Describe a diagnosis appropriate for the client.

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Generalist Intervention Model
Assignment Overview
In Unit 2, you developed a case study and basic information about a client. In this assignment, you will use evidence-based literature and the DSM-5 to effectively and appropriately diagnose a client. From there, you will use theory and the DSM-5 to effectively develop an intervention plan that is informed by best practices as identified in current literature. This assignment will prepare you for further work you will do in Unit 8 and Unit 10.
By successfully completing this assignment, you will demonstrate your proficiency in the following EPAS and specialized practices:
• Competency 6: Engage with Individuals, Families, Groups, Organizations, and Communities.
• C6.SP.A: Apply critical thinking and decision making in verbal and written communication through the use of leadership and technology when engaging with colleagues, individuals, families, groups, organizations, and communities.
▪ Related Assignment Criteria:
▪ 4. Cite peer-reviewed literature within the intervention plan.
▪ 5. Communicate in a manner that is scholarly, professional, and consistent with expectations for leaders of the social work profession through the use of technology.
• C6.SP.B: Apply and integrate theories of human behavior and the social environment in the specialization of advanced generalist practice when engaging with individuals, families, groups, organizations, and communities.
▪ Related Assignment Criteria:
▪ 1. Describe a diagnosis appropriate for the client.
▪ 4. Cite peer-reviewed literature within the intervention plan.
▪ 5. Communicate in a manner that is scholarly, professional, and consistent with expectations for leaders of the social work profession through the use of technology.
• Competency 7: Assess Individuals, Families, Groups, Organizations, and Communities.
• C7.SP.A: Apply critical thinking and decision making in verbal and written communication through the use of leadership and technology when assessing colleagues, individuals, families, groups, organizations, and communities.
▪ Related Assignment Criteria:
▪ 4. Cite peer-reviewed literature within the intervention plan.
▪ 5. Communicate in a manner that is scholarly, professional, and consistent with expectations for leaders of the social work profession through the use of technology.
• C7.SP.B: Apply and integrate theories of human behavior and the social environment in the specialization of advanced generalist practice when assessing individuals, families, groups, organizations, and communities.
▪ Related Assignment Criteria:
▪ 1. Describe a diagnosis appropriate for the client.
▪ 4. Cite peer-reviewed literature within the intervention plan.
▪ 5. Communicate in a manner that is scholarly, professional, and consistent with expectations for leaders of the social work profession through the use of technology.
• C7.SP.D: (Assess) Apply assessment instruments, leadership, technology, critical thinking, and interpersonal skills to identify problems, and assess and analyze capacities, strengths, and needs of individuals, families, groups, organizations, and communities.
▪ Related Assignment Criteria:
▪ 1. Describe a diagnosis appropriate for the client.
• Competency 8: Intervene with Individuals, Families, Groups, Organizations, and Communities.
• C8.SP.A: Apply critical thinking and decision making in verbal and written communication through the use of leadership and technology when intervening with colleagues, individuals, families, groups, organizations, and communities.
▪ Related Assignment Criteria:
▪ 4. Cite peer-reviewed literature within the intervention plan.
▪ 5. Communicate in a manner that is scholarly, professional, and consistent with expectations for leaders of the social work profession through the use of technology.
• C8.SP.B: Apply and integrate theories of human behavior and the social environment in the specialization of advanced generalist practice when intervening with individuals, families, groups, organizations, and communities.
▪ Related Assignment Criteria:
▪ 1. Describe a diagnosis appropriate for the client.
▪ 4. Cite peer-reviewed literature within the intervention plan.
▪ 5. Communicate in a manner that is scholarly, professional, and consistent with expectations for leaders of the social work profession through the use of technology.
• C8.SP.D: (Intervene) Apply leadership, technology, critical thinking, decision making, and interpersonal skills in the specialization of advanced generalist practice interventions with individuals, families, groups, organizations, and communities to achieve goals.
▪ Related Assignment Criteria:
▪ 2. Describe a therapy/intervention appropriate for a selected client.
▪ 3. Describe an intervention based on theory for the client’s family and/or community.
• Competency 9: Evaluate Practice with Individuals, Families, Groups, Organizations, and Communities.
• C9.SP.A: Apply critical thinking and decision making in verbal and written communication through the use of leadership and technology evaluations with colleagues, individuals, families, groups, organizations, and communities.
▪ Related Assignment Criteria:
▪ 4. Cite peer-reviewed literature within the intervention plan.
▪ 5. Communicate in a manner that is scholarly, professional, and consistent with expectations for leaders of the social work profession through the use of technology.
• C9.SP.B: Apply and integrate theories of human behavior and the social environment in the specialization of advanced generalist practice evaluation with individuals, families, groups, organizations, and communities.
▪ Related Assignment Criteria:
▪ 1. Describe a diagnosis appropriate for the client.
▪ 4. Cite peer-reviewed literature within the intervention plan.
▪ 5. Communicate in a manner that is scholarly, professional, and consistent with expectations for leaders of the social work profession through the use of technology.
Assignment Description
In this assignment, you expand upon the case you selected in Unit 2, including determining a diagnosis. You locate and select at least five recent (published within the past five years) peer-reviewed articles from the Capella University Library. You use these articles to justify your diagnosis and recommended interventions. In social work, it is important that we maintain the strengths-based perspective and consistently apply the generalist intervention model. This model allows us to view a client through the micro, mezzo, and macro setting.
Assignment For this assignment:
1 Describe a diagnosis appropriate for the client.
• Consider all potentially fitting diagnoses, discuss the differential diagnoses, and discuss rule out diagnoses and why.
• Justify the diagnosis with reference to specific DSM-5 criteria.
2 Describe the therapy or intervention you would provide this client.
• Apply theory to contextualize the appropriateness of your chosen therapy/intervention.
3 Describe an intervention appropriate for the client’s family or community.
• Justify the recommended intervention with reference to specific DSM-5 criteria.
4 Cite peer-reviewed literature within the intervention plan.
• Cite at least five peer-reviewed articles published in the past five years.
• Describe the content of each cited work, specific to how each one supports the main or supporting points of the intervention plan.
Additional Requirements
The assignment you submit is expected to meet the following requirements:
• Written communication: Written communication is free of errors that detract from the overall message.
• APA formatting: Resources and citations are formatted according to the current APA style and formatting standards.
• Cited resources: Minimum of five scholarly sources. All literature cited should be current, with publication dates within the past five years.
• Length of paper: Minimum of 3 double-spaced pages.
• Font and font size: Times New Roman, 12 point.
Note: Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool, click the linked resources for helpful writing information.
Resources
• Generalist Intervention Model Scoring Guide.
• Social Work Masters Library Research Guide.
• APA Style and Format.
• Capella Writing Center.
• Writing Feedback Tool.

Case I chose

Casey Family

Sam is a 15 year old Native American male who was referred for a mental health assessment by his CPS case worker. Sam has been living with his foster family for 6 months and his foster mother Diana has brought him into the center for the assessment.

Sam currently lives in a foster home with Diana, her husband Steve and there older daughter Rebecca who is 17. Rebecca and Sam attend the same high school in Wellington, Colorado.

Sam presents himself as quiet, anxious, and shy. He looks down at the ground, and his hair is covering his eyes. Sam is very soft spoken and it is hard to hear him as he speaks. Diana shared that she suggested to Sam’s caseworker that Sam needed someone to talk to and an assessment as she is worried about him, that he has been having a difficult time going to school, that he wants to spend all of his time in his room, and he has only one friend that she knows of at his school.

While reviewing the file it shares that Sam was born on the Hopi reservation in Arizona where he was living with his mother. His mother was killed in a car accident when he was 12 years old. He was an only child with no siblings. His mom worked as a para-professional in the local school district and according to the file was a supportive and loving mother with no significant history or reports on file. There is no indication that Sam’s father has been present in his life as he went to life with his grandmother in Colorado when his mother passed away. Nine months ago Sam’s grandmother fell and broke her hip and moved into a skilled nursing facility and was unable to care for Sam any longer. Sam lived with his one friend briefly during that time but his friend’s family did not have enough room in their home and he was then placed with Diana and her family.

Throughout the interview Sam would not obtain eye contact and it was difficult to hear what he was saying due to his soft voice. He shared that he likes Diana and Steve that they are very nice to him. He also reports that he likes Rebecca and that she makes him laugh and helps him with his school work. Sam stated “they are nice, but I just like being by myself.” Diana shared that the only time Sam comes out of his room is during dinner or if they directly ask him to, but she feels bad about forcing him. Sam reports that he has one friend that lived next to his Grandmother but he only sees him at school.

When asked what Sam likes to do for fun, he stated playing on my computer and listening to music. Sam stated “I like that I have my own room, I am used to sleeping on my grandmother’s and friend’s couch.” He also shared that he really likes that he has a computer, that “my mom could never buy us nice things.” Sam reports that he does not go to church, he shared that he used to go to a big church on the reservation with his mom, but he can’t remember what kind it was, but that it was fun. Diana shared that her family does not attend church but would bring Sam if he would like, Sam looked down and shrugged his shoulders.

When asked how he likes school Sam again shrugged his shoulders. Diana shared “he becomes very anxious about going to school, he acts like he is afraid to leave the house sometimes.” Diana continued, “in fact I think that is what is making him sick, he gets so worked up over going to school that he will often throw up before school, it is as if he is having a panic attack.” When asked Sam if he was afraid to leave the house he again shrugged his shoulders and then became tearful. Sam then shared “I am fearful that if I leave something will happen and then I won’t have a place to go again.” When asked to explain Sam continued to share that when his mother was killed it was because he was down the street playing and he should have been home waiting for his mother. He then shared that he felt it was his fault that his grandmother fell. Sam shared “If I hadn’t gone to school, she would be fine.”

Sam continued to share that when Diana asks his to go to school he feels like “my chest is going to explode and like I can’t breathe,” Diana shared that he becomes sweaty and also complains that he is going to be sick to his stomach and will often vomit because “he gets so worked up over it.” Sam shared that it was the same at his grandmother’s, that he has just felt nervous and scared all the time since his mother “left.”

Sam’s medical history includes a broken arm when he was four from falling off of a trampoline, he is of average weight with acne typical of a teenager. He is on no medication and has no history of illness.