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Types of diversion for juveniles
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Services are being provided in a residential treatment facility for adolescents. The RTC is within the larger agency of A New Leaf. The RTC is located in Mesa, Arizona. This setting serves both male and female adolescents with a multitude of challenges including substance use, mental health diagnoses, juvenile detention center diversion and family struggles. The RTC provides individual and group therapy, school, a place to live and consistent staff to discuss any issues that may arise as well as facilitate clinical decisions such as encouraging a client to complete their clinical homework. My role is a clinical MSW intern, conducting weekly individual sessions and running a weekly group with one specified gender. This client was one of my individual
clients as well as a client in my weekly group.
At the end of the previous school year, Carol, and her daughter’s teachers noticed that Carol’s daughter was not progressing in her studies, and an evaluation conducted by the child study team revealed that she had a specific learning disability. An IEP meeting was scheduled, and conducted. The determination was made to place Carol’s daughter in the same resource room as Carol’s client Jody, for half of the day. Carol instantly realized that this decision put her in a predicament where a dual relationship would be created. She would then cross a clear boundary, and become a parent of a classmate, as well as the professional she has already established herself as to Jody and her parents. This would undoubtedly lead to instances in which both her client, and the client’s family would be interacting with her at both school functions and on class trips. She knew that allowing this to happen was against the BACB Guidelines for Responsible Conduct for Behavior Analysts. Carol voiced her opposition and explained the ethical quandary to those attending the IEP meeting, and what would occur if her daughter was placed in the same room with her client. Carol stated that she would speak with her supervisor, but it was probable that he would determine that she would not be able to continue working with Jody. Carol felt that having to become accustomed to another behavior analyst
This case study is an interpretation of a problem or situation that has occurred within a LPC’s (License Professional Counselor) care. As information is gathered, the depiction to this specific problem in this case study may also include additional information that may deem so to be necessary, in order to place possible solutions or actions that could have or will arise from the situation. This document will consist of a step by step analysis of the factors which impact the case, mostly in the order of what appears to be the most ethically sound decision. This document involves Stephanie’s (therapist) treatment of Martha Rose (client). The therapist, Stephanie, has been given a case through referral from an unknown source; Stephanie is working with this new case in SC (South Carolina).
I wish I had enrolled in the RN-BSN program sooner than this time. Before the RN-BSN program, I did not fully understand my role as a nurse. I had no knowledge of the functions of the Nurse Practice Act and the Board of Nursing. Nursing research was just a part of nursing curriculum. I have no prior knowledge of the evidence based practice. However, my trajectory into the RN-BSN program changed all that. I feel more confident and equipped as a professional nurse now than before. My two specific examples of change in behavior as a result of RN-BSN program are, one, changes in my skills and two, attitudes toward family dynamics, values and believes. The complexities of nursing practice, healthcare policies, and patients' needs lead to the
As part of my HNC study, I will look to define and discuss the importance of reflection. I will be using a variety of sources such as books, web pages, articles and journals in order to gather information. Which in return will allow me to explain why reflection is of such importance.
As a social worker advocating for Jennifer, a focus on how society handles and responds to teenagers that maybe going through a rough patch in life is crucial. Many times teens perceived as difficult or unruly are often lost or thrown into the legal justice system. This is why it is important to embrace a teen that may be acting out in a negative way. Proper application of MSLC, with a teenager like Jennifer, will give insight into his or her thought process and the reasons behind the teens actions. Taking the time to understand the ecological systems, life courses, symbolic interactions and examining social change will provide an opportunity for change for a teenager, such as Jennifer (Murphy-Erby et al.,
Moreover, ethical issues are ubiquitous within the field of social work. As such, social workers employed in all facets of the profession, whether it is substance abuse, mental health, among many others encounter ethical issues common and specific to each area. According to the article “Ethical Issues in Addiction Counseling” by Cynthia G. Scott (2000), prominent ethical situations specific to the field of substance abuse include, “confidentiality and privileged communication” (p. 213). In her article Scott (2000) discuss the blurred boundaries of confidentiality with regards to group counseling. The author points out the discrepancy in federal confidentiality laws that prevent the practitioner from sharing confidential information disclosed
...acility. This solution provided safety for the resident by placing her in a higher monitored region of the facility. Her son would have to check in before visiting, allowing staff to keep an eye on him in a designated meeting area. Even though the solution seemed fitting, the resident did not wish to be moved. The facility could not violate her decision to stay, but we also could not allow her son to continue to pose a threat. After two days of working with the resident and discussing options, she hesitantly agreed to move to another room. This benefited her in many ways, because it allowed her to stay in contact with her son while retaining a safe environment. Through this situation I learned that the human will can defy rationality, but as a Social Worker I must still strive to safely and efficiently handle these situations in a way that accommodates their rights.
As an intern at Camillus House I advocate for clients’ access to the social services in surrounding area while working alongside other social worker. I help clients’ fill out paper work for immigration, food stamps, Medicaid and Medicare, but not limited to co-case manages client’s caseload, and meet with assigned guests on a regular basis to address their goals and needs. Assist with resume writing, job seeking skills, interviewing skills, apartment search, assist guests in addressing life barriers, and taking steps towards self-sufficiency.
For my group experiential activity, I chose to attend an open self-help group, Narcotics Anonymous, which is a support group that focuses on the healing and recovery process of people with addiction. The Narcotics Anonymous group was a very informal, open group in which members could come and go at their own free will and were not coerced to disclose any information that he or she did not feel comfortable sharing with the larger group. In addition, new members were welcome to attend. The group was comprised of approximately 19 group members and one group leader. I found it interesting that there were also children of recovering addicts present at the meeting because I was not aware that children could attend these meetings. Nonetheless, I found it very compelling to witness so many families present with their families because it showed that there was still a sense of social support present despite turmoil that the addiction may have caused. The purpose of the group was to engage in the recovery process with other group members but also to adhere to the group’s mission of providing an environment of recovery to those individuals who are still suffering with his or her addiction. The purpose of the group was clearly stated by the group leader during his introductory speech about welcoming new members who would like to share in the recovery process with other group members. Just from observing, there appeared to be a group leader, referred to as the “chairperson,” who provided a brief overview of the group and voluntarily asked members to participate with the reading of the Twelve Steps and Twelve Traditions of the Narcotics Anonymous program. In addition, the group leader facilitated the flow of the group members’ conversations and ...
Bernard’s Behavioral Health in Jonesboro, AR is completely different location than where I grew up in McCrory, AR. I grew up in a small southern town about an hour and half from Jonesboro. I attended college at ASU-Beebe and graduated within two years with my basic. I transfer to ASU-Jonesboro where I graduated with a Bachelor in Social Work. Currently, I am in the Master in Social Work program. I had to adjust to the transition of moving from a small rural town to a bigger city. On the other hand, my internship consist of adult and geriatric populations. Previously, when I was an undergraduate I worked with the geriatric population only. I encounter the differences interning on the adult psychiatric unit versus the geriatric psychiatric unit. I observe the different interaction and became more familiar with certain diagnoses. As a clinician, I feel like it is crucial for the leader to be creative in the groups, know the appropriate therapeutic interventions for that population, and properly hand problems that might occur in the
These children had the worst histories I have seen in mental health nursing. The opportunity to work with this population was the most difficult and honorable thing I have done in my life. Part of my goal as a nurse practitioner will be to work with the underserved and difficult populations that others are not willing to work with. The next four years I spent floating around seven different units at CenterPointe Hospital. Some of the units include adult detox unit, geriatrics, acute adult, chemical dependency residential programs, and adolescent units. Child and adolescents are my passion but working with dual diagnosis, acute adults and geriatric/dementia populations gave me a well-rounded experience. I have also worked the last 3 years PRN as an eating disorder nurse. This vast experience working with every psychiatric population has taught me much about psychiatric disorders and provided me with balanced work history. In addition, I have worked as charge nurse of these units and gained leadership skills. I intent to use the experience and knowledge from my nursing career to help me assess, diagnose and treat, as a nurse
At the same time of this occurrence there were other things that went on pertaining to transference and counter transference. The Intern and I definitely had some type of strong transference and counter transference going on. There was a clash of personalities between the intern and me. We totally did not get along. I felt uneasy and that she did not want me there in the room with her. Why? I thought that maybe she felt challenged. I don’t know, but I felt I asked the patient questions that she forgot to ask. I also gave her my opinion about treatment principle, which I do not think she appreciated. With my previous interns, I was very much part of the intake and treatment process. The interns and I would ask questions. If one forgo...
The reason that I have come to that decision is because each one of the family members deserve respect. One of the 6 Social Work values is Dignity & Worth of a person, meaning that client the client deserves respect, and be treated as you would want to be treated. Each one of my client’s family members are going through their own struggle. At the end of the day they come home wanting to be accepted by their family members, needing love and compassion from each other. The father with poor health doesn’t bring home as much money as he used to. This causes the wife and him to argue over money, and even more now that their 17-year-old daughter is pregnant. Little Joey hears all this, and in turn, he displays his home problems at school through bullying
Reflective listening gives the client a sense of importance due to them currently having the floor and a moment to express themselves. Reflective listening is orchestrated through acts of showing empathy towards understanding the perspective of one’s feelings. Through this method, the listener does not offer their opinion or perspective while the client speaks. Adding eye contact can also be beneficial or uncomfortable due to client’s background. For example, one’s culture can believe that is it disrespectful not to make eye contact while another may not participate in that activity. During completing the initial assessment with Gwinda, the social work intern participated by allowing her to discuss the need for services. Gwinda further discussed how she is unsure of how the treatments will go and expressed how fearful she was to undergo these different changes. With uncertainty lingering, the social work intern sat next to Gwinda’s bedside ensuring during that moment the client had a listening
I believe social work is valued at my agency not just because the staff is nice to me, but because my supervisor follows the Code of Ethics when it comes to clients. When dealing with clients in substance abuse, some of them might think they can come in and manipulate staff because that is what they have been used to doing during their addiction. I believe one staff member used the term “devious” to describe how some clients can be when they first come to Shepherd’s Shelter.