Solved by verified expert:In order to provide the appropriate intervention, social workers first need to have conducted a thorough assessment. Having a comprehensive understanding of a client and their social environment, including the influence of racism and ethnocentrism, allows a social worker to accurately identify the presenting problems and help the client develop goals to address their needs. Not completing a full assessment may result in inaccurately identifying the presenting problem and pushing goals on the client to which they do not agree. A good assessment is the best foundation for treatment planning.In addition, evidence based practice requires social workers to use the best available evidence to inform their practice decisions. This assignment helps you prepare for the final project by beginning to identify the presenting problem and possible goals, as well as beginning the research process to inform your treatment recommendations when working with the identified client in a case study.To prepare: Conduct research in the Walden library to locate at least 1 peer-reviewed scholarly resource(s) that could inform your assessment or intervention with the case you plan to use in your final project.By Day 7Submit a 2-3 page paper in which you:Identify the case you will be using for the final projectDescribe the presenting problem(s)Describe 2 goals for the client based on their presenting problemIdentify a specific peer-reviewed article and explain how it could inform understanding of the problem/population, development of goals, or intervention and treatment planExplain how ethnocentrism and racism may influence the case (make sure to draw from this week’s assigned readings)*The Case Study chosen is attached to this question, PLEASE READ.ExcellentGoodFairPoorResponsiveness to Directions27 (27%) – 30 (30%)Assignment fully addresses all instruction prompts.24 (24%) – 26.97 (26.97%)Assignment addresses most of the instruction prompts; however, one or more prompts may have been insufficiently addressed.21 (21%) – 23.97 (23.97%)Assignment addresses some of the instructions prompts, but may have missed several prompts or did not sufficiently address the majority of prompts.0 (0%) – 20.97 (20.97%)Assignment does not address the majority of instruction prompts and/or insufficiently addresses all instruction prompts.Content36 (36%) – 40 (40%)Paper demonstrates an excellent understanding of all of the concepts and key points presented in the text(s) and Learning Resources. Paper provides significant detail including multiple relevant examples, evidence from the readings and other sources, and discerning ideas. Paper demonstrates exemplary critical thought.32 (32%) – 35.96 (35.96%)Paper demonstrates a good understanding of most of the concepts and key points presented in the text(s) and Learning Resources. Paper includes moderate detail, evidence from the readings, and discerning ideas. Paper demonstrates good critical thought.28 (28%) – 31.96 (31.96%)Paper demonstrates a fair understanding of the concepts and key points as presented in the text(s) and Learning Resources. Paper may be lacking in detail and specificity and/or may not include sufficient pertinent examples or provide sufficient evidence from the readings. Paper demonstrates some critical thought.0 (0%) – 27.96 (27.96%)Paper demonstrates poor understanding of the concepts and key points of the text(s) and Learning Resources. Paper is missing detail and specificity and/or does not include any pertinent examples or provide sufficient evidence from the readings. Paper demonstrates poor critical thought.Writing27 (27%) – 30 (30%)Assignment is well organized, uses scholarly tone, follows APA style, uses original writing and proper paraphrasing, contains very few or no writing and/or spelling errors, and is fully consistent with graduate level writing style. Assignment contains multiple, appropriate and exemplary sources expected/required for the assignment.24 (24%) – 26.97 (26.97%)Assignment is mostly consistent with graduate level writing style. Assignment may have some small or infrequent organization, scholarly tone, or APA style issues, and/or may contain a few writing and spelling errors, and/or somewhat less than the expected number of or type of sources.21 (21%) – 23.97 (23.97%)Assignment is somewhat below graduate level writing style, with multiple smaller or a few major problems. Assignment may be lacking in organization, scholarly tone, APA style, and/or contain many writing and/or spelling errors, or shows moderate reliance on quoting vs. original writing and paraphrasing. Assignment may contain inferior resources (number or quality).0 (0%) – 20.97 (20.97%)Assignment is well below graduate level writing style expectations for organization, scholarly tone, APA style, and writing, or relies excessively on quoting. Assignment may contain few or no quality resources.
casestudybrandon.docx
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Working With Survivors of Sexual Abuse and Trauma: The Case of Brandon
Brandon is a 12-year-old, Caucasian male who currently resides with his mother and her boyfriend. Six
years ago, Brandon disclosed that his father had repeatedly sexually abused him between the ages of 4
and 6. Brandon’s mother called law enforcement immediately after the disclosure, and his father has
been incarcerated since. Brandon has previously participated in therapy to address challenging
behaviors, including physical aggression, difficulty following rules at home and school, and using
inappropriate language with sexual overtones toward female peers. Brandon and his mother report that
they ceased participating in therapy in the past after there was no change in Brandon’s behavior.
Brandon’s teachers have suggested that his behaviors are similar to those of peers with attention deficit
hyperactivity disorder, but his mother has declined educational or psychological testing because she
does not want her son to be labeled and is unsure if she agrees with the use of psychotropic medication
with children.
Brandon began attending trauma-focused treatment after demonstrating an increase in argumentative
behavior and minor property destruction at home. His mother reported that the majority of undesired
behaviors were initiated during interactions with her boyfriend. Brandon’s use of physical aggression has
not increased in school; however, a female peer recently reported him for using sexually explicit
language toward her. Brandon admitted to using inappropriate language toward the female peer but
appeared to have a limited understanding of what the phrases used meant. Brandon’s mother noted
during intake that she is concerned that her son will become a violent sexual offender or a pedophile
and noted that his use of sexual language was likely the start of sexual behavior problems.
At the beginning of treatment, Brandon reported that he frequently feared for his physical safety but
often could not pinpoint what made him feel unsafe. He had searched the Internet to find registered
sexual offenders in his neighborhood, and he had begun sleeping with a loaded BB gun under his pillow
in case someone entered the home to assault him again. Brandon had flashbacks when trying to fall
asleep and described feeling like he was floating outside of his body when he thought of his abuse. He
had seen a television show where victims spoke at the parole hearings of their perpetrators, and he
spent many hours thinking about what he would say if he went to his father’s parole hearing in 3 years.
Brandon felt like he loved his father very much and that his father was a great father except for when he
hurt him. Brandon identified wanting to feel less worried, sleep better, and fight less with his mother as
primary treatment goals.
I worked with Brandon in both individual and family sessions to address his symptoms of depression and
post-traumatic stress disorder (PTSD). Utilizing the trauma-focused cognitive behavioral therapy
approach, early sessions focused on coping skills and emotional regulation. As Brandon became more
comfortable with expressing feelings and utilizing coping skills, he began discussing his sexual abuse
history and the ongoing effect this experience had on his life. I met with Brandon’s mother for collateral
sessions in order to help her identify and process her own feelings about his abuse and to develop skills
to support Brandon through his treatment. Brandon’s mother was provided with psychoeducation
regarding childhood sexual abuse, and her belief that her son would become a violent sexual offender as
a result of his experience was challenged through cognitive behavioral therapy. She agreed to meet the
agency psychiatrist, and after the initial consultation she agreed to have Brandon meet with the doctor.
After a psychiatric evaluation, Brandon was prescribed a low dose of antidepressant medication.
Brandon completed a trauma narrative that addressed the details of his sexual abuse experience, his
disclosure of the abuse, and the trial and subsequent imprisonment of his father. Brandon included a
description of his feelings at each point in his narrative, as well as what he learned in treatment about
childhood sexual abuse and coping skills to deal with uncomfortable feelings and impulsivity. Brandon
shared his trauma narrative with his mother, who provided a safe and supportive space during this
experience through the use of skills learned and practiced during collateral parent sessions. Brandon’s
symptoms of depression and post-traumatic stress decreased steadily during the course of treatment.
After 8 months of sessions and the successful completion of his trauma narrative, the family and I
agreed that Brandon was ready to terminate trauma-focused treatment. Brandon continued receiving
medication management with a psychiatrist and transitioned into home- and community-based
treatment that focused on his ongoing impulsive behaviors.
…
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