Liz is a 44 year old former nurse who recently re-entered work after a 12 year break.
She works part-time as a case worker at the local Community Youth Centre. She specializes in helping young people with AOD and alcohol problems.
Evan, Liz’s supervisor, asked Liz to meet Helena. Helena is a case worker and recent graduate.
Evan asked Liz for Helena’s briefing on a client who came to the service seeking support.
Cory is a 22-year old male.
Cory’s file notes indicate that he tried many different methods to reduce alcohol-related harm over the years. Recently, he completed a detox and rehab program.
Cory is only 22 years old, but he has had alcohol dependency at various times in his adult life.
These have occurred in the midst of significant losses or trauma.
Cory lost the battle against cancer to his mother at 7 years of age.
Tom, Cory’s big brother, died in a car accident two years later.
Cory was diagnosed as depressed after these events.
Cory also used alcohol to deal with his feelings depressed and loneliness.
Cory was referred for grief counselling to address these issues. Cory believes that they were major causes of his depression as well as his inability control over his drinking.
He is eager to get his life back on track.
He is supported by his partner, and enjoys spending time at home with some close friends.
He has a job and stated that he is not ready to quit drinking.
According to his files, he stated that he was coming to the Community Youth Centre in order to receive support to reduce his drinking.
Helena and Liz argue passionately during the briefing.
She insists that Cory should abstain from alcohol and attend AA meetings.
Helena hears Liz explain that Cory has had many periods in his life when he has successfully controlled his alcohol intake.
Harm Minimisation aligns with their organization’s policies. It is considered more realistic than abstinence.
Cory’s past experiences and age, it is clear that his file notes indicate that he should receive support in learning to control his drinking.
Name the two different models being discussed by Liz, Helena, and give a brief explanation.
This scenario will require you to identify Cory’s rights.
Refer to your knowledge of the ‘client’s right’ from the learning materials and your work practice for guidance.
(Refer to bullet points.
c. Give a brief explanation about what Liz might say to Helena.
The AOD Youth Work Sector’s philosophy and practice values.
What are the main benefits of using a person/client-centred (or client-centred) approach?
Recognising the influence of our values and beliefs on us all, consider how your experiences or values might impact your work with young clients suffering from AOD.
It is important to be aware of our biases in AOD-related Youth Work and to develop self-awareness so that we can work with vulnerable young clients effectively without judgment.
Consider the following questions and try to answer them honestly.
b. How can you ensure that your practice reflects core values of AOD Youth work sector.
Briefly describe five strategies Liz might discuss and use to help Cory. They should take into account his rights, values, and treatment preferences.
Your responses must reflect a client-centred (person-centred) approach. Also, Liz and Helena should be considered as case workers in the AOD Youth Work context.
Relevance of Harm Minimisation and stages of change
Alcoholics Anonymous (AA), which is more holistically assessed as a way to help alcohol addicts with abstinence, rather than a program (Kaskutas (2009)).
The program is often managed and overseen by the same organization.
The members are able to take part in meetings and not have to pay anything. This also allows them to develop a spiritual belief system that suggests they believe in a powerful entity (Vourakis 2013).
The twelve-stage program is designed to help addicts find a way to quit drinking forever and stop abusing alcohol.
According to research, AA could prove to be a useful approach if it is administered and monitored by professionals who are properly trained (Krentzman et.al., 2011).
Harm minimization is a strategy that aims to reduce the potential harms of alcohol abuse.
The strategy does not focus on abstinence. Instead, it recommends that you carefully design strategies to minimize harms and control and reduce alcohol abuse (Moore, Rhodes 2004).
The professionals use this approach to assist addicts by decreasing the supply and demand of alcohol and reducing potential harms (Bessant 2008).
This strategy works best for people who have shown a will to stop drinking alcohol or using drugs.
AOD Youth work Sector is guided by a number of principles and values that must be critically considered to ensure the best possible treatment for a given situation.
The first is that service providers should thoroughly evaluate the individual’s personal, professional, social, and environmental factors in order to devise or adopt the most appropriate approach. (Savic, et al. 2017).
In order to render a professional and ethically competent treatment, service providers must give the highest value to clients’ dignity, respectability, personal preferences, and choices (NSW Department of Education and Training 2009).
The service providers should not just keep client data confidential, but they must also make use of their experience and knowledge to tailor strategies to each individual and their particular state (Savic, et al. 2017).
Service providers will thus be able provide treatment specific to each client.
A professional working in AOD youth work should be open to accepting the limitations of their own beliefs, perceptions and opinions.
A professional can assess a situation better if they have personal values and/or experience.
Professionals who have high ethical values and gained extensive experience in this field may be better equipped to address the problems faced by help-seekers.
Negatively identified values and experiences could have adverse consequences.
As an AOD Youth Work Sector assistant, I must focus on the ethically-guided aspect, where the importance of the client is given over the preference of the service provider.
A number of factors are necessary to ensure my practices adhere to the core values and principles of AOD Youth Sector.
First, confidentiality must be maintained for all client information.
The strategies should also be adapted to clients’ personal values and preferences.
The service provider should not be influenced by the client’s personal preferences.
For professionals in this field, it is vital to ensure the safety and dignity clients.
Motivational interview sessions refer to a variety of intercessions that emphasize the individual’s ability to transform their conduct.
You could also call it motivational upgrade, motivational guiding, or simply motivational upgrading.
It is a client-oriented, mandate strategy for increasing natural inspiration to change, by investigating and settling any vacillation (Miller & Rollnick 2002).
It does not focus on instilling adapting abilities, reshaping insights or uncovering the past.
It is focused on each individual’s current advantages and concerns.
The system helps a man understand his/her relationship with substances and where it fits in relation to future objectives and life satisfaction (Mills et. al., 2009).
It helps men to understand the pros and cons of using alcohol and other medications, as well as the possible consequences.
Helena and Liz should focus on Cory’s preferences and psychological state to motivate him to drink less alcohol.
Cognitive behaviour therapy (CBT), is a combination of two helpful frameworks for addiction prevention therapy: psychological treatment and behaviour-based therapy.
The emphasis on the ways in which conduct can be found and strengthened is what led to behaviour-based treatment (Bruun & Mitchell 2012).
Current behaviour-based brain research views issues as examples of maladaptive conduct that have been learned over time.
Cognitive treatment on the other side sees that issues are the result of mutilations and convictions.
These mutilated musings or convictions often go unchallenged, so the advisor must start questioning the unhelpful convictions that can lead to breakness.
These two aspects may have some differences, but they work together to create a treatment plan that focuses on the reasons and the ways the individual developed an addiction to drug substances or alcohol. Hofmann, et al. 2012
Helena and Liz should concentrate on Cory’s personality traits in order for them to accurately assess their psychological conditions and conductive stances and deliver the most appropriate treatment.
Strength-based case management refers to a strategy that is geared towards developing strategies in accordance with psychological strengths. This could help in achieving better results.
The system is focused on administration and coordination. This is confirmed by an emphasis on undertakings, rules and expenses as well as results (Gronda et al., 2009).
In an ever-expanding administrative multifaceted environment, case administration becomes a part of the administration route and mutual cooperation between the service providers.
It is possible to make a treatment more effective if service providers are aware of the psychological strengths and abilities of the client. This is because it is psychological support that can help solve a problem (Jenner Devaney & Lee, 2009).
They should be used to help in the therapeutic process.
Helena and Liz should consider that Cory already showed a strong will to decrease alcohol intake. Therefore, they should psychologically exploit this strength to get better results.
The CBT is similar to the dialectical behavior therapy or rationalistic conduct treatment. However, DBT uses care as an approach to increasing resistance to passionate states (Lienhan, 1993).
The strategy considers risky behavior a way to manage feelings.
This treatment includes techniques for identifying and responding to different types of enthusiasm.
DBT views the importance of restorative organizations together as a focal point. Early sessions are focused on building this organization before other exercises.
Because many people with marginal identities have been influenced by family foundations that are no longer relevant, it is important to pay attention to the useful organization together.
Helena and Liz need to be mindful that Cory has experienced extreme emotional turmoil that has led to an addiction to alcohol. They should first assess the emotional state of Cory and then learn techniques to manage them in a positive way so that he can reduce his alcohol intake.
Australian media tend to be very negative about meth usage.
This is not surprising considering the media want the public to be aware about the dangerous consequences of drug abuse.
It is important to remember, however, that media should promote the welfare and interests of citizens.
Instead of criticizing meth users and asking for their reduction, media must advocate for policies to detain and arrest meth suppliers.
They should also focus on creating strategies that are specific to different situations. Australian media is a good example of such advocacy.
However, overall the media’s stance is very helpful in increasing public awareness and convincing the authorities to adopt appropriate techniques to address the problem.
These articles indicate that the government has implemented different types of policies to address the problem.
To make sure that meth cannot be found in many situations, the government is focusing its efforts on the supply reduction strategy (The Conversation, 2015).
The administration has also identified that it is strengthening both the law enforcement and youth worker sectors to aid in the reduction of potential harm (Fitzgerald (2015)).
It has been suggested that the administration is focusing on education and knowledge about meth to lower the demand.
The harm reduction strategy consists of projects, policies, plans, and arrangements designed to reduce the negative financial, health, and wellbeing effects of illegal and lawful psychoactive substances, as well as excessive alcohol consumption. It does not affect the quantity of these substances. (McCambridge, et al. 2014).
This particular strategy is good for individuals who abuse drugs and alcohol. It also benefits their family members and all other social groups they belong to (Fermin (2014).
A strong sense of duty in regard to human rights and general wellbeing is essential when attempting to address drug and alcohol addiction.
This strategy addresses psychoactive medication abuse and seeks to minimize the harms of sedate and alcohol use for those who are unable or unwilling to abstain (Witkiewitz, Alan Marlatt (2006)).
The most urgent need is the counteractive action of harm. It is not about achieving uncertain restraint due to illegal drug and alcohol use, even if it has unintended adverse results (Jourdan (2009)).
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