ALL OF THESE RESPONCES Your response to your classmate’s posting must be approxi
ALL OF THESE RESPONCES Your response to your classmate’s posting must be approximately _100_ words; and be thoughtful, substantial, and polite – not just a “well done” phrase or “I agree.”In each of your responses, provide a suggestion of either one outcome or impact measure that could be added and why.
1. reply to jessica: I chose to analyze the Empowering Community Connection and Opportunity (ECCO) Project that has been discussed in my Organizational Analysis paper. This is a program that my place of work is actively seeking grant funding. The aim of the program is to ensure a healthier community through an expansion of mental health support in community settings that residents living in the Glen Ellyn area access regularly. The inputs I discussed for this project include therapists, a greater number of tangible resources, and funding to ensure the project provides accessible mental health care within the community. Some of the activities of the project includes an expansion of the project’s school-based counseling program, greater linkage and referral support at the Glen Ellyn Public Library, and increased support to the Glen Ellyn Police Department. The immediate skills and knowledge needed for the project’s success is an understanding of various mental health disorders and how to provide services to youth who exhibit behavioral concerns and trauma. Intermediate outcomes that result from knowledge gained will create healthier family systems. In the long term, healthier family systems will contribute to a healthier community. For the outcome measurement framework, the first outcome I discussed was that families with youth who receive school-based counseling will lead to healthier family units. The indicator for outcome 1 are the number of families who have children enrolled in school-based counseling. The data source/method of collection will be performed through manual tracking and the time period for collection will be daily, for the span of a year. This will all lead to the ultimate goal of creating healthier families that contribute to a healthier community.For my second outcome, I said the expansion of referral/linkage services at the Glen Ellyn Public Library will create accessible mental health supports. The indicator for this outcome will be the number of library patrons who receive services and the data source/method of collection will be manual tracking. The time of measure will be daily, for a year and all of this will result in the end goal of creating accessible mental health support to ensure that a healthier community is created.
2. reply to nicole ; A logic model is a tool used to describe and articulate the theory of a program (Savaya & Waysman, 2005). Creating a logic model aids organizations in developing, operating, and evaluating their programs. The program I chose to make a logic model for is Linden Oaks Behavioral Health Associate’s Adolescent General Mental Health Program. The inputs that are put into the program were staff, money, and research. From these inputs, the activities involved developing a mental health Dialectical Behavior Therapy (DBT) and psychoeducational program from the research for adolescents between the ages of 11 to 18 years old and then training staff on the curriculum. The output from these activities is a 4-5 week general mental health program for adolescents between the ages of 11 to 18 years old who have suicidal ideations, self-harm urges or behaviors, high severity rating for depression or anxiety, or are diagnosed with a mental health disorder. These adolescents learn DBT coping skills to help manage emotions during a crisis situation. The immediate outcome is that adolescents would learn healthy coping skills to use during a crisis, how to regulate emotions, and how to create healthy relationships as well as assertive communication skills. Intermediate outcomes would be adolescents applying these coping skills, regulating their emotions, and building healthy support systems. This would lead to the long-term outcome of lowering adolescent suicide rates, depression, and reducing self-harm behaviors. The indicator measurement for lowering adolescent suicide rates is observing the intensity of the adolescent’s suicidal ideations. This data is collected by using the Columbia Suicide Severity Rating Scale (CSSR-S). Adolescent patients complete this twice daily during the program, once at the beginning of the day during check-in, and once at the end of the day during wrap-up prior to going home. The goal is to see a reduction in the number of yeses the patients report on the CSSR-S. For lowering depression, the indicator measurement is the severity of depression symptoms. This data is collected by using the Patient Health Association (PHQ-9). Adolescent patients complete this on their first day of the program, once a week moving forward, and the day before discharge. The goal is to see a reduction in depression severity rating by the end of the program.
Please post reflective replies to your classmates before Sunday at 11:55pm CST. These replies must demonstrate engagement in the discussion board by asking open and closed ended questions, as appropriate, or by referencing material from the readings or outside sources. (Please make sure that you cite these resources if you use them.)
3. respond to elizabeth …..Challenges in accessing and participating in mental health services: Ali stated that he felt unable to discuss his mental health concerns prior to attending university due to it being a “taboo subject” in his culture (Healthtalk, n.d.). He expressed concern that if he accessed these services, this would be a subject of public discussion and might limit his opportunities for social interaction and advancement.Previous providers’ actions to increase comfort: Ali’s first instance of mental illness awareness and acceptance was at his university, where he had access to informational pamphlets discussing different conditions (Healthtalk, n.d.). Notably, this framed mental illness as something affecting many people rather than something rare, scary, or to be avoided. This openness about mental illness provided his entre into mental health services. He specifically cited one former provider being “nice” and listening, which may indicate that she did not lead the conversation or express judgment about his self-disclosure.Characteristics/habits that might problematize a therapeutic relationship and how to accommodate Ali: Ali voiced that the lack of a quick fix made him leave talk therapy for psychiatric care (Healthtalk, n.d.). I don’t believe that therapy is a quick process that can provide immediate solutions for his stated concerns (depression, guilt, suicidal ideation, difficulty forming romantic relationships, lack of confidence), so my preference to frame treatment as timed around a person’s readiness rather than an objective timeline may be a source of friction. I could suggest that Ali consider what length of time he would be willing to commit to therapy for and what he would like to see happen at the end of this time to set appropriate expectations and direction. Ali expressed that someone from a similar background would be helpful in his treatment, which I am not; I could ask what he wants me to know about his culture so I can be aware of how this might impact his lived experience.How to engage Ali in designing a treatment plan: Ali stated that his goal for treatment is to “get rid of [his mental illness] and be normal again” (Healthtalk, n.d.). This is not a particularly actionable goal, but he also cited more specific components like regaining his lost self-confidence, building his social skills with women, and alleviating his guilt which causes hopelessness and suicidal ideation. I would ask Ali to talk about what “normal” means to him and what kinds of thoughts, feelings, or actions prevent him from feeling “normal” now. Ali suggested that he might be interested in group therapy, so I might include this in treatment planning as part of building his confidence even with mental illness, rather than building confidence by ignoring or ‘curing’ it.
4. respond to teyler….1. What challenges has Ali had in accessing and participating in mental health services?I believe one of Ali’s reasons why he is struggling with mental health services is how he looks at them. Based on the video that I watched, he mentioned how his culture doesn’t allow him to see mental health services as something positive. Ali believes that he has a chemical imbalance that reflects why he is the way he is, and why he has a mental illness. I believe that this is why he has the mental health issues that he currently has and hasn’t resolved these issues. 2. What have previous service providers done that has made him more comfortable?Ali used to see a therapist and he said “I actually felt better,” this was after he realized that therapy was working. He claims that it wasn’t working properly though and it was dumb for him to keep attending. Although this psychologist did try and prescribe him medication for his mental illness, he sought it as not needing it. 3. As you work with Ali, what characteristics or habits do you have that might be difficult for him to work with? How might you change or accommodate those characteristics to help him be comfortable working with you?One characteristic that I believe will be difficult while working with Ali will be his constant changing in his mental status. When I say this I mean from him going back and forth from saying he feels guilty, and he wants to kill himself. Or for example when he was having positive progress in therapy and decided to stop because he got bored with it. 4. If you were the social worker in this situation, how might you engage Ali as you work with him to design an appropriate treatment plan that would help him feel his best? How I would work with Ali would be a session at a time. Being that he has a large history of mental illness and is continuously struggling, I would want to make sure he is getting the best possible outcome he can. I would take one session at a time talking with him about his mental illness only if he feels comfortable enough to do so. In hopes that we make progress I will ensure that his feelings and safety are validated. My hope in the end of talking with him and helping him through his struggles, Ali will be able to get through his mental illness and be independent and not have to worry about his mental illness. ”
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