduating from college, I rejected my father’s wishes to pursue a career and returned to school to seek another degree. In some ways it’s just a place to be that I like. Most of my life revolves around living for today, a hedonistic style that has no concreteness of goals and aspirations, with a lack of definition of `what a man should be.’ I float in and out of people’s lives. They see an image of me as a despoiler of women, a drug freak, and a cold bastard. My fear is that I am nothing more than that image, that I am empty inside. I want to be able to open up and let people see the warmer, more sensitive sides of me, but I have terrible difficulty doing that. I have a strong need to become close and intimate with others, yet I never let myself become vulnerable because I fear being dependent on them and trapped by their love.”
Assume that Jack comes to you for personal therapy and that all you know about him is what he told you above. Answer the following questions on how you might proceed with Jack
within a Psychoanalytic frame of reference:
1. As a psychoanalytic therapist, do you think that Jack’s current unwillingness to become vulnerable to others out of his fear of “being dependent on them and trapped by their love” has much to do with his mother’s unconditional love? How might this experience be related to his relationships with women now?
2. Jack describes his father as an authoritarian, controlling, and cruel .
Chapter 10 Check PointAnswer the following questions. Please.docxzebadiahsummers
Chapter 10 Check Point
Answer the following questions. Please ensure to use the Author, YYYY APA citations with any content brought into the assignment.
What are Anomalies/Outliers? And what are some variants of Anomaly/Outlier Detection Problems?
What are some Challenges and Work Assumptions of Anomaly Detection?
Explain the Nearest-Neighbor Based Approach and the different ways to Define Outliers.
Explain the Density-based: LOF Approach.
Provide the General Steps and Types of Anomaly Detection Schemes.
.
More Related Content
Similar to For this assignment, you will refer to the section Course Case St.docx
8Signature ASSIGNMENT The following is a brief, highly inc.docxblondellchancy
8
Signature ASSIGNMENT
The following is a brief, highly incomplete case study of a fellow who presents with symptoms of a specific psychiatric illness. He is interviewed and given some IQ testing. IQ testing would not be the best test to understand his problems, in fact it might be contraindicated in his current state but for the purposes of the assignment, IQ testing provides the clearest example of data and its use in a critical thinking exercise which is one of the goals of this assignment.
CASE STUDY
Mr. A. Soprano is a 55-year-old white male who presented as an “emergency” to a psychologist at a local ER. After establishing rules of confidentiality he revealed he was a high level crime boss; essentially a mobster. Throughout the interview he spoke in a rather pronounced Brooklyn accent. He preferred to call himself “a highly creative business man.” The client’s chief complaint was a concern over a vague desire to “hurt” himself, sleep problems and was experiencing disturbing “thoughts that don’t make any sense.” He stated his thinking had become very negative, “and weighs heavy on me”, where he doesn’t see anything good or positive in his life, “and I’m normally a positive kinda guy.” Dr. Psychologist proceeded to request the client cooperate with psychological testing to help determine potential causes for the client’s reported problems. This included a clinical interview.
Mr. Soprano began his interview by telling a story about ordering a fellow mobster killed, “a couple months ago.” He said, “I liked the guy. He was my right hand man, but he screwed up Doc and coulda’ got me whacked so ahh, ya know, he had to go but I felt really bad about it. Hey ‘fergit’ about it, it was a business decision. Sometimes ya make those tough one’s but this one really bothered me ya know.” He stated he noticed in the days following, his thoughts would race and be dominated by feelings of guilt. In the last seven weeks, he went through periods of sleeping much more than normal or suffering from insomnia when he felt “stressed out and I don’t get stressed out, Doc. Normally I sleep like a baby.” He also related in the last month, he had been battling with the strong desire to stay home and “hibernate” and would struggle to fight the fatigue and loss of interest through these times “but I have a business to run. So I get out but most days I don’t wanna.” On the days where he simply couldn’t bring himself to leave home he said he sometimes hears voices telling him he is a “bad man” and deserves to die. He added he finds himself peering out the curtains fearing the cops will come arrest him at any moment. He added he’s noticed other changes that cause him concern, “I don’t know Doc, I used to really enjoy roughin’ people up a little. You know, gettin’ their attention, a busted finger or a knee, but here lately I don’t enjoy it so much.” He said these changes in his feelings, thoughts and behaviors had been going on for “a couple months.” When asked ...
Working With Clients With Dual Diagnosis The Case of Joe .docxambersalomon88660
Working With Clients With Dual Diagnosis: The Case of Joe
Joe is a 34-year-old, Caucasian male who came to the County Division of Social Services to
apply for General Assistance (GA) benefits. The GA program provides cash assistance, Medicaid
coverage, and housing for homeless single adults. Joe is in need of Medicaid benefits in order to
remain active in his treatment program. Joe is receiving treatment at the Mentally Ill Chemical
Abuser (MICA) partial hospitalization program at the local community mental health center for
clients who are dually diagnosed.
Joe has a dependence on marijuana, although he has stopped using it for approximately six
months, and has been diagnosed with major depressive disorder. He is being prescribed
medication. Joe reports that he is unable to work due to mental illness, and without an income or
health insurance, he is unable to obtain his medication. Joe reports that while he was enrolled as
a student at the state university, he would sell marijuana to other college students. Eventually, he
was arrested and convicted of possession with intent to distribute a controlled dangerous
substance (CDS) and served 3 years in prison. Joe has had no further arrests; however, he has not
been able to secure permanent housing or employment since his release. Joe reports that this
event has ruined his life. His lack of employment results from an inability to pass most
background checks. If he discloses that he was arrested, Joe reports that he is never called for
interviews. But when he once failed to disclose the information to the prospective employer, Joe
was terminated for lying on his application. Joe believes that he has little hope for future
employment.
Joe has few natural supports in his life. He reports that following the incarceration, his family
distanced itself from him and his girlfriend at the time broke up with him. He reports that his
only supports are his local Narcotics Anonymous (NA) sponsor and his mental health counselor.
Joe reports that his housing situation has been unstable and sporadic for the past 10 years. Joe’s
mental health counselor from the MICA program has contacted me to advocate for Joe’s
approval for benefits. I explained that under the current state regulations, Joe is ineligible for
benefits due to his CDS distribution conviction. The only program options that I can offer him
are food stamps and access to a homeless shelter outside of the county. The counselor explained
that relocation would cause a disruption to Joe’s mental health treatment and would cause him to
lose contact with his local NA sponsor. In response to the counselor’s concerns, I suggested that
Joe contact the local faith-based organization for assistance. Although they do not house single
males, they have an extensive network of volunteers, mentors, and donors who may financially
support people in need. I referred Joe to a program that offers bonding t.
Select one of the cases available in Engage. Using the Steps in.docxlvernon1
Select one of the cases available in Engage. Using the Steps in Ethical Decision Making on pp. 80-81, discuss how the social worker should handle the situation moving forward.
Your initial discussion board post should be no less than 250 words in length. Be sure to use APA style and format: in-text citations and references. You should also include a descriptive subject line in this initial post.
Vignette #1
A colleague of yours, Dr. Solomon, contacts you for advice regarding a new client she has just seen. The client, Mr. Don Tellanyone, is a 47-year-old man who is seeking services for depression. During the initial phone contact, he asked repeatedly about privacy and wanted assurances that information discussed in session was confidential. The patient repeated this line of questioning during the first face-to-face session. As the session progressed, he revealed that the source of his depression was the death of his mother one year ago. His mother had suffered from a combination of severe respiratory problems and Alzheimer’s. Mr. Tellanyone had been caring for her and his father in his home for 6 years prior to her death. During the last two years, she required total care. He revealed that she had been suffering greatly and, out of compassion for her, he gave her an excess dose of her sleeping and pain pills. Medical personnel never questioned the death as the woman had been quite sick and “It was only a matter of time.” Mr. Tellanyone goes on to explain that he is now caring for his father in similar circumstances, although there is no dementia. His father has declined rapidly since the death of his wife and now requires total care. Mr. Tellanyone reveals that recently he had a conversation with his father in which the father commented how peaceful his wife’s death was and how he hoped for a similar passing. Mr. Tellanyone is feeling quite guilty about his mother. Simultaneously, he strongly believes he made the right decision. He would like help to work through the issues. He is also very concerned about confidentiality and wants assurances from Dr. Solomon. Dr. Solomon, feeling uncomfortable with the situation, contacts you for a consultation about the potential ethical issues for this case.
Vignette #2
A social worker had an intake appointment with a new client. As soon as he looked at the intake form, he realized that she is the ex-wife of his former client. The therapy with the ex-husband was brief, and he focused on how he wanted to leave the marriage. The prospective client was using her maiden name and gave no indication that she had known about her ex-husband’s treatment with the psychologist. When asked about the reason for the referral, she said that her physician had referred her for anxiety. During the session, she stated that he is still in communication with her ex-husband because they share three children.
Vignette #3
Dr. Smith is a social worker who has worked with a young woman for about 9 months. The patient pr.
Generalist practice in social work is an approach to client servic.docxJeanmarieColbert3
Generalist practice
in social work is an approach to client service that makes use of a variety of methods, schools of thought, and perspectives. The term describes social work practice that is not limited to only one method or point of view. Generalist social work practitioners stay informed of current research in their field, and they select methods that seem most appropriate to the different situations that their clients face.
For this Assignment,
select one of the case studies provided in the Readings. Consider different ways of describing generalist practice and how you might identify it in social work.
Submit a 2- to 3-page paper in which you address the following criteria:
Create a definition of generalist practice using your own words.
Identify at least three specific examples of generalist practices you see portrayed in your selected case study.
Indicate the characteristics that make each an example of generalist practice.
Explain the effectiveness (or ineffectiveness) of each example in terms of its benefit to clients.
Reference
Plummer, S.-B., Makris, S., & Brocksen S. M. (Eds.). (2014).
Working with survivors of sexual abuse and trauma: The case of Angela
. In
Social work case studies: Foundation year.
Retrieved from http://www.vitalsource.com
Working With Survivors of Sexual Abuse and Trauma: The Case of Angela
Angela is a 27-year-old, Caucasian female, who first came to counseling to address her history of sexual abuse. She graduated from college with a BS in chemistry and has since been employed by pharmaceutical companies. After obtaining a new job, she relo¬cated to an apartment in an East Coast city where she knew no one. Both of Angela’s parents live on the West Coast, and she has one younger brother who also lives in a different state. Angela has limited contact with both her mother and brother and does not have any contact with her father. Angela is obese and disclosed a history of struggling with her weight and eating issues. She has few friends, and those she does have live far away.
Angela has a long history of trauma in her life. She was sexually abused between the ages of 9 and 21 by her father, sexually assaulted at the age of 14 by a classmate in school, and mugged as a young adult. There was domestic violence in the home, also perpetrated by her father. Angela’s father is considered an upstanding member of the community, and he is well liked and respected by others. No one in Angela’s family believes that she was sexually abused, and her father joined a “false memory syndrome” group and is outspoken about that issue. There has been little discussion in her family about what took place in the home while she was growing up.
Angela struggled with daily functioning and exhibited symp¬toms of post-traumatic stress disorder (PTSD). She had a history of cutting herself and binge eating and displayed some charac¬teristics of borderline personality disorder. Angela also mildly dissociated when under duress..
1 MHC 610 Client Case File Charles CJ” Jones You aAbbyWhyte974
1
MHC 610 Client Case File Charles “CJ” Jones
You are a counselor in an on-campus counseling center.
Charles “CJ” Jones is a 21-year-old, single, straight, African American and Lakota man who sought
treatment because he “feels lost,” withdrawn from friends, and “worried about money.” He said he had
been feeling increasingly depressed for two months, and he attributes this to two essentially concurrent
events: the end of a three-year romantic relationship (four months ago) and being unable to find his
ideal employment situation. Mr. Jones has been on a job search for around five months.
Mr. Jones has supported himself financially since high school and is accustomed to feeling nervous
about making ends meet. He has become more worried after breaking up with his longtime live-in
girlfriend, so he approached a family friend for financial help. He was turned down, leading him to feel
alone in his financial struggles. This disappointment revived long-standing anger and sadness about not
feeling close to and supported by either of his parents. His friends taunted him for “falling apart” over
wanting to be financially stable saying, “We’re young. You have time to figure this out!”
Mr. Jones is a full-time undergraduate student in his final year of college studying computer science; he
also works full-time as a midnight-shift warehouse worker. When he finishes his early-morning shift, he
finds it hard to “slow down,” and he has trouble sleeping. He has been looking for work daily and applies
for jobs that are less physically demanding, with more flexible hours, but never gets past the phone call
or interview. His appetite is unchanged, and his physical health is good. His grades have recently
declined, and he has become increasingly discouraged about money and about being single. He has not
previously sought mental health services, but a supportive cousin suggested seeing a counselor.
Mr. Jones was raised as an only child by his mother and her extended family who all identify as African
American. Mr. Jones reports that his extended family identifies as Baptist and, in his youth, he spent
some time with family members at church; however, he now identifies as spiritual rather than religious.
Mr. Jones describes that he has been drawn to exploring the spiritual beliefs and practices of the Lakota
Nation. Mr. Jones regularly keeps in touch with his maternal extended family.
Growing up, Mr. Jones mentioned he was a “good student and popular kid.” High school was
complicated by his mother’s two-year period of unemployment and his experimentation with alcohol
and marijuana. He recalled several heavy drinking episodes at age 14 and first use of marijuana at age
15. He smoked marijuana daily for much of his junior year and stopped heavy use under pressure from a
girlfriend. At the time of the evaluation, he had “an occasional beer” and limited marijuana use to
“being social” several times a month. Mr. Jones described ...
1
MHC 610 Client Case File Charles “CJ” Jones
You are a counselor in an on-campus counseling center.
Charles “CJ” Jones is a 21-year-old, single, straight, African American and Lakota man who sought
treatment because he “feels lost,” withdrawn from friends, and “worried about money.” He said he had
been feeling increasingly depressed for two months, and he attributes this to two essentially concurrent
events: the end of a three-year romantic relationship (four months ago) and being unable to find his
ideal employment situation. Mr. Jones has been on a job search for around five months.
Mr. Jones has supported himself financially since high school and is accustomed to feeling nervous
about making ends meet. He has become more worried after breaking up with his longtime live-in
girlfriend, so he approached a family friend for financial help. He was turned down, leading him to feel
alone in his financial struggles. This disappointment revived long-standing anger and sadness about not
feeling close to and supported by either of his parents. His friends taunted him for “falling apart” over
wanting to be financially stable saying, “We’re young. You have time to figure this out!”
Mr. Jones is a full-time undergraduate student in his final year of college studying computer science; he
also works full-time as a midnight-shift warehouse worker. When he finishes his early-morning shift, he
finds it hard to “slow down,” and he has trouble sleeping. He has been looking for work daily and applies
for jobs that are less physically demanding, with more flexible hours, but never gets past the phone call
or interview. His appetite is unchanged, and his physical health is good. His grades have recently
declined, and he has become increasingly discouraged about money and about being single. He has not
previously sought mental health services, but a supportive cousin suggested seeing a counselor.
Mr. Jones was raised as an only child by his mother and her extended family who all identify as African
American. Mr. Jones reports that his extended family identifies as Baptist and, in his youth, he spent
some time with family members at church; however, he now identifies as spiritual rather than religious.
Mr. Jones describes that he has been drawn to exploring the spiritual beliefs and practices of the Lakota
Nation. Mr. Jones regularly keeps in touch with his maternal extended family.
Growing up, Mr. Jones mentioned he was a “good student and popular kid.” High school was
complicated by his mother’s two-year period of unemployment and his experimentation with alcohol
and marijuana. He recalled several heavy drinking episodes at age 14 and first use of marijuana at age
15. He smoked marijuana daily for much of his junior year and stopped heavy use under pressure from a
girlfriend. At the time of the evaluation, he had “an occasional beer” and limited marijuana use to
“being social” several times a month. Mr. Jones described ...
1COUNSELING, RELATIONSHIP BUILDINGWrite a mock dialogue wi.docxdrennanmicah
1
COUNSELING, RELATIONSHIP BUILDING
Write a mock dialogue with a suicidal client. You may create a new scenario.
In your dialogue, demonstrate basic counseling skills, including reflective listening, empathy, and summarizing, as well as advanced skills like problem solving and goal setting. You will also need to demonstrate your sensitivity to the diversity characteristics of your client. Once you have agreed on a safety plan with your client, you will go on to develop goals and a treatment plan for future therapy sessions in collaboration with your client.
The dialogue portion of your project should be approximately half of the total length of your final paper. The rest of the paper should explain why you did what you did in the session based on empirical evidence from at least 20 references.
Abstract
Illustrated in this final assignment is a mock dialogue with a client expressing suicidal behaviors. Within the report, writer aims to demonstrate basic counseling skill like summarizing, empathy, reflective listening, problem solving, goal setting and cultural competency for diverse clients. Also included in the report will be treatment planning, goal setting and therapeutic plan developed with the client’s participation.
Counseling, Relationship Building, Goals, Treatment Planning
Introduction
Psychotherapeutic processes are in a constant level of flux across all aspects of psychological study. Amongst the most consistent questions posed by practitioners involves psychotherapeutic efficacy and efficiency. Through this constant intrigue a plethora of therapeutic processes has emerged. Theories rooted in the perspective of common factors to evidence based medical philosophies were being developed. The dimensions of the treatment setting were the only common factor across the varied processes. More specifically contributing procedures like therapist confidence, expectation for improvement and a therapeutic relationship rooted in warmth, understanding acceptance, kindness, trust and human wisdom (Castelnuovo, 2010).
Suicide is a constant concern when conducting psychological assessment for therapeutic considerations. Psychological practitioners should always include a risk assessment that allows them to gauge client’s potential for self-harm. An effectual suicide assessment consists of the following: 1) Mustering information related to the risk factors, protective factors and warning signs of suicide. 2) Amassing information on the patient’s suicide ideation, planning, desire, intent and behaviors. 3) Formulating a clinical resolution of risk with the information collected (Shea, 2009). The suicide rate is something that will also assist the practitioner in developing a sound suicide assessment. Suicide rate differs across all cultural factors. Females are more likely to attempt suicide than males although males are more likely to succeed. Native Americans report the highest suicide rate followed by white males but suicide among African-Ameri.
Running head VIGNETTE ONEVIGNETTE ONE 2VIGNETTE ONE .docxjenkinsmandie
Running head: VIGNETTE ONE
VIGNETTE ONE
2
VIGNETTE ONE
2
Vignette One
California Southern University
Vignette One
Question 1
Jack is unwilling association with women is due to his fear to get trapped in their love. This is a result of his mother’s unconditional love. His mother consistently gave him a warm, unconditional love. She constantly attempted to draw Jack under the care of her while securing him. She didn't give Jack time to act naturally and to communicate. Jack was limited to a life with instructions and reliance to his parents. Jack may have built up his character further from the time he began lacking parental control because of his folks' separation. He likewise built up an existence of self-will in his connections with the people around him. Jack lack of self-will made him feel less worth. Several drives might have originated to explain Jack’s view of his life as just an image and nothing more than that. Such drives include a feeling of anger and resentment. He was too reliant on his parent’s instructions thus lacking an opportunity to grow as an independent individual. Jack has chronic worry emanating from ruminative thoughts and an anticipation to failure.
The most probable explanation to his condition is presence of an aggressive drive. Aggression is basically a typical psychological feature in males. The organizing feature in males results from hormones within their body (Parsons & Zhang, 2014). Male species always feel the urge to control and organize issues around them. Jack’s mother did not allow him to experience control thus slow development of anger. Aggression might be resulting from a response to hardships, threats and injuries. Jack developed a hostile aggression that developed from fear, anger, frustrations, feeling of loneliness and pain. He developed a character of unwillingness to become vulnerable to people surrounding him. Jack lacked enough parental care since the divorce withdrew his mother’s unconditional love. The divorce did not stop her from loving him. Explain. These experiences are related to Jack’s current relationship with women. He relates lack of love to all women using his mother as a reference. Jack struggles to be independent since his mother overprotected him.
Question 2
Jack describes his father as a controlling and cruel person who had archaic ideas. Jack’s rejection of his father has a number of underlying psychological aspects. The feeling of hate towards his father is apparent and it resurfaces in Jack’s adult life. He deals with sadness, anger and rejection. Jack felt the need to escape from his father’s control thus creating a defense mechanism. He developed a defense mechanism of defiance. At the end, he ended up becoming the exact opposite of what his father wanted him to be. An over controlling father led to anxiety symptoms and thus Jack feels the urge to rebel. There are certain psychological factors and aspects involved in the way Jack rejects his father’s wishes. The .
Complete your treatment plan template ( I WILL COMPLETE THIS)for Eli.docxskevin488
Complete your treatment plan template ( I WILL COMPLETE THIS)for Eliza based on LAST WEEKS assignments findings. Additionally, write and submit a 700-1,050-word essay that includes the following:
The treatment theory you would use and why.
A description of how you would address any mental health, medical, legal, and substance use issues that the client exhibits in the case study through the lens of your counseling theory of choice.
Include at least three scholarly sources in your paper.
Submit the paper and the treatment plan to your instructor.(I WILL COMPLETE THE ATTACHED TREATMENT PLAN) I JUST WANTED YOU TO HAVE IT FOR REFERENCE, PLUS THE PAPER YOU WROTE LAST WEEK.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful
CLASS TEXTBOOK REFERENCE:
Schwitzer, A. M., & Rubin, L. C. (2014).
Diagnosis and treatment planning skills: A popular culture approach
(2nd ed.). Los Angeles, CA: Sage Publications. ISBN-13: 9781483349763
Here is the example BPS for eliza
PCN-610 Eliza D Psychosocial Example
Name: Eliza Doolittle Date: ********* DOB: ********
Age: 18 Start Time: 1:15p End Time: 2:00p
Identifying Information:
The client is a Caucasian female with average height and slender build. The client stated that she is currently a freshman in college, majoring in engineering. The client also stated that her family resides in a small town approximately two hours away.
Presenting Problem:
At the onset of the session, the client stated that she had come to counseling as a result of being caught in a campus dorm with alcohol (it is an alcohol-free campus). Concerning the incident, the client stated “the RAs were called because my friends were being too loud in my dorm. When they arrived, they saw us with alcohol, and we got in trouble.” The client stated that her friends in the dorm were intoxicated but she was not, adding, “I was just buzzed” and adding that she was drinking “because they were” and “it’s just something to do.”
Life Stressors:
The client identified school as a life stressor, adding “things came easy to me in high school, I just figured it would be the same in college”. The client went on to state that, in addition to the difficulty in increased study requirements, she had struggles in making friends, stating, “a lot of my friends from high school have either gone to college somewhere else or are doing other things,” although the client denied feeling lonely.
Substance Use:
Yes
No
The client denied having a drug or alcohol problem, adding that she tried marijuana once in high school but “I didn’t like how it made me feel” and had not taken it since. The client stated that she was introduced to alcohol in HS when “friends asked me to drink it with them.” The client .
Student Project There is no extension of the due date for t.docxflorriezhamphrey3065
Student Project
There is no extension of the due date for the project. Late projects will not be accepted. A grade of zero will be given if the project is not turned in on time. Hard copy of the paper must be turned in to this instructor on or before the due date . No electronic submission
Paper Requirements
Use the DSM V to identify a coded disorder and use the symptoms of that disorder to create a client and case vignette. The client you create should meet all the criteria for the diagnosis you select. See following page
Student project paper organization and points distribution:
· 2 pts APA cover (page 1)
· 3 pts APA format entire paper (running heads and citations etc.)
· 20pts Accurately completed Multiaxial sheet (page2)
· 50 pts Create a client and present your client in a narrative using clinical language and terminology to describe symptoms of a DSM disorder. DSM V guidelines and criteria. This section must be at least 4 pages long and no longer than 5 pages (pages 3, 4, 5, 6) you will be penalized 5 points for each ½ page short of the 4 page narrative.
Make this person real…
· What do you observe when you meet and speak with this client
· What does this client say and how do they say it
· Describe symptoms of your client that represent indicators for an Axis I diagnosis
· Include medical issues. You must include at least one medical from Axis III
· Describe background and environmental contributors to the diagnosis at least three Axis IV factors Also provide demographics, age, race, sex etc…
· Discussion of the GAF explains criteria as it relates to your client (a paragraph 5pts.)
· You must give your client at least one assessment/ inventory/test relevant to confirming your diagnosis (depression inventory, substance abuse, OCD, bipolar or anxiety inventory etc...)
· Discuss and explain the results of the inventory ( a paragraph 5pts)
· Justify your diagnosis using DSM V criteria, terms and rule outs.( a paragraph 5pts)
· Use information secured from your two peer reviewed journal articles on the subject of the diagnosis to support your diagnosis,(a paragraph for each article 10pts)
· 10pts APA Resource/ reference page (page 7or 8) you must use and document the following:
· DSM V
· You must use, document and cite in text, at least two peer review journal articles on the topic of your diagnosis.
· The articles appear in reputable psychological research journals.
· Articles must have a publication date of 2001 to present.
· Document where you secured your assessment
· 10pts Appendix Place a copy of the inventory/assessment you used with your client in the appendix
Multiaxial Assessment
Multiaxial Evaluation Report Form
AXIS I: Clinical Disorders
Other Conditions That May Be a Focus of Clinical Attention
Diagnostic code DSM-IV name
___________ ___________________________________________
AXIS II: Personality Disorders Mental Re.
To prepare Use a differential diagnosis process and analysis maryettamckinnel
To prepare:
Use a differential diagnosis process and analysis of the Mental Status Exam in "The Case of L" to determine if the case meets the criteria for a clinical diagnosis.
Questions:
Provide the full DSM-5 diagnosis. Remember, a full diagnosis should include the name of the disorder, ICD-10-CM code, specifiers, severity, and the Z codes (other conditions that may need clinical attention).
Explain the full diagnosis, matching the symptoms of the case to the criteria for any diagnoses used.
Identify 2-3 of the close differentials that you considered for the case and have ruled out. Concisely explain why these conditions were considered but eliminated.
Identify the assessments you recommend to validate treatment. Explain the rationale behind choosing the assessment instruments to support, clarify, or track treatment progress for the diagnosis.
Explain your recommendations for initial resources and treatment. Use scholarly resources to support your evidence-based treatment recommendations.
Explain how you took cultural factors and diversity into account when making the assessment and recommending interventions.
Identify client strengths, and explain how you would utilize strengths throughout treatment.
Identify specific knowledge or skills you would need to obtain to effectively treat this client, and provide a plan on how you will do so.
These questions are based on the following case:
The Case of L Presenting Problem Client presented in the emergency room (ER) having been brought in the previous night by her parents. Following an argument with her parents, L cut her right wrist. L's mother reported that L started screaming rapidly and became physically violent toward her prior to cutting her own wrist. Psychological Data L is a 17-year-old Hispanic female who resides in Pennsylvania with her mother, father, and older sister. She is in 11th grade at the local public school. L appeared to be of average to above-average intelligence, as she was able to respond to numerous questions in an articulate and intelligent manner. She was well versed about world history and current affairs. Her mother confirmed that she has done well in school, maintaining a B+ average and participating in various school activities (e.g., chorus, school paper) until last year. L slowly dropped out of many activities she liked in the past. Her mother noticed about 8 months ago that L had also begun having difficulty doing schoolwork. Erratic behavior arose during episodes when L also became irritable and explosive. During these repeated episodes, she became quite defiant, cut classes, had to be placed in school detention, and had even assaulted the principal. L has numerous friends and believed she can relate to all types of people. She has a boyfriend who adores her, but she said she doesn't feel the same about him. The school counselor confirmed that L is outgoing, popular, and smart; but during these episodes she became another person, one who is very ...
12Working With FamiliesThe Case of Carol and JosephCa.docxAlyciaGold776
12
Working With Families:
The Case of Carol and Joseph
Carol is a 23-year-old, heterosexual, Caucasian female and the
mother of a 1-year-old baby girl. She is currently unemployed,
having previously worked for a house cleaning company. The
baby is healthy and developmentally on target, and she and the
parents appear to be well bonded with one another. Carol lives in
a rented house with her husband, Joseph. Joseph is a 27-year-old,
heterosexual, Hispanic male. He was recently arrested at their
home for a drug deal, which he asserts was a setup. Both parents
were charged with child endangerment because weapons were
found in the child’s crib and drugs were found in the home. The
parents assert that the child never sleeps in the crib but in their
bed. As a result of the parents’ arrest, social services was notified,
and the child was temporarily placed in a kinship care arrangement
with the maternal grandmother, who resides nearby. As a
result of Joseph’s arrest, he was fired from the cleaning company
where he worked, and the family is now experiencing financial
difficulties.
After initial contact was made with the parents, a number of
concerns were noted and the family was recommended for additional
case management. Carol’s mother indicated that she had
concerns about Carol’s drinking habits and stated that Carol’s
father and grandfather were alcoholics. She and the father separated
when Carol was a baby, and Carol has had only limited
contact with him. There appears to be significant tension between
the grandmother and Carol and Joseph. I addressed the alcohol
issue with both parents, who denied there was a problem, but
shortly after the discussion, Carol was involved in a serious car
accident with the baby in the car. She was determined to have been
under the influence of alcohol. I advised Carol that she could not
have any unsupervised contact with her child until she completed
intensive inpatient substance abuse treatment. I made arrangements
for her placement, but after a week, she was discharged
for noncompliance with the rules. She was then referred to an
intensive outpatient program and began therapy there. Initially
her attendance was erratic because she had lost her license as a
result of the DUI. Eventually, however, she became engaged in the
program and began to address her issues. She acknowledged that
she had started using drugs at a very young age but said that she
had only begun drinking in the previous year or so. We discussed
the genetics of her family, and she said that she realized that she
had deteriorated rapidly since beginning to drink and knew that
she simply could not drink alcohol.
Joseph’s mother is deceased, and his father travels extensively
in his job and is not available as a support. Joseph was
very devoted to his mother and was devastated by her premature
death. We discussed the strengths that he and Carol demonstrated
in staying together and working out their p.
Sample of Process Recording #21 of 3.docxjeffsrosalyn
Sample of Process Recording #2
1 of 3
PROCESS RECORDING OUTLINE
Student’s Name: Minerva Garcia Client’s Name:
JS
Interview Date: 03/14/07 Session #: 7
I.
PURPOSE OF THE SESSION: To address my concern about Pt’s health and emotional state, refer Pt. to a mental health center, help him cope with the seriousness of his mental health, and assist Pt. will setting up an appointment with a local mental health center.
II.
OBSERVATION: Pt. was affected when I voiced my concern; however he also recognized that he is also worried that he is going to harm himself. Pt. was disappointed and discouraged to seek these professionals help because he has previously been turned away by a couple of the mental health centers on the list that I gave him. He did not want to accept help from his family and repeated affirmed that they would not be able to help him financially to pay to seek this help.
III.
CONTENT: The content is from the middle of the session.
SUPERVISORY
COMMENTS
INTERVIEW CONTENT (I said, she said)
STUDENT’S GUT LEVEL FEELINGS
CLIENT’S FEELINGS/AFFECT
IDENTIFY INTERVENTIONS & MAJOR THEMES
I said: “I want to make sure that you understand why I am referring to you a mental health center. As I told you in the beginning of this session I am concerned about your mental health, you need to seek further professional help which I can not provide. ”
He said: “(puts his head down for a moment) I know that I need help. My mother said that if you can recommend me to a see a psychologist? She said that I need help. ”
I said: “Yes. That is what I am going to do, but I want to make sure that you understand the reason why I am doing this. ”
He said: “(Nods his head) I understand because like I told you before I don’t plan on harming myself, I just do it. Like when I made these scratches here (points at his lower forearm) I was frustrated that I kept doing these to my arm and I didn’t feel it.”
I said: “ Yes. This is why your mother and everyone at this clinic is concerned about your mental health state. Because if you made scratches with a knife and you didn’t feel it, you can do other serious things to yourself which can puts your life in endanger.”
He said: “Where are you calling? Where am I going to ? I have already been to this one place by Van Nuys and it is called something like El Nido and they didn’t help me. From the outside it looks like it’s a building for kids but they also help adults. ”
I said: “Well, here I have a list of different mental health centers and I am going to refer you to once that is more closer to your house. (I show him the list) I was planning of referring you to this clinic (I am pointing to the clinic located in Van Nuys) its called the center of family living have you been there before?”
He said: “I think so. Is it the one that is locate.
The Levy FamilyJake Levy (31) and Sheri (28) are a married Cauca.docxcdorothy
The Levy Family
Jake Levy (31) and Sheri (28) are a married Caucasian couple who live with their sons, Myles (10) and Levi (8), in a two-bedroom condominium in a middle-class neighborhood. Jake is an Iraq War veteran and employed as a human resources assistant for the military, and Sheri is a special education teacher in a local elementary school. Overall, Jake is physically fit, but an injury he sustained in combat sometimes limits his ability to use his left hand. Sheri is in good physical condition and has recently found out that she is pregnant with their third child.
As teenagers, Jake and Sheri used marijuana and drank. Neither uses marijuana now but they still drink. Sheri drinks socially and has one or two drinks over the weekend. Jake reports he has four to five drinks in the evenings during the week and eight to ten drinks on Saturdays and Sundays. Neither report having criminal histories.
Jake and Sheri identify as being Jewish and attend a local synagogue on major holidays. Jake’s parents are deceased, and he has a sister who lives outside London. He and his sister are not very close but do talk twice a year. Sheri is an only child, and her mother lives in the area but offers little support. Her mother never approved of Sheri marrying Jake and thinks Sheri needs to deal with their problems on her own. The couple has some friends, but due to Jake’s recent behaviors, they have slowly isolated themselves.
My first encounter with Jake was at an intake session at the Veterans Affairs Health Care Center (VA). During this meeting, Jake stated that he came to the VA for services because his wife had threatened to leave him if he did not get help. She was particularly concerned about his drinking and lack of involvement in his sons’ lives. She told him his drinking had gotten out of control and was making him mean and distant. Jake had seen Dr. Zoe, a psychiatrist at the VA, who diagnosed him with post-traumatic stress disorder (PTSD). Dr. Zoe prescribed Paxil to help reduce his symptoms of anxiety and depression and suggested that he also begin counseling.
During the assessment, Jake said that since his return to civilian life 10 months ago he had experienced difficulty sleeping, heart palpitations, and moodiness. He told me that he and his wife had been fighting a lot and that he drank to take the edge off and to help him sleep. Jake admitted to drinking heavily nearly every day. He reported that he was not engaged with his sons at all and he kept to himself when he was at home. He spent his evenings on the couch drinking beer and watching TV or playing video games. When we discussed Jake’s options for treatment he expressed fear of losing his job and his family if he did not get help. Jake worked in an office with civilians and military personnel and mostly got along with people in the office. Jake tended to keep to himself and said he sometimes felt pressured to be more communicative and social. He was also very worried that Sheri woul.
· Referral information Client reported that she has been struggli.docxalinainglis
· Referral information: Client reported that she has been struggling with her mental health and symptoms have been worsening since last year. Being recommended by CMH to agency. Client said she wants to "Getting to what I used to be, being able to get to a functioning level, take care of my child and work". Specifically need therapy, case management.
· History of presenting problem(s):
· She reported that she sleeps all day, has difficulties getting out of bed, has low energy, low motivation and has been unable to attend work, has been hopelessness, worthlessness, isolating and not able to tend to her activities of daily living. Stated that she has been endorsing symptoms of depression for "quite a while" and the past several months things have been worsening.
· She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019. She also has history of suicide attempts prior to the most recent attempt stating that in the past she "has many overdoses mostly on pills that were prescribed and Tylenol". She reported a history of self-harming thoughts and behaviors. Stated that in the summer and fall of 2019 she has cut self and prior to that she hasn't cut herself since her early 20s.
· Client works at a Senior day program in Ypsilanti and has housing at this time however is at risk of losing employment and housing due to her worsening symptoms and inability to care for herself.
· Bio-psycho-social-spiritual history:
· Biological domain: Client is a 35years old female-single with two children. White. She reported that she was previously on the following: Paxil, Celexa, Lexapro however all have been discontinued and uncertain why.
· Psychological domain: Denied any auditory of visual hallucinations or paranoia. She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019 with an attempt in august.
· Social domain: Born and raised in Dexter by both parents. Her parents are still together and alive. She has three siblings (two brothers and a sister) and client is the middle child. She stated that her siblings and her "get along but aren't super close". She reported a history of sexual assault.
She shares custody of her 4years old son with her ex. Her son has been staying mostly with his father due to her worsening depression. She stated that she hopes to get better soon so he can return to her home. She stated that when she spends time with her 4 years old son she feels "drained" after her son leaves. She worked at the senior center after earned a Bachelors in Social Work at EMU. Is at risk of losing her employ.
· Referral information Client reported that she has been struggli.docxodiliagilby
· Referral information: Client reported that she has been struggling with her mental health and symptoms have been worsening since last year. Being recommended by CMH to agency. Client said she wants to "Getting to what I used to be, being able to get to a functioning level, take care of my child and work". Specifically need therapy, case management.
· History of presenting problem(s):
· She reported that she sleeps all day, has difficulties getting out of bed, has low energy, low motivation and has been unable to attend work, has been hopelessness, worthlessness, isolating and not able to tend to her activities of daily living. Stated that she has been endorsing symptoms of depression for "quite a while" and the past several months things have been worsening.
· She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019. She also has history of suicide attempts prior to the most recent attempt stating that in the past she "has many overdoses mostly on pills that were prescribed and Tylenol". She reported a history of self-harming thoughts and behaviors. Stated that in the summer and fall of 2019 she has cut self and prior to that she hasn't cut herself since her early 20s.
· Client works at a Senior day program in Ypsilanti and has housing at this time however is at risk of losing employment and housing due to her worsening symptoms and inability to care for herself.
· Bio-psycho-social-spiritual history:
· Biological domain: Client is a 35years old female-single with two children. White. She reported that she was previously on the following: Paxil, Celexa, Lexapro however all have been discontinued and uncertain why.
· Psychological domain: Denied any auditory of visual hallucinations or paranoia. She reported that she currently doesn't have any thoughts of hurting self however has a history of suicidal thoughts including attempts. Stated that she has had suicidality all throughout the Fall of 2019 with an attempt in august.
· Social domain: Born and raised in Dexter by both parents. Her parents are still together and alive. She has three siblings (two brothers and a sister) and client is the middle child. She stated that her siblings and her "get along but aren't super close". She reported a history of sexual assault.
She shares custody of her 4years old son with her ex. Her son has been staying mostly with his father due to her worsening depression. She stated that she hopes to get better soon so he can return to her home. She stated that when she spends time with her 4 years old son she feels "drained" after her son leaves. She worked at the senior center after earned a Bachelors in Social Work at EMU. Is at risk of losing her employ ...
This has the therapist and client conversationCase Conceptuali.docxchristalgrieg
This has the therapist and client conversation
Case Conceptualization and Treatment Plan
Develop a clear and thorough understanding of the presented case in the video shown in class.
Write a 2,800- to 3,500-word paper using the Clinical Case Study Guidelines document to prepare your analysis of the video presented in class.
Review your notes taken during the counseling session presented in class. Use the DSM 5 and additional professional sources as you explore the client's situation, potential diagnosis, treatment planning, and legal and ethical concerns.
Select a theoretical orientation to complete the analysis of the client.
Discuss the presenting problem from the theoretical perspective, and include language from the theory throughout the case conceptualization. Include the following:
•Summarize the client's background and present living situation, addressing diversity and the human life cycle.
•Discuss the client's present level of functioning and provide examples from the Unnamed Video to support your assessment.
•Identify the client's key problems and issues. Discuss which problems the client is experiencing and why the client is having these problems.
•Propose a theoretical orientation that would be appropriate to use with this client and discuss the theory and application.
•Provide a logical and rational assessment of the client and a diagnosis that is consistent with the assessment. Support the diagnosis using the DSM 5 and other research.
•Identify appropriate goals and interventions that are consistent with the assessment, diagnosis, and theoretical orientation. Discuss how these might be addressed within the treatment sessions.
•Recommend psychometric tools that would be appropriate for further assessing the client's needs based on background and diagnosis. Justify your recommendations.
•Identify thoughts and behaviors that you would use as criteria to determine readiness for successful client termination.
•Identify important legal and ethical issues and propose resolutions. Support your resolutions with appropriate codes of ethics and legal statutes.
•Use peer-reviewed sources to support your ideas throughout the paper.
Format your paper consistent with APA guidelines.
4 goals – 3 short term and 1 long term each having 3 interventions = 12 interventions. No objectives only goals and interventions.
CLIENT NAME: LIZ
DATE OF BIRTH:
PHONE:
PRIMARY LANGUAGE: English
EDUCATION:
REFERENCE BY: Friend
OCCUPATION: Homemaker
ASSESSMENT DATE: 01/05/2017
EVALUATED BY:
DESCRIPTION OF THE CLIENT The client is a 34-year-old woman Hispanic female, dressed casually and neat, clean clothing. She made normal eye contact, she spoke in expressive voice, and appeared sad manifested by tears. PRESENTING PROBLEM The client reports for the past two months her experiencing hopelessness, depression and anxiety because of negative core beliefs that she is inadequate, worthless and a failure. The client reports “I have a lot on my ...
Assignment2Due Week 3This assignment provides the oppo.docxedmondpburgess27164
Assignment
2
Due Week 3
This assignment provides the opportunity for you to demonstrate your ability to apply the concepts covered throughout the course. This assignment MUST be typed, double-spaced, in APA style, and must be written at graduate level English.
You must integrate the material presented in the text
and cite your work according to APA format.
Culture and Legal/Ethical consideration are required
. [This information can be found in Part I as well as in chapters throughout the course text]. You are also encouraged to use outside cultural resources to enhance your understanding.
Use the Case of Stan and Case of Gwen as a guide to theoretical application, referencing in APA style.
See Sample Vignette Analysis located under Resources
Your response to
each
vignette should be 1-2 pages
per vignette
for a total of
5-6 pages for the entire assignment
plus
a title and reference page.
Do not copy and paste the vignettes into your written response
Vignette One
Jack, a 28-year old man, tells you: “Most of my life I have felt pushed and pulled. My father pushed me into school, sports, and so forth, and over the years my resentment grew for him. He was always directing and controlling my life and beating me when I challenged his authority. My mother always gave me a warm, unconditional love and tried to pull me under her protective wing. My parents divorced when I was 18 and without parental control I began a life of self-will in my relationships and in my use of drugs and alcohol. On graduating from college, I rejected my father’s wishes to pursue a career and returned to school to seek another degree. In some ways it’s just a place to be that I like. Most of my life revolves around living for today, a hedonistic style that has no concreteness of goals and aspirations, with a lack of definition of `what a man should be.’ I float in and out of people’s lives. They see an image of me as a despoiler of women, a drug freak, and a cold bastard. My fear is that I am nothing more than that image, that I am empty inside. I want to be able to open up and let people see the warmer, more sensitive sides of me, but I have terrible difficulty doing that. I have a strong need to become close and intimate with others, yet I never let myself become vulnerable because I fear being dependent on them and trapped by their love.”
Assume that Jack comes to you for personal therapy and that all you know about him is what he told you above. Answer the following questions on how you might proceed with Jack
within a Psychoanalytic frame of reference:
1. As a psychoanalytic therapist, do you think that Jack’s current unwillingness to become vulnerable to others out of his fear of “being dependent on them and trapped by their love” has much to do with his mother’s unconditional love? How might this experience be related to his relationships with women now?
2. Jack describes his father as an authoritarian, controlling, and cruel .
Chapter 10 Check PointAnswer the following questions. Please.docxzebadiahsummers
Chapter 10 Check Point
Answer the following questions. Please ensure to use the Author, YYYY APA citations with any content brought into the assignment.
What are Anomalies/Outliers? And what are some variants of Anomaly/Outlier Detection Problems?
What are some Challenges and Work Assumptions of Anomaly Detection?
Explain the Nearest-Neighbor Based Approach and the different ways to Define Outliers.
Explain the Density-based: LOF Approach.
Provide the General Steps and Types of Anomaly Detection Schemes.
.
Chapter 10 Case Project 10-2 two page report double spaceCas.docxzebadiahsummers
Chapter 10: Case Project 10-2: two page report double space
Case Project 10-2: Discovering Web Application Attack Tools
After discovering that Alexander Rocco Corporation has multiple Web servers running on different platforms, you wonder whether your security tools can asses Web applications vulnerabilities throughly. You have only two tools for conducting Web security tests: Wapiti and Wfetch. Based on the information write a two page report on other tools for security testers conducting Web applications vulnerability testing. Use the skills you have gained to search the Internet and explore the Kali DVD to find tools for Windows and *nix platforms. The report should state the tool's name, describe the installation method, and include a brief description of what the tool does.
Chapter 11: Case Project 11-1- one-page report
Case Project: Determining Vulnerabilities of Wireless Networks
After conducting a security test on the Alexander Rocco network, you discover that the company has a wireless router configured to issue IP addresses to connecting stations. Vistumbler indicates that channel 6 is active, the SSID is linksys, and WEP is enabled. Based on this information, write a one-page report listing possible vulnerabilities of the WLAN’s current configuration. Your report should include recommendations for improving wireless security.
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Chapter 1 provided a high-level overview of the Information Syst.docxzebadiahsummers
Chapter 1 provided a high-level overview of the Information Systems Security Policy Management:
Information Systems Security (ISS). What is it? The act of protecting information and the systems that store, process and transmit
Why is ISS needed? ISS provides a foundation for establishing protection of systems and data against risks such as: Unauthorized access and Use, Disclosure, System Disruption, Modification or Corruption
Destruction
After reading chapter 1 and looking at the ISS Management Life Cycle.
Let’s look at a real-world scenario and discuss what C-I-A Triad is all about.
You must do the following:
1) Create a new thread. As indicated above,
please explain how DHS should handle the situation described in the preceding paragraph.
.
Chapter 1 Intro to Policy Making in a The Digital Age.docxzebadiahsummers
Chapter 1: Intro to Policy Making in a The Digital Age
CHAPTER SUMMARY: Summarize chapter presented during the week. Identify the main point (as in "What's your point?"), thesis, or conclusion of the key ideas presented in the chapter.
SUPPORT: Do research outside of the book and demonstrate that you have in a very obvious way. This refers to research beyond the material presented in the textbook. Show something you have discovered from your own research. Be sure this is obvious and adds value beyond what is contained in the chapter itself.
EVALUATION: Apply the concepts from the appropriate chapter. Hint: Be sure to use specific terms and models directly from the textbook in analyzing the material presented and include the page in the citation.
SOURCES: Include citations with your sources.
Use APA style citations and references.
.
Chapter 1 discussed the expansion of the European intermodal rai.docxzebadiahsummers
Chapter 1 discussed the expansion of the European intermodal rail-road freight transport (EIT) under the European Union. Chapter 2 explores the development of intermodal transportation in the United States.
Instructions:
In 2-3 pages maximum, discuss the impact (negative and positive) that regulation/deregulation has had on the growth and/or continued growth of intermodal transportation in both countries. Ensure you site specific examples in your paper. You are encouraged to use the internet and other sources to support your discussion.
Submission Instructions:
Please attach the assignment in Word Format. Format your paper consistent with APA guidelines.
.
Change is an activity and mindset that many resists. Kotter proposed.docxzebadiahsummers
Change is an activity and mindset that many resists. Kotter proposed a “dual operating system” for accelerating change.
1. What are the main reasons why people resist change? (support response with academic sources).
2. Then, give an example when YOU were resistant to change. Explain what the change was about, why you resisted, and what was the outcome.
3. Describe Kotter’s idea of a dual operating system for making change happen in an accelerating world. (and support your answer). Then provide a critical assessment.
.
Chapter 1 Government Boss, financial partner, regulator – Entrepre.docxzebadiahsummers
Chapter 1: Government: Boss, financial partner, regulator – Entrepreneurs in mixed economies
Chapter 3: Electronic innovation and the government: David Sarnoff creates the RCA empire
Chapter 5: Speeding voice and data traffic worldwide: Network microprocessors from RMI
Chapter 7: Implementing information technology across the globe
Ives, B., & Jarvenpaa, S.L. (1991). Applications of Global Information Technology: Key Issues for Management. MIS Quarterly, 15(1), 33. https://doi.org/10.2307/249433
Chapter 9: Kressel, H., & Lento, T. V. (2012).
Entrepreneurship in the Global Economy : Engine for Economic Growth
. Cambridge, UK: Cambridge University Press.
7
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Chapter 1 Combating terrorism has entailed restrictions on civil li.docxzebadiahsummers
Chapter 1: Combating terrorism has entailed restrictions on civil liberties. How can we reconcile civil liberty and national security? Are we better off opting for more liberty or more security? Are the two goals mutually exclusive? Have Americans become less supportive of the limitations on liberty put into place after the terror attacks in 2001, or do they still perceive that it makes sense to give up some liberties in order to feel more secure?
.
Chapter 1 Evaluation and Social Work Making the ConnectionP.docxzebadiahsummers
Chapter 1 Evaluation and Social Work: Making the Connection
Page 4
Let’s begin by considering three important questions: 1. Is evaluation an important area of social work? 2. Is the evaluator role an important one for social workers? 3. How can evaluations help improve or enhance social work interventions? These questions may be your questions as you begin to read this book. They are questions that many social work students and practitioners have pondered. This book is about evaluation so the responses to the first two questions, in brief, will be no surprise to you. Yes, evaluation is an important area of social work. Further, the evaluator role is an important role for every social worker to prepare to assume. Some social workers will be evaluators of programs, and virtually every social worker will be an evaluator of their own practice. It’s like asking whether social workers need to know whether they are doing a good job, or asking them if they know whether their interventions are effective in helping their clients. The third question, asking how evaluation can help improve social work interventions, is the focus of this text.
The underlying theme driving the book is that evaluation is a vital element of any social work approach and is critical for ensuring that social work actually does work! A reassuring theme is that evaluation is a practice area that BSW and MSW students and practitioners alike can learn. Social workers and students wanting to maximize their impact in their jobs will find that the perspective, knowledge, ethics, and skills of evaluations covered in this book are a central component of practice and ensure that you will have a much greater impact on your clients’ well-being. This book provides the needed preparation for evaluation in both a comprehensive and a readable format. The primary emphasis is on the various kinds of small and mid-range formative evaluations that are often implemented at the local agency level; less emphasis is placed on the large, com-plex national and regional studies that may draw the most coverage under the title evaluation. These smaller formative evaluations are also the critical ones that social work students and graduates either are assigned or should consider taking on in their field placements and employment agencies. Such
Page 5
evaluations often are instrumental in determining whether the programs in which you are working will continue and possibly expand. Example of a Small, Formative Evaluation An agency that provides an anger management program to perpetrators of domestic violence offers a series of ten psychoeducational group sessions to help them manage their anger. The agency also conducts an evaluation of this program that is integral to it. An anger management scale is used to measure changes that occur in the participants’ anger after they have completed all ten sessions of a group program. Throughout the series, the specific items of the anger management scale (e.g., be.
Changes in the Human Figure in ArtYou likely noticed that during.docxzebadiahsummers
Changes in the Human Figure in Art
You likely noticed that during the two hundred years covered in this week’s study there were radical changes in how the human figure is depicted in Italy, from something that was highly stylized to an idealized form that looked more real yet was strongly influenced by the Classical Age of ancient Greece and Rome. In Northern Europe, however, depiction of the human form remained somewhat stylized.
Use the textbook and/or online sources to locate and capture three works of art.
one from the Early Renaissance (fourteenth century, 1300–1399)
one from the Northern European Renaissance (fifteenth century, 1400–1499)
one from the Italian Renaissance (fifteenth century, 1400–1499)
Your works of art must either be all paintings or all sculptures.
First, place images of your selected works in a Word document. Then do the following:
For each work identify:
The artist
Title of the work of art
The date(s) it was created
The medium or materials used to create the work of art, such as oil paint, marble, etc.
Where the work is located now.
In a
well-developed
paragraph, provide at least two important historical facts about each work.
In another well-developed paragraph, describe how each artist depicted the human figure, supporting your observation using art historical vocabulary from this week's reading.
Then, In a 6–10-sentence concluding paragraph:
Compare and contrast how the depiction of the human figure has changed. Be sure to note such things as general appearance of the figures; their body types; whether the figures have been stylized, elongated, or idealized; and whether their clothing, colors, and other visual details have changed.
Based on your reading and what you learned from the historic facts you have for each work of art discuss what may have been influencing factors behind these changes.
Offer a citation of your sources for each image and the information provided as appropriate.
.
Chapter #131. Explain the terms Computationalism and Culturalism.docxzebadiahsummers
Chapter #13
1. Explain the terms Computationalism and Culturalism and their effects on Learning
2. Explain the implications of Pedagogy and Social practices in the development of adult learners
Chapter #15
3. According to Ziehe (2018), what are some normal Learning problems in youth. Name and explain at least 3
Chapters #16 and #17
4. Describe the four components of the Social Theory of Learning
5.Explain the Psychological theories:
a. Behaviorist
b. Cognitive
d. Social Learning
.
chapter 8 notes – Asian Americans model minoritieschapter b.docxzebadiahsummers
chapter 8 notes – Asian Americans: model minorities?
chapter begins with a story of a sociologist, riding in a taxi
- he was born in the US of Japanese heritage (grandfather came to US in 1880s)
- taxi drive asks him how long he was in the US (the answer is since birth)
- brings up the perception of ‘other’ around Asian Americans
focus of this chapter: Chinese Americans and Japanese Americans (oldest Asian groups in the US; often considered to be ‘model minorities’)
- model minorities stereotype: successful, affluent, highly educated, not suffer from minority group status (remember this is a stereotype)
why an increase in immigration from the Philippines and India into the US?
- both colonized
— India by Britain
— Philippines 1st by Spain, then the US
current demographics
- Asian Americans are about 5.6% of the total population (2012) – see table 8.1 above
— contrasted with African Americans (13%) and Hispanic Americans (16%)
- overall, rapid growth in numbers of Asian Americans in US recently
— one reason: immigration changes in 1965
— one of the largest growing groups – Asian Indians
— rapid growth is expected to continue
- 10 largest Asian groups in fig 8.1 below
- high percentage of foreign born in Asian American population
— 88% of Asian Americans are either 1st generation (foreign born) or 2nd generation (their children)
— — see figure 8.2 below
- similar to Hispanic Americans, Asian Americans are
+ likely to identify with country of origin 1st
origins and cultures
great diversity in languages, cultures, religions
- Asian cultures are much older than the founding of the US
- these cultures are quite different from each other, but there are some similarities
similarities:
- group membership is more important than the individual
— some of above from Confucianism which emphasizes a person is one part of the larger social system, one part of the status hierarchy
— — therefore loyalty to group, conformity to societal expections and respect for superiors are important
- it is important to be sensitive to the opinions and judgements of others; avoid public embarrassment, giving offence
— guilt / shame dichotomy
— — Asian cultures: emphasis on not bringing shame to the family / group from others (if someone goes against societal expectations, they are bringing shame onto their family / group)
— — — emphasis on proper behavior, conformity to convention and how others judge one, avoid embarressment (to self or to others), avoid personal confrontations
— — — overall desire to seek harmony
— — Western culture emphasizes individuals develop personal consciences and we need to avoid guilt (if someone goes against societal expectations, they are guilty of ... — Westerners guided by personal sense of guilt)
- generally (but not always) traditionally patriarchal
— in China foot binding was practiced for many generations
the above tendencies are more likely for individuals new to the US, but not as likely for individuals / families in the U.
CHAPTER 1 This list below indicated various audits, attestation,.docxzebadiahsummers
CHAPTER 1: This list below indicated various audits, attestation, and other engagements involving auditors.
1. A report on the effectiveness of internal control over financial reporting as required by Section 404 of the Sarbanes-Oxley Act.
2. An auditor’s report on whether the financial statements are fairly presented in accordance with International Financial Reporting Standards.
3. An engagement to help a company structure a merger transaction to minimize the taxes of the combined entities.
4. A report stating whether the company has complied with restrictive covenants related to officer compensation and payment of dividends contained in a bank loan agreement.
5. A report on the effectiveness of internal controls at a company that provides payroll processing for other companies.
6. An examination report stating whether a company’s statement of greenhouse gas emissions is presented in conformity with standards issued by the World Business Council for Sustainable Development and the World Resources Institute.
7. Evaluating the voting process and certifying the outcome for Rolling Stones Magazine’s “Greatest Singer of All Time” poll.
8. A report indicating whether a governmental entity has compiled with certain government regulations.
9. A review report that provides limited assurance about whether financial statements are fairly stated in accordance with U.S. GAAP.
10. A report about management’s assertion on the effectiveness of controls over the availability, reliability, integrity, and maintainability of its accounting information system.
11. An evaluation of the effectiveness of key measures used to assess an entity’s success in achieving specific targets linked to an entity’s strategic plan and vision.
Required
a. Explain the relationships among audit services, attestation services, and other assurance and no assurance services provided by CPA’s.
b. For each of the services listed above, indicate the type of service from the list that follows.
(1) An audit of historical financial statements.
(2) An attestation service other than an audit service.
(3) An assurance or no assurance service that is not an attestation service.
1-21. Dave Czarnecki is the managing partner of Czarnecki and Hogan, a medium-sized local CPA firm located outside of Chicago. Over lunch, he is surprised when his friend James Foley asks, him, “Doesn’t it bother you that your clients don’t look forward to seeing their auditors each year?” Dave responds, “Well auditing is only one of several services we provide. Most of our work for clients does not involve financial statement audits, and our audit clients seem to like interacting with us.”
a. Identify ways in which a financial statement audit adds value for clients.
b. List other services other than audits that Czarnecki and Hogan likely provides.
c. Assume Czarnecki and Hogan has hired you as a consultant to identify ways in which they can expand their practice. Identify at least one additional service that .
Challenges and Resources for Nurses Participating in a Hurrica.docxzebadiahsummers
Challenges and Resources for Nurses Participating in a Hurricane
Sandy Hospital Evacuation
Nancy VanDevanter, RN, DrPH1, Victoria H. Raveis, PhD2, Christine T. Kovner, RN, PhD3, Meriel McCollum,
BSN, RN4, & Ronald Keller, PhD, MPA, RN, NE-BC5
1 Professor, New York University, Rory Meyers College of Nursing, New York, NY, USA
2 Professor, New York University, College of Dentistry, New York, NY, USA
3 Professor, New York University, Rory Meyers College of Nursing, New York, NY, USA
4 PhD Candidate, University of North Carolina Chapel Hill, Chapel Hill, NC, USA
5 Senior Director of Nursing NYU Hospitals Center, New York University, Langone Medical Center, New York, NY, USA
Key words
Nurse’s disaster experience, nurses’ disaster
preparedness education, Superstorm Sandy
Correspondence
Dr. Nancy VanDevanter, New York University,
College of Nursing, 433 1st Ave., New York, NY
10010. E-mail: [email protected]
Accepted May 13, 2017
doi: 10.1111/jnu.12329
Abstract
Purpose: Weather-related disasters have increased dramatically in recent
years. In 2012, severe flooding as a result of Hurricane Sandy necessitated
the mid-storm patient evacuation of New York University Langone Medical
Center. The purpose of this study was to explore, from the nurses’ perspec-
tive, what the challenges and resources were to carrying out their responsibil-
ities, and what the implications are for nursing education and preparation for
disaster.
Design: This mixed-methods study included qualitative interviews with a
purposive sample of nurses and an online survey of nurses who participated in
the evacuation.
Methods: The interviews explored prior disaster experience and train-
ing, communication, personal experience during the evacuation, and lessons
learned. The cross-sectional survey assessed social demographic factors, nurs-
ing education and experience, as well as potential challenges and resources in
carrying out their disaster roles.
Findings: Qualitative interviews provided important contextual information
about the specific challenges nurses experienced and their ability to respond
effectively. Survey data identified important resources that helped nurses to
carry out their roles, including support from coworkers, providing support to
others, personal resourcefulness, and leadership. Nurses experienced consid-
erable challenges in responding to this disaster due to limited prior disaster
experience, training, and education, but drew on their personal resourceful-
ness, support from colleagues, and leadership to adapt to those challenges.
Conclusions: Disaster preparedness education in schools of nursing and
practice settings should include more hands-on disaster preparation exercises,
more “low-tech” options to address power loss, and specific policies on nurses’
disaster roles.
Clinical Relevance: Nurses play a critical role in responding to disasters.
Learning from their disaster experience can inform approaches to nursing ed-
ucation and preparation.
Weath.
Chamberlain College of NursingNR631 Nurse Executive Track—CGE I.docxzebadiahsummers
Chamberlain College of Nursing NR631 Nurse Executive Track—CGE I
Learning Agreement
Student name:
Student D#:
Student e-mail, phone:
Mentor name and credentials:
Mentor contact information (work phone, cell phone, e-mail and work address):
Directions:
For Week 1, complete the Learning Agreement with self-identified goals to meet Course Outcomes (COs) and initial plans to meet those self-identified goals; review the TIPS document to help you and discuss your goals and plans with your mentor. Your mentor must sign the Learning Agreement for your Week 1 submission.
The agreement should be revised each week to reflect completed goals, additional goals, and changes to the plan dictated by the actual experience or revisions suggested by faculty or the mentor. At the end of the practicum experience, evaluate success with your mentor and obtain the mentor’s signature at the bottom of agreement. Save this form as a Word document and enter required information directly onto it; submit the completed Learning Agreement, signed by your mentor, on the Saturday of Week 8. See the Learning Agreement Grading Rubric for grading details.
The Learning Agreement consists of three sections.
I. Student Learning Outcomes table (Week 1)
II. Signatures approving plan (Week 1)
III. Signatures and mentor verification (Week 8)
Due Dates:
1. Initial signed Learning Agreement is submitted by 11:59 p.m. MT, Sunday at the end of Week 1
2. Completed signed Learning Agreement is submitted by 11:59 p.m. MT, Saturday of Week 8
A minimum of 144 hours practicum experience is required by the end of NR632.
If the 144 hours are not completed by end of term, you will receive a grade of “I” and not be able to graduate until completed.
I. Student Learning Outcomes
Course Outcomes
Student Identified Practicum Goals to Meet COs
Plan to Meet Student Identified Practicum Goals
Narrative Description of Attainment of Student-Identified Goals Through the End of CGE 1
CO 1: Apply leadership skills concepts of project management as a nurse executive in an organizational setting to develop, implement and evaluate successful project plans. (POs 4 and 5)
CO 2: Using current knowledge, standards of practice, and research from evidence-based literature, synthesize a foundation for the nurse executive role. (POs 3 and 4)
CO 3: Exemplify professional values and scholarship that support the role of a student in a practicum setting. (PO 4)
CO 4: Contribute to the body of nursing leadership and management knowledge through research, planning, evaluation and dissemination of findings. (PO 4)
CO 5: Apply professional values characteristic of the competent and caring nurse executive that promote holistic care principles and an appreciation of cultural humility ( POs 1, 3, and 4)
CO 6: Apply evidence-based fiscal principles that contribute to the creation of a caring environment characterized by high quality, safe, patient-centered care (PO.
Chamberlain College of NursingNR449 Evidence-Based PracticeEvide.docxzebadiahsummers
Chamberlain College of Nursing NR449 Evidence-Based PracticeEvidence Matrix Table
Article
Reference
Purpose
Hypothesis
Study Question
Variables
Independent(I)
Dependent(D)
Study Design
Sample
Size and Selection
Data Collection
Methods
Major Findings
1
(sample not a real article)
Smith, Lewis (2013),
What should I eat? A focus for those living with diabetes. Journal of Nursing Education, 1 (4) 111-112.
How do educational support groups effect dietary modifications in patients with diabetes?
D-Dietary modifications
I-Education
Qualitative
N- 18
Convenience sample-selected from local support group in Pittsburgh, PA
Focus Groups
Support and education improved compliance with dietary modifications.
1
2
3
4
5
NR449 Evidence Matric Table.docx Revised10/20/14 ns/cs
1
.
Centralized System for Strategic ResourcesIntroductionAttentio.docxzebadiahsummers
Centralized System for Strategic Resources
Introduction
Attention: According to recent news reports, US states are competing with each other to shop for medical supplies such as masks, PPE (personal protective equipment), and ventilators. Sometimes, states are even battling with the federal government for bidding, which pushed the prices for such supplies even higher and caused a lot of chaos.
Reveal Topic: A centralized system for strategic resources means that the federal government would represent all individual states and make purchases globally as a single outward-facing entity. Then resources will be coordinated and allocated to individual states.
Credibility: New York State Governor Cuomo states that it is very problematic to keep the current chaotic and unorganized systems. It costs more for taxpayers and could be life-threatening.
Central Idea: US federal government should establish a centralized system for buying, coordinating, and allocating strategic resources such as medical supplies.
Preview: Today, I will talk about why the lack of a centralized system for strategic resources could be costly and even deadly and the benefits of a centralized system.
Transition: Now let's first have a look at the harmful impacts of the current unorganized situation.
Body
I. Main Point #1 (statement of the need for action): Since the unorganized bidding for medical supplies is causing chaos and uncertainty, there should be a way to organize the bidding efforts so that all states can be allocated sufficient supplies.
A. (Description of the problem) The demand for medical supplies is high across all states in the United States amid the COVID-19 pandemic.
1. (signs, symptoms, effects of problem) Due to an increase in coronavirus cases, the low supply of medical resources, and the existence of numerous bidders in the market, States are experiencing a surge in the need for medical supplies (Lara, Rand, and Bartley).
2. (example, narrative, or testimony) The current situation in the country has slowed down the capacity of states to procure PPEs and has also augmented the costs (Triggle).
B. (Importance of problem) There is no efficient way to facilitate the process as everyone is trying to purchase the same thing.
1. (extent of problem) In the past, states in the U.S have worked closely with regional officials when faced with emergencies such as hurricanes, but the current unprecedented situation has affected all states simultaneously and has made the process murkier.
a. (facts/statistics) There is a bidding war between the various states and local governments as all states in the U.S are desperate to find a solution to meet the needs of their healthcare professionals in their fight against the spread of COVID-19 (Lara, Rand, and Bartley).
b. (expert/narrative) According to Casey Tingle, deputy director of the Louisiana Governor’s Office of Homeland Security and Emergency Preparedness, it is not clear whether the federal administration can p.
Challenge your thinking.10) After completing the WebQuest, has y.docxzebadiahsummers
Challenge your thinking.
10) After completing the WebQuest, has your opinion about the homeless individuals changed?
11) If so, how did it change? If not, provide rationale.
12) Suggest at least two community interventions relating to homelessness.
13) Are there examples of these interventions in our area? Identify and describe the services they offer.
FS 1513 Observation Project Details
Time Involved
Students enrolled in FS 1513 are expected to complete at least 15 hours of observations related to human development. This work will involve creating a journal entry for each of their observational sessions. There should be entries for at least 15 hours of observations by the end of the semester.
There should be 1 journal entry for each time you observe—whether it is for 1 hour or more—there should only be 1 entry. So, if you observed 3 times in 1 week for 1 hour each time then you would need 3 journal entries. Alternately, if you observed 1 time for 3 hours then you would need 1 journal entry. However, this means that there will be less information to assess your work (i.e., 1 mistake can cost more points).
Observations: Who and Where
Part of the purpose of this project is to observe differences in development across the life span. So, observations should involve people from different age ranges over the course of the semester. Some entries should focus on development observed during childhood (i.e., observing children from infancy through grade-school), others should involve observing development during adolescence (i.e., observing pubescent and adolescent children), and others should involve should involve observing development during adulthood (i.e., observing adults from early to later in life). The important point is that observations should be completed for at least three age groups for the entire semester.
Observations should take place in naturalistic settings. Naturalistic means that people should be observed in place where they would normally be present (i.e., not in a lab). Ideally, this would mean that they are able to behave as they normally would. The goal, however, is to have enough time to observe a person so that they can demonstrate what they have developed. This means that you will need to be able to watch them behaving naturally for the duration of your observation (i.e., at least 1 hour). Observations that are less than 1 hour will not be counted as complete.
Formatting
Journal entries using the appropriate templates should be completed for each observation session. The templates (available on the course website and below) should contain all of the identifying information. Journal entries that do not use the template will not be graded.
First, each journal entry must contain documentary information. This should cover (1) who did the observations and who was observed, (2) where and when did the observations happen, (3) what were the people being observed generally like, (4) what was the setting like, and (5) keep tr.
Ch.10 Discussion - Jingles
33 unread replies.33 replies.
Discussion - Ch.10: Jingles
Instructions:
Jingles are a popular creative form in radio advertising. Even so, there may be as many jingles that you don't want to hear again as there are ones that you do. Identify one jingle that you really dislike and another one that you like.
Analyze why these jingles either work or don't work and present your critique to the class. Explain your thoughts.
Give thoughtful responses to at least two other students’ postings. Make your reply specific to their comments. Go beyond simple agreement and add something new to the discussion with your reply. A response posting should be a minimum of one short paragraph.
Grading Rubric for Discussion Post:
Criteria
D:
Below
Standard
C:
Meeting Standard
B:
Above
Standard
A:
Exceeding Standard
Weight
Criteria Definitions
Incomplete and/or missing work; in need of major revisions, additions and edits
Submission appears as first-draft quality needing edits and improvements; limited supporting data
Submission contains all elements and includes supporting data; analysis, vision and/or strategy are still developing
Submission has compelling analysis, vision and strategy; well-supported with strong data
Discussion Assignment
Professionalism: Proper grammar, spelling, citations, sources, good organization, readability, clear articulation of ideas, correct use of templates, etc.
40%
Thoroughness: Follows instructions; response is well-researched and articulate; appropriate length; addresses all prompts and assignment criteria; thoughtful analysis
40%
Progression: Incorporates feedback and suggestions from instructor and peers; demonstrates continuous improvement
20%
.
A Strategic Approach: GenAI in EducationPeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Model Attribute Check Company Auto PropertyCeline George
In Odoo, the multi-company feature allows you to manage multiple companies within a single Odoo database instance. Each company can have its own configurations while still sharing common resources such as products, customers, and suppliers.
Honest Reviews of Tim Han LMA Course Program.pptxtimhan337
Personal development courses are widely available today, with each one promising life-changing outcomes. Tim Han’s Life Mastery Achievers (LMA) Course has drawn a lot of interest. In addition to offering my frank assessment of Success Insider’s LMA Course, this piece examines the course’s effects via a variety of Tim Han LMA course reviews and Success Insider comments.
Introduction to AI for Nonprofits with Tapp NetworkTechSoup
Dive into the world of AI! Experts Jon Hill and Tareq Monaur will guide you through AI's role in enhancing nonprofit websites and basic marketing strategies, making it easy to understand and apply.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
Biological screening of herbal drugs: Introduction and Need for
Phyto-Pharmacological Screening, New Strategies for evaluating
Natural Products, In vitro evaluation techniques for Antioxidants, Antimicrobial and Anticancer drugs. In vivo evaluation techniques
for Anti-inflammatory, Antiulcer, Anticancer, Wound healing, Antidiabetic, Hepatoprotective, Cardio protective, Diuretics and
Antifertility, Toxicity studies as per OECD guidelines
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
For this assignment, you will refer to the section Course Case St.docx
1. For this assignment, you will refer to the section "
Course Case Study
"(below). Reread the case study, looking specifically at issues
related to cultural competence. Examine the ACA's and APA's
ethical guidelines related to the issue of cultural competence
and respond to the following:
Describe the ethical issues related to cultural competence.
Examine the influence of your own personal values as related to
the diversity issues presented in this case. Reflect on how you
felt as you read the case study, how your values came into play,
and how you would handle your values in a situation such as
this.
Make recommendations based on your readings and the
APA
or
ACA
ethics codes.
Be sure to apply specific ethical principles.
Paper should be atleast 2 pages long not including title and
reference page. Use APA format.
Course Case Study
Joe, a thirty-five-year-old, male mental health counselor,
received a client referral, thirty-five-year-old Jill,
from a community counseling clinic. He began providing
counseling services to her. Jill's complaint was that
2. she was unsatisfied with her current job as a bank teller and was
experiencing mild anxiety and depression.
Joe had been providing services to Jill for three weeks when she
disclosed that she was confused about
her sexuality because she experienced sexual attraction toward
some women. Joe immediately responded
to Jill with wide eyes and a shocked look. He told Jill that he
was a traditional Catholic, who felt that this
type of feeling was immoral and wrong. He informed her that
she should avoid thinking about this and pray
for forgiveness. He also told her that he felt uncomfortable
talking about the issue any further. Jill continued
to talk to Joe about dealing with her family issues.
3. Joe had recently read about a new technique and immediately
became excited about trying it. He explained
to her that he had read an article in a magazine about a new
technique called rebirthing. The new technique
was being used in Europe to help people change their views
about their relationships with their family. Joe
said, "It is supposed to be really effective in almost wiping out
your memory of your family; it is like
hypnosis." "I would really like to try it on you today, what do
you think?" Jill declined his offer and continued
to talk about her family. Joe thought to himself that even though
Jill said no, he was still going to try to
hypnotize her as they talked because he thought she could
benefit from the technique.
Jill disclosed that she was raised in a traditional Asian
4. American home with many cultural influences and
culture-specific rules and behavior. Jill was struggling with
balancing her individualism and her cultural
heritage. Joe explained to her that because he was living and
working in a rural community, mostly
consisting of people of East European descent, he could not
relate to Jill’s culture and the issues with which
she was struggling. He apologized and explained that he was not
required to study these cultural issues
because of his geographical location.
Jill moved on to talk about her depression. She began talking
about feeling lonely and how it contributed to
her depression. During a counseling session several months
later, she revealed that she was attracted to
5. Joe and would like a closer, intimate relationship with him. Joe,
aware that he was also attracted to Jill,
talked about his feelings toward her but explained that engaging
in a relationship outside the established
counseling relationship was unethical. He informed her that
because of the mutual feelings of attraction, the
counseling relationship would be ineffective and that he would
refer her to another counselor for continued
services. Jill agreed, and they terminated the counseling
relationship. Later, she contacted him to continue
counseling and to discuss the referral. Joe agreed to meet her
that evening at a restaurant and bring her
the referral information. That night they began an intimate
sexual relationship.
6. Joe never got around to providing the referral for Jill even
though he was aware of her ongoing state of
depression and anxiety. Joe stopped seeing Jill after a month of
intimate sexual encounters. Joe enjoyed
the relationship but felt guilty due to the unethical nature of the
relationship. Because of his continued
concern about Jill's depression, Joe considered going to his
current clinical supervisor to discuss the case
but decided against it. This was because he and his supervisor
were good friends and he suspected his
supervisor would be hurt by knowing the real reason he had
been cancelling get-togethers.
Joe decided to call Jill's boss at the bank to check on her and
see how she was doing. He called her boss
7. and explained that he had been counseling her for anxiety and
depression and wanted to check if she was
feeling fine. Her boss informed Joe that Jill had quit her job and
was in the county hospital undergoing
treatment for severe depression. Joe quickly hung up and
decided not to call or visit the bank again. After
thinking it over, Joe decided that general counseling might not
be for him. He decided to begin marriage
and family therapy. He ordered some business cards and
advertised in the yellow pages. He thought, “After
all, I am a mental health counselor, and it can’t be hard to
counsel a couple. You don't need anything
special. I already have one degree, and that's enough!”
8. Assignment 2 Grading Criteria
Maximum Points
Described the ethical issues related to cultural competence.
20
Explained how one's own personal values relate to diversity in
the case study.
20
Made recommendations based on readings and the ethics codes.
20
Applied specific ethical principles.
20
Wrote in a clear, concise, and organized manner; demonstrated
ethical scholarship in accurate representation and attribution of
sources; and displayed accurate spelling, grammar, and
punctuation.
20
Total: