Drafting a Process Evaluation 6311

6

Outlining a Logic Model

Tolulope I. Moses

Master of Social Work, Walden University

SOCW 6311

Dr. Ashley Nazon

April 15, 2022

Practice-Level Logic Model Outline

Putting into Consideration the problem and challenges of the Patrakis family, there is need to create a therapy session that will maintain a healthy family dynamic that will address challenges collaboratively with the input of family members. Getting a reliable caregiver and income support, as well as medication and nutrition, can also help address Helen’s underlying problems. Interventions result from effective management of stress and anxiety by Helen will enable her to get needed support.

Problem	Needs	Underlying Causes	Intervention Activities	Outcomes
Helen has elevated levels of stress, disquiet, and back pain. She is also faced with medication management issues, Hellen does not know the best way of addressing her sons substance addiction and how she can secure a reliable support system for her mother-in-law	Hellen needs to know how she can manage her anxiety, address her son addiction issues Family support system Magda care	Lack of work-life balance. Hellen works full time, and she is tasked with performing most of the house chores as well as taking care of Magda who lives in a different apartment. Lack of work-life balance is the cause of Helen's increased stress, anxiety, and back pain. Lack of family support and her son's addiction problems also contribute to Hellen’s health problems and the quality of care she offers to Magda.	The cognitive restructuring will be used to identify and stop negative thoughts and feelings experienced by Hellen and replace them with desirable thoughts (Ciharova et al., 2021) Physical therapy will be used to ease Hellen’s back pain psychotherapy and counselling services to aid in reducing stress (Ciharova et al., 2021)	The cognitive restructuring will help Reduce symptoms of stress and anxiety disorders (Ciharova et al., 2021) Physical therapy will lead to Pain management with reduced need for opioids (Ciharova et al., 2021) Fall prevention Enhance mobility and movement Psychotherapy will improve Helen's relationship with her family and also enhance her mental health.

Program-Level Logic Model Outline

Problem	Needs	Underlying Causes	Intervention Activities	Outcomes
Helen's anxiety elevates her stress levels Helen lacks emotional and financial support from the family Her son's Substance issues Magda care management Work-life balance issues.	Helene needs to address stress and anxiety. She also needs family support to aid her in the care management of Magda Helen's back pain issues also need to be addressed Her son's addiction issues are also top of her priorities	The Petrakis family lacks a reliable caregiver for Magda. Lack of support systems Family financial position, considering that two of her children are not employed. Her son's addiction issues lead him to steal and become negligent.	The Petrakis should hire a reliable caregiver for Magda Social services such as income support, mental health services to address Helen's sons’ addiction, and nutrition for Magda Emotional with Cognitive behaviour therapy.	A reliable caregiver will ease Helen's burden Social support such as income support will increase the family income while mental health services will help Helen’s son over addiction CBT will help relax and manage stress positively

Support group activities that would lead to improved outcomes

Helen’s response to her challenges is not good. She is concerned about maintaining order in her family. As such, she cannot even disclose her son’s addiction to the family. She also lacks a work-life balance considering that she works full-time and must take care of Magda. Helen needs to cope with her normal stressor and ensure that her well-being is at the top of her priority. Cognitive restructuring is an ideal intervention to aid Helen to cope with her negative thoughts (Ciharova et al., 2021). This type of therapy yields desirable thoughts and helps Helen cope with her stress triggers.

Helen also reports that she has back pain issues. This problem can be addressed through physiotherapy sessions. A physiotherapy session will help Hellen to manage her pain without having to depend on opioids. Physiotherapy will also help avoid other complications caused by chronic pain. Since Helen is constrained financially enrolling her in a physiotherapy session will help avert other healthcare costs associated with complications arising from chronic pain (Becker-Haimes et al., 2019). Physiotherapy sessions will reduce Helen's overreliance on opioids for pain management and the adverse effects of a long-term dependence on opioids.

The Petrakis family do not share their family information with strangers because of culture and belief and because of the family psychodynamic therapy will be appropriate to use in other to address these concerns. Helens include problems lack of family support and her son’s addiction issue. In family psychodynamic therapy, the social worker guides group therapy with the family (Becker-Haimes et al., 2019).

Decisions about group membership

Funding is the huge factor that will help relieve Helen from stress and anxiety, this fund could come from her children who are working. Secondly, the support group members need time. Peers is a necessary factor that will enable her to share her experiences and learn from how others have been able to manage the situation. Also, Helen needs volunteers to help, and what to use to communicate with peers. These activities are done by members and volunteers to help her on weekly and daily basis. Motivation from the peers will help Helen deal with her son’s addiction problem. motivation and potential solutions for Helen. This will also remove boredom and, she will feel loved and engaged knowing the peers understand her situation and what she’s going through (Mayo Clinic, 2020). Educating Helen and family members about her situation for them to better understand the situation is facing is very important and priority. also, timely check-ups is important to help Helen keep an eye on her progress.

Short- and long-term outcomes

The short-term goal of the support group is to empower Helen financially. After which Alec should be evacuated from Magda’s apartment and help her with John’s supported living arrangement. The long-term goals will be to help Helen improve mental sanity which will help her continue her responsibilities. And find another way of care that is free of stress and anxiety. Helen also wants a better care plan for Magda that is free of stress for Magda. It is also pertinent to know that volunteering is a good intervention that will ease her back pains,

Ways to measure the outcomes

Case basis method can be used to measure program outcome. Caregiver appraisal can used measured using Caregiver burden scale or caregiver distress scale and others. Anxiety can be measured using Beck anxiety scale and brief system inventory, Beck depression inventory and general health questionnaires to measure depressive symptoms, while the therapist and members measure observations and feedbacks gotten using questionnaire from clients (Doyle et al., n.d.).

Conclusion

Addressing Helen’s Son’s addiction problems is vital to since it exacerbates her problem. Addressing it will give her peace of mind. Interventions such as Cognitive behavioural therapy is an effective therapy to use when addressing addiction. As it teaches how connection can be made between feeling and actions, which also enhances awareness of how things impact recovery (Ciharova et al., 2021).

References

Becker-Haimes, E. M., Williams, N. J., Okamura, K. H., & Beidas, R. S. (2019). Interactions between clinician and organizational characteristics to predict cognitive-behavioral and psychodynamic therapy use. Administration and Policy in Mental Health and Mental Health Services Research, 46(6), 701-712.

Ciharova, M., Furukawa, T. A., Efthimiou, O., Karyotaki, E., Miguel, C., Noma, H., ... & Cuijpers, P. (2021). Cognitive restructuring, behavioral activation and cognitive-behavioral therapy in the treatment of adult depression: A network meta-analysis. Journal of Consulting and Clinical Psychology, 89(6), 563.

Doyle, C., Day, S., & Dort, P.V. (n.d.). Best practice counselling interventions for carers of people with dementia. Centre for health policy, programs and economics.