Plummer, Makris, Wk 4 Discussion Psychology Homework Market Help Working With Families

Clarification

Resources

Cowger, C. D. (1994). Assessing client strengths: Clinical assessment for client empowerment. Social Work, 39(three), 262–268. Annotation: Retrieved from Walden Library databases.

Congress, E. (2013). Assessment of adults. In M. Holosko, C. Dulmus, & Thou. Sowers (Eds.), Social work exercise with individuals and families: Evidence-informed assessments and interventions (pp. 125–145). Hoboken, NJ: Wiley.

Hawkins, R. L., & Kim, E. J. (2012). The socio-economic empowerment cess: Addressing poverty and economical distress in clients. Clinical Social Work Periodical, twoscore(2), 194–202. Note: Retrieved from Walden Library databases.

Plummer, S.-B., Makris, Southward., & Brocksen, South. M. (Eds.). (2014a). Sessions: case histories. Baltimore, Physician: Laureate International Universities Publishing. [Vital Source eastward-reader]. The Cortez Family (pp. 23–25)

Consignment

A comprehensive agreement of a client's presenting bug depends on the utilize of multiple types of assessment models. Each model gathers different information based on theoretical perspective and intent. An cess that focuses on ane area lone not only misses vital information that may be helpful in planning an intervention, but may encourage a biased evaluation that could potentially lead you lot to an inappropriate intervention. When gathering and reviewing a customer'south history, sometimes it is easier to focus on the problems and not the positive attributes of the client. In social work, the use of a strengths perspective requires that a client's strengths, assets, and resources must be identified and utilized. Farther, using an empowerment approach in conjunction with a strengths perspective guides the practitioner to work with the client to place shared goals. You lot will be asked to consider these approaches and critically analyze the multidisciplinary squad's response to the programme case study of Paula Cortez.

For this Assignment, review the plan case study of the Cortez family.

In a 2- to 4-page newspaper, complete a comprehensive assessment of Paula Cortez, utilizing two of the cess models provided in Affiliate 5 of the cours eastward text. (i.e., Psychosocial Diagnostic Assessment, Problem Solving Assessment, Cognitive-Behavior Assessment, Life-Model Assessment, Solution-Focused Assessment, Strengths-Perspective Assessment, etc.)

Using the Cowger article, place at least two areas of strengths in Paula's case.
Analyze the perspectives of 2 members of the multidisciplinary squad, peculiarly relative to Paula's pregnancy.
Explain which model the social workers appear to be using to make their assessment.
Describe the potential for bias when choosing an assessment model and completing an evaluation.
Propose strategies you, as Paula's social worker, might try to avoid these biases.

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The Cortez Family Paula is a 43-year-onetime HIV-positive Latina woman originally from Colombia. She is bilingual, fluent in both Spanish and English. Paula lives solitary in an apartment in Queens, NY. She is divorced and has 1 son, Miguel, who is 20 years old. Paula maintains a human relationship with her son and her ex-husband, David (46). Paula raised Miguel until he was 8 years quondam, at which time she was forced to relinquish custody due to her medical condition. Paula is severely socially isolated as she has limited contact with her family in Colombia and lacks a peer network of whatsoever kind in her neighborhood. Paula identifies equally Cosmic, but she does non consider faith to be a big part of her life. Paula came from a moderately well-to-practise family. She reports suffering physical and emotional abuse at the easily of both her parents, who are alive and reside in Colombia with Paula's two siblings. Paula completed high school in Colombia, but ran away when she was 17 years onetime considering she could no longer tolerate the abuse at home. Paula became an intravenous drug user (IVDU), particularly of cocaine and heroin. David, who was originally from New York Urban center, was one of Paula'south "drug buddies." The 2 eloped, and Paula followed David to the United States. Paula continued to use drugs in the United states for several years; still, she stopped when she got pregnant with Miguel. David continued to utilise drugs, which led to the failure of their matrimony. Once she stopped using drugs, Paula attended the Manner Establish of Technology (FIT) in New York City. Upon completing her BA, Paula worked for a article of clothing designer, merely realized her truthful passion was painting. She has a collection of more 100 drawings and paintings, many of which runway the class of her personal and emotional journeying. Paula held a full-fourth dimension job for a number of years before her health prevented her from working. She is now unemployed and receives Supplemental Security Insurance (SSI) and Medicaid. Paula was diagnosed with bipolar disorder. She experiences rapid cycles of mania and low when non properly medicated, and she as well has a tendency toward paranoia. Paula has a history of not complying with her psychiatric medication treatment because she does not like the way it makes her experience. She ofttimes discontinues it without telling her psychiatrist. Paula has had multiple psychiatric hospitalizations but has remained out of the hospital for at least five years. Paula accepts her bipolar diagnosis, simply demonstrates limited insight into the relationship betwixt her symptoms and her medication. Paula was diagnosed HIV positive in 1987. Paula caused AIDS several years after when she was diagnosed with a severe brain infection and a T-cell count less than 200. Paula'due south brain infection left her completely paralyzed on the correct side. She lost function of her correct arm and manus, as well as the ability to walk. Later on a long stay in an acute intendance infirmary in New York Metropolis, Paula was transferred to a skilled nursing facility (SNF) where she thought she would die. It is at this time that Paula gave up custody of her son. However, Paula'southward status improved gradually. Later on being in the SNF for more than a yr, Paula regained the power to walk, although she does so with a astringent limp. She as well regained some function in her correct arm. Her right hand (her dominant mitt) remains semiparalyzed and limp. Over the grade of several years, Paula taught herself to paint with her left hand and was able to return to her beloved art. In 1996, when highly active antiretroviral therapy (HAART) became available, Paula began handling. She responded well to HAART and her HIV/AIDS was well controlled. In addition to her HIV/AIDS affliction, Paula is diagnosed with hepatitis C (Hep C). While this condition was controlled, it has reached a point where Paula'due south doctor is recommending she brainstorm treatment. Paula also has meaning circulatory problems, which cause her severe pain in her lower extremities. She uses prescribed narcotic pain medication to control her symptoms. Paula's circulatory problems have too led to chronic ulcers on her feet that volition not heal. Treatment for her foot ulcers demands frequent visits to a wound intendance clinic. Paula's hurting paired with the foot ulcers make it difficult for her to ambulate and leave her dwelling. As with her psychiatric medication, Paula has a trend non to comply with her medical handling. She oftentimes disregards instructions from her doctors and resorts to holistic treatments like treating her ulcers with chamomile tea. Working with Paula tin be very frustrating because she is oftentimes doing very well medically and psychiatrically. So, out of the bluish, she stops her handling and deteriorates rapidly. I met Paula equally a social worker employed at an outpatient comprehensive care clinic located in an acute care hospital in New York City. The clinic functions as an interdisciplinary operation and follows a continuity of intendance model. Every bit a effect, clinic patients are followed by their dr. and social worker on an outpatient footing and on an inpatient footing when admitted to the hospital. Thus, social workers interact non only with doctors from the dispensary, but also with doctors from all services throughout the infirmary. After working with Paula for almost half-dozen months, she called to inform me that she was pregnant. Her news was shocking because she did not have a boyfriend and never spoke of dating. Paula explained that she met a homo at a flower shop, they spoke several times, he visited her at her apartment, and they had sexual practice. Paula thought he was a "stand up guy," but recently everything had changed. Paula began to suspect that he was using drugs because he had started to go controlling and demanding. He showed up at her apartment at all times of the night enervating to be let in. He called her relentlessly, and when she did not pick up the telephone, he left her mean and threatening messages. Paula was fearful for her prophylactic. The Cortez Family David Cortez: father, 46 Paula Cortez: mother, 43 Miguel Cortez: son, twenty Given Paula'southward complex medical contour and her psychiatric diagnosis, her doctor, psychiatrist, and I were concerned near Paula maintaining the pregnancy. Nosotros not simply feared for Paula's and the infant'due south health, merely also for how Paula would manage caring for a babe. Paula as well struggled with what she should do most her pregnancy. She seriously considered having an abortion. Even so, her Catholic roots paired with seeing an ultrasound of the infant reinforced her want to go through with the pregnancy. The primary focus of treatment quickly became dealing with Paula'south relationship with the baby'due south father. During sessions with her psychiatrist and me, Paula reported feeling fearful for her safe. The begetter's relentless phone calls and voicemails rattled Paula. She became scared, slept poorly, and her paranoia increased significantly. During a particular session, Paula reported that she had started smoking to cope with the stress she was feeling. She also stated that she had stopped her psychiatric medication and was not always taking her HAART. When nosotros explored the dangers of Paula'south actions, both to herself and the infant, she indicated that she knew what she was doing was harmful but she did not intendance. Later completing a suicide assessment, I was convinced that Paula was decompensating quickly and at risk of harming herself and/or her baby. I consulted with her psychiatrist, and Paula was involuntarily admitted to the psychiatric unit of the infirmary. Paula was extremely angry at me for the admission. She blamed me for "locking her up" and non helping her. Paula remained on the unit for 2 weeks. During this stay she restarted her medications and was stabilized. I tried to visit Paula on the unit, only the first two times I showed up she refused to come across me. Somewhen, Paula did concord to see me. She was yet angry, only she was able to see that I had acted with her best interest in listen, and we were able to repair our relationship. As Paula prepared for discharge, she spoke more nearly the father and the stress that had driven her to the access in the first place. Paula agreed that despite her fears she had to do something about the situation. I helped Paula develop a safe plan, educated her about filing for a restraining club, and referred her to the AIDS Law Project, a not-for-turn a profit organization that helps individuals with HIV handle legal problems. With my support and that of her lawyer, Paula filed a police report and successfully got the restraining order. One time the guild was served, the phone calls and visits stopped, and Paula regained a sense of control over her life. From a medical perspective, Paula'southward pregnancy was considered "high take chances" due to her complicated medical situation. Throughout her pregnancy, Paula remained on HAART, pain, and psychiatric medication, and handling for her Hep C was postponed. During the pregnancy the ulcers on Paula's feet worsened and she developed a severe bone infection, ostemeylitis, in two of her toes. Without treatment the infection was extremely dangerous to both Paula and her baby. Paula was admitted to a medical unit in the hospital where she started a 2-week course of intravenous (Iv) antibiotics. Unfortunately, the antibiotics did not work, and Paula had to have portions of two of her toes amputated with express anesthesia due to the pregnancy, extending her hospital stay to most a month. The condition of Paula'southward feet heightened my concern and the treatment team's concerns virtually Paula's ability to intendance for her infant. There were multiple factors to consider. In the immediate term, Paula was barely able to walk and was therefore unable to do anything to prepare for the infant'south arrival (e.g., gather supplies, have parenting grade, etc.). In the medium term, we needed to address how Paula was going to treat the baby day-to-day, and we needed to recollect about how she would care for the baby at home given her physical limitations (i.e., limited ability to ambulate and limited use of her right hand) and her electric current medical status. In addition, we had to consider what she would do with the baby if she required another hospitalization. In the long term, we needed to recall about permanency planning for the baby or for what would happen to the baby if Paula died. While Paula recognized the importance of all of these issues, her anxiety level was much lower than mine and that of her treatment squad. Possibly she did non see the whole picture equally we did, or perhaps she was in denial. She repeatedly told me, "I know, I know. I'1000 just going to do it. I raised my son and I am going to take intendance of this babe too." Nosotros really did not accept an answer for her limited emotional response, we just needed to run across her where she was and move on. One of the things that amazed me about about Paula was that she had a great ability to rally people effectually her. Nurses, doctors, social workers: we all wanted to help her even when she tried to push united states away. While Paula was in the hospital unit, nosotros were able to talk about the baby's care and permanency planning. Through these discussions, Paula's social isolation became more and more evident. Paula had non told her parents in Colombia that she was having a baby. She feared their disapproval and she stated, "I can't stand to hear my mother'due south negativity." Miguel and David were aware of the pregnancy, but they each had their own lives. David was remarried with children, and Miguel was working and in school full-time. The idea of burdening him with her needs was something Paula would non consider. There was no one else in Paula's life. Therefore, we were forced to await at options outside of Paula'south limited social network. Fundamental to Acronyms AIDS: HAART: HIV: IVDU: SNF: SSI: WIC: Acquired Immunodeficiency Syndrome Highly Active Antiretroviral Therapy Human Immunodeficiency Virus Intravenous Drug User Skilled Nursing Facility Supplemental Security Insurance Supplemental Nutrition Program for Women, Infants, and Children After a month in the infirmary, Paula went domicile with a surgical kicking, instructions to limit bearing weight on her foot, and a list of referrals from me. Paula and I agreed to check in every other day by telephone. My intention was to monitor how she was feeling, too as her progress with the referrals I had given her. I also wanted to provide her with support and encouragement that she was not getting from anywhere else. On many occasions, I hung up the phone frustrated with Paula because of her procrastination and lack of follow-through. But ultimately she completed what she needed to for the babe's inflow. Paula successfully applied for WIC, the federal Supplemental Nutrition Plan for Women, Infants, and Children, and was also able to secure a crib and other baby essentials. Paula delivered a healthy baby girl. The baby was born HIV negative and received the appropriate HAART handling after birth. The baby spent a week in the neonatal intensive care unit, as she had to detox from the effects of the pain medication Paula took throughout her pregnancy. Given Paula's depression income, health, and Medicaid status, Paula was able to apply for and receive 24/7 in-home child care help through New York's public assistance plan. Depending on Paula's health and her need for aid, this arrangement can be modified as deemed appropriate. Miguel did take a part in caring for his half sister, but his help was express. Ultimately, Paula completed the appropriate permanency planning paperwork with the assistance of the arrangement The Family unit Heart. She named Miguel the babe's guardian should something happen to her. (Plummer 23-25) Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014a). Sessions: case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source due east-reader].The Cortez Family unit (pp. 23–25)
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Running Head: CASE STUDY OF THE CORTEZ FAMILY

Case Study of the Cortez Family
Name
Institution

CASE Study OF THE CORTEZ Family

Using the Cowger article, identify at least ii areas of strengths in Paula's instance.
Paula has a strong fighting spirit. Afterwards losing the ability to use her dominant correct hand
due to brain infection that caused her hand to become semi-paralyzed, Paula taught herself how
to paint using the left mitt and in the procedure returning to her beloved art (Plummer, Makris, &
Brocksen, 2014). Her fighting spirit is also evidenced from the fact she decided to acquit her
pregnancy till the end.
Paula has a stiff set of interpersonal skills. Her openness with her condition and unique
way to rally people backside her, even when she tried to button them away is best-selling by the
social worker. Her ability to work with the medical team, especially in grooming for the arrival
of the infant was of much relief to the medical team attending to her (Cowger, 1994).
Analyze the perspectives of two members of the multidisciplinary team, particularly
relative to Paula's pregnancy.
While Paula'south pregnancy would have been expected to exist a shock to any medical squad
handling her treatment, the manner in which the multidisciplinary team handled situation is quite
admirable. In particular, I like the role the social worker played in recommending to her
psychiatrist to commence treatment. Too, the decision to file restraining orders thr...