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SOCW 6311 wk 8 peer responses 

Respond to at least two colleagues by doing all of the following: Name first and references after every person

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  • Indicate      strengths of their needs assessment plan that will enable the needs      assessments to yield support for the program that they want to      develop.   
  • Offer      suggestions to improve the needs assessment plan in areas such as:
    • Defining       the extent and scope of the need
    • Obtaining       important information about the target population
    • Identifying       issues that might affect the target population’s ability to access the       program or services

Instructor wants lay out like this:

Respond to at least two colleagues ( 2 peers posts are provided) by doing all of the following:

Identify strengths of your colleagues’ analyses and areas in which the analyses could be improved.

Your response

Address his or her evaluation of the efficacy and applicability of the evidence-based practice,

Your response

[Evaluate] his or her identification of factors that could support or hinder the implementation of the evidence-based practice,

Your response

And [evaluate] his or her solution for mitigating those factors.

Your response

Offer additional insight to your colleagues by either identifying additional factors that may support or limit implementation of the evidence-based practice or an alternative solution for mitigating one of the limitations that your colleagues identified.

Your response

References

Your response

Peer 1: McKenna Bull 

RE: Discussion – Week 8

COLLAPSE

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Needs assessments are a form of research conducted to gather information about the needs of a population or a group in a community (Tutty & Rothery, 2010, p. 149). One purpose of a needs assessment is to explore in more depth whether a new program within an organization or agency is needed (Dudley, 2014, p. 117). Key questions of this type of needs assessment may revolve around: (1) whether there are enough prospective clients to warrant this type of program, (2) the different activities or programs that the respondents would be interested in using, priorities for some activities over others, (3) importance of the activities, and (4) times in which this program would be desired and used (Dudley, 2014, p. 117). Potential barriers for the implementation of a new program should also be assessed to ensure the best possible outcome. Some barriers to services could include factors such as: location, costs, potential need for fees, and possible psychological issues related to such things. The following is an assessment of an intensive outpatient program for youth, and a potential need that is currently being unmet.

Post a needs assessment plan for a potential program of your choice that meets a currently unmet need. Describe the unmet need and how current information supports your position that a needs assessment is warranted.

The intensive outpatient program (IOP) at Provo Canyon Behavioral Hospital provides specialized care for adolescents who struggle with a wide variety of mental health and behavioral needs. Some of the primary therapeutic modalities include: psychoeducational groups, dialectical behavioral therapy (DBT), cognitive behavioral therapy (CBT), rational emotive behavioral therapy (REBT), EMDR, and experiential therapies such as music, pet and recreational therapies. Though this program provides a wide array of services to attempt to meet the needs of these particular youth, there are still needs being unmet. In particular, the needs of the LGBTQIA+ youth seem to be overlooked and underserved.

LTBTQIA+ youth as a whole are more susceptible than their heterosexual peers to be succumbed to family violence and homelessness, have higher rates of drug and alcohol abuse, may experience higher levels of depressive symptoms, and are more likely to consider and attempt suicide (p. 16).  In Utah, the predominant culture revolves around Mormon ideologies and beliefs. Some of these ideologies and “morals” can leave potentially long-lasting, negative effects on those who do not necessarily fit in with them. Higa et al. (2014) suggests that negative factors such as the ideals of religion can have an overall detrimental impact on the development of an LGBTQIQ+ youths identity, and may negatively impact their overall psyche (p. 663). As a whole, the LGBTQIA+ youth in Utah are highly susceptible to negative outcomes, and may require a great deal of support in order to overcome the challenges faced.

This being said, one may argue that a social support group could be beneficial in improving the overall outcomes of these at risk youth. Wilkerson et al. (2017) suggests that an increase in social support may have the potential to improve the overall health of LBTQIA+ youth (p. 358). This particular study evaluated the effects of a group that involved an hour of each of the following: unstructured social time, consciousness-raising (education), and a youth led peer support group (Wilkerson et al., 2017, p. 358). What was found in this cross-sectional study was that youth who attended this support group for multiple months reported higher social support, and this increased social support was associated with a decrease in depressive symptoms and a decrease in potentially risky behaviors.

This type of group could be beneficial to implement at this particular IOP program. Based on the current and recent populations attending this program, the majority report falling on the LGBTQIA+ spectrum, and have reported that a great deal of their stressors revolve around this component of themselves. There is currently no intervention specifically implemented to meet the unique needs of this vulnerable population. The groups facilitated aim to increase resilience and motivation, yet fail to address the root cause of a number of clients issues.

Identify the sources of information that you might use when conducting a needs assessment, including potential informants. Explain who among these potential informants would be valuable resources and why.

Potential informants for this particular needs assessment could include a number of individuals. Firstly, the youth involved in the IOP program. The thoughts and perceptions of these individuals would be highly informational, as they seem to be the population who’s needs have been overlooked and unmet for some time. It would be interesting to gain a better understanding of how they perceive their own individual needs, and how they feel these needs could be met. Perhaps the parents of the children should be involved, and they could provide insight into their children’s behavior(s) outside of the program, help to understand their child’s potential needs, and provide other needed information as well. Stakeholders should also be involved throughout the process, as they may have an overall influential say in whether a program such as this is developed and implemented, or is left to be addressed at a different time or by another agency.

Identify steps for obtaining credible, unbiased information.

For the sake of this particular study, perhaps utilizing a combination of approaches to gather data may be most prudent. Many needs assessments use multiple methods of data collection to capture a more comprehensive picture of the population of interest (Dudley, 2014, p. 134). Some of the particular modalities one may use in this situation may be: administering a questionnaire to the population of interest, conducting informant interviews, and observing discussions between individuals who may fall into the population of interest. Utilizing a combination of approaches could allow researchers to gain an overall better understanding of the needs of the individuals within the population, and provide insight into how to provide aid.

References

Dudley, J. R. (2014). Social work evaluation: Enhancing what we do. (2nd ed.) Chicago, IL: Lyceum Books.

Friesner, D. E., & Peck, L. R. (2007). Comparison group identification for difficult-to-evaluate populations: lessons from evaluating 1n10 LGBTQ youth support services. Journal of MultiDisciplinary Evaluation, 4(8), 16–39.

Higa, D., Hoppe, M. J., Lindhorst, T., Mincer, S., Beadnell, B., Morrison, D. M., Wells, E. A., Todd, A., & Mountz, S. (2014). Negative and Positive Factors Associated with the Well-Being of Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning (LGBTQ) Youth. Youth & Society, 46(5), 663–687.

Tutty, L. M., & Rothery, M. A. (2010). Needs assessments. IN B. Thyer (Ed.), The handbook of social work research methods (2nd ed., pp. 149-162). Thousand Oaks, CA: Sage.

Wilkerson, J. M., Schick, V. R., Romijnders, K. A., Bauldry, J., & Butame, S. A. (2017). Social support, depression, self-esteem, and coping among LGBTQ adolescents participating in hatch youth. Health Promotion Practice, 18(3), 358–365.

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Peer 2: Cedric Brown 

RE: Discussion – Week 8

COLLAPSE

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Post a needs assessment plan for a potential program of your choice that meets a currently unmet need. Describe the unmet need and how current information supports your position that a needs assessment is warranted.

    The program that I chose was the Arise Counseling Services where I am currently doing my field education experience. The reason that I proposed a needs assessment is to make sure that the needs of the community are being met as well as to see if there is a need to implement a new program. To ensure that the clients are satisfied with the services and the quality. Also, the needs assessment would be to see if a new program such as an anger management group would be beneficial. Currently, the agency does not provide those services and by doing a needs assessment you would be able to interview and survey the stakeholders to gauge the interest as well as the backing of the program. Needs assessments can gather valuable information to social problems that have a negative impact on their community (Dudley, 2014).

Identify the sources of information that you might use when conducting a needs assessment, including potential informants. Explain who among these potential informants would be valuable resources and why.

    The information that would be gathered for the need’s assessment would be from current board members, clients, employees, community members, and other agencies that work with Arise. All of the individuals involved would be considered informants and their information would drive the assessment. Each stakeholder brings a different perspective to the assessment and they all would be valuable to implementing a new program within the agency.

Identify steps for obtaining credible, unbiased information.

    The steps for obtaining the information would be to utilize a qualitative method using individual interviews. Using interviews gives you an opportunity to build a rapport with the interviewees and have the ability to talk about sensitive issues that you might not have through a survey (Tutty & Rothery, 2010). You also have an open space to possibly find out if the needs are not being met in other areas of the agency. So, I think taking into account all that is involved and then rate what they think the needs of the program and if it would be beneficial.

Cedric

Reference

Dudley, J.R. (2014). Social work evaluation: Enhancing what we do. (2nd ed.). Chicago, IL:

    Lyceum Books.

Tutty, L.M., & Rothery, M.A. (2010). Needs assessments. In B. Thyer (Ed.), The handbook of   

    social work research methods (2nd ed., pp. 149-162). Thousand Oaks, CA: Sage. (PDF)

Wk 7 responses SOCW 6311

Cedric Brown 

RE: Discussion – Week 7

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Post a logic model and theory of change for a practitioner-level intervention.

Children/Students with substance abuse issues

Input steps

· Identify substance abuse with teen that caused the child to get kicked out of school.

· Provide family and caregivers appropriate materials that is needed for dealing with someone who has substance abuse issues.

Program activities

· Provides substance abuse classes for the child as well as classes for the parents to know how to cope with them.

Output steps

· Have all parties involved attend all of the required meetings that are provided by the program.

Initial outcomes

· Both the parents and the client will be knowledgeable about the dangers and how to deal with the individual who suffers from substance abuse.

Intermediate outcomes

· Parents are knowledgeable about behaviors and tendencies of the client.

· The client who suffers from substance abuse will know the effects of drug use.

· The client will abstain from drug use.

Long-term outcomes

· Client will not participate in any illegal drug use.

· Client will have a healthy and high quality of life (Randolph, 2010).

Describe the types of problems, the client needs, and the underlying causes of problems and unmet needs.

     The problem that the teen faces is that they have been kicked out of school for drug use. The client’s needs are that they feel like they are not important and found a crowd that they felt like they belonged to and started to use drugs. Some of the unmet needs that they have are not feeling accepted, loved, or that they belong.

Identify the short- and long-term outcomes that you think would represent an improved condition.

     Short-term outcomes that would represent an improved condition are the client acknowledging that they have a problem and are willing to seek help. Also, the willingness to accept the services being provided to them. A long-term outcome that would represent an improved condition is no more use of any illegal substance going forward.

Then describe interventions that would lead to a change in the presenting conditions.

     An intervention that would fit this client and their family is Family Behavior Therapy (FBT). FBT is an evidence-based treatment option where family members are taught to use behavioral strategies to learn new skills to improve their home environment (Family-Based Approaches, n.d.). During the treatment, all parties involved set goals for behavior for preventing substance use and reducing risky behaviors. Goals are rewarded at each session as an incentive to continue on the right path (Family-Based Approaches, n.d.).

Cedric

Reference

Family-Based Approaches (n.d.). https://www.drugabuse.gov

Randolph, K.A. (2010). Logic Models. In B. Thyer (Ed.), The handbook of social work research

     methods (2nd ed., pp. 547-562). Thousand Oaks, CA: Sage. (PDF)

McKenna Bull 

RE: Discussion – Week 7

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Randolph (2010) suggests that logic models are diagrams of the relationship between a need that a program is designed to address and the actions or interventions taken to address the need and achieve program outcomes (p. 547). This type of model can help practitioners to better understand how various components of a program are intertwined, and connected, and how these components may potentially aid in achieving program goals/outcomes.

Describe the types of problems, the client needs, and the underlying causes of problems and unmet needs.

The primary population for this particular logic model will be adolescent females within a residential treatment center. The presenting problem for this particular population presents as poor emotion regulation, and lack of impulse control. This problem presents in a number of different ways depending on the client and various particulars with their history. Some of the ways in which this lack of emotion regulation and lack of impulse control presents may include: verbal aggression, physical aggression, self-harm, isolation, homicidal ideation, suicidal ideation, etc. Though the presentation varies from individual to individual, it seems that there is often one variable that is common amongst each of the girls. This factor is trauma, and having experienced trauma.  

It could be that a need of this population is to be in a stable, safe environment. Many of these adolescents hail from less than savvy home environments, and often times these home environments exposed them to high levels of traumatic events, or could be the source of the emotion dysregulation. Another need could be to learn coping skills and techniques to help them manage their emotions and impulses more appropriately. It seems that many of these adolescents have not had the chance to learn a number of pro-social behaviors, and coping skills that many other children/adolescents have learned in their youth. Finally, it seems that a need of the client population may be receiving a therapeutically sounds, evidence-based treatment to help them overcome their trauma.

It appears that a primary underlying cause of the problem could be trauma itself. Much of the dysregulation and impulsivity seems to be a result of trauma experienced at a younger age.

Identify the short- and long-term outcomes that you think would represent an improved condition.

Short-term outcomes are those client changes or benefits that are most immediately associated with the program’s outputs (Randolph, 2020, p. 550). In this case, some of the short-term outcomes that may represent an improved condition amongst this population could be things such as: (1) improved emotion regulation and impulse control as evidenced by less incidents of self-harm, verbal aggression, physical aggression, decreased thoughts of homicide or suicide, etc., (2) increased levels of engagement in school, therapy, peer interactions, and (3) ability to communicate emotions and feelings in an appropriate, pro-social manner.

Long-term outcomes are also referred to as program impacts or program goals (Randolph, 2010, p. 550). Long-term outcomes for this population may be reflected as follows: (1) maintained ability to regulate emotions and manage impulses (similar evidence as before), and (2) the ability to function and engage in society, maintain employment, be self-sufficient, and engage in appropriate relationships with partners, friends, and family.

Then describe interventions that would lead to a change in the presenting conditions.

The intervention identified for this population could be a combination of dialectical behavior therapy (DBT) and prolonged exposure (PE). Lang et al. (2018) suggests that DBT’s skills, modalities and commitment strategies make it effective for stabilizing high-risk behaviors and possibly even unstable home environments, addressing generalized difficulties with interpersonal functioning and emotion regulation, but it does not necessarily address trauma. For trauma, this same study suggests utilizing PE as a treatment modality in congruence with DBT. Both DBT and PE have been proven effective in treating adolescents. It has been suggested that the integration of DBT and PE to treat adolescents who have experienced trauma, are presenting with high-risk behaviors, and emotion dysregulation could be of great benefit to this ever growing population (Lang et al., 2018, p. 416). Based on the identified problem(s), needs of the population, underlying factors, and desired outcomes, it seems that this DBT-PE approach could prove useful in providing adequate care to these young girls.

References (Be sure to search for and cite resources that inform your views).

Lang, C. M., Edwards, A. J., Mittler, M. A., & Bonavitacola, L. (2018). Dialectical behavior therapy with prolonged exposure for adolescents: Rationale and review of the research. Cognitive and Behavioral Practice, 25(3), 416–426. https://doi-org.ezp.waldenulibrary.org/10.1016/j.cbpra.2017.12.005

Randolph, K. A. (2010). Logic models. In B. Thyer (Ed.), The handbook of social work research methods (2nd ed., pp. 547-562). Thousand Oaks, CA: Sage.

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RESPONSE

Dear Cedric Brown,

Excellent post on this week’s discussion topic on the logic model and theory of change for a practitioner-level intervention. I agree with the points you have put across concerning an intervention for children or students with substance abuse problems. Some of the strengths of the logic model involve its plan to offer classes to both the child and their parents on how to deal with the problem of substance abuse. Another strength is the use of Family Behavior Therapy (FBT) to prevent substance abuse and reduce risky behaviors (Randolph, 2010). However, there are a few weaknesses to this logic model which include the assumptions both the children and their parents will agree to join the program. Another weakness is that the program does not put into consideration the fact that the program may not work on some children and end up abusing drugs again.

The best way to understand the issue of substance abuse among teens and how it affects their education can be understood by researching the root of the problem. Problems such as drug use by parents, past traumatic experiences, and abuses at home are among the common cause of substance use among teens (Tice,  Lipari, & Van Horn, 2017). The intervention will work better and produce more positive outcomes if the root cause of the issue of drug use among the teen is well understood.

References

Randolph, K. A. (2010). Logic models. In B. Thyer (Ed.), The handbook of social work research methods (2nd ed., pp. 547-562). Thousand Oaks, CA: Sage.

Tice, P., Lipari, R. N., & Van Horn, S. L. (2017). Substance use among 12th grade aged youths, by dropout status. The CBHSQ report.

RESPONSE

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Dear McKenna Bull,

Great discussion post! You have, in great depth, detailed very important points on a logic model that can be used to offer intervention to adolescent females with poor emotion regulation, and lack of impulse control. I agree with you on all the different aspects you have touched concerning the handling of this problem. Some of the strengths of your logic model involve the need to identify the primary cause of this behavior among the target population which in this case our have identified child trauma. The other strength is the intervention programs you have proposed to use in this case which includes dialectical behavior therapy (DBT) and prolonged exposure (PE) (Randolph, 2010). However, the logic model presents a weakness in the assumption that past traumatic experiences are the sole root cause of such behaviors.

The problem of poor emotion regulation and lack of impulse control especially among adolescent girls can be a result of many factors including trauma, drug use, and a victim of bullying, genetic factors, and exposure to violence in media among others (Schick, & Cierpka, 2016). Thus, determining what exactly is the cause of the poor emotion regulation and lack of impulse control can help to devise the best intervention for the patients for improved results.

References

Randolph, K. A. (2010). Logic models. In B. Thyer (Ed.), The handbook of social work research methods (2nd ed., pp. 547-562). Thousand Oaks, CA: Sage.

Schick, A., & Cierpka, M. (2016). Risk factors and prevention of aggressive behavior in children and adolescents. Journal for educational research online, 8(1), 90-109.

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