Preview

Darlene's Interaction With Intrusive Monitoring At Walden Home

Good Essays
Open Document
Open Document
849 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Darlene's Interaction With Intrusive Monitoring At Walden Home
Trauma-informed care was one concept which agencies can implement into their practices, training, policies, and procedures to help minimize the effects of stigmas towards clients who are presenting with co-occurring mental health and substance use disorders with a presence of trauma. Harris and Fallout (2012) outline a trauma theory to help agencies create a trauma-informed practice which can help agencies provide client-centered substance use treatment. For substance use treatment, Harris and Fallout (2012) states that shaming, confrontation, intrusive monitoring, and demanding acquiescence to a higher authority are contraindicated for substance use treatment. Unfortunately, the contraindicated measures present in Darlene’s interaction with …show more content…
When Mike left a crystal and love note for another client, he was supported to staff and residents and confronted about his actions. Through supporting, intrusive monitoring became a foundational aspect of the Walden House program which was enacted by all members of the program. Demanding acquiescence to a higher authority can also be seen by the group dynamics. Highly structured and rigorous, the demanding and disciplined nature of the program became the higher authority which clients turned to, hoping to change their substance use habits and behaviors. The contraindicated practices which existed within the structure of the Walden House program created barriers which may have ultimately contributed to Mike’s …show more content…
Integrative explanations could have helped the intake receptionist at The Haight Ashbury Place Free Clinic know that the defensiveness exhibited by Darlene may have been due to a history of being turned away, making her feel the need to be defensive in case of rejection. Integrative explanations could have helped the receptionist to understand that Darlene’s loud voice could be a result of the methamphetamine she was using or her desire to be louder than the voices she was hearing. A knowledge and understanding of the intersections of mental health, substance use, and trauma could have provided the receptionist the ability to take a deep breath and meet Darlene where she was at instead of creating a power

You May Also Find These Documents Helpful

  • Good Essays

    Maria's Case Summary

    • 131 Words
    • 1 Page

    In the first meeting with the client and the family members, the writer would start the session off by engaging with each member and introduce his role as a social worker and getting to know their names. The writer would then review the information provided in the intake application. This information allows the writer the chance to gain an understanding of Maria’s history, her needs, and the reason for why she ended up in counseling. This can help the writer in his assessment and treatment plan because by understanding the needs and history of the client the writer can then eliminate the behavior which in Maria’s case can be multiple different behaviors. In addition, the writer would also gain an understanding of the family dynamic to determine…

    • 131 Words
    • 1 Page
    Good Essays
  • Good Essays

    The book “Hooked” by Dr Lonny Shavelson is a fascinating read regarding the rehabilitation of 5 individuals (Mike, Darlene, Crystal, Darrell, and Glenda) dealing with heroin, meth, crack, and alcohol abuse. In the memoir, Dr Shavelson follows these 5 participants through their everyday dealings with the network of recovery facilities in San Francisco during the “open-door” policy implemented in the 1990’s, allowing addicts to seek treatment if they wanted. From what I gather, he noticed the chaotic nature of these participants replicated and correlated the with chaotic nature of the rehabilitation system in San Francisco during that time. In the following paragraphs, I will attempt to explain the issues related to alcohol and substance abuse…

    • 594 Words
    • 3 Pages
    Good Essays
  • Satisfactory Essays

    Your prior experience with psychiatric patients is clearly advantageous in your nursing practice and this skill translates to any patient or family member who is escalating, regardless of the setting (Hallett & Dickens, 2015). Furthermore, in the labor and delivery setting there are numerous situations in which patients or their families may become agitated and require therapeutic communication to assist them in allaying their fears or anger. In addition, your ability to not only remain fully engaged with your patient, and assure that all of her medical needs were met was extremely skillful (McGonigle & Mastrian, 2015). In emergency situations, making the effort to calmly assure the patient and family may…

    • 156 Words
    • 1 Page
    Satisfactory Essays
  • Satisfactory Essays

    BSHS 405 Week 5 DQ 1

    • 390 Words
    • 2 Pages

    This pack of BSHS 405 Week 5 Discussion Question 1 shows the solutions to the following problems: What strategies can be used to involve a client in the treatment process? Why is client involvement so important?…

    • 390 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    Unfortunately, there is a commonality that each treatment provider is faced with a client that only has one single issue. However, in this example, the client has more than one issue ranging from substance abuse to mental illness to homelessness. The provider will then need to determine if the client will need additional assistance with other issues that may be outside our scope of practice. For example, if the provider is working in a substance abuse treatment program the primary focus is helping the client to stop using drugs and/ or alcohol. As the client is no longer supposed to use substances or drink, the client can no longer reside in an environment where substances and/or alcohol are being used; this can become a trigger for the client and risk the client’s sobriety and recovery. This client is now homeless and will need assistance with housing. As the client continues in sobriety the treatment provider may notice that the client appears to be struggling with mental health issues that have not been previously diagnosed; this client will now need to be referred to a mental health provider for further evaluation and possible medication management. The provider has been made aware of these arising situations through communication and effective listening skills while interacting with the client in the group and individual therapy process. The provider will need to be aware of the client’s verbal and non-verbal cues as the clients’ affect may be incongruent with the current situation. The provider will also need to be aware of the client’s cultural issues as treatment may cause the client to have stigmatization within his or her family…

    • 1253 Words
    • 6 Pages
    Better Essays
  • Good Essays

    Case Study Rosie

    • 1089 Words
    • 5 Pages

    Rosie is a client that came in on her own seeking help to help with her drinking habits, she has realized that they have put her in dangerous situations. Also her bad habits could affect her in the long run while she is pursuing a career in social work.…

    • 1089 Words
    • 5 Pages
    Good Essays
  • Good Essays

    Spaulding stated it’s important for someone who is dealing with substance abuse to change people, places, and things that he did while using. If not, that person will find himself being triggered either psychologically, behaviorally, or emotionally that will cause him to use or want to use again. Dr. Spaulding stated certain substances are difficult to withdraw off of, even after someone has received detox treatment. Dr. Spaulding also informed me that someone who is recovering from substance abuse is usually advised not to make any major decisions within the first year of getting clean. He stated it’s imperative for someone in recovery to follow certain steps; from his experience in the prison, most of them have been court ordered to attend ninety meetings in ninety days and get a sponsor. Dr. Spaulding reported it’s important to get the family involved in family treatment to address family dysfunction, and that family-related stress is the leading cause of…

    • 836 Words
    • 4 Pages
    Good Essays
  • Better Essays

    Research Article Critique

    • 1237 Words
    • 5 Pages

    The objective of this study which was conducted by two professors at Witchita State University, Cathleen A. Lewandowski and Twyla J. Hill was to evaluate whether social and emotional supports influenced the successful completion of drug treatment amongst women. The study was conducted in a non-profit agency which provided comprehensive drug abuse treatment in programs that were specifically designed for women. Although the facility in which the study took place was comprised of various levels of care such as: residential treatment, intensive outpatient treatment, and outpatient treatment, this study focused on women’s completion of the 30-day residential program in particular. I believe this article targeted professionals that work with this population. The article was easy to understand and it used factual information to help substantiate their views.…

    • 1237 Words
    • 5 Pages
    Better Essays
  • Powerful Essays

    As abuse can be something that has the potential to affect an individual throughout their lives, I feel it is a subject that demands consideration, safe and ethical practice and a great deal of self awareness on behalf of the therapist in order to avoid actions that could prove counterproductive, invasive or even damaging (to the therapist’s life as well as the client’s). I feel that helping to facilitate change for a sufferer of abuse is an important role to play in a person’s life and could therefore have the potential to be both very rewarding and also extremely draining for a therapist if the appropriate considerations are not met.…

    • 2946 Words
    • 12 Pages
    Powerful Essays
  • Good Essays

    Watching this case study gave me an insight in how different psychological disorders interfere and are associated with one another, making multiple disorders critical for the person. I also realized how someone’s substance abusive issues affect the people related to the person with the disorder. Not only did the disorders affect the people related to Amber, but it also backfired and ruined Amber’s relationship to the people she cared about. Another important factor I learned from this case study is how communication…

    • 1316 Words
    • 6 Pages
    Good Essays
  • Good Essays

    Dd Alternate Hypothesis

    • 1422 Words
    • 6 Pages

    It can impact you in childhood and adulthood and comes in the form of any life-threatening event such as; tornado, fire, natural disaster, death, car accident, abuse, neglect, threatening illness, domestic violence among many other things and can occur at home, in the community and in schools (Mulvihill, 2005). Trauma can be something that happens to you directly or witnessed by you and carries a lasting emotional setback. Posttraumatic stress disorder (PTSD) involves symptoms that persist for a month or longer after the initial traumatic experience (Brady, Beck & Coffey, 2 use). When exploring the relationship between PTSD and substance use disorders (SUDs) similarities and differences were found among gender persons reporting substance abuse issues. In this study, the data revealed men with PTSD were 5 times more likely and women with PTSD were 1.4 times as likely to abuse substances with the most common trauma from PTSD and SUD involved sexual and/or physical abuse, with emotional abuse and neglect being second (Brady et al. (2004). Most reported experiencing multiple traumas across the lifespan. Ouimette, Read, and Brown (2005) studied 120 patients seeking in-patient SUD treatment upon admission and discharge from private university-affiliated hospital. Patients were measured for exposure to traumatic events in seven categories: family violence, serious disaster, sudden death of loved one, physical assault,…

    • 1422 Words
    • 6 Pages
    Good Essays
  • Satisfactory Essays

    I am the sister of a recovering addict. My brother attends group every Friday for his addiction and to find new ways in helping with his dependency on drugs. Every now and then, the families of the recovering addicts are asked to attend a group meeting. So, recently my mother, sister, and I attended a group meeting with my brother. I have been to so many meetings with my brother that I normally know how things are going to go, but this group meeting went differently this time.…

    • 391 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Hyde, P. S.: Substance Abuse and Mental Health Services Administration. (2013). Testimony Before the Senate Health, Education, Labor, and Pensions Committee Hearing on "Assessing the State of America’s Mental Health System." Retrieved from http://www.help.senate.gov/imo/media/doc/Hyde1.pdf…

    • 2106 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    When a counselor has a new client they are working with, the client has to be assessed. When being assessed the counselor has to determine what issues the client may have. Through being assessed, the counselor may come to realize the client has more than one issue which is called co-occurring disorders. At this point the client will have to be treated for more than one disorder to effectively overcome the problems they are facing. Within this paper one will locate the prevalence of co-occurring disorders, mental health and substance abuse or dependency.…

    • 886 Words
    • 4 Pages
    Good Essays
  • Good Essays

    orward. I also know that each of my clients have different addiction with drugs that affects th…

    • 776 Words
    • 5 Pages
    Good Essays