Project: Client System Role Play Reflection and Analysis Paper

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WK9AssgnSauveurVs.RolePlay.docx

Date: April 30, 2018

Role Play Title: Case of Mark Lewis: College Student with HIV

1. Agency Setting and services provided at agency:

Micro-level Private Practice that focuses on youth and young adult services but also has programs for individuals and families, mental health intervention, crisis management, and support services, individual and group counseling/therapy.

2. Client Profile (demographic details, practice-level):

Mark is a 21 years old college student. Client has a great relationship with his family and friends. Client is dating an older women who is 39 years old that he meet on the school campus. Mark was referred by a friend in regards to getting personal support. He just found out he contracted HIV from his older lover. He has not confronted his lover who possible gave him this terminal chronic disease because he is still in shock.

3. Presenting Concern:

Client has just found out he contracted HIV for his older lover. He is looking for support and coping skills on how to accept his diagnose at such a young age.

4. Scene Description from the Client Session:

First meeting is to describe and provided immediate support/services. To help him emotional and medically.

5. Practice Skills or Behaviors Demonstrated in Role-Play: Skills demonstrated are group counseling, facilitating services, coping. Follow up services, Code of Ethics, Engagement, Observation, Active listening, Written Communication, Open question, Identifying Issues, Critical Thinking, Establishing Goals, Planning ,Referral Services, Support, Prioritizing, Care Planning, Instructing, Self-Awareness, Implementation, Recovery, Strength base approach.

Audio ( dialogue)

Video (client and social worker visual cues)

Social worker practice skills and or behavior

Social worker: Hey Good morning.

Mark: Good morning to you too.

Social worker extends her hand while she smiles to greet mark.

Mark makes a step forward as he extends his hand to greet the social work. He hesitates then smiles broadly.

Open- ended question that shows concern of the wellbeing of the client.

Social worker: Welcome to the agency and if I may ask what brings you to our agency today?

The social worker slowly walks as she directs mark to an open room.

Mark looks way with anger and sadness

Warmth and concern

Social worker: How may be of help to you?

Mark: I have HIV/AIDS that I just found about it recently.

Social worker indicates the seat by show of hand.

Mark looks at the social worker as he adjusts himself on a black leather chair.

Social worker leans forward appearing fully concentrated.

Mark lowers his head as his voice diminishes.

Concern and warmth/.

Social worker: It’s okay Mark. Please tell me more. I am here for you Mark.

Mark: okay. So I went to a clinic recently with a friend who insisted that it is wise we know our health statuses. The nurse called her in the office and she quickly came out. But for some reason the Doctor called me not the nurse and shut the door. There I saw a social worker sitting there with a bunch of brochures.

Social worker leans forward more and her eyes fixed on Mark

Mark’s eyes weaken as he looks far away through the window.

Accommodation and willingness to help.

Establishing Rapport

Social worker: First of all I’m glad you know your status and I am glad you have chosen to visit our agency. I will help you to the best of my abilities. So please feel free to tell me everything. But before you tell me more. I have to say that everything you say here will be private and between us. However, I will have to share this private information if I think that you are going to hurt yourself, or hurt someone else, or if I think someone may be hurting you or someone else.

Mark: Ok. Cool. I really want to keep this a secret. I’m just a kid and now I’m HIV positive. How could this happen!!!

Social worker half smiles as she looks at mark.

Mark speaks with anger in his voice.

Sympathizing. Showing that she understands his condition and she is very willing to help.

Codes of Ethics

Social worker: Have you ever had any sexual experiences before?

Mark: Yes. Just once with an older women. She’s actually the love of my life.

Social worker is writing notes.

Bowing down, looking up, and looking at the sides and bows down again.

Open question.

Active listening

Written Communication

Social worker: Mark... I am very sorry. You will be alright trust me.

Mark: I am not sure to be honest. All I want is to just die and escape all these nightmares.

Social worker leans forward

Mark unzips his jacket. Goes silent a bit with his head looking up. He looks at the social worker and speaks slowly.

Empathetic and offering hope

Social worker: Are you thinking about harming yourself?

Mark: No. I just feel hopeless.

Social worker looking clues from his body language.

Shaking his head

Engagement

Observation

Social worker: Sorry for what you have experienced for the past few weeks. This agency will make sure that you get everything you need to overcome this. I can set u up with a support group with kids your own age. And I would love to meet with you at least once a week.

Mark: But Miss………..how do I manage this? I am just too young to start HIV medication at this stage.

Social worker pats her hands on the table. Raises them up again just before her chin as she tries to explain to mark.

Mark shakes a bit then regrettably speaks with his hands unsettled on the table and keeps adjusting himself on the chair.

Openness

Group Counseling

Facilitating Services

Coping

Follow Up Services

Social worker: There’s no right answer for that. It all depends on the individual. The very first stage to healing emotionally is acceptance. When you accept this condition as part of your life managing it will get easier. HIV is a condition not a death sentence.

Mark: I just need to know that everything will be alright.

Social worker pulls her chair closer and looks at Mark as she talks to him.

Marks put his hand down.

Openness

Problem Resolution

Coping

Social worker: So before I answer that. I have a question for you too. Are you upset with this women who gave you HIV?

Mark: I don’t even know. She was older so I thought she was a responsible adult and I love her. She has kids my own age. I just never thought she would give me HIV.

( no movements here)

Elbows on the table, as he shakes his head.

Open question

Identifying Issues

Social worker: Accepting your status and moving on with your life will start with where you stand with this women.

Mark: I will think about it.

( no movements here)

Twists his mouth, scratches his head

Critical Thinking

Social Worker: We can always talk about this women in our next meeting. So, let’s start with this. I would like you to think about one thing you look forward to and how you could work towards it. I’m asking you to do this because I believe you have a future. You just need to know you do too.

Also, it’s very important that you start medical treatment plan today. So I’m going to refer you to a few outside agencies.

Mark: Today? Oh my God. This just became real.

Social worker is writing down agencies for Mark and maintaining eye contact with Mark as much as possible.

Mark is in shock

Establishing Goals

Planning

Referral Services

Support

Prioritizing

Care Planning

Instructing

Self-Awareness

Implementation

Strength base approach

Social worker: Yes. Medical treatment is vital to living a health life. In fact so many people have this condition, I have seen so many clients’ live normal lives. You are not alone you will make it.

Mark: Well. I hope so

Social worker tries to hand Mark the referrals.

Mark nods his head as his eyes are fixed on the paper.

Recovery

Support

Instructing

Social worker: Just try your best to go to the group meetings and make sure you take your meds as prescribed. You asked earlier how you will manage this condition. This is how you start.

Mark: I will. For sure I will. Thank you so much

Stretches her hands to give mark the referral.

Mark grabs the paper and slips it in his pocket

Healthcare

Cooperation

Social worker: You are very welcome. I would like you to visit us again sometime next week if that’s okay. I wish to talk to you more about your feelings and hopefully be an added support system for you.

Mark: Umm. I’ll show up.

Social worker smiles at Mark.

Mark stands up

Warmth and willingness to help.

Establishing Rapport

Follow Up Services

Support

Social worker: It was a pleasure meeting you. See you on soon and be strong Mark.

Mark: Thank you so much. I appreciate everything. Your time. Your words….

Social worker smiles as slowly stands and stretches her hand to greet mark.

Rising from his chair mark stretches his hand too and greets the social worker.

Appreciation

Mark: Good day. Bye!

Social worker: Good Bye!

Waving back, she slowly closes the door as it creaks.

Welcoming and courteous.