SOCW 6311 Week 5

Respond to 2 of your colleagues and elaborate on their recommendations for cultural adaptation with the group they identified. For example, you might discuss a merit or limitation of the cultural adaptation that your colleague proposed. Or you might suggest an alternative application of one of Marsigilia and Booth’s cultural adaptation.

Omunion

RE: Discussion – Week 5

COLLAPSE

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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.

 

“I discovered that my environment had a lot to do with my mental state. So, when I had my own place, I was in control of the environment. You know, there was no drama, everything was nice and mellow, and so I was able to function. Everything was on an even keel; that was fine. It was when other people and situations were introduced into my environment that I couldn’t get away from, that would send me over the edge.”

 

After reading the quote above, I feel that it is clear to see that behavior is often shaped and effected by our environment. The person above describes feeling in control by being in her own place and once others come into her own space, her behaviors change and anxiety rises. In this study, the person feels that she needs her own room because it will affect her ability to grow and heal in her mental and physical health.  (Knight et al., 2014) states that the instances of depression and post-traumatic stress disorder have been shown to be higher when amongst substance using unstable housed women versus women who are residing in stable comfortable homes. A suggestion for intervention may revolve around some group therapy sessions. I say this because it seems that on a micro level, she is resorting to isolating herself in order to control her behavior. Slowly involving her in some group therapy can not only allow her to be around others who have gone through the same thing, but can help her come out of that isolated mind set and have some appropriate social interaction.

 

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.

The social worker could work to ensure cultural competency is understood and help the individual in a way that respects their culture using a strengths based approach. Understanding cultural competency can ensure unintentional harm is being watched for. It can also ensure that the appropriate interventions are being implemented with the dignity and worth of the client being in the center of care.  (Marsiglia and Booth, 2015) mentions the importance of cognitive adaptations and affective-motivational adaptations and how they should be implemented into the design of intervention. They go on to state that “cultural adaptation proposes a roadmap to choose existing interventions and a specific approach to evaluate prevention and treatment interventions for cultural relevancy.” (Kumpfer, Alvarado, Smith, & Bellamy, 2002; Morano & Bravo, 2002) places emphasis on how culturally grounded social work incorporates culturally based values, norms, and diverse ways of knowing. Individuals in the African American community it is important for the social worker to not only know the culture, but the history as well. History can play a huge part in how behavior is/has been shaped for certain individuals. History also can show stigma’s that have been created by society that can influence the behavior and actions, or lack thereof, of the individual.

 

References

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.

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

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Tom Downs 

RE: Discussion – Week 5

COLLAPSE

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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.

“Living in an SRO, when compared to living in other housing environments, has been associated with higher rates of HIV infection, emergency room use, recent incarceration, having been physically assaulted, crack cocaine smoking, and cocaine, heroin, and methamphetamine injection (Evans & Strathdee, 2006; Shannon et al., 2006).”- this quote puts into mind for this writer (tentative meaning), the desperate need for evidence-based intervention tools to be in place for those who are residing in SRO’s. An evidence- based intervention tool that this writer thinks would be effective would be contingency management. This intervention tool focuses on rewarding or reinforcing the client for behavioral changes (Petry, 2011). This writer believes that the intervention tool could potentially be a cause-and-effect method- where the client makes a behavioral change (cause) and is rewarded or reinforced (effect) in a positive manner. Sustainable and reliable housing for the homeless is something that those who are experiencing homelessness, could benefit from, even on a greater level (macro and mezzo). The implementation of a contingency management plan that benefits those directly in need (micro) could also improve neighborhoods, state and nationwide.

1. 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.

Marsigilia & Booth (2015, pp 423) said it best, “culture influences the way in which individuals see themselves and their environment at every level of the ecological system”. Environment changes the atmosphere for a lot of individuals. Homelessness is a national complex social problem (Mago et al., 2013)- which affects millions of people each year. Taking a deeper look at the environment of those individuals and how they are affected, daily, drugs and substance abuse oftentimes tend to be a common denominator. “Environmental factors ensures that contents and structure are applicable to the daily lives of individuals (Marsigilia & Booth, 2015). One cultural adaptation that this writer considered when working with this population is the affective-motivational adaptation- because “this indicates that the program message is contrary to cultural norms and values, which creates some resistance to change within the individual” (Marsigilia & Booth, 2015). Because there is a stigma surrounding therapy, it is assumed that African Americans would be the most non-receptive to treatment. One way that this writer would adapt the contingency management intervention tool would be to educate the clients on what the EBI entails. In this writer’s experience, clients are often “told” what to do and hardly are things ever explained or taught to clients. This writer’s approach for implementing the EBI would be to educate the clients, leaving room for questions, and  allowing them time to process what this intervention all entails. Providing resources, such as handouts, powerpoint slides and testimonies from those who have benefited from this intervention is also a strategy this writer would use.

References

Petry N. M. (2011). Contingency management: what it is and why psychiatrists should want to use it. The psychiatrist35(5), 161–163. https://doi.org/10.1192/pb.bp.110.031831

Mago, V. K., Morden, H. K., Fritz, C., Wu, T., Namazi, S., Geranmayeh, P., Chattopadhyay, R., & Dabbaghian, V. (2013). Analyzing the impact of social factors on homelessness: a fuzzy cognitive map approach. BMC medical informatics and decision making13, 94. https://doi.org/10.1186/1472-6947-13-94

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

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.

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