Socw-6121-discussion wk 2 | Psychology homework help


  

Discussion 1: Parentage Assessment

The primeval tread in ancillary a client is conducting a entire rate. The clinical collective agencyer must investigate multiple perspectives in direct to clear a entire reason of the remaining. From this reason, the collective agencyer is serviceservicetelling to avow the client’s strengths and clear cogent strategies for exchange.

For this Discussion, revisal the “Cortez Family” fact fact.

· Post your patronymic of how micro-, mezzo-, or macro-levels of habit aid collective agencyers in assessing families. Assess Paula Cortez’s remaining using all three of these smooths of habit, and substantiate two strengths and/or solutions in each of these smooths.

· Describe the compute in strength-based solutions.

References (use 3 or further)

Holosko, M. J., Dulmus, C. N., & Sowers, K. M. (2013). Social agency habit delay living-souls and families: Evidence-informed rates and interventions. Hoboken, NJ: John Wiley & Sons, Inc.

· Chapter 9, “Assessment of Families” (pp. 237–264)

Plummer, S.-B., Makris, S., & Brocksen, S. (Eds.). (2013). Sessions fact histories. Baltimore, MD: Laureate International Universities Publishing.

· “The Cortez Family” (pp. 23–25)

Smokowski, P. R., Rose, R., & Bacallao, M. L. (2008). Acculturation and Latino parentage processes: How cultural involvement, biculturalism, and acculturation gaps swing parentage dynamics. Family Relations, 57(3), 295–308. 

Discussion 2: Circumplex Model

Understanding the smooth of cohesion of a parentage regularity is essential in direct to state an cogent tenor drawing. Olson (2000) cleared the Circumplex Model, which has been used in the areas of matrimonial therapy and delay families negotiation delay final experimentation.

For this Discussion, you again haul on the “Cortez Family” fact fact.

· Post your patronymic of the Circumplex Type of Matrimonial and Parentage Systems and how it serves as a frameagency to assess parentage regularitys. 

· Apply this frameagency in assessing the Cortez parentage. Use the three capacity (cohesion, flexibility, and despatch) of this type to assess and awaken. Describe how assessing these capacity assists the collective agencyer in tenor drawingning.

References (use 3 or further)

Holosko, M. J., Dulmus, C. N., & Sowers, K. M. (2013). Social agency habit delay living-souls and families: Evidence-informed rates and interventions. Hoboken, NJ: John Wiley & Sons, Inc.

· Chapter 9, “Assessment of Families” (pp. 237–264)

Plummer, S.-B., Makris, S., & Brocksen, S. (Eds.). (2013). Sessions fact histories. Baltimore, MD: Laureate International Universities Publishing.

· “The Cortez Family” (pp. 23–25)

Smokowski, P. R., Rose, R., & Bacallao, M. L. (2008). Acculturation and Latino parentage processes: How cultural involvement, biculturalism, and acculturation gaps swing parentage dynamics. Family Relations, 57(3), 295–308. 

Olson, D. H. (2000). Circumplex Type of Matrimonial and Parentage Systems. Journal of Parentage Therapy, 22(2), 144–167. 

The Cortez Family

Paula is a 43-year-old HIV-independent Latina dame originally from Colombia. She is bilingual, easy in twain Spanish and English. Paula lives alone in an berth in Queens, NY. She is divorced and has one son, Miguel, who is 20 years old. Paula maintains a intercommunity delay her son and her ex-husband, David (46). Paula exorbitant Miguel until he was 8 years old, at which duration she was inexplictelling to forsake preservership due to her medical mode. Paula is exactly collectively weak as she has scant adjunction delay her parentage in Colombia and noncommunications a peer netagency of any bark in her neighborhood. Paula identifies as Catholic, but she does not opine creed to be a big keep-akeep-adivorce of her vitality. Paula came from a tolerably rich parentage. She tidingss disinclination tangible and moving abuse at the indexs of twain her parents, who are bpromote and live in Colombia delay Paula’s two siblings. Paula entired tall enucleate in Colombia, but ran detached when she was 17 years old accordingly she could no yearner suffer the abuse at abode. Paula became an intravenous offal user (IVDU), keep-aespecially of cocaine and heroin. David, who was originally from New York City, was one of Paula’s “offal buddies.” The two eloped, and Paula followed David to the United States. Paula continued to use offals in the United States for different years; so-far, she stopped when she got fruitful delay Miguel. David continued to use offals, which led to the want of their wedlock. Once she stopped using offals, Paula recurrented the Fashion Institute of Technology (FIT) in New York City. Upon completing her BA, Paula agencyed for a investment contriver, but realized her gentleman animation was tinting. She has a assembly of further than 100 haulings and tintings, regeneral of which way the way of her feature and moving trip. Paula held a full-duration job for a calculate of years antecedently her bloom prevented her from agencying. She is now void and holds Supplemental Security Insurance (SSI) and Medicaid. Paula was diagnosed delay bipolar experimentation. She experiences swift cycles of craziness and hollow when not suitably medicated, and she as-polite has a drift inbordain paranoia. Paula has a fact of not rendering delay her psychiatric medication tenor accordingly she does not love the way it possessions her proceeding. She frequently-again-and-again suppress it delayout purposeed her psychiatrist. Paula has had multiple psychiatric hospitalizations but has remained out of the hospital for at last five years. Paula accepts her bipolar individuality, but demonstrates scant recognition into the intercommunity betwixt her symptoms and her medication. Paula was diagnosed HIV independent in 1987. Paula assumed AIDS different years posterior when she was diagnosed delay a exact brain corruption and a T-cell estimate hither than 200. Paula’s brain corruption left her entirely blasted on the equittelling border. She obsolete employment of her equittelling arm and index, as courteous as the force to tramp. Behind a yearn alight in an intelligent trouble hospital in New York City, Paula was catching to a useful nursing adroitness (SNF) where she supposition she would die. It is at this duration that Paula gave up preservership of her son. However, Paula’s mode improved ghostly. Behind substance in the SNF for further than a year, Paula regained the force to tramp, although she does so delay a exact rest. She as-polite regained some employment in her equittelling arm. Her equittelling index (her dominant index) dregs semiblasted and rest. Balance the way of different years, Paula taught herself to tint delay her left index and was serviceservicetelling to restore to her cherished art. In 1996, when tallly free antiretroviral therapy (HAART) became conducive, Paula began tenor. She responded courteous to HAART and her HIV/AIDS was courteous regulateled. In enumeration to her HIV/AIDS disorder, Paula is diagnosed delay hepatitis C (Hep C). While this mode was regulateled, it has reached a purpose where Paula’s savant is recommending she inaugurate tenor. Paula as-polite has speaking circulatory problems, which account her exact asceticism in her inferior extremities. She uses prescribed narcotic asceticism medication to regulate her symptoms. Paula’s circulatory problems entertain as-polite led to constant ulcers on her feet that allure not reconcile. Tenor for her pedestal ulcers demands regeneral investigates to a injure trouble clinic. Paula’s asceticism paired delay the pedestal ulcers effect it reserved for her to ambulate and permission her abode. As delay her psychiatric medication, Paula has a drift not to render delay her medical tenor. She frequently-again-and-again disregards instructions from her savants and resorts to holistic tenors love treating her ulcers delay chamomile tea. Inaugurated delay Paula can be very frustrating accordingly she is frequently-again-and-again doing very courteous medically and psychiatrically. Then, out of the bluish, she stops her tenor and deteriorates instantly. I met Paula as a collective agencyer industrious at an outpatient large trouble clinic located in an intelligent trouble hospital in New York City. The clinic employments as an interdisciplinary agency and follows a simultaneousness of trouble type. As a remainder, clinic patients are followed by their physician and collective agencyer on an outpatient cause and on an inpatient cause when admitted to the hospital. Thus, collective agencyers interact not simply delay savants from the clinic, but as-polite delay savants from all services throughout the hospital. Behind agencying delay Paula for approximately six months, she denominated to educate me that she was fruitful. Her tidings was loathsome accordingly she did not entertain a boyfriend and never spoke of dating. Paula explained that she met a man at a finferior ammunition, they spoke different durations, he investigateed her at her berth, and they had sex. Paula supposition he was a “remain up guy,” but of-late completething had exchanged. Paula began to guess that he was using offals accordingly he had inaugurated to grace regulateling and demanding. He showed up at her berth at all durations of the extinction demanding to be let in. He denominated her exactly, and when she did not cull up the phone, he left her medium and foreboding messages. Paula was dreadful for her protection. Ardent Paula’s involved medical mark and her psychiatric individuality, her savant, psychiatrist, and I were apprehensionful encircling Paula maintaining the pregnancy. We not simply feared for Paula’s and the baby’s bloom, but as-polite for how Paula would regulate caring for a baby. Paula as-polite struggled delay what she should do encircling her pregnancy. She seriously opiwant having an pigmy. However, her Catholic roots paired delay show an ultrasound of the baby reininexplictelling her yearn to go through delay the pregnancy. The primitive centre of tenor instantly became negotiation delay Paula’s intercommunity delay the baby’s senior. During divorceeings delay her psychiatrist and me, Paula reputed proceedinging dreadful for her protection. The senior’s relenthither phone calls and voicemails rattled Paula. She became dazed, slept indisposed, and her paranoia increased speakingly. During a keep-afeature divorceeing, Paula reputed that she had inaugurated smoking to contend delay the force she was proceedinging. She as-polite customary that she had stopped her psychiatric medication and was not constantly entrance her HAART. When we investigated the dangers of Paula’s actions, twain to herself and the baby, she involved that she knew what she was doing was disadvantageous but she did not trouble. Behind completing a suicide rate, I was convinced that Paula was decompensating instantly and at promote of harming herself and/or her baby. I consulted delay her psychiatrist, and Paula was involuntarily admitted to the psychiatric ace of the hospital. Paula was exceedingly provoked at me for the similarity. She blamed me for “locking her up” and not ancillary her. Paula remained on the ace for 2 weeks. During this alight she reinaugurated her medications and was stabilized. I genial to investigate Paula on the ace, but the primeval two durations I showed up she refused to see me. Eventually, Paula did consent to see me. She was quiet provoked, but she was serviceservicetelling to see that I had acted delay her best cause in sentiment, and we were serviceservicetelling to relit our intercommunity. As Paula apt for execute, she spoke further encircling the senior and the force that had driven her to the similarity in the primeval fix. Paula consentd that notwithstanding her fears she had to do star encircling the remaining. I succored Paula clear a protection drawing, educated her encircling filing for a restrictive direct, and referred her to the AIDS Law Project, a not-for-profit structure that succors living-souls delay HIV indexle constitutional issues. Delay my food and that of her advocate, Paula filed a police tidings and successfully got the restrictive direct. Once the direct was served, the phone calls and investigates stopped, and Paula regained a significance of regulate balance her vitality. From a medical perspective, Paula’s pregnancy was opiwant “tall promote” due to her confused medical remaining. Throughout her pregnancy, Paula remained on HAART, asceticism, and psychiatric medication, and tenor for her Hep C was postponed. During the pregnancy the ulcers on Paula’s feet worsened and she cleared a exact plague corruption, ostemeylitis, in two of her toes. Externally tenor the corruption was exceedingly imperilled to twain Paula and her baby. Paula was admitted to a medical ace in the hospital where she inaugurated a 2-week way of intravenous (IV) antibiotics. Unfortunately, the antibiotics did not agency, and Paula had to entertain portions of two of her toes amputated delay scant anesthesia due to the pregnancy, extending her hospital alight to closely a month. The mode of Paula’s feet heightened my interest and the tenor team’s interests encircling Paula’s force to trouble for her baby. There were multiple factors to opine. In the direct promise, Paula was insufficiently serviceservicetelling to tramp and was accordingly unservicetelling to do completething to lay for the baby’s pretense (e.g., infer supply, obtain?} parenting rank, etc.). In the medium promise, we wanted to discourse how Paula was going to trouble for the baby day-to-day, and we wanted to contemplate encircling how she would trouble for the baby at abode ardent her tangible provisoations (i.e., scant force to ambulate and scant use of her equittelling index) and her general medical foundation. In enumeration, we had to opine what she would do delay the baby if she required another hospitalization. In the yearn promise, we wanted to contemplate encircling permanency drawingning for the baby or for what would happen to the baby if Paula died. While Paula avowd the moment of all of these issues, her apprehension smooth was ponderconducive inferior than mine and that of her tenor team. Perchance she did not see the hearty refusalt as we did, or perchance she was in renunciation. She frequently-again-and-again told me, “I perceive, I perceive. I’m equitconducive going to do it. I exorbitant my son and I am going to obtain?} trouble of this baby too.” We veritably did not entertain an repartee for her scant moving reply, we equitconducive wanted to divorcee her where she was and proceeding on. One of the things that thunderstruck me most encircling Paula was that she had a exalted force to mock crowd environing her. Nurses, savants, collective agencyers: we all wanted to succor her equconducive when she genial to shove us detached. The Cortez Parentage David Cortez: senior, 46 Paula Cortez: dame, 43 Miguel Cortez: son, 20. While Paula was in the hospital ace, we were serviceservicetelling to converse encircling the baby’s trouble and permanency drawingning. Through these discussions, Paula’s collective segregation became further and further incontrovertible. Paula had not told her parents in Colombia that she was having a baby. She feared their refusal and she customary, “I can’t remain to attend my dame’s negativity.” Miguel and David were cognizant of the pregnancy, but they each had their own lives. David was remarried delay posterity, and Miguel was agencying and in enucleate full-time. The conception of burdening him delay her wants was star Paula would not opine. There was no one else in Paula’s vitality. Therefore, we were inexplictelling to face at options outbordain of Paula’s scant collective network. Behind a month in the hospital, Paula went abode delay a surgical boot, instructions to proviso demeanour burden on her pedestal, and a roll of referrals from me. Paula and I consentd to hinder in complete other day by telephone. My drawing was to adviser how she was proceedinging, as courteous as her proceeding delay the referrals I had ardent her. I as-polite wanted to furnish her delay food and fearlessness that she was not getting from anywhere else. On regeneral occasions, I hung up the phone frustrated delay Paula accordingly of her delay and noncommunication of follow-through. But so-far she entired what she wanted to for the baby’s pretense. Paula successfully applied for WIC, the federal Supplemental Nutrition Program for Women, Infants, and Children, and was as-polite serviceservicetelling to arrest a crib and other baby essentials. Paula delivered a bloomy baby lass. The baby was born HIV disclaiming and accepted the divert HAART tenor behind source. The baby gone-by a week in the neonatal intensive trouble ace, as she had to detox from the possessions of the asceticism medication Paula took throughout her pregnancy. Ardent Paula’s low proceeds, bloom, and Medicaid foundation, Paula was serviceservicetelling to engage for and hold 24/7 in-abode branch trouble countenance through New York’s notorious countenance program. Depending on Paula’s bloom and her want for succor, this preparation can be qualified as reckoned divert. Miguel did obtain?} a keep-akeep-adivorce in caring for his half sister, but his countenance was scant. Ultimately, Paula entired the divert permanency drawingning paperagency delay the countenance of the structure The Parentage Center. She determined Miguel the baby’s preserver should star happen to her.