Order ID | 53563633773 |
Type | Essay |
Writer Level | Masters |
Style | APA |
Sources/References | 4 |
Perfect Number of Pages to Order | 5-10 Pages |
Use of Group Topology in Treatment
As a clinical social worker, it is important to understand group typology in order to
choose the appropriate group method for a specific population or problem. Each type
of group has its own approach and purpose. Two of the more frequently used types
of groups are task groups and intervention groups.
For this Assignment, review the “Cortez Multimedia” case study, and identify a target
behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-
page report, complete the following:
· Choose either a treatment group or task group as your intervention for Paula
Cortez.
· Identify the model of treatment group (i.e., support, education, teams, or treatment
conferences).
· Using the typologies described in the Toseland & Rivas (2017) piece, describe the
characteristics of your group. For instance, if you choose a treatment group that is a
support group, what would be the purpose, leadership, focus, bond, composition,
and communication?
· Include the advantages and disadvantages of using this type of group as an
intervention.
The Cortez Family
Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a
minimum of 72 hours, for observation. Paula was deemed a suicidal risk after an
assessment was completed by the social worker. The social worker observed that
Paula appeared to be rapidly decompensating, potentially placing herself and her
pregnancy at risk.
Paula just recently announced to the social worker that she is pregnant. She has
been unsure whether she wanted to continue the pregnancy or terminate. Paula also
told the social worker she is fearful of the father of the baby, and she is convinced he
will try to hurt her. He has started to harass, stalk, and threaten her at all hours of the
day.
Paula began to exhibit increased paranoia and reported she started smoking again
to calm her nerves. She also stated she stopped taking her psychiatric medications
and has been skipping some of her HIV medications.
The following is an interdisciplinary team meeting being held in a conference room at
the hospital. Several members of Paula’s team (HIV doctor, psychiatrist, social
worker, and OB nurse) have gathered to discuss the precipitating factors to this
hospitalization. The intent is to craft a plan of action to address Paula's
noncompliance with her medications, increased paranoia, and the pregnancy.
Physician
Dialogue 1
Paula is a complicated patient, and she presents with a complicated situation. She is
HIV positive, has Hepatitis C, and multiple foot ulcers that can be debilitating at
times. Paula has always been inconsistent with her HIV meds—no matter how often
I explain the need for consistent compliance in order to maintain her health.
Paula has exhibited a lack of insight into her medical conditions and the need to
follow instructions. Frankly, I was astonished and frustrated when she stopped her
wound care treatments and started to use chamomile tea on her foot ulcers.
Even though we have educated her to the negative consequences of stopping her
meds, and trying alternative medications instead, she continues to do so.
Psychiatrist
Dialogue 1
As Paula’s psychiatrist for close to 10 years, I have followed her progress in and out
of the hospital for quite a while—and I know her very well. She is often non-
compliant with her medications, randomly stopping them after she reports she
doesn’t like the way they make her feel.
She has been hospitalized to stabilize her medications several times over the last 10
years, although she has managed to stay out of the psychiatric unit for the last three.
Recently, she had seemed to appreciate the benefits of taking her medications and
her compliance has much improved.
She had been seeing her social worker regularly, and her overall mental health and
physical health were improving. This has changed recently, after several stressful life
events. We learned that Paula was pregnant by a man she met briefly at a local
flower shop. She also reports he has been harassing her with threatening phone
calls and unwarranted visits to her home.
Paula disclosed to the social worker that she was neither eating nor taking her
medication—and she had not gotten out of bed for days. Her decompensation was
rapid and extremely worrisome and, therefore, called for a 72-hour hold.
OB Nurse
Dialogue 1
I have not known the patient long, but it does appear that she is trying her best to
deal with a very difficult situation. Pregnancies are stressful times for even the
healthiest of women. For Paula to learn she is pregnant at 43—in addition to her HIV
and Hepatitis status and her bipolar diagnosis—must be so overwhelming.
Adding to this, she has come to her two appointments alone and stated she has no
one to bring along with her. When I inquired about the father of the child, she said
he’s a bad man and he won’t leave her alone. She seemed truly frightened of him
and appears convinced he will hurt her.
Social Worker
Dialogue 1
When Paula came to me and told me she was pregnant, I was indeed shocked by
this announcement. She had never mentioned dating anyone, and with her multiple
medical and psychiatric issues, I never thought this would be an issue we would
address.
Paula and I have developed a strong working relationship over the last two years,
and she has shared many private emotions and thoughts. This relationship has been
tested, though, since I suggested she be admitted to the hospital.
Paula was furious with me, accusing me of locking her up and not helping her. It will
take time to repair our working relationship. Once I rebuild that rapport, we will need
to work together to find a way to address all of her concerns. We will need a plan
that will address her medical needs, her psychiatric needs, and the needs of her
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