Notes Week of May 14th

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Yorkville University *

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6104

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Health Science

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Apr 3, 2024

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docx

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Uploaded by Jamie_Dunkley12345

Week of May 14 th , 2023 Youtube Video: The Bio-Psycho-Social-Cultural-Systemic Framework https://www.youtube.com/watch?v=0d7VC2ALsvU -Bio: mind-body connection -Bio: male hormones: mind-body connection in COVID 19 vulnerabilities and outcomes -Natrual selection and the theory of herd immunity -Relationship between seniors health and exercise -How pre-exisitng conditions affect health risk Psycho: -Covid 19 and spike in suicides -Concern over mental health amid Covid-19 -How are Candians coping with impacts? Social: --Social distancing teachings children “fear of others” -Craving outdoors during lockdown -Zoom fatigue -Increased domestic violence Cultural: -Pandemic hightens anxieties over racism for black Canadians -Failure to collect race-based pandemic data -Covid 19 shines a lithgt on divide during pandemic Systemic: -economic, policiatial, social neglect of elders in long-term care -Choosing who lives or dies -Disparities in mental health care access -Who do we consider dispensable? Socioeconomic and health vulnerabilities Learning Lab: Module 6: Understanding the Differences Between Framework and Theory Dr. Sarah Stewart Spencer Introduction: Theory: specific model of counselling that addresses “how do I help a client change” -individualistic worldview -little focus on contextual and systemic factors that impacts clients in change process -focus at micro-level of change -Examples: person-centered theory, existential theory, CBT, Framework: more of a conceptual model that can be applied across theories -Theory can be part of a larger conceptual framework -Thinking about client and how they are behaving and how to best help them change -Culturally responsive and socially just (CRSJ) framework is an example -not just a theory, but a conceptual model that can be used across theoretical orientations and it focuses on culturally responsive and socially just application -Frameworks also known as meta-theoretical or trans-theoretical: you can use different theories along with larger framework

-Important that we consider client’s worldviews and cultural experiences: framework model considers ethnicity, gender, country/area within which one lives Level 1: Knowing the Basics -Case conceptualization: exploration of the nature and influences on presenting concerns -Exploring client’s experiences of what they would like to change and provide roadmap of how to get there (interventions) -Involves co-constructing and meaningful explanations of experiences presenting concerns -One of the most important counselling skills -How we think about clients and conceptualize them and their situations determines how we work with them and approach them -Foundation work for clientys -Examples of conceptualization models: feminist, narrative, relational-cultural (most consider culturally sensitive approach) -Key components: -Considering client’s lived experience -Understanding etiology of cleints’ concerns result from the micro, meso, and macrolevel systems that are historically and culturally embedded -Prioritizing client views of health and healing -Engaging collaboratively with clients to map out cousneling goals and potential change process -In CRSJ case conceptualization, the biopsychosocial and culturally responsive approach is at the core by exploring collaboratively culture, context, sociocultural narratives, experiences of privelage and oppression, and social determinants of health Level 2: Exploring Case Conceptualization -Expected results of case conceptualization include co-constructured meaningful explanation of why problems occur and what are the expected goals and visions for the preferred future -Case conceptualization can provide an accurade understanding of the presenting issues, effective interventions, and an understanding of desired outcomes -Assessment in case conceptualization is important and includes biological, psychologica, social and contextual, and spiritual factors, and indiividuals and families in context -For a more accurate case conceptualization, counselors should aim to be flexible – concerns, information presenting, diagnoses, symptoms, goals, and interventions are everchanging and fluid -Following a “golden thread” is vital, which is ensuring diagnosis, treatment goals, objectives, and interventions relate in a logical fasion -A collaborative approach to case conceptualization can also provide improved outcomes -Counselors should aim to practice and improve case conceptualization skills by seeking out supervision, additional education and training, working collaboratively with clients, and following “good” processes, such as culturally sensitive approach, exploring strengths, and utilizing evidence-based practices -Case conceptualization is fluid -Mistake new counsellors: anxiety rushing to intervene, not following golden threat Level 3: Applying the I CAN START Model I: individual counselor: who are we? C: contextual assessment: where have clients been? Where are they now? (i.e. in an abusive relationship) A: assessment and diagnosis: formal or informal, in Canada cannot diagnose. Take diagnosis into consideration. N: necessary level of care: individual counselling? Residential treatment? Partial hospitalization? S; strengths: individual/community strengths T: treatment approach: what theory would be helpful in supporting client? A: aims and objectives of treatment: (i.e. for suicidal client, 0 suicide attempts in timeframe). R: research-based interventions: supported evidence-based

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