Sustaining the angle that individuals are in fixed interplay with their atmosphere and the social programs therein (the Particular person in Atmosphere perspective) is a key idea within the subject of social work. Social work acknowledges that the considerations or issues people face is perhaps because of many causes. This view additionally helps one other aim of social work which is to empower shoppers who’re marginalized and oppressed to collaborate within the decision of their issues or considerations as consultants of their life experiences. As such, taking a look at an issue and assessing the wants of people is dependent upon a evaluation of the challenges they’ve encountered on the micro, mezzo, and macro ranges. Assessing the scenario on all three ranges will present a holistic map for aim planning. For instance, you would possibly assess a consumer’s particular person strengths and challenges, the assist or lack of assist acquired from household, buddies, and others within the consumer’s life concerning the difficulty, and the societal sources obtainable to deal with the issue.
For this Dialogue, evaluation this week’s Sources. Choose both the course-specific case research for Abdel or Pedro. Then, think about what info you have to collect and what questions you have to ask in an effort to full a correct evaluation for the consumer, based mostly on the micro, mezzo, and macro ranges of social work observe.
Submit a quick clarification of the knowledge you have to collect and the questions you have to ask, in an effort to full a correct evaluation for the consumer within the case research you chose, based mostly on the micro, mezzo, and macro ranges of social work observe. Be sure you reference in your publish which case research you chose.
Working With Purchasers With HIV/AIDS: The Case of Pedro
Pedro is a 58-year-old, heterosexual, Dominican male who’s HIV constructive. He’s married to his second spouse and is the daddy of three sons. Pedro lives together with his spouse in a modest two-bedroom residence in a serious metropolitan space. Pedro accomplished highschool and has an extended work historical past because the supervisor of a number of meals shops in his neighborhood. Pedro is at present on incapacity. He collects Social Safety Incapacity Insurance coverage (SSDI) and is roofed by Medicare and the AIDS Drug Help Program (ADAP). ADAP is a state-sponsored insurance coverage program for low-income people with HIV/AIDS that gives help with entry to remedy and first care providers within the state. Pedro does some work “off the books” to maintain himself busy and earn extra cash. Whereas Spanish is Pedro’s dominant language, he is ready to talk properly in English. Pedro identifies as a Christian, and his religion is a vital a part of his life.
Pedro has an extended historical past of substance abuse, together with intravenous drug use (IVDU). Pedro spent an excellent a part of 20 years utilizing each cocaine and heroin. Regardless of his drug use, Pedro stored a full-time job and offered a protected dwelling and average life-style for his household. After I met Pedro, he had been clear for greater than 15 years. He reported that he stopped utilizing medication “as a result of I received bored with being strung out.” He said, “In the future I grabbed my Bible and locked myself in a room for every week. I haven’t touched medication since.” Pedro denied ever attending a proper drug rehabilitation program.
Pedro was recognized HIV constructive in 1988. His danger issue for contracting HIV was IVDU. Pedro’s first spouse contracted HIV from Pedro and died of AIDS. After her dying, Pedro raised his sons as a single father or mother till he remarried about 10 years later. Pedro’s youngest son was contaminated with HIV via vertical transmission (from mom to child). His HIV illness was managed till he was 17. At the moment, Pedro’s son developed AIDS and, after an extended battle, died earlier than his 19th birthday. Pedro by no means left his son’s bedside throughout his sickness. Pedro harbors important guilt about his son’s dying. Pedro’s HIV/AIDS is reasonably managed on extremely lively antiretroviral remedy (HAART), though he has a historical past of poor compliance together with his HAART routine. HAART ought to be taken on a constant schedule, however Pedro stops and begins his HAART, which could be very harmful. Along with HIV/AIDS, Pedro is recognized with hepatitis C (Hep C). His physician has indicated that Pedro’s Hep C ought to be handled, however Pedro could be very reluctant to start remedy.
The remedy setting the place I met Pedro was an outpatient complete care clinic affiliated with a metropolis hospital. The clinic was created to supply interdisciplinary care to grownup sufferers dwelling with HIV/AIDS. The spine of every affected person’s medical staff included a social employee and a main care doctor with a specialty in HIV care. For probably the most half, visits with the social employee had been paired with routine physician appointments. After I met Pedro, he was a longtime affected person on the clinic, having gone there since his preliminary analysis in 1988. Consequently, he had labored with a string of social staff over time.
Throughout our preliminary go to, Pedro greeted me by saying, “I actually don’t want one other social employee who shouldn’t be going to assist me, so there’s no level in me speaking to you.” I urged Pedro to sit down down with me so I may no less than introduce myself. Throughout our go to, I validated Pedro’s emotions about having one other new social employee and tried to clarify how I seen my position on the clinic. Pedro “yessed me to dying” politely, however his ambivalence and resistance had been palpable. One of these trade continued for a number of visits. Throughout these visits, I attempted to construct a rapport with Pedro. We spoke about his household and his social and medical historical past. The visits had been informal, and I used to be nonconfrontational. After every go to, I thanked Pedro for speaking to me and informed him that I hoped I might be capable of assist him if one thing got here up. My intent throughout this era was to construct a medical evaluation of Pedro. Pedro had a robust persona and was reluctant to indicate his true feelings. His presentation was in keeping with machismo, and I spotted that Pedro’s Latino cultural background was embedded all through his life. Pedro was profoundly dedicated to his household and their well-being, he had robust views towards female and male gender roles, and faith performed a vital position in Pedro’s life.
In the future, Pedro stunned me by greeting me and saying, “Okay, I want your assist.” Pedro was having issue filling his prescriptions. In brief, Pedro’s Medicare and ADAP needed to work collectively, however neither Pedro nor the pharmacy may work out tips on how to make the method work. It turned plainly apparent that regardless of Pedro’s capacity to handle many advanced points in his life, coping with this situation was overwhelming and nearly paralyzing for him. After a number of telephone calls to Medicare, ADAP, the pharmacy, and many others., I used to be in a position to decipher the method that Pedro wanted to observe. I spotted the one manner Pedro was going to have the ability to succeed was if I broke the issue down into manageable items. Finally, Pedro and I discovered an appropriate plan that labored for him and received his prescriptions crammed. Whereas my preliminary activity was to assist Pedro provide you with a plan of motion, my ongoing position was to supply assist and encouragement in order that Pedro felt empowered to face a activity that was as soon as inapproachable.
Partaking Pedro round this concrete situation opened the door to our future relationship. In his eyes, I used to be now not “one other nugatory social employee,” and he was in a position to deal with extra emotional points with me, reminiscent of his emotions about his son’s dying and the development of his personal HIV/AIDS and Hep C diseases. In our future work, we spoke about Pedro’s noncompliance to his remedy, and whereas Pedro’s behaviors round his HAART didn’t change, he did start and efficiently full remedy for his Hep C.
References
Kirst-Ashman, Okay. Okay., & Hull, G. H., Jr. (2015). Understanding generalist observe (sixth ed.). Stamford, CT: Cengage Studying.
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- Chapter 5, “Engagement and Evaluation in Generalist Follow” (pp. 199-202)
Kirst-Ashman, Okay. Okay., & Hull, G. H., Jr. (2015). Understanding generalist observe (sixth ed.). Stamford, CT: Cengage Studying.
- Chapter 2, “Follow Expertise for Working with People” (pp. 85-91)
- Plummer, S.-B., Makris, S., & Brocksen S. M. (Eds.). (2014). Social work case research: Basis 12 months.Baltimore, MD: Laureate Worldwide Universities Publishing. [Vital Source e-reader].
- Working with Purchasers with HIV/AIDS: The Case of Pedro
- [removed]Rountree, M. A., Pomeroy, E. C., & Marsiglia, F. F. (2008). Home violence shelters as prevention brokers for HIV/AIDS? Well being & Social Work, 33(three), 221–228.
Retrieved from the Walden Library databases.
