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. Support your posts with specific references to the Learning Resources given in this work. Be sure to provide
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SOCW90and04responsetostudentswk2.docxSOCW 90 response to students wk 2
Learning Resources to be used as references to support your answer
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.
Required Readings
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
· “Cultural Formulation” (pp. 749–759)
Berry, J. W. (2005). Acculturation: Living successfully in two cultures. International Journal of Intercultural Relations, 29, 697–712.
Note: You will access this article from the Walden Library databases.
Corrigan, P. (2004). How stigma interferes with mental health care. American Psychologist, 59(7), 614–625.
Note: You will access this article from the Walden Library databases.
Work #1 Michele Munzner (Title of work #1) Answer in proper APA format with 2 citations per paragraph treat each answer as a separate work or file and each work or file need separate references. 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 or answer as a separate work and each work needs separate references.
Respond to at least two colleagues who selected a different article from the one you selected. Share any insights you gained from your colleagues’ posts. Support your post with specific references to the resources. Be sure to provide full APA citations for your references.
Work #1 Michele Munzner
RE: Discussion - Week 2
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The selected article, Mental-Illness Stigma Among Korean Immigrants: Role of Culture and Destigmatization Strategies, discusses the stigma associated with mental illness among Korean immigrants. The article cites that the Korean culture is Confucian-based where there is a strong tendency to save-face which increases the stigma of mental illness and results in decreased usage of mental health services (Han, Cha, Lee & Lee, 2017). Mental illness is viewed as a weakness resulting in feelings of shame and sets them apart from others which is contrary to their emphasis on collectivism (Han et al., 2017). There is also a strong sense of familism which promotes shared responsibility across the family resulting in shame for the family as well as a decrease in social status for those with mental illness (Han et al., 2017). The approaches entertained by the researches to alleviate the cultural influences are community wide education to demystify and combat the stigma associated with mental illness, hosting a community event about mental illness and including other general topics as an indirect approach, and increasing educational resources that are linguistically and culturally competent to the community (Han et al., 2017).
The cultural formulation interview (CFI) provides a systematic semi-structured interview approach to obtain information regarding the impact of an individuals culture on aspects of their clinical presentation and subsequent care (American Psychiatric Association [APA], 2013). This allows the social worker to focus on an “individual’s experience and the social contexts of the clinical problem” (APA, 2013, p. 751). Focusing on the four primary domains would provide a cultural definition of the problem, cultural perceptions including causes, stressors, support system and cultural identity, cultural factors which affect seeking assistance, coping mechanisms, previous behaviors in seeking assistance and barriers to seeking assistance, and cultural factors associated with seeking assistance in the present time (APA, 2013). Applying these strategies can obtain valuable information regarding an individuals cultural identity with relation to themselves and to their culture as a whole as it relates to their situation and avoids stereotyping (APA, 2013).
“Acculturation is the dual process of cultural and psychological change that takes place as a result of contact between two or more cultural groups and their individual members” (Berry, 2005, p. 698). Acculturation is not an overnight process but can take years, generations, or centuries (Berry, 2005). The individual experiences behavioral shifts and a shift in their cultural identity (Berry, 2005). The sociocultural acculturation “involves changes to social structures and institutions and in cultural practices” (Berry, 2005, p. 698). Acculturation varies within families at varying rates resulting in the potential for conflict and increased stress when cultural adaptations are more difficult (Berry, 2005). As a social worker, it would be important to first understand the way in which individuals choose to engage the acculturation process to identify the best strategy (Berry, 2005). Abandonment of their heritage would require assimilation where they would “shed their heritage culture, and become absorbed into the dominant culture” (Berry, 2005, p. 705). If an individual wishes to maintain their cultural identity as well as interact with the dominant culture, then integration would be the strategy where some the integrity of their cultural heritage is maintained as well as participating in the other social network (Berry, 2005).
References:
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders
(5th ed.). Arlington, VA: American Psychiatric Publishing.
Berry, J. W. (2005). Acculturation: Living successfully in two cultures. International Journal of
Intercultural Relations, 29, 697-712.
Han, M., Cha, R., Lee, H. A., & Lee, S. E. (2017). Mental-illness stigma among Korean immigrants: Role of culture and destigmatization strategies. Asian American Journal of Psychology, 8(2), 134-141. doi:10.1037/aap0000074
Work #2 Alyssa Coan (Title of work #1) Answer in proper APA format with 2 citations per paragraph treat each answer as a separate work or file and each work or file need separate references. 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 or answer as a separate work and each work needs separate references.
Respond to at least two colleagues who selected a different article from the one you selected. Share any insights you gained from your colleagues’ posts. Support your post with specific references to the resources. Be sure to provide full APA citations for your references.
Work #2 Alyssa Coan
RE: Discussion - Week 2
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Everyone has a culture in which they live by, with some things that are a choice and some that are not even noticed to those who are used to it. There are many topics that can be difficult for a social worker to discuss with a client. In a study by Biswas, Gangadhar, and Keshavan (2016) there is a difference seen in the types of mental illness across different cultures. This study compared depression symptoms, mania symptoms, and psychotic symptoms which displayed that symptoms are similar but the frequency in which the symptoms are observed differ (Biswas, Gangadhar, & Keshavan, 2016). Cultural differences can affect disorders and should be taken into account while a social worker is working with clients. These perceptions in each culture can also affect the treatment the client would receive.
According to the Cultural Formulation Interview or CFI there are ways to go about asking questions that will allow the client to disclose cultural background and information about their personal beliefs to you without probing specifically for that information (American Psychiatric Association. (2013). For example, asking open ended questions such as “what brings you in today” or “why do you think this problem you’re describing is occurring” will help the social worker identify ideals and values that might be relevant to the clinical care (American Psychiatric Association. (2013). In other words, two clients might come in, with the same problem but understand it differently based on their culture and that should influence that clinical procedure accordingly.
Understanding difference in culture as a social worker is important because an individual or family may be used to a specific family structure, beliefs, ideals, thoughts about interventions and hopes for the future can all differ from other people and clients. It is important to be culturally competent and allow the client and any member of the family that might be involved to be their own person and have a safe space to address sensitive topics. Acculturation is also important as it brings an understanding on how a person adapts and becomes involves with a culture different that their own (Berry, 2005). As a social worker I would describe acculturation to the individual and educate them on how the norms from one culture differ from another and how they have adapted to those differences. This process can display negative adaptions like stress, anxiety, and depression in those who might not be able to adapt to another culture well (Berry, 2005). Learning where a client is struggling can help create a path for interventions and assistance for the client that will be most effective.
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.
Berry, J. W. (2005). Acculturation: Living successfully in two cultures. International Journal of Intercultural Relations, 29, 697–712.
Biswas, J., Gangadhar, B. N., & Keshavan, M. (2016). Cross cultural variations in psychiatrists perception of mental illness: A tool for teaching culture in psychiatry. Asian Journal of Psychiatry. 23. 1-7.
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SOCW 04 wk 2 discussion 1 response to students
Learning Resources to be used as references to support your answer.
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.
Required Readings
Centers for Medicare & Medicaid Services. (2012). Discharge planning. Retrieved from http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/Discharge-Planning-Booklet-ICN908184.pdf
Discharge-Planning-Booklet-ICN908184.pdf
Beder, J. (2006). Hospital social work: The interface of medicine and caring. New York, NY: Routledge.
· Chapter 2, “General Medical Social Work” (pp. 9–20)
Craig, S. L., & Muskat, B. (2013). Bouncers, brokers, and glue: The self-described roles of social workers in urban hospitals. Health Social Work, 38(1), 7–16.
Note: Retrieved from Walden Library databases.
Gehlert, S., & Browne, T. (Eds). (2012). Handbook of health social work (2nd ed.). Hoboken, NJ: Wiley.
· Chapter 2, “Social Work Roles and Health-Care Settings” (pp. 20–40)
Judd, R. G., & Sheffield, S. (2010). Hospital social work: Contemporary roles and professional activities. Social Work in Health Care, 49(9), 856–871.
Note: Retrieved from Walden Library databases.
Fox, M. T., Persaud, M., Maimets, I., Brooks, D., O‘Brien, K., & Tregunno, D. (2013). Effectiveness of early discharge planning in acutely ill or injured hospitalized older adults: A systematic review and meta-analysis. BMC Geriatrics, 13, 70.
Note: Retrieved from Walden Library databases.
Marshall, J. W., Ruth, B. J., Sisco, S., Bethke, C., Piper, T. M., Cohen, M., & Bachman, S. (2011). Social work interest in prevention: A content analysis of the professional literature. Social Work, 56(3), 201–211.
Note: Retrieved from Walden Library databases.
Work #3 wanda kinchen (Title of work #3) 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. 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 or answer as a separate work and each work needs separate references. Respond to at least two different colleagues’ postings in the following ways:
· Provide a constructive critique of your colleague’s post about the three specific roles.
· Suggest different perspectives of the interventions your colleagues described for the three specific issues.
· Support your post with specific references to the resources. Be sure to provide full APA citations for your references.
Work #3 wanda kinchen
Wanda Main Post
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The three primary roles of medical social workers that I find rewarding are Janitor (cleaning up the mess of others), Glue (adhesive that hold things together) and Challenger (advocating for social change and the well-being of the client. We get a better perceptive on our client’s internal and external struggles when we advocate for needed services, policy revision, and social change. The three issues I would discuss are nonadherence to medication in Hypothyroidism, medication adherence among low income patients, and religion disparities.
Sadly, giving the patient with instruction about medicine is not enough. In a randomized controlled trial of thyroxine adherence, circulating booklets about thyroxine prescription did not enhance adherence between the investigation gathering and the control gathering. The specialist tolerant relationship assumes a key part in adherence to drug regimens. Doctors who uses justifiable dialect and support open specialist persistent trades in amicable, mindful conditions will encourage cooperation by patients in their own therapeutic care. Making basic inquiries with respect to any challenges in taking solution and the nearness of reactions while tending to neglect in a nonjudgmental way that will improve the patient-medical social worker relationship (Kandukuri, Khan, & Soltys, 2010).
Mishra, Gioia, Childress, Barnet, & Webster (2011) states that one of every four U.S. natives lives with at least two perpetual conditions, and by age 65 the commonness ascends to 70 percent. Result from a populace based investigation of solution adherence discovers one out of five low-income patients did not fill all their medicines due to cost. An absence of trust between low-income patients and their doctor will swear off drug adherence because of cost pressure. By advocating for the reduction in prescription cost is an effective way to improve medication adherence among low-income patients.
Lastly, American Muslims uses their Islamic conviction as a manual to unravel on if, when, and how to seek medical treatment. By concentrate on the social foundation (religious convictions) will aid me on understanding how this convention shapes its disciples' wellbeing related practices and wellbeing (Padela, and Curlin, 2013).
References:
Kandukuri, R. C., Khan, M. A., & Soltys, S. M. (2010). Nonadherence to Medication in Hypothyroidism: A Case Report. Primary Care Companion to The Journal of Clinical Psychiatry, 12(3), PCC.09m00863. http://doi.org/10.4088/PCC.09m00863gre
Mishra, S. I., Gioia, D., Childress, S., Barnet, B., & Webster, R. L. (2011). Adherence to Medication Regimens among Low-Income Patients with Multiple Comorbid Chronic Conditions. Health & Social Work, 36(4), 249–258.
Padilla, A. I., & Curling, F. A. (2013). Religion and disparities: Considering the influences of Islam on the health of American Muslims. Journal of Religion and Health, 52(4), 1333-45. doi: http://dx.doi.org.ezp.waldenulibrary.org/10.1007/s10943-012-9620-y
· Provide a constructive critique of your colleague’s post about the three specific roles.
· Suggest different perspectives of the interventions your colleagues described for the three specific issues.
Support your post with specific references to the resources. Be sure to provide full APA citations for your references
Cara Colantuono
RE: Discussion 1 - Week 2
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Main Post:
As defined by both Gehlert & Browne (2012) and Craig & Muskat (2013) articles, hospital social work consists of many different roles, all of which are essential to the patient’s care. The top three functions that I find the most inspirational and rewarding would be patient advocacy and healthcare navigation, socially intelligent discharge planning, and representation among interdisciplinary administrative working groups.
Patient advocacy and navigation of the healthcare system is a broad topic and covers a variety of interventions performed by social workers to combat issues discovered through assessment of the patient’s biopsychosocial situation. Advocacy is often recognized through patient safety efforts, financial obligation, and treatment management (Judd & Sheffield, 2010). For patients with behavioral health issues, I find that social work plays a pivotal role in treatment management including recommendations for post-acute care and how the hospital will manage their care including behaviors.
Advocacy has been a recognized role in hospital social work since its start in the 1900’s and remains an ethically guided situational surprise on a case by case basis (Judd & Sheffield, 2010). Social works flexibility and superior problem-solving skills have made social workers champions at patient safety and resource advocates. Navigating the healthcare system in regards to insurance issues including, authorizations, appeals, underinsured, uninsured, and copayments/deductibles is another very critical part of advocacy when working with patients.
Intelligent discharge planning has become one of the primary roles of hospital social workers today, often taking president over anything else (Gehlert & Browne, 2012). Due to the integration of DRG’s and LOS initiatives, discharging planning is on everyone’s mind. Being able to assess a patient’s medical condition, social, and emotional health allows hospital social workers to anticipate the need. Based on experience, social workers can make a recommendation to families to help them create a most efficient and safe discharge plan within the limits of doctor’s orders and insurance guidelines.
Finally, representing social work as an engaged member of multidisciplinary groups is one of the most rewarding features of my job. Advocating for the excellent work that social work does and not allowing any other professionals to forget the roles that social workers perform is crucial to the survival of the profession. From a system level to the units, being at the table to advocate for the patients and make suggestions for project improvement initiatives is inspiring.
Some interventions that may come as a result of these three health social work roles are insurance authorizations and referral to post-acute care facilities. Sadly, in PA, nursing facilities can discriminate against anyone for any reason for admission to their facility. Due to this fact, social workers need to be savvy about how they present patients to the facilities; also, they also need to be prepared to bring a robust medical necessity case to the insurance companies to secure payment for said services. This requires the healthcare social worker to be able to professional read medical charts and communicate medical terminology to the insurance representative who is often and registered nurse by trade.
Another intervention might be to piolet new patient safety measures or encourage process improvements to reduce the length of stay and readmissions (Judd & Sheffield, 2010). These two areas are a top priority for hospital administrators and social works ability to show engagement, and even liability in cost savings initiatives is essential. For example, I am currently involved in a discharge planning re-design committee explicitly looking at reducing waste and creating a well-documented process to streamline discharge planning across the interdisciplinary teams.
References
Beder, J. (2006). Hospital social work: The interface of medicine and caring. New York, NY: Routledge. Chapter 2, “General Medical Social Work” (pp. 9–20)
Craig, S. L., & Muskat, B. (2013). Bouncers, brokers, and glue: The self-described roles of social workers in urban hospitals. Health Social Work, 38(1), 7–16.
Gehlert, S., & Browne, T. (Eds). (2012). Handbook of health social work (2nd ed.). Hoboken, NJ: Wiley. Chapter 2, “Social Work Roles and Health-Care Settings” (pp. 20–40)
Judd, R. G., & Sheffield, S. (2010). Hospital social work: Contemporary roles and professional activities. Social Work in Health Care, 49(9), 856–871.
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