The Focus of Treatment - Free Essay Example

Introduction

When working with Paula, several issues ought to be taken into consideration, and this is owing to her present behavior, past behaviors as well as a history of past traumatic events. One of the traumas that are of significant concern for Paula is that she experienced past physical and emotional abuse from her parents when living with Columbia. Of concern also is that she lost custody of her son when he was only eight years old, and this was owing to her non-compliance in taking her prescription for medical conditions and substance abuse.

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Thirdly Paula had a long history of substance abuse as well as having partners who also were users. It can be determined from the case that Paula's former husband, David, was a drug addict, leading to their divorce after Paula got clean. Fourthly Paula has been diagnosed with multiple medical disorders as well as a mental ailment, and she refuses to adhere to the prescribed medication. The fifth concern is that Paula is presently pregnant. She is also too paranoid, and this puts at risk and also endangers the safety of the baby.

Additionally, her choice to cease using her medication and opt for chamomile tea on her foot ulcers is detrimental. It is also important to note that Paula is not consistent with her HIV medication, which poses grave danger to her health. She is also profoundly decompensating, explaining why she is a threat to her unborn child and herself.

The Intervention Approaches

The most appropriate intervention approach would be the social skills and self-control technique. It is a component of a single system study design, and it necessitates the tracking of a patient's behavior for approximately five days. It is the most appropriate intervention technique employed in dealing with the exhibition of multiple behavior problems like the ones presented by Paula.

From the case, Paula would benefit from an intervention that allows her to learn about self-control and interact with her peers. This kind of intervention and strength-based technique will be very advantageous for Paula as this would instill a sense of self-control and motivation. Pinpointing the strengths that she possesses would help motivate her to create her own goals, and self-tracking would guarantee that she attains them. Therefore, a single system approach will tend to focus on a specific induvial, system, family, and a specific neighborhood.

Literature Summary

The socials work activities and actions are operational at all levels and commonly incorporates some level of steps leading to cultural and behavioral changes amongst customers and or the society at large (Plummer et al., 2014). The experimental study had been proven to be effective in social work practices and with the expectation of creating some form of change or advancement. It is important to note that the experimental study comprises a group experiment and single system research (Mattaini, 2010).

According to Bruhn and his colleagues, explicit teaching of skills tailored to increase self-control is one of the components of a single system research technique aimed at improving behavioral change amongst persons suffering from severe behavior problems (Bruhn et al., 2015). Self- monitoring and control can, therefore, be defined as a cognitive behavioral technique that permits the regulation of a person's behavior. The method requires that the patient record their daily conduct and strive to reach a point of independence. Additionally, an individual must engage in the benchmarking of precise outcomes that ought to be sought to attain a permanent behavior change.

Additionally, Norris supports the notion of self-monitoring and regulation in the management of destructive and self-destructive actions (Norris, 2016). The self-monitoring and control as identify as executive functions that assist a person in assessing, recording, and monitoring their practices across several frameworks and settings. The system is straightforward as all the data needed in the assessment, such as the client behaviors, are gathered before the evaluation's initiation; this gives a clear insight into what ought to be observed. This kind of approach will be beneficial to Paula as she will pinpoint the inconsistencies in her medical regime to initiate behavioral changes.

Evaluation of The Outcomes

The current framework of this intervention is an observation as it is the most precise and direct means of assessing the outcomes. Therefore, it involved the patient being capable of monitoring and thus pinpointing patterns and any change in behavior (Dudley, 2014). However, although the system seems singular, and the patient is involved in the monitoring process, the primary practitioner is continuously making his deductions concerning the changes and behaviors that they identify themselves. Observation is, therefore, the most accurate and direct means of assessing outcomes. In this case, it comprises monitoring the patient and tracking to identify patterns of behavioral change. The observation is carried out by several individuals to increase accuracy and calculate interobserver reliability.

Validity

The measures are taken with careful observations to ensure that they are reliable. The information or data is gathered over a constrained period, and all the procedures required for formulating an accurate baseline phrase of data and the treatment stages are precisely followed. During the baseline, a set of data will be collected, and during this phase, the phrase outcomes without treatment will be determined. Additionally, during a certain point during the intervention, another set of data will be taken for assessment. The difference between the results obtained from the data will shed more light on the effectiveness of the intervention.

The Usefulness

The period measures offer an individual will have the ability to introduce interventions and any specific period to assist the patient in pinpointing casual connections. In the case of Paula, when we talk about informal relationships, we ought to take into consideration her behavior and where it is stemming from maybe he pregnancy or her fear for her partner.

Identifying the relationship between the working parts may necessitate for there to be introduced an alternative intervention to cater to the pinpointed weaknesses. The single system approach is beneficial as it gives the doctors an alternative to include the patient in developing the intervention specifically tailored to the client's needs.

Conclusion

The single study research offers experts a chance to create an intervention tailored for a particular patient and appropriate for them. Paula is a patient in an extensive healthcare facility where multiple behavioral issues make it vital to observe her actions and behavior over time. It leads to the formation of a baseline, which forms the basis for creating an intervention. The employment of observation as the assessment tool is suggested as it possesses limited subjective and inferences judgments. However, follow-ups twice a month should be emphasized based on the severity of Paula's status.

References

Bruhn, A., Mcdaniel, S., & Kreigh, C. (2015). Self-Monitoring Interventions for Students with Behavior Problems: A Systematic Review of Current Research. Behavioral Disorders, 40(2), 102–121.
https://doi.org/10.17988/bd-13-45.1

Corcoran, K., & Hozack, N. (2010). Locating Assessment Instruments. The Handbook of Social Work Research Methods, 65–74.
https://doi.org/10.4135/9781544364902.n5

Dudley, J. R. (2014). Social work evaluation: enhancing what we do. (2nd ed.) Chicago, IL: Lyceum Books.

Mattaini, M. A. (2010). Single-System Studies. The Handbook of Social Work Research Methods, 241–273. https://doi.org/10.4135/9781544364902.n14

Norris, L. A. (2016). Self-regulation Strategies for Students with Disruptive Behavior Disorders. St. Cloud State University

Plummer, S.-B., Markis, S., & Brocksen, S. (Eds.). (2014). Social work case studies: Concentration year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].

Tankersley, M., Cook, B. G., & Cook, L. (2008). A Preliminary Examination to Identify the Presence of Quality Indicators in Single-subject Research. Education and Treatment of Children, 31(4), 523–548.
https://doi.org/10.1353/etc.0.0027

Thyer, B. (2010). The Handbook of Social Work Research Methods. Thousand Oaks, CA: Sage Publications, inc.