A Reflection On Clinical Interventions

Lauren Smith is a five year old Caucasian girl who is demonstrating anxiety when separated from her mother. The family was referred to this service by their pediatrician. Over the past few months, Mr. and Mrs. Smith report Lauren has become increasingly troubled when being separated from her mother. She cries while clinging to her each morning before school and her father describes having to “pry her off” and carry her to the car. Lauren’s parents are also concerned with regressive behavior; she is speaking more often in third person when referring to herself, and she has also begun wetting the bed nearly every night. Mr. and Mrs. Smith had a conference with Lauren’s teacher two weeks ago at which time she told them Lauren was having difficulty concentrating and completing her work. The teacher also voiced concerns about her lack of interest in participating in group activities; she appears to prefer to play by herself. The parents report that Lauren is otherwise healthy and has been meeting age appropriate developmental milestones.

There have been several policy-level measures to address the environment of the health care system and how it contributes to health disparities. First, as seen in Figure 3, the uninsured rate in the United States has declined by 43% following the implementation of the Affordable Care Act (ACA. According to National Health Interview Survey data, the increases in insurance coverage under the ACA were substantial across all races and ethnicities [11], increasing access to care for minorities which is an essential step in eliminating disparities. More notably, the ACA has also designated funding towards the diversification of the workforce. These measures took form in the U.S. Department of Health and Human Services Disparities Action

What are ways to connect research and practice? How might counselors use research in marriage, couple, and family counseling?

1. Client demonstrates excessive and sometimes unrealistic worry that has been occurring more days than not for past seven months. Client has been affected by physical issues due to anxiety; such as, nausea, diarrhea, lack of sleep and trouble falling asleep, excessive crying, discourse at home, and hypervigilance.

HEALTH AND SOCIAL CARE INTERVENTION THAT MAY REVERSE THE FACTORS WHICH CONTRIBUTE TO THE LIKELIHOOD OF BECOMING FRAIL

Brief Description: Due to the chicken and egg dilemma surrounding co-occurring disorders, for years researchers have faced the challenge of what to treat first, in other words identifying the main issue. Now after twenty years and being given the title of an evidence-based practice, researchers have come up with a holistic approach in treating co-occurring disorders. Researches coined this evidence-based practice as integrated treatment, which is basically a marriage between health and mental health services/treatment/interventions.

When I first met Mary, the social worker and I went to her home, and she was sitting on the side of her bed staring out the window. The intervention and treatment plans were always conducted in her room because that is where her hospital bed was. The social worker that had been working with her for months gave me information about her medical history and that she was married. As I walked in to meet her, I introduced myself and began to assess Mary by asking her a few questions. She was quiet, so, I started telling her a little about me.

The most recent data collected by the Centers for Disease Control and Prevention (CDC) shows that 1 in 68 children are diagnosed with Autism Spectrum Disorder (ASD) (CDC, 2014). Children diagnosed with ASD often have difficulty with functional performance in several key areas including; social participation, communication, school based activities, motor performance and play. These impairments in functional performance are not exclusive to the child alone as the caregiver often assumes a great deal of burden in managing the symptoms of a child with ASD. Furthermore, these difficulties along with the rising diagnosis rate has pushed ASD to the forefront of clinical research and has raised issues regarding which Ayres

It is, however, frequently a complication that occurs alongside the presenting problem. Because shame is almost never the only problem, it is important that therapists know how to work with it in the context of other problems; therapists need a way of dealing with their clients’ shame and addressing related disorders at the same time. They must be able to find ways to decrease the immediate negative reactions of shame during therapy. Such reactions of shame include wanting to run away, hide, or withdraw (Fable, 1999), which may defeat therapy before it begins.

There is not one treatment intervention that will solve all issues. Therefore, we have to be able to evaluate each situation uniquely. Treatment intervention can involve the use of prescription drugs in order to limit the outcomes of any condition. Good interventions include good monitoring procedures, follow-ups, and support. One treatment that works for an individual may not necessarily work for the next person. The purpose of the intervention is to break a negative cycle that has become destructive to an individual. Most of the individuals that undergo an intervention will begin with a slight condition of denial. The chemical dependency on any type of drug can be detrimental to an individual and his or her family. The situation in case one, dealing with the 18 year old high school student, would be an appropriate person to implement into a treatment intervention because he will need the additional support and medical support in order to overcome his addiction.

This link describes the importance of clinicians to provide culturally and sensitive services to diverse populations

Smoking is still a pressing issue for Americans, despite efforts to regulate and lessen tobacco use. One in every five Americans still regularly smokes a cigarette, and those who attempt to quit aren’t utilizing all the assistance resources available to them. With these treatments being more prominent now than ever before, there is evidence that supports the effects of a quitter using aid compared to one who does not. Providing brief interventions about tobacco cessation may encourage more quit attempts and use of appropriate treatments, such as a quit-lines or medication. Despite many efforts, healthcare providers are still failing to provide brief interventions to patients, which therefore exposes flaws in a healthcare-based strategy to drive

Therapeutic sessions assist in enhancing the member’s individual’s thoughts as well as those they are building relationships with. The support that they have from family, friends, significant others and the community is essential in their well-being as interactions with others are crucial for development of a sense of self (Meyer, 2003).

EBIs to reduce disruptive behavior and increase academic achievement can include trainings and implementation support at the school, class-wide, and individual student-level, and are often either academic or behavioral in nature. Overall, implementation of both universal (i.e. class-wide) and targeted (i.e. student-level) interventions have demonstrated positive impacts on decreasing disruptive behaviors and increasing student academic achievement (Flower, McKenna, Bunuan, Muething, & Vega, 2014; Vannest, Davis, Davis, Mason, & Burke, 2010).Ross, Romer, and Horner (2012) also found that teachers in schools implementing Positive Behavioral Interventions and Supports with high fidelity

Telepsychology is a relatively new development within the field of mental health service. The American Psychological Association defines it as the “provision of psychological services using telecommunication technologies. . . Telecommunication technologies include but are not limited to telephone, mobile devices, interactive videoconferencing, email, chat, text, and Internet (e.g., self-help websites, blogs, and social media).”(2016). Within the general category of telepsychology, psychological services that are delivered via the internet are referred to as “e-therapy”, “itherapy”, “cybertherapy”, and other similar names. E-therapy is a natural extension of our technological advancement, the growth of psychology as a field, and our ever increasing