Description
Confidentiality
One of the most important concepts in clinical practice and group work is confidentiality. All members of the group sign an informed consent form in order to address the rules and parameters of the group sessions. The rules regarding confidentiality are stated in one section of the form. Although every member must sign this agreement, ensuring that all information shared in the group remains confidential can be difficult. As the group leader, the clinical social worker is responsible for developing strategies so that all members feel safe to share.
For this Discussion, review the “Working With Groups: Latino Patients Living With HIV/AIDS” case study. (Be detailed in response, use subheading and references from class along with two peer reviewed references)
- Post strategies you might prefer to use to ensure confidentiality in a treatment group for individuals living with HIV/AIDS.
- Describe how informed consent addresses confidentiality in a group setting.
- How does confidentiality in a group differ from confidentiality in individual counseling?
- Also, discuss how you would address a breach of confidentiality in the group.
Reference
Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014). Social work case studies: Concentration year. Baltimore, MD: Laureate International Universities Publishing [Vital Source e-reader].
- “Working With Groups: Latino Patients Living With HIV/AIDS” (pp. 39–41)
Assignment: Group Typology
As a clinical social worker it is important to understand group typology in order to choose the appropriate group method for a specific population or problem. Each type of group has its own approach and purpose. Two of the more frequently used types of groups are task groups and intervention groups.
For this Assignment, review the “Cortez Multimedia” case study, and identify a target behavior or issue that needs to be ameliorated, decreased, or increased. In a 2- to 4-page report, complete the following: (Be detailed in response, use sub-headings, use 2 peer reviewed references in conjunction with course reading and be detailed in response)
- Choose either a treatment group or task group as your intervention for Paula Cortez.
- Identify the model of treatment group (i.e., support, education, teams, or treatment conferences).
- Using the typologies described in the Toseland & Rivas (2017) piece, describe the characteristics of your group. For instance, if you choose a treatment group that is a support group, what would be the purpose, leadership, focus, bond, composition, and communication?
- Include the advantages and disadvantages of using this type of group as an intervention.
Reference
Walden University. (n.d.). Cortez multimedia: A meeting of an interdisciplinary team. MSW Interactive Homepage [Multimedia file]. Retrieved from https://class.waldenu.edu
A Meeting of an Interdisciplinary Team
A Meeting of an Interdisciplinary Team
Paula has just been involuntarily hospitalized and placed on the psychiatric unit, for a minimum of 72 hours, for
observation. Paula was deemed a suicidal risk after an assessment was completed by the social worker. The social
worker observed that Paula appeared to be rapidly decompensating, potentially placing herself and her pregnancy at
risk.
Paula just recently announced to the social worker that she is pregnant. She has been unsure whether she wanted to
continue the pregnancy or terminate. Paula also told the social worker she is fearful of the father of the baby, and she
is convinced he will try to hurt her. He has started to harass, stalk, and threaten her at all hours of the day. Paula began
to exhibit increased paranoia and reported she started smoking again to calm her nerves. She also stated she stopped
taking her psychiatric medications and has been skipping some of her HIV medications.
The following is an interdisciplinary team meeting being held in a conference room at the hospital. Several members of
Paula’s team (HIV doctor, psychiatrist, social worker, and OB nurse) have gathered to discuss the precipitating factors
to this hospitalization. The intent is to craft a plan of action to address Paula’s noncompliance with her medications,
increased paranoia, and the pregnancy.
Click one the above images to begin the conversation.
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A Meeting of an Interdisciplinary Team
OB Nurse
Dialogue 1
I have not known the patient long, but it does appear that she is trying her best
to deal with a very difficult situation. Pregnancies are stressful times for even
the healthiest of women. For Paula to learn she is pregnant at 43—in addition
to her HIV and Hepatitis status and her bipolar diagnosis—must be so
overwhelming. Adding to this, she has come to her two appointments alone
and stated she has no one to bring along with her. When I inquired about the
father of the child, she said he’s a bad man and he won’t leave her alone. She
seemed truly frightened of him and appears convinced he will hurt her.
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A Meeting of an Interdisciplinary Team
OB Nurse
Dialogue 2
Paula is most definitely a high-risk pregnancy, but that does not mean she
can’t have a healthy baby. If she keeps up with her HAART medications and
comes to her prenatal visits, there’s no reason this baby can’t be born healthy
and HIV negative. My larger concern is with the pain medications she takes for
her foot ulcers. There is a slight chance the baby will be born addicted to them.
We would have to plan for a stay in the NICU if that occurs. While Paula
clearly started to decompensate and exhibited some very risky behaviors
recently, I think we should try and understand the stress she has been under.
While it is not my place to tell the patient what she should do about a
pregnancy, I don’t see that we would have to recommend termination.
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A Meeting of an Interdisciplinary Team
Physician
Dialogue 1
Paula is a complicated patient, and she presents with a complicated situation.
She is HIV positive, has Hepatitis C, and multiple foot ulcers that can be
debilitating at times. Paula has always been inconsistent with her HIV meds—
no matter how often I explain the need for consistent compliance in order to
maintain her health. Paula has exhibited a lack of insight into her medical
conditions and the need to follow instructions. Frankly, I was astonished and
frustrated when she stopped her wound care treatments and started to use
chamomile tea on her foot ulcers. Even though we have educated her to the
negative consequences of stopping her meds, and trying alternative
medications instead, she continues to do so.
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A Meeting of an Interdisciplinary Team
Physician
Dialogue 2
As far as her pregnancy, if Paula doesn’t take her HAART medications
religiously, she risks having a baby who is HIV positive. I am concerned about
how she is going to care for a baby with her multiple medical issues. On the
practical side, I wonder how she will physically care for this child. She has a
semi-paralyzed right hand and walks with a limp. Additionally, when her foot
ulcers flare up, she can barely put pressure on her feet. Newborns take a lot of
time and energy, and I am not sure she has the capacity to handle the needs
of an infant—let alone a toddler. I have not made any formal recommendations
to Paula regarding whether to continue the pregnancy, but I have told Paula
that, if she does decide to have the child, she must take her HAART
medications every day. I explained that this is vital to her health and the health
of her unborn child.
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