Case Study Psychology

attached you will find all the information  needed in order to complete this paper

COU 680 Clarification of Intervention

Clarification of “Intervention” for Rubrics:

Throughout the course of this term, you will be asked to research and select empirically validated
counseling treatment interventions appropriate to the case studies you have been provided. Treatment
interventions are those cognitive, affective, behavioral, and systemic counseling strategies, techniques,
and methods that are specifically implemented in the context of a therapeutic relationship. They should
reflect the specific needs of the client and demonstrate clinical efficacy in addressing the targeted
concern. For the purposes of this course, you will need to find journal articles that specifically target
crisis and trauma interventions demonstrating clinical application to each specific case study. Select
interventions from journal articles published within the past five years to ensure use of the most up-to-
date resources.

For assistance, consider the following as an example of an appropriate and empirically validated
intervention article for working with clients who have suffered from domestic violence:

Binkley, E. (2013). Creative strategies for treating victims of domestic violence. Journal of Creativity in

Mental Health, 8(3), 305–313.

http://ezproxy.snhu.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=sih&AN=90363425&site=eds-live&scope=site

COU 680 Week Three Case Study: Deena

Deena is a three-year-old Caucasian female who was brought into therapy by her foster mother, Jamie,
as a result of extreme emotional outbursts and a struggle to connect. Deena was removed from her
birth mother’s care at 18 months of age as a result of extreme abuse and neglect, and has now moved
into her sixth foster home since entering foster care. She now lives with her foster mother, Jamie; foster
father, Jesse; and their biological son, Max, age seven.

Deena is presenting with an array of developmental, systemic, and relational deficits related to many of
her unmet needs. Of particular concern are the delays related to language acquisition.

History
Deena was born in rural Alabama. Her single, 18-year-old Caucasian mother raised Deena alone after
her boyfriend Lewis “hit the road” when he learned of the pregnancy. We know little about Deena’s first
year of life, but do know that the Department of Human Services (DHS) initiated an investigation just
after Deena’s first birthday. Although initial complaints of suspected abuse and neglect went
unsubstantiated, a trip to the emergency room (ER) ultimately resulted in a DHS decision to remove
Deena from her birth mother’s care. In the report it was disclosed that Deena’s birth mother had been
routinely using sedatives in place of babysitters. Whenever Deena’s birth mother wanted to go out with
friends, she administered sedatives to Deena, who would fall into a deep sleep while her mother “was
out partying.” One morning, however, Deena did not wake. Terrified, her mother rushed Deena to the
ER and revealed her strategy for “childcare.”

In accordance with state child protection laws, the physicians immediately notified DHS. This incident,
coupled with prior unsubstantiated abuse complaints, resulted in DHS immediately removing Deena
from the home and placing her into foster care. Rather than fighting this action, Deena’s birth mother
seemed relieved and did not contest the decision. Within six months, she voluntarily surrendered her
parental rights.

Deena arrived in her first foster home at 18 months of age and stayed less than a month. The first set of
foster parents described Deena as inconsolable, highly emotional, and so “out of control” that they felt
unequipped to provide adequate care for her. Over the course of the next 15 months, Deena would be
placed in—and soon removed from—four additional foster homes. It was not until she lived with Jamie
and Jesse that Deena experienced any consistency of care. Deena has now been with them for three
months.

Developmental Considerations
From a developmental perspective, Deena manifested some delays, which were unsurprising given her
life history. For example, in the context of psychosocial development, Deena struggled with the
development of trust in herself and others, and she also exhibited low tolerance for frustration.
Additionally, Deena displayed some cognitive delays, most clearly evident with regard to language
acquisition.

Relational Considerations
From a relational perspective, Deena’s early relationship with her primary caretaker had been
insufficient at best. Rather than offering the consistent and loving care and attention needed to build
strong attachments, Deena’s mother remained inconsistent, often inattentive, neglectful, and

sometimes abusive. When removed from her birth mother’s care, Deena was already at risk for
attachment-related difficulties.

Multicultural Considerations
Although they all identified as Caucasian, differences related to socioeconomic status may have
contributed to the difficulties early foster parents had in relating to Deena. The foster families
benefitted from the privilege afforded by a middle-class lifestyle and had no real understanding of the
impact of poverty on Deena’s birth mother. They had no real understanding of how poverty, both in
terms of financial and social capital, might contribute to a mother’s decision to choose inexpensive
sedatives purchased on the street over a human babysitter. This may have resulted in them villainizing
Deena’s birth mother and having great difficulty in responding to Deena’s emotional distress over her
separation from her mother.

Ultimately, Deena experienced foster care as a series of changes in caregivers that prevented her from
forming healthy or stable relationships.

Diagnosis
Diagnostically, Deena is displaying symptoms consistent with reactive attachment disorder (RAD;
American Psychiatric Association [APA], 2013), which is etiologically related to the lack of consistency
and care in her early relationships (RAD Criterion D). Deena is also presenting with symptoms consistent
with a diagnosis of post-traumatic stress disorder (PTSD; APA, 2013).

Reference

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.).

Washington, DC: Author.

COU 680 Week Three Intervention Paper Guidelines and Rubric
Children in Crisis

Overview: Selection of appropriate resources and interventions for clients who have experienced trauma or crisis involves consideration of biological,
developmental, cultural, and spiritual factors. Your success in treating these clients will depend heavily on a comprehensive assessment of these factors and on
matching an appropriate intervention to the client crisis or trauma experience and to the individual needs of your client.

The first final project for this course is the creation of a trauma toolbox consisting of resources selected from counseling literature that you will use to support
clients who experience symptoms of crisis and trauma. You will review different case studies throughout the course that will introduce you to how to work with
different types of clients.

This assignment represents the first of the case studies and involves identifying a treatment intervention that can be used when working with children who have
experienced trauma.

Note: You will also submit this assignment to your ePortfolio as part of your final project trauma toolbox in Week Nine. After receiving feedback, you will upload
the paper, including tracked changes that show any revisions or corrections you made, for your final toolbox submission. This is required in order to receive
credit for the final project.

Prompt: Review the Week Three Case Study Deena document, and then address the following. Be sure to support your responses with research.

 You should NOT use any of the provided weekly resources or the LAPC Model (except in Week Four) for your selected intervention. Instead, please use
empirical research to locate an appropriate intervention specific to the case study. See the Clarification of Intervention document. You may use articles
from the Mental Health Counseling Guide or from other sources, as long as the intervention is grounded in research.
Write a paper that includes the following:

 Provide a brief description of the intervention including:
(1) to whom it can be applied
(2) under what circumstances it can be applied
(3) any limitations to the intervention that should be considered

 Provide rationale for choosing the selected approach for the case study.

 Include an explanation for why selecting that intervention will help your work with the selected case study client, and provide appropriate
support.

 Describe how the intervention can be used in future work when supporting the treatment approaches for clients.

 Provide a link to the intervention within the body of the paper (or upload the PDF) so your instructor can easily identify and reference it. Ensure
the link is active and accessible for review by your instructor. Note: If your selected intervention is not accessible, your submission will be
returned to you.

http://libguides.snhu.edu/counseling

 Add the intervention to your ePortfolio.
Rubric

Guidelines for Submission: This short paper should follow the Intervention Paper Template. It should be 2 to 4 pages in length with double spacing, 12-point
Times New Roman font, and one-inch margins. All references should be cited in APA format.

Critical Elements Excellent (100%) Proficient (90%) Needs Improvement (70%) Not Evident (0%) Value

Empirically
Validated

Selects empirically validated
intervention

Does not select empirically
validated intervention

10

Description Meets “Proficient” criteria, and
description is detailed and
demonstrates exceptional insight
or analysis

Briefly describes intervention and
includes to whom it can be
applied, under what
circumstances, and any limitations

Briefly describes intervention, but
description contains gaps or
inaccuracies or lacks detail

Does not describe intervention

18.7

5

Rationale Meets “Proficient” criteria, and
rationale is detailed and
demonstrates exceptional insight
or analysis substantiated by
learning and scholarly resources

Provides rationale for selecting
the intervention and reflects the
appropriateness of fit to the
selected case study

Provides rationale for selecting
the intervention, but rationale
contains gaps or inaccuracies or
lacks detail, or the intervention is
not appropriate to the selected
case study

Does not provide rationale for
selecting the intervention

18.75

Explanation of
Support

Meets “Proficient” criteria, and
explanation is detailed and
demonstrates exceptional insight
or analysis substantiated by
learning and scholarly resources

Explains how the selected
intervention will provide
appropriate support to the case
study client

Explains how the selected
intervention will provide
appropriate support to the case
study client, but explanation
contains gaps or inaccuracies or
lacks detail

Does not explain how the selected
intervention will provide
appropriate support to client

18.75

Future
Application

Meets “Proficient” criteria, and
description of future application is
detailed and demonstrates
exceptional insight or analysis

Describes how the intervention
can be used in future work when
supporting the treatment
approaches for clients

Describes how the intervention
can be used in future work when
supporting the treatment
approaches for clients, but
description contains gaps or
inaccuracies or lacks detail

Does not describe how the
intervention can be used in future
work when supporting the
treatment approaches for clients

18.75

Link to or PDF of
Resource

Provides an active link to or PDF of
the intervention

Does not provide an active link to
or PDF of the intervention, or
intervention is not accessible

10

Critical Elements Excellent (100%) Proficient (90%) Needs Improvement (70%) Not Evident (0%) Value

Articulation of
Response

Submission has no major errors
related to grammar, spelling,
syntax, or organization

Submission has some errors
related to grammar, spelling,
syntax, or organization but they
are minimal and do not negatively
impact readability and articulation
of main ideas

Submission has major errors
related to grammar, spelling,
syntax, or organization that
negatively impact readability and
articulation of main ideas

Submission has critical errors
related to grammar, spelling,
syntax, or organization that
prevent understanding of ideas

5

Total 100%

CASE STUDY OF [TOPIC] 4

[Note: To complete this template, replace the bracketed text with your own content. Remove this note before you submit your paper.]

Intervention Paper: Case Study of [Topic]

[Your Name]

Running head: CASE STUDY OF [TOPIC] 1

Southern New Hampshire University

Description of Intervention

[Include in this section a brief overview of the intervention you have selected, based on how it was described in the article. Please do not copy and paste the description from the article—use your own words. Think of this like you are explaining it to your best friend. What does it do, how do you do it, and to whom would it apply? You also want to make sure you are looking for any limitations to the intervention noted in the article or important to consider. Most journal articles will have a limitations section or speak to any considerations you might want to think about before applying it. Others may not have this concretely stated, so you will need to do some analysis and consider to whom the intervention might not be applicable and why. A couple of limitations you are likely to see are that they are relatively new and untested or that they only apply to a specific group of people. Those are great things to consider when selecting an intervention and part of what I want you to get savvy at looking for.]

Rationale

[This section should center on why you have chosen this intervention for the case study. Why is it appropriate to the specific client? You want to use the details of the case study to help you justify the approach based on factors like diagnosis, culture, family dynamics, developmental influences, etc. Remember, the goal in any intervention is to choose one that will be most effective to the needs of the client. To that end, you will really want to consider and speak to the details of the case study and why they tie back to your chosen intervention in this section.]

Explanation of Support

[In this section you will speak to the actual application of the intervention to the case study client. What would it look like when applied to the client from the case study given the details of the article and the description above? This takes your rationale a step further and has you really think about what it would mean to put the case study client in the intervention. This step moves you from why it would be valuable (rationale) to how it would work.]

Future Applications

[This final section is designed to have you consider to whom or under what circumstances you might apply this intervention in the future. How might you use this tool in your toolbox to help you in future work? Can it apply to more than one type of issue or client? This is where you should consider expansion beyond the particular case study and speak to how you think you will use this intervention to help your future practice.]

References

[Include any references cited in your paper in full APA format. Don’t forget to include in-text citations as well.]

Running Head: RAD INTERVENTION 1

RAD INTERVENTION 3

Comment by Imelda N. Bratton: Oops, you did not complete the cover page here. It can be easy to forget when it is already prepared in the template. Make sure to include the information for each assignment.

Intervention Paper: Case Study of Denna

Shannen Carambia

Running head: CASE STUDY OF [TOPIC] 1

Southern New Hampshire University

Rad Intervention

Professor

Student

Institution

Date

Case Study of Deena

Description of the Intervention

I believe Deena is experiencingsuffering from reactive attachment disorder (RAD). As a result of this, she is believed to have the capacity in forming attachments though this particular ability has been prevented by dark past experiences. As a result, she may become resilient and so she might develop some healthy relationships. In this case, the early intervention will really help much. Comment by Imelda N. Bratton: Watch how you begin sentences, and when you notice that you start with the same wording then make sure to change how you begin the next sentence. This will improve flow of your work. Comment by Imelda N. Bratton: This word doesn’t fit the sentence structure.

As is the case for many other cases of reactive attachment disorder, there will be no standard treatment for Deena (Boris & Renk, 2017). The treatment intervention will be there to ensure that Deena has a stable and safe condition. Another objective will be to help Deena develop positive interaction and end up strengthening attachment with the caregivers and the parents. Comment by Imelda N. Bratton: What does this mean? I am not sure what you mean by no standard treatment. There is never a standard treatment or one way to approach any disorder as many counsellors have their own viewpoint in selecting treatment interventions. Comment by Imelda N. Bratton: Does the intervention you selected do this? Comment by Imelda N. Bratton: APA requires three sentences to make a paragraph, so I added this to the previous paragraph.

ThusThus, the interventions will include the address to the child housing, medical and safety needs if appropriate, offer an interactive, stimulating, and positive environment for Deena, offer those staying with her have a strong and stable attachment for Deena, and finally encourage Deena through caring, responsive guidance and nurturing (Boris & Renk, 2017). Comment by Imelda N. Bratton: Think about what this means? Make sure to provide a brief overview of the article here. In a way that is easily understood.
Comment by Imelda N. Bratton: Does this intervention specifically work with the caregivers to develop these skills? Or is that a by-product of creating a supportive environment?

Rationale

Recently, the American Academy of the Child and the Aadolescent Ppsychiatry together with the American Ppsychiatric Aassociation have gone against the unproven and hazardous interventions for RADreactive attachment disorder. Comment by Imelda N. Bratton:

Some of these techniques that they opposehave gone against include the physical force or restraint which is meant to break down what is assumed to be the child resistance to reactive attachment, which is a theory that is not proven for the causality of RAD reactive attachments disorder (Vega et al., 2019). Those controversial practices do not have scientific proof and thus can be damaging and at times even lead to death. ThusThus, the above-mentioned interventions would be most suitable. Okay, expand this comment here. You indicated why other interventions would not be appropriate, but what makes this one more appropriate? What is helpful about this selected intervention that will assist in developing attachment for Deena?

Explanation of Support

The caregivers for Deena will most likely become distressed, frustrated, or angry. The mother has already felt that the child does not like her or does not love her. The following support would help curb the situation: Educating yourself and the family on the reactive attachment disorder (Vega et al., 2019). As the caregiver, you need to ask those who about where you get to know about this disorder. Another support would be looking for someone who will give a break from time to time. You can avoid the use of multiple caregivers, especially for a childlike Deena. Comment by Imelda N. Bratton: This can certainly happen. Make sure to add why as working with children that have RAD can be challenging. Develop this sentence a little more. Comment by Imelda N. Bratton: Watch sentence structure here to improve flow. Comment by Imelda N. Bratton: These are helpful items to consider. Now, think about what specifically you would do with the caregivers or with Deena when they are in front of you in your office.

Other support would include looking for stress management skills for Deena and this will help Deena relax and not get overwhelmed by the situation. You also need to develop social engagements and hobbies for the exercise routine. The caregivers can also seek professional help especially because they can feel frustrated with a child like Deena. Comment by Imelda N. Bratton: Yes, very critical. This is exactly what you need to work on with interventions. So, what intervention can you find will teach this? This would be a great intervention to select for this paper also. Comment by Imelda N. Bratton: What about attachment? If a child is cared for and has his or her needs provided by major caregivers, the child learns that others will provide for his or her needs, that others are to be trusted, and that he or she is worthy of care by others. This leads to secure attachment. Conversely, a child whose needs are not met can form insecure attachment. Thus, it is important to Deena is able to form a secure attachment with her primary caregivers.
It does not sound as though the intervention can help Deena to develop an attachment o her caregivers, Jamie and Jesse. Counselors are typically with a client one hour a week, while parents are with a client for many more hours than that. It would impact Deena positively for many years to come to form a healthy attachment to her caregivers.
Your selected intervention can produce an environment that is helpful, but consider something that you can directly use with her or the parents to build the needed attachment.

Future applications

These interventions can be used in the future in so many ways. Offering an interactive, stimulating, and positive environment for Deena. The world every keeps on growing in population. The population is becoming more and denser and so it might be very hard to control a child who is already interacting with the outside and learning a lot from it. This housing strategy protect the child from the poisoned outside world or environment.

References

Boris, N. W., & Renk, K. (2017). Beyond reactive attachment disorder: How might attachment research inform child psychiatry practice?. Child and Adolescent Psychiatric Clinics, 26(3), 455-476. Retrieved from

https://www.childpsych.theclinics.com/article/S1056-4993(17)30042-1/abstract

Vega, H., Cole, K., & Hill, K. (2019). Interventions for children with reactive attachment disorder. Nursing2020, 49(6), 50-55. Retrieved from

https://journals.lww.com/nursing/Fulltext/2019/06000/Interventions_for_children_with_reactive.13.aspx?utm_campaign=9-Y855N2019eNews_072319&mkt_tok=eyJpIjoiTTJFeFl6QmxZelF6TW1VMiIsInQiOiJ1aEFTYVJSQWp6cGFZQThpOTlWWGhoOStCSkMyZjIwa1wvR2toWmdsREZ2VGc1WjQxZkVMR1o1WUdvZ01QeW5Bbm95WE1JXC9TZ2k1azhXU2FNOGE2NjIwcWZOUldUQmlGRCtPU1FDNldGdmkxZ082VlljZDFNcFN1eW5OYkQzc3N4cEJjK0ljbStLb2RCZFUyTHIxWWQxZz09In0%3D