The student has a high tolerance for clients who do not comply with or are resistance to services. However, at some point enough is enough and the student develops negative feelings towards the client and believes that the client is wasting the student as well as others time, energy, and resources which could be directed towards another who is need of support. Understandable there is a movement in the social service field to remove the label of “resistant client” from clients who do not embrace change happening in their life because the label suggest blame. However, in the student’s chosen profession, working for a social services agency coordinating and facilitating services for individuals with an intellectual and or physical disability, the system reinforces resistant behaviors; the more resistant the individual the more likely their health and safety are at risk which places responsibility back onto …show more content…
The student eventually becomes frustrated with the individuals whose intellectual disability is not a factor in their ability to comply with requested services. Through the working relationship and history, the student has with an individual coupled with knowledge related to mental health diagnoses, the student will be able to understand how the behavior and the diagnoses co-mingle. Behavior is a form of communication. Behaviors do not happen for no reason. When an individual who is normally not resistant to services becomes resistant it is a warning to the student that further investigation is warranted. This change in behavior suggest that either the individual has experienced a negative event that is not known to others or there is a medical concern that needs to be further
The clients involved in this case study is an African-American 12-year-old boy ,30-year-old mother and 33-year-old father. I have been assigned to work with the 12-year-old regarding his issues with attention deficit hyperactivity disorder, anger issues, mood disorder, and oppositional defiance disorder. My agency has created several goals for the client to achieve while receiving services such as mastering three coping skills to improve his ability to effectively deal with losses in his life (i.e. the absence of his biological father); identifying seven ways he can respect authority figures in the home and community; and mastering five
In his view, maladaptive behavior and psychological disturbance arise because caregivers, family, friends, and community groups within a social system to do not provide sufficient direction, support and stability when an individual is faced with a stressful life event. He believed that mental health consultation is a service to many different professionals to assist them in dealing with the psychological aspects of a current work problem, and, to deal more effectively with similar problems in the future.
In order to address the client’s problems and strengths Birkenmaier suggest using a “two compartment model”. “In this approach, the assessment includes a two component model in which the social worker first explores a series of questions with the client to define the problem situation (Component 1). The questions will not only help to identify the client’s strengths, but also their life experiences (both positive and challenging), and strategies for coping with adversity. Gathering this comprehensive perspective on the client’s identity can aid both the social worker and the client in formulating a perception of the client in terms of strengths, versus deficits. (Birkenmaier, 2014, pg.110)”
mechanisms that had previously enabled the client to function in their daily life, leads as they
Dual diagnosis refers to the co-existence of a developmental disability (DD) and a mental health problem, and those who present with this type of diagnosis receive support from a number of different experts on CAMH’s interdisciplinary team. Before any client is admitted to the inpatient unit, the team attempts to collect as much information about the individuals as possible (i.e. past diagnoses, family history, psychological/behaviour assessments, etc.) and document this information on their online database and in separate client binders located on the unit. In order to build a rapport with each other clients, I started by first reading each of their binders and files. This information gave me a better understanding of their strengths and needs, as well as the best ways to communicate. For example, client PC, presenting with ASD, DD, and ADHD, was mostly nonverbal and communicated by touching your hand and guiding you or by using loud vocalizations. While becoming familiar with his file, I learned that he could read, write and understand basic math equations at a grade 3 level. Using this information, I prepared a package filled with different worksheets and sat with him in the lounge while he completed them. Although he was nonverbal, he would communicate that he wanted me to mark his math homework by passing me the sheet and handing
Internal barriers are emotions and attributes that keep people from seeking help. Internal barriers are dealt with in the worker-client counseling relationship. The difficulty of evaluating the seriousness of a problem is explained on page 15 of our text “An Introduction to Human Services”. Some of these are that one will sit and wonder if they really need help, or if their child has a learning disability or just a slow learner, or are they really depressed or are their child hyperactive or just have a high energy level.
Challenging behaviour can be explained through the use of psychological theories, Maslow’s theory, and his hierarchy of needs is based on motivation and that every person is driven to grow into a self-actualised person (Bingham et.al. 2009:86). Maslow’s hierarchy of needs has six stages; Physiological Needs, Safety Needs, Love and Belonging Needs, Self-Esteem Needs, Fulfilment Needs and Self-actualisation. This theory relates to Client X because all her physiological needs are being met through the attention of her carers. Some of her safety needs are being met through safety of family and she has a home, however due to having to take medication every day and being unable to walk without the use of a walking aid is affecting her sufficiently meeting all of her safety needs. This would then cause Client X to display challenging behaviour because she wanted to be more independent and be able to walk without
When reading the information, at first it was straightforward to be able to have a question mark of debt about why these people we being referred to an agency when there was no indication what was happening with these people. Without the proper report, history, or diagnosis several things may perhaps have been mistaken. One the person may have been recommended to the wrong agency, incorrect treatment, and denied being seen for services. This is why we as professional must learn the different cues for communication. Over 65 %, of the population uses nonverbal cues (Dillion, 2003). Learning different cues, gestures, facial expressions, and body movements can assist with clinical gestalt. When an individual, can understand a person through no expressive dialect we have learned how to break a barrier.
When a student who has a disability’s educational placement is changed due to challenging behavior, a functional behavior assessment must be conducted. Functional behavior assessment (FBA) is used to aid in the development of behavior intervention plans (BIP’s). In a functional assessment, the type and the source of reinforcement for problem behaviors are used as a basis for intervention efforts that are designed to increase occurrence. Functional analysis can also be used to determine the specific function of a behavior, but FBA’s are more commonly used, especially in school settings. In a functional analysis (FA), antecedents and consequences that represent those in the person’s natural environment are arranged so that their effects on the problem behavior can be observed and measured. The difference between a functional analysis and functional behavior assessment is that the assessment establishes a connection between the behavior and antecedent or the consequent variables, but a functional analysis identifies informal relationships. For this reason, a functional analysis is seen to be a more valid tool for identifying the function of a behavior; however, there are limitations to using a functional analysis. This method may momentarily strengthen the problem behavior or result in the behavior acquiring new functions. Federal mandates like IDEA 2004 and school reforms such as Positive Behavioral Interventions and Supports (PBIS) have played a role in the increase of the
this is something that many of us struggle with which is change because for most of us its something everyone hates. The reason so many despise this is because change is hard to deal with for most people. However after any change takes place in the long run it helps because it adds a experice and helps you grow as a individual from that experice which gives strength in change. This is not always so simple for some people for many they are sit in their ways and do not consider change in their lives. However unfortunately change for all is unavoidable and is something that has to happen over time. There are ways to help clients work through these problems by helping them see the good and positive things that can come from the change they have to encounter. Another way to help them deal with this would be by going through their past experiences and looking to see what positive things came from that
In working with adolescent students at a Bronx middle/high school, I have discovered that client resistance is an expected part of therapy. In Brandell (2010), “Psychoanalytic psychotherapy is painful because it stirs up affects of unpleasure. The arousal of these feelings mobilizes resistance” (p. 246). The discomfort brought on by addressing issues in therapy promotes learning. Learning about the problem itself, as well as, history of the issue, and what defenses arise to avoid exploring the matter. As stated in Brandell (2010), the manifestation of defenses offers, if examined, comprehension of reasons for defensiveness. “Schematically rendered, the therapist must demonstrate to the client that he or she is resisting, how he or she is
Thinking pattern – if someone has a mental illness or disability that may affect the way they process information
This essay will identify key issues facing the client system and will demonstrate an intervention plan. Followed by defining the purpose of social work and the identification of the AASW Code of Ethics, in regards to the case study. Lastly, key bodies of knowledge will be identified and applied to the case study.
INTRODUCTION Extensive efforts have focused on preventing or reducing the prevalence of sexual victimization of children and adults (Davis & Gidycz, 2000; Vladutiu, Martin, & Macy, 2011). Researchers and governmental agencies promote the adoption of specific behaviors in order to avoid sexual victimization, including recommendations regarding which resistance strategies are most effective during a sexual assault (Asdigian & Finkelhor, 1995; Bachman, Saltzman, Thompson, & Carmody, 2002; Heyden, Anger, Jackson, & Ellner, 1999; Kleck& Tark, 2005; Ullman, 2007). While the benefits of preventing or avoiding rape completion cannot be overemphasized, reducing the likelihood of the assault escalating into murder is the paramount concern. At present, several
The purpose of this essay is to explain the definitions of mental health, mental illness and psychiatric disability, using bipolar disorder as an example to illustrate these points. Bipolar disorder will also be used to explain the concepts of the medical and social models of disability, highlight the influence these two models could have on people with the disorder and the experiences they might encounter. There will be a focus on some of the experiences a person suffering from mental illness might have in society, the effect these experiences can have on an individual and the influence of stigmas and stereotypes. This leads to the final discussion point, the action of self-disablement. This section discusses how a person with a mental health issue can be influenced by labels, stigmas and stereotypes, and how this can stop them from seeking help and achieving their goals.