SOCW 6060 Reflection Questions: The Levy Family

What specific intervention strategies (skills, knowledge, etc.) did you use to address this client situation?

The intervention strategies I used with this client situation included problem-solving techniques. I gathered information, assessed the situation, and developed a plan of action. I used the strengths perspective to show Jake that he had the ability and motivation to change his situation. Couples counseling was suggested so that Sheri would learn about Jake’s diagnosis. The systems perspective was used in assessing what resources and services Jake needed. I used a variety of techniques to address his trauma symptoms, including PET, journaling, deep breathing, and guided meditation. SOCW 6060 Reflection Questions: The Levy Family.

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Which theory or theories did you use to guide your practice?

I used the theory of cognitive behavioral therapy and PET to address his trauma.

What were the identified strengths of the client(s)?

The client was clearly motivated to address his situation, he was employed, and he had a supportive and loving wife.

What were the identified challenges faced by the client(s)?

The client had symptoms of PTSD, he was self-medicating, and he was depressed and isolating himself from his family.

What were the agreed-upon goals to be met to address the concern?

Jake and I agreed the goals for him were to follow-up with the psychiatrist to monitor his medication, attend weekly individual therapy sessions with me to address his PTSD issues, start attending an Iraq veterans support group at the Vet Center to develop a network of veterans he could connect with, participate in couples coun seling to improve his relationship with his wife, and consider attending a local AA meeting to aid in his sobriety.

Did you have to address any issues around cultural competence? Did you have to learn about this population/group prior to beginning your work with this client? If so, what research did you do to prepare?

I was aware of the culture connected to being in the military. Often those in the military do not speak up and share their feelings for fear of looking weak and ineffective. I recognized that stepping forward was difficult for Jake and reminded him of the use of confidentiality in our sessions.

What local, state, or federal policies could (or did) affect this case?

Policies that could be addressed are those that outline services for the military.

How would you advocate for social change to positively affect this case?

I would advocate for a policy change that would establish a program for all military personnel returning from combat. Both the veterans and their family members should be educated about the symptoms of PTSD, how it can be treated, and the services available for those returning from combat. Families should be prepared for what to expect when their loved one returns home.

Were there any legal or ethical issues present in this case? If so, what were they and how were they addressed?

There were no legal issues in this case.

How can evidence-based practice be integrated into this situation?

Evidence-based practice can be integrated into this situation by looking at previous research studies that relate to this client situation. Previous studies quantify and support PET for PTSD.

Is there any additional information that is important to the case? There is no other information at this time.
Describe any additional personal reflections about this case.

As I reflected on this case, I was reminded that this war was one of the longest our country has engaged in. Unlike the Vietnam War, military personnel were often sent back to Iraq more than once, meaning they spent more time in the line of fire. Jake’s case is typical of what happens when a person returns from a hostile envi ronment. He had been running on adrenaline nonstop for months. The length of time in that environment and the things witnessed while there are factors that affect an individual’s ability to function in an environment that is not hostile. Jake has had a hard time adjusting to being home because home was no longer the norm for him.