week 5 assignment

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Tamika Kelly

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Topic 5 The Case Management Model Simulation Read the following case study and consider your approach when treating this client. Choose a model used in clinical social work and use the first three phases of the casework process to address the needs of this client and in 250-400 words total, address the prompts below. Cite your references in the “reference” section at the end. Jane is a 20-year-old woman who was referred to you by the health department at a local college where she is taking courses. It came to the attention of the school nurse that she has been engaging in risky behavior including excessive substance use and unprotected sex. Jane recently moved in with a friend after breaking up with her boyfriend. Her mother has been in and out of jail for the past 2 years on drug-related offenses and Jane has no relationship with her father. Currently, Jane works part-time at a local bar while taking classes but her grades have recently dropped and she is failing her classes. Model: Cognitive Behavior Therapy Study- From the perspective of your chosen model, what are the presenting problems in this case study? Cognitive behavioral therapy (CBT) is a psychotherapeutic model that can be used to help people

identify and understand the destructive thought patterns that have a negative impact on their

emotions and behaviors (Magill et al., 2019). It also seeks to help people identify comping

mechanisms that they can use to avoid the damaging or destructive patterns. It therefore focusses

on challenging and changing the negative thoughts that can contribute to destructive behaviors so

that it can replace them with more objective and productive thoughts.

From the perspective of the chosen model, there are two main presenting problems in the case

study that have the potential of resulting in other serious problems for Jane. First, there is a problem

of substance abuse resulting from Jane’s excessive substance use. Coupled by her part time job at

the bar, Jane is more exposed to substance abuse which may be part of the cause of her reduced

academic performance. Second, there is the problem of engaging in unprotected sex which may

make Jane susceptible to sexually transmitted infections and diseases.

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Assessment- Determine the origin of the presenting problems. Indicate strategies that you would utilize to further assess the client's presenting problems (e.g., what questions could you ask to better determine the underlying cause or motivations of the presenting problems?) The origin of the substance abuse is Jane’s mother who has been in and out of jail for drug-related

offences. It is possible that Jane learned the behavior from her mother as stipulated by Bandura’s

social learning theory. The theory argues that people take up new behaviors by observing,

modelling and imitating the behaviors of others (Nabavi, 2012). Moreover, Jane’s part time job at

the bar may also contribute as the origin of the problem of substance abuse. The origin of Jane’s

risky sexual behavior stems from both the external environment and her mental state. Bandura

noted that external environment is not the only factor that influences learning and acquisition of

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 Hyphenation problem: part time  part-time

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 Spelling mistake: offences  offenses

 Passive voice: It is possible that

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new behavior citing that a person’s mental state and motivation are also important factors.

To further assess the presenting problems, I would initiate counselling and psychotherapy within

which I would ask more questions to understand Jane better (Efrati & Gola, 2018). For instance, I

would ask Jane about her extended family and whether or not she is in contact with them. Such

questions would help me understand the social nature of the presenting problems and the specific

interventions to consider.

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Intervention- Use your chosen model to determine interventions that you could use to treat the client. Explain the merits of your chosen interventions. Based on Jane’s presenting problems, the aim of any intervention should be to help her stop using

substances and engaging in risky sexual behavior. First, I could identify the triggers that

predispose Jane to the two activities. This intervention would assist in identifying the negative

thoughts and in understanding how to eradicate the behaviors. (Cherry, 2021). Second, I could

work with Jane to set achievable goals so that she can focus on the process of recovery rather than

on the final result. This will ensure that Jane makes significant improvements in changing her

destructive behavior.

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References

Cherry, K. (2021). What Is Cognitive Behavioral Therapy (CBT)? Retrieved from https://www.verywellmind.com/what-is-cognitive-behavior-therapy-2795747

Efrati, Y., & Gola, M. (2018). Treating compulsive sexual behavior. Current Sexual Health Reports, 10(2), 57-64.

Magill, M., Ray, L., Kiluk, B., Hoadley, A., Bernstein, M., Tonigan, J. S., & Carroll, K. (2019). A meta-analysis of cognitive-behavioral therapy for alcohol or other drug use disorders: Treatment efficacy by contrast condition. Journal of consulting and clinical psychology, 87(12), 1093.

Nabavi, R. T. (2012). Bandura’s social learning theory & social cognitive learning theory. Theory of Developmental Psychology, 1-24.

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 Possible wordiness: whether or not  whether

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 assist, assistance (help): assist  help