HSV3245 Contemporary Mental Health Practice Report 3 Sample

DESCRIPTION OF TASK

Length: Maximum of 2,500 words (word count does not include title page or reference list). The overall aim of the assignment is for you to gain a greater understanding of how to summarise assessment information in a meaningful way, and gain practice in documentation skills. You will be provided with a choice of two case studies – Janice or Samar. For your chosen case study, you will develop a formulation matrix, write a case formulation, propose appropriate interventions, develop a person-centred care plan, and compare your plan for working with the person with someone from a different discipline background to you that is either studying or working in the mental health area.

MARKING CRITERIA

This assignment will be assessed against the following marking criteria (see the marking rubric below):

1. Ability to develop a formulation matrix for an individual using the 4 P model and the biopsychosocial model (15%).

2. Ability to write a case formulation (15%).

3. Ability to present a logical and persuasive argument for proposed interventions based on the formulation and academic literature (25%).

4. Ability to document a person-centred care plan for an individual (15%).

5. Ability to compare the similarities and differences in interventions proposed by yourself with a practitioner from another discipline (15%).

6. Ability to write clearly and concisely and use referencing and formatting consistent with APA 7 style guidelines (15%).

Solution

Section 1: Formulation matrix for [Samar]

 

Section 2: Case formulation

 

Section 3: Argument for proposed interventions

Based on Samar’s needs and presenting issues, the following five interventions are proposed, supported by evidence from literature.

1. Trauma-Informed Cognitive Behavioral Therapy (CBT)

Given her trauma history and anxiety symptoms, Samar is highly likely to be a good match for trauma-informed CBT. During integrated trauma-informed CBT, experts work with refugees to reframe negative thoughts and tackle the underlying roots of trauma through cognitive restructuring (Márquez, Deblinger & Dovi, 2020.p.260). This approach For university assignment help is applied to lead to significant reductions in both PTSD and anxiety symptoms. Studies show that CBT can reduce both the overall number of nightmares and their intensity as well as sleep quality, with some data indicating that this type of treatment may work for people with trauma-related symptoms over time.

2. Community-Based Social Support

Samar is held back significantly by her disconnect from interactions with society. Pairing her up with local Afghani community groups or refugee networks would give her the structure and social support necessary for re-establishing trust, connections and relationships in a healthy way. Samar might feel herself more connected to her cultural heritage by engaging in familiar surroundings, while also forming new social bonds that support her sense of wellness (Jiménez et al. 2024.p.1037).

3. Employment and Skills Development Programs

It appears that Samar wants to work in order to contribute financially to her family and put money aside for her children´s future, which implies that employment is indeed a priority for her. Employment is known to contribute to better mental health among refugees as it helps them with self-esteem and a purpose. Samar has interest in the childcare field & could be trained for the same by enrolling her to such vocational training. They are also able to correct for any discrimination she has experienced in the job market, by giving her useful qualifications.

4. Psychoeducation on Anxiety and Stress Management

She is also anxious but most likely to have it again as a result of her anxiety, which has been ignited by being victimized multiple times. For example, teaching Samar about how trauma and stress impacted her body physically could help her to frame the fear of anew “attack” as simple misinformation. Therapies that focus on teaching mindfulness and relaxation have shown to be effective ways of helping those who have suffered from trauma reduce their anxiety and stress (Moreno-Peral et al. 2020.p.101813).

5. Family Counselling

Samar’s relationship with her husband is strained due to his unemployment and their financial difficulties. Family counseling could help both partners navigate their changing roles and improve communication (Giannakopoulos et al. 2021.p.119). Research on refugee families indicates that financial stress and role changes often lead to increased tension and conflict within the family unit. Involving her children in family counseling sessions could also help strengthen family bonds and promote cross-cultural understanding.

Section 4: Person-centred care plan for [Samar]

 

Section 5: Interview with a practitioner from another discipline

In this case study, I interviewed a social work student to examine through their lens how they would approach the scenario of Samar.

1. How Does Your Discipline Typically Work with People?

The student pursuing social work reflected on the practical, holistic and strengths-based approach that they tend to adopt in their work with individuals. The report recommends more immediate practical measures, such as ensuring homelessness of Samar is addressed, supporting financial aspects of recovery and access to community resources. The student added that this importance of addressing such needs.

From the mental health perspective I have been taught, this would clash as my priority for Samar would be to address her psychological distress (trauma symptoms and anxiety related behaviors/social isolation) with therapeutic modalities like Cognitive Behavioral Therapy (Akkol-Solakoglu, Hevey & Richards, 2021.p.100367). Practical assistance is something I see as a necessity too but my priority is to assist Samar in coming to terms with her trauma and managing her anxiety.

2. What Priorities Did You Have for Working with the Person?

The student pursuing social work identified housing as the primary priority, explaining that Samar’s current living conditions were contributing significantly to her distress. The student proposed connecting Samar with housing support services to help her find more suitable and affordable accommodation. This approach aligns with Maslow’s hierarchy of needs, which suggests that addressing basic physiological and safety needs is crucial before higher-level psychological concerns can be effectively managed (Papaleontiou–Louca, Esmailnia & Thoma, 2022.p.331).

My priority was to address Samar’s trauma-related symptoms and anxiety through trauma-informed CBT.

By helping Samar manage her psychological distress and anxiety, I believed she would be better equipped to address practical challenges such as housing and employment.
The student pursuing social work focus on practical needs led me to reconsider the order of interventions, recognizing that stabilizing Samar’s living environment might reduce her anxiety and make her more receptive to therapy.

3. What Interventions Did You Propose for Your Care Plan?

This student who is pursuing social work created a care plan that was heavily weighted to technical interventions. These recommendations included liaising with local refugee support services to link Samar in with specialist casework support. Such interventions target the root causes of Samar's suffering by better equipping her with the mechanisms to regain control and order in her life.

In my care plan I recommended a trauma-informed approach with the use of CBT due to help inspire some meaning from her dark past and calm an anxious brain (Norman, 2022.p.122). I recommended family counselling to do so and gave psychoeducation on stressors and anxiety. The social worker helped in practical terms and I provided psychological intervention.

4. What Informed Your Choice of Interventions?

The student pursuing social work said the interventions were framed through a strengths-based approach. It would be significant to utilize community-based models of care in order to emphasize the role of social relationships and support from within the community are needed to assist in the recovery for mental health.
I did use trauma-informed care frameworks and the principles of CBT in my interventions (Goddard, 2021.p.149).

Similarities and Differences in Approaches

The ultimate mutual goal was to address Samar's mental health and wellness needs, both on my end as a social work student, but also on the part of Samar. But, we had different priorities in our approach. The social worker developed a plan that focused on securing basic needs, including affordable and stable housing, needed funds for mental health recovery. Research also provides evidence that enhancing housing stability can reduce stress and enhance mental health outcomes of refugees.

I targeted psychological interventions, specifically trauma therapy and treatment for anxiety that would address Samar's past history (Pitt et al. 2020.p.11). I knew that could do with some help. I partially believed that helping Samar work through her trauma would be more significant to her getting better from the inside out. I learned that and after our discussion about the social worker’s view, I realized how practical and psychological intervention drawn together could have facilitated a little holistic care plan for Samar.

We both started at the same place: regardless of where she was going to end up living Samar's goals and strengths would inform our care plan, and we were committed to working together as a team with Samar in order to address her needs in the most effective way possible. In addition, the importance of collaboration across fields in refugee health has been illustrated.

References

Akkol-Solakoglu, S., Hevey, D., & Richards, D. (2021). A randomised controlled trial comparing internet-delivered cognitive behavioural therapy (iCBT) with and without main carer access versus treatment-as-usual for depression and anxiety among breast cancer survivors: Study protocol. Internet Interventions, 24, 100367. Retrieved from: https://doi.org/10.1016/j.invent.2021.100367 [Retrieved on 6 October 2024]

Giannakopoulos, G., Solantaus, T., Tzavara, C., & Kolaitis, G. (2021). Mental health promotion and prevention interventions in families with parental depression: A randomized controlled trial. Journal of Affective Disorders, 278, 114-121. Retrieved from: [Retrieved on 7 October 2024]

Goddard, A. (2021). Adverse childhood experiences and trauma-informed care. Journal of Pediatric Health Care, 35(2), 145-155. Retrieved from: https://doi.org/10.1016/j.pedhc.2020.09.001 [Retrieved on 7 October 2024]

Jiménez, A. L., Cruz-Gonzalez, M., Calhoun, T. F., Cohen, L., & Alegría, M. (2024). Late life anxiety and depression symptoms, and suicidal behaviors in racial/ethnic minority older adults in community-based organizations and community clinics in the US. Cultural diversity & ethnic minority psychology, 30(1), 22. Retrieved from: https://doi.org/10.1037/cdp0000524 [Retrieved on 7 October 2024]

Márquez, Y. I., Deblinger, E., & Dovi, A. T. (2020). The value of trauma-focused cognitive behavioral therapy (TF-CBT) in addressing the therapeutic needs of trafficked youth: A case study. Cognitive and Behavioral Practice, 27(3), 253-269. Retrieved from: https://doi.org/10.1016/j.cbpra.2019.10.001 [Retrieved on 6 October 2024]

Moreno-Peral, P., Bellón, J. Á., Huibers, M. J., Mestre, J. M., García-López, L. J., Taubner, S., ... & Conejo-Ceron, S. (2020). Mediators in psychological and psychoeducational interventions for the prevention of depression and anxiety. A systematic review. Clinical Psychology Review, 76, 101813. Retrieved from: https://doi.org/10.1016/j.cpr.2020.101813 [Retrieved on 6 October 2024]

Norman, S. (2022). Trauma-informed guilt reduction therapy: overview of the treatment and research. Current treatment options in psychiatry, 9(3), 115-125. Retrieved from: DOI 10.1007/s40501-022-00261-7 [Retrieved on 6 October 2024]

Papaleontiou–Louca, E., Esmailnia, S., & Thoma, N. (2022). A critical review of Maslow’s theory of spirituality. Journal of Spirituality in Mental Health, 24(4), 327-343. Retrieved from: https://doi.org/10.1080/19349637.2021.1932694 [Retrieved on 7 October 2024]

Pitt, K., Feder, G. S., Gregory, A., Hawcroft, C., Kessler, D., Malpass, A., ... & Lewis, N. V. (2020). The coMforT study of a trauma-informed mindfulness intervention for women who have experienced domestic violence and abuse: a protocol for an intervention refinement and individually randomized parallel feasibility trial. Pilot and feasibility studies, 6, 1-14.Retrieved from: https://doi.org/10.1186/s40814-019-0527-1 [Retrieved on 6 October 2024]

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