Case Of Mark Lewis College Student

Case Of Mark Lewis College Stud

Date April 30 2018role Play Title Case Of Mark Lewis College Stud

Date April 30 2018role Play Title Case Of Mark Lewis College Stud

Date: April 30, 2018 Role Play Title: Case of Mark Lewis: College Student with HIV 1. Agency Setting and services provided at agency: Micro-level Private Practice that focuses on youth and young adult services but also has programs for individuals and families, mental health intervention, crisis management, and support services, individual and group counseling / therapy. 2. Client Profile (demographic details, practice-level): Mark is a 21 years old college student. Client has a great relationship with his family and friends.

Client is dating an older women who is 39 years old that he meet on the school campus. Mark was referred by a friend in regards to getting personal support. He just found out he contracted HIV from his older lover. He has not confronted his lover who possible gave him this terminal chronic disease because he is still in shock. 3.

Presenting Concern : Client has just found out he contracted HIV for his older lover. He is looking for support and coping skills on how to accept his diagnose at such a young age . 4. Scene Description from the Client Session: First meeting is to describe and provided immediate support/services. To help him emotional and medically.

5. Practice Skills or Behaviors Demonstrated in Role-Play: Skills demonstrated are group counseling, facilitating services, coping. Follow up services, Code of Ethics, Engagement, Observation, Active listening, Written Communication, Open question, Identifying Issues, Critical Thinking, Establishing Goals, Planning ,Referral Services, Support, Prioritizing, Care Planning, Instructing, Self-Awareness, Implementation, Recovery, Strength base approach. Audio ( dialogue) Video (client and social worker visual cues) Social worker practice skills and or behavior Social worker: Hey Good morning. Mark: Good morning to you too.

Social worker extends her hand while she smiles to greet mark. Mark makes a step forward as he extends his hand to greet the social work. He hesitates then smiles broadly. Open- ended question that shows concern of the wellbeing of the client. Social worker: Welcome to the agency and if I may ask what brings you to our agency today?

The social worker slowly walks as she directs mark to an open room. Mark looks way with anger and sadness Warmth and concern Social worker: How may be of help to you? Mark: I have HIV/AIDS that I just found about it recently. Social worker indicates the seat by show of hand. Mark looks at the social worker as he adjusts himself on a black leather chair.

Social worker leans forward appearing fully concentrated. Mark lowers his head as his voice diminishes. Concern and warmth/. Social worker: It’s okay Mark. Please tell me more.

I am here for you Mark. Mark: okay. So I went to a clinic recently with a friend who insisted that it is wise we know our health statuses. The nurse called her in the office and she quickly came out. But for some reason the Doctor called me not the nurse and shut the door.

There I saw a social worker sitting there with a bunch of brochures. Social worker leans forward more and her eyes fixed on Mark. Mark’s eyes weaken as he looks far away through the window. Accommodation and willingness to help. Establishing Rapport Social worker: First of all I’m glad you know your status and I am glad you have chosen to visit our agency. I will help you to the best of my abilities.

So please feel free to tell me everything. But before you tell me more. I have to say that everything you say here will be private and between us. However, I will have to share this private information if I think that you are going to hurt yourself, or hurt someone else, or if I think someone may be hurting you or someone else. Mark: Ok.

Cool. I really want to keep this a secret. I’m just a kid and now I’m HIV positive. How could this happen!!! Social worker half smiles as she looks at mark.

Mark speaks with anger in his voice. Sympathizing. Showing that she understands his condition and she is very willing to help. Codes of Ethics Social worker: Have you ever had any sexual experiences before? Mark: Yes.

Just once with an older women. She’s actually the love of my life. Social worker is writing notes. Bowing down, looking up, and looking at the sides and bows down again. Open question.

Active listening Written Communication Social worker: Mark... I am very sorry. You will be alright trust me. Mark: I am not sure to be honest. All I want is to just die and escape all these nightmares.

Social worker leans forward Mark unzips his jacket. Goes silent a bit with his head looking up. He looks at the social worker and speaks slowly. Empathetic and offering hope Social worker: Are you thinking about harming yourself? Mark: No.

I just feel hopeless. Social worker looking clues from his body language. Shaking his head Engagement Observation Social worker: Sorry for what you have experienced for the past few weeks. This agency will make sure that you get everything you need to overcome this. I can set u up with a support group with kids your own age.

And I would love to meet with you at least once a week. Mark: But Miss………..how do I manage this? I am just too young to start HIV medication at this stage. Social worker pats her hands on the table. Raises them up again just before her chin as she tries to explain to mark.

Mark shakes a bit then regrettably speaks with his hands unsettled on the table and keeps adjusting himself on the chair. Openness Group Counseling Facilitating Services Coping Follow Up Services Social worker: There’s no right answer for that. It all depends on the individual. The very first stage to healing emotionally is acceptance. When you accept this condition as part of your life managing it will get easier.

HIV is a condition not a death sentence. Mark: I just need to know that everything will be alright. Social worker pulls her chair closer and looks at Mark as she talks to him. Marks put his hand down. Openness Problem Resolution Coping Social worker: So before I answer that.

I have a question for you too. Are you upset with this women who gave you HIV? Mark: I don’t even know. She was older so I thought she was a responsible adult and I love her. She has kids my own age.

I just never thought she would give me HIV. ( no movements here) Elbows on the table, as he shakes his head. Open question Identifying Issues Social worker: Accepting your status and moving on with your life will start with where you stand with this women. Mark: I will think about it. ( no movements here) Twists his mouth, scratches his head Critical Thinking Social Worker: We can always talk about this women in our next meeting. So, let’s start with this. I would like you to think about one thing you look forward to and how you could work towards it.

I’m asking you to do this because I believe you have a future. You just need to know you do too. Also, it’s very important that you start medical treatment plan today. So I’m going to refer you to a few outside agencies. Mark: Today?

Oh my God. This just became real. Social worker is writing down agencies for Mark and maintaining eye contact with Mark as much as possible. Mark is in shock Establishing Goals Planning Referral Services Support Prioritizing Care Planning Instructing Self-Awareness Implementation Strength base approach Social worker: Yes. Medical treatment is vital to living a health life.

In fact so many people have this condition, I have seen so many clients’ live normal lives. You are not alone you will make it. Mark: Well. I hope so Social worker tries to hand Mark the referrals. Mark nods his head as his eyes are fixed on the paper.

Recovery Support Instructing Social worker: Just try your best to go to the group meetings and make sure you take your meds as prescribed. You asked earlier how you will manage this condition. This is how you start. Mark: I will. For sure I will.

Thank you so much Stretches her hands to give mark the referral. Mark grabs the paper and slips it in his pocket Healthcare Cooperation Social worker: You are very welcome. I would like you to visit us again sometime next week if that’s okay. I wish to talk to you more about your feelings and hopefully be an added support system for you. Mark: Umm.

I’ll show up. Social worker smiles at Mark. Mark stands up Warmth and willingness to help. Establishing Rapport Follow Up Services Support Social worker: It was a pleasure meeting you. See you on soon and be strong Mark.

Mark : Thank you so much. I appreciate everything. Your time. Your words…. Social worker smiles as slowly stands and stretches her hand to greet mark.

Rising from his chair mark stretches his hand too and greets the social worker. Appreciation Mark: Good day. Bye! Social worker: Good Bye! Waving back, she slowly closes the door as it creaks.

Paper For Above instruction

The case of Mark Lewis exemplifies the complex challenges faced by young adults diagnosed with HIV, emphasizing the importance of comprehensive mental health support and effective counseling strategies. This scenario underscores the critical role social workers play in facilitating emotional acceptance, fostering resilience, and guiding clients towards medical adherence and social integration after HIV diagnosis. Addressing such sensitive issues requires a nuanced understanding of ethical practices, empathetic communication, and tailored intervention planning, all of which form the foundation of effective practice in mental health and support services.

From the initial client engagement to follow-up services, social work professionals utilize a broad spectrum of skills including active listening, open-ended questioning, and rapport building to support clients emotionally and psychologically. Building trust in the early stages of intervention is vital, especially when dealing with stigmatized conditions such as HIV. In Mark’s case, establishing a nonjudgmental, confidential environment allowed him to express his feelings of despair, guilt, and fear openly, which are typical reactions among newly diagnosed individuals.

The role of ethical considerations cannot be overstated in such sensitive contexts. Confidentiality remains paramount unless safety concerns such as suicidal ideation or harm to others arise, aligning with the NASW Code of Ethics. This framework ensures that client rights are protected while allowing for necessary disclosure to prevent harm. Moreover, the social worker’s empathetic responses and validation of Mark’s feelings foster a sense of safety and support, essential for emotional healing.

Assessment processes in these scenarios involve exploring the client’s understanding of their condition, their social support systems, and their readiness for treatment. As seen with Mark, open questions about past sexual experiences and current emotional state help the practitioner gauge the client's level of Acceptance and identify potential barriers to treatment adherence. The social worker also assesses environmental factors, such as the client’s relationship with the partner who transmitted the virus, which impacts their emotional well-being and decision-making.

Interventions focus on psychoeducation, emotional support, and the establishment of short- and long-term goals. Mark’s initial shock and feelings of despair are addressed through empathetic listening and validation. The social worker guides him towards understanding HIV as a manageable condition, emphasizing that it is not a death sentence. This approach aligns with a strengths-based perspective, focusing on the client’s resilience and potential for recovery.

Crucially, the importance of medical treatment adherence is highlighted early in the intervention. The social worker educates Mark about the significance of starting antiretroviral therapy (ART) and supports linking him to outside medical services. Referrals to support groups provide peer-based encouragement and reduce feelings of isolation, which are common among newly diagnosed individuals. Ongoing follow-up appointments are essential, ensuring continued emotional support and monitoring of adherence to treatment plans.

Additionally, empowering clients to anticipate a future beyond their diagnosis fosters hope and motivation. Mark’s reflection about his future and his willingness to seek help illustrate the importance of goal-setting in recovery. Facilitating discussions that focus on personal aspirations helps clients reconnect with their sense of purpose despite adversity. This aligns with concepts of hope theory, which emphasizes the role of future-oriented thinking in psychological resilience.

The case also demonstrates the importance of cultural competence and individualized care. Mark’s relationship with an older woman raises questions about age-related power dynamics and informed consent, which are important considerations in practice. Respectful inquiry into his feelings about the relationship and potential conflicts helps ensure that interventions are culturally sensitive and client-centered.

In conclusion, the case of Mark Lewis illuminates the vital role of social workers in managing complex emotional responses to HIV diagnosis among young adults. Through ethical, empathetic, and client-centered practices—encompassing assessment, intervention, referral, and follow-up—social workers can significantly influence recovery and quality of life. Addressing both medical and psychological aspects simultaneously promotes holistic healing and resilience, empowering clients like Mark to embrace their future with hope and strength.

References

• National Association of Social Workers. (2017). Code of Ethics of the National Association of Social Workers.
• CDC. (2021). HIV Treatment as Prevention (TasP).
• UNAIDS. (2020). Global AIDS Update 2020.
• Fisher, C., & Labonte, R. (2017). Health Promotion and Prevention in Social Work Practice.
• Ryan, G. W., & Bernard, H. R. (2003). Analyzing Qualitative Data. Handbook of Mixed Methods in Social & Behavioral Research.
• Sharma, M., & Mohr, D. C. (2018). Behavioral Interventions to Improve ART Adherence. Current HIV/AIDS Reports.
• HIV/AIDS Bureau. (2016). Psychosocial support services for people living with HIV/AIDS.
• Russell, S., et al. (2019). Emotional Responses and Coping Strategies among Newly Diagnosed HIV Patients. Journal of Mental Health Counseling.
• Reid, D. et al. (2020). Cultural Competence in HIV Care. American Journal of Public Health.
• Gielen, A. C., et al. (2009). Promoting adherence to antiretroviral therapy through social support. Health Education & Behavior.