Psychological Intervention..

1 Psychological Intervention: Katherine C. Student Name Affiliation Course Professor Name Date

2 Psychological Intervention: Katherine C. A. Presenting problem. Katie is heavily dependent on heavy drugs and has resorted to prostitution to fund her habit. When I asked the parents what the issue was, they were distraught (AEB by squirming and tone variation), and the father said they were scared that their daughter would die. B. Background of presenting problem. The twenty-eight-year-old Katherine was a regular student at a Religious university in New York until she developed an obsession. She is from a devoutly religious family and has many close friends. At 16, her parents noticed that she had acquired an eating disorder while at a parochial school. She began to experiment with parties after enrolling at the Catholic college. She was attacked and violated in her first year but did not report it to anyone or even contact the authorities, which is when her issue began. "You cannot be violated all those times and still be okay," the client asserts. Katie concealed the rape-related pain with self-medication (Fletcher, 2021). Her time spent in college, during which she was not subject to adult supervision, was another element that played a role. Her lack of a guardian prompted her to explore and use substances more dangerously (Welty et al., 2019). She was also removed from school after narcotics were discovered in her room. The family thinks Katie's substance abuse can be overcome with therapy. C. Childhood to adolescent history.

4 G. History of substance abuse. Katie's background of heavy drug use goes back to her first year of college. She began with alcohol before moving on to harsher substances like cocaine and crack. Presently, the customer abuses crack, alcohol, cocaine, and drugs. Her folks agree with her assertion that she cannot live without narcotics. To protect her, her mother will occasionally transport her to her supplier. Her parents must sometimes search for her after she vanishes due to her obsession. She fell out of school and needs the narcotics, which she buys through prostitution, in order to operate. H. Trauma incidence and traumatic loss history. According to her, the most upsetting event in the client's life was being assaulted. She remembers the traumatic event and resents the men who had sex with her for payment. I. Work History. NA. J. Military history. NA. K. Societal assistance. When the customer needs emotional support, she goes to her parents. She states that she has no acquaintances but adores her family and is confident in their affection. She has strong parental support. This is demonstrated by their repeated attempts to find her when she gets disoriented, the fact that her mother drives her to her supplier, and the intervention they conducted to urge her to enter treatment. This demonstrates that the patient comes from a loving environment that can

5 provide her with powerful societal support as she heals ( Pettersen, 2019 ). She says her parents, who are devout Catholics, pray for her even though she does not attend church. L. Cultural background. The customer is a White woman whose family resides in a middle-class neighborhood. She believes that she is damaged because of her parents' strict parenting style and their Catholic faith. The client's experience of being oppressed by both her parents is the primary problem related to her ethnic heritage. The client may have developed resistance due to this form of abuse, which may explain her propensity to try substances to subvert her parents' authority (Wang, 2021). M. Legal history. The client has already been arrested several times on narcotic possession allegations. She has no open cases, and her parents have bought her out of the narcotics cases. N. Current situation. Katie presently resides by herself in a city apartment. She is unemployed and relies on prostitution to purchase her drugs and utilities. She does not have health insurance, but her parents are prepared to pay for her care. Her present circumstance demonstrates money and societal insecurity, possibly contributing to her substance abuse ( Scheier, 2021 ). O. Client's view of the problem and possible solutions. Katie states, she wants to be better and “I am ready to get better. My family and I share a deep affection for one another. They should not have to bury me, please.” P. Social worker's view of the problem and possible solutions.

7 S. Treatment Plan Problem and Goal Action Plan To be complete d by what date? Persons and agencies responsi ble for completi ng action Date action plan accomplis hed How satisfied was the client regarding the outcome of this action plan? How satisfied was the social worker regarding the outcome of this action plan? 1. Drug and Substance Addiction Admissio ns to a rehab center Three months from now Rehabilit ation Center (Interplus ). 2. Rape Trauma Counselin g of client to address her trauma. 16 weeks from now Social worker; a professio nal counselor . 3. Differential diagnosis for her The client shall see a psychiatri A week from now A licenced social worker;

8 personality disorder st for her assessmen t and (when necessary) differentia l diagnosis as well as therapy psychiatri st 4 5 T. Table for intervention plans for 6 weeks and 6 progress notes Week Intervention Plan Tasks 1 Assessment, goal setting, and treatment planning. Intake session: Assess the client's current drug use and addiction history, trauma history, social support, mental and medical health history, legal history, and current

10 community resources. Week 5 Personal Growth and Development Encourage the client to identify areas of personal growth and development. Discuss ways to enhance self- care practices and develop a positive self-image. Week 6 Preparing for the Future. Review the client's progress and successes in treatment. Develop a discharge plan with the client, including identifying aftercare resources. The treatment approach for Katie will be based on the transtheoretical model (TTM) of behavior change, which is useful in addiction treatment. This model asserts that behavior change is a process that occurs over time, and individuals move through stages of change before achieving sustained recovery. Using the TTM, the therapist will work with Katie to assess where she is in the stages of change and develop a tailored treatment plan that matches her current stage of change. The therapist will focus on building a strong therapeutic alliance with Katie, providing psychoeducation on addiction and coping skills, and identifying and addressing barriers to change.

11 The therapist will also integrate other evidence-based approaches, including cognitive- behavioral therapy (CBT) and motivational interviewing (MI), to enhance Katie's treatment outcomes. CBT will identify and modify negative thought patterns and behaviors contributing to drug use. MI will help Katie explore and resolve ambivalence about change, increase motivation, and improve treatment engagement. U. Ethical issues which potentially apply to this case NASW Ethical Principle: Social workers practice within their competence areas and develop and enhance their professional expertise. Social workers continually strive to increase their professional knowledge and skills and to apply them in practice (NASW 2019). Given that I do not have psychiatric licensure, the customer may need extra assistance for any mental problems. NASW Value: Integrity- Social workers should be trustworthy to their clients and maintain confidentiality (NASW 2019). I will reveal only those specifics about her case that she is willing to discuss with third parties, such as Katherine's family. NASW's obligations to the customer in terms of ethics: Informed consent (NASW 2019). I will obtain, from the client, informed consent since she is an adult. Obtaining informed consent is essential to the social worker's ethical practice when working with clients. Informed consent involves obtaining the client's voluntary agreement to participate in the services. NASW's obligations to the customer in terms of ethics: Informed consent (NASW 2019). I will obtain, from the client, informed consent since she is an adult. Obtaining informed consent is essential to the social worker's ethical practice when working with clients. Informed consent is a process that involves providing clients with information about the purpose, risks, benefits, and alternatives to the services being provided. It also involves obtaining the client's voluntary agreement to participate in the services. When working with an adult client with trauma and

13 4. Humanistic Therapy progress note: The client needed more self-acceptance and self-care. We focused on exploring their values and strengths and worked on developing a more compassionate self-image. Homework was assigned to practice self-compassion and self- care. 5. Emotionally Focused Therapy (EFT) progress note: The couple could identify and express their underlying emotions during the session. We worked on improving their communication skills and explored how their attachment styles affected their relationship. Homework was assigned to practice using more vulnerable and empathetic language with each other. 6. Psychodynamic Therapy progress note: The client shared a recurring dream, and we explored its symbolic meaning. We worked on uncovering unconscious patterns and unresolved conflicts that may contribute to their current difficulties. Homework was assigned to journal about any insights or emotions that arose after the session. W. Plans for evaluation The customer will be interviewed for the minimum assessment, and her recent behaviors will also be examined. The social worker will question the client about her wish for certain substances and whether she experiences the impulse to use them. This will show how addicted she is, and it will aid in creating future meetings ( Beaulieu, 2021 ). The client's continued honesty is the primary presumption. The therapy specialists will also be questioned and give interviews with reports on their notes of the customer and their development. This will offer a qualified evaluation of the client's discontinuation symptoms and possible substance use signs. The social worker will also collect blood samples to screen for possible drug use by the individual.

14 References Beaulieu, M., Tremblay, J., Baudry, C., Pearson, J., & Bertrand, K. (2021). A systematic review and meta-analysis of the efficacy of the long-term treatment and support of substance use disorders. Social Science & Medicine , 285 , 114289. Chen, S. (2020). An online solution focused brief therapy for adolescent anxiety during the novel coronavirus disease (COVID-19) pandemic: a structured summary of a study protocol for a randomised controlled trial. Trials , 21 , 1-2. https://link.springer.com/article/10.1186/s13063-020-04355-6 Fletcher, K. (2021). A systematic review of the relationship between child sexual abuse and substance use issues. Journal of child sexual abuse , 30 (3), 258-277. Jenkins, M., Gendall, P., Hoek, J., Beaglehole, B., Bell, C., ... & Stanley, J. (2020). Psychological distress, anxiety, family violence, suicidality, and wellbeing in New Zealand during the COVID-19 lockdown: A cross- sectional study. PLoS one , 15 (11), e0241658. Ghani, N. A., Ghazalli, F. S. M., Abdullah, B., Mohd, Z., & Yunus, A. M. (2017). Addicts’ Expectations and Hopes towards their Family During Drug Rehabilitation. International Journal of Academic Research in Business and Social Sciences , 7 (12), 531-536.