reflection 3 Social work coursework

This paper should be no less than 1 & 1/2 pages and no longer than 2 pages in length are required to document your reflections on readings about recovery. You will be provided three case studies, one to be used for each of the three papers. For each paper you will use the Fundamental Components of Recovery” (Chapter 10 Sands and Gellis text) to develop a brief plan to assist the client in the case study in her/his recovery process. First, you will briefly describe the client’s most challenging difficulties (3 – 4 sentences). Do not restate the facts from the case study; only describe the client’s difficulties in your own words (example: Bob appears to be socially isolated and is currently estranged from his brother who is his only living relative). For the remainder of the paper, you will describe how you can assist the client in the recovery process by applying each of the following components from Chapter 10: Enhancement of Client Strengths, Self-Direction, Responsibility, Holistic, Peer Support, and Individualized and Person-Centered. ( example: Bob appears to have had training in high school in carpentry. He currently attends an outpatient day program through the local Mental Health Center. He may be able to volunteer to provide limited carpentry repair for the Center. This could provide increased socialization for him and it may develop into an income-earning opportunity ( Recovery component: Strength-Based) Each paper will be worth 10 points. *** Each paper must be submitted to the Instructor’s email (provided in syllabus) as an attachment. Scenario Robert is a white single male that is 19. He is a college student that works part time as a lifeguard during the summer. Robert comes from an upper middle class family whose parents never divorced, and he has one brother and one sister. Raised in and remains active in L.D.S. church. Robert has worked for 3 summers as a lifeguard at the Desert Shores Community Association Lagoon Pool, and is now lifeguard supervisor. The Lagoon, as it is known, is a naturally shaped, concrete lined and sand covered swimming pool designed to look like a tropical lagoon. It is irregular in shape, surrounded by palm trees and includes a beach around the swimming area as well as a large picnic and recreation area that will accommodate a large crowd of members. On Sunday of Memorial Day Weekend, 1998 there were approximately 1,500+ members at the Lagoon, enjoying a picnic and family swimming. As described by Robert, there were so many people in the lagoon you could barely see the water. With 3 lifeguard stands, and several lifeguards on duty and rotating time on the stands, plus those not on the stands working the crowd, Robert felt that even though things were busy they were under control. At the appropriate time, Robert approached a stand to relieve another guard, Tyler. Robert climbed up into the stand, sat down, began scanning the water and crowd, and immediately saw a child floating face up about a foot beneath the surface of the water. He jumped from the stand, entered the water, pulled the child out and observed that her skin was white, her lips blue, her eyes rolled back in her head. There was no respiration and no pulse. He immediately began CPR, thinking to himself: “She’s dead” and “what if she’s dead” and other thoughts about the consequences of a drowning. He worked on the child for what he estimated to be 3 minutes with no response, and then the child coughed but failed to breathe. He continued working and after about another 30 seconds the child began to cough, cry and breathe. Her color began to return as the paramedics arrived and took the child away to be checked at the hospital. The parents had been standing at Robert’s side the entire time he was working on resuscitating the child. The hospital reported there was no brain damage and no broken ribs (common as a result of CPR). Robert came in for treatment approximately 7 weeks after the event occurred. An informal, conversational interview of approximately one hour in length was held. In the course of that interview, the following occurrences were revealed. Robert was having nightmares about an event in which the rescue effort was unsuccessful were experienced; the first occurred on the third night after the event, the second on the following night. Both were extremely violent and traumatic. He experienced numerous spontaneous daytime flashbacks and daydreams with a pattern similar to the nightmares. These were numerous and recurring during the subsequent week. Less violent cued responses to event familiar stimuli, including elevated heartbeat, continued for another two to three weeks. Some sense of detachment and estrangement occurred, though he was not consciously aware of it until the interview. At the interview, the subject realized he had not had sex with his girlfriend since the incident occurred, whereas prior to the incident they had engaged in sex about once a week. Additionally, there was also a greater closeness with parents involving much greater daily communications. Robert indicates a sense of hypervigilance in the workplace and in non-working circumstances. In the course of the interview, it became clear Robert was to some extent blaming himself for the near drowning.