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Howard University Comprehensive Community Services Case Study
Simmons is married to Brian Simmons for the last 10 years. Brittany is 35 years olds, she and her husband have two children together 1 girl Toya Simmons (12 years old ), and 1 son Joe Simmons (8 years old). Brian is a janitor for Public School in Milwaukee, WI and Brittany doesn’t work due to being a drug addict. Brian kicks his addict wife, Brittany out of their home, causing him to have a strained relationship with their daughter, Toya Simmons who wants to join the church choir. Fearing that Toya will turn to drugs like her mother, Brian refuses until a family member convinces him otherwise, encouraging him to also fix his relationship with Brittany. In 2019, Brittany is now clean and sober after going into rehab, reconciles with her husband Brian. Brittany enrolled in While in rehab, Brittany enrolled in Comprehensive Community Services (CCS) to maintain her sobriety once release from the program. CCS is a voluntary Medicaid program. It is a recovery-focused, integrated behavioral health program for adults with severe mental illness and/or substance use disorders.
Background information about Case Study:
Prior to getting on drugs, Brittany worked as a Register Nurse, she graduated from UW-Madison with a 3.8 gpa. Brittany grew up seeing her father Michael doing drugs, cocaine. Michael died in 2007 from an overdose. Brittany stated that she was close with her father, but would go missing days at a time. Brittany’s parents were married, mother name Mariah, who worked in a factory. Brittany is the only child. Brittany was not as close to her mother because her mother worked a lot of hours to support the family, while her father stayed home. Brittany described her father as a “stay-at-home father.”
DSM Dx: Post-Traumatic Stress Disorder (PTSD), and Substance-Related Disorder
Evidence-Based Practice Paper
You will apply evidence-based research and practice concepts learned throughout the course to a case at your internship. The professor is available to meet with you at any point to support this process.
Outline of Case Study: Introduction
Describe your agency
Describe the client’s characteristics Client history
Reason for referral Culture/religion
Assessment
DSM-5 (APA, 2013) Diagnosis
Assessments used for diagnosis (e.g., Beck’s Depression Inventory, ADIS, Connor’s, etc.). Rationale for diagnosis (citing the DSM-5- APA, 2013)
Prognosis and relapse prevention
Evidence-Based Practices
Logic, scientific inquiry, culturally-informed practices, and ethical approaches for evaluation. Use of evidence-based practice and the processes
Discern and translate quality evidence-based research
Describe of how you will evaluate the impact of your chosen intervention/s on client change (your pre-and post- assessment data)
Describe how you will use qualitative data (client feedback) to inform your conclusions. Discuss your process for locating quality research to inform your practice decisions. Life-long learning
Contributions to the research base
Interventions SMART Goals
Duration of Intervention
Interventions of choice Conclusion
Critically examine and summarize background, assessment, diagnosis, evidence-based practices, interventions, and evaluation.
Details by Section
Introduction: (approximately 1-2 pages)
This section describes the agency and the client.
Describe your agency. Inform the reader where you work, and what type of clients the agency serves. Explain the services offered/used with clients.
Provide a description of the client that includes standard characteristics such as age, sex, ethnicity, and family composition.
Provide the client’s history, especially information on earlier life history. Include the details ordinarily incorporated in a clinical case study.
Describe the reason for seeking treatment and presenting concerns or symptoms.
Discuss the client’s culture, how this may be affecting his/her development, and the considerations you need to make to be culturally competent (you should include at least one reference about cultural competence/humility, as relevant to this client).
Assessment: (Approximately 2 pages)
In this section, you will diagnose your client. You will use the DSM-5 (APA, 2013) to apply diagnostic criteria about your client to the client’s diagnosis to demonstrate that the client meets the criteria of that diagnosis.
Please also explain the assessments that were or will be used for diagnosis and why you chose them (e.g., Beck’s Depression Inventory, ADIS, Connor’s, etc.).
End this section with your client’s prognosis. Describe the client’s potential for recovery and relapse prevention and how you reached that conclusion.
Evidence-based practices: (Approximately 4-5 pages)
In this section, explicitly incorporate principles of logic (your decision-making process), scientific inquiry (how you located and examined the available research), and culturally informed (account for diversity, differences, and cultural humility), ethical approaches, and evaluation data (use NASW Code of Ethics, 2017) to appraise clinical practice and program outcomes.
As you complete this section, include information about how you will use the process of evidence-based practice to translate research findings into effective practice.
In this section, include three or more citations/peer-reviewed articles supporting your practice interventions from BOTH quantitative and qualitative research methods determining your evaluation of clinical practice and program outcomes (how your program outcomes were met or not met by your clinical outcome).
Discern and translate quality evidence-based research for application to the process of decision-making in practice and program contexts. Discuss your process for locating quality research including quantitative and qualitative methods and how you used that evidence to inform your practice decisions. You may need to use professional journals in multiple fields. For example, if your case study is about a student who is a client in a school setting, your quantitative and qualitative research articles can derive from both mental health journals as well as education. If you’re working with an older adult in a geriatric setting, your research should involve health care and mental health.
Life-long learning- Discuss what steps you will take to remain current with the research and practices as it pertains to your client population (e.g., if you’re working with a child with an anxiety disorder, then describe how you will remain current with research and practice for childhood anxiety disorders).
Contributions to the research base- how can you contribute your findings to the existing knowledge base while maintaining confidentiality. For example, you could share at an in-service or a professional conference the evidence-based process you took applying research to practice and the evaluation practice of assessing effectiveness of interventions.
Intervention(s): (Approximately 2 pages)
In this section, you will use informed decision making identified in the evidence-based practice section to identify and justify your methods of intervention with the client.
Determine a minimum of two goals and describe the objectives for each goal. Use S.M.A.R.T goals and objectives.
Decide on whether your intervention will be short or long term and give a rationale.
Using at least two or more peer-reviewed research articles, describe the interventions you would use, and how you believe this will help the client change and function more effectively. Be explicit about how your interventions are grounded in evidence, and how the specific approach/es selected are expected to facilitate treatment goal achievement.
Conclusion: (Approximately 1-2 pages)
Include a strong conclusion that reflects on your critical examination of your client and what outcomes you anticipate given their background, your assessment, the diagnosis, evidence-based practices, and interventions.
Please disguise clinical information on the case study as well as within your group. Use a single initial, “Mr./Ms. Smith,” or simple first names for children. If you do not have access to certain information or a current case, please discuss this with the professor within the first week of the term.