SWK8045_WK2_A1

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Capella University *

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8045

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Sociology

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Feb 20, 2024

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1 BEST PRACTICES Supervision of Best Practice Choices Department of Social Work, Capella University SWK8045: Clinical Theories of Social Work Practice Dr. Jimenez October 18, 2023

2 BEST PRACTICES Supervision of Best Practices The first thing that needs to happen before working with a client is to complete a Bio- psychosocial spiritual assessment; a biosocial-spiritual assessment is used to understand the client's experiences, including their physical and mental health (Khalid & Naz, 2020). It includes numerous components to get a comprehensive picture of the client. The information gathered includes clients' family and personal life, current circumstances, needs, risk and protective factors, and the environmental context for their therapeutic needs. The four components of a biosocial spiritual assessment are biology, psychology, sociocultural and spiritual. The biopsychosocial spiritual is assessing and treating clients with a person-in-environment perspective. Green & McDermott 2010, describe the person-in-environment perspective as viewing all aspects of a person’s life and what is happening in and around them. Client 1: Adolescent of Syrian descent, female, living in rural Pennsylvania, presenting with depression. As a social worker, one is expected to work with clients from various backgrounds, as this field is diverse. Many of these cultures can differ from the social workers; they may have cultural considerations that the social worker needs to be aware of. The NASW Code of Ethics (2021) guides social work practitioners in ethical conduct and decision-making with clients. As this client is an adolescent, discussing confidentiality with her is vital. This will include what is shared with her parents and her privacy rights. This could potentially cause a problem with the parents due to the patient's culture; this is where culture competency comes into play, as the social worker should "demonstrate skills in the provision of culturally informed services that empower marginalized individuals and groups" (NASW, 2021, p. 14). The client reports feeling sad and tearful often; she feels her parents are Strict and force her to follow their faith when she wants something different. She reports not feeling validated or heard. Her father

3 BEST PRACTICES prevents her from leaving their house in anything other than the clothes he approves; she can only be friends with fellow Muslims and not associate with boys. This client presents with the need for interventions to be focused on learning healthy coping skills to manage depressive feelings and moods, promote positive family and community connections, and build strong support systems. Cognitive Behavior Therapy (CBT) would best suit this client. The client's presenting problem of depression and biopsychosocial spiritual assessment suggests the DSM-V diagnosis of Major depressive disorder (F33.1). Client 2: Latino male, age 75, living in Dallas, Texas, presenting with dementia. Dementia and Alzheimer's can always be challenging for a social worker; ethical dilemmas that may arise when treating this client include self-determination, autonomy, and non-malfeasance. This can be a challenge at times; as a client with dementia, autonomy means maintaining a sense of self, fostering significant relationships, and having a way to express values. The Social worker will need to be aware of the cultural differences in the Latino culture versus their own so they are sensitive to their values and place importance on their beliefs. When exploring the needed interventions, the social worker must start with the patient's functional status to determine his needs and ensure the safety of himself and others. Interventions focus on the client's mental and emotional needs. Interventions with a Cognitive stimulation therapy (CST) approach would be beneficial for this client. Client 3: Same-sex couple in a relationship for five years, living in Bangor, Maine, considering adoption. Numerous ethical issues can arise when working with this population; the social worker must be aware of their biases to provide the best service. There is such stigma around same-sex marriage and adoption; this will be a barrier that the social worker must overcome with the couple. The social worker needs to meet the patient where they are; this

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