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Draft of sociocultural Evaluation and Draft of Program Evaluation
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Draft of sociocultural Evaluation and Draft of Program Evaluation
The Effects of pediatric Bi-Polar Disorder on Adolescent Development
Bipolar disorder is a mental illness that causes visible and sometimes severe mood and
behavioral irregularities in those who suffer from it. Bipolar disorder makes children and
adolescents feel highly cheerful or "high" and substantially more energetic and active than
usual. Bipolar disorder can make children and teenagers think melancholy or "down," and
cause them to be less active than usual. This is known as a depressive episode. Bipolar disease,
also known as manic depression or manic-depressive illness, differs from the regular ups and
downs that all children go through. Bipolar disorder causes more intense, spontaneous mood
fluctuations, followed by changes in sleep, energy, and logical thinking abilities. Adolescents
with bipolar symptoms may struggle to function well in school and interact socially with their
peers and family. Children and teenagers who have bipolar disorder may self-injure or attempt
suicide. Although bipolar disorder is most often diagnosed in adolescence or maturity,
symptoms can appear as early as childhood. Although bipolar disorder is episodic, it frequently
lasts a lifetime. Symptoms of bipolar disorder might be confused with other ailments common
in adolescents, such as attention deficit hyperactivity disorder (ADHD), conduct issues,
depression, and anxiety disorders. Bipolar disorder is difficult to make and necessitates a
complete evaluation by a qualified and experienced mental health expert. With the right
therapy, children and adolescents with bipolar disorder can manage their symptoms and live
happy lives. This paper explores the social-cultural aspects and program evaluation of bi-polar
Iv) Social-cultural evaluation
The current assessment of patients in the Ranch program is based on the symptoms that
occur to the patients. The process entails scrutinizing the medical history of the patient
diagnosed with bipolar. The idea of physical examination of the patient may not yield correct
results. This is to say, and the patient may provide wrong information about whether there was
anyone in the family who suffered from bipolar disorder. The physician ought to carry out
general examination in a scientific manner keeping the information about the patient a secret
not to injure his or her current state. Such will help to make the patient to trust the clinical
process. Some people may as well not share information about their families due to societal
norms that they may end up being looked down upon as far as bipolar ailment is concerned.
Assessment of the bipolar patient through inquiry of the adverse childhood conditions
which might have contributed to the conditions the patent is facing currently may further
worsen the conditions. The patient might be unwilling to provide the family characterizations
which led to his or her conditions (The Ranch n.d). The ranch program should therefore seek
to find out how to trace family issues which might have led to the condition of the patient. This
can be done through regular visitation to the family to observe their social status, carry out
cross-examination of the parents, how they brought up their children and come up with the
necessary information which will work toward treatment of the patient as well improve the
Intervention strategies in ranch program focuses on the measures alleviate worsening
conditions of the patient and bring about change in their state. The strategies involved demand
for therapies that are offered to the patient. The client is referred to a therapist who would per
take a series of counselling therapies. This means that the medical information of the patient
needs to be transferred to a third party for counselling therapies to commence. Such may affect
the patient because of disclosure of the patient to a third party. The patient may feel his or her
privacy is put to test and may end up not disclosing significant information which can aid their
healing. For matter of improvement of clinical sensitivity, such therapies such as interpersonal
psychotherapy, dialectical behaviour, cognitive behaviour therapy, and motivational
interviewing ought to be done by a single individual (expert in all fields) so as to maintain the
state of the patient.
Tennessee is populous state America that is mostly occupied by the black Americans.
The ranch program was initially subjected to them to bring about systematic, coordinated as
well a holistic program which aided in the delivery of information and expertise needed to
offset issues which led to decrement of the success rates mostly in farming and bring about a
success in new start-ups by participating in the program (The Ranch n.d). The ranch program
is significant in the cause of offsetting the effects of bipolar to individuals, aiming at bringing
a healing state to patients suffering from the ailment. Tennessee population is comprised of a
diverse cultural, gender, ethnic, socioeconomic indicators that shaped the ranch program. The
population had solid cultural resources such as archeological sites, buildings, cultural
landscape, sacred sites, traditional properties, religion and structures which were significant in
their culture. The population was ethnic-based with Asians having the largest share in the ethnic
composition. Majority of the Black Americans in Tennessee were the females with a population
of 3,357,17 which was 164,992 more women than men. Social-economic indicators in
Tennessee contributed to the Ranching program. The population was comprised of people with
different levels of education, different access to healthcare and clinical services, different
poverty levels, housing diversity and many more.
Ranching program was the key solution to offset all the disparities among
Ranch program was developed to address specific groups of people who had
similar characterization in terms of culture, gender, ethnicity, as well as
socioeconomic indicators were grouped together. The Ranch program was mostly
deployed in Palmito geographical regions giving the best sites to offer avenues for
data collection (The Ranch n.d). Palmito encountered severe battles so the ranch
program could be effectively studied and how the introduction of the ranching
program alleviated problematic issues with the residents.
Regional and sociocultural population had both promising and detrimental
impacts to the ranch program (The Ranch n.d). In terms of the promising arena,
regional and sociocultural factors led to cohesion as far as the ranch program was
concerned. People similar sociocultural issues were grouped together in one
region separating them from the rest. On the other hand, the worsening part of the
ranch program is that it separated people with different sociocultural factors even
Assessment is critical across cultural as well as ethnic groups is it always grants the
assessor the opportunity to gather significant information which can aid in the determination
of an outcome. Assessment aid in the comparison process as an individual is able to know
whether there is a take line or progression in the event of activities unfolding. On the other
hand, intervention help to bring a healing state to an individual as it seeks to alleviate the
worsening side of the coin and bring relief to an individual.
The techniques used in the examination of the effectiveness of intervention as well as
assessment include; interviews where individual undergoing an issue is crossexamined to determine the cause of an issue based on the cultural or ethnic setting.
Additionally, sampling is critical in the determining effectiveness of intervention in a
cultural setting to have knowledge of the patients who have recovered and those who
deserve further treatment.
The ranch program has tremendous strengths regarding the effectiveness of
intervention and assessment techniques across sociocultural groups. First, ranch
program lays the foundation for the treatment of an individual which is a key
intervention tool. Ranch program delivers the basis for the assessor to determine the
primary cause of a situation (The Ranch n.d). It gives the room to recommend on the
necessary intervention strategies to take place.
Nevertheless, ranch program bears some limitations as far as effectiveness and
intervention strategies across sociocultural regions is concerned. The trust and
nurturing relationship developed between the patient and the professional individual
can result to other relationship like intimacy harming the client further (Rowland &
Marwaha, 2018). Moreover, assessment strategies involving cross-examination of the
patient's family history may lead to disclosure of critical issues of the family which
should not be disclosed. The client may fail to share his or her personal history
leading to lack of significant information which can aid in treatment intervention.
V) Program Evaluation
Nature vs. Nurture
Bipolar disorder treatment differs depending on whether people are born with the disorder
or inherit it from their parents. According to current research, the illness is caused by a
combination of environmental and inherited factors. This shows that both nature and
nurture play a role in the development of bipolar disorder. Ranch program analyzes the
medical history of an individual suffering from bipolar. Medical history entails the history
of patient's family, including whether they were individuals in his or her family who
suffered bipolar. Ranch program as well analyzes environmental factors which might
have contributed to the occurrence of bipolar to a patient.
Continuity vs. Discontinuity
Where bipolar disorder falls on the continuum of continuity vs discontinuity is unknown.
Recent years have shown an increase in the number of youngsters diagnosed with bipolar
disorder (Leman and Bremner, 2019). However, children bipolar disorder symptoms
differ greatly from those of adults with the disease, necessitating additional investigation.
According to Birmaher (2013), the majority of bipolar disorder instances begin before the
patient reaches the age of 20. However, due to a dearth of research on early-onset bipolar
illness, determining the degree of continuity between adolescent-onset bipolar disorder
and adult-onset bipolar disorder is challenging. Ranch program involves determination of
the condition at all levels, in childhood as well in adulthood.
Stability vs. Change
Bipolar disorder is simply classified as being on the opposite end of the stability/change
spectrum. Rowland and Marwaha (2018) discovered that environmental interactions, such
as family, school, and acculturation, influence the development of bipolar disease. People
who have had a difficult upbringing are more likely to develop bipolar disorder. Ranch
program on the other end analyzes all aspects of family, environment and personal history
which might have led to the occurrence of bipolar.
Nature vs. Nurture and stability vs. change developmental themes are reflected in
the ranch program. Ranch program looks at the genetic traits of the family as well
as environmental factor which can lead to bipolar. Such issues are addressed in the
developmental theme, nature vs. nurture. Stability vs. change cuts across
environment and family issues which lead to bipolar. Ranch program, on the other
hand is highly attracted on how family history and environmental indicators
contribute to bipolar.
In nature vs. nurture, ranch program lies on the nature continuum as the
environment is seen as the key contributor of bipolar disorder due to stressors.
Continuity vs. Discontinuity, ranch program lies under continuity continuum as
childhood encounters contribute a greater portion of what will occur to an
individual in the future. Stability vs. change, the ranch program lies on the change
continuum as an individuals can change their state and behavior of bipolar to
portray a promising behavior.
The numerous levels of structure involved in human life (ranging from biology to
culture, natural and engineered ecosystems, and history) are systematically integrated across
ontogeny, according to current developmental theory (Bernaras et al., 2019). The relationships
that exist within this developmental system are crucial to the analysis and application of
developmental theory. Ranch program is totally involved in the developmental theories due to
the factors that affect child and adolescent development like hereditary issues, environment,
family issues, geographical issues and many more. These theories are learning theory, cognitive
theory, psychosocial theory and others.
Ranch program gives a series of activities which can lead to the treatment of bipolar
disorder. Prevention is critical in housing a defence mechanism against bipolar. Children and
adolescents can be prevented from environmental factors which can impact to the child
negatively (Birmaher, 2013). These are things like preventing the child as well as adolescents
from geographic regions which may lead them to suffer from bipolar disorder. According to
learning theory, children should be barred from learning things which affect them in the future.
Ranch program entails cross-examination of the factors which would have contributed
to the current behavior which is causing bipolar disorder. Early family issues Adolescent’s
encounter should be cross examined. Social learning theory calls for attention to the actions
which are learned which may have an impact on the life of an individual in the long run.
Ranch program yearns to provide treatment mechanisms to a bipolar patient.
Environment may have a positive or a negative impact on how a child can think, for example;
school. Cognitive theory through Jean Piaget 1896-1980 explores the ability of the child to
think as well as reasoning due to the environment that child is subjected to.
It is quite effective on how ranch program utilizes prevention, assessment as well
as intervention strategies aligning to the theoretical approaches used to establish
Prevention, assessment as well as intervention techniques used in ranch program
can emanate from other theoretical approaches of growth and development. For
example, behaviorism theory which looks at how stimulus or and inducement can
have an impact on the behaviour of an individual in the future. That is personal
history which is examined in the ranch program.
Alignment with the initial development theory for the ranch program have
alternative strategies like target individuals, which is covered in behaviorism
theory, Admission strategy as well as psychodynamic leaning which focuses on
Sociocultural influences impact on the organizations in which developmental
psychology is practiced. For example, peer pressure impacts either positively or negatively to
the teenagers in the community.
Ranch program has led to peaceful co-existence among members of the
community, the program has resulted to development of intervention strategies
such as therapies which enables individual to heal quickly from disturbing issues
The concept of ranch program has led to the development of better intervention
strategies to help individuals suffering from mental problems. Generally, the
program has led to further research on theories which can solve behavioral issues.
Sociocultural implications of ranch program is that it has enabled societies to
have a different perspective on some illnesses which seem to have no cure like
bipolar. Rach program has aided in the treatment of people in the society.
Typical development compares a child's development to that of peers his or her age.
When a child appears to lag behind or outperform his or her peers of the same age in any of
the skills, this is referred to as atypical development (Mayes & Zickgraf, 2019).
Ranch program is effective in health promotion, evidence from Tennessee
population show that the number of health solved issues due to ranch program
increased tremendously. This can be assessed through qualitative approach where
one can observe the behavior of individuals having changed.
The ranch program targeted at the issue of offsetting developmental issue of
genealogy among adolescents. The program offers intervention strategies to
ensure that genius individual is at all times occupied so as to utilize his or her
Barnett, J. H., & Smoller, J. W. (2009). The genetics of bipolar disorder. Neuroscience,
Bernaras, E., Jaureguizar, J., & Garaigordobil, M. (2019). Child and adolescent depression: a review
of theories, evaluation instruments, prevention programs, and treatments. Frontiers in
psychology, 10, 543.
Birmaher, B. (2013). Bipolar disorder in children and adolescents. Child and adolescent
mental health, 18(3), 140-148.
Mayes, S. D., & Zickgraf, H. (2019). Atypical eating behaviors in children and adolescents with
autism, ADHD, other disorders, and typical development. Research in Autism Spectrum
Disorders, 64, 76-83.
Rowland, T. A., & Marwaha, S. (2018). Epidemiology and risk factors for bipolar disorder.
Therapeutic advances in psychopharmacology, 8(9), 251-269.
The Ranch (n.d). Bipolar Disorder Treatment Center. Retrieved from: