WK1Assgn Clayton.E (3)

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RuningHead:CASE ANALYSIS OF SYSTEMIC SHORTCOMINGS 1 CASE ANALYSIS OF SYSTEMIC SHORTCOMINGS Elisa Clayton Master of Social Work, Walden University SOCW 6205: Medical Social Work II Yvonne Elder Chase, PhD, MSW, LCSW, ACSW December 3, 2023

CASE ANALYSIS OF SYSTEMIC SHORTCOMINGS 2 Analyze the healthcare system The healthcare system described within the client Carter’s case appears to be fragmented, which has led to an onslaught of inconsistent and ineffective treatment plans. Carter’s treatment did not take into account the client as a whole, such as; the client's eating habits and how these eating habits were negatively affecting the client, the client within the environment they grew up in, the identity of the client, past trauma the client has faced, as well issues with helping the client as insurance problems arose (Troscianko, & Leon, 2020). Dealing with this client's physical symptoms, however, there was also a need to focus on the client’s overall mental health as this can possibly be a foundation in helping the overall mental health. A healthcare system that focuses on the client would benefit the client more than having a combined system of inpatient and outpatient care that cares for youth and adults. The insurance coverage issues, with treatment being cut off due to Carter's weight, highlight systemic flaws in how healthcare is administered, particularly for those with mental health and eating disorders (Troscianko, & Leon, 2020). Carter's journey through multiple treatment centers without a consistent treatment plan reflects a fragmented system. This fragmentation often results in disjointed care, where each treatment episode may not build on previous ones, leaving underlying issues unaddressed. The lack of continuity in care can be detrimental, especially for complex cases like Carter's, where consistent therapeutic relationships are essential for trust and progress. How system factors helped or hindered The system's emphasis on weight as a primary metric for treatment effectiveness likely contributed to Carter's misdiagnosis and inadequate care. This focus may have exacerbated their condition by invalidating their experiences and struggles. The frequent

CASE ANALYSIS OF SYSTEMIC SHORTCOMINGS 3 changes in treatment centers and loss of insurance coverage likely led to instability and mistrust in the healthcare system ( Nadarajah et al, 2021). This inconsistency hindered the development of a stable therapeutic relationship and continuity of care. The system's failure to provide a comprehensive treatment addressing Carter's unique needs as a mixed-race, gender-questioning individual may have contributed to their feelings of alienation and hopelessness (Troscianko, & Leon, 2020). Carter's mixed-race identity and gender questioning are integral to their experience, yet these factors seem to be overlooked in their treatment. This oversight is a significant gap in providing culturally competent and sensitive care (Troscianko & Leon, 2020). The healthcare system often lacks adequate training and resources to address the unique challenges faced by individuals with diverse racial and gender identities. This can lead to a sense of alienation and further mental health complications ( Pehlivan et al, 2022). The focus on weight and physical symptoms, such as BMI, as primary indicators of Carter's health status suggests a narrow approach to eating disorder treatment. This focus can be harmful as it may ignore the complex psychological aspects of eating disorders (Troscianko & Leon, 2020). Misdiagnosis and treatment decisions based solely on physical measurements, like weight, fail to capture the full spectrum of an eating disorder, particularly in cases of atypical anorexia or other less recognized forms; disorder, particularly in cases of atypical anorexia or other less recognized forms (Troscianko, & Leon, 2020). How medical social workers could improve the patient’s experience A medical social worker could advocate for a more holistic and personalized approach to Carter's care. The social worker could facilitate continuity of care, ensuring that Carter's transition from pediatric to adult mental health services is smooth and their treatment remains uninterrupted (Fook, 2022). The social worker could also work on securing consistent insurance

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CASE ANALYSIS OF SYSTEMIC SHORTCOMINGS 4 coverage for Carter, addressing systemic barriers, and advocating for policy changes that recognize the complexity of eating disorders beyond just physical symptoms (Fook, 2022). In conclusion, the role of a medical social worker in Carter's case is multifaceted, focusing on advocating for holistic care, ensuring continuity of treatment, and securing stable insurance coverage. These efforts are essential for addressing the systemic barriers in healthcare and providing Carter with the comprehensive support they need for recovery (Fook, 2022). References McCoyd, J. L. M., & Kerson, T. S., (Eds.). (2023). Social work in health settings: Practice in context (5th ed.). Routledge.

CASE ANALYSIS OF SYSTEMIC SHORTCOMINGS 5 Nadarajah, A., Dimitropoulos, G., Grant, C., Webb, C., & Couturier, J. (2021). Impending Transition from Pediatric to Adult Health Services: A qualitative study of the experiences of adolescents with eating disorders and their caregivers. Frontiers in Psychiatry , 12 . https://doi.org/10.3389/fpsyt.2021.624942 National Eating Disorders Association. (2019, August 22). Understanding insurance issues for eating disorders treatment . https://www.nationaleatingdisorders.org/toolkit/parent-toolkit/understanding-insurance Pehlivan, M., Miskovic‐Wheatley, J., Le, A., Maloney, D., Consortium, N. E. D. R., Touyz, S., & Maguire, S. (2022). Models of care for eating disorders: findings from a rapid review. Journal of Eating Disorders , 10 (1). https://doi.org/10.1186/s40337-022- 00671-1 Tan, E. J., Raut, T., Le, L. K., Hay, P., Ananthapavan, J., Lee, Y. Y., & Mihalopoulos, C. (2023). The association between eating disorders and mental health: an umbrella review. Journal of Eating Disorders , 11 (1). https://doi.org/10.1186/s40337-022-00725-4 Troscianko, E. T., & Leon, M. (2020). Treating Eating: A Dynamical Systems Model of Eating Disorders. Frontiers in Psychology , 11 . https://doi.org/10.3389/fpsyg.2020.01801 Mayo Clinic College of Medicine and Science. (n.d.). Medical Social Worker - Explore Health Care Careers - Mayo Clinic College of Medicine & Science . https://college.mayo.edu/academics/explore-health-care-careers/careers-a-z/medical- social-worker/

CASE ANALYSIS OF SYSTEMIC SHORTCOMINGS 6 Fook, J. (2022). Social work: A critical approach to practice. Social Work, 1-100.

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