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