Social Work Assessment Seminar

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timer Asked: Mar 28th, 2019
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Question Description

Tutor will read the 12 page case document, then complete the power point presentation by using the rubric provided in reference to the case. Thank you.



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Scanned by CamScanner Case Presentation OVERVIEW OF THE AGENCY El Paso Children’s Hospital is the only separately licensed private, non-taxing, and independent; not-for-profit children’s hospital in the El Paso region and the only dedicated Pediatric Hospital within a 200-mile radius of El Paso, Texas. Mission The Mission of El Paso Children’s Hospital is to provide compassionate, coordinated, familycentered care for children with a dedicated commitment to excellent patient outcomes, inclusive leadership and innovative pediatric research and education. Vision The Vision of El Paso Children’s Hospital is to enhance the lives of children from the greater El Paso area and surrounding area by offering a place of hope and healing via unmatched brilliance in pediatric patient care, research and education. OVERVIEW OF THE CASE The patient is a 18-year-old Hispanic immigrant male from Honduras admitted to El Paso Children’s Hospital for Jaundice and Influenza type 1. Patient was detained and released by, U.S. Immigration & Customs Enforcement (ICE). Patient was recently released from a “transitional camp” and has no family support, medical insurance, living arrangement, nor financial stability. VIEWS OF THE CASE • EMPATHY • PATIENT • EL PASO CHILDREN’S HOSPITAL Devore & Schlesinger’s Life Course Model The life course perspective is a theoretical model that has been developing over the last 40 years across several disciplines. It is intended to look at how chronological age, common life transitions, and social change shape people’s lives from birth to death. Several fundamental principles characterize the life course approach. • Socio-historical & Geographical location • Timing of lives • Heterogeneity or Variability • Linked Lives & Social ties to others • Human agency & Personal control • How the past shapes the future Section Header Layout Subtitle Picture with Caption Layout Caption Add a Slide Title - 1 Add a Slide Title - 2 Add a Slide Title - 3 Add a Slide Title -4 Social Work Assessment 1 Social Work Assessment Social Work Assessment My internship is in the process of being completed at El Paso Children’s Hospital, with the Department of Social Work. El Paso Children’s Hospital is the only separately licensed private, non-taxing, and independent; not-for-profit children’s hospital in the El Paso region and the only dedicated Pediatric Hospital within a 200-mile radius of El Paso, Texas. The Vision of El Paso Social Work Assessment 2 Children’s Hospital is to enhance the lives of children from the greater El Paso area and surrounding area by offering a place of hope and healing via unmatched brilliance in pediatric patient care, research and education. The mission of El Paso Children’s is “to give compassionate, coordinated, family-centered care for children with a dedicated commitment to excellent patient outcomes, inclusive leadership, and innovative pediatric research and education” (El Paso Children’s). 1) Demographic/Identifying Information: The patient is an 18-year-old male Hispanic immigrant from Honduras admitted to El Paso Children’s Hospital for Jaundice and Influenza type 1. The patient faces Language barrier since he is a Spanish fluent patient but not good at English. The patient was detained by Immigration Customs Enforcement (ICE) subject to be released to society upon hospital discharge. The patient has no medical insurance or family support in the United States. 2) Description of the Problem: A) A social work consult was created for the client by the Pediatrics Medical Director (MD) regarding the patient economic and social status. The patient’s demographic and a psychosocial form was provided to complete a full assessment on the patient. An Ecological and Ethnic-Sensitive perspective approach was initiated with the patient by the social work intern in order to incorporate ethnic sensitivity into practice and to identify interventions, strengths and weaknesses during the assessment process. i) Issues identified with the client during the assessment were: poor hygiene practice, lack of supportive housing, lack of medical insurance, no family support, lack of communication with family since migrating from Honduras, lack of transportation, lack of legal documentation, language barriers, unemployment, and lack of revenue to maintain self-sufficiency. ii) These issues were addressed by providing support, education, information and local resources that would address the patient’s immediate needs. B) Client’s view of the problem i) The patient’s principal issue was “safety concerns”. The patient moved from Honduras and entered the United States where the patient requested asylum but is yet to be granted. (The following quotes are directly from the patient during the assessment) “Las gangas quieren que venda drogas, oh si no me mataran” “The gangs wanted me to distribute drugs, or else they were going to kill me “The patient voiced the needs of finding transportation to Seattle, Washington, where the patient’s sister was prepared to provide support. During the assessment, the client stated “Estoy en una mission para irme con mi hermana que esta en Seattle Washington” I am on a mission to be with my oldest sibling who lives in Seattle Washington”. No tengo interes de quedarme cercas de Mexico” I have no interest staying here knowing that I am close to Mexico” “Mi hermana me va apoyar Social Work Assessment 3 encontrar trabajo para poder abrir mi negicio un dia” My sister is going to help me find a good paying job so that one day I can open my own business”. The patient’s mind set was to locate safety, find transportation to be with the sister, obtain employment, and become self-sufficient to sustain him while living in the United States. ii) The patient reported previously migrating to another state within Honduras, but gang members located him. The patient was threatened to be killed if the patient did not meet his drug sales quota. The patient departed his city of birth a few times before migrating to the United States where he sought asylum to obtain safety, emotional and financial support by the patient’s sibling. iii) The patient stated that these issues have been going on since the age of 15 and have worsened. “Law enforcement in Honduras would do nothing to protect its own citizens”. The patient reported that law enforcement in his home town also fear for their safety as they would occasionally become part of fire fights with gang members. “Nobody is safe in Honduras and corruption is everywhere. You can’t trust law enforcement or else you find yourself trafficking drugs”. “I am tired of the crime, hate, and violence so I decided to migrate to the U.S. to be with my sister where I know I will be safe. 3) Based on a review of at least five credible sources, what interventions have been used to address the issues the client is presenting? In this case, the patient experienced traumatic events while in Honduras and during his migration to the United States. The process of migration changes many aspects an individual’s life. Migrants may be exposed to adverse experiences before and during migration, and may also endure the loss of familiar language, attitudes, values, and support networks. In clinical work with immigrants and refugees, the following interventions are the most effective to deal with the patient’s situation. Family intervention is considered a suitable treatment approach and many guidelines have been suggested for treating traumatized families (Slobodan). Psychological Debriefing also known as critical incident stress debriefing (CISD), intervention aims to educate victims about normal reactions to trauma and to encourage them to share their experiences and emotional responses to the event. This intervention was used to prevent the development of post-traumatic stress disorder and other negative sequelae (Strober). Cognitive Behavioral Therapy is another intervention used to treat PTSD. According to Neuropsychiatric Disease and Treatment, Cognitive behavioral therapy (CBT) has been used in the management of PTSD for many years. Literature reveals robust evidence that CBT is a safe and effective intervention for both acute and chronic PTSD following a range of traumatic experiences in adults, children, and adolescents. “CBT has been validated and used across many cultures and has been used successfully by community therapists following brief training in individual and group settings (Neuropsychiatric Disease and Treatment)”. According to National Symposium on Homelessness Research, Strategies are needed to reduce the amount of harm a youth encounters while homeless. In the short term, emergency and transitional services are Social Work Assessment 4 needed for those who are currently homeless. It is suggested that youth and those in their first episode of homelessness are more likely to reconcile with families if the homeless episode is responded to with early intervention. Primary Prevention interventions would attempt to prevent homelessness and other harmful outcomes among adolescents in the general population. Such interventions are generally consistent with a youth development approach to improving the lives of youth (Symposium on Homelessness Research). Peer (self-help) support Peer (self-help) support is defined as any intervention where a person (in groups or pairs) with a common condition (for example, a mental or physical disorder) or the families or carriers of people with a common condition meets to provide emotional or practical support to each other. Typically there is no direct professional input to the group although there may be some limited psycho-educational input. Support can be individual or group based. The Meetings with the patient shall either be open ended or time limited or generally follow a structure as provided by El Paso Children’s Hospital professionals (interns) or patient support department. This intervention is utilized to ensure the patient feels welcomed in this foreign nation and attains emotional stability aimed at solving his security concerns. Interpersonal therapy IPT is defined as a discrete, time-limited, structured psychological intervention, derived from the interpersonal model of affective disorders that focuses on interpersonal issues and where the therapist and patient work collaboratively to identify the effects of key problematic areas related to interpersonal conflicts, role transitions, grief and loss, and social skills, and their effects on current symptoms, feelings states and/or problems. This intervention was utilized to reduce the patient’s symptoms by learning to cope with or resolve his interpersonal problem areas due to exposure to unfavorable conditions for an extended period of time. Counseling The British Association for Counseling and Psychotherapy (BACP) defines counseling as ‘a systematic process which gives individuals an opportunity to explore, discover and clarify ways of living more resourcefully, with a greater sense of well-being’. The patient has already been exposed to gang violence and therefore this intervention would be necessary to ensure the patient can still believe he can lead a safe free from violence that he experienced. Group existential therapy Group existential therapy is a model of group therapy that draws on both supportive-expressive and existential theory. It is a fixed term or open-ended form of therapy, usually for six to eight people. Groups tend to be disorder specific (for example, Jaundice or Influenza).The significance of this intervention is to focus on the development of a supportive network for the patient to grief, improving problem solving, coping, enhancing a sense of mastery over life and reevaluating priorities for the future. Social Work Assessment 5 Health education This is defined as the provision of education and information regarding a physical health condition. This intervention will enable the patient understand what he is actually suffering from, accept his condition and embrace available treatment for better future health. Social support This is defined as the provision of support and training to improve leisure experience with a focus on self-awareness and competency development. This intervention would be effective in ensuring the patient is able to fit in the American and be able to thrive competitively like other citizens. 4) Developmental Assessment- Assess developing using Erikson’s Life Stage Model, Devore & Schlesinger’s Life Course Model, or a group or family developmental model. Devore & Schlesinger’s Life Course Model The life course perspective is a theoretical model that has been developing over the last 40 years across several disciplines. It is intended to look at how chronological age, common life transitions, and social change shape people’s lives from birth to death. Several fundamental principles characterize the life course approach. They include: (1) socio-historical and geographical location; (2) timing of lives; (3) heterogeneity or variability; (4) "linked lives" and social ties to others; (5) human agency and personal control; and (6) how the past shapes the future. Each of these tenets will be described and key concepts will be highlighted. This will be followed by an overview of selected examples of empirical applications from an international and cross-cultural perspective. Evidence of Patient Development Socio-historical and geographical location The patient’s own developmental path is embedded in and transformed by conditions and events occurring during the historical period and geographical location in which the patient lived in Honduras and as a Refugee in United States. For example, geopolitical events (e.g., gang violence), economic cycles (e.g., the patient’s financial hardship), and social and cultural ideologies (e.g., patriarchy where he highly relies on the elder sister absolutely) can shape the patient’s perceptions and choices and alter the course of human development. Thus, his behavior and decisions do not occur in a vacuum, because the patient and his family interact within socio-historical time. Indeed, an understanding of the location of various cohorts in his respective historical context aids the developmental assessment to identity circumstances that have differentially affected the patient’s respective life histories. Timing of lives Three types of time are central to a life course perspective: individual time, generational time, and historical time (Price, McKenry, and Murphy 2000). Individual or ontogenetic time refers to Social Work Assessment 6 chronological age. It is assumed that periods of life, such as childhood, adolescence, and old age, influence positions, roles, and rights in society, and that these may be based on culturally shared age definitions (Hagestad and Neugarten 1985). Generational time refers to the age group or cohorts in which the patient is grouped, based upon his age. The patient is only 18 years old and is therefore assumed to be generation Z born between 1996 and 2010. Finally, the historical time whether in Honduras or United States refers to the societal or large-scale changes or events and how these affected the patient and his family, such as political, economic changes and gang violence. Linked lives and social ties A fourth tenet emphasizes that lives are interdependent and reciprocally connected on several levels. The patient’s Societal and individual experiences are linked thorough his family and the network of shared relationships (Elder 1998). As a result, macro-level events, such as gang violence, could affect the patient’s behaviors (e.g., enrolling in military service), and this can significantly affect other familial relationships. Stressful events, such as the death of a family member(the patient left native Honduras to seek asylum in United States meaning he lost all family members left behind), can also affect family relationships because these occurrences can trigger patterns of stress and vulnerability or, conversely, promote adaptive behaviors and family resilience for the patient. Moreover, personality attributes of individual family members can also affect family coping styles, functioning, and well-being of the patient since he intends to meet with his sister for assistance. Human agency and personal control According to the life course perspective, individuals are active agents who not only mediate the effect of social structure but also make decisions and set goals that shape social structure. Therefore the patient is assumed to have the capacity to engage in plan-full competence, which refers to the thoughtful, proactive, and self-controlled processes that underlie his choices about institutional involvements and social relationships (Clausen 1991). However, it should be recognized that his ability to make specific choices depends on opportunities and constraints he is likely to face in United States. Parallel to this idea is the concept of control cycles whereby families and individuals modify their expectations and behavior in response to changes in either needs or resources. Since the patient is in Great Depression he is expected to regain a measure of control over his economic hardship through expenditure reductions and multiple sources of income such as his job and envisioned business. In this way, the patient can construct, negotiate, and traverse life course events and experiences while in United States. How the past shapes the future Finally, another hallmark of this perspective is that early life course decisions, opportunities, and conditions affect later outcomes. The past, therefore, has the potential to shape the present and the future, which can be envisioned as a ripple or domino effect. This can occur at various levels: the Social Work Assessment 7 cohort/generational level and the individual/familial level. For example, one generation can transmit to the next the reverberations of the historical circumstances that shaped its life history for the patient (living through the drug manage and police brutality in United States, for example). The timing and conditions under which his earlier life events and behaviors occurred (e.g., selling drugs, conforming to gang traditions) can also set up a chain reaction of experiences for not only the patient but also his families (e.g., reproduction of poverty). The past, therefore, can significantly affect later life outcomes of the patient such as socioeconomic status, mental health, physical functioning, and marital patterns. This long-term view, with its recognition of cumulative advantage or disadvantage, is particularly valuable for understanding the patient’s social inequality in later life and provides proper development programs for a better future. 5) From your developmental assessment summarize aspects of client’s developmental that are related to the problem. Explain how they contribute to the problem or are resources to address the problem. The patient is seeking Asylum in United States meaning that he is a foreigner with no legal documents. He is sickly with no stable income and hopes for a better future through help from a close relative (sister) who is located far away in another state. Furthermore, the patient experiences language barrier since he is only fluent in Spanish as opposed to English language which is common among Americans. All this factors highly contribute to the problem since it makes it hard to live a secure life without a stable income in a country where you are sick with no relative to provide immediate health. Since the major concern is security, the patient is likely to face some racism due to his origin and race. All these aspects worsen the patient chance of attaining the Asy ...
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Tutor Answer

Hadizza8690
School: Purdue University

Please find the answer in the attachment below. Thank you for the patience

Case Presentation

OVERVIEW OF THE CASE


The case involves a patient is a 18-year-old Hispanic male



He is an immigrant from Honduras admitted to El Paso Children’s Hospital



He was suffering from Jaundice and Influenza type 1.



Patient was detained and released by the Immigration & Customs
Enforcement (ICE)

OVERVIEW OF THE AGENCY


The agency name is El Paso

Children’s Hospital



It is the only licensed private, non-taxing children hospital in Texas



Their mission statement focus in providing quality healthcare services
through effective collaboration with families and effective leadership that
will enhance growth



Their vision is improvement of quality of children’s lives through
providing quality pediatric care, research, and education.

PROBLEM DESCRIPTION
Social Worker & Client View on the Problem

Social Worker View of the Problem




Created by Pediatrics Medical Director (PMD) based on client’s economic
and social status
Applying an ecological and ethic-sensitive perspective approach



Some issues found include; no family support, legal documentation,
medical insurance, transportation, and language barriers



Proposed solutions provided include; provide support, education, and
information

Client View of the Problem


The principle issue was safety because he had not been granted an
asylum that he had requested



He had migrated to another state within Honduras but was located by
gang members that he was running away from forcing him to abandon
his country



The issue began when he was 15 years an...

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Anonymous
Top quality work from this guy! I'll be back!

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