Read the Case Study for “Johnny” and review/score the DSM-5 Parent/Guardian-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 6–17 form completed by the mother (attached). Consider the following when reviewing the form:

1. What information do you gather from the data in this instrument?
2. What will you do next—based on the information from the Level 1 Measure?

Utilize the DSM-5 Parent/Guardian-Rated Level 1 Cross-Cutting Symptom Measure—Child Age 6–17 measure to differentiate between issues associated with typical childhood behaviors and clinically-significant psychiatric phenomena (psychopathology). Consider the following when differentiating between the issues:

1. Based on your findings, would you assess that “Johnny” needs a formal referral to a pediatric psychiatrist/psychologist/counselor?  

Assign the appropriate DSM diagnoses for “Johnny” in descending order, from the dominant, to the least dominant. Consider the following when assigning the DSM diagnosis:

1. What diagnostic impression do you reach based on the information gathered about Johnny? What is your rationale for ruling-out other diagnoses?

Write a 500-750-word paper about Johnny and your findings. Include the following in your paper:

1. The appropriate DSM diagnoses for “Johnny” in descending order, from the dominant, to the least dominant and rationale.
2. An explanation regarding why other diagnoses were excluded and rationale.
3. A discussion regarding if you would assess that “Johnny” needs a formal referral to a pediatric psychiatrist/psychologist/counselor and rationale for your choice.
4. At least five scholarly references in addition to the textbook in your paper to substantiate your findings.

For this module, we’ll be fleshing out your work from previous weeks to complete a rough draft of your final project. You have already identified your topic and the social media choices for your project, and done research on comparable brands or sites.

Now it’s time to get it all ready. This week, you should spend more time researching comparable options on your social media choices. Then it’s time to put it together!

First, you should put together your overview of the project. This starts with the description of your business or brand. Write about what it is and what you want for it, and add the research you have found on comparable businesses or brands. Then what are the goals you have for the business or brand? What are your general goals with social media for it? What audience are you aiming to reach?

Now on to the social media aspect of the project. If you have a real business, brand, or site to work on, you can start by putting the site profiles into the 4 social media sites you’ve chosen (e.g. Facebook, Twitter, etc.). Screenshots will work for these that you have really made. If you don’t really have a business or brand, you do not need to create faux profiles. However, you should write the information you would include in your profile for each one.

Then, for each social media site, write about your goal for that site, how you will accomplish them, and some ideas for posts or pins. Who is your audience? When and where can you best reach them? How can you really use social media to work for you?

This project should have at least 1-2 pages for your overview and then approximately 1-2 pages per social media site. So the draft will be 5 – 10 pages long.

There will be the option to present your project to your instructor and class next week in the live classroom, so begin thinking about if this is something you’d like to do

This week, you will use role theory to apply to your chosen case study. In other words, your theoretical orientation—or lens—is role theory as you analyze the case study.

Use the same case study that you chose in Week 2. (Remember, you will be using this same case study throughout the entire course). Use the “Dissecting a Theory and Its Application to a Case Study” worksheet to help you dissect the theory. You do not need to submit this handout. It is a tool for you to use to dissect the theory, and then you can employ the information in the table to complete your assignment.

To prepare:

• Review and focus on the same case study that you used in Week 2.
• Review the websites and guides for developing PowerPoint skills found in the Learning Resources.
• Record presentation using CaptureSpace.

By Day 7

Submit a narrated PowerPoint presentation using Kaltura Media that includes 11 to 12 slides.

• Each slide should be written using bullet points, meaning no long paragraphs of written text should be in the slides.
• Include a brief narration of less than 30 seconds for each slide (i.e., the narration takes the place of any written paragraphs, while the bullet points provide context and cues for the audience to follow along).

Your presentation should address the following:

• Identify the presenting problem for the case study you selected. (Remember the presenting problem has to be framed from the perspective of role theory. For example, the presenting problem can be framed within the context of role functioning).
• Identify all the relevant roles assumed by the client.
• Analyze the social expectations and social and cultural norms revolving around the role, social position, and role scripts of one of the roles assumed by the client.
• Explain the role and social position of the social worker in working with the client in the case study.
• Describe how the role(s) and social position(s) assumed by the social worker will influence the relationship between the social worker and the client.
• Identify three assessment questions that are guided by role theory that you will ask the client to better understand the problem.
• Identify and describe two interventions that are aligned with the presenting problem and role theory.
• Identify one outcome that you would measure if you were to evaluate one of the interventions you would implement to determine if the intervention is effective.
• Evaluate one advantage and one limitation in using role theory in understanding the case.

Be sure to:

• Identify and correctly reference the case study you have chosen.
• Use literature to support your claims.
• Use APA formatting and style.
• Include the reference list on the last slide.

Required Readings

Turner, F. J. (Ed.). (2017). Social work treatment: Interlocking theoretical approaches (6th ed.). New York, NY: Oxford University Press.Chapter 26: The Psychosocial Framework of Social Work Practice (pp. 411–419)Chapter 30: Role Theory and Concepts Applied to Personal and Social Change in Social Work (pp. 452–470)Blakely, T. J., & Dziadosz, G. M. (2008). Case management and social role theory as partners in service delivery. Care Management Journals, 9(3), 106–112. doi:10.1891/1521-0987.9.3.106
Note: You will access this article from the Walden Library databases.Dulin, A. M. (2007). A lesson on social role theory: an example of human behavior in the social environment theory. Advances in Social Work, 8(1), 104–112. Retrieved from https://advancesinsocialwork.iupui.edu/index.php/advancesinsocialwork/article/view/134
Document: Worksheet: Dissecting a Theory and Its Application to a Case Study (Word document)Walden Library. (n.d.-a). Library webinar archives: Webinars on library skills. Retrieved December 8, 2017, from http://academicguides.waldenu.edu/library/webinararchives/libraryskillswebinarsBrowse this site to view webinars that introduce you to the Walden Library, including “Introduction to the Library” and “Search Strategies for New Students”Walden Library. (n.d.-b). Searching and finding information in the library databases: Overview. Retrieved December 8, 2017, from http://academicguides.waldenu.edu/library/searchingfindingWalden University: Academic Skills Center. (n.d.-a). Microsoft PowerPoint resources: Quick guide. Retrieved December 8, 2017, from http://academicguides.waldenu.edu/ASC/software/PPT/quickguideUse this resource to learn skills for creating your PowerPoint presentation.
Document: Theory Into Practice: Four Social Work Case Studies (PDF)
Document: Guide for Creating and Uploading a PowerPoint Presentation (PDF)

Required Media

Laureate Education. (2017a). Theories knowledge check, part 1 [Interactive media]. Baltimore, MD: Author.
Document: Theories Knowledge Check, Part 1 Transcript (PDF)

Optional Resources

Healy, K. (2016). After the biomedical technology revolution: Where to now for a bio-psycho-social approach to social work? British Journal of Social Work, 46(5), 1446–1462. https://doi.org/10.1093/bjsw/bcv051

Direction: Presents an opportunity to expand the discussion and knowledge related to the topic. In each reply, use at least 2 scholarly references. Keep in mind enthusiastic agreement and respectful disagreement with others in the class is expected.

As research into addictions and recovery has advanced, so too have treatment options. Clearer understanding of the biological impact of addiction has given way to a variety of medication assisted treatments (MATs). While it may be reassuring knowing there are a greater number of tools available to treat addiction, it is important to assess the risks and benefits of these medications. 

MATs can provide much benefit if used properly. For instance, Antabuse can effectively aid the drinker by providing additional motivation to abstain. This is done by interfering with the metabolization of alcohol in the body (Lyles, n.d.). The result is a buildup of metabolites that results in an feeling of illness for the user. Antabuse’s effects, however, dissipate quickly. Thus, if a patient resolves to drink, all they need to do is stop taking Antabuse prior to consumption (Lyles, n.d.).

Methadone is an opioid agonist designed to serve as a drug replacement allowing the individual to avoid withdrawal by continued activation of the opioid receptors associated with opiate addiction (Bisaga & Chernyaev, 2018). While there could be much appealing about this option for an addict, there are risks to consider. First, Inaba and Cohen (2014) point out that the abuse and overdose rates associated with methadone use have increased in recent years. Second, methadone cessation can induce some of the most severe and long-lasting symptoms associated with opioid withdrawal (Inaba & Cohen, 2014). Other substances, such as buprenorphine are partial agonists thus offering some of the benefits of methadone (though with a lesser degree of neuronal excitation) while also blocking other opioids from attaching to receptors). As with methadone, however, the abuse potential is an ever-present risk (Inaba & Cohen, 2014; Doweiko, 2015).

Drugs such as naltrexone, on the other hand, provide benefit by serving as an opioid antagonist. In other words, they block the opioid receptors from activation by other opioids without activating those receptors themselves (Inaba & Cohen, 2014). Such effects can provide temporary relief from cravings for the short time the medication is in the system. Vivtrol is similar to naltrexone though it remains on the receptors for a greater duration of time.

Reske and Paulus (2009) point out that relapse is best understood as a multidimensional process involving a number of neurological and psychological processes occurring prior to, during, or after re-use. In light of this more comprehensive understanding, MATs ought to be weighed in light of the strengths and liabilities of the client being served. For instance, if an individual is a precontemplative alcoholic who chronically drinks, Antabuse may not be appropriate given it is best used with those who drink impulsively and who have a degree of internal motivation to abstain (Lyles, n.d.). Likewise, methadone maintenance may not be appropriate for the patient presenting with mild to moderate opioid use disorder who reports minimal withdrawal symptoms. It may be appropriate, however, for the chronic relapser with an extensive history of overdose and hospitalization.

In conclusion, when utilizing MAT, it is imperative that clients be provided accurate, understandable information about the biological impact, risks and benefits of such treatments. This can be done by using either group psychoeducation or one on one discussion supplemented by handouts. It is further important that clients be offered opportunities to process ways those risks and benefits may relate to their personal experience of addiction and recovery. Medications can provide valuable assistance in the treatment of addiction but, as with anything, uninformed or improper use can contribute to more harm than good.

References

Bisaga, A. & Chernyaev, K. (2018). Overcoming opioid addiction: The authoritative medical guide for patients, families, doctors, and therapists. New York, NY: The Experiment. ISBN: 978-

1-61519-458-2