Using the following case study. Choose one theoretical framework from Human Behavior in the Social Environment to explain your approach to assisting Ida. You must explain the framework and explain which level(s) of practice your intervention addresses. explain what your intervention is also. Ida (38) was a widow. She married her first husband, Butch, when she was 17. Ida divorced Butch because of domestic violence. Ida and Butch had no children. About ten years ago, Ida and Keith married and they had two children—Kyle (9) and Kelly (8). Keith died three years ago. At his dying bed, Keith reportedly revealed to Ida that he had AIDS. The news was shocking to Ida. After Keith died, her physician confirmed that she was HIV-positive. About one year ago, her health deteriorated and she was hospitalized several times. Since then, she lost her job and health insurance. She relied on TANF and Medicaid for her and her children. Ida appeared to be older than she actually was. She had gray hair and wrinkles. She complained that her knees and fingers were painful. Ida showed depressive symptoms and abused alcohol. She revealed that she was alcoholic before she met Keith at AA meetings. After they married, Ida became sober. After Keith passed away and she was diagnosed as HIV-positive, she became very angry and sad. She resumed her drinking behavior. Her drinking became heavy when her health deteriorated. She drank a 40-oz bottle of beer or six shots of liquor each day. She was intoxicated almost every day and she had several blackouts in the previous 12 months. She had crying spells and could not sleep at night. She thought of Keith and worried about herself and her children. She did not have any suicidal ideation. She did not comply with her medication, complaining about their side effects. While her physician confirmed that the medication would maintain her health, she believed that she would die anyway. She could not function at work and she was fired. She could not take care of her children. Her children and home were filthy. The school filed a report and CPS investigated. Although CPS substantiated the report, they did not remove her children. CPS provided case management that helped her family to obtain benefits from TANF and Medicaid. The family was living in an apartment with Section 8 housing benefits. Kyle and Kelly appeared to be age-appropriate for their development. They were active and followed Ida’s instruction. They knew that their mother was sick but they were ignorant of the exact diagnosis. Ida did not reveal to them her medical diagnosis and Ida refused to have them tested for HIV. Ida also did not reveal her medical diagnosis to their school or church because of potential prejudice against them. Teachers reported that Kyle and Kelly were good students and got along with other students. There was a rumor that they were sick and some troublemakers had picked on them. On the other hand, the church rejected the family’s participation and did not explain the reason. Ida suspected that her medical condition was somehow known by the church. Kyle and Kelly enjoyed playing with neighbor children. Their paternal grandparents visited Kyle and Kelly weekly. They took care of the children while Ida was hospitalized. They had guilty feelings about Ida’s medical condition. They also worried about the children’s living and health conditions. Ida was ambivalent about their help. While she appreciated it, she was upset thinking that they probably wanted to take her children away from her. On the other hand, Ida’s parents or relatives did not have any physical contact with her after they found out that she had AIDS. Her parents called her and sent money to her on holidays.
Using the following case study. Choose one theoretical framework from Human Behavior in the Social Environment to explain your approach to assisting Ida. You must explain the framework and explain which level(s) of practice your intervention addresses. explain what your intervention is also.
Ida (38) was a widow. She married her first husband, Butch, when she was 17. Ida divorced Butch because of domestic violence. Ida and Butch had no children. About ten years ago, Ida and Keith married and they had two children—Kyle (9) and Kelly (8). Keith died three years ago. At his dying bed, Keith reportedly revealed to Ida that he had AIDS. The news was shocking to Ida. After Keith died, her physician confirmed that she was HIV-positive. About one year ago, her health deteriorated and she was hospitalized several times. Since then, she lost her job and health insurance. She relied on TANF and Medicaid for her and her children.
Ida appeared to be older than she actually was. She had gray hair and wrinkles. She complained that her knees and fingers were painful. Ida showed depressive symptoms and abused alcohol. She revealed that she was alcoholic before she met Keith at AA meetings. After they married, Ida became sober. After Keith passed away and she was diagnosed as HIV-positive, she became very angry and sad. She resumed her drinking behavior. Her drinking became heavy when her health deteriorated. She drank a 40-oz bottle of beer or six shots of liquor each day. She was intoxicated almost every day and she had several blackouts in the previous 12 months. She had crying spells and could not sleep at night. She thought of Keith and worried about herself and her children. She did not have any suicidal ideation. She did not comply with her medication, complaining about their side effects. While her physician confirmed that the medication would maintain her health, she believed that she would die anyway. She could not function at work and she was fired. She could not take care of her children. Her children and home were filthy. The school filed a report and CPS investigated. Although CPS substantiated the report, they did not remove her children. CPS provided case management that helped her family to obtain benefits from TANF and Medicaid. The family was living in an apartment with Section 8 housing benefits.
Kyle and Kelly appeared to be age-appropriate for their development. They were active and followed Ida’s instruction. They knew that their mother was sick but they were ignorant of the exact diagnosis. Ida did not reveal to them her medical diagnosis and Ida refused to have them tested for HIV. Ida also did not reveal her medical diagnosis to their school or church because of potential prejudice against them. Teachers reported that Kyle and Kelly were good students and got along with other students. There was a rumor that they were sick and some troublemakers had picked on them. On the other hand, the church rejected the family’s participation and did not explain the reason. Ida suspected that her medical condition was somehow known by the church. Kyle and Kelly enjoyed playing with neighbor children.
Their paternal grandparents visited Kyle and Kelly weekly. They took care of the children while Ida was hospitalized. They had guilty feelings about Ida’s medical condition. They also worried about the children’s living and health conditions. Ida was ambivalent about their help. While she appreciated it, she was upset thinking that they probably wanted to take her children away from her. On the other hand, Ida’s parents or relatives did not have any physical contact with her after they found out that she had AIDS. Her parents called her and sent money to her on holidays.
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