Social workers often confront crises that are brought to thema crisis experienced by a client, a family, a community, or an organization. The goal of crisis is to intervene to help restore equilibrium and to reduce long-term psychological and social distress. Given the nature of social workers meeting clients at the point of crisis, interventions are short-term with very concrete outcomes. In times of adversity or crisis, clients, families, communities, or organizations frequently forget that they have strengths, both and , to assist them through the crisis. Resiliency can be viewed as a trait, a process, or the outcome of intervention, which may help a client adapt to a crisis, trauma, or adverse event. Resiliency emphasizes the environmental, psychological, social, and individual factors that minimize the risk that stems from problems that arise. , you examine two that can be used to complement each othercrisis and resiliency theory. Social workers strive to make informed decisions about the interventions they implement. These decisions should be driven by what the research data say. As a result, social workers have been called to systematically evaluate the effectiveness of the interventions they implement. A common way to evaluate interventions is to use a single-subject design. This involves monitoring an outcome for an intervention implemented for one client. After a social worker works with the client to determine the outcome to be measured, the following steps to the evaluation might look like this: In this Discussion, you use the lens of resiliency when reflecting on a case from your fieldwork, and then you consider how to measure the effectiveness of a possible intervention. To prepare, read this article listed in the Learning Resources: to two colleagues: It is common for social workers to be presented with a crisis situation brought forth by clients, families, communities, and/or organizations. The ultimate goal is to restore the client to equilibrium. The five stages of the crisis are (1) the hazardous event, (2) the vulnerable stage, (3) the precipitating factor, (4) the state of active crisis, and (5) the reintegration or crisis resolution phase. There are times when a social worker will use more than one to assist in conceptualizing the problem and intervention, particularly if the complement each other. For example, resiliency theory can be used alongside crisis theory. To prepare: Review and focus on the same case study that you chose in Week 2. Submit a 1- to 2-page case write-up that addresses the following: Be sure to: Unfortunately, I have not completed my field experience yet but plan to do so during the Fall 2019 quarter. For this discussion, I chose the case of Tiffani Bradley to reflect on. This is the case that I identified at the top of Week 2 and have become very familiar with the client. In the case of Tiffani Bradley, the resilience theory would be very beneficial. Tiffani is a 16-year-old female who has been a victim of prettification from the age of eight. Tiffani is a prime example of the resilience theory because she consistently copes with stress and adversity to achieve functional outcomes and beat the odds in her environment. Tiffani is 16-year-old female who has overcome trauma/high stress levels in her family dynamic and environment due to her ability to adapt to negative external factors surrounding her. The strength-based approach would be an intervention I would implement to promote resiliency in Tiffanis life. I would also use solution-focused therapy as it would help Tiffani to focus on what she wants to personally achieve and minimize the emphasis on past failings and problems. Tiffani and I would focus on her strengths and prior accomplishments. An instrument from the Smith-Osborne and Whitehill Boltons article that would be appropriate when employing a single-subject design to evaluate how effective the intervention is in increasing the clients level of resiliency would be the RSCA method by (Prince-Embury, 2008). The RSCA instrument consists of 3 scales: Emotional reactivity, sense of mastery, and sense of relatedness. The sense of relatedness monitors the individuals ability to trust others and the capacity to accept others. Emotional reactivity monitors the individuals sensitivity level and their behavior when upset. Sense of mastery measures the individuals adapta
bility, and how they perceive uncontrollable factors in life. I believe that the RSCA instrument would be appropriate being that Tiffani is 16 years old and falls into the age range for RCSA sampling. The RCSA validation sampled adolescents ages 9 to 18 years old. The sample measures the resilience in children and adolescents. It is also free of cost and would not cause any financial burdens on Tiffani or her support system. Second response In my tenure as a librarian, I had the pleasure of meeting a young boy who had parents who did drugs in the home (CYS was already alerted and actively working on his case). I was kind to this kid, because I knew of his plight outside of the library. One day I offered him a Klondike, because my kids were there, and I had bought Klondikes for them. He smiled, and came up to me and then his face got dark, and he asked are you serious? I didnt even think about his previous experiences., and I said of course, what do you take me for? An intervention that might be effective would be working on family strengthening and developing a plan to have the family use talk therapy to sort out differences and to strengthen the family unit. I worked with an art therapist when my own marriage was failing, and it was wonderful to work on our individual parts of a painting, and put them all together. I think this may be a starting point for this boys family. I also agree with the previous post, the RSCA method from Smith and Osborne, would have done me well in this articular case. It would have allowed me to see how he applied a sense of relatedness, emotional reactivity and sense of relatedness. The reference I used for my search was Foster, J. M. (2017). The Fears and Futures of Boy Victims of Sexual Abuse: An Analysis of Narratives. (6), 710-730. doi:10.1080/10538712.2017.1339223. According to the text Foster, J. M. (2017). The centers for disease control and prevention in 2005 asserts that 1 in 4 girls and 1 in 6 boys are sexually abused before the age of 18. Mostly 50 percent of women and 28 percent men who sees counselors have history of sexual abuse. Most individual turn down help because they arent ready to talk about the trauma. They would always need to seek help to cope with others because of their fear. Sexual abuse clients will always have a issue coping with others and they will always see the world is unsafe. Tiffani recieved helped at the home she resigned in and she decided to try and cope with her parents and the world. I say I would use cognitive Behavior therapy because its a process they go by step by step to see if you can improve off the steps they are going by. She couldnt cope with the individuals that hurt her but she ended up coping with her sister. Boone, M. S., Mundy, B., Morrissey Stahl, K., & Genrich, B. E. (2015). Acceptance and Commitment Therapy, Functional Contextualism, and Clinical Social Work. Journal of Human Behavior in the Social Environment, 25(6), 643656. This article discusses the fit between social work and acceptance and commitment therapy (ACT), a mindfulness-based cognitive behavioral therapy that meets all of these criteria. As of 2011, approximately two thirds of ACT studies had included mediation analyses, statistical tests that determine whether changes in measured outcomes (e.g., degree of depression, quality of life) are driven, at least in part, by the processes theorized by the treatment model (Hayes et al., 2011). This kind of analysis is important because when a treatment works, it is often difficult to determine the primary mediating. ACT ultimately offer social workers useful tools for supporting growth and change in their clients. ACT uses metaphors, mindfulness, and experiential exercises to help clients contact experientially what it is like to simply notice their internal experiences (e.g., thoughts, feelings, memories) rather than trying to change them. I would indeed use ACT in Tiffanis case as ACT undermines the power of socially and verbally constructed ways of relating by helping clients become more present to their moment-to-moment experience (Boone et al., 2015). Through this form of therapy Tiffanis feelings and experiences are still there, but her relationship to them are different. Her thoughts and feelings will become more like what she experienced, rather than representations of how the world is.