Discussion 1: Title Protection and Licensure

When one pictures a doctor sitting at her office desk, it seems natural to imagine multiple diplomas on the wall nearby. The notion of doctors displaying their credentials seems indisputable when one considers the importance of professional credibility in instilling trust in patients.

Just as medical practitioners are responsible for achieving and maintaining proper licensure, so are social work professionals. Those who receive the title of “social worker” have met the criteria developed to demonstrate proficiency in meeting the demands associated with the profession.

For this Discussion, research the criteria for assuming the title of social worker in Georgia. Consider benefits offered by title protection and maintenance of licensure standards. Also think about the challenges that title protection and licensure standards may pose.

Post  a description of strengths and challenges associated with title protection and licensure. Describe two strengths and two challenges. 

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Discussion 2: Ethical Questions

Although students of social work have not yet satisfied the criteria to earn the title of “social worker,” they are bound by the same ethical requirements as titled social workers. Social workers regularly face ethical issues of varying magnitude, and social work students may as well. Some issues seem obvious, while others may emerge in subtle ways.

For this Discussion, select one of the following scenarios. Consider the dilemma described, and imagine how you might feel if you found yourself in a similar situation. Think about the ethical obligations you would have as a social worker or social work student.

Scenario 1 

You are a social worker in a public health department providing services to pregnant women. As part of your duties, you provide parenting education, support, and connection to community resources, and you follow up with the families and their newborns for six months after birth. Ms. C has been a client of yours during two pregnancies in the last three years. She has a 15 year-old, a nine year-old, a three year-old, and a newborn. On this day, you are making a routine visit to Ms. C, who lives in an older mobile home in a rural area of the county. You take with you a newly hired social worker who is in training. When you arrive at the house, you find that it is clean and the two older girls are busy doing their homework. The three year-old is playing, and Ms. C is feeding the baby. 

During the visit, the new social worker asks Ms. C whether she is looking for work. When you discreetly ask her about birth control, the social worker remarks, motioning to the 15 year-old daughter, “You better get her on birth control if you do not want more babies around here.” Ms. C does not respond to the other social worker, instead maintaining her focus on you. You can tell that she is bothered by the remark about her daughter.

Scenario 2 

You are at lunch with some of your social work colleagues at a mental health center.
While you are eating lunch, one of your colleagues says, “So, none of you can beat my morning. I had a borderline in my office who was definitely off her meds. She kept jumping out of the chair and spinning around the room and she was talking really fast about having a baby and being pregnant. I did not even try to deal with her. I called the Access Team and it took them half an hour to get to my office. The whole time I am watching her spin around, and I cannot help but laugh. They took her for an evaluation, but that was the craziest woman.” 

Post a description of the steps you would take to address the situation in an ethical manner. Justify your response with evidence from the Readings.

For your Final Paper, you will demonstrate your knowledge of psychopathology and apply your skills to a realistic scenario. Throughout this course, you have developed unique knowledge and skill sets that will allow you to critically analyze depictions of psychopathology in popular media and historical case examples from an informed point of view.

Your Final Paper will be a psychological report that may be based on a character from a movie or a historical case study. Review the provided lists of movies and historical case studies that are approved for use in this assignment.  You must choose from these lists. You may not use examples from your personal life in the psychological report since doing so would be unethical (see Standards 2.04 and 9.01a in the Ethical Principles of Psychologists and Code of Conduct).

As you create this report, you will be taking on the role of a clinician who is conducting an assessment and providing treatment recommendations for a patient (a character from your selected film or historical case study). Please note that a psychological report does not follow the same structure for reports you may have used in other courses. Your report must follow the format below and it must include each of the sections and their headings listed in this order:

1. Identifying Information
   Within this section, you will describe basic information on your patient, including the person’s name, sex, gender, sexual orientation, age, race, occupation, and location of residence (country, state, and region).
2. Chief Complaint/Presenting Problem
   Within this section, you will include the patient’s primary complaint verbatim to identify the main source of his or her distress and/or concerns. If there is no verbatim complaint, include observable information to create an overall picture of the presenting problem.Typically, this section within a psychological report seeks to address the following question (further elaboration within this section is encouraged where possible):
   • What are the patient’s complaints? (e.g., the patient might complain about “feeling on edge” or experiencing stress)
3. Symptoms
   Within this section, you will interpret specific behavioral issues and intrapsychic conflicts as they relate to abnormal behavior, behavior patterns, maladaptive thought processes, and potential unconscious conflicts. Interpret and comment on the patient’s chief complaint and/or presenting problem in the context and language of the symptoms found in the DSM-5. (e.g., the patient who complains about “feeling on edge” might actually be experiencing symptoms related to post-traumatic stress disorder or generalized anxiety disorder)
4. Personal History
   Within this section, you will analyze your patient’s personal background and history of abnormal behavior(s) that inform your diagnostic impression. You will also gather information about the patient’s cultural background and cultural norms.Typically, this section within a psychological report seeks to answer the following questions (further elaboration within this section is encouraged where possible):
   • Where did the patient grow up?
   • What cultures did the patient experience throughout life?
   • What was the patient’s school life like?
   • What were his or her grades? What is his or her highest level of education?
   • What is the patient’s interpersonal relationship history?
   • What was/is the patient’s romantic relationship history?
   • What was/is the patient’s friendship history?
5. Family History
   Within this section, you will analyze the patient’s familial relationship(s) and identify any abnormalities that might affect future treatment. You will also integrate information about the patient’s family and cultural background to identify any maladaptive behaviors and relational patterns.Typically, this section within a psychological report seeks to answer the following questions (further elaboration within this section is encouraged where possible):
   • How old were the patient’s parents when the patient was born?
   • Who were the patient’s primary caregivers?
   • What was/is family life like? (Include any information relevant to your diagnostic impression.)
   • Did the family move often?
   • What was/is the patient’s relationship with their siblings (if applicable)?
   • What culture did/does the family come from?
   • What belief systems are attached to that culture?
6. Therapy History
   Within this section, you will describe the patient’s therapy history to inform your diagnostic impression. Analyze the patient’s therapy history to identify the effectiveness of previous treatment(s). Analyze previous treatment interventions based on information and knowledge of the patient’s cultural background.Typically, this section within a psychological report seeks to answer the following questions (further elaboration within this section is encouraged where possible):
   • Who was the previous therapist (if applicable)?
   • How long did the previous therapy/therapies last?
   • What was the patient’s diagnosis?
   • What interventions did the therapist(s) use?
   • Were those interventions appropriate for the patient’s culture?
   • Was treatment successful?
7. Medical Conditions
   Within this section, you will analyze the patient’s medical history and comment on any possible medical conditions that could influence your diagnostic impression. Interpret specific behavioral issues as they relate to salient medical conditions. If the person has any medical conditions, indicate that in this section. Integrate information and knowledge about the patient’s cultural background as it affects treatment options for medical conditions.
8. Substance Use
   Within this section, you will analyze and comment on the patient’s substance use to identify any potential issues that could influence your diagnostic impression. Interpret specific behavioral issues as they relate to substance use. If the person misuses specific substances, indicate that in this section. Integrate information and knowledge about the patient’s cultural background to inform your interpretation of substance misuse in this patient’s case.Typically, this section within a psychological report seeks to answer the following questions (further elaboration within this section is encouraged where possible):
   • Which substances does the patient use? (Include any over-the-counter, herbal, and/or prescription medications.)
   • For how long has the patient used the substance?
   • What is the patient’s quantity and frequency of use?
9. Collateral
   Within this section, you will interpret specific collateral information as it relates to your patient’s abnormal behavior and behavior patterns. You will also integrate information and knowledge regarding the patient’s culture in your evaluation of the maladaptive behavior as reported by the collateral sources.Typically, this section within a psychological report seeks to answer the following questions (further elaboration within this section is encouraged where possible):
   • What do other people have to say about the patient’s behavior?
   • Are there any commonalities between the collateral sources’ reports?
   • Do the collateral sources have any psychological issues that might exacerbate the patient’s problems?
   • Are there any police reports?
   • Are there any personality testing or intelligence testing reports available?
10. Results of Evaluation
    Within this section, you will analyze the patient’s behavior and mental processes. There are two parts to this section. To begin your analysis, you will write a brief evaluation of each theory of personality development that you learned about in this course and determine whether or not each theoretical orientation can be used to conceptualize the patient’s current situation and treatment goals. Next, use one major theoretical orientation to write an in-depth analysis for your results of evaluation section. Within the context of this theoretical perspective, you will analyze all of the information from the previous sections. Analyze specific behaviors, cognitions, and intrapsychic processes as they relate to your diagnostic impression. Integrate knowledge of the patient’s cultural background and norms within that culture as you prepare your supporting evidence.Typically, this section within a psychological report seeks to answer the following question (further elaboration within this section is encouraged where possible):
    • Based on the information you gathered in the previous sections, what led to the patient’s current state?
11. Diagnostic Impression With Differential Justification
    Within this section, you will provide your diagnosis for the patient. To demonstrate your understanding of diagnostic procedure and justification, specifically address each symptom that the patient displayed and relate each symptom to a diagnostic criterion in the DSM-5. Analyze the patient’s behaviors and mental processes within your differential justification. Clearly demonstrate that the patient meets criteria to be given a diagnosis. If the patient does not meet criteria for any diagnosis based on your assessment, explain why. Also, explore any alternative diagnoses and explain why these were not chosen.
12. Recommendations
    Within this section, you will you provide treatment recommendations for the person to help them improve his or her quality of life. These recommendations must be based on the theoretical orientation you used in your Results of Evaluation. Explain why you chose your treatment intervention(s) and include peer-reviewed articles that support your choice(s). If treatment is not necessary, explain why. Pay close attention to the person’s culture since some treatment options may be insensitive to his or her culture or way of living.

Writing the Final Paper

The Final Paper:

1. Must follow the report outline provided above with the requisite headings and be formatted according to APA style as outlined in the Ashford Writing Center.
2. Must include a title page with the following:
   1. Title of paper
   2. Student’s name
   3. Course name and number
   4. Instructor’s name
   5. Date submitted
3. Must address the assessment with critical thought.
4. Must use at least five peer-reviewed sources that were published within the last ten years, in addition to the text, a minimum of four must be from the Ashford University Library.
5. Must document all sources in APA style as outlined in the Ashford Writing Center.