You work at a local community health clinic as the behavioral health specialist. A clinic patient has just been diagnosed with [diabetes]. It is customary for this (enlightened) clinic to take a multidisciplinary approach to treatment, and you are part of the multidisciplinary team (MDT). In your role as a behavioral health specialist, you work along with the team to contribute your knowledge to build the best treatment possible for this patient. During MDT meetings, your input will help the others understand the needs and circumstances that surround this patient and may impact the success of treatment.

You set up an appointment with this patient for a 1-hour meeting. You must prepare for this first meeting by determining what you need to know, and what you will use with that information. Below are some questions to guide your plan:

1. What do you need to know about the patient that is likely in the medical charts? Why? What will this information tell you about the patient?
2. What do you need to know about the current life of the patient that is not in the medical charts? Why? What will this information tell you about the patient that will help you as part of the MDT? How will you ask the questions during the meeting to collect the information you need? Think broadly, from the interpersonal all the way out to the most outer level of the Social Ecological Model.
3. Will you assess the patient’s understanding of the diagnosis, treatment, and potential outcome of the condition? Why? What will this information tell you about the patient that will help you as part of the MDT? What questions will you ask? Use Leventhal’s Common Sense Model to guide your work.
4. Every member of the MDT must suggest potential actions to take with each patient to improve treatment outcome. These can be as simple as monthly check-ins or more comprehensive interventions. As the behavioral health specialist, with all the knowledge you obtained in this course, what are some possible recommendations you might make to the team and under what patient circumstances? Give at least three (3) examples of recommendations based on what you might learn from your questions for items 1–3 above. Be specific as to what you recommend, based on what potential factors about the patient. At least one of your recommendations should be associated with health behaviors (Module 3) and another specific to the fact that this patient will be involved in the health care system (Module 4). If you have a clinical background, you may use a combination of clinical and health knowledge for one of your recommendations.

By Day 7

Complete the Grandparenting Worksheet.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a scoring guide. Please review the scoring guide prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the directions in the Student Success Center.

This assignment meets the following CACREP Standard: 5.F.3.b. Fostering family wellness.

Week 1 Project Instructions

Based on your understanding of the week’s materials and relevant research, address the following in a 4- to 5-page Microsoft Word document:

• How have federal and state regulations mirrored societal focus on substance use?
• What are the current legal standards with regards to substance treatment? Consider legal issues such as confidentiality, informed consent, referrals to treatment centers, insurance coverage, release of information, etc.

Week 2 Project Instructions

Read the two case studies below. Then answer the questions in a Word document.

Case Study 1

Staria is a seventeen-year-old girl who has been brought to your outpatient treatment center by her mother. Staria has been suspended from high school on two occasions over the past six weeks for fighting and disorderly conduct. She has a history of recurrent detention and classroom dismissals for similar, though less severe, behavior at her previous high school. On the last occasion, she and another student were engaged in an altercation in the hallway. When security was called in, it was discovered that Staria had a pint of vodka and a small quantity of marijuana in her locker. At the time, it was noticed that Starina seemed intoxicated. She later tested positive for marijuana.

You meet Staria and her mother and learn that Staria stole alcohol and marijuana from her father’s stash and that he was outraged by the discovery. Staria blames her parents for her school dismissal and feels she is being blamed and scapegoated by her parents. According to her, her parents are the ones who need counseling. She also reports that her grandfather recently passed away due to cirrhosis. Her mother states that Staria has a twin sister, who never uses drugs, cigarettes, or alcohol and that Staria should be more like her sister. 

Case Study 2

George is a civil service employee who has been struggling with his drinking problem for years. He has tried to control his alcohol use and has made many attempts to refrain. Lately, he has been drinking more frequently to feel the same effect; he even drinks before he goes to work. His family has a history of alcoholism. Although George is aware of the genetic origins concept, he feels embarrassed and struggles to identify himself as an alcoholic. He compares himself with others who drink far more than he does, and in his perception, this rationalizes that he is not that bad.
George continues to drink despite the adverse consequences on his health and sociocultural relationships. In the past three years, he has experienced the following consequences:

• One arrest for driving under the influence (DUI)
• Loss of a job
• Mood swings
• Fights and arguments with family members over his drinking
• Frequent inability to stop drinking
• Blackouts
• Need for increasing amounts of alcohol in order to get high

George’s present employer asks him to attend Alcoholics Anonymous meetings. George responds, “I am not like those people. I am not that bad.”

Based on the case studies given above, create a Microsoft Word document that answers the following:

• Using the DSM-V criterion, diagnose Staria and George. Explain the diagnosis by incorporating discussion over the concepts of addiction (i.e., withdrawal, tolerance, physical dependence, comorbidity, and psychological dependence).  Be sure to explain the selected diagnosis.
• The models for substance use can be categorized as physiological and psychological. Within each of these general categories, however, are different specialized foci. Review the Theories of Alcoholism document, as well as conduct research to determine which model(s) aid in understanding what is happening with Staria and George.

I have to answer 2 questions separately; each question needs to
be at least 350 words.

Question #1

Provide an
example of two different behavior change tactics (e.g., positive reinforcement,
non-contingent reinforcement, negative punishment, etc.) where an unwanted
behavior change might occur as a result of your treatment intervention.

Using behavior
analytic terms, discuss the specific tactic that was used, the target behavior,
and the unwanted behavior change.

How could you
have planned for this differently? 

Any ethical
considerations to go along with each method of change which you described?

Question #2

Select a
scholarly peer-reviewed research article where a behavior analytic procedure
for change was used and an unintended behavior change occurred.

Did behavioral
contrast effects occur in this study?

What could you
have done differently to plan for any unwanted effects ahead of time?

Would you
recommend a different behavior change tactic, and if so, which ones?
Why? 

Are there any
ethical or practical considerations, which may be of issue in this study?

Refer to chapter 10 as well as p. 472, Box 10.1 “Cultural
Relativism.” The text describes interpersonal violence across seven
different global cultures (Africa, Asia, Europe, Latin America, Middle
East, North America, and Russia).

Choose three different global cultures from the cultures described in the textbook.

Write
a 750-1,000-word paper that discusses the general cause of
interpersonal violence in cultures other than the United States.

Include the following in your paper:

1. How the causes and impact of interpersonal violence are the same as the culture in the United States.
2. How the causes and impact of interpersonal violence from your selected cultures differ from that of the United Sates.
3. Include a minimum of two scholarly references in addition to the textbook.

Prepare this assignment according to the guidelines found in the APA Style

TEXTBOOK
Barnett, O. W., Miller-Perrin, C. L., & Perrin, R. D. (2010). Family violence across the lifespan: An introduction (3^rd ed.). Thousand Oaks, CA: Sage. ISBN-13: 9781412981781