Socw-6121-discussion wk 2 | Psychology homework help


  

Discussion 1: Origin Assessment

The earliest stride in promotive a client is conducting a perfect toll. The clinical collective effecter must discuss multiple perspectives in direct to educe a total brains of the lodgence. From this brains, the collective effecter is efficacious to concede the client’s strengths and educe serviceefficacious strategies for alter.

For this Discussion, resurvey the “Cortez Family” promise truth.

· Post your title of how micro-, mezzo-, or macro-levels of usage aid collective effecters in assessing families. Assess Paula Cortez’s lodgence using all three of these rolls of usage, and establish two strengths and/or solutions in each of these rolls.

· Describe the rate in strength-based solutions.

References (use 3 or further)

Holosko, M. J., Dulmus, C. N., & Sowers, K. M. (2013). Social effect usage behind a while beings and families: Evidence-informed tolls 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 promise 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 origin processes: How cultural involvement, biculturalism, and acculturation gaps bias origin dynamics. Family Relations, 57(3), 295–308. 

Discussion 2: Circumplex Model

Understanding the roll of cohesion of a origin scheme is influential in direct to state an serviceefficacious tenor artifice. Olson (2000) educeed the Circumplex Model, which has been used in the areas of connubial therapy and behind a while families message behind a while ultimate quackery.

For this Discussion, you usually sketch on the “Cortez Family” promise truth.

· Post your title of the Circumplex Standard of Connubial and Origin Systems and how it serves as a frameeffect to assess origin schemes. 

· Apply this frameeffect in assessing the Cortez origin. Use the three capacity (cohesion, flexibility, and message) of this remainard to assess and dissect. Describe how assessing these capacity assists the collective effecter in tenor artificening.

References (use 3 or further)

Holosko, M. J., Dulmus, C. N., & Sowers, K. M. (2013). Social effect usage behind a while beings and families: Evidence-informed tolls 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 promise 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 origin processes: How cultural involvement, biculturalism, and acculturation gaps bias origin dynamics. Family Relations, 57(3), 295–308. 

Olson, D. H. (2000). Circumplex Standard of Connubial and Origin Systems. Journal of Origin Therapy, 22(2), 144–167. 

The Cortez Family

Paula is a 43-year-old HIV-fixed Latina woman originally from Colombia. She is bilingual, easy in twain Spanish and English. Paula lives quaint in an berth in Queens, NY. She is divorced and has one son, Miguel, who is 20 years old. Paula maintains a connection behind a while her son and her ex-husband, David (46). Paula strong Miguel until he was 8 years old, at which space she was firm to give-up keeping due to her medical promise. Paula is sharply collectively single as she has poor simultaneousness behind a while her origin in Colombia and after a whiledrawals a comrade neteffect of any peel in her neighborhood. Paula identifies as Catholic, but she does not judge piety to be a big sever of her narrative. Paula came from a moderately moneyed origin. She communications disinclination substantial and tender affront at the agencys of twain her parents, who are free and lodge in Colombia behind a while Paula’s two siblings. Paula totald violent teach in Colombia, but ran separate when she was 17 years old accordingly she could no craveer permit the affront at settlement. Paula became an intravenous garbage user (IVDU), severicularly of cocaine and heroin. David, who was originally from New York City, was one of Paula’s “garbage buddies.” The two eloped, and Paula followed David to the United States. Paula continued to use garbages in the United States for various years; nevertheless, she stopped when she got teeming behind a while Miguel. David continued to use garbages, which led to the insufficiency of their espousals. Once she stopped using garbages, Paula gay the Fashion Institute of Technology (FIT) in New York City. Upon completing her BA, Paula effected for a dress agent, but realized her penny hanker was delineateing. She has a store of further than 100 sketchings and delineateings, abundant of which way the direction of her idiosyncratic and tender tour. Paula held a full-space job for a number of years antecedently her inclinetiness prevented her from effecting. She is now lazy and assent-tos Supplemental Security Insurance (SSI) and Medicaid. Paula was diagnosed behind a while bipolar quackery. She experiences flying cycles of insanity and dip when not impartially medicated, and she besides has a attraction incuriosity-behalf paranoia. Paula has a truth of not succumbing behind a while her psychiatric medication tenor accordingly she does not enjoy the way it gains her reach. She frequently-again-and-again discard it behind a whileout sharp-ended her psychiatrist. Paula has had multiple psychiatric hospitalizations but has remained out of the hospital for at last five years. Paula accepts her bipolar personality, but demonstrates poor recognition into the connection among her symptoms and her medication. Paula was diagnosed HIV fixed in 1987. Paula assumed AIDS various years succeeding when she was diagnosed behind a while a sharp brain taint and a T-cell sum close than 200. Paula’s brain taint left her totally blasted on the upupexact curiosity-behalf. She past employment of her upupexact arm and agency, as polite as the force to trudge. Behind a crave remain in an quick caution hospital in New York City, Paula was transferred to a trained nursing quickness (SNF) where she conceit she would die. It is at this space that Paula gave up keeping of her son. However, Paula’s promise improved fragmentarily. Behind being in the SNF for further than a year, Paula regained the force to trudge, although she does so behind a while a sharp hesitate. She besides regained some employment in her upupexact arm. Her upupexact agency (her dominant agency) recrement semiblasted and hesitate. Balance the direction of various years, Paula taught herself to delineate behind a while her left agency and was efficacious to repay to her loved art. In 1996, when violently free antiretroviral therapy (HAART) became profitable, Paula began tenor. She responded polite to HAART and her HIV/AIDS was polite inferior. In conjunction to her HIV/AIDS complaint, Paula is diagnosed behind a while hepatitis C (Hep C). While this promise was inferior, it has reached a sharp-end where Paula’s doctor is recommending she originate tenor. Paula besides has telling circulatory problems, which reason her sharp indisposition in her inferior extremities. She uses prescribed anodyne indisposition medication to repress her symptoms. Paula’s circulatory problems bear besides led to constant ulcers on her feet that get not remedy. Tenor for her bottom ulcers demands usual investigates to a rend caution clinic. Paula’s indisposition paired behind a while the bottom ulcers gain it hard for her to ambulate and license her settlement. As behind a while her psychiatric medication, Paula has a attraction not to succumb behind a while her medical tenor. She frequently-again-and-again disregards instructions from her doctors and resorts to holistic tenors enjoy treating her ulcers behind a while chamomile tea. Established behind a while Paula can be very frustrating accordingly she is frequently-again-and-again doing very polite medically and psychiatrically. Then, out of the bluish, she stops her tenor and deteriorates promptly. I met Paula as a collective effecter populated at an outpatient large caution clinic located in an quick caution hospital in New York City. The clinic employments as an interdisciplinary influence and follows a simultaneousness of caution remainard. As a outcome, clinic patients are followed by their physician and collective effecter on an outpatient premise and on an inpatient premise when admitted to the hospital. Thus, collective effecters interact not merely behind a while doctors from the clinic, but besides behind a while doctors from all services throughout the hospital. Behind effecting behind a while Paula for closely six months, she denominated to apprise me that she was teeming. Her tidings was horrible accordingly she did not bear a boyfriend and never spoke of dating. Paula explained that she met a man at a finferior supply, they spoke various spaces, he investigateed her at her berth, and they had sex. Paula conceit he was a “remain up guy,” but recently anything had alterd. Paula began to guess that he was using garbages accordingly he had launched to grace repressling and demanding. He showed up at her berth at all spaces of the mystification demanding to be let in. He denominated her unrelentingly, and when she did not cull up the phone, he left her balance and comminatory messages. Paula was shocking for her security. Loving Paula’s involved medical profile and her psychiatric personality, her doctor, psychiatrist, and I were solicitudeful environing Paula maintaining the pregnancy. We not merely feared for Paula’s and the baby’s inclinetiness, but besides for how Paula would direct caring for a baby. Paula besides struggled behind a while what she should do environing her pregnancy. She seriously judgeed having an puck. However, her Catholic roots paired behind a while examination an ultrasound of the baby reinfirm her hanker to go through behind a while the pregnancy. The leading remainpoint of tenor promptly became message behind a while Paula’s connection behind a while the baby’s senior. During asings behind a while her psychiatrist and me, Paula reputed reaching shocking for her security. The senior’s relentclose phone calls and voicemails rattled Paula. She became distracted, slept poorly, and her paranoia increased tellingly. During a severicular asing, Paula reputed that she had launched smoking to struggle behind a while the urgency she was reaching. She besides methodic that she had stopped her psychiatric medication and was not constantly gate her HAART. When we discussd the dangers of Paula’s actions, twain to herself and the baby, she involved that she knew what she was doing was injurious but she did not caution. Behind completing a suicide toll, I was undoubtful that Paula was decompensating promptly and at abandon of harming herself and/or her baby. I consulted behind a while her psychiatrist, and Paula was involuntarily admitted to the psychiatric ace of the hospital. Paula was exceedingly moody at me for the advance. She blamed me for “locking her up” and not promotive her. Paula remained on the ace for 2 weeks. During this remain she relaunched her medications and was stabilized. I dressed to investigate Paula on the ace, but the earliest two spaces I showed up she refused to see me. Eventually, Paula did consent to see me. She was stationary moody, but she was efficacious to see that I had acted behind a while her best curiosity-behalf in spirit, and we were efficacious to recbalance our connection. As Paula compliant for perform, she spoke further environing the senior and the urgency that had driven her to the advance in the earliest settle. Paula consentd that resisting her fears she had to do triton environing the lodgence. I succored Paula educe a security artifice, educated her environing filing for a obligatory direct, and referred her to the AIDS Law Project, a not-for-profit construction that succors beings behind a while HIV agencyle juridical issues. Behind a while my livelihood and that of her counsel, Paula filed a police communication and successfully got the obligatory direct. Once the direct was served, the phone calls and investigates stopped, and Paula regained a wisdom of repress balance her narrative. From a medical perspective, Paula’s pregnancy was judgeed “violent abandon” due to her entangled medical lodgence. Throughout her pregnancy, Paula remained on HAART, indisposition, and psychiatric medication, and tenor for her Hep C was postponed. During the pregnancy the ulcers on Paula’s feet worsened and she educeed a sharp nuisance taint, ostemeylitis, in two of her toes. Extraneously tenor the taint was exceedingly dangerous to twain Paula and her baby. Paula was admitted to a medical ace in the hospital where she launched a 2-week direction of intravenous (IV) antibiotics. Unfortunately, the antibiotics did not effect, and Paula had to bear portions of two of her toes amputated behind a while poor anesthesia due to the pregnancy, extending her hospital remain to almost a month. The promise of Paula’s feet heightened my sympathy and the tenor team’s sympathys environing Paula’s force to caution for her baby. There were multiple factors to judge. In the proximate promise, Paula was hardly efficacious to trudge and was hence unefficacious to do anything to fit for the baby’s aspect (e.g., gather edibles, follow parenting systematize, etc.). In the medium promise, we wanted to discourse how Paula was going to caution for the baby day-to-day, and we wanted to opine environing how she would caution for the baby at settlement loving her substantial timeations (i.e., poor force to ambulate and poor use of her upupexact agency) and her floating medical floorhold. In conjunction, we had to judge what she would do behind a while the baby if she required another hospitalization. In the crave promise, we wanted to opine environing permanency artificening for the baby or for what would supervene to the baby if Paula died. While Paula conceded the consequence of all of these issues, her solicitude roll was augustly inferior than mine and that of her tenor team. Peradventure she did not see the unimpaired self-denialt as we did, or peradventure she was in dismissal. She frequently-again-and-again told me, “I apprehend, I apprehend. I’m impartial going to do it. I strong my son and I am going to follow caution of this baby too.” We indeed did not bear an defense for her poor tender apology, we impartial wanted to as her where she was and proficiency on. One of the things that astounded me most environing Paula was that she had a august force to ridicule commonalty encircling her. Nurses, doctors, collective effecters: we all wanted to succor her equoperative when she dressed to urge us separate. The Cortez Origin David Cortez: senior, 46 Paula Cortez: dame, 43 Miguel Cortez: son, 20. While Paula was in the hospital ace, we were efficacious to confabulation environing the baby’s caution and permanency artificening. Through these discussions, Paula’s collective segregation became further and further palpable. Paula had not told her parents in Colombia that she was having a baby. She feared their disparity and she methodic, “I can’t remain to incline my dame’s negativity.” Miguel and David were informed of the pregnancy, but they each had their own lives. David was remarried behind a while effect, and Miguel was effecting and in teach full-time. The subject of burdening him behind a while her wants was triton Paula would not judge. There was no one else in Paula’s narrative. Therefore, we were firm to appear at options outcuriosity-behalf of Paula’s poor collective network. Behind a month in the hospital, Paula went settlement behind a while a surgical boot, instructions to time carriage power on her bottom, and a inventory of referrals from me. Paula and I consentd to impede in entire other day by telephone. My scheme was to instructor how she was reaching, as polite as her proficiency behind a while the referrals I had loving her. I besides wanted to collect her behind a while livelihood and greeting that she was not getting from anywhere else. On abundant occasions, I hung up the phone frustrated behind a while Paula accordingly of her dilatoriness and after a whiledrawal of follow-through. But nevertheless she totald what she wanted to for the baby’s aspect. Paula successfully applied for WIC, the federal Supplemental Nutrition Program for Women, Infants, and Children, and was besides efficacious to detain a crib and other baby essentials. Paula delivered a inclinetinessy baby spinster. The baby was born HIV denying and accepted the misspend HAART tenor behind race. The baby gone-by a week in the neonatal intensive caution ace, as she had to detox from the property of the indisposition medication Paula took throughout her pregnancy. Loving Paula’s low pay, inclinetiness, and Medicaid floorhold, Paula was efficacious to direct for and assent-to 24/7 in-settlement branch caution maintenance through New York’s exoteric maintenance program. Depending on Paula’s inclinetiness and her want for succor, this preparation can be mitigated as supposed misspend. Miguel did follow a sever in caring for his half sister, but his maintenance was poor. Ultimately, Paula totald the misspend permanency artificening papereffect behind a while the maintenance of the construction The Origin Center. She named Miguel the baby’s protector should triton supervene to her.