HSE FINAL PROJECT ((12-15 HOUR TURN AROUND))

HSE 315 Final Project Guidelines and Rubric

Overview The final project for this course is the creation of a case study and care plan evaluation. In the field of human services, you will at some point be working with trauma, so it is imperative that you know the role of trauma and its impact on the individuals, families, and practitioners involved. Specifically, you will need to be aware of the short- and long-term impacts of physical and psychological trauma, as well as how this trauma affects needs. Next, you will need to recommend appropriate referrals and resources to address these needs and various levels of crises. Not only will clients need recommendations, but practitioners will as well, as they also feel the impact of trauma from working with trauma daily. The final project for this course is a case study and care plan evaluation that requires you to analyze the provided case study and care plan for the impact of trauma on clients and also the plan’s ability to address trauma and associated needs. The conclusion of your evaluation will require you to examine the potential personal and professional needs that result from working in a trauma-charged environment. Also, you will make recommendations for the practitioner to address the specific needs. The project is divided into three milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules Two, Four, and Six. The final submission will be due in Module Seven. You will receive feedback from your instructor on your milestones that you will incorporate into your final submission. These milestones will serve as a starting point for your final case study and care plan evaluation, which will be submitted as one final document and be graded using this Final Project Rubric. In this assignment you will demonstrate your mastery of the following course outcomes:

• Assess the impact of trauma on children, families, and communities for making informed care decisions • Evaluate trauma-informed care plans for the extent to which they address acute and ongoing child and family needs • Recommend strategies for practitioners that address the risks to and impacts of trauma on the human services practitioner • Assess primary, secondary, and tertiary intervention strategies for how they address crises, taking into consideration any legal and ethical implications

Case Study and Care Plan A Pacific Islander family of three consisting of 34-year-old Anamalia, her 13-year-old son Eloni, and her 4-year-old son Kolomalu has been referred to a service center by the state’s Department of Child and Family Services for the following reasons.

Eloni has just been placed in foster care for physically abusing his younger brother, Kolomalu. Child Protective Services (CPS) was brought in, Eloni was removed from the home, and the family was referred to counseling. In addition to acting out aggressively, there is good evidence that Eloni is a substance abuser as a teacher at his school found him sniffing paint several times. Also, through counseling, it was discovered that Eloni had been abused by a previous stepfather. Finally, Eloni has been suspended from school for attempting to stab a schoolmate. Anamalia’s apartment management company has sent her a letter of intent to evict, stating that several residents have complained about feeling fearful around Eloni and about the noise during family arguments. Although Anamalia has hopes of getting a job soon, she is currently unemployed and is having difficulty making the rent payments and buying sufficient food for her family. Anamalia wants the family to be reunited and is willing to take parenting classes and enter into other services required by the state; however, she is worried about putting Kolomalu in more danger. Although the family is currently in crisis, they have several areas of strength to draw upon:

1. The family has strong ties to the local Pacific Islander community 2. Eloni is extremely bright and well-liked by some of his peers 3. Anamalia has recently finished her MA degree and is applying for jobs at a local hospital 4. Kolomalu is a playful, gregarious boy who has a very close connection to his mother

In the care plan from the state’s Department of Child and Family Services, the following interventions and referrals are recommended:

1. Mental health counseling to address Eloni’s aggressive behavior 2. Substance abuse counseling for Eloni 3. Parenting classes for Anamalia 4. Mental health counseling for Kolomalu 5. Legal assistance to avoid eviction 6. Emergency assistance to buy groceries

Prompt

Your case study and care plan evaluation should address the following prompt: For this project, you will be evaluating the provided case study and care plan. Using the case study, you will first assess the impact of physical and psychological trauma on the children and family, as well as how this creates needs for the clients. Next, you will assess the primary, secondary, and tertiary interventions for how they address crises. This will lead to evaluating the plan overall for its ability to address the acute and ongoing needs of the children and family, as well identifying and providing recommendations for gaps in the service. Finally, you will discuss the case-specific risks to the practitioner’s well-being and recommend evidence-based referrals and interventions to address exposure to ongoing trauma.

Specifically, the following critical elements must be addressed:

I. Case Analysis – Needs A. Assess the impact of physical trauma on the children and family. What are the short-term impacts of this trauma? What are the long-term

impacts of this trauma? How do the impacts differ? How are they similar? B. Discuss the needs that are present due to the physical trauma on the children and family. How are these needs trauma-related? How are the

needs different for short- and long-term trauma? How are they similar? C. Assess the impact of psychological trauma on the children and family. What are the short-term impacts of this trauma? What are the long-term

impacts of this trauma? How do the impacts differ? How are they similar? D. Discuss the needs that are present due to the psychological trauma on the children and family. How are these needs trauma-related? How are

the needs different for short- and long-term trauma? How are they similar? E. Discuss the risk and resiliency factors for the children and family. What factors are present? How do these relate to the specific issue in the

case? How do these relate to the ages of the clients?

II. Care Plan – Interventions: Explain the interventions present in the case and how they address levels of crisis. A. Assess the extent to which interventions align with legal standards. What legal standards are applicable to this case? How do the interventions

take these into consideration? Are there places where the interventions do not align with legal standards? B. Assess the extent to which interventions align with ethical guidelines. What ethical guidelines are applicable to this case? How do the

interventions take these into consideration? Are there places where the interventions do not align with ethical guidelines? C. Assess the extent to which primary intervention strategies address crises. How do the interventions address primary crises? How will these

interventions benefit the family? How do they not address primary crises? What is an intervention that would address primary crises and how would this benefit the clients?

D. Assess the extent to which secondary intervention strategies address crises. How do the interventions address secondary crises? How will these secondary interventions benefit the family? How do they not address crises? What is a secondary intervention that would address crises and how would this benefit the clients?

E. Assess the extent to which tertiary intervention strategies address crises. How do the tertiary interventions address crises? How will these tertiary interventions benefit the family? How do they not address crises? What is a tertiary intervention that would address crises and how would this benefit the clients?

F. Discuss the importance of incorporating primary, secondary, and tertiary interventions. Why is addressing each important? How do the interventions differ? How do they relate to each other?

III. Care Plan – Needs: Explain the care plan and how it addresses the clients’ needs.

A. Evaluate the extent to which the plan addresses the children’s needs. How do the interventions and referrals in place address the needs? How do the interventions and referrals differ for acute versus ongoing needs? Do they fully address the needs?

B. Discuss the gaps in service of the plan. How do the interventions or referrals not address the children’s needs? What recommendations would you make to address these needs?

C. Evaluate the extent to which the plan addresses the family’s needs. What steps are in place to address the family’s needs? How do they address the needs? How do the steps differ for acute versus ongoing needs? Do they fully address the needs? Are there gaps where needs are not addressed?

D. Discuss the gaps in service of the plan. How do the interventions or referrals not address the family’s needs? What recommendations would you make to address these needs?

E. Evaluate the effectiveness of the contingency plan. What contingency plan is in place? How does this address risk and resiliency factors of the child and family?

IV. Practitioners: After examining the case and associated care plan, discuss the risks to practitioners working with this case, and research and recommend referrals and interventions.

A. Determine the case-specific risks to the practitioner’s well-being. What are the case-specific risks? What aspects of the scenario could negatively affect the practitioner and how? What could be the short- and long-term effects of this trauma?

B. Research and recommend referrals for the practitioner using scholarly sources that address ongoing exposure to trauma-laden material and situations. What referrals and resources are needed? How will these referrals address short-term and long-term needs? What are the risks if this exposure is not addressed?

C. Research and recommendation interventions for the practitioner using scholarly sources that address ongoing exposure to trauma-laden material and situations. What interventions are needed? How will these interventions address short-term and long-term needs? What are the risks if this exposure is not addressed?

Milestones

Milestone One: Outline of Case Analysis – Needs In Module Two, you will submit 2- to 3-page outline of your Case Analysis – Needs section, addressing all critical elements as listed in Section I above and using the Case Analysis Outline template provided. The outline should be based on the case study and care plan and must address the impact of physical and psychological trauma on the family, the needs of the family related to the trauma, and the risk and resiliency factors of the family. Consider how different forms of trauma can affect people, as well as the developmental and sociocultural consequences of trauma. Have any of the family members experienced more than one trauma incident? How might the different family members’ traumas overlap each other or impact each other? Also consider how well the mother, who is also impacted by trauma, will be able to be supportive to her two sons. What might her sons need from her to heal or start to heal from their trauma? How likely is it that the trauma for each family member is temporary or long-lasting? What coping skills does each family member have? People have different needs, even if their trauma or their reaction to the trauma may look similar. What methods or assessment tools are appropriate for determining what each family member needs as a result of his or her trauma? Consider not only the hierarchy of needs, but also the developmental stages of each family member and the symptoms they are exhibiting. Some individuals seem to recover much more quickly from trauma, while others do not. How will you determine how resilient each family member is? How will you determine the risks for each family member? Some factors to consider are the age of each member, their support system, and the resources available to them. Psychological resilience is another component to risk. What does the literature say about psychological factors and risk and resiliency? Your instructor will provide you with feedback on this draft so that you can incorporate it into your final paper. This milestone is graded with the Milestone One Rubric.

Milestone Two: Draft of Care Plan – Interventions In Module Four, you will submit a 2- to 3-page draft of your Care Plan – Interventions section, addressing all critical elements as listed in Section II above and using the Interventions Care Plan template provided. The draft should be based on the case study and care plan provided above, and must examine and analyze the proposed interventions for the family. Interventions must not only be appropriate for an individual’s trauma needs, but also follow legal and ethical guidelines. Review appropriate literature and other relevant information to determine the legal requirements in this case. Examine codes of ethics to see which apply in this case scenario, and how to match ethics with appropriate interventions. How does culture play into the ethical aspects of selecting appropriate interventions? Also, consider the evidence for each proposed intervention. For example, how effective are parenting classes? What cultural factors might need to be taken into account for the mother? Are there ethical and legal implications for interventions for co-occurring disorders? Are there screening and assessment tools that would be important to include in the interventions care plan, and if so, why? Primary crises are situations where a person or family is in immediate need: housing, treating acute health conditions, ample healthy foods, and clothing. What primary crises is each family member experiencing, and how well do the interventions proposed meet those primary crises? Secondary crises involve elements such as health care for chronic conditions, education or learning experiences, financial stability, emotional/psychological stability, and job stability. What secondary crises exist in this family and how well do the proposed interventions meet those secondary crises? Tertiary crises relate to healthy environmental conditions (the neighborhood or community, for example), appropriate after-school care, ongoing supports for the family and each family member, and other longer-term issues. How well do the proposed interventions support resolution of the tertiary crises? Your instructor will provide you with feedback on this draft that you can incorporate into your final paper. This milestone is graded with the Milestone Two Rubric. Milestone Three: Draft of Care Plan – Needs In Module Six, you will submit a 2- to 3-page draft of your Care Plan – Needs section using the Client Needs – Care Plan template provided, addressing all critical elements as listed in Section III above. The draft should be based on the case study and care plan provided above and should address how the care plan meets the family’s needs. Review your first and second drafts in which you analyzed the needs of each family member and assessed the interventions proposed in the care plan. In this draft, you will assess how well the care plan meets the needs of each family member and the family as a whole. The two children in this case study are at different developmental stages and have likely been impacted by trauma differently, and you should assess how well the interventions proposed address the children based on their developmental stages and trauma, as well as their risk and resiliency factors. Are there other interventions, based on evidence and the literature, that you would recommend for these two children; and if so, why? If there are gaps in meeting the two boys’ needs, what might you propose, based on evidence, to fill those gaps in services for them, and why? Consider the family as a whole, and their strengths and needs. Do you think that the care plan appropriately addresses the family’s needs? If not, why not, and what would you propose, based on evidence, to better address the family’s needs? If there are any service gaps, is it possible to address them to meet the family’s needs? A complete and thorough care plan also includes a contingency plan. Contingency plans take into account that services might not be available (for example, they might have a waiting list, be cost prohibitive, or have requirements a client cannot meet, or the agency or service no longer exists). What would you propose as a contingency plan in case one of the interventions or services recommended in the care plan is unavailable for some reason? Be sure that your contingency plan takes into consideration the risk and resiliency factors that you identified in your first draft. Your instructor will provide you with feedback that you can incorporate into your final paper. This milestone is graded with the Milestone Three Rubric.

Final Submission: Care Plan Evaluation In Module Seven, you will submit your care plan evaluation. It should be a complete, polished artifact containing all of the critical elements of the final product. It should reflect the incorporation of feedback gained throughout the course. This submission is graded using the Final Project Rubric.

Deliverables Milestone Deliverable Module Due Grading

One Outline of Case Analysis – Needs Two Graded separately; Milestone One Rubric

Two Draft of Care Plan – Interventions Four Graded separately; Milestone Two Rubric

Three Draft of Care Plan – Needs Six Graded separately; Milestone Three Rubric

Final Submission: Care Plan Evaluation Seven Graded separately; Final Project Rubric

Final Project Rubric

Guidelines for Submission: Your evaluation of the case study and care plan must be 5–7 pages in length (plus a cover page and references) and must be written in APA format. Use double spacing, 12-point Times New Roman font, and one-inch margins in Microsoft Word. Include at least five references cited in APA format.

Critical Elements Exemplary (100%) Proficient (85%) Needs Improvement (55%) Not Evident (0%) Value Case Analysis – Needs:

Physical Trauma

Meets “Proficient” criteria and uses scholarly research to substantiate claims

Accurately assesses the short- and long-term impacts of physical trauma on the children and family

Assesses the short- and long- term impacts of physical trauma on the children and family, but assessment is inaccurate or incomplete

Does not assess the short- and long-term impacts of physical trauma

4.75

Case Analysis – Needs: Needs Present

Physical

Meets “Proficient” criteria and uses scholarly research to substantiate claims

Accurately discusses the needs present due to short- and long- term physical trauma

Discusses the needs present due to short- and long-term physical trauma, but information is inaccurate or lacks detail

Does not discuss the needs present

4.75

Case Analysis – Needs: Psychological Trauma

Meets “Proficient” criteria and uses scholarly research to substantiate claims

Accurately assesses the short- and long-term impacts of psychological trauma on the children and family

Assesses the short- and long- term impacts of psychological trauma on the children and family, but assessment is inaccurate or incomplete

Does not assess the short- and long-term impacts of psychological trauma

4.75

Case Analysis – Needs: Needs Present Psychological

Meets “Proficient” criteria and uses scholarly research to substantiate claims

Accurately discusses the needs present due to short- and long- term psychological trauma

Discusses the needs present due to short- and long-term psychological trauma, but information is inaccurate or lacks detail

Does not discuss the needs present

4.75

Case Analysis – Needs: Risk and Resiliency

Factors

Meets “Proficient” criteria and uses scholarly research to substantiate claims

Accurately discusses the risk and resiliency factors for families in relation to the specific issue

Discusses the risk and resiliency factors for families in relation to the specific issue, but information is inaccurate or incomplete

Does not discuss the risk and resiliency factors for families

4.75

Care Plan – Interventions: Legal

Standards

Meets “Proficient” criteria and provides well-qualified concrete examples to substantiate claims

Accurately assesses the extent to which interventions align with legal standards

Assesses the extent to which interventions align with legal standards, but with gaps in accuracy

Does not assess the extent to which interventions align with legal standards

4

Care Plan – Interventions: Ethical

Guidelines

Meets “Proficient” criteria and provides well-qualified concrete examples to substantiate claims

Accurately assesses the extent to which interventions align with ethical guidelines

Assesses the extent to which interventions align with ethical guidelines, but with gaps in accuracy

Does not assess the extent to which interventions align with ethical guidelines

4

Care Plan – Interventions: Primary

Crises

Meets “Proficient” criteria and provides concrete examples to substantiate claims

Accurately assesses the extent to which primary intervention strategies address crises

Assesses the extent to which primary intervention strategies address crises, but with gaps in accuracy

Does not assess the extent to which primary intervention strategies address crises

4

Care Plan – Interventions:

Secondary Crises

Meets “Proficient” criteria and provides concrete examples to substantiate claims

Accurately assesses the extent to which secondary intervention strategies address crises

Assesses the extent to which intervention secondary strategies address crises, but with gaps in accuracy

Does not assess the extent to which secondary intervention strategies address crises

4

Care Plan – Interventions: Tertiary

Crises

Meets “Proficient” criteria and provides concrete examples to substantiate claims

Accurately assesses the extent to which tertiary intervention strategies address crises

Assesses the extent to which tertiary intervention strategies address crises, but with gaps in accuracy

Does not assess the extent to which tertiary intervention strategies address crises

4

Care Plan – Interventions:

Importance

Meets “Proficient” criteria and provides concrete examples to substantiate claims

Discusses the importance of incorporating primary, secondary, and tertiary interventions

Discusses the importance of incorporating primary, secondary, and tertiary interventions, but information is inaccurate or incomplete

Does not discuss the importance of incorporating primary, secondary, and tertiary interventions

3.75

Care Plan – Needs: Children’s Needs

Meets “Proficient” criteria and uses scholarly research to substantiate claims

Evaluates the extent to which the intervention addresses the children’s acute and ongoing needs

Evaluates the extent to which the intervention addresses the children’s acute and ongoing needs, but with gaps in accuracy or lacking depth

Does not evaluate the extent to which the intervention addresses the children’s acute and ongoing needs

4.75

Care Plan – Needs: Children’s Gaps in

Service

Meets “Proficient” criteria and uses scholarly research to substantiate recommendations

Discusses the gaps in service of the intervention in relation to the children’s needs, and makes recommendations to fill these gaps

Discusses the gaps in service of the intervention in relation to the children’s needs, but does not make recommendations to fill these gaps

Does not discuss the gaps in service of the intervention in relation to the children’s needs or make recommendations to fill these gaps

4.75

Care Plan – Needs: Family’s Needs

Meets “Proficient” criteria and uses scholarly research to substantiate claims

Evaluates the extent to which the intervention addresses the family’s acute and ongoing needs

Evaluates the extent to which the intervention addresses the family’s acute and ongoing needs, but with gaps in accuracy or lacking depth

Does not evaluate the extent to which the intervention addresses the family’s acute and ongoing needs

4.75

Care Plan – Needs: Family’s Gaps in

Service

Meets “Proficient” criteria and uses scholarly research to substantiate recommendations

Discusses the gaps in service of the intervention in relation to the family’s needs, and makes recommendations to fill these gaps

Discusses the gaps in service of the intervention in relation to the family’s needs, but does not make recommendations to fill these gaps

Does not discuss the gaps in service of the intervention in relation to the family’s needs

4.75

Care Plan – Needs: Contingency Plan

Meets “Proficient” criteria and uses scholarly research to substantiate claims

Evaluates the effectiveness of the contingency plan and how it addresses risk and resiliency factors

Evaluates the effectiveness of the contingency plan and how it addresses risk and resiliency factors, but with gaps in accuracy

Does not evaluate the effectiveness of the contingency plan and how it addresses risk and resiliency factors

4.75

Practitioners: Risks

Meets “Proficient” criteria and uses scholarly research to substantiate claims

Determines the case-specific risks to the practitioner’s well- being and the associated short- and long-term effects of trauma

Determines the case-specific risks to the practitioner’s well- being and the associated short- and long-term effects of trauma, but claims have gaps in accuracy or detail

Does not determine the case- specific risks to the practitioner’s well-being and the associated short- and long-term effects of trauma

7.75

Practitioners: Referrals

Meets “Proficient” criteria and referrals demonstrate a nuanced understanding of practitioner needs

Recommends referrals for the practitioner that address ongoing exposure to trauma, using scholarly research

Recommends referrals for the practitioner that address ongoing exposure to trauma, but does not use scholarly research or has gaps in accuracy or detail

Does not recommend referrals for the practitioner

8

Practitioners: Interventions

Meets “Proficient” criteria and interventions demonstrate a nuanced understanding of practitioner needs

Recommends interventions for the practitioner that address ongoing exposure to trauma, using scholarly research

Recommends interventions for the practitioner that address ongoing exposure to trauma, but does not use scholarly research or has gaps in accuracy or detail

Does not recommend interventions for the practitioner

8

Articulation of Response

Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy-to-read format

Submission has no major errors related to citations, grammar, spelling, syntax, or organization

Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas

Submission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas

5

Total 100%