social work case vignettes

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Note that names have been changed for privacy. for Clinical MSW Training (page 2 of 2) Compiled by Professor Monit Cheung, University of Houston, CBI Class, 2016 to 2019 ©2020 Graduate College of Social Work, University of Houston She and her parents should have a clear understanding of what medical attention is needed and why. Look Back to Move Ahead: Social Work for Survivors of Trauma. The trigger for her ideation is reported to be her relationship with her boss. Skip to main content COVID-19 is an emerging, rapidly evolving situation. 1) Elana is the primary client, but the social worker will need to address other needs of Elana via the family such as housing, etc. There are two other children in the family besides Elana. Nor is it a composite of several cases. You did not identify yourself and you need to provide a more thoughtful response, I placed the anonymous remarks about Ms. Massey note and please, forgive me for not identify myself; I assumed that the program would identify my account. Provide a synopsis of actions Jennifer can take to address Elana’s case. Interpret various Codes of Ethics. 402196875. (2) Prioritize the problem(s) and provide a plan for intervening. Resources for clinicians, physicians, social workers, and other health care professionals. Also, since we are considered “newbies” listing all the possible ways that the case evolves should be considerate a plus until, as we gain the skills which will come with experience we will develop the proficiency where we can zero in on the proper need/s and develop an accurate plan allowing the client to overcome the challenges. First, these vignettes are meant to be teaching tools. That's a question for another vignette. While confidentiality has been preserved, the dynamics of each case are isomorphic to a real clinical situation faced by a practicing psychologist. 2) Priority number one is the client- Elana. The Alabama Higher Education Consortium on Child Welfare hopes these cases will be used to enhance both social work education/training and child welfare social work practice in Alabama. Public Transit and Macro Social Work: A Case Study – #MacroSW Chat Feb. 21, 2019 Pat Shelly, Univ. They would need to have walked out with resources and information on where to get help after the hospital. at Buffalo School of Social Work February 18, 2019 February 21, 2019 #macroSW , Advocacy , Community Organizing , Macro Social Work , podcast , public transit Case Studies are real life examples of ElderCare Solutions at work in the lives of our clients and their families. He is currently serving a 2+ year sentence with further time on licence • Jayden (junior school age) with Attention Deficit Hyperactivity Disorder (ADHD) • Erin (primary school age) Social services have been involved with the family for about a year. I liked the way the vignette was interpreted by Ms. Massey listing all the possible directions of the case and possible options available. Both Jaun and Elana work at minimum-wage jobs at the local factory south of town. “My father's just been diagnosed with a brain tumor. The family could not find affordable housing in the community, with the wait for Section 8 Housing (subsidized housing) is over two years, and at this time the office is not even taking applications. These can include timing of disclosure, motivation for disclosure as well as the impact of the disclosure on the client.. Thirdly, I would inquire about the families basic needs such as food, shelter, and clothing. %PDF-1.6 %���� Prior to this accident, all indications are the family is functioning with little difficulty. Website also includes teaching guides. Each of you appears to have thought out the scenario. (3) Essentially, Elana needs to be “discharged” from the ER back to home – what is the role and responsibility of the SW? VIGNETTE 3 •Two practitioners (one a social worker & case manager) have been friends for nearly 20 years. The SW also needs to ensure that there is a safety and care plan in place post discharge. My … They will need resources of facilities where they can meet their needs with minimum financial stress. Help in a Crisis Situation. Grand Challenges Faculty Development Institute: Eradicate Social Isolation CSWE, Dallas, TX, Oct. 19, 2017 1 Case Studies The following case studies were included to highlight different ways that social workers can assess and intervene with issues of social isolation. Social Work Test Prep, LLC Pass the social work licensing exam with realistic practice. Social Work Todaypresents a case vignette with input from three social workers—a case presenter and two discussants who offer their insights on the presenting problem, background and family history, and the initial phase of treatment. CC and FSC can work together to have a combined child-parent session) can be discussed for future sessions. Chafey, M.I.J., Bernal, G., & Rossello, J. The family would also need to know what to do in the event that a crisis should happen. It is not an intake interview, an assessment, or a psychosocial history. She was treated using cognitive-behavioral therapy (CBT). Jim’s doctor agreed that counseling or possibly a support group could help motivate Jim to better maintain his diabetes and appontment with a clinical social worker was set up for a week later. One is an independent case manager and has never sought to become licensed or to join any professional organizations. of work. Well expressed and clear from presenting the family’s concerns and needs to the plan of action. Elana is the 10 year daughter of Juan and Elizabeth Rodriguez. Vignette #1. Case study one: Vignette Name: Eve Davies Gender: Female Age: 42 Ethnicity: White British First language: English Religion: None 1 Eve lives in a town. In Basic Psychopathology: A Programmed Text. I agree with your response. Instructions: Underline all words and phrases in the following case history that are related to INCREASED suicidal risk. You will not have the time to address all the psycho-social issues you identify when gathering information to complete the assessment. An officer agreed to meet the worker at 4 p.m. to go to the home. 3) to ensure a safe and proper discharge the medical SW needs to be sure that all of Elana’s medical needs were addressed prior to her discharge. with Carol Tosone. Then the family would probably need counseling with more emphasis towards Elana since she is the one who has suffered the injuries. The social worker would also ensure the family is well aware and educated on the medical procedures taking place for Elana. ( Log Out /  h�bbd```b``z"g���&f�˪�ɭ`2D�H�B�{ Get the latest information from CDC (coronavirus.gov) | NIH Resources. 1485560 Charity No. The only psycho-social needs that can often be addressed are the ones that are detrimental to a patient’s safety and outcome as associated with what brought the individual into the hospital. Vignette 3: A new referral? Attempts to find social service agencies able to help him have not been successful. Jennifer, a social worker at a hospital emergency rooom is working with the Rodriquez family who recently moved to the area. Follow up appointments should also be scheduled for the patient. (2009). Full-length SWTP practice tests have helped thousands with the ASWB Bachelors, Masters, Advanced Generalist, and Clinical exams. Suicide. The following vignette is based on an oral history of substance abuse taken in a single interview by two social work students with an older adult willing to share his story. She is going to require regular dressing changes to the burn site which will require trips to an outpatient burn clinic associated with the hospital, pain medication and an expensive antibiotic to prevent infection. Change ), You are commenting using your Twitter account. ... Workers Compensation refuses to pay for the case management services of an independent social worker. Group Members! Peter called in a panic. Change ), You are commenting using your Google account. Elana is the 10 year daughter of Juan and Elizabeth Rodriguez. If the SW can obtain the needed services and supplies through a charity setting, once the. For example social work in care homes and hospitals is not represented, neither is work with adult offenders depicted. Nor is it a composite of several cases. If they needed assistance in these areas, I would provide resource numbers for food pantries, financial assistance with rent/utilities or contact information for the housing authority of their area for other housing options, donation centers for clothing, and information job assistance in their area. ( Log Out /  Case Vignettes in the Media: Clinical Problems and Social Justice Connections. The family should be briefed on the medical and psychological side as well as the financial side. The following vignette is based on an oral history of substance abuse conducted in a single interview by two social work students with an older adult willing to share her story. The family could be referred to Medicaid services and paperwork completion, but the family (since both earn minimum wage and cannot afford meds) could receive financial assistance (charity) from the hospital for certain medications within a specific price range. The social worker would need to ensure the family needs are met. Elana was on a campout at the lake with her friend, Jackie and her family. Secondly, after ensuring the understanding of the recommendations regarding care, I would ask where the family resides in relation to the outpatient clinic to ensure that it is the closest to their residence. The solo practitioner discloses in her social worker friend But normalizing and assessing stressors from school seem like good places to start. Clinical Case Study: CBT for Depression in A Puerto Rican Adolescent. If the parents have more questions, a meeting with the Physician may be arranged in order to ensure a better understanding of the child’s condition and treatment. Nao Kao - undocumented Foua - undocumented Lia - 2 years U.S. Citizen Oppression, discrimination,bias and racism Culturagram Strongly believes in spiritual healing Daughter suffers health issues Stress issues due to daughter seizures Spirits get lost Burial of placenta Women In regard to emergency room costs, I would assist the family with applying for Chips (Medicaid) and then have the Business Office discuss payment plan options with the family until the child is approved. endstream endobj startxref Geoff Two vignettes portray social work students working with clients affected by trauma and learning from their supervisors how to approach the sensitive material these clients present. Even with their combined wages, they can not afford the expensive health insurance offered by the coompany or any independent policies. Assistant Professor School Of Social Work therapist or social worker that could possibly help him. %%EOF Address the following areas: (1) Who is the client here? I hope this makes sense to the class. 2. Then I would provide a list of providers that offer assistance with medication costs. Workers for social workers and counselors 7. The SW will also need to follow up with the parents within 48-72 hours post discharge to ensure that the client has her medications or any other needs met, as well as the family. You were very detailed on your explanation and I feel you covered most areas. (2) Prioritize the problem(s) and provide a plan for intervening. Three case studies, drawn from the New York City Administration for Children's Services. I would also suggest assigning a case worker to the family for follow-up after the hospital. The SW needs to ensure that the client has a safe discharge. (3) Essentially, Elana needs to be “discharged” from the ER back to home – what is the role and responsibility of the SW? Elana is the one with the injuries but in this case the entire family is needing assistance from the social worker. The ER social worker could refer the family to apply for Medicaid (though the scenario gives an indication they will not qualify) however the immediate problem is obtaining the medical services and supplies Elana will need to discharge from the ER back home. He picks up construction jobs when work is available. Elana was on a campout at the lake with her friend, Jackie and her family. in order to sustain any assistance provided for Elana. I posted this in the wrong group (public health proponents) yesterday. Moreover, a collaborative partnership (e.g. Company No. These cases are free to you to use, modify, and incorporate into your teaching. While her parents are her caregivers, the focus must be on the immediate needs of Elana. With the consent of the parents, the SW is responsible for ensuring that the outpatient clinic and other community-based service providers have the necessary documentation about the client to render services. 849 0 obj <>/Filter/FlateDecode/ID[<725B495E7497784DB1F4E5D731E84D74><08E59FA009441249B098214EA73F0C38>]/Index[828 37]/Info 827 0 R/Length 107/Prev 233554/Root 829 0 R/Size 865/Type/XRef/W[1 3 1]>>stream D�|�`�xρek@��Z�� ɘ�b�X���@���&F�� q�mT#�3�?� � jaS (b) Social workers who believe that a social work colleague' impairment interferes with practice effectiveness and that the colleague has not taken adequate steps to address the impairment should take action through appropriate channels established by employers, agencies, NASW, licensing and regulatory bodies, and other professional organizations. I would ask the Physician if there are any generic brands of the medications that are prescribed and recommended. 1. This given the patient’s lifelong habit of drinking, the patient’s family history of alcoholism, and the deep previous alienation between the patient and his wife. She has two children, a son, Matt, who is 17 and has Crohn’s disease, and a daughter, Joanne, who is 15. They may be able to apply for Medicaid or other government health assistance programs. In this case, it appears that the sessions have progressed over a period of time. Apply ethical standards to case studies. Pass the LCSW, LMSW, LICSW, LGSW, and LSW exam. The individual in need of medical services must be the priority in a healthcare setting. Registered Office: The Elmhirst Centre, Dartington Hall, Totnes TQ9 6EL The Dr. chose the latter. Medical social workers, no matter the setting, must be skilled and knowledgeable about resources to adress the complicating psychosocial factors of a patient and family’s pesentation, and this has become an essential component of hospital social work practice today. For example, in one vignette, a medical doctor unilaterally decides to discharge a 62 year old female patient to home, completely ignoring the medical social worker’s plan to place the patient, who was incontinent and in restraints, in a nursing home (Dziegielewski, 1998, pages 4-6). Her more recent episodes related to her parents’ marital problems and her academic/social difficulties at school. Educating the family and giving them a little information would be helpful in their process and understanding of what resources they will need. The case studies represent only some aspects of the wide range of work carried out by social workers today. It is not an intake interview, an assessment, or a psychosocial history. The role of the social worker is to ensure the family is well taken care of. Case of Taylor. Worker and Officer arrived at the home and found Ms. Mason, Aaron and Amber at home. In my eyes, the holistic approach requires us to consider all the systems affected by the crisis. I would provide them with contact information for the SW or outpatient personnel that would assist with this matter. Change ), You are commenting using your Facebook account. I would encourage the parents to apply for Chips by providing them with an application and contact information. h�b```f``����� ��A��X��, M�x]``X� "ä8am��BG�v������U�����1�A h�{�����\��y\3��pq)hr�d|�[r��*�FvfW1 ���`�n� s��4 �0 �O� I definitely agree with Dr. Judd’s comments about social working in the ER but, I thought and hope that it makes sense that since we, as social workers are supposed to have an holistic approach in assisting others overcoming their challenges the above descriptions of Ms. Massey and mine with the other group is reasonable accurate. The family may also qualify for a payment plan at the hospital. 8. The students are given an opportunity to review this … Thirty five year old woman self referred for therapy; reports during the 4th session that she has been suicidal over the past several days. Social sciences practice passage questions Clinical vignette of an adult psychiatric patient Google Classroom Facebook Twitter social workers’ conduct, and to serve the following purposes (NASW, 2008): 1. The SW is there to be an advocate but also me the mediator between the client and the hospital. The Code identifies core values on which social work’s mission is based. This determination is based on the assessment completed by the SW with the client and the parents and how prepared the parents are to meet the recommendations made by the Interdisciplinary Team. 828 0 obj <> endobj Elana tripped and fell into the campfire and sustained a 3rd degree burn on her upper thigh. All three attend the elementary school and are doing well. Mdm Tan's case can be closed after all members of the interagency team agree to close the case as and when they feel that the family is ready to work without caseworkers. These vignettes illustrate how multiple protective factors support and strengthen families who are experiencing stress. Change ), This is where social work students in a health care course at Texas A&M-University Commerce post discussions, Social Work Across the Continuum of Healthcare, KSAs (knowledge, skills and abilities) of Social Workers in Different Health Care Settings, Roles of Social Work in Health Care: Discussion, KSAs (knowledge, skills and abilities) of social workers in Different Health Care Settings, KSAs (knowledge, skills and abilities) of Social Workers in Different Health Care settings, Roles of Social Work in Healthcare: Discussion, School of Social Work Forum - Texas A&M Commerce: Dr. Judd, SOCIAL WORK ACROSS THE HEALTH CARE CONTINUUM. Robert Baral**COUNSELING**case study– Substance Abuse**3/01/2004 AD**page 4 effectiveness of therapy in this case. Taken from Patterson, C. W. (1981). 864 0 obj <>stream Get started here. endstream endobj 829 0 obj <. With transportation concerns, I would discuss the matter with the outpatient clinic in order to ensure that transportation could be provided for the family. Then answer the questions at the end of the exercise. First the SW will need to ensure that the family understands the diagnosis by the Physician and the Physician(s) recommendations regarding treatment post discharge. Elana is the client; however, the SW will also need to address the needs of the family. Case Study Vignette. In this scenario: Elana is the client. (NASW Provider ID # 886398989). Her medical needs should come first and foremost. Next, most vignettes have more than one ethical issue that can be addressed. Presenting Problem. I would also discuss any concerns regarding being able to ensure that the child receives the proper care post discharge such as being unable to afford medications, provide transportation to the outpatient clinic, and/or afford the emergency room costs. OHR assessment worker contacted law enforcement as a safety precaution. the students are provided with a written case vignette that includes a reason for the social work referral and learning objectives. Discharge Planners Group. I would also discuss any other concerns of the parents, if mentioned, such as needing healthcare insurance for their other children. contact hours by the National Association of Social informed consent material. Elana tripped and fell into the campfire and sustained a 3rd degree burn on her upper thigh. How best to help the distressed client and her son? Case Studies. I think the role of a SW is very important in a hospital setting to make the experience smoother for the families and the hospital. Eve’s mother died four years ago, and her father, Geoff, lives close by. Scenarios & Case Studies Scenario 1 An intervention has just been done on this 45 year old Dr. He/she has been given the option of termination and being reported to the police for diversion of narcotics “a criminal action” or taking leave time and going to treatment. After talking to her by phone nightly for several weeks, he now refuses her calls and is cold and remote at work. There are a few factors to consider in deciding whether a social worker should self disclose. I would also encourage the parents to look at the Affordable Health Care Act and any other options for medical insurance for themselves and provide them with resource numbers such as 2-1-1. Child welfare case studies, real-life stories, and scenarios. For lots more vignette practice covering the wide range of material that can appear on the social work exam, try our full-length practice tests. 0 Hospice Social Work and Caregiver Stress Case Study Practice issues related to who is the primary client, family-focused care, and strategies to prevent caregiver burnout are illustrated in this case study, which could be used in practice courses at the generalist practice level. Jennifer, a social worker at a hospital emergency rooom is working with the Rodriquez family who recently moved to the area. Remember you are seeing Elana in the Emergency Department, which means this is a very time limited situation. ... She has been doing much of the case management work, e.g. Evaluating all aspects will be what determines where the family can turn to for help and options. ( Log Out /  Joe Rende The one that communicates what’s going on both sides. 3. The next step would be to see what resources are needed. Regarding Dr. Judd comment, she expressed a similar one for the note that I composed for my group in the discharge planners. Earn 1.00 CE Credits. 2. 279756 VAT No. The family would need to see what benefits they qualify for with their current income. (1) Who is the client here? By Marlene I. Shapiro, LCSW. Ms. Mason stated that Mr. Jones doesn't get home from work until 5pm. I completely agree with Ms. Massey comments. Medical social work (specifically hospital SW) creates numerous dilemmas and it is important for the SW in this setting to be able to focus on immediate needs and not get bogged down in numerous psycho-social issues that may be long-standing and did not disrupt the family prior to the illness or injury. The children were briefly placed on … ( Log Out /  Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. Challenges and Variability in Treatment Response.

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