coun6965u4d2

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May 20, 2024

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Are the intended services being delivered to the intended persons? Do particular groups find the services problematic because of their cultural values or practices? Are there needy but unserved persons the program is not reaching? What is known about these unserved persons and why the program is not reaching them? Homeless women are already experiencing the hardships of not having stable housing, financial stability, and job opportunities, but also may be suffering from mental health disorders/substance use issues. With budget cuts from the government, resources and centers are becoming either overpopulated or lack the assistance the individuals need along with staff to aid with their presenting issues. Many homeless women may not have a relationship with their family unit or have a sense of embarrassment about their situation which results in them becoming a more vulnerable group that will not ask for help. This results in homeless women either turning to substances, not seeking help for mental health/substance use issues, becoming uncompliant with medication adherence and isolating themselves from others that can help them with their current situations. Approximately 32% of homeless individuals in this subgroup are females. This subgroup is not only predisposed to socioeconomic challenges but also poverty, ethnic discrimination, and lower educational levels. Mental health issues facing this subgroup found that two-thirds of the cases for women presaged transitional housing issues. Women that are homeless already face judgement by others along with the attached stigmas for substance/mental health disorders. Homeless women are already experiencing the hardships of not having stable housing, financial stability, and job opportunities, but also may be suffering from mental health disorders/substance use issues. With budget cuts from the government, resources and centers are becoming either overpopulated or lack the assistance the individuals need along with staff to aid with their presenting issues. Many homeless women may not have a relationship with their family unit or have a sense of embarrassment about their situation which results in them becoming a more vulnerable group that will not ask for help. This results in homeless women either turning to substances, not seeking help for mental health/substance use issues, becoming uncompliant with medication adherence and isolating themselves from others that can help them with their current situations. Dunderman suggests that this model of addiction has a strong positive correlation between adverse childhood experiences (ACE) and substance use related behaviors (2023). These individuals are shown to experience earlier initiation of alcohol use, higher risk of mental health and substance use disorders later as an adult in their lifespan, continued use of tobacco during adult hood, prescription drug use, and lifetime explicit drug use, drug dependency and self-reported addiction of substances (Dunderman, 2023). Morgen states that some individuals may not become addicted to the substances that they try while others will become dependent upon it (2017). The model also states that when individuals become addicted to the substance, they lack self-constraint and self-control of the amount of substance that they are using at one time due to their cravings. The model also states that there is no chance of reversing an individual’s addiction to substances as it cannot be cured, only managed with therapy, medications, or a combination of both (McLeod, 2023). This population may not be reached if there is lack of

resources or if they are living in rural areas that cannot provide these services to many people or due to their cultural beliefs. Once in service, do clients complete service? Who drops out, and why? Do particular groups drop out more often than other groups? Could this mean that the services are not sensitive to their cultural needs? During the initial stage, an intake packet will be filled out prior to the start of the program to gain information on the client, beliefs, and attitudes they possess, and an idea of where they are in their education and careers. The intake packet will also include an additional questionnaire/survey that will aid in collecting additional information to better understand and explain their current situation and any circumstances that have caused them hardships towards their aspirations. Individuals will also have multiple opportunities to give any feedback, additional information, or concerns that could be paramount for improvement for their individual development program while also meeting the clients’ needs and goals. The clients are enabled with the choice to schedule individual time or sessions with staff members to discuss suggestions or any concerns during their time with the program. The program’s goal is to supply clients with strong career planning propensity, housing needs, mental and substance use therapy, along with both individual and group therapy for women that are in transitional housing. The program will also schedule quarterly (four times a year) employment and wellness checks on clients that have successfully completed the program for a minimum of 3 years. This will allow for the program to measure the effectiveness and efficiency of the program and if any alterations need to be made. The long-term efficiency of the program will also be measured by a career attainment rate of 70% of clients that have finished the program along with medication and therapy adherence. The clinician will continue to monitor the members progress and evaluated group activities by checking the members pre/post surveys and check in and check out sheets. The members of the group, with the assistance of the clinician, will schedule a follow up session with each member of the group (individually) within the month upon completion of the program. Members will also be encouraged to continue working and practicing the tools and new learned techniques in their daily lives such as journaling, physical activity, additional triggers, etc. The clinician will collect confidentiality sheets for each session that members signed and acknowledged. Both ethical, legal, and multicultural considerations will be maintained and considered in every session. Ethical considerations during the group included confidentiality, advocacy, and screening of group members to ensure that the needs and goals of the group are compatible (ACA Code of Ethics, 2014).

References American Counseling Association. (2014). ACA code of ethics [PDF]. http://www.counseling.org/Resources/aca-code-of-ethics.pdf Dunderman, G. (2023, July 26). Models of addiction part 2: Psychodynamic, social learning, and Biopsychosocial. Clarity Clinic. https://www.claritychi.com/models-of-addictionpart-2- psychodynamicsociallearningandbiopsychosocial/#:~:text=The%20Social %20Learning%20Model%20of%20Addiction&t1ext=It%20refers%20to%20the %20process,the%20acquisition%20of%20new%20behavio rs. Mcleod, S. (2023, June 14). Psychodynamic approach in psychology. Simply Psychology. https://www.simplypsychology.org/psychodynamic.html Morgen, K. J. (2017). Substance use disorders and addictions. SAGE Publications, Incorporated.

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