final Flashcards

Question

Social Work and Developmental Disabilities - Least Restrictive Alternatives

Answer 1

Promoting competence, self-respect, life skills, independence Individualized, flexible plans of action employment support programs: Also called Vocational Rehabilitation Goal to enhance employability, for people with disability that impedes ability to work Consider transferable job skills and capacity

Answer 2

Over time: de-institutionalization 60-70% of the U.S. mental health treatment provided by social workers. Where: state hospitals, private hospitals, outpatient clinics (both public and private), in private practice, at schools, rehabilitation centers, etc. 18% (about 43 million) adults in the u.S. experience mental health issues 4% (10 million) exp. serious disorder—schizophrenia, bipolar disorder and severe depression. DSM-5 includes broad categories for psychiatric disorders, types and severities SW does bio-psycho-social assessment, but not psychological and psychiatric evaluations.

Answer 3

substance use: An Estimated 27 million people, 10% of population, use illicit drugs, 21 million people have substance use disorders most common = alcohol use disorder (15.7 million people) In Utah, opioid abuse is an epidemic – 7th highest opioid drug overdose rates in US – 6 Utahns die every week from opioid overdose Treatment approaches: Evidence-based treatment and recovery programs (p.331) 12 step mutual support programs Mandatory treatment Family drug court Substance use prevention programs

Answer 4

Consider strengths and weaknesses of each: Single parent 28% of children, most live with mothers Fasted growing type = households headed by never married single mother Blended/ step Dealing with past and present circumstances, belonging, loyalty, expectations, guilt, identity LgbtQ+ Various structures including adoptive and biological children, blended families, shared custody arrangements. Same continuum of concerns Multigenerational 3 or more generations, 18% of population, adapting roles Grandparent-headed Fastest growing family form, 10% of children

Answer 5

*Recognizing the effects of ACEs as well as child resilience physical, emotional, and sexual abuse and neglect physical: injury resulting from harmful action emotional: conscious intent to harm rejection, terrorizing, ignoring, scapegoating, isolating, corrupting Neglect: failure to provide for basic needs or a lack of supervision can include physical neglect, educational, emotional Sexual abuse: Child often silenced by intimidating threats and exertion of power fondling, intercourse, incest, rape, sodomy, child pornography, sex trafficking *most common 

Answer 6

1 in 7 children in the US

Answer 7

Balancing child protection & family preservation Seeking reunification and permanency (concurrent planning) Reunification (top priority) Formal kinship care (preferred, 30% of kids in foster care) Legal guardianship, adoption Permanent foster care Independent living programs for kids aging out of foster care Residential services (15% of kids in foster care, see p. 357) Landmark legislation: Child Abuse Prevention and Treatment Act Also influential: The Adoption and Safe Families Act (ASFA) functions: Receive & investigate reports of abuse or neglect Provide services to families that need assistance in protection and care Arrange for children to live with kin or foster families when not safe at home Arrange for reunification, adoption, or permanent family connections for children leaving foster care

Answer 8

Strategies for preventing abuse (p. 352) Family support services in the home for new parents, respite care, emergency childcare, crisis intervention, early intervention programs Early child developmental and health screening to mark progress toward benchmarks Educational programming for parents about development, age-appropriate expectations and care, community resources, babysitter training Community wide education about child maltreatment, services, public awareness campaigns

Answer 9

family preservation = services to ensure child safety and prevent out of home placement Building partnerships, supportive assessments, Networking, accessing resources Homemaker-home health aide services Support related to disabilities, parenting skills, observing family dynamics Day care and respite services Family group decision-making: Emphasis on partnership, family goals Post-legal adoption services= supporting families to maintain healthy, thriving adoptive placements When considering various approaches to child protection (family preservation, family reunification, permanency planning), how do we balance protecting children vs. preserving the family? Children are some of the most vulnerable members of our society. How can society promote child safety and wellbeing?

Answer 10

Focus: home- school – community coordination Youth suicide Seeing Risk factors, need for openness, school and family supports Postvention = support for peers, other students after a death by suicide Runaways & homelessness History of abuse, trauma, LGBT over-represented Sex trafficking May be difficult to identify, background of adverse experiences, history of in child welfare and/or criminal justice systems Youths may feel sex for survival is their only option Youth empowerment Seeing strengths, resources: work with

Answer 11

Work with children who are experiencing abuse/neglect or dependency—make referrals, work with DCFS Work with gang members or juvenile delinquents—interface with police, community leaders and court systems Deal with mental health or substance abuse issues such as suicide, self-cutting, eating disorders, drug abuse Help kids with learning disabilities or physical disabilities (IDEA), liaise with resources, community offices, families Support students dealing with suicide death of classmate through postvention programs Deal with teenage pregnancy, health issues, etc.

Answer 12

military and veteran: 20 million veterans in the U.S. The VA employs 4,500 LCSWs, 700 MSW interns Approximately 40% of veterans who experience trauma seek mental health services SW includes care coordination, rehab services, mental health, behavioral health, long term care, advocacy, services for family members Duties include assessment of family and healthcare needs, counseling services, crisis intervention, connect to community-based services high-risk screening, care planning, advocacy Infertility Counseling Bereavement Counseling Grief: Emotional responses vary by culture People go through stages in different ways and at different times Physical and emotional components to grieving Multiple losses can lead to feelings of overload Sudden losses can intensity response

Answer 13

25% of women, 14% of men experience/d severe physical violence by a partner Women more likely to exp chronic abuse and injurious physical assault correlated with homelessness, substance abuse, mental health problems, employment issues Types of IPV: physical, sexual, emotional/psychological, stalking Social work involvement: Police departments—victim protection, victim witness programs Shelters—counseling, Protective Orders, going to court, referrals Counseling centers—both victim and perpetrators Violence against women act: comprehensive legal approach to assault, violence

Answer 14

see screen shots

Answer 15

Violence against women act: comprehensive legal approach to assault, violence

Answer 16

Types of elder abuse/neglect (p.389) – physical sexual, emotional, neglect, financial Older Americans act: Prevention programs, outreach, etc. to address elder abuse All 50 states have adult protective services (also protects people with disabilities) 1987 reauthorization of the act: first defined elder abuse Most often committed by family members

Answer 17

Case management Nutrition, Congregate and home-delivered meals Transportation/housing adult day centers, respite services nursing homes Successful Aging: positive remove stigma Aging in Place: staying at home Caregiving for Aging Parents and Life Partners