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Comprehensive Intervention Plan for Sarah Miller's Trauma and Socialization Challenges

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Added on: 2023-10-31 09:38:07
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The young woman named Sarah Miller, who sought assistance from a community center, is the subject of the case study report that follows. Since she was a very small child, Sarah has been raised in foster care. Due to the circumstances surrounding her foster care stay, she developed a substance abuse problem and experienced domestic abuse at the hands of her single mother. The unsettling circumstances of the home she inhabited further intensified the unfavorable circumstances of her childhood. This lessened her chances of receiving the consistent support she required from such an early age. These problems not only had a negative effect on her physical and mental health, but they also interfered with her academic progress. According to the case study, Sarah has experienced severe trauma since she was a young child in addition to clear negligence and unstable finances. This made it impossible to get in touch with appropriate childcare for her. Sarah remained isolated and did not interact with many people as a result of being mostly left alone.

The case study demonstrates that Sarah has also been dealing with some problems related to her current foster care circumstances. These problems mostly had to do with finding compatibility with other foster children or other people living in foster care, or with trusting people. These are still problems that Sarah is currently dealing with. This was yet another significant factor in her decision to seek expert assistance from the neighborhood community center.  Sarah Miller has additionally brought up her fear of a sense of attachment which has always made it difficult for her to socialize with friends and other members of her peer group. The interventions that must be used will be examined in this report. The following explains the various strategies that the experts have considered for diagnosing Sarah.

PLAN OF ACTION

The action plan will include a thorough explanation of the two techniques that the staff at the neighborhood community center employed to treat Sarah's condition. Interpersonal strategies and collaborative services for the community were these two strategies. Both approaches were thought to give Sarah comprehensive support.

Interpersonal interventions

Sarah can use interpersonal interventions to help her understand why she has trouble interacting with other people. These interventions will also enable the medical staff to provide Sarah with ongoing mental health support. This intervention often employs a number of standard techniques, such as cognitive behavioral techniques, counseling, and therapy. The following table explains the approaches chosen for Sarah's condition:

Objectives

Course of Action

Trauma-informed therapy

 

This required examining the long term consequences of Sarah's trauma. This makes it easier to comprehend how Sarah's emotions, actions, and attitudes are affected.

Counseling

“Eye Movement Desensitization and Reprocessing” (EMDR) and “Child-centered play therapy” (CCPT) were two of the various therapies Sarah received.

Methods of cognitive behavioral therapy

Given Sarah's age, the expert made sure to apply cognitive behavioral therapies.

Psychotherapy for foster children

Two primary interventions comprise the psycho-education method used in foster care. They were Multidimensional Treatment Foster Care for Adolescents (MTFC-A) and Parenting Training Trust-Based Relational Intervention (TBRI).

Trauma-informed therapy:

Trauma-informed therapy (TIT), which is advantageous for Sarah and will be carried out because trauma has long-lasting effects on feelings and emotions, self-regulation, and behavior (Ghafoori et al., 2019). Assessing her past experiences in detail is necessary to ascertain whether she exhibits symptoms of post-traumatic stress disorder. The goal of taking into account based on trauma- therapy sessions with Sarah is to create a therapeutic environment that is secure and reliable, enabling her to process her past traumas. Establishing confidence throughout the therapeutic alliance and fostering emotional healing will be crucial goals of this approach, both of which will support recovery and resilience.

Counseling:

Because of her past experiences, Sarah is depressed and anxious, which has compelled her to seek professional help. Sarah needs specialized care for her teenage anxiety and depression, such as psychiatric therapy. According to Zisk et al. (2019), family functioning is a good way to gauge how well teenagers are responding to therapy. Cognitive Behavioural Therapy (CBT) tecniques, which can be used to treat anxiety disorders in teenagers (Ghafoori et al., 2019). Furthermore, concurrent medical conditions like addiction to substances, disorders of personality, conduct issues, and more are more common in teenagers who are anxious or depressed (Khesht-Masjedi et al., 2019). Play therapy methods offer patients a helpful means of self-expression and emotional regulation.

In 'Child-Centered Play Therapy'  (CCPT), which has been supported by Cochran et al. (2022), the therapist's involvement is highly valued. Teens can explore complex emotions and experiences with the help of therapists in a non-threatening, developmentally appropriate way. Lastly, Sarah can use evidence-based therapies such as Eye Movement Desensitization and Reprocessing (EMDR) to address her trauma and emotional issues.

Methods of cognitive behavioral therapy:

Sarah is receiving interpersonal therapies that include age-appropriate and teen-specific cognitive behavioral techniques. The therapist should concentrate on treating Sarah's cognitive and behavioral issues, which are closely linked to her traumatic past experiences. However, this approach lessens the negative effects of trauma by analyzing traumatic memories, facing problematic beliefs and behaviors, and developing social and healthy coping mechanisms. Dewald-Kaufmann et al. (2019) claim that this cognitive behavioral approach is comparable to stimulation management therapy for adults and teenagers and integrates important cognitive functions like thinking abilities.

Moreover, it is critical to give top priority to the creation of coping strategies, the enhancement of one's sense of self, and the development of endurance in the face of adversity, since these are integral components of the support provided to Sarah. She will be able to move past her past traumas, get the mental resources she requires to conquer her challenges, and develop a positive outlook on her well-being emotionally thanks to these interventions.

Psychotherapy for foster children:

Sarah's psychoeducational sessions give fascinating details about the complicated workings of the foster care structure. This psycho-educational approach is strongly supported by Lotty et al. (2020), who highlights the fact that children who were exposed to situations that were traumatizing to their development before entering foster care are frequently diagnosed with serious developmental disorders. It's crucial to keep in mind that mental health problems are more common in the United States, the United Kingdom, and Australia, particularly among foster children, such as Sarah.

Additionally, as mentioned by Lotty et al. (2020), Sarah may benefit greatly from specialized trauma-informed foster care programs like 'Parenting Training Trust-Based Relational Intervention' (TBRI) and 'Multidimensional Treatment Foster Care for Adolescents' (MTFC-A). These programs address her specific needs and challenges in her foster family environment.

The psycho-educational sessions not only help Sarah understand the foster care system better, but they also provide her with useful coping skills. With this understanding, she can now effectively navigate the complexities and challenges associated with foster care. Lotty et al. (2021) state that research on Adverse Childhood Experiences (ACEs) has been crucial in the growing understanding of traumatic experience-informed care (TIC) as a vital tactic in child safety and security practices. This shift in paradigm means that social work is moving away from just focusing on cognitive, behavioral, and attachment-based psychodynamic therapy approaches and toward a more exhaustive biopsychosocial approach. It acknowledges the intricacy of her past experiences and aims to provide her with a comprehensive and empowering approach to attaining general well-being.

Collaborative Community Services:

The staff that was present at the neighborhood community center determined that in addition to interpersonal interventions, use of the collaborative community services is essential for the improvement of Sarah's health. Use of various community resources may aid Sarah's healing from the trauma and also improve her ability to communicate with others. Following are some of the community resources that Sarah can use based on the current case study:

Objectives

Course of Action

Services for Adolescent and Child Mental Health (CAMHS)

Teenagers with mental health disorders can benefit from these particular services.

Groups for foster care support.

This is intended to assist the patient in connecting with and forming social networks with other foster care groups in order to locate peers.

Services for Supporting Education

This resource primarily entails forming alliances with various educational support services to address patient-related educational challenges.

Programs for culture and recreation

In this resource involvement of the patient in leisure activities that are tailored to the culture of the individual and help them to develop a positive sense of  belonging, identity, and healthy associations.

Extended Assistance and Monitoring

This method entails tracking the client's improvement progress on a regular and ongoing basis.

Services for Adolescent and Child Mental Health (CAMHS):

Services for Adolescent and Child Mental Health (CAMHS) involves a range of services that are especially intended to support and assist teenagers, such as Sarah. These teenagers are usually dealing with trauma and other difficult circumstances in their early years or have deteriorated mental health conditions. In addition to offering guidance and treatment, this approach is intended to involve the patients in various community services. Over 10% of the population, or 44% of children and young adults, are struggling with one or more mental health issues, according to Xhou et al. (2020).A WHO report also emphasized how important it is to put in place particular psychological wellness policies for the welfare of kids and teens. As a result, specialized support services like CAMHS have emerged and are being used in various nations to comprehend the mental health requirements and challenges of teenagers. These services, including Beyond Blue, that is intended to offer online counseling to troubled teenagers, can also be used to treat Sarah. This may also entail acquainting the customers with various services like Headspace, Qlife, and others. The experts at the neighborhood community center have determined that Sarah's conditions will greatly benefit from these services.

Groups for foster care support:

Young adults frequently use foster care groups for support in addition to CAMHS. This service includes putting clients in touch with peers or foster support groups in their area. The main goal of these services is to give the clients a sense of community. These programs support the development of empathy and social support among all foster teenagers (Steenbakkers et al., 2021). Foster care support organizations contribute to the provision of ongoing care and support, thereby establishing a strong network of support for teenage clients like Sarah.

Services for Supporting Education:

To effectively overcome educational barriers, it's also a good idea to consider working with educational support services. Giving the client education and tutoring support ensures that they receive the support and accommodations they require to thrive in school. Maynard et al. (2019) have found a link between various forms of trauma and a host of detrimental outcomes, including cognitive decline, difficulty focusing and remembering details, poor academic performance, and school-related behaviors. This demonstrates how crucial support services for education are, particularly for children who suffered trauma at a young age. These programs are crucial for improving children's overall wellbeing and future prospects, as well as lessening the adverse impact of trauma on their academic trajectory.

Programs for culture and recreation:  

Encouraging a client to engage in recreational activities and community programs that suit their culture is essential for developing a sense of identity, belonging, and healthy socialization. These programs promote happy experiences that don't take place in counseling settings. Adolescents typically become less emotionally and practically reliant upon their parents during this time, as reported by Strandbu et al. (2020). Therefore, it is crucial for young people to engage in athletics, leisure activities, and artistic and cultural events in order to reduce negative habits and self-destructive behaviors. This deeper level of engagement supports holistic growth by improving the therapeutic process and fortifying the client's bonds with their cultural and social environments.

Extended Assistance and Monitoring:

In addition to offering comprehensive support for the client's well-being, it is essential to keep an eye on their progress. To do this, the following steps can be taken:

  1. Uniform Progress Evaluation: Regular monitoring and check-in meetings are conducted to assess the client's development, identify any new problems, and offer guidance and emotional support. This process of continuous monitoring and development is essential for efficiently meeting evolving requirements and ensuring the long-term well-being of the client. By regularly assessing their journey, we can adjust and improve our assistance to facilitate their long-term growth and successful outcomes.
  2. The transitional Planning and Life Skills Development: This primarily entails helping clients who are young adults, like Sarah, to understand and acquire the life skills required for a smooth and successful transition to maturity. Sarah may also benefit from this in understanding the importance of independence. This frequently entails strategies like goal setting, decision-making, and independent living.
  3. Collaborative care coordination: It is a crucial aspect of treating young adults with distress conditions. It is imperative that professionals provide collaborative care support to the patient's foster home environment, school personnel, and other relevant stakeholders. For clients like Sarah Miller, this is necessary because these services further improve the patient's overall psychological and physical health and foster a cohesive support system.

To conclude, the case study report on Sarah Miller looked at how she was raised in foster care and experienced severe childhood trauma. The conversations about the course of action that the experts at the neighborhood community center have evaluated for Sarah are included in the report. Sarah can benefit from a variety of strategies, including community collaboration services and interpersonal interventions, to address her past traumas and socialization difficulties.

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  • Posted on : October 31st, 2023
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