Table of Contents
Assessing the Current Patient Situation.
Concept of Intersectionality.
Influence of Ethics and Professional Values on this Assessment.
Patient Name: Leah Grosso
Date of Birth: 05.09.2001
Address: 68 Hawke St, Cabra, SA
Date of Visit: 02.04.019
Purpose of Visit: Initial Case visit for patient health monitoring: the case received details about how the patient has fallen out with the family and has a serious threat to her health and of people around her.
When Leah's case was assigned to me as a social service practitioner, I had to make certain approaches to understand how I can help her better, and what all theories or social service practice I can implement here to ensure that the solutions I find out for Leah are helping her.
Hence, to provide better help to her, I have decided to employee strength perspective, eco-system theory and the concept of intersectionality to devise a strategy for her.
Strength perspective is one of the best moves a social service practitioner takes in conditions such as that of Leah. It is more than just a theoretical approach. It is more of a strategy that helps in understanding the situation of the patient and gives a better alternative of the regular pathology-based approaches to help these people. It is a philosophy which helps the patient in realising their strengths and how they can build their future simply by working on them(Saint-Jacques & Turcotte, 2018). This approach identifies these strengths and ensures that the patient identifies what all they are good at and focuses on them to rebuild what they have lost. This approach is interactive and process-oriented. It aims to build positivity in the people at all times and helps them see the light at the end of the tunnel. This theory will focus on her relationship with herself.
For Leah, this approach is helpful as it will help her look out for herself using an unconventional manner. This process will help Leah realise her strength and will promote self-determination in her to achieve something. Leah is currently in a situation where she has fallen apart from her parents, and as a result, she has moved out of the house. To best help her, I have to build her confidence back. Leah is well educated and has even worked. According to the strength perspective approach, I have to sit with her and make her realise what all she is good at (Gray, 2018). This way she will feel confident and will start cooperating with me. Once I have established trust with her, I will then talk to her and get her going finding jobs. Thankfully, she has a good relationship with her partner, friends and brother who may be able to help her during this time when she finds a job for herself. In her profile, it has been mentioned that she takes photography as leisure and is good at it. I have to motivate her to take this seriously and maybe she can see herself in it professionally a few years down the line. It is important to make her realise that she is not a lost cause and there is so much potential in her. Once we move past this self-block that Leah has made for herself, she will be able to achieve everything in life. And maybe later, she can make amends with her family as well.
The second theory which should be implemented in Leah’s case is the Eco-system theory. This theory will focus on her relationship with the members of the community or people in her immediate environment, ie, her family and friends. This theory focuses on interpersonal relationships and psychological relationships with and within the community. This theory focuses on five main systems: microsystem (Leah's Family, friends, colleagues and partner), mesosystem (the relationship between the members of the microsystem), ecosystem (social setting in which Leah lives), Macrosystem (cultural from which Leah belongs too) and lastly the chronosystem (Leah’s life history and the subsequent events in it)(Johannes, 2020).
To approach Leah's case with this theory, it is important to take into consideration these five main systems and how they have impacted her life. After knowing how these systems have impacted her, we can come to an understanding of how to fix them.
Microsystem: As far as information is available, Leah has a troubled relationship with her family. This could be because her family is a traditional Greek family and they are a little orthodox. There are chances that her being a homosexual may not go well with them and they may have had issues with this. Such cases are common in conservative societies and parents to tend to turn their back on the child in a way to express their anger. Leah has probably had these issues with her family.
Mesosystem: her family is strict and conservative, hence there are chances that the family is highly patriarchal and based on control. The parents are the ultimate decision-maker and they may not be so fond of her friends (Ettekal & Mahoney, 2017).
Ecosystem: Leah’s social situation is quite good. She has good friends and is a bright student. She is working well and managing herself as well. We can say that her ecosystem is not a problem.
Macrosystem: as mentioned above, belonging from an orthodox Greek family, her culture may be quite restrictive and not open to her homosexuality and life choices as well. Maybe, because of these reasons, Leah has had a falling apart from her family who constantly try to pressure her into these beliefs.
Chronosystem: Leah had a tough childhood and has a medical history of fibrosis as well.
After understanding this, it can be best suggested that Leah’s family is the main reason for her current situation, and the family should be counselled and sensitised towards Leah as well.
Concept of Intersectionality
Intersectionality is a theoretical framework for understanding how an aspect of one’s social and political identities (gender, race, class, sexuality, ability, etc.) might combine to create unique modes of discrimination (Crenshaw, 2017).
Often people are judged on the above-mentioned sub-identities and this may create problems for them in the social setting they belong to. As we have come to know that Leah belongs to a traditional Greek family and they are orthodox in nature. There are chances that her being a homosexual may not go well with them and they may have had issues with this. Such cases are common in conservative societies and parents to tend to turn their back on the child in a way to express their anger. Leah has probably had these issues with her family. Her homosexuality may be the cause of her differences with her parents and sister, and because of this, Leah has to undergo a lot of mental stress daily as well.
Taking a holistic view of Leah's situation and considering the concept of intersectionality, it can be said that it is best advised that Leah should communicate with her family about these issues and try to make them aware about herself (Hopkins, 2019). Her identity is what is being compromised her and that is probably the reason that she is in this situation in the first place. Possibly, communicating better may help her win over her parents. But at the same time, she should not get attached to it and should know that there are equally likely chances that she may never get along with her parents because they may never understand her.
Her condition of cystic fibrosis has further made things difficult for her as amidst all these things she is not able to take care of her. All the mental stress form the family and workplace debt is making things difficult for her.
The problem identified in this case of Leah is: “Lack of focus on health due to mental stress and worsening of cystic fibrosis”
The Proposed Statement of Social Intervention Needs
The ABC Community enter has completed an overall assessment of Ms Leah Grosso as suggested by her medical examiner in light of her worsening condition and lack of recovery. After carefully examining and analysing the case of Ms Leah Grosso, it has been determined by the social care worker of the ABC Community enter that Ms Grosso is in deep mental pain owing to her falling family relationships because of which her recovery from cystic fibrosis is stalled and is adversely affecting her health. This assessment was undertaken to identify the issues which were affecting the recovery of the patient named Ms Leah Grosso.
You have now the final assessment on the situation of Ms Leah Grosso. This is an important document and can be viewed only by the parents or the medical examiner of the patient in concern. This document will help the medical examiner to understand the issues with the patient and suggests subsequent corrective actions as well.
It is advised that the medical examiner should:
People all around the world go through several situations in life and none of them can be compared to the pains of someone who has fallen apart from the family and is at the brink of a breakdown. The homelessness and subsequent health conditions are drastically increasing in the younger generations all around the world, which has further contributed to falling standards of life and mental health as well. In such cases, the social communities come together to intervene and help the people to ensure that they can live their life decently. These social-medical interventions have helped a lot of young people get their lives back on track(Abbel, 2018).
When assessments such as these are conducted, it is important to be faithful to the patient and ensure that the examination is concocted in the best possible manner. Ethics are essential in every research project since the lack of ethics and best behaviour can hamper the results, because of which someone's life can be in danger.
The researcher needs to put aside their issue, preferences and biases aside when working on such projects. It is also essential to not make any assumptions until it is necessary. It is important to have all the information documented so that the chances of any problems in the future are averted. The way a researcher presents the solutions and works on them is essential since they form the very basics of what they stand for. The researchers have to work with an open mind and should not consider any information to be useless or of less importance (Resnik, 2017)
As mentioned in my professional codes of ethics I am liable to:
From this case, we can understand how family relationships can affect the growth and mental health of a person. Social care workers need to focus on carrying out social interventions to help these people by using the right blend of research methodology and factual help.
Abbel, M. (2018). Psycho social intervention for Adolescents in relationship issues under the care and protection of child welfare committee. Journal of Indian Association for Child & Adolescent Mental Health, 14(1).
Crenshaw, K. (2017). What is intersectionality, and what does it have to do with me? Retrieved from https://www.ywboston.org/2017/03/what-is-intersectionality-and-what-does-it-have-to-do-with-me/
Ettekal, A., & Mahoney, J. L. (2017). Ecological Systems Theory. DOI: 10.4135/9781483385198.n94.
Gray, M. (2018). Back to Basics: A Critique of the Strengths Perspective in Social Work. Families in Society: The Journal of Contemporary Social Services, https://doi.org/10.1606/1044-3894.4054. Retrieved from https://sustainingcommunity.wordpress.com/2012/05/30/what-is-the-strengths-perspective/
Hopkins, P. (2019). Social geography I: Intersectionality. Progress in Human Geography, 9(5), https://doi.org/10.1177/0309132517743677.
Johannes, I. (2020). What is Bronfenbrenner’s Ecological Systems Theory? Retrieved from https://www.psychologynoteshq.com/bronfenbrenner-ecological-theory/
Resnik, D. B. (2017). What Is Ethics in Research & Why Is It Important? Retrieved from https://www.niehs.nih.gov/research/resources/bioethics/whatis/index.cfm
Saint-Jacques, M.-C., & Turcotte, D. (2018). Adopting a Strengths Perspective in Social Work Practice with Families in Difficulty: From Theory to Practice. Families in Society: The Journal of Contemporary Social Services, https://doi.org/10.1606/1044-3894.3926.
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