Evidence And Non-Evidence Based Treatment Options

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Prior to beginning work on this discussion, please read both “Limitations to Evidence-Based Practice” and “Rationale and Standards of Evidence-Based Practice,”and listen to the Case Studies in Non-evidence Based Treatment Part One. On the last day of Week 5, listen to Case Studies in Non-evidence Based Treatment Part Two.

For your initial post, you will choose one of the case studies from this week’s audio file selection on which to base your remarks. Based on the available information, evaluate the symptoms and presenting problems for the patient in the chosen case study and propose a provisional diagnosis. Describe one evidence-based treatment for this diagnosis and provide a rationale for your choice. Research at least two peer-reviewed articles to support your evidence-based treatment selection.

Guided Response: Review several of your colleagues’ posts, and respond to at least two of your peers by 11:59 p.m. on Day 7 of the week. You are encouraged to post your required replies earlier in the week to promote more meaningful interactive discourse in this discussion.

Examine your colleague’s initial post, and assume the proposed evidence-based treatment was ineffective. Using a sociocultural perspective, provide an explanation for why the evidence-based treatment may have been ineffective in this case. Describe at least one non-evidence-based treatment option as an alternative to evidence-based treatment in this case. Compare and contrast the failed evidence-based treatment with the proposed non-evidence-based treatment option. Justify the use of the proposed non-evidence-based treatment option for this patient (i.e., How does this treatment option meet the patient’s unique sociocultural needs?).

Continue to monitor the discussion forum until 5:00 p.m. Mountain Standard Time (MST) on Day 7 of the week, and respond to anyone who replies to your initial post. Be sure to indicate whether your diagnosis and conceptualization has changed based on your colleague’s feedback.

Carefully review the Discussion Forum Grading Rubric for the criteria that will be used to evaluate this Discussion Thread.

Discussion 1: Contributing to Community Recovery

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Discussion 1: Contributing to Community Recovery

The damaging effects of disaster on mental health and the increased vulnerability to addiction of survivors are well documented. The most common conditions that follow a disaster are post-traumatic stress disorder, anxiety, depression, grief, and an increase in substance abuse and addictive behaviors (Beaudoin, 2011; Cepeda, Valdez, Kaplan, & Hill, 2010; Johnson & Fendrich, 2009).

As a helping professional, it is essential that you become familiar with federal and local regulations that can impact your role in community recovery.

For this Discussion, review the two scenarios below. Choose one of the scenarios and reflect on the ways in which government and community organizations might contribute to the treatment of addiction.

 

Scenario A: You are the director of a local addiction treatment center in a West Coast metropolitan area that has experienced an earthquake of major magnitude. The earthquake has caused a large loss of life and destruction of property. The entire metropolitan infrastructure is disrupted, including transportation, sanitation, emergency medical care, and power. People are unable to get to work, children are unable to attend school, and people are confused and frightened. Many mental health and substance abuse facilities have been destroyed, so their services will be interrupted for a long time. A large number of citizens are left homeless, without jobs, and are dealing with the trauma of the event and loss of family and friends. The level of destruction is so vast and far reaching that it will be several months to a year before life returns to what the community could consider normal.

Scenario B: You are the director of a local addiction treatment center in a small Midwestern town of 20,000. A tornado has struck the community, cutting a path of destruction through the entire town and causing hundreds of thousands of dollars in property damage. More devastating, the tornado has resulted in a huge loss of life, including the deaths of over 100 children who were in the local elementary school. Many families are left homeless and grieving over the loss of their property, businesses, friends, and loved ones. The loss of such a large number of children has a particularly serious impact on the emotional well-being of the town’s citizens.

 

·       Post a response to the scenario that you selected.

 

·       Explain how you might direct your staff or helping professionals at the addiction treatment center to contribute to the community’s recovery.

 

·       Explain what your goals would be in the community recovery effort.

 

·       Then, explain how federal and local government regulations might impact an addiction counselor’s ability to contribute to this community’s recovery.

 

Support your response using the Resources and the current literature.  Needs to be at least 1 page in length.

 

References (use at least 2)

 

Johnson, T. P., & Fendrich, M. (2009). Substance use under conditions of uncertainty and trauma: An introduction. Substance Use and Misuse, 44(12), 1661–1664.

 

Wiley Periodicals, Inc. (2006). Substance abuse counseling written into federal disaster response bill. Alcoholism & Drug Abuse Weekly, 18(33), 5–6.

 

 

Discussion 2: Perceived Crisis Influencing Addiction

Personal crises and increased vulnerability to addictive chemicals and behaviors can stem from any event or situation that a person perceives as intolerable, the key word being perceives.

In your role as a helping professional, remember that events that seem benign to you may constitute a crisis in a client’s life. If a client perceives himself or herself to be in a crisis, whether you agree or not, the client is probably in a crisis and needs your professional assistance. There are a number of crisis intervention models available, and you should choose the model that seems to be most effective.

 

·       Post a description of at least two factors outside an individual’s control that could result in a perceived crisis and explain how that perception may affect propensity toward addiction.

 

·       Then describe a model of crisis intervention that might be most effective in addressing these factors and explain why.

 

Support your response using the Resources and the current literature. Needs to be at least 1 page in length.

 

References (use at least 2)

 

Johnson, T. P., & Fendrich, M. (2009). Substance use under conditions of uncertainty and trauma: An introduction. Substance Use and Misuse, 44(12), 1661–1664.

 

Wiley Periodicals, Inc. (2006). Substance abuse counseling written into federal disaster response bill. Alcoholism & Drug Abuse Weekly, 18(33), 5–6.

Mini Reserch Presentation

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When evaluating research, it is important to consider gaps that exist in the current knowledge base.  Reflecting on the research that you did for your Annotated Bibliography last week, think of an area in the research that seems to be lacking or in which there is a controversy.   You will do this by first coming up with an appropriate applied social psychology research question. Watch theDeveloping a Research Question video, which explains how to formulate a research question and provides examples of research questions. Then, you will create a short presentation (either a screencast or PowerPoint recording) in which you will propose your idea for a study or an experiment to try and answer your research question.

Your research proposal presentation must include the following:

  • Your clearly stated research question
  • Your hypothesis
  • An explanation as to why this topic of research is important/necessary
  • Scientific support for your hypothesis (drawn from annotated bibliography)
  • An explanation of the research design (experimental or non-experimental)
  • A description of the procedure that explains
    • How many participants you will need
    • What participants will do to complete the study
    • What results you expect to find

Guided Response: Review several of your colleagues’ posts and respond to at least two of your peers. In your responses, ask your fellow classmates some follow-up questions or provide suggestions.  You may want to ask your classmates to clarify some things, identify some potential issues they may want to consider, and provide them with some suggestions for the study. Continue to monitor the discussion forum until 5:00 p.m. MST on Day 7 of the week and respond to anyone who replies to your initial post.

Carefully review the Discussion Forum Grading Rubric for the criteria that will be used to evaluate this Discussion Thread.

What are the logical implications of the results of the study?

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The annotated bibliography will be double spaced in a reasonable font (10-12 point) and include citations and references in APA style. References must be academically credible (i.e., peer reviewed) and examine either theoretical issues or report empirical data following a common theme (i.e., examining one psychological phenomenon with relevance to the modern world). The annotated bibliography should show understanding and thoughtful reflection on a topic that speaks to the mission and objectives of the course. Further, annotated bibliographies will be graded on the basis of content, clarity, and overall quality of work. Students will be assessed in terms of their technology assignments, with an appropriate grading scheme  for example, some combination of database experience and APA formatting.

Please click on the following link for numerous examples of APA-style annotated bibliographies: Writing Center – Annotated Bibliography.

The basic purpose is to cite the source and provide a brief summary written in a clear and concise manner.

Make sure that you have 5 peer-reviewed references related to psychological phenomenon (therefore 5-10 summaries).

When writing your annotated bibliography consider the following questions:

1) What is the purpose of the article? This is the hypothesis or the testable prediction.

2) What is the most important information used to support the arguments (assertions)? This would be found in the results of the study. Just give the basic findings in your own words. Do not worry if you do not understand the stats or design; your job is come up with the “gist” of the findings.

3) What is the conclusion? In other words, was the hypothesis supported or not?

4) What are the logical implications of the results of the study?  This is sometimes called the “significance” of the study.