Answer in APA format treat each work as a separate work , file or answer and each answer need separate references

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SOCW04week5returntomyposteddiscussionstudentscomments.docx

SOCW 04week 5 return to my posted discussion student’s comments

USW1_SOCW_8204_WK05_Mitchell.pdf

Learning Resources to be used as references to support your answer.

Required Readings

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Dando, H. H., & Finlon, C. J. (2003). Social work in an interdisciplinary HIV/AIDS program. In B. I. Willinger & A. Rice (Eds.), A history of AIDS social work in hospitals: A daring response to an epidemic (pp. 229–238). New York, NY: Haworth Press.

Note: Retrieved from Walden Library databases.

Sherman, R. O. (2013, March 14). Why interdisciplinary teamwork in healthcare is challenging [Blog post]. Retrieved from http://www.emergingrnleader.com/why-interdisciplinary-teamwork-in-healthcare-is-challenging/

Beder, J., & Postiglione, P. (2013). Social work in the Veterans Health Administration (VA) System: rewards, challenges, roles and interventions. Social Work in Health Care, 52(5), 421–433.

Note: Retrieved from Walden Library databases.

Berkman, B. J. (2011). Seizing interdisciplinary opportunities in the changing landscape of health and aging: A social work perspective. Gerontologist, 51(4), 433–440. Retrieved from http://gerontologist.oxfordjournals.org/content/51/4/433.full.pdf

Seizing interdisciplinary opportunities in the changing landscape of health and aging: a social work perspective by Berkman, B. J. in The Gerontologist, 51/4. Copyright 2011 by the Gerontological Society. Reprinted by permission of Oxford University Press via the Copyright Clearance Center.

Deja, K. (2006). Social workers breaking bad news: The essential role of an interdisciplinary team when communicating prognosis. Journal of Palliative Medicine, 9(3), 807–809.

Note: Retrieved from Walden Library databases.

Mental health diagnosis in social work: The case of Miranda. (2014). In Plummer, S.-B., Makris, S., & Brocksen S. M. (Eds.). Social work case studies: Concentration year (pp. 5–6, 95–96). Baltimore, MD: Laureate Publishing. [VitalSource e-reader] Mental Health Diagnosis in

Social Work: The Case

of Miranda

Miranda is a 35-year-old, Scottish female who sought counseling

for increased feelings of depression and anxiety. Her symptoms

include constant worry, difficulty sleeping, irritability, increased

appetite, unexplained episodes of panic, feelings of guilt and

worthlessness,

and feelings of low self-esteem. She denied any

suicidal/homicidal ideation but verbalized feelings of wanting to be

dead. She maintained these thoughts were fleeting and inconsistent.

She reported an increase in alcohol consumption, although

clarified it was only when she felt anxious. She denied any blackouts

or reckless/illegal behavior while drinking. She denied any

other drug use.

Miranda works in the fashion industry and reported that she is

very well liked by her peers and clientele. She is regularly chosen

to train other staff members and comanage the store. However,

she is often given a heavier workload to compensate for coworkers

who are unable to perform at the expected level of her employer.

Miranda stated that she has trouble saying no and feels increasingly

irritable and frustrated with her increased workload.

Miranda has been married to her husband for 3 years, and they

have no children. She reported that both her mother and father

have a history of mental illness. Miranda’s parents are divorced,

and when they separated, Miranda chose to live with her mother.

Miranda’s mother remarried a man she described as “vicious and

verbally abusive.” Miranda stated that her stepfather called her

names and told her that she was worthless. She said he made

her believe that she was sick with chronic health issues and many

times forced her to take medicine that was either unnecessary

or not prescribed by a doctor. Eventually he asked Miranda to

leave her mother’s home. Miranda stated that her mother was

well aware of her stepfather’s behavior but chose not to intervene,

stating, “He is a sick man. Just do what he says.” She denied any

physical or sexual abuse in the home.

SOCIAL WORK CASE STUDIES: CONCENTRATION YEAR

6

In order to treat Miranda’s symptoms, we first addressed the

need for medication, and I provided a referral to a psychiatrist. The

psychiatrist diagnosed her with panic disorder and major depressive

disorder and prescribed appropriate medications to assist her

with her symptoms. Miranda and I began weekly sessions to focus

on managing her boundaries both at work and with her family.

We discussed her behavior around boundary setting as well as

the possibility of enlisting her husband as a support person to

encourage and promote healthy boundaries. We also discussed

unresolved issues from her childhood. This approach enabled

Miranda to gain insight into the self and how her maltreatment as

a child affected her functioning in the present time. This insight

enabled Miranda to validate her feelings of anger, frustration, and

sadness about her upbringing and further give herself permission

to set appropriate boundaries in her relationships. We also

discussed the need for relaxation and stress management. Miranda

was able to identify that she used to enjoy cycling and running but

had not been engaging in them because of the demands at work.

After discussing the importance of self-care, Miranda began to

exercise again and set a goal to enter local running and cycling

events to encourage herself to continue.

After 1 year of therapy, Miranda decided to taper down her

medication, which was monitored by her psychiatrist. She has

chosen to remain in therapy weekly to monitor her mood as she

decreases her medication. Miranda’s overall presentation has

improved greatly. With the use of medication, behavioral therapy,

relaxation techniques, and psychodynamic therapy, Miranda’s

affect presents as stable and her symptoms of depression are

gone. Miranda is a client that is able to verbalize the benefits of

treatment in helping her gain insight and empower herself to validate

her own emotional needs. She has been a highly motivated

patient who enjoys the safety of being able to express her thoughts

and feelings without judgment.

APPENDIX

95

Reflection Questions

The social worker in each of the cases answered select additional questions as follows.

Practice

Mental Health Diagnosis in Social Work:

The Case of Miranda

1. What specific intervention strategies (skills, knowledge, etc.) did you use to address this client situation?

I referred the client to a psychiatrist. I used behavioral therapy, relaxation and stress management techniques, and psychodynamic and structural family theories to address underlying issues from childhood.

2. Which theory or theories did you use to guide your practice?

I used psychodynamic and structural family theories to address adult survivors of child abuse in order to help Miranda connect to the effects of her stepfather’s maltreatment, regain her sense of self, and recognize the unhealthy functioning in her present relationships and daily living.

3. What were the identified strengths of the client(s)?

Miranda was motivated, identified goals well, and had a supportive husband.

4. What were the identified challenges faced by the client(s)?

Miranda reported a mental health history.

5. What were the agreed-upon goals to be met to address the concern?

The initial goal was to decrease symptoms of anxiety and depression. As therapy progressed, the greater goal became gaining insight into Miranda’s childhood to allow for more self-care and stress management.

6. How can evidence-based practice be integrated into this situation?

Miranda’s case is a great example of the benefit of a combination of medication and talk therapy for overall improvement of emotional and mental health.

SOCIAL WORK CASE STUDIES: CONCENTRATION YEAR

96

7. Is there any additional information that is important to the

case?

It is important to note that prior to seeing me for treatment,

Miranda had been to several psychiatrists who misdiagnosed

her with borderline personality disorder and bipolar

disorder specifically based on the fact that she was female

and had a history of abuse. She had been given a series of

medications that were ineffective due to misdiagnosis. When

Miranda came in for the first session she was very distrusting

of psychotherapy as well as medication. My ability to create

a safe and trusting environment was of the upmost importance

in order for Miranda to get well and work with her

underlying issues.

8. Describe any additional personal reflections about this case.

Miranda’s case is a great example of the need for a thorough

mental health history, mental status exam, as well as family

history of mental health issues and relationships. With individuals,

it is important to ask critical questions that reflect mood

and affect presentation as well as history of drug and alcohol use,

family dynamics, and any past history of abuse. There is almost

always a reason for a patient’s mood deregulation. A proper evaluation

session allows for accurate diagnosis and treatment planning

as well as letting you, the social worker, know if this is a case

that will fit within your practice.

Social Work Supervision: Trauma Within Agencies

1. What specific intervention strategies (skills, knowledge,

etc.) did you use to address this client situation?

This was a difficult tragedy to deal with, and it was difficult

to know how to proceed. I had contacted the county (who

funded the agency) for help. The people I contacted at

the county did not know what to do and were of little help

because, as they stated, they had never dealt with death of a

staff member. I turned to my senior staff, and we as a group

came up with a plan to notify each client in the most sensitive

way possible. In addition, the use of another agency and our

Published by

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ISBN-13: 978-1-62458-028-4 (Paperback edition)

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ISBN-13: 978-1-62458-017-8 (Kindle edition)

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ISBN-13: 978-1-62458-019-2 (Nook edition)

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First Edition

Mitchell, P., Wynia, M., Golden, R., McNellis, B., Okun, S., Webb, C. E., … Von Kohorn, I. (2012). Core principles & values of effective team-based health care [Discussion paper]. Washington, DC: Institute of Medicine.

Mitchell, P., Wynia, M., Golden, R. (2012, October). Core principles & values of effective team-based health care. Retrieved from the Institute of Medicine, National Academy of Sciences website: http://www.iom.edu/~/media/Files/Perspectives-Files/2012/Discussion-Papers/VSRT-Team-Based-Care-Principles-Values.pdf

Partnership for Health in Aging. (2011). Position statement on interdisciplinary team training in geriatrics. An essential component of quality healthcare for older adults. Retrieved from http://www.americangeriatrics.org/files/documents/pha/PHA_Full_IDT_Statement.pdf

Document: Wiki Assignment Instructions (PDF)

Optional Resources

CSWE Gero-Ed Center. (2013). Interdisciplinary teamwork teaching module. Retrieved from http://www.cswe.org/CentersInitiatives/GeroEdCenter/Programs/MAC/GIG/35813/36975.aspx

Robin P., Bonifas, R. P., & Gray, A. K. (2013). Preparing social work students for interprofessional practice in geriatric health care: Insights from two approaches. Educational Gerontology, 39(7), 476–490.

Zeek this is my posted discussion from which the students are making the comments this is not a work just for reading only.

RE: Discussion - Week 5 Attachment

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The advent of the new millennium came with a new positive attitude towards the importance of interdisciplinary healthcare teams. As opposed to preferring health care professionals to work in surroundings that are parallel, interdisciplinary philosophy advocates for the need for collaborative efforts about the planning of treatment and discharge procedures for all the patients (Robin, Bonifas & Gray, 2013). Moreover, interdisciplinary health care teams are inspired by the idea that one individual can do unique things that others cannot and only through the teaming up of individuals can greatness be realized. The main aim of developing interdisciplinary teamwork resonates with inclusive effort and a greater respect of involving medical social work into the healthcare system.

Within the field of healthcare, patients may come across myriad specialized professionals all of whom may be a representation of a unique treatment schema and intellectual model of healthcare. Some of the medical specializations may include cardiology, nursing, psychology, neurology, emergency medicine, trauma, interventional radiology, gastroenterology, and physical medicine among others (Robin, Bonifas & Gray, 2013). It is worth mentioning that every specified expertise revolves around well-defined levels of engagement. For instance, a neurologist would only be part and parcel of a treatment team the moment he or she approached by a hospitalist physician. Ideally, the neurology team would not be concerned with the psychosocial components of any given the patient and therefore would not contribute in any way to the discharge planning process.

Professionals in the field of healthcare need to be disciplined, respectful, flexible, and open to communication to be successful in interdisciplinary team settings (Mitchell et al., 2012). Whenever communication is compromised, then it becomes tough to realize treatment that is safe and timely. What's more, minus flexibility and respect, teams from alternative disciplines may feel overwhelmed or hassled to give healthy insight or come up with suggestions for the care of a specific patient? In summary, some of the most essential characteristics that underpin interdisciplinary teamwork revolves around constructive management and leadership attributes; structures and strategies for communication, individualized rewards, training and career development; appropriate skill mix; proper procedures and instrumentation (resources); the right mix of skills; helpful team climate; personal attributes that foster interdisciplinary teamwork; precision of vision; excellence and results of care; and valuing and being accommodative to roles.

All methods, theories, and practices of effective patient care are characterized by challenges (Robin, Bonifas & Gray, 2013). When taking part in interdisciplinary teamwork, social workers may go through a couple of difficulties that may have to do with being given an ear, mutual respect, and patient safety. Secondly, it is very easy for doctors and physicians to look down upon social workers as people that are devoid of enough clinical knowledge and ones not befitting of making critical treatment decisions (Mitchell et al., 2012). Besides , being that social workers have a history of not being adequately rewarded and serving as assistants to doctors, they have time and again been denied the clinical respect they deserve. The lack of respect denies them power and position within team settings; an issue that makes social workers unappreciated in their roles and responsibilities.

 

 

References

Robin P., Bonifas, R. P., & Gray, A. K. (2013). Preparing social work students for interprofessional practice in geriatric health care: Insights from two approaches. Educational Gerontology, 39(7), 476–490.

Mitchell, P., Wynia, M., Golden, R., McNellis, B., Okun, S., Webb, C. E., … Von Kohorn, I. (2012). Core principles & values of effective team-based health care [Discussion paper]. Washington, DC: Institute of Medicine.

Work #1 Answer in APA format with 2 citations per paragraph treat each answer as a separate work or file and each work or file need separate references. At least 300 word each answer if you can. Support your posts with specific references to the Learning Resources given in this work. Be sure to provide full APA citations for your references. Treat each work, file or answer as a separate work and each work or answer needs separate references. Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style

Work #1 Return to this Discussion in a few days to read the responses to your initial posting. Note what you have learned and any insights you have gained as a result of your colleagues’ comments.

Work #1 Porchia Rawls

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Hello, Social work within the health services will require a broad-spectrum intervention repertoire supported by a complex set of competencies and skills, including administrative, leadership and accountability. The challenge facing social work within the transforming health care world is whether a sufficient number of capable social work practitioners will be able to staff the delivery systems and meet the growing recognition of the need for psychosocial care. Great Post

SOCW 04week 5 Rubric

Zeek I need you to address all of the following in your answers:

9.45 (27%) - 10.5 (30%)

Discussion posting fully addresses all instruction prompts, including responding to the required number of peer posts.

8.31 (23.75%)

9.45 (27%) - 10.5 (30%)

Discussion posting demonstrates an excellent understanding of all of the concepts and key points presented in the text(s) and Learning Resources. Posting provides significant detail including multiple relevant examples, evidence from the readings and other scholarly sources, and discerning ideas.

Points Range: 7.88 (22.5%) - 8.75 (25%)

The feedback postings and responses to questions are excellent and fully contribute to the quality of interaction by offering constructive critique, suggestions, in-depth questions, additional resources, and stimulating thoughts and/or probes.

Feedback:

You only need to post to two peers.

4.72 (13.5%) - 5.25 (15%)

Postings are well organized, use scholarly tone, contain original writing and proper paraphrasing, follow APA style, contain very few or no writing and/or spelling errors, and are fully consistent with graduate level writing style.

Socw 04 week 5 discussion 2

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Discussion 2: Responding to Suicidal Ideations in Mood Disorders (title 0f work #2)

Suicidality is common among individuals with major depressive and bipolar disorders. It is very likely that, as a social worker, you will work with a client who reports suicidal ideations and may even present with a plan.

Not a work read only

For this Discussion, research suicidality and identify an evidence-based plan of action for a client who reports these feelings. Then consider the following:

· How would you respond professionally?

· What protocol would need to be in place at your agency?

· What personal emotional responses you might have to this revelation?

Also, I need you to select an article and include it in your answer and I need the article in the References and answer the professor’s question in this work you have to base this work on the article please.

Work #2 Answer in APA format with 2 citations per paragraph treat each answer as a separate work or file and each work or file need separate references. At least 350 words if you can. Support your posts with specific references to the Learning Resources given in this work. Be sure to provide full APA citations for your references. Treat each work, file or answer as a separate work and each work or answer needs separate references. Be sure to support your postings and responses with specific references to the resources and the current literature using appropriate APA format and style

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Work #2 : Responding to Suicidal Ideations in Mood Disorders

Post a brief description of the article you selected that addresses social work action planning for working with clients who express suicidal ideations. Then, explain how you, as a social work professional, might respond to a client who expresses suicidal ideations and what agency protocols might need to be in place to best serve the client. Finally, explain any emotional responses you might have if your client reported active suicidal ideations in a social work session.

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Hi Everyone:

In your previous classes you should have discussed how to select a peer-reviewed article - i.e. key assumptions, validity, merits of the arguments/perspectives presented, and appropriateness of the theoretical framework to the data collection and analysis, and overall clarity.  While reviewing articles for this discussion, what criteria did you use to evaluate and select your article as part of your evidence-based plan for action?

Thanks!

Dr. Ivery

Support your post with specific references to the resources. Be sure to provide full APA citations for your references.

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