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 for our discussion, Please r
ead “THE CASE OF XAVIER” and the materials for the week. Then assume that you are meeting with XAVIER as the social worker who recorded this case.
Then, by Wednesday night, Please post
a 300- to 500-word response in which you address the following:
Provide the full DSM-5 diagnosis for Xavier 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 her diagnosis, clarify missing information, or track her progress.
Summarize how you would explain the diagnosis to Him.
Explain how you would engage him in treatment, identifying potential cultural considerations related to substance use.
Describe your initial recommendations for her treatment and explain why you would recommend MAT or ABT.
Identify specific resources to which you would refer her. Explain why you would recommend these resources based on his diagnosis and other identity characteristics (e.g., age, sex, gender, sexual orientation, class, ethnicity, religion, etc.).
CASE OF XAVIER
INTAKE DATE: May 2018
DEMOGRAPHIC DATA:
This is a voluntary admission for this 32 year old Black male. This is Xavier’s first psychiatric hospitalization. Xavier has been married for 13 years and has been separated from his husband for the past three months. He has currently been living with his sister in Atlanta, GA., where his husband and son reside. Xavier has a two year degree in nursing. Xavier works as an RN. Religious affiliation is agnostic.
CH.
Individual Treatment Plan· · Due Dec 01, 559 PM · POINTS 20.docxdirkrplav
Individual Treatment Plan
·
· Due Dec 01, 5:59 PM
· POINTS 20
Write a 1,050- to 1,750-word treatment plan based on a hypothetical client case provided by your instructor.
Follow the steps and discuss all of the main areas listed in the University of Phoenix Material: Guidelines for Writing a Treatment Plan.
Submit your plan via the Assignment Files tab
Individual Treatment Plan Case Scenarios Pick OneVan
Van is a 43-year old Asian American male who is married with two young sons. He lives with his spouse and sons in the San Francisco area. He and his wife left Vietnam for the United States 7 years ago, and they own and operate a small nail salon and spa. Van was raised in a poor family and has little formal education. Aside from routine business conflicts, Van and his wife have gotten along quite well in their marriage and have always been supportive of each other. This changed abruptly last year when his oldest son, age 9, accused him of physical and sexual abuse. Because he described ongoing abuse while at school, Van’s son’s claim was reported to the state by one of his teachers. Since then, Van has had to make several court appearances, and this matter has put tremendous strain on the entire family. Although he denies the claims, Van has started to abuse alcohol since the accusation was made, and he will not talk to his oldest son or his wife. He does not use alcohol daily but is a binge drinker, consuming a large amount of whiskey two to three times per week and becoming very intoxicated. Van has never seen a therapist but is now court-ordered to seek psychological evaluation and treatment. He feels wrongly accused of these acts, although he admits that he has used physical punishment on both boys in the past. He believes that physical punishment is accepted in his native culture but is not understood in the United States. At this point, his marriage has suffered, as has his relationship with both sons. He has been unable to function at work since being accused of sexual abuse. While both of Van’s sons used to be excellent students, their grades have fallen, and the oldest son has behavior problems. Roy
Roy is a single 37-year old African American male who is a part-time factory worker and lives with a roommate in an urban apartment in California. He has never been married, but he currently has a girlfriend. He has a high school education. He has chronic low back pain, blaming this on his job duties, which require some heavy lifting. He is involved in physical therapy and medical management for his condition. At work, Roy has had several incidents in which he became extremely angry with a coworker. In one incident, his supervisor observed his behavior, which he noted was physically threatening to the coworker. His behavior has been documented by his supervisor twice already, which has led to some job insecurity for Roy. Roy has been using high doses of Vicodin prescribed by his doctor for chronic pain. He is a smoker and uses alcoh.
Client is a 37 year old male who has presented for counseling due .docxvernettacrofts
Client is a 37 year old male who has presented for counseling due to the recent issue of finding out that his wife was unfaithful. Reports he is having difficulty in several domains of his life and wants help figuring out what to do. Client has been working at the same job for the past 16 years. He is an engineer at a local firm. Client reports that he is satisfied with his job. Client has a bachelor's degree in mechanical engineering. Client reports that he is financially secure and is not worried about financial issues at this time in his life. Client reports holding Christian faith. He states that he attends church with his wife at least 2 times per month and that is important to them to raise their daughter and son with these values. Client reports a daughter who is 8 and a son who is 6.
Client states that he has few friends and little time for extra-curricular activities. States that he does enjoy fishing, hunting, and gun collecting but that none of these activities seem very enticing over the past several weeks. Client does report having two very close friends that he has maintained since childhood. He states that these friendships have been helpful for him in the past several weeks after he discovered an email between his wife and a man from her work but both friends are telling him he should get out of the relationship because of what his wife did. Client reports that his drinking has increased over the past couple weeks and that he is utilizing alcohol as a way to cope with the current problem. He states that he is drinking 2 to 3 vodka and tonics nightly and that this amount is unusual but it is one of the ways that he is able to sleep and not have to think about what she did. Before finding out about this incident, client reports drinking one to two drinks a week. Client reports no prior problems with alcohol but he does report binge drinking with fraternity buddies while in college. Reports this stopped soon after he accepted a full-time engineering position. Client reports no current or past drug use. Does report trying marijuana while in college but stating he didn't like it. Client is a non-smoker. Client reports no other general medical concerns.
Client and wife have owned their home for the past 10 years and are satisfied with their living conditions. Reports that his parents live nearby and consist of both his mother and father. States he has not told his parents yet because he knows they will be vary mad at his wife. Also reports that he has a sister who he is close to but she lives in Georgia. States he did tell his sister because she left her husband after he cheated on her. States that his parents are still married and have always appeared to be happy. States that he does not have significant issues with his immediate family from when he was a child.
Client states that two weeks ago while looking through some emails he found an email between 'some guy' and his wife. States that he immediately knew that the emails were i ...
CASE of CARLOS R.INTAKE DATE May 2019IDENTIFYINGDEMOGRAP.docxjasoninnes20
CASE of CARLOS R.
INTAKE DATE: May 2019
IDENTIFYING/DEMOGRAPHIC DATA: Carlos is a 7 year old male in the third grade. He lives in Houston, Texas with his parents. He is the only child to two parents, both of whom have completed post-graduate education. His parents are originally from Guatemala and relocated to the United States when Carlos was 6 months old for job opportunities. Carlos is an intelligent and caring young boy who presents with significant potential to excel academically.
CHIEF COMPLAINT/PRESENTING PROBLEM: Carlos was referred for an evaluation becausehis parents and teacher indicate that Carlos is restless, and often requires reminders to help him stay on task. He is described as "constantly running around" and presenting with difficulties listening and following instructions.
HISTORY OF PRESENT ILLNESS: Carlos enjoys spending time with his friends, and participating in physical activities such as swimming, running and skating. He also enjoys participating in social events, and is often invited to play dates and birthday parties. While Carlos interacts well with peers his own age, his parents believe he is easily led and influenced by others. Carlos does get upset when he does not receive recognition or feels that he has been ignored. His teacher notes that he sometimes acts 'socially immature', and that he often demonstrates attention-seeking behavior.
Carlos has difficulty focusing and sitting still in class. He is able to 'hyper focus' on some activities of interest however he often has difficulty sustaining his attention at school. Carlos has been known to blurt out answers and interrupts other students in the classroom. His mother reports difficulties at home with following routines and remembering instructions. His parents describe emotional reactivity as well as confrontational behaviors demonstrated both at home and at school. His teacher notes that Carlos is defiant towards listening to instructions, but generally interacts well with his peers. He is easily frustrated and emotionally impulsive - Carlos has had several incidents of hitting, crying outbursts, and inappropriate behavior. Behavioral concerns with aggression, lying, arguments, and disruptive behavior were noted in his pre-school program at age 4. Each school year since teachers have reported incidents in the classroom.
PAST PSYCHIATRIC HISTORY: This is the first evaluation for Carlos.It is noteworthy that he did not know his address or home phone number, could not print his surname, and recognized only a few pre-primer words.
SUBSTANCE USE HISTORY: None reported
PAST MEDICAL HISTORY: Carlos has been vaccinated with all the needed vaccinations to attend school. There is no noteworthy illnesses to report.
FAMILY MEDICAL AND PSYCHIATRIC HISTORY: Carlos’ parents report some history of mental illness in the family. His maternal grandmother was diagnosed with depression. Carlos has always had challenges falling asleep, and sometimes find ...
· 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 ...
Individual Treatment Plan· · Due Dec 01, 559 PM · POINTS 20.docxdirkrplav
Individual Treatment Plan
·
· Due Dec 01, 5:59 PM
· POINTS 20
Write a 1,050- to 1,750-word treatment plan based on a hypothetical client case provided by your instructor.
Follow the steps and discuss all of the main areas listed in the University of Phoenix Material: Guidelines for Writing a Treatment Plan.
Submit your plan via the Assignment Files tab
Individual Treatment Plan Case Scenarios Pick OneVan
Van is a 43-year old Asian American male who is married with two young sons. He lives with his spouse and sons in the San Francisco area. He and his wife left Vietnam for the United States 7 years ago, and they own and operate a small nail salon and spa. Van was raised in a poor family and has little formal education. Aside from routine business conflicts, Van and his wife have gotten along quite well in their marriage and have always been supportive of each other. This changed abruptly last year when his oldest son, age 9, accused him of physical and sexual abuse. Because he described ongoing abuse while at school, Van’s son’s claim was reported to the state by one of his teachers. Since then, Van has had to make several court appearances, and this matter has put tremendous strain on the entire family. Although he denies the claims, Van has started to abuse alcohol since the accusation was made, and he will not talk to his oldest son or his wife. He does not use alcohol daily but is a binge drinker, consuming a large amount of whiskey two to three times per week and becoming very intoxicated. Van has never seen a therapist but is now court-ordered to seek psychological evaluation and treatment. He feels wrongly accused of these acts, although he admits that he has used physical punishment on both boys in the past. He believes that physical punishment is accepted in his native culture but is not understood in the United States. At this point, his marriage has suffered, as has his relationship with both sons. He has been unable to function at work since being accused of sexual abuse. While both of Van’s sons used to be excellent students, their grades have fallen, and the oldest son has behavior problems. Roy
Roy is a single 37-year old African American male who is a part-time factory worker and lives with a roommate in an urban apartment in California. He has never been married, but he currently has a girlfriend. He has a high school education. He has chronic low back pain, blaming this on his job duties, which require some heavy lifting. He is involved in physical therapy and medical management for his condition. At work, Roy has had several incidents in which he became extremely angry with a coworker. In one incident, his supervisor observed his behavior, which he noted was physically threatening to the coworker. His behavior has been documented by his supervisor twice already, which has led to some job insecurity for Roy. Roy has been using high doses of Vicodin prescribed by his doctor for chronic pain. He is a smoker and uses alcoh.
Client is a 37 year old male who has presented for counseling due .docxvernettacrofts
Client is a 37 year old male who has presented for counseling due to the recent issue of finding out that his wife was unfaithful. Reports he is having difficulty in several domains of his life and wants help figuring out what to do. Client has been working at the same job for the past 16 years. He is an engineer at a local firm. Client reports that he is satisfied with his job. Client has a bachelor's degree in mechanical engineering. Client reports that he is financially secure and is not worried about financial issues at this time in his life. Client reports holding Christian faith. He states that he attends church with his wife at least 2 times per month and that is important to them to raise their daughter and son with these values. Client reports a daughter who is 8 and a son who is 6.
Client states that he has few friends and little time for extra-curricular activities. States that he does enjoy fishing, hunting, and gun collecting but that none of these activities seem very enticing over the past several weeks. Client does report having two very close friends that he has maintained since childhood. He states that these friendships have been helpful for him in the past several weeks after he discovered an email between his wife and a man from her work but both friends are telling him he should get out of the relationship because of what his wife did. Client reports that his drinking has increased over the past couple weeks and that he is utilizing alcohol as a way to cope with the current problem. He states that he is drinking 2 to 3 vodka and tonics nightly and that this amount is unusual but it is one of the ways that he is able to sleep and not have to think about what she did. Before finding out about this incident, client reports drinking one to two drinks a week. Client reports no prior problems with alcohol but he does report binge drinking with fraternity buddies while in college. Reports this stopped soon after he accepted a full-time engineering position. Client reports no current or past drug use. Does report trying marijuana while in college but stating he didn't like it. Client is a non-smoker. Client reports no other general medical concerns.
Client and wife have owned their home for the past 10 years and are satisfied with their living conditions. Reports that his parents live nearby and consist of both his mother and father. States he has not told his parents yet because he knows they will be vary mad at his wife. Also reports that he has a sister who he is close to but she lives in Georgia. States he did tell his sister because she left her husband after he cheated on her. States that his parents are still married and have always appeared to be happy. States that he does not have significant issues with his immediate family from when he was a child.
Client states that two weeks ago while looking through some emails he found an email between 'some guy' and his wife. States that he immediately knew that the emails were i ...
CASE of CARLOS R.INTAKE DATE May 2019IDENTIFYINGDEMOGRAP.docxjasoninnes20
CASE of CARLOS R.
INTAKE DATE: May 2019
IDENTIFYING/DEMOGRAPHIC DATA: Carlos is a 7 year old male in the third grade. He lives in Houston, Texas with his parents. He is the only child to two parents, both of whom have completed post-graduate education. His parents are originally from Guatemala and relocated to the United States when Carlos was 6 months old for job opportunities. Carlos is an intelligent and caring young boy who presents with significant potential to excel academically.
CHIEF COMPLAINT/PRESENTING PROBLEM: Carlos was referred for an evaluation becausehis parents and teacher indicate that Carlos is restless, and often requires reminders to help him stay on task. He is described as "constantly running around" and presenting with difficulties listening and following instructions.
HISTORY OF PRESENT ILLNESS: Carlos enjoys spending time with his friends, and participating in physical activities such as swimming, running and skating. He also enjoys participating in social events, and is often invited to play dates and birthday parties. While Carlos interacts well with peers his own age, his parents believe he is easily led and influenced by others. Carlos does get upset when he does not receive recognition or feels that he has been ignored. His teacher notes that he sometimes acts 'socially immature', and that he often demonstrates attention-seeking behavior.
Carlos has difficulty focusing and sitting still in class. He is able to 'hyper focus' on some activities of interest however he often has difficulty sustaining his attention at school. Carlos has been known to blurt out answers and interrupts other students in the classroom. His mother reports difficulties at home with following routines and remembering instructions. His parents describe emotional reactivity as well as confrontational behaviors demonstrated both at home and at school. His teacher notes that Carlos is defiant towards listening to instructions, but generally interacts well with his peers. He is easily frustrated and emotionally impulsive - Carlos has had several incidents of hitting, crying outbursts, and inappropriate behavior. Behavioral concerns with aggression, lying, arguments, and disruptive behavior were noted in his pre-school program at age 4. Each school year since teachers have reported incidents in the classroom.
PAST PSYCHIATRIC HISTORY: This is the first evaluation for Carlos.It is noteworthy that he did not know his address or home phone number, could not print his surname, and recognized only a few pre-primer words.
SUBSTANCE USE HISTORY: None reported
PAST MEDICAL HISTORY: Carlos has been vaccinated with all the needed vaccinations to attend school. There is no noteworthy illnesses to report.
FAMILY MEDICAL AND PSYCHIATRIC HISTORY: Carlos’ parents report some history of mental illness in the family. His maternal grandmother was diagnosed with depression. Carlos has always had challenges falling asleep, and sometimes find ...
· 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 ...
Both eating disorders and somatic symptom disorders involve a mi.docxjackiewalcutt
Both eating disorders and somatic symptom disorders involve a mind-body relationship. However, those living with somatic disorders tend to be highly sensitized to their body experiences in a different way than those with eating disorders. While eating disorders can cause individuals to lose their interoceptive awareness of the body, those with somatic disorders tend to have a magnified awareness, often coupled with preoccupation and a high level of anxiety that is deemed to be excessive to the cause.
These spectrums of illness require that social workers take an early-intervention, multidisciplinary, and biopsychosocial approach to treatment to be successful in supporting recovery. Both require knowledge and extensive communication with medical providers and other specialists. That priority for interdisciplinary knowledge and teamwork increases in importance given the mortality rates of eating disorders and the mind-body factors in both.
This week you analyze the impact of living with an eating disorder and the problems (nutritional, medical, social, and psychological) in the recovery process. You also consider current societal influences that impact the onset, recognition, and recovery process for eating disorders and somatic symptom disorders.
Through this week’s Learning Resources, you become aware not only of the prevalence of factors involved in the treatment of eating disorders, but also the societal, medical, and cultural influences that help individuals develop and sustain the unhealthy behaviors related to an eating disorder. These behaviors have drastic impacts on health. In clinical practice, social workers need to know about the resources available to clients living with an eating disorder and be comfortable developing interdisciplinary, individualized treatment plans for recovery that incorporate medical and other specialists.
For this Discussion, you focus on guiding clients through treatment and recovery.
To prepare:
Review the Learning Resources on experiences of living with an eating disorder, as well as social and cultural influences on the disorder.
Read the Case of O.
Post
a 300- to 500-word response in which you address the following:
Provide the full DSM-5 diagnosis for O. 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 be a focus of 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.
Explain why it is important to use an interprofessional approach in treatment. Identity specific professionals you would recommend for the team, and describe how you might best utilize or focus their services.
Explain how you would use the client’s family to support recovery. Include specific behavioral examples.
Select and explain an evidence-based, focused treatment approach that.
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 .
Case Study Treatment PlanIntroductionStellaOscarIntroductionFor yo.docxketurahhazelhurst
Case Study Treatment PlanIntroductionStellaOscarIntroduction
For your course project, you will develop a treatment plan for one case study subject that you select from two possible candidates. These potential clients are ethnically diverse and are struggling with psychological disorders, which may require medication.
During the course of this project you will:Evaluate client information.Review possible assessment techniques.Offer a diagnostic impression.Review various behavioral and pharmacological treatments.Discuss the legal and ethical ramifications of the disorder and proposed treatments.Review the impact of diversity issues on various disorders and their treatments.Develop a suggested treatment plan for the client.
You will select one of the case studies presented on the next page of this presentation as your client for this treatment plan project. Then you will use the Case Study Treatment Plan Template, provided in the Resources to complete your assignments for this project. Each section of the template includes a description of the type of information you will need to include. You should type your paper directly into this template, save it as a Word document with your name, and then submit it to the assignment area.Stella's Case Study
Stella is a 38 year old biracial (African American and Native American) woman who has just been assigned to you as a client. You are currently working as a counselor for your county community mental health agency. You received the following information about her as background and history.
Stella is the only child of a Caucasian couple who are now deceased. She was adopted as an infant in a closed adoption, so that none of her birth parents' records are available. The only informal information that Stella remembers her parents telling her is that her mother was 16 years old at the time of Stella's birth and had been raped while at a high school football game.
Stella currently lives in a small city of 150,000 people where she is employed as a book-keeper for the local meat packing plant. She has worked there for 3 years. Her educational background includes an associate's degree in accounting and continuing education in tax preparation. Before working for this plant, she was employed as a tax preparer for a national company. She enjoys her work, saying that numbers are easier to get along with than people.
She has been married to her husband (Doug) for 18 years and has a 16 year old son (Tyrone), who is currently a junior in high school. Her son plays baseball on the school team and is a solid B student. Her husband is a long distance truck driver. He is often away from home for two weeks at a time. He is then at home for 3 to 4 days before he leaves on another trip. Stella reports that she stays at home and feels "blue" when her husband is on the road. Although there have been some problems in the marriage due to Stella's mental health concerns, the couple seems committed to each other and to staying in t ...
SOCW 6070-week 4 discussion 1 Looking Through Different Lenses.docxsamuel699872
SOCW 6070-week 4 discussion 1 Looking Through Different Lenses
I have provided the case study and all resources I work for hospice and my lens is meeting people where they are in their journey and trying to help the whole person and family
As a social worker, you bring your own lens—that is, your own set of assumptions, biases, beliefs, and interpretations—into your interactions with clients and the human services professionals with whom you collaborate. Human services organizations have their own cultures that influence their organizational lenses. An organizational lens reflects key assumptions about the individuals to whom the organization provides services. These assumptions influence the organization’s policies and procedures which, in turn, impact service delivery. For example, an organization that focuses on understanding the perspectives of the clients it serves may allow clients to provide feedback about their client experience through membership on advisory boards or boards of directors. The clients may have the power to make recommendations and decisions about the organization’s policies and procedures.
Understanding cultural lenses—your personal lens, as well as those of the organizations and other individuals with whom you work and interact—will enable you to better serve your clients.
Focus on the Paula Cortez case study
for this Discussion. In this case study, four professionals present their perspectives on the Paula Cortez case. These workers could view Paula’s case through a variety of cultural lenses, including socioeconomic, gender, ethnicity, and mental health. For this Discussion, you take the role of the social worker on the case and interpret Paula’s case using two of these lenses.
Post
how you, as a social worker, might interpret the needs of Paula Cortez, the client, through the two cultural lenses you selected.
Then, explain how, in general, you would incorporate multiple perspectives of a variety of stakeholders and/or human services professionals as you treat clients.
Support your post with specific references to the resources. Be sure to provide full APA citations for your references.
CASE STUDY also read Culture and Leadership chapter 15 pages 383 to 421
Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at risk.
Paula just recently announced to the social worker that she is pregnant. She has been unsure whether she wanted to continue the pregnancy or terminate. Paula also told the social worker she is fearful of the father of the baby, and she is convinced he will try to hurt her. He has started to harass, stalk, and threaten her at all hours of the day. Paula began to exhibit increased paranoia and reported she sta.
COMPREHENSIVE CLIENT ASSESSMENT 25
Comprehensive Client Assessment
Student name
Walden University
NURS 6640, Section 9, Psychotherapy with Individuals
Running head: COMPREHENSIVE CLIENT ASSESSMENT 1
December 15, 2019
Comprehensive Client Assessment
Psychiatric mental health nurse practitioners (PMHNPs) provide care to clients with mental health disorders and substance use disorders who may be in vulnerable states during their initial contact with the PMHNP, when they seek treatment. No single approach to mental health treatment is suitable for all clients, and it is critical for the PMHNP to conduct a thorough assessment to accurately diagnose each client and determine which treatment approach is most likely to enhance the client’s clinical outcomes (American Nurses Association, 2014; Ball, Dains, Flynn, Solomon, & Stewart, 2018; Marcogliese & Vandyk, 2019; McAllister, Happell, & Flynn, 2014; Wheeler, 2014). A comprehensive client assessment should be performed by the psychiatric mental health nurse practitioner during a client’s initial appointment, to facilitate formulation of an appropriate, client-centered treatment plan. A comprehensive client assessment engages the client in their treatment plan, establishes rapport and contributes to a therapeutic alliance between the practitioner and the client, and collects information about the client to facilitate development of a compassionate understanding of the client, an accurate diagnosis, and an appropriate client-centered treatment plan (Ball et al., 2018; Wheeler, 2014). The purpose of this assignment is to assess a client presenting for psychotherapy and to develop a genogram for the client, to gather the information needed to make an informed diagnosis and to formulate an appropriate client-centered treatment plan that will enhance client outcomes.
Demographic Information
The client is a 23-year-old Caucasian male who speaks English and who resides with his parents and his youngest brother in their home in a coastal town in New England. The client has never been married and does not have any children. The client identifies as Christian. The client identifies as a straight male. The client is covered via Blue Cross Blue Shield, under his parents’ health insurance. The client’s father owns his own real estate and contracting business and his parents are upper-class residents of a coastal town in New England and own a second, winter-home, in one of the southern states. The client arrived to his appointment via his vehicle, which he says he owns.
Presenting Problem
The client reports “anger outbursts and mood swings for my whole life” and issues with alcohol consumption.
History of Present Illness
The client describes a several-year history of anger outbursts and mood swings, beginning when he was approximately eight-years-old, and occurring multiple times per week. The client reports that in the past, during angry outbursts, he has behaved in a destructive manne.
Argosy University Comprehensive ExaminationMA Forensic Psychol.docxspoonerneddy
Argosy University Comprehensive Examination
MA Forensic Psychology
Summer C 2017
(Thursday, July 27-Wednesday, August 2)
Case Vignette for Comprehensive Examination
Please read the vignette carefully.
Based on information provided in the vignette
, please compose a well-written and organized response to each of the questions that follow.
Presentation of the Problem
Ryan is a 61 year old Caucasian male who was arrested for violating a no-contact orderwith his ex-husband and two adopted sons. Police were called when he attempted to “break in” to the family home to obtain some personal belongings. While at the home, his ex-husband returned and a physical altercation ensued in which Ryan allegedly attacked his ex-husband with a kitchen knife. No injuries were noted by police; His ex-husband, however, expressed intent to press assault charges. The circumstances surrounding the no-contact order are related to a series of incidences involving allegations of inappropriate sexual behavior with his children. Six months before, a long history of marriage conflict “came to a head” and he informed Ryan that he wished to file for divorce. Ryan’s ex-husband left the home with their two sons and filed a no-contact order against Ryan. The basis of the no-contact order included allegations that Ryan had a “secret life of sex addiction,” including frequent activity on “sex apps” and that he viewed pornography in front of their two sons. The ex-husband also alleged Ryan’s inappropriate relationship with their oldest son, 16 year old, citing that he discovered sexually-provocative language in text messages. A Child Protective Services Investigation and report was completed. Ryan adamantly denies these allegations of inappropriate sexual behavior with and in front of the children; He did however, verify he had been active on “sex apps” throughout the relationships in order to “hook up” with other men.
Psychosocial History
Ryan was born and raised in rural Mississippi. He comes from an intact family and is the youngest of four children. He referenced a narrative within the family that characterized him as the “unplanned pregnancy.” Ryan described a “good childhood” and he denied a history of emotional, physical, or sexual abuse. He graduated from college and has had a successful career as an insurance broker.
When Ryan was age 9, his mother was diagnosed with breast cancer.She passed away four years later. This event caused tremendous emotional pain. After his mother’s death, his father began using alcohol heavily and eventually received voluntary inpatient treatment. Ryan reported a strained relationship with his father and a sense of rejection after he told his father he was homosexual. He experienced significant inner emotional conflict as an adolescent related to his sexuality. He began to seek sexual contact with others and by age 17 was having sex with men for money. He does not believe he has a sexual addiction and denied any compulsive sexual .
Running Head Pepper Family Case Study 1Pepper Family Case .docxlillie234567
Running Head: Pepper Family Case Study 1
Pepper Family Case Study 15
Pepper Family Case Study
Instructor Name
Course
Date
Client's demographical information
Olivia Pepper is a 30-year-old African American woman who is married with three children (ages 2, 6, and 8). Olivia is a Baptist and is receiving several financial need scholarships which allows her to attend school without working. She has two residential treatments, once as an adolescent for alcohol use and the second when she was 24 for depression and alcohol use. She has had two DUI's, one at 16 and the second at 22. Olivia has previously taken Zoloft and Wellbutrin, and has gone to family counseling as a teenager. Olivia is currently pursuing her Master’s degree and has a 3.8 overall GPA. She has been referred to the University Counseling Center from her professor for erratic behaviors, which include failing two classes and having a sporadic attendance, being late, and smelling of alcohol on more than one occasion. Olivia's peers have reported that she wants to meet at the local bar and is never engaged in learning.
Olivia grew up with loving parents who worked hard. Her mother left when she was 14 and that is when she started to drink. She has been in a “funk” on and off her whole life and reports that most days she just doesn’t want to get out of bed and face the day. She is overwhelmed and sleeps 10-12 hours a day, isolates herself from her family, and avoids going to school. She has attempted suicide once with a drug overdose on Wellbutrin with alcohol. Olivia is currently attending AA meetings regularly and reports that church and AA help her get out of bed in the morning. She has started to drink again and sneaks drinks into her lemonade so that her family does not know. Her husband is angry and wants her to quit school, and Olivia is concerned for her 8-year-old daughter who is exhibiting similar behaviors as her.
Olivia's demographic information paints a vivid picture of her life. She has faced many challenges in her life, from her mother leaving when she was 14 to her father passing away two years ago from drinking. She is under a lot of stress with having to care for her three children and still trying to pursue her degree. She has dealt with depression and alcohol use, attempted suicide, and has had two, (DUI's Shenoy,2019). Olivia has had to find different coping mechanisms to get her through her day, and while church and AA have been helpful, she has resorted to drinking again, which is causing her to struggle in her classes. Her family dynamics are strained with her husband wanting her to quit school and her 8-year-old daughter exhibiting similar behaviors. It is clear that Olivia is in need of support and guidance to help her get through the current struggles that she is facing.
Analysis of the Client's presenting problem
Olivia is struggling with depression and alcohol misuse. .
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.
As a clinical social worker it is important to understand group .docxssusera34210
As a clinical social worker it is important to understand group typology in order to choose the appropriate group method for a specific population or problem. Each type of group has its own approach and purpose. Two of the more frequently used types of groups are task groups and intervention groups.
For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following:
Choose either a treatment group or task group as your intervention for Paula Cortez.
Identify the model of treatment group (i.e., support, education, teams, or treatment conferences).
Using the typologies described in the Toseland & Rivas (2017) piece, describe the characteristics of your group. For instance, if you choose a treatment group that is a support group, what would be the purpose, leadership, focus, bond, composition, and communication?
Include the advantages and disadvantages of using this type of group as an intervention.
REQUIRED resource for assignment
A Meeting of an Interdisciplinary Team
Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at risk.
Paula just recently announced to the social worker that she is pregnant. She has been unsure whether she wanted to continue the pregnancy or terminate. Paula also told the social worker she is fearful of the father of the baby, and she is convinced he will try to hurt her. He has started to harass, stalk, and threaten her at all hours of the day. Paula began to exhibit increased paranoia and reported she started smoking again to calm her nerves. She also stated she stopped taking her psychiatric medications and has been skipping some of her
HIV
medications.
The following is an interdisciplinary team meeting being held in a conference room at the hospital. Several members of Paula’s team (HIV doctor, psychiatrist, social worker, and OB nurse) have gathered to discuss the precipitating factors to this hospitalization. The intent is to craft a plan of action to address Paula's noncompliance with her medications, increased paranoia, and the pregnancy.
Click one the above images to begin the conversation.
Physician
Dialogue 1
Paula is a complicated patient, and she presents with a complicated situation. She is HIV positive, has Hepatitis C, and multiple foot ulcers that can be debilitating at times. Paula has always been inconsistent with her HIV meds—no matter how often I explain the need for consistent compliance in order to maintain her health. Paula has exhibited a lack of insight into her medical conditions and the need to follow instructions. Frankly, I was astonished an.
Running head INITIAL INTERVIEW 1INITIAL INTERVIEW 2.docxwlynn1
Running head: INITIAL INTERVIEW 1
INITIAL INTERVIEW 2
Identifying Information
Raban King is a 45 male adult married with three children. He lives in Allston, Boston and his phone number is +1 845-892-3344. Raban is a substance abuse social worker working with the Avernus Rehabilitation Center which a not-for-profit organization that helps members of community suffering from any form of substance abuse to overcome the addiction. The Avernus Rehabilitation Center contact are +1 615-615-9090 and +1 615-655- 3939. Raban is scheduled to be interviewed on the 25th of May 2020 to determine whether he is a suitable candidate for participation in a summer mission’s trip in a very challenging environment.
Reason for Referral
Raban was referred to me for evaluation by the mission’s board for further consultation. The mission’s board found Raban eligible for the summer mission’s trip that is expected to take place in a very challenging environment and they believe his type of work and personality can help him push through with the mission.
Current Situation and Functioning
From the information obtained from Raban, he is a substance abuse social worker and has been in the career for twelve years. He claims he is passionate about substance abuse and his desire is to help as many people to overcome the challenge and make a positive transition. He further claims that his typical day is spent either in the field seeking and collecting substance abuse victims or in the facility offering assistance and treatment to those already admitted. He spends the day counselling them and also making sure they take their medication and feed properly. On some occasional, he has to travel far and wide after receiving information about substance abuse victims so as to carry them using facility vans to the center.
Raban claims that due to his great passion, he has the ability to accomplish his daily tasks within the stipulated time. From assessment made, he has high coping skills since he is calm, patient, and humble. Also, despite being put through uncomfortable situations, he appeared sensitive and emotionally balanced. Also, it is evident that he has a high problem-solving and conflict resolution abilities from the many situations and cases he has faced in his line of duty and compelled to handle them. He also appears empathic, cooperative, and good manager of stress. One of the main weaknesses noted is that he rarely speaks and he seemed to agree with a lot of things a personality that appears easy to manipulate. Nevertheless, he has a main strength in the sense that whenever he set out to do something, he pushes through with it no matter how hard.
Relevant Medical History
According to Raban, there is no major illness or injury that he has ever suffered from or he is suffering from and physically he appears strong. He is not on medication and does not have any form of disability. He only has one brother and two sisters who are all healthy and his pa.
Behavioral Disorder: Schizophrenia & it's Case Study.pdfSELF-EXPLANATORY
This pdf is about the Behavioral Disorder: Schizophrenia & it's Case Study.
For more details visit on YouTube; @SELF-EXPLANATORY;
https://www.youtube.com/channel/UCAiarMZDNhe1A3Rnpr_WkzA/videos
Thanks...!
One of the most common used risk management tools is the Incident Re.docxAKHIL969626
One of the most common used risk management tools is the Incident Reporting.
More recently, incident Reporting system incorporated computer technology that will provide information like:
1. Major incident category.
2. Early identification of patterns and trends in the "how" and "why" of untoward events.
3. Code vulnerability inductors.
Discuss the potential benefits to use this technology. There is any Limitation for the system? Explain.
.
One of the first anthropologists to examine religion in Africa was E.docxAKHIL969626
One of the first anthropologists to examine religion in Africa was Edward Evans-Pritchard in the early 1900's. You will explore what he learned about the Azande by watching the first 23 minutes of "
Strange Beliefs: Sir Edward Evans-Pritchard
".
Instructions:
When you are done watching the video answer the following questions by referring to specific information from the video, NOT outside sources:
How do the Azande people featured in the film explain unfortunate events and what do they do about it?
According to your textbook, what is religion and how would Azande religious beliefs be classified?
Do you think Azande beliefs are any more or less rational than other religious beliefs like Judaism, Christianity, Islam, or Buddhism?
.
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Both eating disorders and somatic symptom disorders involve a mind-body relationship. However, those living with somatic disorders tend to be highly sensitized to their body experiences in a different way than those with eating disorders. While eating disorders can cause individuals to lose their interoceptive awareness of the body, those with somatic disorders tend to have a magnified awareness, often coupled with preoccupation and a high level of anxiety that is deemed to be excessive to the cause.
These spectrums of illness require that social workers take an early-intervention, multidisciplinary, and biopsychosocial approach to treatment to be successful in supporting recovery. Both require knowledge and extensive communication with medical providers and other specialists. That priority for interdisciplinary knowledge and teamwork increases in importance given the mortality rates of eating disorders and the mind-body factors in both.
This week you analyze the impact of living with an eating disorder and the problems (nutritional, medical, social, and psychological) in the recovery process. You also consider current societal influences that impact the onset, recognition, and recovery process for eating disorders and somatic symptom disorders.
Through this week’s Learning Resources, you become aware not only of the prevalence of factors involved in the treatment of eating disorders, but also the societal, medical, and cultural influences that help individuals develop and sustain the unhealthy behaviors related to an eating disorder. These behaviors have drastic impacts on health. In clinical practice, social workers need to know about the resources available to clients living with an eating disorder and be comfortable developing interdisciplinary, individualized treatment plans for recovery that incorporate medical and other specialists.
For this Discussion, you focus on guiding clients through treatment and recovery.
To prepare:
Review the Learning Resources on experiences of living with an eating disorder, as well as social and cultural influences on the disorder.
Read the Case of O.
Post
a 300- to 500-word response in which you address the following:
Provide the full DSM-5 diagnosis for O. 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 be a focus of 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.
Explain why it is important to use an interprofessional approach in treatment. Identity specific professionals you would recommend for the team, and describe how you might best utilize or focus their services.
Explain how you would use the client’s family to support recovery. Include specific behavioral examples.
Select and explain an evidence-based, focused treatment approach that.
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 .
Case Study Treatment PlanIntroductionStellaOscarIntroductionFor yo.docxketurahhazelhurst
Case Study Treatment PlanIntroductionStellaOscarIntroduction
For your course project, you will develop a treatment plan for one case study subject that you select from two possible candidates. These potential clients are ethnically diverse and are struggling with psychological disorders, which may require medication.
During the course of this project you will:Evaluate client information.Review possible assessment techniques.Offer a diagnostic impression.Review various behavioral and pharmacological treatments.Discuss the legal and ethical ramifications of the disorder and proposed treatments.Review the impact of diversity issues on various disorders and their treatments.Develop a suggested treatment plan for the client.
You will select one of the case studies presented on the next page of this presentation as your client for this treatment plan project. Then you will use the Case Study Treatment Plan Template, provided in the Resources to complete your assignments for this project. Each section of the template includes a description of the type of information you will need to include. You should type your paper directly into this template, save it as a Word document with your name, and then submit it to the assignment area.Stella's Case Study
Stella is a 38 year old biracial (African American and Native American) woman who has just been assigned to you as a client. You are currently working as a counselor for your county community mental health agency. You received the following information about her as background and history.
Stella is the only child of a Caucasian couple who are now deceased. She was adopted as an infant in a closed adoption, so that none of her birth parents' records are available. The only informal information that Stella remembers her parents telling her is that her mother was 16 years old at the time of Stella's birth and had been raped while at a high school football game.
Stella currently lives in a small city of 150,000 people where she is employed as a book-keeper for the local meat packing plant. She has worked there for 3 years. Her educational background includes an associate's degree in accounting and continuing education in tax preparation. Before working for this plant, she was employed as a tax preparer for a national company. She enjoys her work, saying that numbers are easier to get along with than people.
She has been married to her husband (Doug) for 18 years and has a 16 year old son (Tyrone), who is currently a junior in high school. Her son plays baseball on the school team and is a solid B student. Her husband is a long distance truck driver. He is often away from home for two weeks at a time. He is then at home for 3 to 4 days before he leaves on another trip. Stella reports that she stays at home and feels "blue" when her husband is on the road. Although there have been some problems in the marriage due to Stella's mental health concerns, the couple seems committed to each other and to staying in t ...
SOCW 6070-week 4 discussion 1 Looking Through Different Lenses.docxsamuel699872
SOCW 6070-week 4 discussion 1 Looking Through Different Lenses
I have provided the case study and all resources I work for hospice and my lens is meeting people where they are in their journey and trying to help the whole person and family
As a social worker, you bring your own lens—that is, your own set of assumptions, biases, beliefs, and interpretations—into your interactions with clients and the human services professionals with whom you collaborate. Human services organizations have their own cultures that influence their organizational lenses. An organizational lens reflects key assumptions about the individuals to whom the organization provides services. These assumptions influence the organization’s policies and procedures which, in turn, impact service delivery. For example, an organization that focuses on understanding the perspectives of the clients it serves may allow clients to provide feedback about their client experience through membership on advisory boards or boards of directors. The clients may have the power to make recommendations and decisions about the organization’s policies and procedures.
Understanding cultural lenses—your personal lens, as well as those of the organizations and other individuals with whom you work and interact—will enable you to better serve your clients.
Focus on the Paula Cortez case study
for this Discussion. In this case study, four professionals present their perspectives on the Paula Cortez case. These workers could view Paula’s case through a variety of cultural lenses, including socioeconomic, gender, ethnicity, and mental health. For this Discussion, you take the role of the social worker on the case and interpret Paula’s case using two of these lenses.
Post
how you, as a social worker, might interpret the needs of Paula Cortez, the client, through the two cultural lenses you selected.
Then, explain how, in general, you would incorporate multiple perspectives of a variety of stakeholders and/or human services professionals as you treat clients.
Support your post with specific references to the resources. Be sure to provide full APA citations for your references.
CASE STUDY also read Culture and Leadership chapter 15 pages 383 to 421
Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at risk.
Paula just recently announced to the social worker that she is pregnant. She has been unsure whether she wanted to continue the pregnancy or terminate. Paula also told the social worker she is fearful of the father of the baby, and she is convinced he will try to hurt her. He has started to harass, stalk, and threaten her at all hours of the day. Paula began to exhibit increased paranoia and reported she sta.
COMPREHENSIVE CLIENT ASSESSMENT 25
Comprehensive Client Assessment
Student name
Walden University
NURS 6640, Section 9, Psychotherapy with Individuals
Running head: COMPREHENSIVE CLIENT ASSESSMENT 1
December 15, 2019
Comprehensive Client Assessment
Psychiatric mental health nurse practitioners (PMHNPs) provide care to clients with mental health disorders and substance use disorders who may be in vulnerable states during their initial contact with the PMHNP, when they seek treatment. No single approach to mental health treatment is suitable for all clients, and it is critical for the PMHNP to conduct a thorough assessment to accurately diagnose each client and determine which treatment approach is most likely to enhance the client’s clinical outcomes (American Nurses Association, 2014; Ball, Dains, Flynn, Solomon, & Stewart, 2018; Marcogliese & Vandyk, 2019; McAllister, Happell, & Flynn, 2014; Wheeler, 2014). A comprehensive client assessment should be performed by the psychiatric mental health nurse practitioner during a client’s initial appointment, to facilitate formulation of an appropriate, client-centered treatment plan. A comprehensive client assessment engages the client in their treatment plan, establishes rapport and contributes to a therapeutic alliance between the practitioner and the client, and collects information about the client to facilitate development of a compassionate understanding of the client, an accurate diagnosis, and an appropriate client-centered treatment plan (Ball et al., 2018; Wheeler, 2014). The purpose of this assignment is to assess a client presenting for psychotherapy and to develop a genogram for the client, to gather the information needed to make an informed diagnosis and to formulate an appropriate client-centered treatment plan that will enhance client outcomes.
Demographic Information
The client is a 23-year-old Caucasian male who speaks English and who resides with his parents and his youngest brother in their home in a coastal town in New England. The client has never been married and does not have any children. The client identifies as Christian. The client identifies as a straight male. The client is covered via Blue Cross Blue Shield, under his parents’ health insurance. The client’s father owns his own real estate and contracting business and his parents are upper-class residents of a coastal town in New England and own a second, winter-home, in one of the southern states. The client arrived to his appointment via his vehicle, which he says he owns.
Presenting Problem
The client reports “anger outbursts and mood swings for my whole life” and issues with alcohol consumption.
History of Present Illness
The client describes a several-year history of anger outbursts and mood swings, beginning when he was approximately eight-years-old, and occurring multiple times per week. The client reports that in the past, during angry outbursts, he has behaved in a destructive manne.
Argosy University Comprehensive ExaminationMA Forensic Psychol.docxspoonerneddy
Argosy University Comprehensive Examination
MA Forensic Psychology
Summer C 2017
(Thursday, July 27-Wednesday, August 2)
Case Vignette for Comprehensive Examination
Please read the vignette carefully.
Based on information provided in the vignette
, please compose a well-written and organized response to each of the questions that follow.
Presentation of the Problem
Ryan is a 61 year old Caucasian male who was arrested for violating a no-contact orderwith his ex-husband and two adopted sons. Police were called when he attempted to “break in” to the family home to obtain some personal belongings. While at the home, his ex-husband returned and a physical altercation ensued in which Ryan allegedly attacked his ex-husband with a kitchen knife. No injuries were noted by police; His ex-husband, however, expressed intent to press assault charges. The circumstances surrounding the no-contact order are related to a series of incidences involving allegations of inappropriate sexual behavior with his children. Six months before, a long history of marriage conflict “came to a head” and he informed Ryan that he wished to file for divorce. Ryan’s ex-husband left the home with their two sons and filed a no-contact order against Ryan. The basis of the no-contact order included allegations that Ryan had a “secret life of sex addiction,” including frequent activity on “sex apps” and that he viewed pornography in front of their two sons. The ex-husband also alleged Ryan’s inappropriate relationship with their oldest son, 16 year old, citing that he discovered sexually-provocative language in text messages. A Child Protective Services Investigation and report was completed. Ryan adamantly denies these allegations of inappropriate sexual behavior with and in front of the children; He did however, verify he had been active on “sex apps” throughout the relationships in order to “hook up” with other men.
Psychosocial History
Ryan was born and raised in rural Mississippi. He comes from an intact family and is the youngest of four children. He referenced a narrative within the family that characterized him as the “unplanned pregnancy.” Ryan described a “good childhood” and he denied a history of emotional, physical, or sexual abuse. He graduated from college and has had a successful career as an insurance broker.
When Ryan was age 9, his mother was diagnosed with breast cancer.She passed away four years later. This event caused tremendous emotional pain. After his mother’s death, his father began using alcohol heavily and eventually received voluntary inpatient treatment. Ryan reported a strained relationship with his father and a sense of rejection after he told his father he was homosexual. He experienced significant inner emotional conflict as an adolescent related to his sexuality. He began to seek sexual contact with others and by age 17 was having sex with men for money. He does not believe he has a sexual addiction and denied any compulsive sexual .
Running Head Pepper Family Case Study 1Pepper Family Case .docxlillie234567
Running Head: Pepper Family Case Study 1
Pepper Family Case Study 15
Pepper Family Case Study
Instructor Name
Course
Date
Client's demographical information
Olivia Pepper is a 30-year-old African American woman who is married with three children (ages 2, 6, and 8). Olivia is a Baptist and is receiving several financial need scholarships which allows her to attend school without working. She has two residential treatments, once as an adolescent for alcohol use and the second when she was 24 for depression and alcohol use. She has had two DUI's, one at 16 and the second at 22. Olivia has previously taken Zoloft and Wellbutrin, and has gone to family counseling as a teenager. Olivia is currently pursuing her Master’s degree and has a 3.8 overall GPA. She has been referred to the University Counseling Center from her professor for erratic behaviors, which include failing two classes and having a sporadic attendance, being late, and smelling of alcohol on more than one occasion. Olivia's peers have reported that she wants to meet at the local bar and is never engaged in learning.
Olivia grew up with loving parents who worked hard. Her mother left when she was 14 and that is when she started to drink. She has been in a “funk” on and off her whole life and reports that most days she just doesn’t want to get out of bed and face the day. She is overwhelmed and sleeps 10-12 hours a day, isolates herself from her family, and avoids going to school. She has attempted suicide once with a drug overdose on Wellbutrin with alcohol. Olivia is currently attending AA meetings regularly and reports that church and AA help her get out of bed in the morning. She has started to drink again and sneaks drinks into her lemonade so that her family does not know. Her husband is angry and wants her to quit school, and Olivia is concerned for her 8-year-old daughter who is exhibiting similar behaviors as her.
Olivia's demographic information paints a vivid picture of her life. She has faced many challenges in her life, from her mother leaving when she was 14 to her father passing away two years ago from drinking. She is under a lot of stress with having to care for her three children and still trying to pursue her degree. She has dealt with depression and alcohol use, attempted suicide, and has had two, (DUI's Shenoy,2019). Olivia has had to find different coping mechanisms to get her through her day, and while church and AA have been helpful, she has resorted to drinking again, which is causing her to struggle in her classes. Her family dynamics are strained with her husband wanting her to quit school and her 8-year-old daughter exhibiting similar behaviors. It is clear that Olivia is in need of support and guidance to help her get through the current struggles that she is facing.
Analysis of the Client's presenting problem
Olivia is struggling with depression and alcohol misuse. .
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.
As a clinical social worker it is important to understand group .docxssusera34210
As a clinical social worker it is important to understand group typology in order to choose the appropriate group method for a specific population or problem. Each type of group has its own approach and purpose. Two of the more frequently used types of groups are task groups and intervention groups.
For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following:
Choose either a treatment group or task group as your intervention for Paula Cortez.
Identify the model of treatment group (i.e., support, education, teams, or treatment conferences).
Using the typologies described in the Toseland & Rivas (2017) piece, describe the characteristics of your group. For instance, if you choose a treatment group that is a support group, what would be the purpose, leadership, focus, bond, composition, and communication?
Include the advantages and disadvantages of using this type of group as an intervention.
REQUIRED resource for assignment
A Meeting of an Interdisciplinary Team
Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at risk.
Paula just recently announced to the social worker that she is pregnant. She has been unsure whether she wanted to continue the pregnancy or terminate. Paula also told the social worker she is fearful of the father of the baby, and she is convinced he will try to hurt her. He has started to harass, stalk, and threaten her at all hours of the day. Paula began to exhibit increased paranoia and reported she started smoking again to calm her nerves. She also stated she stopped taking her psychiatric medications and has been skipping some of her
HIV
medications.
The following is an interdisciplinary team meeting being held in a conference room at the hospital. Several members of Paula’s team (HIV doctor, psychiatrist, social worker, and OB nurse) have gathered to discuss the precipitating factors to this hospitalization. The intent is to craft a plan of action to address Paula's noncompliance with her medications, increased paranoia, and the pregnancy.
Click one the above images to begin the conversation.
Physician
Dialogue 1
Paula is a complicated patient, and she presents with a complicated situation. She is HIV positive, has Hepatitis C, and multiple foot ulcers that can be debilitating at times. Paula has always been inconsistent with her HIV meds—no matter how often I explain the need for consistent compliance in order to maintain her health. Paula has exhibited a lack of insight into her medical conditions and the need to follow instructions. Frankly, I was astonished an.
Running head INITIAL INTERVIEW 1INITIAL INTERVIEW 2.docxwlynn1
Running head: INITIAL INTERVIEW 1
INITIAL INTERVIEW 2
Identifying Information
Raban King is a 45 male adult married with three children. He lives in Allston, Boston and his phone number is +1 845-892-3344. Raban is a substance abuse social worker working with the Avernus Rehabilitation Center which a not-for-profit organization that helps members of community suffering from any form of substance abuse to overcome the addiction. The Avernus Rehabilitation Center contact are +1 615-615-9090 and +1 615-655- 3939. Raban is scheduled to be interviewed on the 25th of May 2020 to determine whether he is a suitable candidate for participation in a summer mission’s trip in a very challenging environment.
Reason for Referral
Raban was referred to me for evaluation by the mission’s board for further consultation. The mission’s board found Raban eligible for the summer mission’s trip that is expected to take place in a very challenging environment and they believe his type of work and personality can help him push through with the mission.
Current Situation and Functioning
From the information obtained from Raban, he is a substance abuse social worker and has been in the career for twelve years. He claims he is passionate about substance abuse and his desire is to help as many people to overcome the challenge and make a positive transition. He further claims that his typical day is spent either in the field seeking and collecting substance abuse victims or in the facility offering assistance and treatment to those already admitted. He spends the day counselling them and also making sure they take their medication and feed properly. On some occasional, he has to travel far and wide after receiving information about substance abuse victims so as to carry them using facility vans to the center.
Raban claims that due to his great passion, he has the ability to accomplish his daily tasks within the stipulated time. From assessment made, he has high coping skills since he is calm, patient, and humble. Also, despite being put through uncomfortable situations, he appeared sensitive and emotionally balanced. Also, it is evident that he has a high problem-solving and conflict resolution abilities from the many situations and cases he has faced in his line of duty and compelled to handle them. He also appears empathic, cooperative, and good manager of stress. One of the main weaknesses noted is that he rarely speaks and he seemed to agree with a lot of things a personality that appears easy to manipulate. Nevertheless, he has a main strength in the sense that whenever he set out to do something, he pushes through with it no matter how hard.
Relevant Medical History
According to Raban, there is no major illness or injury that he has ever suffered from or he is suffering from and physically he appears strong. He is not on medication and does not have any form of disability. He only has one brother and two sisters who are all healthy and his pa.
Behavioral Disorder: Schizophrenia & it's Case Study.pdfSELF-EXPLANATORY
This pdf is about the Behavioral Disorder: Schizophrenia & it's Case Study.
For more details visit on YouTube; @SELF-EXPLANATORY;
https://www.youtube.com/channel/UCAiarMZDNhe1A3Rnpr_WkzA/videos
Thanks...!
One of the most common used risk management tools is the Incident Re.docxAKHIL969626
One of the most common used risk management tools is the Incident Reporting.
More recently, incident Reporting system incorporated computer technology that will provide information like:
1. Major incident category.
2. Early identification of patterns and trends in the "how" and "why" of untoward events.
3. Code vulnerability inductors.
Discuss the potential benefits to use this technology. There is any Limitation for the system? Explain.
.
One of the first anthropologists to examine religion in Africa was E.docxAKHIL969626
One of the first anthropologists to examine religion in Africa was Edward Evans-Pritchard in the early 1900's. You will explore what he learned about the Azande by watching the first 23 minutes of "
Strange Beliefs: Sir Edward Evans-Pritchard
".
Instructions:
When you are done watching the video answer the following questions by referring to specific information from the video, NOT outside sources:
How do the Azande people featured in the film explain unfortunate events and what do they do about it?
According to your textbook, what is religion and how would Azande religious beliefs be classified?
Do you think Azande beliefs are any more or less rational than other religious beliefs like Judaism, Christianity, Islam, or Buddhism?
.
One of the most important concepts in clinical practice and group wo.docxAKHIL969626
One of the most important concepts in clinical practice and group work is confidentiality. All members of the group sign an informed consent form in order to address the rules and parameters of the group sessions. The rules regarding confidentiality are stated in one section of the form. Although every member must sign this agreement, ensuring that all information shared in the group remains confidential can be difficult. As the group leader, the clinical social worker is responsible for developing strategies so that all members feel safe to share.
For this Discussion, review the “Working With Groups: Latino Patients Living With HIV/AIDS” case study.
By Day 3
Post
strategies you might prefer to use to ensure confidentiality in a treatment group for individuals living with HIV/AIDS. Describe how informed consent addresses confidentiality in a group setting. How does confidentiality in a group differ from confidentiality in individual counseling? Also, discuss how you would address a breach of confidentiality in the group.
Required Readings
Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014).
Social work case studies: Concentration year
. Baltimore, MD: Laureate International Universities Publishing [Vital Source e-reader].
“Working With Groups: Latino Patients Living With HIV/AIDS” (pp. 39–41)
Toseland, R. W., & Rivas, R. F. (2017). An introduction to group work practice (8th ed.). Boston, MA: Pearson.
Chapter 11, “Task Groups: Foundation Methods” (pp. 336-363)
Chapter 12, “Task Groups: Specialized Methods” (pp. 364–395)
Himalhoch, S., Medoff, D. R., & Oyeniyi, G. (2007). Efficacy of group psychotherapy to reduce depressive symptoms among HIV-infected individuals: A systematic review and meta-analysis.
AIDS Patient Care and STDs,
21
(10), 732–739
Lasky, G. B., & Riva, M. T. (2006). Confidentiality and privileged communication in group psychotherapy.
International Journal of Group Psychotherapy
,
56
(4), 455–476.
Toseland, R. W., & Rivas, R. F. (2017).
An introduction to group work practice
(8th ed.). Boston, MA: Pearson.
Chapter 1, “Introduction” (pp. 1–42)
Chapter 2, “Historical and Theoretical Developments” (pp. 45–66)
Working With Groups:
Latino
Patients Living
WithHIV/AIDS
The support group discussed here was created to address the unique needs of a vulnerable population receiving services at an outpatient interdisciplinary comprehensive care center. The center’s mission was to provide medical and psychosocial services to adult patients living with HIV/AIDS (PLWH). Both patients and providers at the center expressed a need for a group to address the needs of the center’s Latino population. At the time the group was created, 36% of the center’s population identified as Latino, and 25% of this cohort identified Spanish as their primary language. The purpose of the group was twofold: 1) to reduce the social isolation felt by Latino patients at the center and 2) to create a culturally sensitive environm.
One function of a leader is to provide the vision for the organizati.docxAKHIL969626
One function of a leader is to provide the vision for the organization that they lead. Being a role model and leading the way forward are important aspects of leadership.
If you were leading an Internet retailer or another organization that involves innovative technology and organizational flexibility, describe the process that you would use to create a vision for the organization.
How would you get the employees involved in the vision?
Describe how the process would differ between an Internet retailer and a brick and mortar retailer.
.
One could argue that old-fashioned attitudes regarding gender and t.docxAKHIL969626
One could argue that old-fashioned attitudes regarding gender and "traditional" gender roles are becoming obsolete. In many parts of the world women head major corporations and hold high positions of power—positions historically seen as being of the male domain. In turn, many men freely choose to be "stay-at-home-dads" or enter professions that were once considered to be "feminine." Naturally, our contemporary views of gender and gender roles illustrate the social progress we have made as one human culture.
Yet, prehistoric and ancient works of art tell a different story—one that reinforces old-fashioned gender roles (and maybe for good reason). Prehistoric and ancient representations of gender illustrate the social norms of their periods. Naturally, these works of art were produced by people whose lives and values were quite different from ours. Yet, the views of gender presented by these works of art are, despite our contemporary sensibilities, are still very recognizable.
Write an essay that analyzes the representation of gender and gender roles as seen in
Woman of Willendorf
(prehistoric: c. 25,000–20,000 B.C.E.) and
Kouros
/
Statue of Standing Youth
(ancient Greece: c. 580 B.C.E.).
.
One of the hallmarks of qualitative research is writing detailed obs.docxAKHIL969626
One of the hallmarks of qualitative research is writing detailed observations when collecting data. For this assignment, take a notebook with you to a public setting where social interaction takes place (restaurant, public library, public park, shopping mall, airport, etc.). Observe for an hour, then write up your notes into a descriptive vignette, looking for patterns in events and actions.
Observe as though you are a stranger in a new country, trying to make sense of the action around you. Describe how things look, smell, sound, feel, etc. Be as descriptive as possible. Write up your observations into a vignette with the intention of having readers feel as though they are in the environment you choose to observe. Do not be shy to talk to people and ask what they are doing for more information.
REMEMBER to concentrate on observing the
context
only (NO PERSONAL OPINIONS)! This paper should be no longer than 3 pages double-spaced. There is going to be follow-up with this assignment in Module 8.
Assignment Specifics:
· Student will write a 3 double-spaced reflective paper.
· Citations from any of the required reading/presentations from the assigned module
· APA format
.
One of the three main tenants of information security is availabilit.docxAKHIL969626
One of the three main tenants of information security is availability. It is also one of the least thought about. Explain the importance of availability? Do you believe it should be more important than the other two tenants (confidentiality/integrity)? Why is it important to know the value of your data when it comes to availability?
Requirements:
Initial posting by Wednesday
Reply to at least 2 other classmates by Sunday (Post a response on different days throughout the week)
Provide a minimum of 3 references on the initial post and on any response posts.
Proper APA Format (References & Citations)/No plagiarism
.
One of the challenges in group problem solving is identifying the ac.docxAKHIL969626
One of the challenges in group problem solving is identifying the actual problem. Often as a group, we try to fix the symptoms of the problem instead of the actual problem. Review the attached scenario. Identify the problem, write a problem statement, and explain why you believe the problem you identified is not a symptom but the actual root cause.
*Post must be 200 to 250 words
*Answer must be clear, concise and straight forward
* PE is attached
.
One is the personal plot that unfolds around the relationships betwe.docxAKHIL969626
One is the personal plot that unfolds around the relationships between the characters—O thello, Iago, Desdemona, Cassio, Rodrigo, and Emelia. The other plot is the more public one in which Venice is at war with the Turks. How do these plots intersect, and do they overlap in terms of some of the main themes of the play? For instance, don’t overlook the line in Act I, iii, regarding where the Turks are headed in their ships—“or this cannot be, by no assay of reason: 'tis a pageant,to keep us in false gaze.”
.
One and half pagesimple, noplagarism Title page, abstr.docxAKHIL969626
One and half page
simple, noplagarism
Title page, abstract, table of contents, list of figures, list of tables are all
not required
in the discussion forums. All other aspects of
APA (citations, list of references, correct spacing & formatting, etc.)
are
required to receive full credit
You must
engage
(not just agree, disagree, or repost you own posting) at least two of your classmates in the discussions each week to receive full credit
Each question should be researched and supported with some peer reviewed sources other than or in addition to your textbook
Discussion posts are assessed on a rubric with equal weight given to 5 assessable items: Comprehension, Timeliness, Engagement, Critical Thinking, and APA/Mechanics
Digital Forensics
There are three primary goals with digital forensics:
Collect electronically stored information in a sound, defensible manner,
Analyze the results of the collections, and
Present the findings either in formal legal proceedings or less formally to inform a client.
Electronic evidence can be short-lived and fragile. It needs to be collected in a defensible, methodological manner to preserve it accurately, and to withstand scrutiny in legal proceedings. (chain of custody)
Electronic evidence can be highly probative, both as it appears to users, and behind the scenes. There is a lot of information that a computer user never sees (e.g. metadata, logs, registry entries). This behind-the-scenes evidence may provide a wealth of information about who did what when and where. Forensic analysts are trained to preserve, collect and interpret this kind of evidence.
Some digital files can be recovered, even if a user has tried to delete them.
Locate a famous case where digital forensics played a role, and share it with the class. Discuss how digital forensics was critical in cracking the case. Examples are listed below, but
you can’t use them – find your own.
Famous cases cracked with digital forensics
Be it a text message, Google searches or GPS information, a person’s digital footprint can provide plenty of ammunition in the courtroom. Here are a few cases where digital forensics played a critical role in bringing about justice
.
1. The BTK Killer, Dennis Rader
Perhaps the most famous case to be solved through digital forensics is that of
the BTK Killer Dennis Rader
, with “BTK” referring to his MO of “bind, torture and kill.” Rader enjoyed taunting police during his killing sprees in Wichita, KS. But this also proved to be his fatal flaw. A floppy disk Rader sent to police revealed his true identity. He was soon arrested, pled guilty and was put behind bars for life, much to the relief of his long-terrorized community.
2. Dr. Conrad Murray’s lethal prescriptions
Another recent case solved with digital forensics was that of
Dr. Conrad Murray, personal physician of Michael Jackson
. Digital forensics played a crucial role in the trial. After Jackson passed away unexpectedly in 20.
One 750 - word essay exploring an art historical issue presented in .docxAKHIL969626
One 750 - word essay exploring an art historical issue presented in the class.(following file)
The file is 6 pages long. write a reaction and add some of the own thinking.
The file preview
The Combahee River Collective Statement
Combahee River Collective
We are a collective of Black feminists who have been meeting ...........
.
One of the most interesting items in the communication realm of orga.docxAKHIL969626
One of the most interesting items in the communication realm of organization management is the informal grapevine. The informal grapevine has the capacity to undermine the official communication function of a criminal justice organization.
Discuss what a grapevine is and the best methods to counteract it.
.
One of the most important filmmakers of the twentieth centur.docxAKHIL969626
One of the most important filmmakers of the twentieth century to release such popular films such as Ferris Bueller’s Day Off, and The Breakfast Club was someone by the name of John Hughes. Born February 18 in 1950, he sadly died 11 years ago due to a heart attack. Brought up in Michigan, John Hughes started off by creating jokes for already famous comedians. He then began to capture the interest of adolescents in the 1980’s with his work. Movies such as The Breakfast Club;Sixteen Candles;Ferris Bueller's Day Off;Plane, Trains, and Automobiles; and Home Alone gained a huge amount of popularity over time. These movies usually ended in a good way but not without a struggle along the way.
One of John Hughes most popular film’s, titled The Breakfast club takes place in a school library setting as the main 5 students are tasked with learning and understanding each other. Understanding their dislikes for teachers, parents, as well as going through the peer pressure of their respective social groups. This film highly resembles Hughes' work as it reaches toward the best of society with all different types of popular culture which explains why the movie takes place in a library, with the students surrounded by art, books, and statues.
Hughes was very well known as being the king of highschool movies. All of his work dealt with teenagers and the issues they dealt with. Ferris Bueller
Ferris Buellers was one of Hughes' first comedies, and it is the most original movie about high school that has ever been made. There wasn't a movie like it before it was made, and since many attempts have been made to recapture what Ferris Buellers brought to the table. Unfortunately, that is impossible. A big part of Ferris Bueller's magic was the originality of Hughes' vision. He looked at teenagers and high school life from a completely new perspective. Hughes created a world where everything worked out for the hero, and everyone can identify with that.
.
One of the ways businesses provide secure access to their networ.docxAKHIL969626
One of the ways businesses provide secure access to their network (or a subset of their network) to remote (or mobile) users is to use virtual private networks (VPNs). VPNs allow users to connect securely (over an encrypted link) to a network. For this discussion:
Define the term virtual private network
Discuss the goal(s) of a VPN
Describe different types of VPNs (hardware or software based)
Discuss how the use of a VPN may support BYOD (bring your own device)
List several commonly available (open source) VPNs
Describe best practices for using a VPN
300 Words NO Plagiarism
.
On Stretching Time (250 Words)The given paradigms by which we.docxAKHIL969626
On Stretching Time (250 Words)
“The given paradigms by which we are to understand and use academic freedom isolate utterances and individuals to insist that the contexts that matter are professional and institutional. But if we stretch time, the potent context of modern nationalism/settler colonialism becomes strongly palpable.”
Kandice Chuh argues that it is imperative for us to “stretch time”: to be able to place utterances and individuals in the academic context in the broader context of modern nationalism and settler colonialism. What is something someone can only understand about you by bringing in a larger context? Write that, and also the larger context needed to understand.
.
On the evening news, social media and even in conversation, do you f.docxAKHIL969626
On the evening news, social media and even in conversation, do you feel that noting where data and other vital information being shared came from could alleviate confusion, frustration and "gossip"? If so, where should we draw the line? Do you trust what others discuss with you? Or do you "fact check"?
.
On p. 98-99 of Music and Capitalism, Tim Taylor writes, The.docxAKHIL969626
On p. 98-99 of
Music and Capitalism,
Tim Taylor writes, “These and other Western star musicians employ other common discourses about the musicians with whom they worked and the musics they appropriated or collaborated with. The dominant ideology and discourse are that non-Western musics are a kind of natural resource that is available for the taking, though these acts of appropriation are frequently tempered by the Western star’s appearance alongside the non-Western musicians in publicity photographs, on recordings, and in liner notes.”
Review your notes from class about important words, or look these up as necessary: discourse, appropriation, collaboration, ideology
Then, write a response that does the following:
Explain: what does this quotation mean in your own words?
How does the
Graceland
example fit in with what Tim Taylor is talking about here
?
Think of another time that musicians with different power positions are part of a musical performance or recording (you can use one in the chapter, like
Buena Vista Social Club, Deep Forest,
“The Lion Sleeps Tonight,” “Return to Innocence,” “El Condor Pasa,” or
Talking Timbuktu
, or one not in the reading that interests you). Describe the relationship between the musicians, and argue whether you think the album/performance is appropriation, collaboration, sampling, or something else. If the artists have different positionalities in terms of race, gender, and/or country of origin, comment on the effect this has. Give your opinion on ethical questions raised in this particular situation.
Your response should be about 3-5 paragraphs (minimum 12 sentences) in length. For part c, you will need to reference and cite an additional source (i.e. web site, album, academic source, news article, etc.)
.
On 1 January 2016, the 17 Sustainable Development Goals (SDGs) o.docxAKHIL969626
On 1 January 2016, the 17 Sustainable Development Goals (SDGs) of the 2030 Agenda for Sustainable Development — adopted by world leaders in September 2015 at an historic UN Summit — officially came into force. These goals address every topic of concern we have discussed this semester. Over the coming decade, it's the hope of UN member nations (which includes the U.S.) that the SDGs will universally be applied to all, countries will mobilize efforts to end all forms of poverty, fight inequalities and tackle climate change, while ensuring that no one is left behind.
With the SDGs as your reference, answer these questions:
Are any of the 17goals from the UN website particularly unrealistic—describe, in detail, why you think so (or not).
Which of the 17 goals do you believe is the highest priority for the world and why? Cite specific examples from class content, discussions and assessments.
.
On September 11, 2001 the U.S. changed forever. While the U.S. had s.docxAKHIL969626
On September 11, 2001 the U.S. changed forever. While the U.S. had suffered attacks before, nothing to this scale and magnitude. The attacks were aimed at highly populated areas (NYC) and homes for the government and armed forces (Washington, D.C. and the Pentagon). The World Trade Centers were an ideal target for their height and location. For your own post, consider vulnerable populations. What constitutes vulnerability in populations living in disaster prone areas? Consider NYC, these attacks were neither the first nor the last attacks NYC has suffered. Why is NYC such a hub for terrorist attacks? Try considering other areas, other than NYC, and provide an example from a recent disaster. Unfortunately, there are many. You can discuss man-made disasters or natural disasters.
250 Words
.
On January 28, 1986, the Space Shuttle Challenger was destroyed upo.docxAKHIL969626
On January 28, 1986, the Space Shuttle Challenger was destroyed upon launch from Cape Canaveral, Florida killing all seven astronauts on board. Conduct a literature and an Internet search on the topics of the Challenger disaster and groupthink. Then, discuss how groupthink might have created decision-making problems for NASA and its booster contractor. Cite at least two sources in your answer.
250 words and list references
.
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.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
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!
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.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Embracing GenAI - A Strategic ImperativePeter 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.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
June 3, 2024 Anti-Semitism Letter Sent to MIT President Kornbluth and MIT Cor...Levi Shapiro
Letter from the Congress of the United States regarding Anti-Semitism sent June 3rd to MIT President Sally Kornbluth, MIT Corp Chair, Mark Gorenberg
Dear Dr. Kornbluth and Mr. Gorenberg,
The US House of Representatives is deeply concerned by ongoing and pervasive acts of antisemitic
harassment and intimidation at the Massachusetts Institute of Technology (MIT). Failing to act decisively to ensure a safe learning environment for all students would be a grave dereliction of your responsibilities as President of MIT and Chair of the MIT Corporation.
This Congress will not stand idly by and allow an environment hostile to Jewish students to persist. The House believes that your institution is in violation of Title VI of the Civil Rights Act, and the inability or
unwillingness to rectify this violation through action requires accountability.
Postsecondary education is a unique opportunity for students to learn and have their ideas and beliefs challenged. However, universities receiving hundreds of millions of federal funds annually have denied
students that opportunity and have been hijacked to become venues for the promotion of terrorism, antisemitic harassment and intimidation, unlawful encampments, and in some cases, assaults and riots.
The House of Representatives will not countenance the use of federal funds to indoctrinate students into hateful, antisemitic, anti-American supporters of terrorism. Investigations into campus antisemitism by the Committee on Education and the Workforce and the Committee on Ways and Means have been expanded into a Congress-wide probe across all relevant jurisdictions to address this national crisis. The undersigned Committees will conduct oversight into the use of federal funds at MIT and its learning environment under authorities granted to each Committee.
• The Committee on Education and the Workforce has been investigating your institution since December 7, 2023. The Committee has broad jurisdiction over postsecondary education, including its compliance with Title VI of the Civil Rights Act, campus safety concerns over disruptions to the learning environment, and the awarding of federal student aid under the Higher Education Act.
• The Committee on Oversight and Accountability is investigating the sources of funding and other support flowing to groups espousing pro-Hamas propaganda and engaged in antisemitic harassment and intimidation of students. The Committee on Oversight and Accountability is the principal oversight committee of the US House of Representatives and has broad authority to investigate “any matter” at “any time” under House Rule X.
• The Committee on Ways and Means has been investigating several universities since November 15, 2023, when the Committee held a hearing entitled From Ivory Towers to Dark Corners: Investigating the Nexus Between Antisemitism, Tax-Exempt Universities, and Terror Financing. The Committee followed the hearing with letters to those institutions on January 10, 202
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
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Of the substance disorders, alcohol-related disorders are the mo.docx
1. 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 for our discussion, Please r
ead “THE CASE OF XAVIER” and the materials for the week.
Then assume that you are meeting with XAVIER as the social
worker who recorded this case.
Then, by Wednesday night, Please post
a 300- to 500-word response in which you address the
following:
2. Provide the full DSM-5 diagnosis for Xavier 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 her
diagnosis, clarify missing information, or track her progress.
Summarize how you would explain the diagnosis to Him.
Explain how you would engage him in treatment, identifying
potential cultural considerations related to substance use.
Describe your initial recommendations for her treatment and
explain why you would recommend MAT or ABT.
Identify specific resources to which you would refer her.
Explain why you would recommend these resources based on his
diagnosis and other identity characteristics (e.g., age, sex,
gender, sexual orientation, class, ethnicity, religion, etc.).
CASE OF XAVIER
INTAKE DATE: May 2018
DEMOGRAPHIC DATA:
3. This is a voluntary admission for this 32 year old Black male.
This is Xavier’s first psychiatric hospitalization. Xavier has
been married for 13 years and has been separated from his
husband for the past three months. He has currently been living
with his sister in Atlanta, GA., where his husband and son
reside. Xavier has a two year degree in nursing. Xavier works as
an RN. Religious affiliation is agnostic.
CHIEF COMPLAINT:
"I need to learn to deal with losing my husband and son."
HISTORY OF ILLNESS:
This admission was precipitated by Xavier’s increased
depression with passive suicidal ideation in the past three
months prior to admission. He identifies a major stressor of his
husband and son leaving him three months ago. Xavier has had
a past history of alcohol binges and these binges are intensified
when there is a need for coping mechanisms in times of stress.
Xavier was starting vacation from work just prior to admission
and recognized that if he did not come to the hospital for
treatment of depression and alcoholism, he would expect to
have a serious alcohol binge. Xavier reports that in the past
three months since separating from his husband, he has
experienced sad mood, fearfulness, and passive suicidal
ideation. He denies a specific suicidal plan. Xavier’s husband
reports that during these past three months prior to admission,
Xavier made a verbal suicidal threat.
Xavier reports he has been increasingly withdrawn/non-
communicative. His motivation has decreased, and he finds
himself "sitting around and not interested in doing chores at
home". He reports decreased concentration at work and
increased distractibility. Xavier has experienced increased
4. irritability, decreased self-esteem, and feelings of guilt/self-
blame. There is no change in appetite, but Xavier reports an
intentional weight loss of 20 pounds in the last 5 months with
dieting. Xavier states that for many years he doesn’t really sleep
ever since he worked double shifts when requested. Xavier
reports his normal sleep pattern for many years has been
generally three hours of unbroken sleep. Xavier reports past
history of euphoria, although his husband reports to intake
worker having observed periods when Xavier’s mood is
elevated; then in the next few hours, Xavier appears out of
control with poor impulse control, increased arguing, temper
tantrums and alleged shoving and pushing him and his son.
After which Xavier feels tired and ends up sleeping more than
average.
Xavier denies suicidal ideation at the present time while on the
evaluation unit.
Xavier reports a history of some alcohol binges in the past. He
began drinking beer in 2003, after he turned 21 years old.
Xavier reports that until two years prior to admission his pattern
of drinking was to get drunk with his social group
approximately twice per month. He denies a history of
blackouts. He admits to the alcohol binges and heavy use of
cocaine (snorting and freebasing on weekends) for a period of
three months in 2015. Xavier has received a charge of driving
while intoxicated in 03/2014 and had lost his driver’s license
for six months. Since his marital breakup, Xavier reports using
alcohol as a coping mechanism for stress (reporting that he will
only drink on weekends now).
PAST PSYCHIATRIC HISTORY:
Xavier was seen on an outpatient basis by Dr. S for a period of
two months prior to admission. He was being seen for
individual counseling because of the marital problems and
5. depression. Dr. S recently referred Xavier for inpatient
rehabilitation.
MEDICAL HISTORY:
In 2011, Xavier sustained a head injury when he hit his head on
a coffee table. Xavier had a past history of fractured toes with
pins being inserted in the third and fourth digits in his right foot
after an accident in which he crushed his foot at work. Xavier
denies a past history of seizures.
Xavier has had a weight loss of approximately 20 pounds
secondary to dieting. Xavier is allergic to Codeine.
FAMILY MEDICAL AND PSYCHIATRIC HISTORY:
Father and grandfather have a history of cardiovascular disease.
PSYCHOSOCIAL AND DEVELOPMENTAL HISTORY:
Xavier reports that while growing up his parents maintained a
satisfactory relationship. Father reportedly worked nights and
slept during the day. Xavier did not have much contact with his
father but now enjoys a close relationship with his father. He
states he has always had his parents support.
During Xavier’s school years, he reports he was an
underachiever in elementary school. He denies having had a
history of discipline problems or hyperactivity. He states he did
well in high school and earned grades of A’s and B’s. Xavier
played football in HS. After completing high school, Xavier
furthered his education and earned his license as a registered
nurse. He states he graduated at the top of his class from
nursing school.
Xavier has been married for 13 years and has recently been
6. separated for the past three months. Xavier and his husband
have one adopted son, age 4. Xavier states he feels invested as a
parent and feels close to his son.
Leisure time activities Xavier has enjoyed in the past include
playing softball, reading, playing poker, and watching football.
His husband has complained that he is doing less of that now
since he is drinking more. Xavier states he has several close
friends.
CURRENT FAMILY ISSUES AND DYNAMICS:
Xavier’s husband reports that Xavier’s difficulties began to get
worse a few months ago when he decided to move out of the
house due to Xavier’s increasing erratic behavior. He moved
into his parents’ house and Xavier is living with his sister.
Husband states that Xavier has been suffering from mood
swings where he is "very up" and feeling great, firm in his
direction and then within the next few hours, he is often out of
control, arguing, throwing temper tantrums, pushing and
shoving, and becoming verbally abusive.
Husband states Xavier has been drinking for several years in the
amount of a 12 pack of beer per day plus shots of hard liquor.
Although Xavier reported he has been using cocaine on and off
for about two years, husband states he does not think that
Xavier is presently using cocaine. At one point, after threats
from his husband, Xavier told him that he had gone to a clinic
for outpatient rehabilitation, but he did not believe him.
Husband describes Xavier as "extremely depressed" now and
says Xavier states, "life is over…I wish I was dead…don’t send
my son over to visit because I don’t want him to find my dead
body…everything I touch turns to garbage. Husband adds that
Xavier suffers from poor self-esteem, lack of sleep, and an
extremely boastful attitude. In terms of strengths, he is a good
7. father, compassionate, creative, and can be an outstanding
person.
Husband reports Xavier always had a bad relationship with his
mother. Xavier is close to his father who is reported to have an
alcohol problem and was allegedly loud and intimidating.
Xavier states he has financial problems now due to paying for
counseling and child support.
MENTAL STATUS:
Xavier presents as a casually dressed male who appears his
stated age of 32. Posture is relaxed. Facial expressions are
appropriate to thought content. Motor activity is appropriate.
Speech is clear and there are no speech impediments noted.
Thoughts are logical and organized. There is no evidence of
delusions or hallucinations. Xavier denies any hallucinations.
Xavier admits to a recent history of passive suicidal ideation
without a plan, but denies suicidal or homicidal ideation at the
present time. Xavier admits to a history of decreased need for
sleep but denies euphoric episodes. His husband has observed a
history of notable mood swings. No manic-like symptoms are
observed at the time of this examination.
On formal mental status examination, Xavier is found to be
oriented to three spheres. Fund of knowledge is appropriate to
educational level. Recent and remote memory appear intact.
Xavier was able to calculate serial 7’s. In response to three
wishes, Xavier replied "I wish that my marriage would work
out, that my son would be happy, and that someone would give
me a million dollars.”
8. Required Readings
Morrison, J. (2014).
Diagnosis made easier
(2nd ed.). New York, NY: Guilford Press.
Chapter 15, “Diagnosing Substance Misuse and Other
Addictions” (pp. 238–250)
American Psychiatric Association. (2013q). Substance related
and addictive disorders. In Diagnostic and statistical manual of
mental disorders (5th ed.). Arlington, VA: Author.
doi:10.1176/appi.books.9780890425596.dsm16
Gowin, J. L., Sloan, M. E., Stangl, B. L., Vatsalya, V., &
Ramchandani, V. A. (2017). Vulnerability for alcohol use
disorder and rate of alcohol consumption. American Journal of
Psychiatry, 174(11), 1094–1101.
doi:10.1176/appi.ajp.2017.16101180
Reus, V. I., Fochtmann, L. J., Bukstein, O., Eyler, A. E., Hilty,
D. M., Horvitz-Lennon, M., … Hong, S.-H. (2018). The
American Psychiatric Association practice guideline for the
pharmacological treatment of patients with alcohol use disorder.
American Journal of Psychiatry, 175(1), 86–90.
doi:10.1176/appi.ajp.2017.1750101
Stock, A.-K. (2017). Barking up the wrong tree: Why and how
we may need to revise alcohol addiction therapy. Frontiers in
Psychology, 8, 1–6. doi:10.3389/fpsyg.2017.00884
Optional Resources
Best, D., Beckwith, M., Haslam, C., Haslam, S. A., Jetten, J.,
9. Mawson, E., & Lubman, D. I. (2016). Overcoming alcohol and
other drug addiction as a process of social identity transition:
The social identity model of recovery (SIMOR). Addiction
Research and Theory, 24(2), 111–123.
doi:10.3109/16066359.2015.1075980
Hagman, B. T. (2017). Development and psychometric analysis
of the Brief DSM-5 Alcohol Use Disorder Diagnostic
Assessment: Towards effective diagnosis in college students.
Psychology of Addictive Behaviors, 31(7), 797–806.
doi:10.1037/adb0000320
Helm, P. (2016). Addictions as emotional illness: The
testimonies of anonymous recovery groups. Alcoholism
Treatment Quarterly, 34(1), 79–91.
doi:10.1080/07347324.2016.1114314
Petrakis, I. L. (2017) The importance of identifying
characteristics underlying the vulnerability to develop alcohol
use disorder. American Journal of Psychiatry, 174(11), 1034–
1035. doi:10.1176/appi.ajp.2017.17080915
Hom, M. A., Lim, I. C., Stanley, I. H., Chiurliza, B., Podlogar,
M. C., Michaels, M. S., ... Joiner, T. E., Jr. (2016). Insomnia
brings soldiers into mental health treatment, predicts treatment
engagement, and outperforms other suicide-related symptoms as
a predictor of major depressive episodes. Journal of Psychiatric
Research, 79, 108–115. doi:10.1016/j.jpsychires.2016.05.008