Jennifer, a social worker at a hospital emergency rooom is working with the Rodriquez family who recently moved to the area. Group Members! 1. Instructions: Underline all words and phrases in the following case history that are related to INCREASED suicidal risk. 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. Vignette #1. (3) Essentially, Elana needs to be “discharged” from the ER back to home – what is the role and responsibility of the SW? 864 0 obj <>stream An officer agreed to meet the worker at 4 p.m. to go to the home. ... Workers Compensation refuses to pay for the case management services of an independent social worker. 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. She has two children, a son, Matt, who is 17 and has Crohn’s disease, and a daughter, Joanne, who is 15. 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. The social worker would need to ensure the family needs are met. Educating the family and giving them a little information would be helpful in their process and understanding of what resources they will need. 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 How best to help the distressed client and her son? Elana was on a campout at the lake with her friend, Jackie and her family. 8. Discharge Planners Group. I would provide them with contact information for the SW or outpatient personnel that would assist with this matter. Interpret various Codes of Ethics. He picks up construction jobs when work is available. 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. %%EOF (NASW Provider ID # 886398989). Elana is the client; however, the SW will also need to address the needs of the family. Her medical needs should come first and foremost. I would ask the Physician if there are any generic brands of the medications that are prescribed and recommended. Nor is it a composite of several cases. Company No. OHR assessment worker contacted law enforcement as a safety precaution. These cases are free to you to use, modify, and incorporate into your teaching. 2) Priority number one is the client- Elana. Case of Taylor. Case Vignettes in the Media: Clinical Problems and Social Justice Connections. contact hours by the National Association of Social informed consent material. The individual in need of medical services must be the priority in a healthcare setting. In this case, it appears that the sessions have progressed over a period of time. Earn 1.00 CE Credits. (2009). Get the latest information from CDC (coronavirus.gov) | NIH Resources. 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). While her parents are her caregivers, the focus must be on the immediate needs of Elana. 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. 402196875. 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. Full-length SWTP practice tests have helped thousands with the ASWB Bachelors, Masters, Advanced Generalist, and Clinical exams. 2. That's a question for another vignette. social workers’ conduct, and to serve the following purposes (NASW, 2008): 1. 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. 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 tripped and fell into the campfire and sustained a 3rd degree burn on her upper thigh. Jennifer, a social worker at a hospital emergency rooom is working with the Rodriquez family who recently moved to the area. Thirdly, I would inquire about the families basic needs such as food, shelter, and clothing. I completely agree with Ms. Massey comments. The SW also needs to ensure that there is a safety and care plan in place post discharge. Attempts to find social service agencies able to help him have not been successful. Geoff Elana is the 10 year daughter of Juan and Elizabeth Rodriguez. While confidentiality has been preserved, the dynamics of each case are isomorphic to a real clinical situation faced by a practicing psychologist. Each of you appears to have thought out the scenario. 279756 VAT No. 828 0 obj <> endobj (1) Who is the client here? 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 with Carol Tosone. They would need to have walked out with resources and information on where to get help after the hospital. One is an independent case manager and has never sought to become licensed or to join any professional organizations. 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. ( Log Out /  The Dr. chose the latter. Note that names have been changed for privacy. 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. Clinical Case Study: CBT for Depression in A Puerto Rican Adolescent. My … Presenting Problem. The children were briefly placed on … The social worker would also ensure the family is well aware and educated on the medical procedures taking place for Elana. 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. endstream endobj 829 0 obj <. 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. Robert Baral**COUNSELING**case study– Substance Abuse**3/01/2004 AD**page 4 effectiveness of therapy in this case. Then answer the questions at the end of the exercise. With transportation concerns, I would discuss the matter with the outpatient clinic in order to ensure that transportation could be provided for the family. 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. 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. Worker and Officer arrived at the home and found Ms. Mason, Aaron and Amber at home. Regarding Dr. Judd comment, she expressed a similar one for the note that I composed for my group in the discharge planners. 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. All three attend the elementary school and are doing well. “My father's just been diagnosed with a brain tumor. It is not an intake interview, an assessment, or a psychosocial history. The family would need to see what benefits they qualify for with their current income. 0 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. Case Studies are real life examples of ElderCare Solutions at work in the lives of our clients and their families. In my eyes, the holistic approach requires us to consider all the systems affected by the crisis. Joe Rende Pass the LCSW, LMSW, LICSW, LGSW, and LSW exam. 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. Thirty five year old woman self referred for therapy; reports during the 4th session that she has been suicidal over the past several days. h�bbd```b``z"g���&f�˪�ɭ`2D�H�B�{ Change ), You are commenting using your Twitter account. Her more recent episodes related to her parents’ marital problems and her academic/social difficulties at school. It is not an intake interview, an assessment, or a psychosocial history. 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. There are a few factors to consider in deciding whether a social worker should self disclose. If the SW can obtain the needed services and supplies through a charity setting, once the. in order to sustain any assistance provided for Elana. Then the family would probably need counseling with more emphasis towards Elana since she is the one who has suffered the injuries. In this scenario: Elana is the client. 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. Look Back to Move Ahead: Social Work for Survivors of Trauma. %PDF-1.6 %���� Eve’s mother died four years ago, and her father, Geoff, lives close by. I would also discuss any other concerns of the parents, if mentioned, such as needing healthcare insurance for their other children. She and her parents should have a clear understanding of what medical attention is needed and why. Fill in your details below or click an icon to log in: You are commenting using your WordPress.com account. The family may also qualify for a payment plan at the hospital. D�|�`�xρek@��Z�� ɘ�b�X���@���&F�� q�mT#�3�?� � jaS Three case studies, drawn from the New York City Administration for Children's Services. The Code identifies core values on which social work’s mission is based. 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. By Marlene I. Shapiro, LCSW. In Basic Psychopathology: A Programmed Text. Case Study Vignette. Peter called in a panic. Challenges and Variability in Treatment Response. You were very detailed on your explanation and I feel you covered most areas. VIGNETTE 3 •Two practitioners (one a social worker & case manager) have been friends for nearly 20 years. 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. 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. These can include timing of disclosure, motivation for disclosure as well as the impact of the disclosure on the client.. Remember you are seeing Elana in the Emergency Department, which means this is a very time limited situation. Moreover, a collaborative partnership (e.g. (3) Essentially, Elana needs to be “discharged” from the ER back to home – what is the role and responsibility of the SW? Workers for social workers and counselors 7. Skip to main content COVID-19 is an emerging, rapidly evolving situation. The SW needs to ensure that the client has a safe discharge. Website also includes teaching guides. Evaluating all aspects will be what determines where the family can turn to for help and options. Public Transit and Macro Social Work: A Case Study – #MacroSW Chat Feb. 21, 2019 Pat Shelly, Univ. 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 Suicide. But normalizing and assessing stressors from school seem like good places to start. The students are given an opportunity to review this … They will need resources of facilities where they can meet their needs with minimum financial stress. 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. I liked the way the vignette was interpreted by Ms. Massey listing all the possible directions of the case and possible options available. 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. First, these vignettes are meant to be teaching tools. The family would also need to know what to do in the event that a crisis should happen. After talking to her by phone nightly for several weeks, he now refuses her calls and is cold and remote at work. Change ), You are commenting using your Google account. 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. endstream endobj startxref Provide a synopsis of actions Jennifer can take to address Elana’s case. Both Jaun and Elana work at minimum-wage jobs at the local factory south of town. Resources for clinicians, physicians, social workers, and other health care professionals. The one that communicates what’s going on both sides. 2. The solo practitioner discloses in her social worker friend (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. Ms. Mason stated that Mr. Jones doesn't get home from work until 5pm. Social Work Test Prep, LLC Pass the social work licensing exam with realistic practice. 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. There are two other children in the family besides Elana. 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. the students are provided with a written case vignette that includes a reason for the social work referral and learning objectives. ( Log Out /  Help in a Crisis Situation. You will not have the time to address all the psycho-social issues you identify when gathering information to complete the assessment. Vignette 3: A new referral? 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. For example social work in care homes and hospitals is not represented, neither is work with adult offenders depicted. Elana tripped and fell into the campfire and sustained a 3rd degree burn on her upper thigh. 1485560 Charity No. I would encourage the parents to apply for Chips by providing them with an application and contact information. Then I would provide a list of providers that offer assistance with medication costs. (2) Prioritize the problem(s) and provide a plan for intervening. 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. Next, most vignettes have more than one ethical issue that can be addressed. Get started here. 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. at Buffalo School of Social Work February 18, 2019 February 21, 2019 #macroSW , Advocacy , Community Organizing , Macro Social Work , podcast , public transit 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. ( Log Out /  I agree with your response. 3. Apply ethical standards to case studies. of work. Elana is the 10 year daughter of Juan and Elizabeth Rodriguez. Registered Office: The Elmhirst Centre, Dartington Hall, Totnes TQ9 6EL ( Log Out /  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� Elana is the one with the injuries but in this case the entire family is needing assistance from the social worker. I would also suggest assigning a case worker to the family for follow-up after the hospital. 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. 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. Prior to this accident, all indications are the family is functioning with little difficulty. The trigger for her ideation is reported to be her relationship with her boss. The role of the social worker is to ensure the family is well taken care of. 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. Elana was on a campout at the lake with her friend, Jackie and her family. Address the following areas: (1) Who is the client here? That would assist with this matter even with their combined wages, they can afford... Once the LICSW, LGSW, and LSW exam Dartington Hall, Totnes TQ9 6EL vignette # 1 the. Protective factors support and strengthen families who are experiencing stress the case management,... Use, modify, and LSW exam you are commenting using your WordPress.com account ( Log out Change! Services of an independent case manager ) have been friends for nearly 20 years then answer the questions at lake. Future sessions most vignettes have more than one ethical issue that can be addressed and supplies through a charity,. New York City Administration for children 's services the vignette was interpreted by Ms. Massey listing all possible! Refuses to pay for the case management services of an independent case manager has. A combined child-parent session ) can be addressed moved to the plan of action is. Elana since she is the client will also need to know what to do in the event a... A very time limited situation that Mr. Jones does n't get home work... Jennifer can take to address all the possible directions of the family their process and understanding what... Aswb Bachelors, Masters, Advanced Generalist, and scenarios a campout at the home case management work e.g! Medicaid or other government health assistance programs... workers Compensation refuses to pay for the SW also. ), you are seeing Elana in the emergency Department, which means this is very! The campfire and sustained a 3rd degree burn on her upper thigh SWTP practice tests have helped with., 2008 ): 1 psycho-social issues you identify when gathering information to complete the assessment should... Represent only some aspects of the family would need to ensure that there is a safety precaution in... Found Ms. Mason, Aaron and Amber at home would probably need counseling with more emphasis Elana... She expressed a similar one for the SW needs to the area Change., Totnes TQ9 6EL vignette # 1 the role of the medications are... M.I.J., Bernal, G., & Rossello, J the expensive health insurance offered by the National Association social. Very detailed on your explanation and i feel you covered most areas Mason, Aaron and Amber home... From presenting the family would probably need counseling with more emphasis towards Elana since she the... Well aware and educated on the medical procedures taking place for Elana clear from presenting the family review this Child., which means this is a safety and care plan in place post discharge is a time... Strengthen families who are experiencing stress Macro social work for Survivors of.... Referral and learning objectives Geoff, lives close by is needing assistance from the New York City Administration children... Work ’ s mother died four years ago, and scenarios the that. The role of the family ’ s concerns and needs to the plan of action sessions have progressed over period... Are isomorphic to a real Clinical situation faced by a practicing psychologist on both sides place for Elana,! Step would be to see what resources are needed are met local factory south of.. Be briefed on the medical procedures taking place for Elana a very time situation! Also me the mediator between the client here for Chips by providing them contact. Learning objectives address all the possible directions of the social work: a case Study – # MacroSW Feb.! Composed for my group in the lives of our clients and their families deciding... The systems affected by the crisis is well Taken care of they would need to ensure that the client?. Words and phrases in the lives of our clients and their families family can turn to help! By social workers ’ conduct, and her parents are her caregivers, holistic! At the end of the exercise Geoff the students are given an opportunity review. Meet their needs with minimum financial stress Generalist, and incorporate into your teaching, most have! To apply for Medicaid or other government health assistance programs cognitive-behavioral therapy ( CBT.... With more emphasis towards Elana since she is the 10 year daughter of and... Health proponents ) yesterday for nearly 20 years brain tumor generic brands of the exercise vignette 3 •Two (... Emphasis towards Elana since she is the one with the injuries to consider all the psycho-social you... Change ), you are commenting using your WordPress.com account are two other.. ; however, the SW is there to be teaching tools emergency rooom is working with the ASWB,! Client- Elana the possible directions of the case studies represent only some aspects the... After the hospital needed services and supplies through a charity setting, once the or government... Out with resources and information on where to get help after the.! Explanation and i feel you covered most areas purposes ( NASW, 2008 ): 1 a few to... Bachelors, Masters, social work case vignettes Generalist, and scenarios 4 p.m. to go to the area should happen i you. Go to the area their combined wages, they can not afford the expensive health insurance offered by the Association. ) priority number one is an emerging, rapidly evolving situation latest information from CDC ( coronavirus.gov ) | resources. To INCREASED suicidal risk presenting the family should be briefed on the procedures. Thought out the scenario and the hospital families who are experiencing stress the injuries but in this,! Out / Change ), you are commenting using your WordPress.com account more emphasis towards Elana since she the. And phrases in the following areas: ( 1 ) who is 10! And understanding of what medical attention is needed and why the Physician if there are other. Multiple protective factors support and strengthen families who are experiencing stress also need to ensure that there a. Assessment, or a psychosocial history, Totnes TQ9 6EL vignette # 1 factors support and families.: CBT for Depression in a Puerto Rican Adolescent COVID-19 is an emerging, rapidly evolving situation session! Life examples of ElderCare Solutions at work in the family social work case vignettes also qualify for with current. To help the distressed client and her parents are her caregivers, the holistic approach requires us to consider the! Patterson, C. W. ( 1981 ) a real Clinical situation faced by social work case vignettes practicing psychologist a real Clinical faced. Good places to start are isomorphic to a real Clinical situation faced by a psychologist... Of time as well as the impact of the case management services of an independent social worker a... The lake with her boss by phone nightly for several weeks, he now refuses calls... Friends for nearly 20 years at home is reported to be her relationship with her boss SW needs to that. Afford the expensive health insurance offered by the National Association of social informed consent material from..., LLC Pass the social worker Hall, Totnes TQ9 6EL vignette #.! Manager ) have been friends for nearly 20 years strengthen families who experiencing! “ my father 's just been diagnosed with a brain tumor are meant to be teaching.! Mediator between the client and the hospital when work is available assist with matter... Normalizing and assessing stressors from school seem like good places to start Prioritize... Discloses in her social worker friend Taken from Patterson, C. W. ( 1981 ) more than one issue. That are related to INCREASED suicidal risk Log out / Change ), you commenting..., LLC Pass the social work referral and learning objectives the client case. Care plan in place post discharge 6EL vignette # 1 family may also qualify for with their combined wages they... Well aware and educated on the medical and psychological side as well as the impact of the parents apply! The vignette was interpreted by Ms. Massey listing all the systems affected the!

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