Client Case Study 5026 U4A1

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Capella University *

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5026

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Sociology

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Feb 20, 2024

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SWK 5026: Client Case Study 1 Client Case Study Emily Williams Capella University SWK 5026: Foundation Practicum 2 Dr. Sandi Barberis February 3, 2024

SWK 5026: Client Case Study 2 Assessment of Client System For the purposes of this assignment, we will be examining the case of a patient on hospice services for heart failure who was referred to hospice services for years of medical non- compliance and multiple trips into the emergency department. Redwing Jackson (pseudonym) is a 47-year-old Native American Male. Redwing completed 10 years of traditional education prior to dropping out. He is currently homeless, residing in a tent illegally in a field behind a local retail store. Redwing struggles with addiction, he first started using alcohol when he was 13 and later progressed to illegal drugs. He is aware that this is not a healthy lifestyle but states he has a large support system within the tent community he resides in and this is the only family he has ever truly known. Redwing was an only child residing in a house with his alcoholic and often neglectful parents. Redwing’s childhood was less than ideal as his parents were often intoxicated and did not get along well. Redwing witnessed multiple instances of domestic violence between his parents and would often fall asleep to the sound of them screaming and throwing things at each other. Redwings father passed away from liver failure at an early age as a result of his addiction. After the passing of his father, Redwings mother did not cope well with her grief causing her to isolate and increase her drinking habits. His mother often would not notice if he didn’t attend school and would not wake up to ensure he would make it to the school bus. This resulted in Redwing dropping out. Redwing is a heterosexual; he has been married once resulting in a divorce after only 2 years. He has 6 children whom he does not have any relationship or contact with. Redwing states that he has not spoken to any of his children, of whom most are now adults in over 7 years. Redwing states he has no desire to reconnect with his children as he feels they are likely better

SWK 5026: Client Case Study 3 off without him. Redwing states his only family is the few friends he has with in his tent community. Analize Problems Redwing is seeking assistance with dignity and quality of life throughout his disease process. Due to Redwing’s non-compliance with medical recommendations, his less-than-ideal living situation, and high-risk life choices, he has been provided with a life expectancy of 6 months or less. Redwing receives $213 a month from the tribe he is associated with, and this is his only income. Redwing is unable to work due to his disease and the fragile state his feet are in from a history of untreated frost bite. This makes him unable to afford any sort of housing, in addition to this due to his addiction he is unable to reside at any of the local shelters. He does not have access to a computer, or smart phone so he has not applied for any form of government assistance. Social Injustice Issue Redwing experiences homelessness, this is a form of social injustice that violates the human rights of people who lack safe and secure housing. Due to his lack of secure housing Redwing also lacks the connection with friends, family, and community. His homeless status also causes him to face stigmatization, criminalization, and discrimination (AHRC, 2018). This discrimination looks like a lack of proper health care for his current condition as well as lack of assistance to carry out his activities of daily living. Prior to coming onto services with our hospice agency he was denied detox and treatment services, home health services and all other by all other local hospice agencies due to his lack of housing and ability to care for himself. In addition to the denial of proper health care he was also denied the ability to receive caregiver

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SWK 5026: Client Case Study 4 assistance due to not having a home for them to provide cares in. This is a violation of his right to an adequate standard of living (AHRC, 2018). Apply Mezzo, Macro, and Micro Skills In Redwing’s case on a Micro level, he would benefit from support, assistance with applying for government aid, as well as resources for addiction support. At a Mezzo level we could provide assistance to Redwing in reconnecting with his family if he so desires. We could also work with community partners and caregivers to get him adequate care if eligible for caregivers in the future. At a Macro level we can advocate for community resources to assist with Redwing’s care. Redwing has the right to proper housing and healthcare and should not be discriminated against by community agencies due to the financial struggles he faces. Establishing Goals with the Client When meeting Redwing for the first time it was clear he would benefit from social work assistance in many aspects of his life. I discussed with him the types of services social work have to offer him. He was very interested in us assisting him with finding safe and adequate housing so that he could benefit from caregiving and other government assistance. When discussing his struggles with addiction he was not interested in outpatient services and unfortunately due to his medical condition he is not eligible for any detox or inpatient treatment options. I inquired about reconnecting with his family, and Redwing stated this is not a goal of his. I validated his feelings and moved on to topics of interest. Together Redwing and I established the following goals:  Increase his income to help pay for his basic needs. o Apply for social security benefits to supplement income within the next week.  Obtain a warm and secure place for him to stay while hospice provides services.

SWK 5026: Client Case Study 5 o Reach out to the Heart of Hospice Foundation for assistance with paying for a hotel for the next 14 days as eligible through their program same day.  Obtain assistance from the government in the form of food, shelter, and caregiving. o Apply for caregiving assistance, Medicaid, Food stamps, and long-term care assistance through the department of human services. Assess the Impact of a Social Welfare Policy The department of human services has a Medicaid long-term care assistance program that is meant to assist individuals who cannot afford to receive adequate care gain the assistance of caregivers or utilize assisted living facilities regardless of their ability to pay (ODHS, n.d). This program is a huge benefit, however the process to get approved can be lengthy and difficult for those who require assistance. This is where the Heart of Hospice foundation will come in to provide temporary housing for Redwing until he has completed the application and assessment process for this program. This program will assist Redwing in gaining the assistance needed to complete the basic activities of daily living with the assistance of caregivers and once/if approved for the highest level of care he can benefit from moving into an assisted living facility. Ethical Considerations The NASW Code of Ethics offers a set of guidelines to assist in decision-making and conduct when ethical issues arise (NASW, 2017). In the situation of Redwing the NASW value “Dignity and Worth of a Person” is applied to his case. Redwing is a homeless man who has not been treated with dignity and worth by other agencies in this community. It is the role of the social worker to assure Redwing is treated in a caring and respectful fashion, being mindful of his differences and cultural and ethnic diversity (NASW, 2017). An Ethical consideration that arose

SWK 5026: Client Case Study 6 during my visit with Redwing was NASW Standard 1.07: Privacy and Confidentiality (2017). This code refers to the responsibility of the social worker to maintain confidentiality and not to provide private information except for compelling professional reasons. When obtaining a hotel room through the Heart of Hospice Foundation it was necessary to provide the client’s information to the hotel staff. In order to do this, it was necessary to first get the client’s consent to do so but also to provide the minimum information necessary to complete the task. For example, it is necessary to let the hotel know that the client is on hospice services so incase of an emergency hospice is contacted to provide medical care, however, it is not necessary to tell the hotel his diagnosis, why he is getting a hotel from our foundation, what his care needs are, and other private information. When continuing to provide assistance to Redwing, I will utilize the NASW Code to guide my decision making and assist me in practicing both competently and ethically to assure I am acting in the best interests of the client.

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SWK 5026: Client Case Study 7 References Homelessness is a human rights issue . The Australian Human Rights Commission. (2018, January 1). https://humanrights.gov.au/our-work/rights-and-freedoms/publications/ homelessness-human-rights-issue NASW. (2017). Social Workers’ Ethical Responsibilities to the Client . NASW, National Association of Social Workers. https://www.socialworkers.org/About/Ethics/Code-of- Ethics/Code-of-Ethics-English/Social-Workers-Ethical-Responsibilities-to-Clients ODHS. (n.d.). Long-Term Care Options . Oregon Department of Human Services : Long-term Care Options : Aging and Disability Services : State of Oregon. https://www.oregon.gov/odhs/aging-disability-services/pages/long-term-care.aspx

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