Assignment discussion should be 4-5 pages total plus title and reference pages Janis is a 35 year old woman of Italian-Irish descent. She was referred by her employer for testing positive for opiates and amphetamine on a random drug test at work. Janis presents as a markedly thin, gaunt woman, stylish in dress, with difficulty staying on task during your assessment, often asking you what you just said. She does admit to using stimulants to control her weight, “my doctor gave them to me to help me shed a few pounds” but denies using opiates. “The test was wrong but my boss won’t believe me. I did have some dental work done and got some pain killers, but I haven’t used them in weeks. Okay, so I’m a bit obsessed with my weight, but I’m getting older and its hard to get men to notice me with all the competition out there from those young skinny girls”. She also admits to “spending all my money on shopping and paying for those diet pills. I work hard, so why not!” During the session, Janis reveals that she has had 2 alcohol related DUIs in the past, “so I no longer drink and drive.” During your psychosocial assessment, you learn that Janis’ husband died of a heroin overdose 5 years ago. She doesn’t remember her parents, but does have nightmares of “2 drunk people beating on each other.” She was raised by her grandmother who she describes as, “a loving yet strict Irish-Catholic woman”. Question One: Considering the information in the course text and the DSM-5, which screening and assessment tools covered in Chapter 7 might you use for Janis. Briefly discuss what further information you would look for, to formulate a provisional diagnosis for Janis. Question Two: Create a brief initial treatment plan for Janis. What treatment approaches would you consider, that support your findings in Question One.

Discussion: Psychosocial Aspects of CancerCancer is often synonymous with fear, uncertainty, and death. A diagnosis of cancer begins a long journey that affects physical health, mental well-being, and relationships with loved ones. Although cancer care today often provides advanced medical treatment, psychosocial issues may not be adequately addressed (Artherholt & Fann, 2012). This failure may compromise the effectiveness of overall cancer management.Oncology social workers play an integral role in cancer care in multiple settings. It is common for oncology social workers to engage in individual, family, and group intervention. In addition to providing direct patient care, oncology social workers provide valuable public health interventions, such as health education programs and policymaking.To prepare for this Discussion:Review this week’s resources. Select one of the many different types of cancer and think about the overall impact of the disease. Consider the psychosocial effects of cancer. How might the cancer affect the health and well-being of an individual and caregivers? Post an explanation of how this type of cancer might affect the health and well-being of the patient and caregivers. Explain the psychosocial effects of the cancer on the patient and caregivers. Explain how psychosocial factors might impact a treatment care plan and the management of the disease. Finally, explain how you might address the psychosocial needs of a cancer patient and caregiver.Required Readings Beder, J. (2006). Hospital social work: The interface of medicine and caring. New York, NY: Routledge. Chapter 8, “Oncology Social Work with Adults” (pp. 81–94) Gehlert, S., & Browne, T. (Eds.). (2019). Handbook of health social work (3rd ed.). Hoboken, NJ: Wiley. Chapter 19, “Oncology Social Work” (pp. 440-458) Meuche, G. (2017). An uninvited guest: Addressing students’ death anxiety in oncology social work field placement. Field Educator, 7(1), 1-7. Schroepfer, T. (2011). Oncology social work in palliative care. Current Problems in Cancer, 35(6), 357–364 [Erratum. Current Problems in Cancer, 36(1), 20]. Kent, E. E., Parry, C., Montoya, M. J., Sender, L. S., Morris, R. A., & Anton-Culver, H. (2012). "You're too young for this": Adolescent and young adults' perspectives on cancer survivorship. Journal of Psychosocial Oncology, 30(2), 260– 279. National Association of Social Workers. (2005). NASW standards for social work practice in health care settings. Retrieved from https://www.socialworkers.org/LinkClick.aspx?fileticket=fFnsRHX-4HE%3D&portalid=0 Zafar, S. Y. (2018). Price of cancer care and its tax on quality of life. Journal of Oncology Practice, 14(2), 69-72. Zavagli, V., Miglietta, E., Varani, S., Pannuti, R., Brighetti, G. & Pannuti, F. (2016). Associations between caregiving worries and psychophysicial well-being. An investigation on home- cared cancer patients family caregivers. Supportive Care in Cancer, 24(2), 857-863. Optional Resources Centers for Disease Control and Prevention. (2004). A national action plan for cancer survivorship: Advancing public health strategies. Retrieved from https://www.cdc.gov/cancer/survivors/pdf/plan.pdf Institute of Medicine (US) Committee on Psychosocial Services to Cancer Patients. (2008). The psychosocial needs of cancer patients. In N. E. Adler & A. E. K. Page (Eds.), Cancer care for the whole patient: Meeting psychosocial health needs. Washington, DC: National Academies Press. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK4011/

Assume you are working at an agency with both inpatient and outpatient services. Mary is a client of yours in inpatient so you will be working with her one-on-one at least once a week in inpatient treatment then she will transfer levels (from level III to Level II.I) at which point you will also be her counselor in intensive outpatient. Using your knowledge of effective treatment interventions (review Chapter 8), how could you integrate a variety of treatment interventions that target emotional, environmental and irrational thinking triggers into both inpatient and outpatient treatment. Her diagnoses include Alcohol Use Disorder, Opiate Use Disorder, and Generalized Anxiety Disorder (GAD). Use headings: Inpatient interventions, and Outpatient interventions.This discussion question is informed by the following CACREP Standard: 5.C.2.c. Mental health service delivery modalities within the continuum of care, such as inpatient, outpatient, partial treatment and aftercare, and the mental health counseling services networks.