SOCW 6121 Wk 3 Responses

  

***Each response needs to be ½ page or more*** RESPONSE 1 

Respond to a colleague’s intervention choice that differs from yours. Contrast the underlying theories of the two interventions.

Colleague 1: Amanda

he Levy family is struggling with Jakes PTSD. Jake was a veteran who has returned to civilian life and is now trying to cope with the trauma and the acclimation back into a daily routine with his family. Jason is isolating himself from his family by spending time alone in a dark room watching television and drinking alcohol to the point of being drunk. He wakes up every morning with a hangover, and this is now affecting his ability to go to work and provide for the family. Mrs. Levy is concerned with his behavior and tells Jason that the children are aware that he is “sick” every morning sue to his excessive drinking (Laureate Education, 2013). It is evident that Jake is not sleeping, drinking excessively to the point of being hungover the next day and from depression and anxiety, which is evident in his isolation from the family. Evidence-based practice when working with clients who have PTSD and family members who are feeling the effects of it is the most effective form of treatment. Choosing which EBP to apply toward the family will depend on the social worker’s preference and the issues that the family is facing. It will also be determined by the personalities and age range of the family members.

In the case of the Levy family the EBP I chose to use to help the family would be solution focused brief therapy. SFBT uses the strength approach and the assumption that clients have the knowledge, strength, skills, and insights to solve their own problems (Holosko,2013). It is essential that the social worker is also mindful of the four underlying assumptions of this therapy that include: realizing that each client and family is unique, clients have the strengths and resources to achieve goals. Change within the family, client and situation are always evolving and that sessions with clients should focus on the present and the future, not the past. I would use this because of the client needs to work on issues of alcoholism, depression, and anxiety that is being caused by the PTSD now. He also needs to be able to realize how this will impact his future with his family if he does not get help. Mrs. Levy also needs to let go of the past and focus on the present and the future. In the media piece, she mentions Jake being the person that he used to be. Mrs. Levy needs to realize that Jake will forever be changed by his experiences. I believe that bringing the children into this therapy also prepares them for the father they have now and give them a better understanding of what he is going through. The SFBT model is also client directed and involved meaning that the goals are stated by the client, and the social worker and the client come up with different possibilities in order to achieve these goals.

Reference

Holosko, M. J., Dulmus, C. N., & Sowers, K. M. (2013). Social work practice with individuals and families: Evidence-informed assessments and interventions. Hoboken, NJ: John Wiley & Sons, Inc.

Laureate Education. (Producer). (2013c). Levy (Episode 1) [Video file]. In Sessions. Baltimore, MD: Producer. Retrieved from https://class.waldenu.edu

Colleague 2: Farren

In the Levy case study, Jake has been diagnosed with PTSD and currently has a substance abuse issue with alcohol. His PTSD symptoms and substance abuse is not only affecting him but is also affecting his family as his wife Sherri appears to be very frustrated with his depressive episodes, drinking, and also mood swings that would “set him off” (Laureate Education, 2013). Levi has decided to seek help from the VA where his therapist is working with him on decreasing his PTSD symptoms and he is also attending AA meetings and group sessions. He and his wife are also attending couples therapy as both are learning how to appropriately deal with Jake’s diagnosis and both developed a plan to that would improve communication between the two (Laureate Education, 2013).

One evidenced based intervention that might help Jake and his family would be trauma focused cognitive behavioral therapy. TFCBT has been found to be very beneficial as it decreases PTSD symptoms such as depression and irritability as it focuses on stimulus confrontation and cognitive restructuring (Seidler & Wagner, 2006). This intervention can be implemented in an individual session or group session and its underlying theory focuses on changing a person’s thought process which will lead to behavioral changes. This intervention would work well for the Levy family as it would help decrease Jake’s PTSD symptoms (depression and anxiety) which would also contribute to decreasing his drinking as well as the help from the AA meetings. With Jake’s PTSD symptoms decreasing, it could improve communication and interactions with his family as he would be more open to communicating more with them and won’t tend to be irritated so easily or isolate himself from everyone. I chose this intervention due to the efficacy that it provides for those who suffer from PTSD. Like Solution Focused brief therapy, TFBT has shown positive results in managing PTSD symptoms (Holosko, Dulmus, Sowers, 2013).

References,

Holosko, M. J., Dulmus, C. N., & Sowers, K. M. (2013). Social work practice with individuals and families: Evidence-informed assessments and interventions. Hoboken, NJ: John Wiley & Sons, Inc.

Laureate Education. (Producer). (2013c). Levy (Episode 1) [Video file]. In Sessions. Baltimore, MD: Producer. Retrieved from https://class.waldenu.edu

Seidler, G. H., & Wagner, F. E. (2006). Comparing the efficacy of EMDR and trauma-focused cognitive-behavioral therapy in the treatment of PTSD: a meta-analytic study. Psychological medicine, 36(11), 1515-1522.

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