Biopsychosocial Assessment: Part 2

Refer back to the movie you selected and watched or the case study you read during Topic 1. Continue working on the biopsychosocial assessment submitted in Topic 2 and complete Part 2 of the biopsychosoical assessment. Make any suggested changes from your instructor.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.

This assignment meets the following CACREP Standards:

2.F.5.h. Developmentally relevant counseling treatment or intervention plans.

5.C.3.a. Intake interview, mental status evaluation, biopsychosocial history, mental health history, and psychological assessment for treatment planning and caseload management.

This assignment meets the following NASAC Standards:

25) Gather data systematically from the client and other available collateral sources, using screening instruments and other methods that are sensitive to age, culture and gender. At a minimum, data should include: current and historic substance use; health, mental health, and substance-related treatment history; mental status; and current social, environmental, and/or economic constraints on the client’s ability to follow-through successfully with an action plan.

28) Determine the client’s readiness for treatment/change and the needs of others involved in the current situation.

29) Review the treatment options relevant to the client’s needs, characteristics, and goals.

31) Construct with the client and others, as appropriate, an initial action plan based on needs, preferences, and available resources.

32) Based on an initial action plan, take specific steps to initiate an admission or referral, and ensure follow-through.

33) Select and use comprehensive assessment instruments that are sensitive to age, gender and culture, and which address: (a) History of alcohol and other drug use (b) Health, mental health, and substance-related treatment history (c) History of sexual abuse or other physical, emotional, and verbal abuse, and/or other significant trauma (d) Family issues (e) Work history and career issues (f) Psychological, emotional, and world-view concerns (g) Physical and mental health status (h) Acculturation, assimilation, and cultural identification(s) (i) Education and basic life skills (j) Socio-economic characteristics, lifestyle, and current legal status (k) Use of community resources (l) Behavioral indicators of problems in the domains listed above.

34) Analyze and interpret the data to determine treatment recommendations.

36) Document assessment findings and treatment recommendations.

37) Obtain and interpret all relevant assessment information.

111) Prepare accurate and concise screening, intake, and assessment reports.

PCN-610 Option 2: Case Study

David is a 49-year-old married man with two adult children. He has been married for 21 years. He has been employed as a metallurgical engineer in a local steel mill for 20 years. David noted he use to enjoyment going to work, but now, he states some days he would rather just stay home. David married his high school sweetheart. He describes their relationship as “typical.” They eat meals and attend family gatherings together but do little else as a couple. David use to spend his spare time reading, playing golf, and watching TV. For the last 6 months, David has felt blue and his appetite has decreased. He stated he doesn’t have any desire to do any of things he use to enjoy and would rather spend time alone in his bedroom. David complained of irritability and low energy. Within the last 2 months, David noted he has experienced more physical pain in his back and neck area. Because he has not been sleeping well, Robert drinks more at night. He stated that when he was younger, he use to drink more frequently but now he only drinks two or three beers per night. Sometimes, he feels like life is hardly worth living. Robert has tried to “snap himself” out of this sour mood, but nothing seems to work. David oldest son stated he is concerned his father may need to go see a doctor, because his father appears to be acting usual. David stated that his sister used to have similar problems. He is resistant to going to see a doctor and believes his mood will eventually improve.

David’s sister Lisa has struggled with depression for over 10 years. She is currently seeing a psychiatrist and a counselor. In the past, Lisa reported an increase in emotional and physical fatigue, low mood, increased weight gain, and disrupted sleep. Lisa has a negative outlook and states that when things are looking up, something always goes terribly wrong.

© 2017. Grand Canyon University. All Rights Reserved.

Case Study 2: Bullying: The Amanda Todd Story

Due Week 8 and worth 130 points

Recent history illustrates that bullying is a growing problem among today’s youth in the United States.  Amanda Todd, for example, was only fifteen (15) years old when she committed suicide after being bullied by her peers for over a year.

Watch the video titled “Amanda Todd’s Story: Struggling, Bullying, Suicidal, Self-harm” (8 min 55 s).

Video Source: ChisVideos. (2012, October 11). Amanda Todd’s Story: Struggling, Bullying, Suicidal,   Self-harm [Video file]. Retrieved from http://www.youtube.com/watch?v=ej7afkypUsc. 

This video can be viewed from within your online course shell.

Use your textbook, the Internet, and / or Strayer Library to research articles on bullying cases that occur today.

Write a two to three (2-3) page paper in which you:

  1. Describe at least two (2) types of bullying to which Amanda Todd was subjected.
  2. Identify at least three (3) consequences that Amanda Todd experienced as a result of being bullied, and discuss her attempts to deal with them.
  3. Recommend two (2) strategies that you believe Amanda’s parents, teachers, and authorities could have used in order to reduce episodes of bullying of Amanda and thus prevent Amanda’s suicide.
  4. Compare at least two (2) similarities and two (2) differences between the bullying cases that take place today with those cases that took place when you attended high school.
  5. Explain the key contributing factors that you believe led to bullying behaviors. Next, suggest at least three (3) ways in which prevention programs can reduce bullying cases overall.
  6. Use at least two (2) quality references. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

Explain how the history and theories of counseling have both benefited and oppressed cultural groups.

Please no plagiarism and make sure you are able to access all resource on your own before you bid. One of the references must come from Sue, D. W., & Sue, D. (2016). You are expected to include at least one scholarly and peer-reviewed resource outside of those provided in the readings for each discussion post. I need this completed by 03/10/18 at 3pm.

Application Assignment: The Impact of History and Counseling Theories on Culturally Diverse Populations

Having knowledge of and experience with culturally diverse groups will help you to understand the role culture plays within the context of counseling interactions. The effects of historical events, ideologies, and policies that permeate systems such as education and health care have significantly influenced the experience of various cultural groups.

In this Application Assignment, you explore how the field of counseling has impacted the well-being of culturally diverse populations.

For this Application Assignment, review the Learning Resources. Consider the history of counseling and the intersecting perceptions of counselors and clients, as well as the consequences of those perceptions. Why is an understanding of history important for cultural competence?

The Assignment:

In a 3- to 4-page paper:

· Explain how the history and theories of counseling have both benefited and oppressed cultural groups.

· Briefly describe the experience of a specific cultural group to support the points made in your explanation.

· Explain how one of the following modern controversies, or another of your choice, benefits or oppresses a specific cultural group: IQ debate, standardized testing, history of naming, use of psychotherapy, the deficit model.

Support your Application Assignment with specific references to all resources used in its preparation.

Required Resources

Readings

· Sue, D. W., & Sue, D. (2016). Counseling the culturally diverse: Theory and practice (7th ed.). Hoboken, NJ: Wiley.

o Chapter 4, “The Political and Social Justice Implications of Counseling and Psychotherapy” (pp. 107-144)

o Chapter 5, “The Impact of Systemic Oppression: Counselor Credibility and Client Worldviews” (pp. 145-178)

o Chapter 6, “Microaggressions in Counseling and Psychotherapy” (pp. 179-212)

· Hays, P. A. (2016). Addressing cultural complexities in practice: Assessment, diagnosis, and therapy (3rd ed.). Washington, DC: American Psychological Association.

o Chapter 3, “Doing Your Own Cultural Self-Assessment” (pp. 39-60)

Media

· Laureate Education, Inc. (Executive Producer). (2012a). Emotional roadblocks on the road to cultural competence. Baltimore, MD: Author.
Note: The approximate length of this media piece is 12 minutes.
In this video, Drs. Derald Wing Sue, Teresa LaFromboise, Marie Miville, and Thomas Parham discuss some of the emotional challenges that come with learning cultural competency.

Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Optional Resources

· Hays, P. A. (1996). Addressing the complexities of culture and gender in counseling. Journal of Counseling and Development, 74(4), 332–338.

W!

“Emotional Roadblocks on the Road to Cultural Competence”

Program Transcript

NARRATOR: The roundtable participants continue their discussion in this program, by speaking to the issue of emotional roadblocks. That is, feelings and emotions that serve as barriers or road blocks on the road to cultural competence.

DERALD WING SUE: If we’re to change the nature of how mental health is practiced, we’ve got to overcome emotional role blocks that many people seem to engage in when we present our research findings or ideas.

When I’m teaching a course on multicultural psychology, or one on awareness of racial, sexist, homophobic, students get angry at me sometimes. And my student evaluations decrease as a result of talking about this. But the worst thing that I think, is that the emotive reactions block them from seeing what is going on. What are some of the emotional roadblocks that you’ve experienced?

THOMAS A. PARHAM: I think one of the things I see is a profound sense of defensiveness. Because an assault on any kind of traditional theory is oftentimes perceived as an assault on them and their culture– the them, the students.

But I also see it mixed with a level of tension. Because to the degree that you have a multicultural class, you can have different pockets, where in one pocket it’ll be like, hmm, with the resistance. And another pocket will be the validation, like, yes, that’s what I’ve been meaning to say. But I just couldn’t find the words the way you just articulated, Dr. Sue.

MARIE L. MIVILLE: I have to say, I really like that phrase “emotional roadblocks” because I think all students are on a path to learning. And when they experience those emotional road blocks– I still remember my very first year teaching a multicultural counseling class. And I was out in the Midwest in mostly white classes, and students felt free to share all sorts of beliefs that still shocked me that they still believed these things.

And I had a wonderful colleague who was something of a mentor to me. And she was like, well, Marie, when students are that open about racist beliefs and thoughts, use that. Utilize that. Because that’s what you call a teachable moment. It’s better than if they feel not free to say those things, hide them. Because that road block is even that much more difficult to uncover and get through.

So it’s a learning process for me as a teacher, actually, to listen to things that students today. And to put them in the developmental perspective. And that’s why I really like that term, emotional roadblock. Because it reflects more that

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developmental approach that I think is important to think about. And that, it’s not just the students that are on a developmental path. It’s teachers as well.

And how we handle those moments, wherever we are in our own development, is so critical to whether or not those students find a way through, around, and so on, those roadblocks.

TERESA LAFROMBOISE: I also think, with it being from a developmental perspective, it takes a long time. And having also taught in the Midwest a multicultural course that was required– that was the first time I’d ever taught it when it was required. And that was really very difficult. Because students were there that didn’t want to be there, necessarily.

And I would sometimes have a student call me before class and say, it’s getting time for class, and my headache is starting again. And because–

DERALD WING SUE: I’ve heard that too.

TERESA LAFROMBOISE: But, that’s only one course. And then I would hear from other faculty, because we had this sort of emphasis within the program. And so this would be woven throughout other courses. And I’d here two or three semesters down the line, that student who was suffering with migraines, is now one of the strongest advocates. But it took more than one course, more than one faculty, and also looking at it from so many different points of view.

MARIE L. MIVILLE: That’s right. It’s going to be way more than one course that can really facilitate these road blocks to be moved. I think one course can be absolutely critical in opening up a lot of things. And even to acknowledge, gee, I think I might have these roadblocks. We come up with roadblocks in a variety of ways. Things happen to us that are important for us to process. And so that’s what makes it so life-long.

DERALD WING SUE: Yeah. And it’s really– I think all four of us have taught these courses on multiculturalism. And so, in some ways, we have a commitment to it. We’ve learned from our experience how to deal with the emotional reactions to the content and the process of what we’re delivering. It’s what we call, facilitating difficult dialogues on race, gender, and sexual orientation.

Why is it so difficult for people to honestly dialogue about race? That has been the question that we’ve asked and looked at in terms of the literature. And what we have found, in terms of research, is that people have difficulty dialoguing on race. And it brings up all these strong feelings of anger, defensiveness, guilt, feelings of hopelessness, the whole gamut impairs them.

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But what I find, is that a lot of people in training are fearful of dialoguing on race. Because whatever they say or do, it’s going to be seen as being racist by either the professor or other people in class.

But I think it goes even deeper than that. I think the fear that’s so well defended– and these emotions serve to ward it off– is at the level that at some point they realize that they are racist. That they do have biases.

Now I know students and trainees will get real upset when I say something like, all people have biases, prejudices. All white people are racist. But I think that the level below appearing racist is, it is so hard to acknowledge that you are. Because it shatters the image– the self-esteem, the self-concept of you– as a good moral, decent individual.

And then the third level I think happening with a lot of people, is that if you do get to the point where you acknowledge the biases, then the question is, what do you do about it? Doing something about it may alter the very nature of how you interact and relate to people.

If you hear a racist joke by a family member, are you going to– the threat is to keep you in place by, in some sense, family members saying, you’re no longer the Derald that I know. Why can’t you keep family harmony? After all, this is your Uncle Jim that said it. You should be more– all of those things keep a lot of people from really doing something about it.

THOMAS A. PARHAM: When you talk about emotional barriers, I think that clearly is a more complex one. Because it relies so much on social validation. And if the social context does not change enough that allows them to get proper feedback, to get reinforced, to get affirmed about confronting the racist, the sexist, the homophobe, the classist, then they’re much more comfortable sitting in their silo, comfortable in the idea that, I know this exists, but less willing to step out there. Because now it’s not just a function of their own personal comfort zone. It really is an assault on their particular comfortable space. And I think students really run through that too.

But it also parallels, really, why it is I think the students even feel some of the emotional barriers that you talked about earlier. One of those I see them experience is a sense of loss. And the loss for students, to me, is quite pronounced. Some of them experienced a loss of place like, what is my position in this space? And so now we’re learning theories that don’t somehow look like me.

So now the white students in the room begin to think like the one black student, and the one Latino student, and the 1/2 of– an American Indian student you can find in the demographic, and the five women and the other folks who’ve been hanging out on the margins all the time when they’re the only person in class.

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I think they also lose a sense of position, in the sense that the dominant theories have always been the positions that are in control. And when you start putting together counter theories to say, well, let me set this aside a minute and reintroduce or introduce different conceptual paradigms. That’s a loss of position about being the dominant theme.

MARIE L. MIVILLE: And I think that’s precisely what makes it so challenging for a lot of white students, or if you have some kind of majority status, to give it up. Because what is there to gain if you lose your position? So I think that is truly the struggle that students are– any of us looking at our isms– sexism, racism, sexism– need to look at is, what are we willing to give up?

There’s a lot to gain. Everyone around this table knows that. But there’s also people– the roadblock that they face is, what am I going to lose? What am I going to sound like at my next family reunion? And where do I get the support in society for that?

THOMAS A. PARHAM: Part of what is, I think, also incumbent upon us to teach them, however, is the emotional struggle that they move through in bouncing off both their own newly found insights against the social context that includes family and programs and jobs, et cetera, is exactly what it is they’re going to have to navigate for their clients, and help their clients when they struggle with that as well.

And so, if we can get them to the other side– you both talked about in terms of the development process. I think we have a chance. But I don’t necessarily get as bugged out as I used to be about the initial reactions the students have, because I know that that’s a normal part of the disrupt in me.

My job as an educator is to take a student, to take a client, and to disrupt them from that comfortable category of intellectual, emotional, and behavioral, and spiritual apathy. And if, in the process they have to struggle and be uncomfortable with it, I think that’s part of the journey that you’ve got to be able to move through in order to get to be, I think, an effective healer.

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· Describe the exercises in detail so that another social worker would be able to implement them.

Assignment 1: Human Trafficking

Group therapy is one of the most successful interventions for adolescents. This is because of the nature of this stage of development and the need to belong to a group. Hearing the stories of other teens and knowing that their experiences and feelings are similar is very therapeutic. Another characteristic of the adolescent stage is a short attention span, so the clinical social worker should tailor exercises that initiate and sustain discussion for adolescents.

For this Assignment, watch the “Bradley” video.

In a 2- to 3-page paper, identify two opening exercises that you might recommend for a group of adolescent girls who were victims of human trafficking. 

· Describe the exercises in detail so that another social worker would be able to implement them.

· Explain ways these exercises might be effective in creating a comfortable environment for these teenage girls.

· Support your rationale with the literature. For example, what does the literature say about teenage girls who have been arrested for prostitution/human trafficking and who openly discuss their experiences?

· How do these exercises promote group cohesion and encourage these teens to talk openly?

References (use 3 or more)

Toseland, R. W., & Rivas, R. F. (2017). An introduction to group work practice (8th ed.). Boston, MA: Pearson.

  • Chapter 7, “The Group Begins” (pp. 197–230)
  • Chapter 8, “Assessment” (pp. 230-263)

Lietz, C. A. (2007). Strengths-based group practice: Three case studies. Social Work With Groups, 30(2), 73–87.

Laureate Education. (Producer). (2013a). Bradley (Episode 1) [Video file]. In Sessions. Baltimore, MD:

Bradley Family Episode 1

Bradley Family Episode 1 Program Transcript

THERAPIST: First off, Tiffany, I want you to know how really glad we are that you’re here. There’s a lot that we do here that I think would be very good for you. Can I tell you about them?

TIFFANY: Sure.

THERAPIST: One of the services that I’m really excited about is the Teens First program we offer. It’s been open a little less than a year, but it’s already doing great things.

TIFFANY: What does it do?

THERAPIST: Well, it’s really the only organization of its kind. It provides treatment to women who’ve been in your type of situation. That’s the only group we treat.

TIFFANY: My situation? Why don’t you just say what you mean? I’m a whore.

THERAPIST: That’s just it, Tiffany. We don’t see you that way. Young women who’ve been arrested for prostitution, we see them as victims of human trafficking. You’re not a criminal. You’re a survivor.

TIFFANY: I don’t understand why I have to be here. I was fine where I was. I want to go back with my boyfriend.

THERAPIST: The one named Donald?

TIFFANY: Yeah.

THERAPIST: You said he was acting as your pimp. You said he bought you from someone else. Is that what a boyfriend does?

TIFFANY: I think it’s great you have all these services. But I don’t need them.

THERAPIST: Well, that’s something that I definitely want you to talk to me about over the next several weeks. The plan is for you and I to meet alone a couple times a week. And we’ll also meet in a group with some other young women like yourself.

TIFFANY: There’s no one like me.

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Bradley Family Episode 1

THERAPIST: You’re right. There is no one like you. I just meant other young women who’ve gone through similar experiences. You also get three meals a day. They’re pretty good, actually. Healthy.

And a room to sleep in. And then there’s a case manager who will talk to you about jobs, going back to school, what you might want to do for a living. It’s really a great opportunity.

TIFFANY: I want to go to college. Design clothes.

THERAPIST: Well, that’s great. I think that sounds really, really good. So do you want to see your room?

Bradley Family Episode 1 Additional Content Attribution

MUSIC: Music by Clean Cuts

Original Art and Photography Provided By: Brian Kline an