Ethical, Social, And Legal Implications Of Disclosure

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Prior to beginning work on this discussion, be sure to read the required articles for this week. .  You are a consulting psychologist for a local clinic and have been asked to review an ethically complex case. Please review the PSY699 Week four discussion case file (Links to an external site.)Links to an external site. for detailed information on the case under review.  In your initial post, explain how the APA Ethical Principles and Code of Conduct can be used to guide decisions in this ethically complex situation. Provide a suggested course of action for the clinic staff. Given the daughter’s age and the situation presented, integrate concepts developed from different psychological content domains to support your suggested course of action. Be certain to use evidence-based psychological concepts and theories to support your arguments. You may wish to consider the following questions as you construct your post. •Does the daughter have a right to know her diagnosis? •Does the mother have a right to not disclose the diagnosis to her daughter? •Does the mother have a right to privacy regarding her own diagnosis, which could be threatened if her daughter learns of her own status? •Should the staff tell the daughter if the mother does not want her to know? •If the daughter wants to know more about her condition, what should the staff say? •Are there other approaches the staff can take? If so, what are they? •Is further information required in order for you to create an ethically sound suggested course of action?

· Briefly describe the population and presenting problem you are focusing on for this assignment.

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Final Project

Once you graduate and obtain your first job out of your Master of Social Work program, you may be asked to identify the gaps in services at your new agency. You may be asked to create a new group or help to identify a new evidence-based intervention that can be introduced to the clients. Understanding how to research the current literature, and then choose and evaluate an intervention, is an important component of being a successful social worker. For this course, you have researched new and interesting interventions that are currently being used with children, adolescents, adults, and the elderly. Further, you have explored the importance of connecting theory to practice.

For this Assignment, use will practice steps in Evidence-Based Practice. 1) You will think of a practice problem. 2) You then conduct a literature review on available research. 3) You will evaluate the evidence to determine which intervention to use. 4) You will consider client values and your clinical expertise. 5) You will think about what you hope the client gains from this intervention (i.e., decreased depression, increased quality of life, decreased PTSD symptoms) and consider how you might measure this change.

To prepare:

· Choose a population of interest to you.

 

  • Children
  • Adolescents
  • Adults
  • Elderly/Aging

· Choose a presenting problem (depression, family conflict, homelessness, etc.) related to the population of interest.

· Conduct a literature review focused on the presenting problem within the population of interest.

Submit an 8-page scholarly paper supported with a minimum of six peer-reviewed articles as references. In the paper, you should:

· Briefly describe the population and presenting problem you are focusing on for this assignment.

· Provide a review of the articles you reviewed from this project and explain what you learned from conducting this research.

· Briefly describe at least 2 evidence-based interventions currently used for your chosen population when addressing this particular problem. Provide supporting references when explaining the evidence behind the interventions.

· Explain which of these interventions you might choose to use and why.

§ Consider client values and your clinical expertise and how those might affect your decision of which intervention to use.

· Describe how you might apply the specific skills and techniques of the chosen intervention.

· Briefly explain how you could measure the outcomes of this intervention.

· Explain any cultural considerations that you need to take into account when working with this population or the particular presenting problem.

· Discuss how the Code of Ethics applies when working with this particular presenting problem and population.

· Explain how you would apply a trauma-informed lens when working with this population.

Support your Final Project with specific references to the resources. Be sure to provide full APA citations for your references.

References (minimum of six peer-reviewed articles)

Assessment through charting to identify triggers and dissociation episodes

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****EACH RESPONSE NEEDS TO BE ½ PAGE OR MORE WITH 1 OR MORE REFERENCES****

RESPONSE 1

Respond to at least two colleagues with your thoughts on the skills they suggested, and how they were empowering to the client. Provide specific examples.

Colleague 1: Tiffany

In Jake’s case the therapist used problem-solving skills to address Jake’s anxiety. The therapist taught Jake a technique to slow his breathing to relieve his anxiety. The therapist taught Jake when he feels his anxiety coming on due to his PTSD to put one hand across his chest and the other on his upper stomach, close his eyes and breath in slowly and out. This technique helps to slow his breathing and reduce his anxiety. I would recommend Jake go to group with other members that have PTSD, I would suggest Jake tell his story using the breathing techniques he was taught. I would use strengths perspective and find out who and what are Jake’s strengths in his life. I would suggest he draw a eco-map to indicate his support systems. Jake’s wife would be a support system and I would ask if the both of them could attend the PTSD groups together so she could hear how dramatic PTSD can be. I would encourage Jake to use his story to help others that suffer from PTSD know they are not alone. This could help the negative aspect of Jake’s story turn into something positive by helping others that are suffering from PTSD. It would also help Jake to hear others stories so he will learn he is not alone facing his PTSD. Jake and I would brainstorm together letting him pick the ideas he thinks that would help him heal faster. We both would develop a plan to keep Jake at his baseline. I would also recommend Jake start going to AA meeting in his community to help give him the support he needs to stop self-medicating himself.

References

Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014a). Sessions: case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

The Levy Family (pp. 15–16)

Yoder, M., Tuerk, P. W., Price, M., Grubaugh, A., L., Strachan, M., Myrick, H., & Acierno, R. (2012). Prolonged exposure therapy for combat-related posttraumatic stress disorder: Comparing outcomes for veterans of different wars. Psychological Services, 9(1), 16–25.

Colleague 2: Christine

Applied Interventions, Skills and Tools

In the case of Jake Levy there were various interventions, skills, and tools provided to support Jake and the struggles he experienced surrounding his recent diagnosis of PTSD and substance misuse. The one’s that stuck out for me while assessing this case are as follows:

1) One on one therapy

2) Guided meditation

3) Assessment through charting to identify triggers and dissociation episodes

4) Role Playing

5) Support Groups

6) AA Group Meetings

7) Mental Health Connection

8) Couple therapy session with his wife

All of these can imply that Jake and his service provider worked together to formulate his goal planning, safety planning, and add support toward Jake’s insight with this struggles. The service provider clearly displayed empathy for Jake as it was seen in the body language provided in the video. It also appeared the provider involved active listening skills to fully understand Jake and his situation with PTSD and his substance misuse. It was evident that the service provider and Jake formulated solid plans toward overcoming his struggles, while connecting him to almost all possible resources available to move him forward. Jake’s provider also involved his wife, for which I feel is important for those around Jake to become educated in what will trigger Jake and how Jake can be supported through even the darkest times. It appeared the provider allowed Jake to be the driver of his change while empowering him, which was evident that he created some interventions himself. Here, Jake initiated his own goal while attending AA meetings to curb his struggle with his drinking. The provider clearly had strong skills in empathetic listening as it was okay to have those moments of silence while Jake learned new techniques from the provider to guide him through the anxiety.

Additional Skills

Additional skills that a social worker may bring to the table are having a deep understanding of crisis intervention skills allowing to provide familiarity with mental health disorders, specifically in combat. Understanding of the challenges of grief and other factors affecting military personnel and veterans. This will allow for an open mind while trying to harness what someone is going through with the PTSD symptoms, as Jake displayed. Also, I feel having the ability to understand the stigmas and stereotypes surrounding the military. By allowing yourself the open mind to educate and become more informed is a necessary tool to provide accurate care for veterans. This understanding will provide the provider and the client to have a deeper working alliance toward coordinating care. Often times, someone experiencing PTSD will experience feelings of emptiness and lack insight that they indeed have support.

Personality Theory At Work In Popular Media

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Prior to beginning work on this discussion, please read the required Churchill and Mruk (2014), Hayes (2012), and Waterman (2013) articles, and review the APA’s Ethical Principles of Psychologists and Code of Conduct (Links to an external site.)Links to an external site. and Chapters 14 through 17 in your textbook.

For this discussion, you will choose a person who has an important presence in popular media today. This person might be a political, business, human rights, education, or entertainment figure. Examine the major theoretical approaches studied in the class so far (psychodynamic, behavioral, learning, trait and type, and humanistic). Briefly describe your chosen figure’s personality from the point of view of each of these five approaches. Evaluate and describe any cultural considerations which may affect the personality assessment within each of the given approaches. Analyze the ethical implications of basing your personality assessment on the information available through the popular media. Select the theoretical approach you think best describes the person and elaborate on his or her personality using this approach.