Client Process and Theoretical Approach: Home visits with Brittany show that she is happy where she lives with Sandy. Furthermore, her health has improved, since living in the shared living home, which includes the lessening of some of her behavioral problems. Yearly, a Personal Outcome Measure Assessment, (POM), is created with Brittany, but the assessment for this year is not done, yet. This assessment helps the agency measure the status of Brittany’s wants, wishes, and abilities to meet her goals. Also, it helps to see if her supports are helping her reach her goals and wishes. A behavioral plan was created with Brittany and the mental health person to help her with her behaviors, and to help those who work and live with Brittany. They …show more content…
This theory uses all the systems that affect a client, such as her supports, family, and her relationships. When doing a POM she is asked to name her natural supports, those who help her from Mosaic, and her intimate relationships. Her peers, the day center, and her wishes are another system that affect Brittany. The support systems are the Mosaic employees from the day center, case manager, and the shared living employees. This team works to together to aid with problems, figure out issues that she may experience, and create plans with Brittany that keep behaviors to a minimum. During a POM assessment, Brittany is asked to name her supports, and if she is happy with these supports. Brittany’s natural supports are friends or peers and her shared living provider. She values her relationships, and they are very important to her. Friendships at the day center, with some of her peers, are other supports she values. Although, intimate relationships are important to her, they can cause her distress because of break-ups. The supports are working with Brittany, so that she will learn that her worth does not come from a man. Her supports are finding other things Brittany enjoys, and they are introducing her to other people, to show she can enjoy life without a man. However, this is not to keep her from having an intimate relationship, which is her
HPI: MR is a 70 y.o. male patient who presents to ER with constant, dull and RUQ abdominal pain onset yesterday that irradiate to the back of right shoulder. Client also c/o nauseas, vomiting and black stool x2 this morning. He reports that currently resides in an ALF; they called the ambulance after his second episodes of black stool. Pt reports he drank Pepto-Bismol yesterday evening without relief. Pt states that he never experienced similar symptoms in the past. Denies any CP, emesis, hematochezia or any other associated symptoms at this time. Client was found with past history gallbladder problems years ago.
Being supportive is vital in maintaining a strong relationship because support builds confidence and gives
First of all, through this assignment, I have learned that a theory is an interrelated set of concepts and propositions, organized into deductive systems that explain relationships among different aspects. It is an overall explanation of the person in environment configuration, and helps explain why a problem is occurring. It will also provide a social worker with a set of ideas that will help the social worker get a better understanding of the problem. In addition, there are many different theories, and perspectives that are used in the social work field to empower people and to promote a positive society for all. This particular case is associated with bio-psychosocial approach
Depression began to set in when Amanda’s RA worsened witth age and she experienced greater lost of autonomy. The pain became more unbearable and the stress was compounded. The supports she needs can come from several sources
Still, this model presents a holistic, systems approach and identifies the interaction as well as influence of various dimensions of the biological, psychological, social, cultural and spiritual environment on the individual.
The Neuman Systems Model (NSM) is a holistic and open system that involves the shifting relationship between a client / client system and its environment (Neuman & Fawcett, 2002). Because of Neuman’s holistic perspective, the model suggests that the client must be understood comprehensively by constructing the client system to include the physiological, psychological, sociocultural, developmental, and spiritual variables (Neuman & Fawcett, 2002). The client system is also shown in the model as circles to include a basic core structure (basic survival factors), lines of resistance (closest to the core and protects the system), normal line of defense (normal state of operating), and flexible line of defense (outer boundary
Almost immediately we are faced with the conflict of everyday life for Brittany, and as she enters the main setting of the story and a place that should be a safe environment she is immediately besieged. The author, using simple diction, describes another morning at school for Brittany where we see how her classmates attack her verbally with derogatory terms such as “Dyke” and “Whore”(Erdly 253). Because of this and other more physical bullying we see a safe setting become a source of anxiety and fear, and instead of combating the problem the school district does nothing. In clearly understandable writing Erdely deciphers the situation and relates to us how the school district passed a regulation effectively stating that staff “shall remain neutral on matters regarding sexual orientation” (Erdely 264). Effectively preventing children in need of guidance and role models from reaching out. The author uses an easily relatable setting, common vernacular, a clear point of view and familiar events to highlight the issues in this essay. Those issues detail the conflict that LGBTQ children face from people that don’t empathize with them, and understand that just because of who they are doesn’t mean that they aren’t still children in
The goal of cognitive-behavioral treatment is to adapt the patient’s thoughts; as Riley is thinking of how she is failing to deal with the present situation she is in, this treatment will help her change this thinking. In this treatment, Riley’s patterns of thinking would be recognized over a series of appointments, and the clinician would then identify different ways of viewing the same situations Riley has been dealing with, making them not as dysfunctional for her. As well as cognitive-behavioral treatment, physical activity can also combat depression because it releases endorphins; this treatment would be accessible to Riley, and it is something that can be self-initiated as well as encouraged by her parents. These treatments would be ideal for Riley as they encourage her to better her illness without antidepressants since she is so
The most supportive of friends are manifest during life’s toughest of obstacles. They are the ones that help us power through the storm. Karen Karbo claims, “Most of us would prefer to think that we love our friends because of who they are, not because of the ways in which they support who we are. It sounds vaguely narcissistic, and yet the studies bear it out.”(156) while Yvette and I stated off as simple associates, she was soon to be reviled as my most supportive friend. She was just another co-worker. However, after our bosses went through a divorce, our most dependable co-worker moved, and another reunited with her drug habit, Yvette was the only one I could depend on. Together we became an unbreakable team. We could run the front office without any flaws. Since our friendship was growing we became even more supportive of each other, if one was slacking the other would step up and make sure the task was completed. We would switch off on answering the phones and taking on a challenging customer. Occasionally we would go out for a drink to destress from work. We had just started taking our girls out on play dates, and hanging out on weekends. One night my mom called me to let me know she had made other plans for the following night and I needed to figure out another arrangement for my daughter. Most nights I depend on my mom to watch my daughter so I can go to class, and when she is unable my sister will step in. In
Federal and state laws, including Public Law 94-142 and the Individuals with Disabilities Act (IDEA), require that children with emotional, behavioral, and learning disorders be given a diagnosis in order to receive the needed services and accommodations (Neukrug & Fawcett, 2015). An clinical diagnosis is also necessary when requesting reimbursement from managed care organizations and insurance companies, as they will base the number of authorized therapy sessions on the diagnosis and treatment plan goals. The DSM -5 is an important tool in determining a client’s diagnosis and should be used in combination with clinical interviews, family assessments, and standardized assessment instruments when developing a treatment plan (Neukrug & Fawcett, 2015).
Theory has been defined as, “an organized set of assumptions, beliefs, or ideas about particular phenomena in the world (Teater, 2015).” Theory is used to understand and explain possible and perceived instances, behaviors and outcomes (Teater, 2015). Social workers use theory in order to understand, as well as, introduce interventions and solutions to their client’s individual situation. It is important for students entering into the social work profession to have a base knowledge of theories, with basic understanding of their similarities and differences to appropriately apply theory in practice. The theories which will be focused on in this paper include Systems Theory and Cognitive Behavioral Theory.
...ap helped me to identify Mrs. Clarkes formal and informal systems around her, and the relationships they hold. By using the ecomap it has helped me in identifying which systems need strengthening in Mrs. Clarkes life. It has been clear that the use of systems theory on the case study has been beneficial for the client to identify the best possible outcome.
The three most important aspects Joan would achieve through CBT is acceptance of self, acceptance from others, and life acceptance. By learning to accept herself, Joan would then begin to gain confidence and know her strengths to take within her relationship with Hal. Her relationship would benefit, as she wouldn’t feel the need to constantly seek approval from Hal, and Hal wouldn’t feel that Joan is constantly demanding things from him. In session Joan can also talk about her experiences being transgender.This discussion can help Joan understand her feelings and lead to cognitive restructuring about how she sees herself and her emotions can be validated.Therapy can be a safe place for Joan to express herself without being demoralized. Marginalized groups are often not able to talk about their feelings of isolation and disapproval from society and therapy can be that place for Joan to fully open up. Finally, Joan’s personal acceptance and acceptance from her significant other would help her work through this issues of not being socially accepted in the world, and her anxiety would lessen. Joan would benefit the most by becoming self aware of her behaviors, that way she will start to recognize the negative behaviors in order to change them. When working through her relationship issues, it would be helpful to use the role
It is rare to find one behavioral intervention that addresses the function of a problem behavior in each situation and setting. Positive behavioral support strategies should therefore include multicomponent intervention plans. Begin by developing a hypothesis regarding the undesirable behavior. The hypothesis statement is a summary of the evidence collected in the functional assessment.
Alice has been demonstrating negative behaviors for the past year. Cognitive behavior therapy does not focus on the past, but rather on the present. Thus, the therapist will find out what thoughts and feelings are related to the behaviors that Alice has been expressing. The therapist can introduce the family with the concept of token economy so that they can reward Alice when she achieves better grades. This way it can motivate her to try harder in her studies. Another technique that would help the Sanders family is to create a contingency contracting to help the parents make some changes in the way they behave or react to Alice behaviors when Alice makes the changes they want from her. Just as each is working on a plan to improve their behaviors, a contingency management plan will be created by the therapist that the family will follow that clearly states what rewards and consequences will be given based on the behaviors (Nichols, 2013). For instance, if Alice goes out without asking for permission or comes home after the curfew she will get her cell phone taken away. Rewards should also be readily available for Alice to achieve which will help reinforce or help shape the positive