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Chapter 1- Themes and Purposes, problems in living, self-sufficiency and barriers, the human service profession In California, growth rates for Social and Human Services paraprofessionals is a very good +17%. NOHS stands for National Organization for Human Services Explain what the text refers to as a "problems in living". Your Answer: The textbook defines "problems in living" as the interaction of individual problems or issues, issues and challenges linked to lifespan development, problems situated in a challenging environment, and difficulties that arise from social justice issues. In the case study of Almeada and Anne in chapter 1, the clients have a number of "problems in living". Note three of these problems. Include a description of each problem in living that is described in the case study. Your Answer: Three problems in living that Almeada and baby Anne faced were their poor living facility, the lack of a livable wage and decent hours at work, the inability to afford proper day care, and lack of food. Assisting clients in meeting their social needs with a focus on those who cannot care for themselves is referred to as social care Rehabilitation is relevant when a client is injured in an automobile accident The human service professional needs to develop networks primarily to link clients to services The currrent use of the term "human service generalist" describes a professional who works with the client using both the micro and macro perspective. The following are social justice issues: poverty, lack of housing and availability of healthcare Social justice is a term used specifically in relation to the work social workers do. False Evidence based practice is important because it provides an understanding of how to achieve desired outcomes A standard ethical principle of Human Service Workers is to honor "self- determination". Which of the following is an example of that principle? Client and worker discuss options for childcare for client's child. The client chooses to leave child with relatives who use drugs against the advice
of the human service worker. The worker is concerned about the client's choices. Client comes back next week, worker discusses implications of her previous choices. ( This shows that the worker understands that the client may make choices which are not in his/her best interest, but still engages client in conversation without rejecting client or terminating services.) The role of the person that gathers information, performs assessment, arranges and monitors services and provides direct services is called: Case Manager Use the information in your textbook to describe what "social justice" is IN YOUR OWN WORDS. Social justice means that you believe everyone is entitled to the same opportunities and human rights and the desire to ensure it is provided. According to your textbook : What is the value in providing services in partnership with other agencies? Provide 3 benefits . 3 benefits of providing services in partnership with other agencies are that it provides "more efficient and more effective service," the services being provided are more effective because there is not a single person trying to work in multiple roles, and provided services can also be more cost-effective when working with other agencies. Chapter 2- Motivations for becoming a helper, important values, characteristics of helpers, helper categories, nonprofessional helper and volunteers, cultural broker Broker: Updates and maintains a community resource binder so that providers can be easily identified. Case Manager: Provides counseling to client who has recently experienced a loss in the family. Advocate: Talks to social services supervisor to ask that client's right to services be re-evaluated. Educator: Prepares curriculum for a Life Skills Group Organizer: Brings community people and providers together to plan services for at-risk youth Recognizing stereotypes, biases, and cultural differences is part of the process of Self-Awareness Which of the 5 Human Service VALUES does the following statement reflect? "I believe that all of my clients have the right to decide how they want to live, even if I don't agree with their choices." Self- Determination Values are the groundwork for creating a philosophy of helping True
What is as significant as helping methods in helping? Personal Characteristics Family members, neighbors, friends and church members are part of a network of: Natural Helpers Three roles played by Human Service workers are: Direct Service, Community Service and Volunteer Service. FALSE (Those are types of helping/service, not specific roles played by workers. Those roles are listed above in question 2) The work that helpers do in their face to face encounters with clients is known as: Direct Service How would it be possible that a manicurist might be a "natural helper" for one of your clients? By "listening, responding, and discussing alternatives to problem situations in which their customers may find themselves." Give an EXAMPLE of how you can let a client know that ACCEPTANCE is one of your values. How I can let a client know that acceptance is one of my values is by expressing to them that I am there for them, that who they are, where they're from, and how they act will not get in the way of the service I would like to provide for them. The five commonly agreed upon Values of Human Service Workers are: The 5 values of human service workers are acceptance, tolerance, individuality, self-determination, and confidentiality. Chapter 3- Historical development of helping, human needs since the middle ages, Elizabethan Poor Laws, individuals influences in Colonial America, founding of social work profession, 19 th century philosophies Until the Middle Ages people believed that mental illness was caused by the presence of Evil Spirits Proponents of laissez-faire economics and Social Darwinism encouraged government sponsored social welfare provisions as a regular part of a healthy society. TRUE (Those who subscribe to the Laissez-Faire philosophy believe that it is society's responsibility - not the government's- to take care of those who are less fortunate. Those who subscribe to the concept of Social Darwinism believe that it is counter-productive over the long haul to help those in need, as they believed in "natural selection" and survival of the fittest. Neither philosophy supported the idea of government assistance for those in need) Jane Adams was the founder of the Charity Organization society in America. TRUE (Jane Adams was a founding member of Hull House, which was a Settlement House.) Jane Adams: Recognized that social and economic causes played a part in poverty.
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Mary Richmond: Instrumental in defining the focus of "social workers" Clifford Beers: Founder of the Mental Health Hygiene movement Benjamin Rush: Considered the "father of American psychiatry" Dorothea Dix: Fought for more humane treatment for those with mental illness. Human services flourished under all of the following presidents EXCEPT Reagan A major component of the welfare reform legislation PRWORA was to turn the responsibility of welfare over to the states ( Prior to the Personal Responsibility and Work Opportunity Reconciliation Act of 1996 (Clinton), needy families could receive monthly payments under the AFDC program. The PRWOA ended that program and instead created a new program with stricter timelines and regulations called TANF -Temporary Assistance to Needy Families. The stated purpose of the program was to end welfare dependency by helping needy families find ways to support their family (work, education) instead of depending on the government.) The social philosophy of individualism asserts that: the individual is solely responsible for his/her success or failure, anyone in America can succeed financially if they are willing to work hard, and poverty is a sign of spiritual weakness FDR is responsible for creating WPA, CCC, and Social Security during his legislation. New Federalism represented a shirft in the government's approach to human services by Calling for individuals to assume responsibility for their own situations, Decreasing federal spending for human services, and Emphasizing the development of self help programs to be provided by the private sector. The president who introduced the Voting Rights Act of 1965 and declared an "unconditional war on poverty" was: Johnson Welfare Reform, otherwise known as PRWOA, was established under President Clinton Describe an argument AGAINST Universal Healthcare. Why are many people in the US against this idea? Many people in the US are against the idea of Universal Healthcare because they believe it would be too expensive and cause a raise in taxes. What does it mean to EMPOWER a client? How did the Settlement House Movement empower residents? (What did the program offer to empower residents?) Empowering a client means supporting them and providing them with resources for whatever it is that they may need, whether that be listening, or providing them with tools for change for the purpose of helping them towards self-sufficiency. The Settlement House Movement empowered residents by providing food and shelter as well as education and training. This provided
people with what they needed to change what was contributing to their poverty. Chapter 4- 6 principles that underlie ethical practice, client welfare, codes of ethics, vignettes, ethical decision-making model steps Ethical dilemmas occur when there is a discrepancy between what a worker is inclined to do and what the professional standards note is safe, and appropriate to do. The ethical dilemma in case 1 is competence. While Sue is helping out because they are short-staffed where she works, she is not qualified, and therefore not competent to do some of the work that she is doing. Sue should let her employer know that she does not feel qualified to do some of these things. Sue likes to be helpful and wants to do all that she can for her clients, but if she is not qualified to perform the work, she is putting her clients at risk. She should inform her supervisor immediately of the dilemma. The ethical dilemma in case 2 is responsibility. This is because it is not ethical to have sexual relationships with your client. This goes against Standard 6. While George may be trying to help his client understand men better, I believe there must be a better way at accomplishing it, I'm just not sure what it would be. George is likely feeling sympathy and compassion for his client, however: Sexual relationships with clients are unethical and forbidden. The social dilemma in case 3 is responsibility. Natalia is responsible for her client's well-being. By providing her clients with cigarettes, she is going against the doctor's recommendations and is not therefore protecting them from harm. Natalia likely wants to provide them with cigarettes because she wants to be nice and see them happy, but knows she shouldn't. Natalia should tell her clients that it isn't something she can help with. The social dilemma in case 4 is responsibility. Jim is responsible for the well- being of his clients, and finding the resources he needs to do his job to the best of his ability. Jim obviously finds that he connects better with the children with one-on-one time, but the rule only states that you can't use a private vehicle. Jim should talk to his supervisor about if there is a company vehicle he can use, or get permission to use his own. In case 5 the issue that exists around worker responsibility is that Bradley doesn't have the full resources or sufficient time to work with clients. This means Bradley is responsible for "locating or developing resources." Bradley needs to speak with someone about getting some help to be able to fulfill his duties. The issue that exists around confidentiality in case 1 is that someone divulged the name of a child receiving care with Joe. Joe should investigate the people that could be the culprits. Client rights in case 2 is determined by a right to privacy. The client does not want the helper to share the information about them getting an abortion at an early age. The client has a right to ask the staff member to keep the information confidential and the staff member should respect that right. If the information is necessary for the whole staff to know in order to provide a
current service then the worker should explain that to the client and see if the client will allow the info to be discussed. If it is not currently relevant to the current needs or services then the information should be kept confidential. Client rights in case 5 is determined by informed consent. Informed consent states that "it is the client's right to know about the qualifications of the helper." If Emile wants them to trust him and have confidence in him, then he should be open about being a student. Chapter 6- Medical model, public health model, human service model What are 2 of the treatments that are commonly used today by the medical model to treat mental disorders? antidepressant drugs and antianxiety drugs The----model assumes that mental disorders are organically-based diseases or illnesses that impair functioning. Medical Philosophical assumptions that guide the practice of each model include beliefs about all EXCEPT: the role of the patient Treatment in the medical model includes all EXCEPT: societal control The goal of the public health model is to p rovide opportunities and conditions for health as a basic human right TRUE Which model focuses on and serves large populations rather than individuals. Public Health The human service philosophy emphasizes the responsibilities of society and the importance of working with the whole person The model that focuses on "symptom-diagnosis-treatment-cure" is Medical When helping an individual solve problems as a human service worker, which is the LEAST important of the following questions: What was the mindset of the person in the past? Both the medical model and the public health model have in common: using medical interventions, delivering service to cure an illness, and dealing with consequences of family violence Which model would be interested in collecting data on drug overdoses? Public Health What is the problem solving method? The problem-solving method is a method that first identifies the problem, determines clients' strengths, and cultural aspects of their lives, and then identifies which type of intervention would be best. Which model of delivery is most likely to use the problem solving method? The model of delivery that is most likely to use this method is the human service model. How can a strength based approach be useful when engaging clients in problem solving ? A strength-based approach can be useful when engaging clients in problem-solving because it focuses on resources, coping mechanisms, resilience, and strengths that the client has. This helps focus on the positive, rather than the negative. Name one type of problem that might be addressed by all three of the service models AND explain how each service model might be involved in solving
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that problem: One problem that might be addressed by all 3 service models is addiction. The medical model could address this by having doctors who are medically prescribing medications at a rehab facility to help the clients there through their withdrawals. The public health model could have people spreading awareness about addiction by going to schools and educating them on the issue, or by having public speakers. This helps not only create awareness but also prevent this from occurring with more people. The human services model could provide treatment at a rehab facility like group therapy, or individual therapy where the problem-solving approach is used. Chapter 7- Distinguish helping relationships from other relationships, stages of helping process, essential skills of a helping relationship, nonverbal and verbal communication, working one-on-one and with groups, challenging clients, culturally different clients ACCORDING TO THE TEXTBOOK What are 3 characteristics that are unique to the formal helping relationship? 1. Helping relationships are formed for a recognized and agreed-upon purpose; they are goal-oriented. 2. A helping relationship is time-bound, which means it usually occurs over several sessions; the relationship ends when the purpose has been accomplished. 3. The helping relationship carries authority. The helper's authority consists of the knowledge and skills that enable him or her to work with the client toward resolving the problem. ACCORDING to THE TEXTBOOK Describe 3 things a helper will want to attend to before the client arrives. 1. The physical setting. Are there any barriers that will prevent or make it difficult to establish a relationship with the client? 2. How will you handle note-taking, filling out forms, and recording information? 3. The helper needs to review the information about the client that is already accessible. List the 5 stages of the helping process, as given in your textbook , and give an example of one thing you might do during each stage. 1. Preparation: attend to things in question 2 above. 2. The client arrives: Greet client, show concern for their immediate needs (parking, sitting down, etc .... ) 3. Exploring the problem: Discuss current issues that brought them to you. 4. Intervention strategies: et goals, plan interventions, example: relaxation exercises, counseling, support groups, AA meetings, etc. 5. Ending client services: When goals are met, summarize progress and , refer elsewhere if necessary. As described in your textbook : Describe 2 ways that Crisis Intervention work is different from other types of planned interventions? (other than the fact that a crisis is involved!) Crisis help usually shorter term, requires immediate access to assistance, helps deal with immediate problem - current life situation, work goal: re-establish client's equilibrium (as opposed to solving long term chronic issues), work must establish rapport quickly, usually more than one helper involved, often referral to other services for follow up
Attending behavior is when a worker listens to a client and demonstrates that they are understanding what that client is saying with verbal and non-verbal responses, such as maintaining good eye contact, leaning forward, and demonstrating verbal tracking. TRUE Motivational interviews focuses on The client's approach to change A situational crisis is one in which there is usually an accident involved. TRUE A psychoeducational group is: a group where the facilitator educates clients on topics related to health and mental health You have a group of clients who are all experiencing depression and you are facilitating a group for these clients. What type of group would you facilitate? 1. Self-help group 2. The goal of my group would be to help those experiencing depression get a handle on it and provide a safe space to discuss their thoughts and provide support to help them achieve their goals. 3. Something that the group could cover is what depression can cause inside our bodies, and ways to cope with it. AA is an example of what type of group that is discussed in your textbook? Self-help List the 4 developmental phases of a crisis, as listed in your textbook , and explain what typically is happening for the client in each stage: Phase 1: The individual reacts to a traumatic event with increased anxiety. Then the person responds with problem-solving mechanisms to reduce or eliminate stress. Phase 2: The person's problem-solving ability fails. What caused the initial rise in anxiety continues. Phase 3: Anxiety levels increase and attempts at resolution fail. Phase 4: A state of crisis results when the problem remains unresolved and the tension and anxiety rise to an unbearable degree. Chapter 8- The whole person, problems in living approach expands an understanding, differentiate perspectives of client problems, situational problems, lifespan problems, hierarchy of needs, wellness model, strengths model, environmental influences, feminist perspective The term client refers to all but ONE of the following: Students, teachers, coworkers The human service professional in charge of housing services serves the whole person by providing housing, while also noting client's needs Two components of a problem are a description and a course of action. Central to understanding who a client is and what problems are encountered is the idea that problems are a normal part of life Feminists support the idea that women should be equal to men, socially and economically. TRUE Client satisfaction is related to the client's perception of the helper TRUE The feminist perspective is a perspective that challenges The existing power and hierarchy According to Maslow’s theory the bottom level of the pyramid addresses which needs? Food, rest and shelter.
How can Maslow's hierarchy of needs be useful to a human service worker in developing an intervention plan? Give an example to illustrate your point. Maslow's hierarchy of needs can be used to develop an intervention plan by getting the client to focus on basic needs first like shelter food and rest, before moving on to more intense needs like becoming independent. It can help map out a plan of what to focus on first and what to move on to when those needs have been met. Provide an example of 4 barriers that clients may experience when they want to, or need to, get help. 1. Clients could be too embarrassed to admit there is a problem, leading them to be less likely to ask for help. 2. Clients may be reluctant to ask for help or share their problems because they see the helper as a stranger. 3. The client could come from an ethnic background where sharing problems and concerns with those who are outside of their family is frowned upon. 4. Cost could be a barrier for a client because they may not be able to afford to get help. Chapter 9- Agency mission and goals, common elements of job description, ways to understand structure of an agency, resources an agency might use, community mapping, referral process, information network, allocation of resources, recordkeeping, turf issues, encapsulation, burnout, vicarious trauma List and describe the four stages of the 4-step referral process as described in your textbook. 1. Explain: Explain to the client why the referral is happening and make sure they know that it is for the client's own good. 2. Describe the Services: Describe to the client the services the referral agency provides, and as much other information available to make the client more comfortable in making the initial contact. 3. Know the Contact: Get the name of the contact person, as well as a phone number, email address, physical address, and directions there. 4. Transmit information: Send the appropriate information about the client to the new service agency, taking special consideration in what they need to know. The textbook describes ways in which paperwork is important. Describe 3 functions that paperwork serves. 1. It provides a permanent record of the services received by the client 2. It becomes a vehicle for organizing what is known about the client and what services are needed 3. It is read by professionals who serve the clients at the same time, or in the future Describe 3 reasons why a referral to another agency might be necessary for one of your clients. 1. The client might request a referral 2. The helper is unable to provide the assistance necessary to solve the client's problems 3. The client may be in psychological distress and require intensive therapy or crisis intervention that the professional cannot provide in the human services setting Vicarious trauma occurs when the trauma becomes part of the worker's worldview. TRUE
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Define Vicarious Trauma in your own words AND provide an example of vicarious trauma. Vicarious trauma can be caused by being exposed to clients that are experiencing severe trauma. An example would be someone working in CPS and having multiple child clients who have experienced sexual abuse. The worker may become overly suspicious of males or not allow her own children to be alone. What can lead a human service worker to "burnout"? List 3 signs that a worker might be experiencing burnout. 1. Burnout can be a result of negative changes in attitudes and behavior that are precipitated by job strain. 2. Poor work performance, reacting to a less-than-perfect work setting, disappointment in client motivations. Chapter 10- Mental health, wraparound, community corrections, community schools, hospice, human service challenges in rural areas, human services in military, technology to deliver human services, needs of elderly, challenges of a new workplace, bipartisanship An example of a diversity issue that needs to be considered when working with clients is AGE. Three other examples of human diversity issues that must be considered and understood by human service workers are: Race, gender, and sexual orientation. Community-based care is focused on health and wellness Recruitment and retaining helpers, distance, and cost are challenges to service provision in rural areas The focus of community-based mental health has changed to a focus on health and wellness A term that indicates strong support of one party’s platform is xenophobia. FALSE The correct answer is "partisanship". The following facts are true about Aging in America: By 2030, the increased number of elderly will be better educated, more diverse; a large number of the aging will be women; and those over 85 will continue to increase in number. TRUE What is the goal of services provided to military personnel and their families? To help injured service members learn to help themselves and each other, To provide direct programs and services to that meet the needs of injured service members, To identify and treat members with PTSD, and To assess service members mental health and well- being. Partisanship: approaching issues with only one philosophical stance systems of care: provides a comprehensive approach to assistance of specific populations community based services: enable clients to interact with their environments in the least restrictive setting in which they can function wraparound services: focus on individual treatment plans and providing a variety of services in community setting List and describe 3 ways in which the use of technology has a positive impact on the delivery of human services (as noted in your textbook!) 1. Can help clients learn new skills 2. Improve communication with helpers and
others 3. Integrate ongoing support to individuals and families in need How will Politics influence your ability to provide services to clients? Provide a description along with an example . "Human services agencies and organizations may be affected in different ways, depending on their relationship to federal and state governments, their funding sources, and their missions. Governmental policies determine who are clients and ways that clients may be served; funding influences the resources we have to help the increasing number of those in need." An example of how politics can affect human services is that Governor Newsome just passed a bill that can impact funding in California for human services, which can impact services being provided because some companies may no longer be able to employ as many people as they used to be, or for some companies could positively impact the number of clients they can serve.