You can reach learning objectives by reading the case study you are assigned and providing thoughtful response that includes critical thinking. You will be expected to apply course concepts
This discussion relates to this week's learning objectives for Modules 8 – 10.
You can reach learning objectives by reading the case study you are assigned and providing thoughtful response that includes critical thinking. You will be expected to apply course concepts to your client’s case.
You need to address the following questions in your response:
- Based on the content in Modules 8 – 10, identify one area you think needs immediate support for this family? How might a social worker advocate for or offer a service to meet that need? What intersecting identities or cultural considerations should be considered when working with the client/family? (4 points)
- How might a school social worker support the school age clients in this family? For this answer, name the client you are focusing on, their strengths, and areas they might need support, as well as how you would support as a school social worker. (3 points)
- What person(s) is living with physical, cognitive, and/or developmental challenges in the case study and what is the challenge? What are ways to support and/or provide services for the individual(s) to ensure they have a supportive environment? In what ways might a social worker advocate for them at a macro level (4 points)
- What kinds of attitudes does the public display toward people who are in the same human developmental stage as Margaret's father? How would you navigate supporting Margaret in addressing the attitudes and expectations people have of those in his developmental age? What biopsychosocial-spiritual challenges do you think Margaret’s father could be facing? (3 points)
- What is one question that you have about your case study/client and its relation to this week’s module material? (1 point)
300 words + 100 peer review
Margaret (age 38), identifies as a Mexican American homemaker, is seeking services
from a local service agency. Margaret tells the caseworker that she feels overwhelmed with her
usual responsibilities with the additional pressures of the current COVID-19 pandemic.
Additionally, she feels depressed, doesn't sleep well or eat much, and is irritable much of the
time. She has eliminated most of her social interactions and the only outside activity she feels
comfortable doing is attending Sunday Mass with her family. Recently, Margaret’s father (77) a
retired U.S. Navy Lieutenant, had a fall, and is no longer able to live alone. Margaret helped him
move into a local assisted living, but is struggling to ensure his emotional needs are met. She was
able to sign him up for food stamps to assist with the cost of food. Margaret lives with her family
in Yuma, AZ (for history of Yuma https://www.yumaaz.gov/about-yuma for census information
https://www.census.gov/quickfacts/fact/table/yumacountyarizona/PST04521).
Her partner Jenna (age 42) also identifies as Mexican American, is an architect who
works long hours and often unwinds after work by enjoying a few drinks. Margaret
communicates that Jenna’s drinking upsets her because her father was an alcoholic and she is
concerned about the few times Jenna has picked up the kids after she had a few drinks. Jenna is
passionate about her architecture work and was awarded the Yuma Architect of the year in 2019.
Due to COVID-19 Jenna moved her architecture practice to her home and now all four family
members are under the same roof for the bulk of the time together. In talking with the case
worker, Jenna reports the line between family and work has been blurred due to COVID-19, her
drinking has increased after work to destress. She reports her work load has increased since
working from home and she has no energy left to engage with her children or partner at the end
of the day. She says that when she tries to cut back drinking during special events or during Lent,
she finds that she is irritable and craves alcohol. She believes that if she wanted to, she could
probably cut back but feels alcohol helps her relax. Jenna reports she is concerned about Lisa’s
inability to focus and her struggling grades.
They live with their 2 children Lisa (age 15) who is capable of caring for herself and
helping around the house, but prefers to hang out with her friends and be involved in sports and
other extracurricular activities; and their youngest son, David (age 9), who has Down's
Syndrome and needs assistance in self-care and day-to-day activities.
Lisa (15) is very socially active in extracurricular and athletic events. In school
she fidgets and has a hard time sitting still. She also struggles with time management and tends
to be disorganized. She chronically misplaces everyday objects like her backpack, mask and cell
phone. She will often be late to volleyball practice and her friends comment on how forgetful she
is. Although she wants her school work to be perfect, she is prone to making careless mistakes.
The struggle for perfection makes starting a new assignment feel very stressful, leading her to
procrastinate starting in the first place. As a consequence, she recently failed a big test, which
has led to her acute fear of failing 10th grade, and not being eligible to play volleyball. She
recently made the varsity volleyball team as a 10th grader.
David (9) is thriving in his current school environment. He has great support in his
special education classroom and is mainstreamed for several classes. Margaret and Jenna keep a
consistent schedule for him throughout his entire day that sets him up for success.
The case worker receives a call yesterday from Margaret that Jenna was pulled over for
driving under the influence two blocks from their house. Jenna was on her way home with the
kids. Jenna was arrested and Margaret was called to pick up the kids. As of today, Jenna is
currently in jail and Margaret came home to a card on the door from child protective services.
Jenna is facing an aggravated DUI because of her blood alcohol level and because both children
were in the car.
,
SWU 171 Intro to Social Work
Dr. hilary Haseley, phd, msw, acue
Overview
Chapter 6 Family and Child Welfare
Today’s Diverse Family
Family: A social unit where people form relationships and make a commitment to live together as a defined family group and provide for the group’s social, emotional, and economic needs, including care of children
Families may or may not be based on kinship
Kinship: Common ancestry, marriage, or adoption
Today’s Diverse Family
Traditional image of a family is changing.
Nuclear family: One or more parents living with their dependent children, apart from other relatives
Extended family: Relatives beyond the nuclear family live together
Families may now live in multiple dwellings
Transnational migration- family members maintaining lifestyles across separate countries and cultures
Certain family types face unique scrutiny and disproportionate judgment:
Transgender, lesbian, and gay parents
Today’s Diverse Family
Divorce:
Stigma has been decreasing
Many reasons for divorce.
Irreconcilable differences- Disagreements and differences between spouses that cannot be resolved; neither spouse is blamed for the breakdown of the relationship
Not necessarily negative event
Divorce rates have held steady between 40% and 50%; lower for college graduates
Today’s Diverse Family
Separation
Legal separations may or may not lead to divorce
Remain legally married and can retain legal and economic benefits of marriage
Some states mandate a period of separation before divorce
Blended families
Partners in a committed relationship with children from previous relationships and possibly children together
Defining relationships with new parental figures and various siblings can be a challenge
Children may be splitting time between multiple homes as well
Social workers may help families define roles for both parents and kids
Today’s Diverse Family
Single-parent households
Traditionally, these are single-mother households
Often a challenge to care for and financially support children
Today’s Diverse Family
Same-sex marriage and parenting
The United States recognizes marriage equality; 2015 Supreme Court decision Obergefell v. Hodges
Need for social workers to openly recognize and appreciate same-sex marriages and parenting
Gay parents can raise very healthy kids; the quality of a family unit has nothing to do with the parents’ sexual orientation
Today’s Diverse Family
Many couples live together before (or in lieu of) marriage
Cohabitation has been very popular in recent history in the United States
Many reasons for this choice (lack of commitment, finances, legal issues, conflicting responsibilities)
Intimate Partner Violence (IPV)
Predominantly committed by men.
Usually an issue of power and control.
Domestic violence or intimate partner violence (IPV) is viewed by many professionals as a public health crisis in the United States
IPV has been shown to impact women of reproductive age and to have both short-term and long-term traumatic effects on female sexual and reproductive health
Child Trafficking
Subset of human trafficking, a global problem involving the exploitation of humans through the threat or use of mistreatment, force, coercion, abduction, fraud, and/or deception
Children facing vulnerabilities are particularly at risk
Women and girls constitute a major target group
Difficult to collect data concerning human and child trafficking
Efforts from UNICEF to protect the lives of exploited children across the globe
1 (888) 373-7888 National Human Trafficking Hotline
Child Welfare
Child Welfare
Public child welfare agencies are funded by tax revenue and run by federal/state governments
Often include services such as adoption, family life education, child protective services, in-home family-centered intervention, and residential services
Private child welfare agencies rely on pay for service, serve smaller populations, and are less bureaucratic and may be more specialized
Public agencies may pay more, while private agencies offer smaller caseloads, more autonomy, and less bureaucracy
Child Maltreatment
Child protective services programs respond to reports of child maltreatment
Varying names for agencies by states and counties
Child welfare policies promote well-being and safety of children
Child protective services workers are trained to look for signs of abuse and to identify suspicious or illogical explanations for injuries
Child Welfare History
1800s- concern about treatment of children led to the first public child welfare institutions
1900s- child abuse became criminal; states began to recognize their duty to protect children
1960s- battered child syndrome was identified by Dr. C. Henry Kempe, who advocated for doctors reporting child abuse suspicions
The syndrome can be physical or psychological in nature and involves persistent injuries usually caused by a caregiver
Shaken baby syndrome: Serious brain injury to infants and toddlers as a result of being physically shaken
By the end of the 1960s, child abuse became a mandated reporting situation for professionals working with children
Child Maltreatment
Child physical abuse: Deliberate use of physical force that injures or could injure a child June 2022, 943
Child sexual abuse: Engaging (or attempting to engage) sexually with a child or exploiting a child for sexual purposes June 2022 121
Child Maltreatment
Child neglect: Failing to meet a child’s basic needs June 2022- 1840
Child psychological maltreatment includes public embarrassment, verbal cruelty, intimidation, threats, and deprivation of love June 2022- 21
Parental vs Child Rights
Family service agencies aim to protect and aid families in difficult situations and transitions
Parents have wide allowance to discipline children as they see fit
Discipline that harms children becomes a violation of their rights
Child welfare agencies promote children’s needs, safety, and rights
The best interests of families may at times be in conflict with the best interests of children
Child Protective Services
Child protective services investigate and adjudicate reports of child maltreatment
Family-based services
include counseling, therapy, skill building, advocacy, educational, and other services
Common areas examined: Parental conflict, loss of family members, mental health issues, substance use, domestic violence, development of gender, race, ethnic, and/or sexual orientation identity, transgender issues, and challenges for same-sex and single parenting
Child Protective Services
Family preservation services
Family preservation services aim to help at-risk families prevent child removal through comprehensive aid and services
Family foster care
Family foster care: Trained and licensed parents can provide homes for children removed from their homes
Child Protective Services
Family reunification services
Family reunification services aim to reunite children in the system with their families
Adoption services
Adoption services: Permanent rendering of parental rights to a new set of parents
https://www.childrensheartgallery.org/
Child Protective Services
Residential care
Residential care: Group homes that serve as alternative placements for children removed from their families
Independent living services
Independent living services help children who are “aging out” of the system to transition to living on their own
Attitudes
Public Attitudes Toward Services for Children and Families
Institutional/Primary view: Humans generally try to succeed but may struggle to do so in the face of challenges and negative factors outside their control; communities should help whenever possible
Residual/Secondary view: People are responsible for their own situation and should escape problematic circumstances through their own efforts without government intervention whenever possible
Attitudes
Social Workers’ Attitudes Toward Child and Family Services
Services help children move toward positive lives
Diversity factors contribute to risks
Right to self-determination
Hope that services and programs will help children move toward more positive lives overall, rather than being temporary fixes
Recognition that diversity factors contribute to increased risks for family health and mental health
Belief in the family’s and child’s right to self-determination and their inherent dignity and worth
Intersection of Diversity
Class
Poorer children have limited access to resources
Gender and sexual orientation
Children raised by same-sex parents do just as well as other children
Same-sex parents my face oppression and discrimination
Women continue to be seen as primary caretakers of children
Ethnicity
Different cultures have different attitudes about education and work
Age
Young children may struggle to express and pursue their needs
Current Trends in Advocacy for Child and Family Services
Children’s advocacy centers (CACs)
Improve coordination of services for families with children, and for children themselves
May employ/coordinate a wide range of professionals for this purpose
Assist in investigations of child maltreatment
https://www.childhelp.org/advocacy-centers/childhelp-childrens-center-of-arizona/
Dynamic Advocacy
Economic and social justice
Children’s perspectives often unheard and undervalued
Guardian ad litem: Court-appointed lawyers who act on children’s behalf
Social workers can seek to improve services for children and make sure their voices are heard
Supportive environment
Location of home impacts many aspects of a child’s life
Human needs and rights
Social workers need to speak on behalf of children who cannot adequately describe or pursue their needs
Social workers must be well versed in human development
Political access
Politicians’ view of social welfare policy depends on their overall perspective
Social workers advocate for a voice for the disenfranchised and increased funding for child and family services
Social workers may also serve as elected officials themselves
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SWU 171 intro to social work
Dr. Hilary Haseley, phd, msw, acue
Overview
Chapter 8
Physical, cognitive, and developmental challenges
61 million adults, 1 in 4 have a physical, cognitive or developmental challenge
Disability- temporary or permanent reduction in function
Prefer to use asset-promoting language like physical and cognitive challenges and abilities rather than disability
Strengths first
defining Physical, Cognitive, and Developmental Challenges
Criteria to meet definition of disabled:
Condition substantially limits major life activity
History of chronic condition
Severe impairment lasting at least 12 months. that is severe and interferes with normal functions of living
Types of Physical, Cognitive, and Developmental Challenges
Co-occurring disabilities-having more than one disability
Categorical challenges- significant sensory impairments or mental illnesses, coupled with developmental delays
Functional challenges- limits to a person’s ability to perform daily activities, and can often be helped with assistive devices/technology
Adults with functional challenges are more likely to have obesity, diabetes, and heart disease
Types of challenges
Categorical disabilities- significant sensory impairment or mental illness and have developmental delays
Most likely need long term care
Eligible for special education instruction
Types of challenges
Functional disabilities- limit a person's ability to perform physical activities and can be improved with assistive devices or technology
Percentages of adults with functional disabilities
13.7% mobility- unable to walk or climb stairs
10.8% cognition- unable to concentrate or remember or make decisions
6.8% independent living- unable to do errands alone
5.9% hearing- deafness or serious difficult hearing
4.8% vision- blindness or serious seeing difficulty
3.7% self-care- unable to dress or bathe one’s self
Leading disease/disorder contributing to disability in the u.s.
Developmental challenges
A severe chronic condition that manifests before the age of 22 and is likely to continue indefinitely
May be caused by a genetic predisposition or an issue before, during or after birth
Increased attention for invisible disabilities- non-visible or non-apparent challanges, but careful to call it a disability, could be a chronic illness
autism
Neurobiological developmental disorder
Generally, appears before age 3
Affects normal brain development
May have trouble with nonverbal and verbal communication, social interactions
Asperger’s syndrome is now part of the ASD
https://www.nimh.nih.gov/health/topics/autism-spectrum-disorders-asd
Chronic condition affecting control of the body and or limb movement, muscle tone and coordination
Caused by damage to one or more specific areas of the brain as the brain develops
https://www.youtube.com/watch?v=9KGhVwyQc5M&t=14s
Cerebral palsy
Trisomy 21
Chromosomal disorder caused by the presence of an extra 21st chromosome
Impairment of cognitive ability and physical growth
Distinctive facial features
https://www.youtube.com/watch?v=v7zIJAPFgOM
Down syndrome
Epilepsy
Brain disorder that causes a person to have recurring seizures
More prevalent than autism, cerebral palsy, multiple sclerosis and Parkinson's disease combined
65 million people globally have epilepsy
70% of cases the cause is unknown
Fetal Alcohol Syndrome
FAS- a pattern of physical and mental defects that develops in some unborn babies when their mother drinks alcohol during pregnancy
One of the most common intellectual disabilities that is 100% preventable
Lifelong effects
Most common cause of inherited mental incapacities
Most prevalent intellectual disability inherited through generations
Very subtle and difficult to diagnose
‘autism-like’ behaviors
Behavioral features and delays in speech and language
FRAGILE X SYNDROME
Most common genetic cause of life-threatening obesity in children
Uncommon genetic condition
Low levels of sex hormones, poor muscle tone, constant feeling of hunger
Usually floppy babies
PRADER-WILLI SYNDROME
Physical challenge: limits one or more basic physical activities
Mobility challenge: Limits function of moving
Highly individualized conditions
Orthopedic problems
Diseases/defects of muscle/bone that cause impaired movement
Can be caused by genetics, injury, disease, other disorders
Can cause problems with standing, sitting, walking, using hands
Physical or Mobility Challenges
Physical or Mobility Challenges
Hearing and vision problems
Range widely from minor impairment to being legally blind
Hard of hearing: Mild-to-moderate hearing loss
Deaf: Moderate-to-severe hearing loss
Deaf people may be considered to have a medical problem or to consider themselves members of deaf community
Mental/Cognitive Challenges
Neurocognitive impairments block the cognition process
Examples
Intellectual disabilities/challenges
Characterized by significant limitations in intellectual functioning and adaptive behavior
Previously called mental retardation
Range from mild to profound, based on IQ
Learning differences
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