Describe some of the people who might participate in the intervention. Provide a rationale for including these individuals.

Assignment 1: Scholar Practitioner Project: Addiction Intervention

 

Most individuals do not decide to seek treatment on their own. Often, some form of leverage from outside influences is required to provide the necessary incentive to seek treatment. The broad term for this leverage is intervention. Interventions are not limited to the confrontational family scenarios currently popularized by reality television. Intervention can be any action taken by others to persuade the person with problems with addiction to seek help.

 

There are several models of family interventions, but the one used most often is the Johnson Model, developed several decades ago by Episcopal priest Vernon Johnson (Clark, 2012). In this model, an addiction professional guides family members and significant others in rehearsing and carrying out an unannounced confrontation with the person with problems with addiction. The end goal is to have this person agree to enter into a prearranged treatment setting.

 

In this assignment, you apply intervention strategies to address Marge’s addiction and you consider potential ethical dilemmas related to the intervention.

 

In a 2- to 3-page APA-formatted paper, address the following:

 

Using the Johnson Model, design an intervention as it might have occurred six weeks prior to Marge’s admission into treatment. Include the following:

 

o   Describe some of the people who might participate in the intervention. Provide a rationale for including these individuals.

 

o   Describe the qualified professional to guide the process. Explain why this person would be qualified.

 

o   Explain the preparation process prior to Marge’s intervention.

 

 

o   Provide three examples of strategies that participants might take in Marge’s intervention.

 

o   Describe three potential sanctions that participants might employ if Marge refuses treatment.

 

o   Explain any ethical dilemmas that might arise from Marge’s intervention.

 

 

 

References (use 3 or more)

 

Doweiko, H. E. (2015). Concepts of chemical dependency (9th ed.). Stamford, CT: Brooks/Cole.

 

Clark, C. D. (2012). Tough love: A brief cultural history of addiction intervention. History of Psychology, 15(3), 233–246.

 

Mee-Lee, D., & Gastfriend, D. R. (2015). Patient placement criteria. In M. Galanter, & H. D. Kleber (Eds.), The American psychiatric publishing textbook of substance abuse treatment (5th ed.). Arlington, VA: American Psychiatric Publishing.

 

Prochaska, J. O., DiClemente, C. C., & Norcross, J. C. (1992). In search of how people change: Applications to addictive behaviors. American Psychologist, 47(9), 1102–1114

 

Laureate Education (Producer). (2012b). Counseling session 1.

 

 

Laureate Education (Producer). (2012c). Counseling session 2.

Do the researchers discuss the implications of the study for clinical practice or further research and are those implications reasonable and complete?

A critical annotation is more than a summary; it also evaluates the material in terms of its usefulness and quality.

You will write a CRITICAL Annotation for your assignments.

Each will be worth 50 pts.

WRITING A CRITICAL ANNOTATION

(Guideline & Rubric)

The following is a systematic way of evaluating a quantitative research article.

Prepare your critical annotation with appropriate headings and use APA format. State the complete reference for the research [author, title, journal, pages, and URL (if applicable)]. A complete citation of the article goes at the top of the page, below your heading.

 

Brief Summary (5 pts.)

Write a Summary of the article (limited to one paragraph). The summary involves briefly but accurately stating the key points of the article for a reader who has not read the original article.

The following Questions are meant to GUIDE you through the critique. You do not have to answer every question below in the following sections.

Review of Literature & Theoretical Framework (5 pts)

  • Does the literature review make the relationships among the variables explicit or place the variables within a theoretical/conceptual framework? What are the relationships?
  • What gaps or conflicts in knowledge of the problem are identified?
  • Are the references cited by the author mostly primary or secondary sources?
  • Do the researchers’ clinical, substantive, or methodological qualifications and experience enhance confidence in the findings and their interpretation?

Statement of the Problem or Purpose (5 pts)

  • What is the problem and/or purpose of the research study?
  • Does the problem or purpose statement express a relationship between two or more variables? If so, what is/are the relationship(s)? Are they testable?
  • What significance of the problem, if any, has the investigator identified?
  • Are the hypotheses testable?

Population & Sample (5 pts)

  • Was the population identified and described?
  • What type of sampling method is used? Is it appropriate to the design?
  • Does the sample reflect the population as identified in the problem or purpose statement?
  • Is the sample size appropriate? To what population may the findings be generalized? What are the limitations in generalizability?

Research Design (5 pts)

  • What type of design is used?
  • Does the design seem to flow from the proposed research problem, theoretical framework, literature review, and hypothesis?
  • What type(s) of data-collection method(s) is/are used in the study?

Data Collection Instruments & Measurement (5 pts)

  • Are the specific instruments adequately described and were they good choices, given the study purpose and study population?
  • Observational methods: Who did the observing? How were the observers trained to minimize bias? Was there an observational guide? Were the observers required to make inferences about what they saw? Is there any reason to believe that the presence of the observers affect the behavior of the subjects?
  • Physiological measurement: Is a rationale given for why a particular instrument or method was selected? If so, what is it? What provision is made for maintaining the accuracy of the instrument and its use, if any?
  • Interviews: Who were the interviewers? How were they trained to minimize the bias? Is there evidence of any interview bias? If so, what was it
  • Questionnaires: What is the type and/or format of the questionnaire(s) (e.g. Likert, open-ended)? Is (Are) it (they) consistent with the conceptual definition(s)?
  • Does the reliability & validity of each instrument seem adequate? Why?

Data Analysis (5 pts)

  • Were analyses undertaken to address each research question or test each hypothesis?
  • What descriptive or inferential statistics are reported?
  • Were these descriptive or inferential statistics appropriate to the level of measurement for each variable?
  • Are the inferential statistics used appropriate to the intent of the hypotheses?

Conclusions (5 pts)

  • Are the results interpreted in the context of the problem/purpose, hypothesis, and theoretical framework/literature reviewed?
  • Are the generalizations within the scope of the findings or beyond the findings?
  • Do the researchers discuss the implications of the study for clinical practice or further research and are those implications reasonable and complete?

Extras

  • Is the report well written, well organized, and sufficiently detailed for critical analysis?
  • Do the researchers’ clinical, substantive, or methodological qualifications and experience enhance confidence in the findings and their interpretation?
  • Is the report well written, well organized, and sufficiently detailed for critical analysis?

Respond to a colleague’s post by explaining possible psychological effects one may experience as a result of being a bystander to an occurring or potential act of sexual violence.  Please use at least one reference to support your answer.

RESPONSE 1

Respond to at least two colleagues by supporting or refuting your colleagues’ analysis of disability as a social construct or your colleagues’ analysis of the intersectionalities in the Parker case and how they marginalize and impact Stephanie. Please use at least one reference per colleague to support your answer.

Colleague 1: Y

There are a range of views on disability, from diagnostic models which have internal focuses for disability, to social construct models that focus on the external environment as well.

This internal focus results in an interpretation of the disabled individual as defective with reference to normative physical, behavioral, psychological, cognitive, or sensory being. The interactive, person-in-environment lens, on the other hand, looks at the interaction of internal and external factors in an individual’s life that creates a disabling condition (Gilson & DePoy, 2002, p. 154).

Therefore, viewing disability through a diagnostic model “others” disabled individuals by saying they are inherently non-functional and deviant, whereas viewing disability through a person-in-environment/social construction model examines the ways in which external forces create or contribute to a person’s inability to function in society (Gilson & DePoy, 2002). Leaning on the disability as socially constructed models, Gilson and DePoy (2002), define disability as “the inter-play of diverse human conditions with environmental barriers to full community inclusion” (p. 153); this definition acknowledges both the realities of limiting physical and mental conditions as well as the environmental and social conditions that can exacerbate them.  As Susan Wendell (2013) explains, the world is built and structured around a young, energetic male archetype; thus, what is considered “normal” actually excludes large numbers of people. In addition, the world’s pace is increasing, and those who cannot keep up with that pace, or who need assistance to do so, are considered disabled, whereas previously they would not have been (Wendell, 2013).

In this week’s video, Stephanie Parker is talking with her worker about the guilt she feels surrounding wanting to take care of her mother but also wanting to live her on her own, clutter and argument-free (Laureate, 2013). Here, Stephanie’s disability, bipolar disorder, is being made much worse by her environment, and her identities as a single woman who is coping with bipolar disorder conflict with her identity as a caring daughter.  The stress of her environment has led Stephanie to be hospitalized several times, a situation which can further marginalize her by interfering with employment or making her endure the stereotypes and fears of others who are uninformed about mental illness should they find out.  In addition to the potential isolation mental illness can cause, Stephanie also stands to be marginalized and isolated from peers her age due to her role as caretaker for her mother.  So while Stephanie may have a disability, her environment is not only making her disability worse, it is disabling in itself. Feeling guilty about the conflict caused by the intersection of her identities is causing Stephanie to have trouble making decisions about what she should do and determining what she really wants and needs.  However, in order to be an active participant in her life and determine its course, she will need to do both those things.

References

Gilson, S. F., & DePoy, E. (2002). Theoretical approaches to disability content in social work education. Journal of Social Work Education, 38(1), 153–165.
Retrieved from the Walden Library databases.

Laureate Education (Producer). (2013). Parker Family (Episode 30) [Video file]. In Sessions. Retrieved from https://class.waldenu.edu

Wendell, S. (2013).  The Social Construction of Disability.  In M. Adams, W. J. Blumenfeld, C. Castaneda, H. W. Hackman, M. L. Peters, & X. Zuniga (Eds.), Readings for Diversity and Social Justice (3rd ed., pp. 26-34). New York, NY: Routledge.

 

 

 

Colleague 2: D

Susan Wendell mentions many constructs of disability including the availability and distribution of basic resources, the pace of life including architectural planning, and failure to give people the amount and kind of help needed to fully and effectively contribute to society. She brings up valuable points that most people, unless affected by a disability would not notice. For example, she states multiple times that we do not tend to hear about these issues unless someone is affected so much so that it results in a death. We do not hear about these issues that lead up to debilitating diseases or conditions. One such construct includes resources such as clean water, nutritious food, appropriate clothing, and shelter. Without clean water and nutritious food, people are subjected to parasites and other diseases and malnutrition that can cause life-long issues or even death. A particularly interesting construct Wendell points out is how the pace of life can affect those that are disabled. If someone with varying disabilities, whether physical or mental, cannot keep up with the regular pace of society, they will be left behind. This includes school, work, and even every day or social settings. Wendell gives an example of someone who is dizzy or incontinent and needing a place to sit or lie down in a supermarket. She points out that there is nowhere for someone to do this. This architectural construct can hinder people’s ability to go out and interact with the rest of the world causing isolation. Finally, the type of help disabled people may need is automatically considered as being socially dependent even though these problems were often created by society. Without taking in to consideration the needs of the disabled, it can lead to “inadequate rehabilitation, unemployment, poverty, inadequate personal and medical care, poor communication services, inadequate training and education, poor protection from physical, sexual, and emotional abuse, minimal opportunities for social learning and interactions, and others…” (Wendell, 2013).

With the words Stephanie uses as well as her body language, it is apparent she struggles with self-esteem issues like feeling she is not worthy of life itself. Because of her bipolar disorder, she is constantly struggling with depression on and off and has throughout the years turned to her family for validation and support, which she never received. For example, after her suicide attempt, her family acted as if nothing had happened, which was clearly life altering for Stephanie (Laureate Education, 2013). Now, she struggles to be a good daughter and take care of her elderly mother but is sacrificing herself in the process. Her anxiety and depression is heightened with the constant fighting and she does not feel she can decompress and breathe (Laureate Education, 2013). Stephanie’s view on life is very dark and with societies stigma of those with disabilities including mental illnesses, this can only make her feel more isolated and alone. Without the acceptance of her family and the help of society, she will likely never gain true self-confidence and be a fully functioning member of society. While her medications are helping her, there are many side effects and other hassles that come with taking so many daily medications.

Laureate Education (Producer). (2013). Parker Family (Episode 30) [Video file]. In

Sessions. Retrieved from https://class.waldenu.edu

Wendell, S. (2013).  The Social Construction of Disability.  In M. Adams, W. J.

Blumenfeld, C. Castaneda, H. W. Hackman, M. L. Peters, & X. Zuniga (Eds.), Readings for Diversity and Social Justice (3rd ed., pp. 26-34). New York, NY: Routledge.

 

 

RESPONSE 2

Respond to a colleague’s post by explaining possible psychological effects one may experience as a result of being a bystander to an occurring or potential act of sexual violence.  Please use at least one reference to support your answer.

Colleague: L

Bystander intervention would have been applied to the behavior of those in the video by Talia’s friend to speaking out about Talia being intoxicated.  She should have verbalized the fact that Talia was not in the correct mindset to go into a bedroom.  Talia’s friend should have insisted on Talia leaving the party when she realized that Talia was overly intoxicated.  Talia’s friend should have taken the opportunity right there on the spot to speak out about sexual abuse, and to make it clear that Talia being intoxicated means that she is not in the correct mindset to consent to sexual intercourse.

Focus must be placed on communication, education and creation of new cultural norms as it relates to sexual abuse.  Communicating openly about the specifics of sexual abuse, and having open discussions with friends, family and co-workers about sexual boundaries is imperative.  We must become so comfortable with the reality of sexual abuse in our society to the point it becomes easier for a bystander to address, or either seek help in addressing, a witnessed inappropriate sexual abuse event.  Implementation of bystander educational programs is imperative in providing applicable knowledge for bystanders to utilize. McMahon & Banyard, (2010) states “More recently, prevention has begun to focus on bystanders—third party witnesses to situations where there is high risk of sexual violence and who by their presence have the ability to do nothing, to make the situation worse by supporting or ignoring perpetrator behavior, or to make the situation better by intervening in prosocial ways” (McMahon & Banyard, 2010 p.3).  Society needs for bystanders to become educated on how to react in various situation.   No longer can we secretly observe, or quietly stand by and not take responsibility for our actions as bystanders with regard to sexual abuse.

The bystander could have influenced the outcome of the scenario in the video by simply speaking up and confronting the potential perpetrator on the inappropriate behavior and letting the potential perpetrator know that the behavior is unacceptable and will be reported.  Also, a bystander should follow through with reporting the behavior to appropriate resources.  If there is a fear in addressing the perpetrator head on, then the bystander should speak with someone else in the vicinity for assistance or seek help from proper authorities.

During the public engagement event video they talk about something very informative, which is the need for the creation of an environment and social norms that make it unsafe for the abuser, such as putting in place policies that make it uncomfortable and unsafe for abusers to abuse (Sexual Abuse Prevention & Bystander Intervention, 2014).  When people are empowered to speak up, and know what to do, it makes it much easier to intervene as a bystander.  According to McMahon & Banyard, (2011) “Burn (2009) suggests that in many college settings, bystanders are often present during the ‘‘pre-assault phase,’’ where risk markers appear, and if equipped with the correct skills, bystanders can intervene to interrupt these situations” (McMahon & Banyard, 2011, p7).  Our social norms need to be changed and new norms created in which communication about sexual abuse is open and accepted.  As social workers it is our ethical duty to become active participants in advocating for the creation of environments that make it either very difficult and ultimately impossible for the abuser to abuse (NASW, 2008).

References

Code of Ethics of the National Association of Social Workers (2008). Retrieved from:http://www.socialworkers.org/pubs/code/code.asp

McMahon, S., & Banyard, V. L. (2011). When can I help? A conceptual framework for the prevention of sexual violence through bystander intervention. Trauma, Violence, & Abuse, 13(1), 3–14. doi:10.1177/1524838011426015.  Retrieved from:  https://www.acws.ca/sites/default/files/documents/conceptualframeworkforbystanderprogram2012.pdf

Sexual Abuse Prevention & Bystander Intervention, 2014.  Retrieved from:  https://www.youtube.com/watch?v=D_3pFHE27YM

What in your view is the most moral thing for that person to do in that dilemma? Why is that the most moral thing? Use moral values and logical reasoning to justify your answer

  • Read/ Textbook: Chapter 12
  • Lesson
  • Minimum of 5 scholarly sources (This includes the sources from the annotated bibliography. Additional sources may be included as appropriate.)

Instructions
Return to the topic you chose in the week three assignment. Articulate a specific dilemma in a situation faced by a particular person based on that topic. The situation can be real or fictional.

  • Summarize the dilemma.
  • Define any needed key terms associated with the dilemma.
  • Analyze the conflicts or controversies involved in the dilemma.

Revise and rewrite based on any feedback you received in your previous draft (week three). Reference and discuss any professional code of ethics relevant to your topic such as the AMA code for doctors, the ANA code for nurses, etc.  State whether and how your chosen topic involves any conflicts between professional and familial duties or conflicts between loyalty to self and loyalty to a community or nation.

What in your view is the most moral thing for that person to do in that dilemma? Why is that the most moral thing? Use moral values and logical reasoning to justify your answer

Next, apply the following:

  • Aristotle’s Golden Mean to the dilemma
  • Utilitarianism to the dilemma
  • Natural Law ethics to the dilemma

Which of those three theories works best ethically speaking? Why that one?

Why do the other two not work or not work as well?

Is it the same as what you said is the most moral thing earlier? Why or why not?

Use the 5 articles from your annotated bibliography to support your answers. (Additional academic scholarly research from the past 5 years can be included as well.)

Include a reference page at the end of your paper in APA format that includes your bibliography with the annotations removed and any other sources used in your final paper.

Writing Requirements (APA format)

  • Length: 4-5 pages (not including title page or references page)
  • 1-inch margins
  • Double spaced
  • 12-point Times New Roman font
  • Title page
  • References page (minimum of 5 scholarly sources)