QUESTION 1

1. Three classifications of outpatient treatment include:a.12 step groups, cognitive behavioral therapy, aftercareb.Motivational Interviewing, Stages of Change, Psychoeducationalc.EAP, court ordered, self-referredd.Continuing care, intensive outpatient program, day program

1 points  

QUESTION 2

1. Which one of the following is not part of what is considered in determining the level of treatment and care for an individual?a.Screeningb.Diagnosisc.Insurance reimbursement limitationsd.Patient problem areas

1 points  

QUESTION 3

1. According to SAMHSA, a major source of referrals to substance use treatment is:a.Family membersb.Medical providersc.Employersd.The criminal justice system

1 points  

QUESTION 4

1. Proper treatment setting is ____________, while a specific treatment approach that meets the needs of the client is _________________.a.Level of care; best fitb.Community clinic; harm reductionc.Inpatient treatment; abstinenced.Placement matching; modality matching

1 points  

QUESTION 5

1. Which of the following definitions best defines a “Continuum of Care”?a.An outdated system of care that has been replaced by a triadic level of care.b.An element of care providing consistency and flexibility in the spectrum, intensity and duration of addiction treatment.c.A range of inpatient and outpatient services that are available to a patient, but not necessarily utilized.d.A treatment system in which clients enter treatment at a level appropriate to their needs and then step up to a more intense treatment or down to less intense treatment as needed.

1 points  

QUESTION 6

1. Which one of the following is a true statement?a.Drug courts have no impact on recidivism rates.b.Drug courts reduce recidivism rates to about 16%.c.Despite efforts, drug court recidivism rates have risen to about 25%.d.Drug courts reduce recidivism rates to about 5%.

1 points  

QUESTION 7

1. Using the correctional system to combat addiction has resulted in all of the following except:a.Decreased financial cost to taxpayersb.Deterioration of familiesc.High unemployment rates for felonsd.Overcrowding of prisons

1 points  

QUESTION 8

1. Which one of the following lists the correct order and stages of change of the DiClemente and Prochaska model?a.Denial, contemplation, preparation, action, and relapseb.Denial, precontemplation, contemplation, preparation, action, and maintenancec.Precontemplation, contemplation, preparation, action, and maintenanced.Precontemplation, contemplation, preparation, action, and relapse

1 points  

QUESTION 9

1. The accepted practice of treatment for drug and alcohol use disorders in the U.S. is:a.abstinenceb.Prohibitionc.Harm Reductiond.Moderation management

1 points  

QUESTION 10

1. Phases of Screening, Brief Intervention, and Referral to Treatment (SBIRT) usually takes ________.a.Between 30 to 60 minutes.b.Between 5 and 10 minutes.c.About 45 minutes.d.About 25 minutes.

1 points  

QUESTION 11

1. Ambulatory Detoxification with Extended On Site Monitoring is a Level II-D classification, which means which one of the following?a.There is no such thing as Ambulatory Detoxification with Extended On Site Monitoring.b.The client can be served in an outpatient setting with on call support from an addictions specialist.c.The client is not at this moment in need of inpatient services, is only experiencing moderate discomforts from detoxification, and is able to go home to family and social support.d.The client is transported by ambulance to a medical detoxification facility.

1 points  

QUESTION 12

1. The correction definition of polytherapy is:a.The use of one medication in treatment.b.The use of behavioral sensitization by two counselors in treatment.c.The use of more than one medication in treatment.d.The use of drug antibodies to prevent drugs of abuse from entering the central nervous system.

1 points  

QUESTION 13

1. ________ are the class of medication often used to treat anxiety.a.Anticonvulsantsb.Antagonistsc.Agonistsd.Anxiolytics

1 points  

QUESTION 14

1. Some things a clinician can do to support medication compliance with clients include all of the following except:a.Challenge and contradict the client’s perspectiveb.Listen to the client’s attitudes about medicationsc.Ground concerns with compliance within the client’s point of viewd.Understand how the client’s subjective beliefs influence compliance

1 points  

QUESTION 15

1. A ____________ is a proved medication that is typically given first to a patient.a.Anticraving treatmentb.Antagonistc.First line agentd.Agonist

1 points  

QUESTION 16

1. The three endogenous chemicals with the most relevance to addiction pharmacotherapy are:a.Dopamine, norepinephrine, GABAb.Glutamate, Serotonin, Dopaminec.Serotonin, dopamine, GABAd.Serotonin, dopamine, norepinephrine

1 points  

QUESTION 17

1. Disulfiram (Antabuse) is considered:a.Anticraving treatment for alcoholb.Aversion treatment for alcoholc.Alcohol withdrawal treatmentd.An anxiolytic

1 points  

QUESTION 18

1. What of the following is not one of the four pharmacokinetic processes?a.Absorptionb.Reuptakec.Distributiond.Biotransformation

1 points  

QUESTION 19

1. The obsessive disinhibition form of a craving is the result of dysfunction in the ___________ neurotransmitter.a.GABAb.OPc.5HTd.DA

1 points  

QUESTION 20

1. Naltrexone is considered:a.Anticraving treatment for alcoholb.Aversion treatment for alcoholc.An anxiolyticd.Alcohol withdrawal treatment

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Resources for this week’s question, please incorporate resources into answer.

Babbie, E. (2017). Basics of social research (7th ed.). Boston, MA: Cengage Learning.

· Chapter 15, “Reading and Writing Social Research”

· Laureate Education (Producer). (2016b). Literature review [Video file]. Baltimore, MD: Author.

·

· Note: The approximate length of this media piece is 8 minutes.

·

· Dr. Patton speaks about the role of literature in the research process.

·

· Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Brown, M. (2013). Developing social problems into research problems for graduate study [Online webcast]. Retrieved from Evaluating Use of Literature and Problem Statement

Researchers use scholarly literature for various purposes in their work, such as, but not limited to, establishing the need for and importance of their study or describing a theory. The problem statement is typically tied to the literature, and for this reason, these two components of research are presented together this week; this connection among research components will be a recurring theme throughout this course.

For this Discussion, you will evaluate the use of literature and problem statements in assigned journal articles in your discipline to understand what it means for a research study to be justified, grounded, and original. You will use the Use of Literature Checklist, the Problem Statement Checklist, and the Litmus Test as guides for your post.

With these thoughts in mind, refer to the Journal Articles document for your assigned articles for this Discussion. If your last name starts with A through L, use Article A. If your last name starts with M through Z, use Article B. Follow the prompt below for your program.

Master’s and research doctorate (PhD) students

By Day 4

Post a critique of the research study in which you:

· Evaluate the authors’ use of literature using the Use of Literature Checklist as a guide

· Evaluate the research problem using the Problem Statement Checklist as a guide

· Explain what it means for a research study to be justified and grounded in the literature; then, explain what it means for a problem to be original using the Litmus Test as a guide

Be sure to support your Main Issue Post and Response Post with reference to the week’s Learning Resources and other scholarly evidence in APA Style.

Stedman-Smith, M., DuBois, C. L., & Grey, S. F. (2015). Hand hygiene performance and beliefs among public university employees. Journal of Health Psychology, 20(10), 1263–1274. doi: 10.1177/1359105313510338

By Day 4

Post a critique of the research study in which you:

• Evaluate the authors’ use of      literature using the Use of Literature Checklist as a      guide.
• Evaluate the problem using      the Problem Statement Checklist as a guide.
• Explain what it means for a      research study to be justified and grounded in      the literature; then, explain what it means for a problem to be original using      the Litmus Test as a guide

· https://www.youtube.com/watch?v=udfldYXvUxw&feature=youtu.be

Problem Statement Checklist Use the following criteria to evaluate an author’s problem statement:

• Is a problem identified that leads to the need for this study?

• Is a rationale or justification for the problem clearly stated?

• Is the problem framed in a way that is consistent with the research approach?

• Does the statement convey how the study will address the problem?

• Are the citations to literature current (i.e., within the past 5 years with the exception of seminal works)?

Use of Literature Checklist

Use the following criteria to evaluate an author’s use of literature.

• Look for indications of the following ways the author used literature:

• Introduce a problem

• Introduce a theory

• Provide direction to the research questions and/or hypotheses

• Compare results with existing literature or predictions

• Did the author mention the problem addressed by the study?

• Is the purpose of the study stated?

• Are key variables in the study defined?

• Is information about the sample, population, or participants provided?

• Are the key results of the study summarized?

• Does the author provide a critique of the literature?

• Are sources cited to support points?

• Are the citations to recent literature (within the past 5 years with the exception of seminal works)?

• Does the literature justify the importance of the topic studied?

Litmus Test for a Doctoral-Level Research Problem

Background on these “litmus test” questions 

· The distinguishing characteristic of doctoral-level research (as opposed to masters level) is that it must make an original contribution to the field. However, students may struggle to identify what will authentically contribute to their field or discipline.

· The most critical step in making such a contribution is to first identify a research problem with the 4 doctoral hallmarks below. Identifying a doctoral-level research problem is “necessary, but not sufficient,” to produce doctoral-level capstone.

REQUIRED DOCTORAL HALLMARKS OF THE RESEARCH PROBLEM

In   Walden’s scholar-practitioner model, a research problem shows promise of   contributing meaningfully to the field ONLY if the answer to ALL of the   following questions is “yes.”

Yes

No

1. JUSTIFIED?

Is there evidence   that this problem is significant to the professional field?

There     must be relevant statistics (expressing an unjust inequality, financial     impact, lost efficiency, etc.), documentable discrepancies (e.g., two     models that are difficult to reconcile), and/or other scholarly facts that     point to the significance and urgency of the problem. The problem must be     an authentic “puzzle” that needs solving, not merely a topic that the     researcher finds interesting.

2. GROUNDED IN THE   LITERATURE?

Can the problem be   framed in a way that will enable the researcher to either build upon or   counter the previously published findings on the topic?

For     most fields, this involves articulating the problem within the context of a     theoretical or conceptual framework. Although there are multiple     ways to ground a study in the scientific literature, the essential     requirement is that the problem is framed in such a way that the new     findings will have implications for the previous findings.

3. ORIGINAL?

For research   doctorates (Ph.D.): 

Does the problem reflect   a meaningful gap in the research literature?

For the professional   doctorates (Ed.D. and D.B.A.):

Does   the problem describe a meaningful gap in practice?

4. AMENABLE TO   SCIENTIFIC STUDY?

Can a scholarly,   systematic method of inquiry be applied to address the problem?

The framing of the   problem should not reveal bias or present a foregone conclusion. Even if the   researcher has a strong opinion on the expected findings, scholarly   objectivity must be maximized by framing the problem in the context of a   systematic inquiry that permits multiple possible conclusions.

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Here is the link for the 20/20 special that you will use for your Eco-map & Narrative. The 20/20 special is titled “Waiting on the World to Change”.

*You are required to draw an eco-map of one of the three children featured in the 20/20 special Waiting on the World to Change. You must label and identify each layer of the eco-map. Please refer to the lecture in the document section of Canvas that provides descriptive information on how to create and eco-map.

*You are all expected to write a 2 to 3-page (minimum 2 full pages & maximum three pages) narrative that describes the relationships illustrated in the eco-map.

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Discussion 1: Qualitative Findings and Social Work Interventions

Evidence-based social work practice calls for the use of research data to guide the development of social work interventions on the micro, mezzo and/or macro-levels. Kearney (2001) described ways qualitative research findings can inform practice. Qualitative findings can help social workers understand the clients’ experiences and “what it may feel like” (Kearney, 2001). Therefore, social workers can develop clinical interventions that take into account the experiences of their clients. Qualitative findings can also help social workers monitor their clients. For example, if after reading a qualitative study on how domestic violence survivors respond to stress, they can monitor for specific stress behaviors and symptoms (Kearney, 2001). In addition, they can educate their client what stress behaviors to look for and teach them specific interventions to reduce stress (Kearney, 2001)

Given the increasing diversity that characterizes the landscape in the United States, social workers need to take into account culture when formulating interventions. Social workers can utilize qualitative findings to plan interventions in a culturally meaningful manner for the client.

To prepare for this Discussion, read Knight et al.’s (2014) study from this week’s required resources. Carefully review the findings, the photographs, and how the researchers wrote up the findings. Finally, review the specific macro-, meso-, and micro-oriented recommendations.

Then read Marsigilia and Booth’s article about how to adapt interventions so that they are culturally relevant and sensitive to the population the intervention is designed for. Finally, review the chapter written by Lee et al. on conducting research in racial and ethnic minority communities.

Kearney, M. (2001). Levels and applications of qualitative research evidence. Research in Nursing and Health, 24, 145–153.

Post the following:

1. Using one of the direct quotes and/or photos from Knight et al.’s study, analyze it by drawing up a tentative meaning. Discuss how this would specifically inform one intervention recommendation you would make for social work practice with the homeless. This recommendation can be on the micro, meso, or macro level.

2. Next, explain how you would adapt the above practice recommendation that you identified so that it is culturally sensitive and relevant for African Americans, Hispanics, or Asian immigrants. (Select only 1 group). Apply one of the cultural adaptations that Marsigilia and Booth reviewed (i.e., content adaption to include surface and/or deep culture, cognitive adaptations, affective-motivational adaptations, etc.)(pp. 424-426). Be as specific as you can, using citations to support your ideas.

References (use 3 or more)

Knight, K. R., Lopez, A. M., Comfort, M., Shumway, M., Cohen, J., & Riley, E. D. (2014). Single room occupancy (SRO) hotels as mental health risk environments among impoverished women: The intersection of policy, drug use, trauma, and urban space. International Journal of Drug Policy, 25(3), 556-561.

Document: Lee, M. Y, Wang, X., Cao, Y., Liu, C., & Zaharlick, A. (2016). Creating a culturally competent research agenda. In A. Carten, A. Siskind, & M. P. Greene (Eds.), Strategies for deconstructing racism in the health and human services (pp. 51-65). New York, NY: Oxford University Press. (PDF)

Copyright 2016 by Oxford University Press. Used with permission of Oxford University Press via the Copyright Clearance Center. 

Marsiglia, F.F. & Booth, J.M. (2015). Cultural adaptations of interventions in real practice settings. Research on Social Work Practice, 25(4), 423-432.

Note: Retrieved from the Walden Library databases.

Vaismoradi, M., Turunen, H., & Bondas, T. (2013). Content analysis and thematic analysis: Implications for conducting a qualitative descriptive study. Nursing & Health Sciences, 15(3), 398-405.

Discussion 2: Addressing Change

What does a leader do when things do not go as planned? How can a leader help to restore or improve an organization’s operations when a situation stalls or interferes with its functions? Although taking a proactive approach to planning is desired, change may occur suddenly and unexpectedly causing immediate consequences. A skilled leader must be able to assess a situation in order to prioritize the steps necessary to stabilize the organization. This process must focus on a short-term strategy to address immediate concerns and include strategic decisions that will affect the long-term sustainability of the organization.

For this Discussion, you address the Southeast Planning Group (SPG) case study in the Social Work Case Studies: Concentration Year text.

· Post an analysis of the change that took place in the SPG. 

· Furthermore, suggest one strategy that might improve the organizational climate and return the organization to optimal functioning. 

· Provide support for your suggested strategy, explaining why it would be effective.

References (use 3 or more)

Lauffer, A. (2011). Understanding your social agency (3rd ed.). Washington, DC: Sage.

Northouse, P. G. (2018). Introduction to leadership: Concepts and practice (4th ed.). Washington, DC: Sage.

Finley, D. S., Rogers, G., Napier, M., & Wyatt, J. (2011). From needs-based segmentation to program realignment: Transformation of YWCA of Calgary. Administration in Social Work, 35(3), 299–323.

Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014b). Social work case studies: Concentration year. Baltimore, MD: Laureate International Universities Publishing [Vital Source e-reader].

“Social Work Supervision, Leadership, and Administration: The Southeast Planning Group” (pp. 85–86)

Working With Organizations: The Southeast Planning Group

The Southeast Planning Group (SPG) is an organization that was created in 2000 to facilitate the Office of Housing and Urban Development’s (HUD) Continuum of Care planning process. The key elements of the approach were strategic planning, data collection systems, and an inclusive process that involved clients and service providers. The fundamental components of the system are 1) outreach, intake, and assessment; 2) emergency shelter; 3) transitional housing; and 4) permanent housing and permanent supportive housing. The outreach, intake, and assessment component identifies an individual’s or family’s needs in order to connect them with the appropriate resources. Emergency shelter provides a safe alternative to living on the streets. Transitional housing provides supportive services such as recovery services and life skills training to help clients develop the skills necessary for permanent housing. The final component, permanent housing, works with clients to obtain long-term affordable housing.

SPG works with the local government; service providers; the faith, academic, and business communities; homeless and formerly homeless individuals; and concerned citizens in the designated service area. During the first 5 years of its existence, SPG was staffed by one part-time and four full-time staff members and oversight was provided by a 21-member board. SPG’s founding director was well respected and liked in the community. She was noted for her ability to bring stakeholders together across sectors and focus on the single mission of ending homelessness.

After serving 5 years as the executive director, she abruptly resigned amidst rumors that she was forced out by the board. Although she had been effective in bringing people together, there were concerns that the goals and objectives had not been met, and there was a lack of confidence in her ability to grow the organization. Approximately one month after her resignation, a new executive director was hired.

One of the new director’s first priorities was to reconfigure the structure of the organization in order to increase efficiency. As a result of the restructuring, two positions were eliminated. The people who were let go had been with the organization since it was created, and similar to the previous director, they had strong ties to the community. Once the community and SPG’s partners learned about the changes, there was suspicion about the new leadership and the direction they wanted to take the organization. Stakeholders were split in their views of the changes—some agreed that they were necessary in order to advance the goals of the organization, while others felt the new leadership was “taking over” with a hidden agenda to promote its own self-interest.

I worked with the group as an evaluation consultant to assess the SPG partnership during this period of transition. In order to assess how these changes were perceived by the stakeholders, I conducted key informant interviews with various stakeholders, both internal and external to the organization. The partners shared many insights about how the month without consistent leadership contributed to the uncertainty about SPG’s purpose and strategy, and it was generally agreed that the leadership transition was not handled well. The results from the evaluation were used to help SPG identify strategies to improve communication with stakeholders and utilize the director’s leadership role to build upon the organization’s past successes while preparing for future growth.

(Plummer 51-52)

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