I have included the case study. I have chosen Case study # 3 with Natasha.

Only part 1 of this worksheet needs to be completed.  The idea is to fill this put to lead to our final paper. I want to focus on the anxiety of the client. 

COUN 6626: Research Methodology and Program Evaluation

Final Project Worksheet

DIRECTIONS: As you proceed through this Final Project Worksheet, please carefully attend to each of the bullets within each section. Remember to include your specialization below.

If you are a CMHC student or a MCFC student you may select any of the case studies and the client(s) you are interested in working with.

If you are a School Counseling student, there are two case studies that address students in the school environment. Please choose either Case Study 1 or Case Study 2.

Be sure to choose one that you are passionate about and that will help inform your future work as a counselor!

Please identify your specialization by placing a “X” in the appropriate space:

CMHC ___X____

MCFC__________

SC_____________

PART 1: APPLYING RSEARCH TO A CASE STUDY

Please identify which case study you will use by placing a “X” in the appropriate space:

Case Study 1 _____ Case Study 2 _____ Case Study 3 __X___ Case Study 4 _____

Identify the client of focus by providing some basic information (e.g., age, gender, ethnicity, grade level, etc.):

Describe the presenting problem and the mental health concern you will address in your work with the identified client or student:

Name the counseling intervention(s) that you will investigate for use with this client:

Articulating the research question. Research questions follow a specific formula. Here is some information to help you in designing your research question below.

Here is an example of a research question:
Is art therapy effective to improve communication in elderly people with dementia?

The format is as follows: Is (
name of intervention
) effective for treating (
name the population or category of your client
) diagnosed with (
mental health issue
)?

Is psychotherapy effective counseling intervention to help middle-aged women suffering depression
?

PART 2: APPLYING RESEARCH TO A CASE STUDY

Using the Walden Library, search the professional counseling databases to identify current, peer-reviewed research articles which investigate the intervention and mental health disorder you have chosen to research. List three article citations (in APA format with links to the articles) that you have identified for use in your Final Project. Each article should adhere to the following guidelines:

· Use only peer-reviewed article published in the last 10 years.

· Include at least one quantitative and one qualitative research design.

· Do NOT use a meta-analysis type article. Meta-analysis articles include results by combining and analyzing data from different studies conducted on similar research topics. These are not helpful for purposes of this assignment.

· Include the permalink for each article. See the Week 5 resources for a handout on how to do this!

ARTICLE 1

Tamplin, L. (2014, November 27).

https://www.aipc.net.au/articles/a-case-using-brief-psychodynamic-therapy/

Please identify your which type of journal article by placing a “X” in the appropriate space:

Quantitative _________

Qualitative ____X______

Mixed Methods_________

ARTICLE 2

Chapman, L. (2013, April 24).

https://www.aipc.net.au/articles/a-case-using-art-therapy-techniques/

Please identify your which type of journal article by placing a “X” in the appropriate space:

Quantitative _________

Qualitative _____X_____

Mixed Methods_________

ARTICLE 3

Barry, J. (2009, October 15).

https://www.aipc.net.au/articles/a-case-using-behaviour-therapy/

Please identify your which type of journal article by placing a “X” in the appropriate

Quantitative _________
Qualitative ____X______
Mixed Methods_________

PART 3: APPLYING RESEARCH TO A CASE STUDY (Evidence-Based Practice)

Using the following information as a guide, develop a polished APA formatted paper for the final project.
A template is provided for the final project.
You

will submit the worksheet for Part 1 and Part 2. You will analyze three scholarly articles and apply the findings to your case study.

Annotated Bibliography

Homosexual people have continuously been discriminated against and stigmatized on many occasions by their families, religion, in their workplaces and also by friends (Meyers, 2015). Depression is one serious mental disorder arising from multifactorial discrimination among the people who identify themselves as lesbians (Khan, 2017). This case study specifically focuses on counseling interventions in addressing the issue of depression among lesbian people. I this study, a 40-year-old Latina woman Natasha is used under the choice made for case study 3. She reports being in love with another woman Nicole. Natasha being a family member of “Diehard Catholics” is so much afraid of what the family may do once discovered she is a lesbian. Thinking about this so much has affected her social life, health and even performance in the work and is afraid to lose her job as well. Natasha spends sleepless nights, a clear symptom of depression. She, therefore, refers herself to counseling which now forms the foundation of this study. Psychotherapy as a counseling intervention best suits to address Natasha’s mental disorder-depression. This study focuses on psychotherapy as a counseling intervention concerning depression treatment. the study also highlights three articles relating psychotherapy a solution to depression in the middle age women gender

Research Question:

Is psychotherapy effective counseling intervention to help middle-aged women suffering depression?

Search Strategy:

The strategy used in this study included the relevant keyword and Boolean search combination. The search combinations used were specific to identify the relationship between “Discrimination and homosexuality.” Another Boolean combination used was “depression and lesbianism”, “middle-age women and depression” as well as “counseling interventions and depression to lesbians” The keywords used to search were; Types of counseling interventions, depressions well as, lesbianism mental disorders.

Annotations

Article 1.

Tamplin, L. (2014, November 27). A Case Using Brief Psychodynamic Therapy. Retrieved from

https://www.aipc.net.au/articles/a-case-using-brief-psychodynamic-therapy/

The article explains a 54-year-old woman Wendy presenting a problem of crying constantly and extreme anxiety among others, to a Counselor seeking advice that formed the purpose of this study. This is after she was told by the husband that he wanted a divorce after being married for twenty-nine years and with two children. Wendy started these problems twelve months before husband’s divorce proposal when she discovered changes in Him. He started attending the gym and reading personal development books. The problem statement for this case study was “speaking out fully helps a counselor help a client in solving distress” The ethical and cultural considerations the counselor focuses on were to respect Wendy’s take to keep her issues private and not told to another person. analyzing the results, the counselor comes up with relevant concepts necessary to conduct an impactful counseling session to a client.
Article 2.

Chapman, L. (2013, April 24). A Case Using Art Therapy Techniques. Retrieved from
https://www.aipc.net.au/articles/a-case-using-art-therapy-techniques/

The article is about a case using therapy techniques. In it is a 40-year-old woman Jodie married and has three children with a full-time professional career on which she works. She has a problem of anxiety together with her husband due to financial constraints arising from lack of satisfaction in their jobs. She quitted working at some point in time and it has led to a problem with raising her three children. The problem statement in this study the writer seeks to study is “can therapy help a stressed woman regain by creating self-awareness” The professional therapist in this study employs several therapy techniques as methodologies and structures to carry out the exercise. She, therefore, goes to a therapist for help. The therapist’s primary function following this study is to develop an understanding of the client’s problems and evaluate them first to know the best strategy to use to help the client. As a research methodology, the therapist in this study uses counseling sessions with a series of questions to carry out the task. The ethical and cultural considerations highlighted to respect the client’s age and also her marriage. The study ethically respected the client’s need for her information to remain confidential. Conclusions and findings in this study showed that therapy indeed can influence a woman’s perception of issues of her concern and enhance self-awareness to know what to do change her current situation.

Article 3.

Barry, J. (2009, October 15). A Case Using Behaviour Therapy. Retrieved from
https://www.aipc.net.au/articles/a-case-using-behaviour-therapy/

This article is about a case study of a woman Rose who needed counseling to help her relieve her fears about driving. She had an accident 15 years ago and had not tried driving again since then. The aim of this case study to establish whether behavior therapy can help relieve driving fears about driving to Rose. This forms the statement problem of this study case,” behavioral therapy is effective to eliminate driving fears to women” The therapist in this study decides to use behavioral techniques with Rose to help her overcome her fears which explain on research method used in this study. The counselor in this exercise employs the use of counseling sessions to carry out the research. However, the cultural and ethical considerations made in this study are not clear. Finally, in the findings, the therapist concludes that behavioral therapy helps solve problems on behaviors based on the action-oriented approaches. The capacity of the therapy to work in such a case depends on the active participation of the client and the therapist. All in all, it proved to work best to eliminate fears such as driving from the client named in this study.

Evidence-Based Practice

Discrimination of whichever kind leads to the development of mental illnesses specifically depression. Depression is a mental illness most prevalent and severe among people of the female gender compared to those of males. Counseling forms the appropriate way to address the issues related to depression. Also, there are various techniques types of counseling interventions used in the counseling field. The most relevant and ideal counseling intervention in depression is psychotherapy. It’s a behavioral therapy based on cognitive recognition. The studies in the three articles explained clearly relates to the case study 3 in this project. The three articles prove that women are severely affected by shifts in their daily life i.e. family, relationships marriages, etc. developing depression-related disorders. The articles also show psychotherapy as a counseling technique is impactful in solving depression. Using counseling sessions by the client and the counselor, psychotherapy is capable of solving depression and other mental disorders. Hence, psychotherapy is an effecting counseling intervention to help eliminate depression among middle-aged women.

Treatment Goals (CMHC, MCFC Only)

The preliminary treatment goal for the client in my case study 3 is the number of counseling sessions. The number depends on the severance of the depression. Hence, I recommend using a multiple counseling session for my client for the therapy to effective.

Action Plan (SC Only)

With consideration for the mental health issue of the client, create an Action Plan of next steps a School Counselor could take once the issues are identified. Discuss three different actions to help the client as applied to the role of a school counselor.

Implementation strategies are critical to effectively address the needs of our students. Discuss the Mindset Standard(s) and Behavior Standard(s) students will demonstrate through classroom lessons, activities and/or individual/small group counseling. Please see

https://www.schoolcounselor.org/asca/media/asca/home/MindsetsBehaviors

Managing data is key. Consider how such competencies would be measured to assess student progress.

References

Khan, M. (2017). Multifactorial discrimination as a fundamental cause of mental health inequities. Retrieved from https://equityhealthj.biomedcentral.com/articles/10.1186/s12939-017-0532-z

Meyers, L. (2015, July 22). Treating depression and anxiety. Retrieved from https://ct.counseling.org/2015/07/treating-depression-and-anxiety/

© 2017 Walden University 1

COUN 6626: Research Methodology and Program Evaluation

Final Project Case Studies

Case Study 1
Chloe, an 8-year-old African American female, has been brought to counseling by her foster mother. Cloe was removed from her biological mother’s home after reports of physical and sexual abuse were substantiated by an investigation by the Department of Human Services. Law enforcement became involved after reports that Chloe’s biological mother was allowing adult men to sexually abuse Chloe for drugs. Initial concerns of this behavior started when Chloe was just 5 years old. It was only recently that these concerns were able to be substantiated, resulting in Chloe’s placement into foster care and the parental rights of her biological mother terminated.

Chloe currently lives in foster care and is available for adoption. Her foster mother indicates that she tends to withdraw from interpersonal interaction with adults. Chloe is a highly sensitive child and cries easily. The foster mother, Elaine, has noticed that Chloe is demonstrating distress anytime she is separated from her foster parents.

When Chloe is dropped off at school, daycare, or swimming lessons, she is tearful and chews her fingernails until they bleed. Her teachers indicate that the distress tends to resolve within about 30 minutes, but Chloe often isolates herself and will not participate in any learning or social activities until after this time passes. As a result, Chloe’s teachers are concerned because she is falling behind in her schoolwork and she has difficulty socializing with her peers. Her teachers are worried about Chloe’s academic achievement as well as her social and emotional development.

School Counselors: Chloe’s teachers have reached out to you for interventions to help Chloe become successful in school.

Case Study 2

Jim is a 14-year-old Caucasian male whose parents have requested services. Jim’s sister, Helen, died suddenly 5 months ago in a car accident. Since then, Jim’s behavior has changed and his parents are worried about him. His parents assumed that he was exhibiting these behaviors as a result of shock and grief. However, Jim’s behaviors have escalated and his mother discovered several empty beer bottles and empty compressed air cans hidden in his bedroom. Jim’s parents believe he is drinking alcohol and huffing, and this has prompted them to bring Jim to see a counselor.

Jim claims that he has only tried drinking or huffing on a couple of occasions, and that he does not have a problem. Prior to Helen’s death, Jim was on the A-B Honor Roll at school. During the past couple of months, his grades have started slipping and his academic achievement is being impacted. During the last month, he has been hanging out with new “friends” who his dad describes as “goth”. He no longer spends time with his childhood friends and recently was caught skipping class and received in school suspension. Jim’s teachers are worried about his academic achievement and his social and emotional development. Jim’s teachers indicate that he has become more introverted in his behavior in recent weeks and no longer engages in classroom discussions and is somewhat uncooperative during group activities.

Jim has always been cooperative at home so his parents are worried about changes in his attitude. He is not verbally disrespectful to his parents at this time, though he has become more secretive putting passwords on his phone and locking his bedroom door. When his parents ask him to unlock the door or remove the password, he does so, but only temporarily. Jim’s father is in recovery for alcoholism and is very fearful that Jim will develop an addiction to substances. Jim’s mother is adamant that this is just a “stage” and that Jim is just “being a teenager.” Jim’s parents do not talk about his sister’s death which has left Jim to find his own way of coping with his grief. Mom is an enabler who ignores Helen’s death and Dad goes to AA meetings to get support in maintaining his 7 years of sobriety, leaving all members of the family to hurt in isolation.

School Counselors: Jim’s teachers have reached out to you for interventions to help Jim become successful in school.

Case Study 3

Natasha is a 40-year-old Latina woman who is self-referred to counseling. Natasha reports that she is in love with a woman, Nicole, and she is afraid that if her family finds out she is a lesbian they will disown her. She describes her family as “die-hard Catholic” that views homosexuality as a sin. Natasha has lost 20 pounds worrying about what will happen when her family finds out she is gay. She experiences nightly sleep disturbances and frequently tosses and turns and gets less than 2 hours of sleep. She has stopped participating in activities and spends most of her time at home isolating herself. She reports that she is no longer able to enjoy being with friends or participating in things she enjoys such as yoga or bicycling because she can’t think about anything but her family. Because she is not eating or sleeping well, her performance at work has deteriorated and her boss has put her on a performance improvement plan.

In addition to her concerns about her family, she is now also worried about losing her job. Her partner, Nicole, has a very accepting support system and has never experienced the anxiety of being rejected for her sexual identity. Nicole’s family is accepting of Nicole’s identity and her family has been a safe place for the two of them to be themselves. Nicole is angry at Natasha’s parents for not being accepting of Natasha and because of Nicole’s protectiveness of Natasha, their relationship is strained. Natasha feels torn between the woman she loves and her family who has raised her. This has caused conflict in the relationship because Natasha feels that Nicole is being insensitive toward her circumstances. Their communication has deteriorated and Natasha fears “losing everything” including her family, her partner, and her job. Her daily functioning is impacted by her inability to find joy in activities and her sleep and appetite disturbance. She doesn’t know what to do.

Case Study 4

Jared is a 37-year-old African American male who is referred to counseling by his girlfriend, Sheila. Sheila is worried about Jared because he is short-tempered and on edge, shouts at his girlfriend, and loses his cool with his kids, ages 13 and 15. Jared was served with divorce papers upon his return from deployment and now only sees his children every other weekend. Jared reports that he “can’t think straight.” He describes wanting to lock himself away and draw the curtains. Jared cries openly when describing that he served four years in Operation Iraqi Freedom as a marine. He also expresses reluctance to enter into counseling because he fears being labeled.

In the 12 years since returning home from his deployment, Jared has struggled with his divorce and homelessness. He reports believing that people with mental problems are wimps or fakers. Jared also explains that when he was a medic, he coped with the horrors that he had seen in war by having a few beers or smoking marijuana to try and block out the horrific memories. Jared then describes one event that plays over and over in his head. He became emotional when he described the scene of a young child who had been mutilated but left alive. Jared’s daily thoughts are filled with images of homes being burned, or people screaming with bloody injuries, or people in anguish over the dead bodies of their loved ones. These memories have impacted his daily functioning and interpersonal relationships because of the feelings and thoughts that are triggered. Neither his girlfriend nor his kids want to be around him, and he is worried that he is losing his mind.

© 2017 Walden University 2