A single system research design (SSRD) allows for the practitioner to study an individual, family or program. Single system research design is convenient, brief and cost efficient for the practitioner(s); SSRD interventions can be tested and assist in identifying their effectiveness on the patient (Royse, et al., 2010). SSRD has a risk of bias, from both the practitioner and the patient and the information gathered is not for generalizability, because it is only observing an individual. SSRD has little external validity, but allows the practitioner to observe in individual’s response to the intervention and monitor a trend for subsequent studies (Royse, et al., 2010). The patient involved in this research study is a 40 year-old Latina female. Her primary care physician referred her to behavioral health, when she demonstrated physical symptoms of fatigue, sleeplessness and numbness in her arm, inability to concentrate and feelings of sadness. Once, all medical illnesses were ruled out, the physician, working at an integrative care clinic, referred the patient to the LCSW on staff. In her first session the patient stated that she has demonstrating these symptoms for a month or so. She states that she did not know what is happening to her but she knew she had to see her doctor.The patient described that she has been living in Arlington for about 16 years. She is originally from Mexico and is married with four children. She states that lately she has been having some issues with
The interview between clinician and client appears to be the foundation upon which help and healing begins. Depending upon the particular case and diagnosis certain techniques, boundaries and settings will be used to bring about the best results. It appears vital for the clinician to understand how what may appear minor in their opinion could negatively affect their client in the greatest way. A scenario of a 45 year-old Hispanic female diagnosed with clinical depression will be used as a hypothetical case and the approach in helping her will be explored. The attempt to analyze, diagnose and treat her effectively given her unique
In the United States, the Latino American population has risen by over 40% within the past decade and accounts for over 17.1% of the Nations society. In 2050, the Latino Community is expected to make up nearly one-fourth of the population and 2/3 of the U.S. Hispanics are from the Mexican-American Subgroup. In the United States, there has been extensive research examining the prevalence of varying psychiatric disorders among the Latino Hispanic Communities. There are many deeply rooted and socioeconomic factors that may contribute to the diagnosis, treatment, and outcome of psychiatric disorders. Example factors, such as reception of immigrations, history of immigration, experiences involving discrimination, and strength of an ethnic community, are just to name a few. Due to the expansion of the Latino and Hispanic minorities in the United States, this has become a major challenge for today’s healthcare system.
Due to a clinicians’ lack of understanding of Hispanic culture, feelings of alienation can result from the patient. Family and social structures are different in Hispanic culture, whereas “professional help may not be sought due to Hispanics considering substance abuse a family problem” (Reif, Horgan & Ritter, 2008). In Hispanic culture it is perceived that family issues remain in the family, thus outside help is frowned upon. When treating clients from this population, clinicians need to include the whole family in the treatment plan and to respect family
When it comes to social work, evidence-based treatment is a very popular form of therapy. The DSM-5 focuses on evidence-based treatment as well with “developing a comprehensive treatment plan that is informed by the individual’s culture and social context” (American Psychiatric Association, 2013, p. 19). I believe that the DSM-5 is an asset to trained social work clinicians to
In this paper the theories of multigenerational family therapy and structural family therapy are applied to the Melendez family. Beginning with the biography of the Hispanic family, assessment of the strengths and vulnerabilities of the family, stage of the family life cycle, cultural elements that impact the family and explanation of the types and qualities of relationships depicted in the Melendez genogram and ecomap the foundation for therapeutic goals and interventions are set. Goals and interventions based on the multigenerational family therapy theory are theoretically applied with the goal of the family to recognize emotional patterns to decrease anxiety. The Structural Theory application will focus on the presenting
A displayed feelings of apprehension and became less co-operative during the initial clinical interview. She additionally displayed thoughts of inadequacy . She moved back to her parent’s house when she began getting panic attacks and was housebound through fear of inducing a panic attack. As a result of this, she became overly reliant and attached to her parents, who provided emotional, financial, and decision making support.
3. Differences in values and beliefs define a person's choice for mental and physical health care. “Because health care is a cultural construct, arising from beliefs about the nature of disease and the human body, cultural issues are actually central in the delivery of health services treatment and preventive interventions” (Office of Minority Health, 2005, p. 6). It is important to acknowledge that Esmeralda fits into two categories of minority because Esmeralda is a Latina. It is important to know that Hispanic women are less likely to make full use of many social services even when they are provided to them. Hispanics normally are family oriented and that means Esmeralda will probably want to involve her family in any treatment program she
Instead of seeking mental health services for emotional or psychological concern, Latinos tend to seek medical care services from a physician. Both (Gelman, 2005; Bedoya, 2014; Organista, 1995) portray Latinos favoring mental health services through primary care than a mental health care setting. Many Latinos misinterpret physical symptoms as a medical illness when, in fact, it may be due to psychological condition. It is not uncommon for Latinos to mainly present mental issues as physical complaints (González-Prendes, Hindo, & Pardo, 2011, p. 380). Similarly Kanter et al. (2008) states, “Depression in Latino immigrants with low acculturation often is characterized somatic complaints with less awareness and identification of psychological symptoms”
The Latino culture takes a more monistic approach to the mind-body problem. This may affect the ways in which depression is experienced and expressed. For example, studies have found that Latinos are more likely to express psychological distress in somatic terms such as lack of energy, sleep disturbances, and body aches (Martinez Tyson, Castaneda, Porter, Quiroz, & Carrion, 2011). Additionally, studies find that Latinos are more likely to take a holistic approach to healing as evidenced by the principle of “mente sana en cuerpo sano y alma sana’ (healthy mind in healthy body and healthy soul) which communicates the strong connection between mind, body, and soul (Comas-Diaz, 2006). This suggests that a purely physical approach to therapy may not be well-received by the Latino client, and is supported by studies showing Latino patients feel apprehensive towards being treated with anti-depressants even when they have positive attitudes towards receiving treatment for depression (Cabassa, Lester, & Zayas, 2007). Understanding the client’s perception of the self is important in diagnosing and treating depression. Therefore, an effective therapist must be able to understand and incorporate the client’s worldview throughout the therapeutic process.
DUMC jointly particptaes in a research program with the University of North Carolina at Chapel Hill to train Latinas in mental health coping
Several factors, for instance the term Spanish, any race may be identified as the Hispanic descent, religion, belief, values, privileges, economic status, availability community services and resources, and the fact that their mental health and addictions may differ. The one thing that bring such a mixture of people together is the interchangeable language. Despite the similar issue of encountering multiple problems, or having a personal cultural attitude or view towards subjects or matter different than one’s own. Including experiencing cultural prejudice, and stereotypes. May possibly causing a person to reciprocate, withdrawal, or a reaction in a positive or negative manner. Often unconsciously permitting moods change and behaviors to play a significant role in their life when pertaining to decision making, adapting, accepting or refusing others or to seek treatment. Causing mental, emotional and physical disturbance as their state of being amongst a diverse group of people. treatment holds the beliefs, value, empowerment and purpose as an overall benefit as a coping mechanism, risk preventions, change, corrective behavioral practices, and problem solving or resolving one’s core issue as the underlying common dominator that contributes to the impacts or cause and effects on how a person function in their everyday life. The notion treatment and counseling have a
The Portokalos family appears to have a cultural component that attributes to their behavior and interactions in the system. The family comes from a collectivist perspective; therefore, separation and boundaries may be difficult to establish. Therefore, for the Portokalos family, to enact change, the treatment must work within a collectivist perspective. Utilizing elements of SFT for treatment may be appropriate because SFT has a natural inclination to structure and hierarchies, similar to collectivist societies. The purpose of this section is to address some of the SFT techniques, that I as a therapist, would utilize on the Portokalos family and conclude with a discussion on potential changes that can occur if the techniques are successful.
Furthermore, the literature used consists of level V and VI of evidence (LoBiondo-Wood & Haber, 2013). This included three peer-reviewed, scholarly articles that were level V evidence, systematic reviews of qualitative studies. Additionally, there were two articles that were level VI evidence, a single qualitative study. A limitation to one of the studies by Ginieniewicz & McKenzie (2014) is that they are focusing on a specific immigrant population, Latin Americans in Canada. Two of the articles, written by Chadwick & Collins (2015) and Lum, Swartz, & Kwan (2016) emphasize the importance of language barriers in primary care, rather than specifically mental health. When discussing the language barriers there was an insufficient amount of detail about the language proficiency and which areas that needed to be met in order to successfully have a conversation between the health care practitioner and the client without confusion. Brisset et al. (2013) is the only article which discusses the different type of
This is my reflective consolidation paper which is an end of course assignment and writing this essay about the experience I had while studying the course System analysis and design. When I went to my advisor for advising courses then she told me about System analysis and design and explained me clearly about this course then this course made me realise that I have a lot to learn and found it as very interesting and challenging.
The research design used in this study was correlational. The correlational design allows the determination of existence or degree of relationship between two variables. In this study gender was used as the nominal independent variable and hours spent in in Pinterest weekly was the dependent variable. The correlational research method was chosen because it allows relevant evidence to be collected and the data collected is directly related to the research question. This type of study manages variations, identifies relationships between variables, and produces answer to the research question. The purpose of the research had to reflect on the research design in order to reveal whether or not there was a statistical significance, in this case