PSY FPX 5110 Assessment 2

Assessment Overview

PSY FPX 5110 Assessment 2: Mary Anne is an 18-year-old Hispanic female who is experiencing the comorbidity of an opioid use disorder (OUD) and a non-suicidal self-injury disorder (NSSID). She has been voluntarily admitted into a women’s treatment center that offers equine-assisted counseling (EAC). Although she lied to her treatment team about her present self-injury, via EAC, the horse ultimately induced Mary Anne to admit her hidden self-injury process. Discussion among cultural identifications and best practices communicates learning possibilities for all treating staff.

What’s Included:

Sample Assessment Paper

Cultural Differences

Mickey Kay Troxell Mary Anne
White Female (Race/Ethnicity/Gender) Hispanic Female (Race/Ethnicity/Gender)
53-year-old (Age, Generational Influences) 18-year-old (Age, Generational Influences)
Addiction/Equine Supervisor (Socioeconomic Status) Client in Treatment (Socioeconomic Status)
Not Medicating (Acquired Disability) Still Medicating (Acquired Disability)

Relevant Biases

1) Had difficulty with having the patience to let the process happen between the client and the horse.

  • Plan to enhance cultural competence: Participate in two distinct Multicultural Gestalt-style technique training sessions to assist in fostering comprehension of the client-centered therapy/counseling process more effectively with diverse cultures.

2) Disappointed with the client’s constant medicating and viewed her age as a hindrance to long-term recovery. Does the client really want to change and have the life of a healthier, happier being? Is her age a retardation for her recovery?

  • Cultural competency strategy: Read three peer-reviewed scholarly articles on why and how to treat non-suicidal self-injury disorders, and an additional three on treating young adults. Also, continue seeking supervision working with young adults who self-mutilate for an additional year or more until you become more comfortable with the special population.

Best Practice for Working With a Hispanic Female

Trust has to be earned, and seeking counseling is contradictory to her cultural values.

  • Moitinho et al. (2015): When the client didn’t inform the treatment team about her self-injury when she was engaging in it, it wasn’t about avoiding the process of healing. It was about establishing trust and discovering the different roles of the counseling staff and the potential outcomes of the interventions.

Best Practice for Working With an 18-Year-Old

Provide prevention and intervention early in life to prevent adverse long-term effects. Be respectful, and they will realize the counselor is sincere and compassionate.

  • Colizzi et al. (2020): Be respectful, adaptable, supportive, and professional at all times. Competence is demonstrated by creating a healing, interactive, and safe space.

Best Practice for Working With a Client in TX

The client is under treatment since they are in need; however, they may not let go of the old lifestyle.

  • Substance Abuse and Mental Health Services Administration (SAMHSA, 2020): Form an aligned therapeutic relationship between the family and client based on empathy, clear communication, respect, and genuineness. It will take a client 7 to 14 days to adjust to the new therapeutic environment.

Best Practice for Working With a Client That Is Still Medicating

It is more complex than a counselor may first consider in the client cutting. It is a complicated disorder that needs to unwind smoothly because it is a coping mechanism for life pain and stress, and it can lead to a spontaneous suicidal act when aspects of control appear to be lost.

  • Gulbas et al. (2015): Counselors will receive consultation from other professionals regarding NSSI and read three peer-reviewed articles regarding NSSI. Competency with NSSI will be encouraged. It is a coping mechanism for bad feelings (i.e., pain and stress) that may lead to a sudden attempt on their life.

Conclusionary Statement

  • Research your client’s culture and their issues. X’s three
  • Observe your own biases and how they may interfere.
  • Hispanics may need more time to feel at ease trusting therapeutic professionals.
  • Don’t take it personally.
  • Don’t forget how to demonstrate multicultural competency.

PSY FPX 5110 Assessment 2 Multicultural In-Service on Addiction, Biases, & Ethics: A Case Study

Humphreys, K., Risner, W., Hicks, J. F., & Moyer, M. (2015). Non-Suicidal Self-Injury: Cutting Through the Pain. Presentation at the Texas Counseling Association Conference, Corpus Christi, TX. https://doi.org/10.1111

Liu, W. M., Pickett Jr., T., & Ivey, A. E. (2007). White Middle-Class Privilege: Social Class Bias and Implications for Training and Practice. Journal of Multicultural Counseling & Development, 35(4), 194–206. https://doi.org/10.1002/j.2161-1912.2007.tb00060.x

Moitinho, E., Garzon, F., Freyre, F., & Davila, Z. (2015). Best Practices for Counseling Hispanic/Latino Clients. Presentation at the American Association of Christian Counseling World Conference, Nashville, TN https://digitalcommons.liberty.edu/cgi/viewcontent.cgi?article=1101&context=ccfs_fac_pubs

Pegasus ECT (2017). EAC packet: Pegasus Model of EAC and EAT and Orientation. [PDF]. https://www.icloud.com/iclouddrive/0DYnIAMHWzr49UTELzDkQVoQ#Pegasus_EAC_Packet

PSY FPX 5110 Assessment 2 Multicultural In-Service on Addiction, Biases, & Ethics: A Case Study

Salter, B., & C. Salter (2018). The politics of aging: Health consumers, markets, and hegemonic challenge. Sociology of Health & Illness, 40(6), 1069–1086. https://doi.org/10.1111

References

  • Carter (2016). Reflecting Humanity: Biological, Psychological, and Sociological Perspectives—Capella University (2nd Edition). Kendall Hunt Publishing. Publishing.https://capella.vitalsource.com/books/9781465298072
  • Colizzi, M., Lasalvia, A. & Ruggeri, M. (2020). Prevention and early intervention in youth mental health: Is it time for a multidisciplinary and trans-diagnostic model for care? . Int J Ment Health Syst 14, 23. https://doi.org/10.1186/s13033-020-00356-9
  • Gulbas, L. E., Hausmann-Stabile, C., De Luca, S. M., Tyler, T. R., & Zayas, L. H. (2015). An exploratory study of nonsuicidal self-injury and suicidal behaviors in adolescent Latinas. The American Journal of Orthopsychiatry, 85(4), 302–314. https://doi.org/10.1037/ort0000073

Step-by-Step Guide

Step 1: Review the Case Study 

Analyze Mary Anne’s background, diseases, and her commerce within the EAC program. 

Step 2: Identify Cultural and Ethical Factors 

bandy artistic influences (Hispanic identity, generational age gap) and ethical enterprises related to bias and confidentiality. 

Step 3: Fete Counselor impulses 

Estimate the counselor’s implicit impulses (e.g., desirousness, age-related hypotheticals) and propose ways to ameliorate artistic perceptivity. 

Step 4: Apply Stylish Practices 

Integrate substantiation-grounded strategies for comforting Hispanic youth, guests in treatment, and those still bandaging. 

Step 5 epitomizes learning. 

Conclude by emphasizing tone, mindfulness, ongoing education, and the significance of culturally competent, ethical, and comforting practices. 

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