12 Feb Respond to two colleagues by proposing an intervention
Respond to two colleagues by proposing an intervention that would address the indicators identified. Explain the potential impact of social work interventions such as this on adolescents’ lives. How might Stephanie’s adolescent life have improved with this intervention?
Parker Family Episode 3
Parker Family Episode 3 Program Transcript
FEMALE SPEAKER: I want to take care of her. I really do. I mean, she's my mom, and she's not getting any younger. But I deserve my own life, my own place. And I'm always tired of feeling like I'm suffocating all the time. It's just– It's so confusing. I love her, you know?
FEMALE SPEAKER: I understand that you want a place of your own to live. You mentioned before that you and your mother argue a lot.
FEMALE SPEAKER: A lot? How about all the time? And all that stuff she hoards, it's just like, I'm drowning in it. It's like there's more room for her junk than there is for us. It just drives me crazy. Right to the hospital sometimes.
FEMALE SPEAKER: How many times have you been hospitalized?
FEMALE SPEAKER: Let's see. Three times in four years. I think I mentioned to you that I'm bipolar, and I'm lousy dealing with stress. Oh. Wait, um, there was another time that I was in the hospital. I tried to commit suicide. I guess I was pretty lousy at that too, otherwise I wouldn't be here.
FEMALE SPEAKER: What made you want to do it? I was a teenager. And when you're a teenager, you find a reason every day to try to kill yourself, right? I was– I was depressed.
I remember one night I went out with some of my friends. And, um, they were all looking up at the sky and talking about how pretty the stars were. And all I could think about was that that sky was nothing more than a black eye. It was lifeless, and it could care less about any of us.
When they finally let me go home from the hospital, my family– wow– what a trip they were. They didn't want to talk about what I had tried to do. That was off- limits. I tried to kill myself. And I they acted like nothing ever happened. I've never told anybody that before.
FEMALE SPEAKER: Are you seeing a psychiatrist now?
FEMALE SPEAKER: Um, I go to a clinic, and I see him once a month. I also go to drop-in centers for group sessions, mostly for my depression.
FEMALE SPEAKER: What about medications?
FEMALE SPEAKER: Hell, yeah. They're my lifesaver.
FEMALE SPEAKER: What are you taking?
©2013 Laureate Education, Inc. 1
Parker Family Episode 3
FEMALE SPEAKER: Let's see. For the bipolar I take lithium, Paxil. Oh. Wait a minute. I made a list so I would not forget the medications that I take. Let's see. I take lithium, Paxil, Abilify, Klonopin–
Parker Family Episode 3 Additional Content Attribution
MUSIC: Music by Clean Cuts
Original Art and Photography Provided By: Brian Kline and Nico Danks
©2013 Laureate Education, Inc. 2
,
Post your initial response to the following:
· After learning about Stephanie, imagine that you had been the school social worker at the time of her suicidal ideation. Which indicators would you have looked for in Stephanie and why?
· How would you have responded to each of those indicators? What kinds of questions would you have asked her and why?
·
Respond to two colleagues by proposing an intervention that would address the indicators identified. Explain the potential impact of social work interventions such as this on adolescents’ lives. How might Stephanie’s adolescent life have improved with this intervention?
Colleague 1: Discussion
What to look for?
Adolescence is a time when teens are experiencing many changes and stressors in their lives. Not only are teens going through puberty they are developing their identity which is tied to peer acceptance. If I was working with Stephanie as her high school social worker, it would be important for me to understand the stress related to developmental changes. Additionally, I would be looking out for warning signs that would indicate Stephanie’s suicidal ideation. Those warning signs are increased substance or alcohol use, aggressive behaviors, suicidal statements, isolation, and risk-taking behavior (NAMI. n.d.). Looking for the warning signs and paying attention for any suicidal statements will be important when working with Stephanie. When Stephanie mentioned the stars in the sky are lifeless and could careless about others, I would ask to explore that statement some more with her. Stephanie mentioned that she is diagnosed with Bipolar and has suffered from depression. Individuals who suffer from depression are 20 to 30 times more likely to commit suicide (Udoetuk et al., 2019). Given that Stephanie is diagnosed with Bipolar with depressive episodes it is important to pay attention to any increased depression symptoms.
How to Respond
Using a suicide ideation screening tool such as Depressive Symptom Inventory-Suicide Subscale to be able to assess the severity of Stephanie’s suicidal ideation will allow me to assess for suicidality. When assessing for suicidal intent it is important to know if the person is in danger of acting on their suicidal thoughts. I would ask Stephanie directly about her feelings and provide active listening. Providing her with reflective responses that shows I am listening. While interviewing Stephanie I would be asking questions about her intent? If during the interview it becomes clear that Stephanie is a danger to herself, I would remind her of the confidentiality agreement we went over previously. I would inform her that I need to call authorities because she is a danger to herself. Of course, it is important for me to remain calm and empathetic while responding to Stephanie during this vulnerable time.
During my experience working in mental health for the past twenty years, I have on many occasions had to determine if an individual is a danger to themselves. Despite the trainings I have had I still find each time a person mentions they want to harm themselves I feel apprehensive and anxious. What if I make the wrong call or don’t act when I am supposed too? During those times when I feel uncertain, I make sure to get the advice of a supervisor.
References
National Alliance on Mental Illness. (n.d.-a). Risk of suicide. https://www.nami.org/About-Mental-Illness/Common-with-Mental-Illness/Risk-of-Suicide .
.
Udoetuk, S., Idicula, S., Jabbar, Q., & Shah, A. A. (2019). Suicide in adolescents. Psychiatric Annals, 49(6), 269–272. https://doi.org/10.3928/00485713-20190509-01 .
Walden University, LLC. (2013–2021). Parker family (Episode 3) [Video]. Walden University Blackboard. https://class.waldenu.edu .
Colleague 2: Discussion
RE: Discussion – Week 11
Top of Form
As a school social worker, I would look for lowered grades, lack of extracurricular activities, etc. According to Udoetuk et al., risk factors are mental illness, social isolation, dysfunction in the family, and low self-esteem (2017). These risk factors can be noticed by observing an adolescent. Once the social worker has been made aware of a potential problem, the social worker can call the adolescent in to discuss what problems they may have. For Stephanie, if she was already diagnosed with bipolar disorder, the social worker can ask how the teen has been coping with her diagnosis and if she is having any difficulties. As the school social worker builds rapport, hopefully, Stephanie will begin to talk. I would have looked out for discomfort and body language. Body language can tell a lot about someone. If they are not making eye contact, I could take that as an indicator that they are hiding something to which I would continue to build rapport.
I would respond by chatting with Stephanie. I would make her feel heard, and I would ask her how the dysfunction in her family makes her feel. My response would be heartfelt but still, get to the basis for answers. The questions I would ask would be open-ended which would hopefully open the floor for me to ask if Stephanie has ever thought about suicide. Asking questions outright will help you get to the point so that you can help prevent suicide (NAMI). A specific question could include asking what their plan is if she has stated that she wants to end her life (NAMI). Often times expressing support to get them resources can help someone rethink committing suicide (NAMI). For Stephanie, I would have asked if she had planned on ending her life and then offering support for her to receive resources. I would set a plan with her as the school social worker to ensure that she is benefiting from the resources. Sadly, you can always try to help, but you still never know exactly what someone will do.
National Alliance on Mental Illness. (n.d.-a). Risk of suicide. https://www.nami.org/About-Mental-Illness/Common-with-Mental-Illness/Risk-of-Suicide
Udoetuk, S., Idicula, S., Jabbar, Q., & Shah, A. A. (2019). Suicide in adolescents. Psychiatric Annals, 49(6), 269-272. https://doi.org/10.3928/00485713-20190509-01
Bottom of Form
Bottom of Form
Post
your initial response to the following:
·
After learning about Stephanie, imagine that you had been the school social worker at the time of
her suicidal ideation. Which indicators would you have looked for in
Stephanie and why?
·
How would you have responded to each of those indicators? What kinds of questions would you
have asked her and why?
·
Respon
d
to
tw
o
colleagues by proposing an intervention that would address the indicators
identified. Explain the potential impact of social work interventions such as this on adolescents’
lives. How might Stephanie’s adolescent life have improved with this intervention
?
Colleague 1:
Discussion
What
to
look
for?
Adolescence
is
a
time
when
teens
are
experiencing
many
changes
and
stressors
in
their
lives.
Not
only
are
teens
going
through
puberty
they
are
developing
their
identity
which
is
tied
to
peer
acceptance.
If
I
was
working
with
Stephanie
as
her
high
school
so
cial
worker,
it
would
be
important
for
me
to
understand
the
stress
related
to
developmental
changes.
Additionally,
I
would
be
looking
out
for
warning
signs
that
would
indicate
Stephanie’s
suicidal
ideation.
Those
warning
signs
are
increased
substance
or
al
cohol
use,
aggressive
behaviors,
suicidal
statements,
isolation,
and
risk
–
taking
behavior
(NAMI.
n.d.).
Looking
for
the
warning
signs
and
paying
attention
for
any
suicidal
statements
will
be
important
when
working
with
Stephanie.
When
Stephanie
mentioned
t
he
stars
in
the
sky
are
lifeless
and
could
careless
about
others,
I
would
ask
to
explore
that
statement
some
more
with
her.
Stephanie
mentioned
that
she
is
diagnosed
with
Bipolar
and
has
suffered
from
depression.
Individuals
who
suffer
from
depression
ar
e
20
to
30
times
more
likely
to
commit
suicide
(Udoetuk
et
al.,
2019).
Given
that
Stephanie
is
diagnosed
with
Bipolar
with
depressive
episodes
it
is
important
to
pay
attention
to
any
increased
depression
symptoms.
How
to
Respond
Using
a
suicide
ideation
screening
tool
such
as
Depressive
Symptom
Inventory
–
Suicide
Subscale
to
be
able
to
assess
the
severity
of
Stephanie’s
suicidal
ideation
will
allow
me
to
assess
for
suicidality.
When
assessing
for
suicidal
intent
it
is
important
to
know
if
the
person
is
in
danger
of
acting
on
their
suicidal
thoughts.
I
would
ask
Stephanie
directly
about
her
feelings
and
provide
active
listening.
Providing
her
with
reflective
responses
that
shows
I
am
listening.
While
interviewing
Stephanie
I
would
be
asking
questions
about
her
intent?
If
during
the
interview
it
becomes
clear
that
Stephanie
is
a
danger
to
herself,
I
would
remind
her
of
the
confidentiality
agreement
we
went
over
previously.
I
would
inform
her
that
I
need
to
call
authorities
because
she
is
a
danger
to
herself.
Of
course,
it
is
important
for
me
to
remain
calm
and
empathetic
while
responding
to
Stephanie
during
this
vulnerable
time.
During
my
experience
working
in
mental
health
for
the
past
twenty
years,
I
have
on
many
occasions
had
to
de
termine
if
an
individual
is
a
danger
to
themselves.
Despite
the
trainings
I
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