Social workers help individuals, families, and groups restore or enhance their capacity for social functioning, and work to create societal conditions that support communities in need. (Workers, 2016) A case study is a description of an actual situation involving a decision to be made or a problem to be solved. A social worker is presented with a case ever so often during his or her career. Marcel is a young African –American, 21year old bisexual young man who is unemployed, homeless, involved in drug and alcohol abuse and has charges pending due to a number of “bounced” cheques. Marcel was kicked out of his family’s home at age 14 because he was suspected to be gay. Marcel has little or no relation with his parents for 7 years. He has an older …show more content…
This orderly process is defined by key concepts in Piaget’s theory on the use of schemas. Schemas are cognitive frameworks or concepts that help individuals organize and interpret information. Using this process, it would better help me understand how Marcel thinks and inject new thought processes for him to look at the situation in different ways. I would also allow Marcel to express himself and encourage him to see which area he thinks is sensitive to him. Once clients are engaged actively in treatment, retention becomes a priority. Many obstacles may arise during treatment. Lapses may occur. Frequently, clients are unable or unwilling to adhere to program requirements. Repeated admissions and dropouts can occur. Marcel may have conflicting mandates from various service systems. He may also have concerns about client and staff relationships, including setting appropriate boundaries, which may compromise care. The intensive outpatient treatment (IOT) programs need to have clear decision making processes and retention strategies to address these and other …show more content…
This therapeutic relationship would reduce resistance and successfully engages the Marcel in working toward mutually defined treatment goals. Learning Marcel’s treatment history. If he dropped out of treatment previously and if so, the reason why. If he was engaged and been retained successfully in treatment before and what made treatment appealing. I would use motivational interviewing. I would help Marcel work through ambivalence by supporting his efforts to change and helping him identify discrepancies between his goals and values and the substance use. Involving Marcel in activities, such as support groups, also would be effective. Providing flexible schedules. Out Patient providers need to consider the Marcel’s populations he serve and schedule group accordingly. It can be difficult for clients to fit many hours of treatment into their