RESUMO
In this article the author discusses how an evidence-based practice was modified to treat an intellectually disabled client with oppositional behavior. Parent Management Training was modified to treat the client. A single-subject A-B design was used. Behavior improved from 1.57 (SD = .78) to 0.63 (SD = .71) episodes of negative behavior per day from baseline to intervention, and findings were significant (t = 2.83, p = .01). Follow-up with the family indicated sustained improvement one year after the intervention was discontinued. Consideration should be given to using principles of Parent Management Training to create formal plans for addressing problem behaviors across settings with intellectually disabled clients.
Assuntos
Transtornos de Deficit da Atenção e do Comportamento Disruptivo/terapia , Educação de Pessoa com Deficiência Intelectual , Educação/métodos , Prática Clínica Baseada em Evidências , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/diagnóstico , Transtornos de Deficit da Atenção e do Comportamento Disruptivo/psicologia , Condicionamento Operante , Feminino , Seguimentos , Humanos , Socialização , Adulto JovemRESUMO
Systemic lupus erythematous (SLE) is a chronic autoimmune disease that disproportionately strikes women of color. SLE patients frequently experience physical, emotional, and social challenges that often result in unmet biopsychosocial needs. Because of the nature of the disease and the needs of patients, agencies serving SLE patients that engage in community-based social work can positively impact their clients' lives. The S.L.E. Lupus Foundation participates in a myriad of community-based social work practices to help address the needs of their clients. These services include helping economically disadvantaged patients access appropriate services within their communities, building awareness about SLE in society, connecting with government officials at all levels, and collaborating with health care organizations to serve those affected by SLE. Specific examples of community-based activities at the S.L.E. Lupus Foundation are described in detail.
Assuntos
Integração Comunitária , Lúpus Eritematoso Sistêmico/psicologia , Grupos Minoritários/estatística & dados numéricos , Perfil de Impacto da Doença , Serviço Social/métodos , Doença Crônica , Relações Comunidade-Instituição , Relações Familiares , Feminino , Humanos , Los Angeles , Lúpus Eritematoso Sistêmico/etnologia , Masculino , Avaliação das Necessidades , Cidade de Nova Iorque , Distribuição por Sexo , Apoio Social , Serviço Social/organização & administração , Saúde da MulherRESUMO
Unlike many studies focused on retention and turnover in public child welfare, this study examined issues of job satisfaction and retention in voluntary child welfare. Although three-fourths of the 1,624 workers surveyed intended to remain in child welfare, 57.3% had thought about leaving their agencies during the past year. All respondents were dissatisfied with their level of pay, but those thinking of leaving were significantly less satisfied with the contingent rewards they received.
