You need to write a response to each peer’s posting and support the response with at least two references

You need to write a response to each peer’s posting and support the response with at least two references.1st Peer PostingImplementing Research SkillsI have for some time now had an interest in doing research work. As clinicians work in the field of mental health eventually over time perhaps one will be able to incorporate parts of various therapeutic theories which will work better than the whole of another theory. Corey (2013) refers to this practice is an integrated approach to therapy where aspects of two or more theoretical approaches can be combined to create a more comprehensive therapy to better serve clients. This somewhat eclectic approach parallels the concept of what much research in counseling is aimed at- discovering a better way of treatment through convergence or divergence of counseling principles (Corey 2012). Essentially research is aimed at discovery of program worthiness or effectiveness or suspecting there may be ways to implement or incorporate program updates. Both these research evaluations and integrated approaches have a common goal- to serve clients in a better way and to help them to be more successful.Where it may be easy to see the integrated theory approach to be squarely a domain for seasoned skilled counselors to effect a combined treatment approach I can see program research and evaluation to be an entry level domain- provided the newcomer has had some skill building in evaluations. I say this because it is well known that it is easier to take the reins and explore other options than it may be for a practitioner who has executed a treatment process time and time again following facility or agency requisites or standards. Bluntly experience isnt always number one determinant.To date my experience in internship will be to work with Borderline Personality Disorder people typically mandated to treatment by the legal system. This is the major reason for choosing the hypothetical program evaluation that I did. I could not say whether I would be chosen to do such an research undertaking however it is my understanding that my Internship site is in fact looking into other theoretical approaches to working with BPD at this time. If asked I can say I would certainly jump in with both feet and accept the challenge.ResourceCorey G. (2013).Theory and practice of counseling and psychotherapy(9th ed.). Pacific Grove: Brooks/Cole Pub.2nd Peers PostingWill you engage in action research in your community?Action research in any mental health program or community is extremely important in continuing with the growth of effective and efficient mental health agencies. As a counselor there is no doubt that I would become involved with action research to be a part of discovering what changes need to be made Royse Thyer & Padgett 2016) as well as being an integral part of helping to plan and implement the changes for the better.Will you will be asked to help write a grant or to administer one?Although I have limited experience with grant-writing I would be very interested in being part of it. I took a class for a former job about grant-writing and even though it appears that a lot of work goes into writing grant the benefits definitely make the work worth it. Grant-writing will also most likely be a part of my job in the future because I plan on starting out at a non-profit and its better to go into nonprofits with an open mind about grant writing.Will you assist with the collection and analysis of data at your site in order to demonstrate your agency’s effectiveness?I would love to assist in the collection and analysis of data in a mental health agency. My current job working with emotionally and behaviorally disturbed children as well as past jobs have all required ongoing documentation so gathering data has sort of become second nature.Will you adapt counseling programs described in published efficacy studies for use in your own community?I would definitely adapt counseling programs for use in my own community. It is important to remember that the instruments used in one program need to be evaluated for how appropriate they are for using with different populations (ACA 2014). Working collaboratively with the stakeholders of the program would help to ensure that the practices are the best fitting and most appropriate for the program participants (Botcheva Shih & Huffman 2009).ReferencesAmerican Counseling Association. (2014). 2014 ACA code of ethics.Botcheva L. Shih J. & Huffman L. C. (2009). Emphasizing cultural competence in evaluationa process-oriented approach. American Journal of Evaluation 30(20) 176-188.Royse D. Thyer B. A. & Padgett D. K. (2016). Program evaluation: An introduction to a evidence-based approach (6th ed.).

Explain how another systems theory that neither you nor your colleague has previously discussed might be applied to the course-specific case study your colleague selected

RESPONSE 1 Respond to at least two colleagues who selected a different theory from the one you selected. Explain how another systems theory that neither you nor your colleague has previously discussed might be applied to the course-specific case study your colleague selected.Colleague 1: DanaTheories allow social workers to gain insight how and why people do the things they do and illustrates the nature of the behavior (Robbins Chatterjee & Canda 2012). People do not come to social workers if they are having a great day. Social workers are to empower and create positive change for others. There are many aspects to take into consideration by gathering information and theories. Theories present underlying issues that are demonstrated by the persons behavior. Therefore a theory is vital for social workers to be able to identify. A given theory can allow social workers to organize observations and gather meaningful information (Beder 2000).While reviewing this weeks recourses the theory that appeals to me the most is the macro level. Research indicates that the macro level theories demonstrate a balance that is abstract and general to effectively present structure and functioning within large entities such as societies cultures and communities (Robbins Chatterjee & Canda 2012). This theory can be applied towards educating and providing awareness about issues that are creating social problems within large entities. This applies to me more as an up and coming social worker since I have recently been facilitating groups and I have observed how powerful groups can be within communities. While facilitating groups you can visually see others responses towards the information that is provided while encouraging and engaging others to participate. So far I have facilitated inpatient and outpatient substance abuse group that has been an enriching experience to create such a tremendous impact to encourage and empower others. This theory type is best for me since I have had the opportunity to work on this level and been able to effectively encourage others within larger entities.ReferencesBeder J. (2000). The integration of theory into practice: Suggestions for supervisors.Professional Development: The International Journal of Continuing Social Work Education 3(2) 4048. Retrieved fromhttp://www.profdevjournal.org/articles/32040.pdfRobbins S. P. Chatterjee P. & Canda E. R. (2012).Contemporary human behavior theory: A critical perspective for social work(3rd ed.).Upper Saddle River NJ: Allyn & BaconCollegue 2: LeaIn The Case of Carl (Plummer Makris & Brocksen 2014) there are various social systems involved in the makeup of his life and experiences. His family system consists of himself and his two daughters all of whom are affected by the life-cycle system as represented by the loss of his wife. The social system as evidenced by the down-sized employer and the community of which he is a mayor. Furthermore there is involvement of a religious or spiritual system as well as that of a social services aspect both involved with counseling Carl and his daughters through their grief. For Carl the state of his being displays aspects of the interactions between all the systems discussed in Robbins Chatterjee and Candas (2012) text. Involved are the individual aspects as experienced by Carl himself; the family aspect involving his deceased wife and his two daughters; the small group aspect of the carpool group; the communities aspect of his church and constituents; and the societal structure of the economy and perhaps his minority status and culture.These structures to not stand alone nor are they neatly boxed and separated. Each flows in and out of each other in an interactive web of connectivity. For example Carls church will have involvement with his family and so though he did not feel talking to the minister helped him psychologically he and his daughters will be receiving some spiritual support based on their beliefs. These supports will come in the form of interaction with a community of believers and the larger structure of their religion. Additionally the downturn of the economy in his area would most likely affect an increase in social services and the availability of agencies that can support him as he grieves raises his children and looks for work. Also related would be the parents who run the carpool group supporting both Carl and his daughters in getting to and from their various activities.As described by Robbins et. al. (2012) Carls life in relation to Systems Theory would show Carl as the center circle or focal system ;including sub-systems (his family his spirituality his emotions and his cognitions); and interacting with supra system (the community the church the family etc). Taking all of these systems into account Carls social worker used a cognitive behavioral approach as well as interpersonal therapy to assist Carl in returning to a pre-crisis level of functioning. These approaches are meant to help Carl reframe redirect and accept assistance. In addition to this therapy however I would argue that Carls grief and loss must also be addressed. Boss and Carnes (2012) state that the experience of loss in Carls case the loss of his wife reminds us that that closure never really happens. The lack of such closure can lead to longstanding difficulties with overcoming profound grief. The therapeutic challenge in working with Carl would lie in helping him find meaning in the meaningless thus replacing the need for and absence of closure. According to Boss and Carnes (2012) this type of therapy shifts the therapeutic relationship in that it will not be brief nor will it have a termination. Finding meaning is an on-going process and will change over time. Though the relationship can celebrate victories it cannot truly end and the door must stay open for further exploration.References:Boss P. & Carnes D. (2012). The Myth of Closure.Family Process 51(4) 456-469. doi:10.1111/famp.12005Plummer S.-B. Makris S. & Brocksen S. M. (Eds.). (2014).Social work case studies: Concentration year.Baltimore MD: Laureate International Universities PublishingRobbins S. P. Chatterjee P. & Canda E. R. (2012).Contemporary human behavior theory: A critical perspective forRESPONSE 2 Respond to two of your colleagues posts by citing substantive new research that clarifies contextualizes or offers an alternative interpretation of the content.Colleague 1: BrittanyIn the case of Suzy I feel it is important to implement a good interdisciplinary team that can help her with her mental state. She will need a doctor who can prescribe a medication for her such as Wellbutrin or other medication that can help her with her depression and anxiety and other medications to help her alcohol concerns and psychotropic meds to help other concerns.A description of pharmacological is medication such as antipsychotics and it can reduce hallucinations (Preston Neal Talaga 2017).Neurobiological considerations are to assess and gain a family history and make sure to see if there are potential barriers that could occur in her treatment from professionals that could be hazardous. It is also important to take note that she has a family history of substance and medication abuse and take precautions that she will not act upon her hereditary intentions that have been previously noted.It has been established thatclients benefit from a combination of both counseling and medication to treat their mental health symptoms(Preston ONeal & Talaga 2017).It is also important to make sure that Suzy is a part of her plan of action for treatment and make sure to give her self-determination of treatment so that she wants to do it.ReferencesPreston J. D. ONeal J. H. & Talaga M. C. (2017).Handbook of clinical psychopharmacology for therapists(8th ed.).Oakland CA: New Harbinger.Colleague 2: FatimaIn Suzys case I would prescribe Buspirone to treat her general anxiety. Although Benzodiazepines are an effective treatment for anxiety they are habit forming. Both Suzys parents had substance abuse issues; Suzis father was an alcoholic and Suzys mother was addicted to prescription pain medication. According to Preston ONeal and Talaga (2017) individuals who do in fact present a significant risk of abuse are people with a personal or family history of alcohol or other substance abuse. With such individuals benzodiazepines are not appropriate (p. 2435). Buspirone is a non habit forming drug and is safe to use with patients who may develop an addiction. Buspirone is part of a long term treatment plan and it takes a few weeks to take full effect.Psychological treatment in Suzys case is just as important as pharmacotherapy. Suzys alcohol abuse is most likely increasing her general anxiety. Therefore I would address it first. As stated by Preston et. al (2017) some substance abuse disorders can be due to ones genetics. In Suzys case this is very likely because of her parents substance abuse history. It is possible that Suzys anxiety could also have a biological explanation. Preston et. al (2017) explain that recent research has shown that early child abuse and neglect may alter one neurologically and put that individual more at risk for anxiety. Preston at. Al (2017) also state that research shows that psychotherapy can also potentially alter ones neurobiology. However anxiety is most commonly thought to be purely psychogenic (Preston et. al 2017).ReferencesPreston J. D. ONeal J. H. & Talaga M. C. (2017).Handbook of clinical psychopharmacology for therapists(8th ed.).Oakland CA: New Harbinger.*

Staffing in Behavioral Healthcare Facilities

Staffing in Behavioral Healthcare Facilities

There are different types of behavioral healthcare facilities. Some are stand-alone facilities while others are part of a larger healthcare system. Many larger healthcare systems include a department or behavioral health unit as part of their comprehensive set of services. In these large healthcare systems there is integration and sharing of services at all levels.Describe the similarities and differences between staffing for a stand-alone behavioral healthcare facility and a behavioral healthcare unit that is a part of a larger healthcare system. What are the reasons for these differences? Does behavioral healthcare have unique staffing needs or is it similar to the staffing needs of a hospital in general? Why or why not?Provide specific examples of both types of healthcare facilities. You may also refer to information shared on the Internet. Which healthcare system among these two would you prefer more and why? Justify your answers with appropriate research and reasoning.Referral Process in Behavioral Healthcare ServicesBehavioral healthcare like most healthcare services has seen a change in focus from a didactic relationship between the physician and the patient to that of a group effort involving an interdisciplinary team of professionals as well as active participation by the consumer.The team concept stems from several factors but mainly from the comorbidity of diseases and conditions. In most instances the consumer is not just faced with mental illness but psychosocial issues such as family and work challenges as well as other medical issues such as addictions and overall poor health. This is when a team operating in a disease management capacity is the best course of action especially for individuals with persistent mental illness and comorbidity.How does a primary care physician integrate the need for further behavioral health services such as referring to a psychiatrist or psychologist for therapy or counseling?Search the Internet to look for a hospital system providing behavioral healthcare services. Review the information shared on the hospital’s Web site regarding the functioning of the department providing behavioral healthcare services. Explain the referral process and the protocol followed in hospitals when a patient requires behavioral healthcare services. Justify your answers with appropriate research and reasoning.

The Medication Debate

The Medication Debate
Over the past 10 years, children being diagnosed with behavioral
problems relating to disabilities such as ADHD and bipolar disorder
have risen exponentially. Furthermore, the Center for Disease
Control (CDC) states that in 2007, 5.4 million children, ages 4 to
17, have been diagnosed with ADHD, and 2.7 million are taking some
type of prescribed medication (Centers for Disease Control and
Prevention, 2013).
After watching the video, Medicating kids – Frontline, chapter
1: Nicholas’s story, and visiting the webpage, Drug treatment of
ADHD, state your opinion in regard to using medication to modify
childrens behavior. Do you believe that parents should be required
to inform teachers if their child is taking a behavior modifying
drug? What medication do you feel should have mandatory disclosure,
which should be optional, and why? Finally, should behavior therapy
be mandatory for any child taking a prescribed behavior
modification drug? Include at least one additional source to help
support your argument.