Paper title: Community Generalist Intervention Method Assignment
I have to write a paper on a community defined problem or unmet need in my community for my Social Work Methods with Organizations and Communities class.
The community defined problem/unmet need I want to focus on is the need for an ambulatory detox center/facility in Geauga County, Ohio. The outline I have provided below needs to be followed exactly.
Helpful website: http://www.behavioralhealthcenters.org/mercy.cfm?id=62
I have completed 2 sections of the paper already but need the writer to complete the remaining sections.
Below is some important information for the paper.
Geauga County Ohio offers a few drug
treatment facilities that provide individual and group counseling, Intensive outpatient treatment (IOP) which is an 8 week program that meets 3 times a week for a 3 hour period. The outpatient’s services help clients learn the extent of their drinking and drug
problems. The goal is to help them become aware of the signs and symptoms of their disease and help them recover from their addiction and learn to live a new life. The programs are designed to help them get ??" and more importantly ??" stay sober. Residential treatment programs are also offered for residents in Geauga County, residential treatment programs offer a place to recover, heal and begin a new life in sobriety and hope. The programs focus on the needs of each individual. The goal is to help residents understand and accept their addiction as well as develop the skills, insight, and support to acquire and maintain sobriety. Education services are also offered and are designed to benefit those interested in gaining further knowledge and insight into the disease of addiction and options for prevention and recovery. Most clients are court ordered to treatment in Geauga County so they are referred to these agencies for drug
assessments. Once assessments are completed the counselor then makes a recommendation as to what program and services the client needs.
Although Geauga County offers counseling and treatment services for those who are addicted to alcohol
they do not offer a detox facility for those that need to safely detox from drugs
There are currently only two treatment Centers in Geauga County that address addiction.
Lake Geauga Recovery Centers http://www.lgrc.us/services/47-2/
Ravenwood Mental Health Center http://www.ravenwoodmhc.org/
Again both of these facilities only offer counseling and group services for addicts
These facilities are great at helping clients learn about recovery and help them learn new ways to live their lives without the use of drugs
. However, many clients first need help getting off the drugs
before they can begin treatment services. At huge problem in Geauga County is when clients who are in need of detox from drugs
call these treatment facilities in need of help and detoxification; these clients are ultimately turned away or left to their own devices, as Geauga County does not offer a detox center or program. Clients in most cases are told to go to their nearest emergency room or Urgent Care clinic in hopes that something can be done to ease their withdrawal symptoms. This solution is only temporary and it is proven that if addicts do not go through the proper detox program and follow through with additional treatment services the relapse rate raises significantly. Most often these clients who receive treatment at Hospitals or Urgent care go right back out and use because the treatment is only temporary.
Lake Geauga Recovery Centers are located in both Lake and Geauga County. The Lake County facility caters to Lake County residents and the Geauga facility caters to Geauga residents. The Lake County facility of Lake Geauga Recovery Center is able to refer their clients to Laurelwood , which offers in patient detox for alcohol
users. However the clients in Lake County who do not have insurance cannot afford the detox stay at Laurelwood. In cases where a client cannot afford detox at Laurelwood , Lake Geauga Recovery Center of Lake County will then refers them to the urgent care (Tyler urgent Care) that they are contracted with in providing a 5 day medication detox. The Urgent Care treats clients that need help with withdrawal symptoms. Lake Geauga Recovery refers clients who call in and are experiencing withdrawal symptoms to this Urgent Care facility. The client is given a referral note and brings it to the Urgent Care where they are ultimately given a 5 day supply of medication that is used to ease the withdrawal symptoms they are experiencing. After the 5 day period the client is then to follow up with Lake Geauga Recovery (Lake County) and ultimately begin their outpatient program and other recommended services.
Geauga County does not offer services like this and again clients are left with nowhere to turn aside from Emergency Rooms and Urgent Care Centers. Therefore there is a huge need for Geauga County to implement either a detox residential facility or an ambulatory detox center that works in tandem with the substance abuse
treatment centers in Geauga County Such As Lake Geauga Recovery and Ravenwood Mental health Center.
Remember withdrawal can be extremely deadly, especially withdrawal from alcohol
, heroin, and crack cocaine and crystal meth. It is also important to mention that most Geauga residents who seek help for their addictions do so after facing legal ramifications that are a direct result of their addiction. For example Lake Geauga Recovery Center which one of Geauga’s county’s prominent addiction service provider deals mostly with clients that are court ordered to treatment.
Helpful website: http://www.makethelist.net/top-5-most-dangerous-drugs
Please make sure to use Google to search for Geauga County, Ohio and become familiar with their community resources, key organizations, etc. So you are better suited to write this paper.
Please make to research drug abuse
in Geauga County to get a feel for the need for this proposed service.
• Paper must be 9 to 10 pages
• Written in APA format
• 12 fonts - Times New Roman
• Double spaced minimum of 8 references must be used and documented according to APA standards
• References can be books, journals, human service profession related and other scholarly websites (includes Wikipedia entries) and personal communications with experts in the field ??" at least 3. These can be made up) For example when discussing the need for a detox facility or ambulatory detox center you can say you spoke with the CEO of Geauga County Hospital , Shari Miller and she stated (then quote what she expressed about the need for this service)
• Please note the point grading system for each section listed on the outline. Higher point markers mean you should write a little more detail in that section. Lower point markers indicate you do not need to spend too much time on that area but still make sure to include relevant and key information.
Outline must be followed exactly according to each heading and subheading ??" MAKE SURE TO LIST HEADINGS AND SUBHEADINGS IN PAPER AS WELL.
I have already completed the engagement and assessment portion of the paper. I am having a hard time completing the rest of the paper, planning, evaluation AND termination. Please feel free to correct, change or redo any of my completed work if needed. Also please follow the outline exactly.
Engagement (7 points) COMPLETED ??" SEE BELOW)
I. Provide a demographic description of your community (include population size, age, gender, household size, median income, (levels of employment and educational attainment.
(Google Geauga County Ohio latest census results ??" you will find all this information there)
II. Based on demographics describe your engagement plan/process
A. Describe your community’s social and cultural uniqueness
B. 3 to 4 Key resource organizations (Geauga County)
C. Key informants ??" develop a list of people you will contact in order to gather information for your project, name, affiliation, date of contact, method of contact.
Assessment (7 points) (COMPLETED ??" SEE BELOW)
I. Develop an asset map of your community
II. Describe the community defined problem or unmet need (this is where you would discuss the need to implement a detox residential facility or ambulatory detox center in Geauga County)
III. Discuss the parameters of this need or the extent of the need in the community.
IV. Discuss any additional data collection and analysis needed to address this problem
Planning (10 points) WRITER TO COMPLETE
I. Discuss your potential interventions to address this need (have at least interventions)
II. Explain how the community assets/resources will be engaged in the helping process (below is a list of community resources for Geauga County titled key resources & their websites ??" same as listed in engagement 2-B.
III. Propose two interventions to address key organization needs or to expand existing resource/assets
IV. Examine the pros and cons of each intervention
V. Discuss your goals and objectives for your interventions ??" make sure to have goals and objectives for each of your interventions. http://topachievement.com/smart.html
Evaluation (3 points) WRITER TO COMPELTE
• Discuss the benchmarks or outcomes-indicators of success
Termination (1 point) WRITER TO COMPLETE
• Explain how you will bring the relationship with the community to a close
Engagement section that I have already completed ??" feel free to change/redo/make better
Geauga County is located in the northeastern corner of Ohio, located approximately thirty miles east of Cleveland and offers a perfect blend of beautiful countryside, interesting culture, captivating history, and unique shopping. Geauga County is also home to the country's second largest Amish population and some of the world's best maple syrup. The county has grown dramatically in recent years, as residents of nearby Cleveland in Cuyahoga County have moved to Geauga and surrounding counties to escape the busyness of the city. Between 1990 and 2000, Geauga County’s population increased by 12.1 percent to a total of 90,895 residents in 2000. The 2011 census reported an additional growth reflecting Geauga County’s population at 93,389 of which 50.7% (47,487) of the population was female and 49.3% (45,902) male. Of the male and female population those between the ages of 18 and 55 make up 52% of the entire Geauga County population. 96% of Geauga’s population is white, 1% African American or Black, 1% Hispanic or Latino, 1% Asian and 1% documented as some other race
Geauga County is overwhelmingly rural, but most residents earn their livings by working in manufacturing, sales, or service positions. Farming is a distant fourth, although county residents produce almost all of Ohio’s maple syrup or other maple products, earning Geauga the nickname “Ohio’s Sweetest County.” Many residents also commute to Cleveland to work. According to the U.S. Census Bureau, 54.9% of workers who are at least 16 years of age commute to jobs that are outside their county of residence. An average commute time is 26.0 minutes. Geauga County labor force is approximately 53,123; the unemployment rate is approximately 8.4% that is approximately 4,475. 48,648 of the residents were employed at the last 2011 census. The medium income reported between the years 2007 and 2012 was approximately $66,229.00 and the average household size is reported to be 2.69 persons per household. The 2011 census also indicates that 89.9% of Geauga County residents are High School graduates and 34.3% hold a bachelor’s degree or higher.
Key Resource Organizations and Key Informants
Geauga County has many key organizations and community resources that provide assistance and services to local residents. These organizations and resources help provide the community with education services, transportation, trade, healthcare, food service, utilities, legal services, beauty care, household services, social services, professional services , medical care, crisis intervention, child care, or job and career assistance. Some resources consist of research or advocacy to identify needs, advance understanding of issues or increase available resources. In addressing the need for Geauga County to implement an ambulatory detox facility it will be crucial to involve a number of key organizations and informants who are directly impacted by the lack of detox services provided in Geauga County.
I had the opportunity to speak with Linda Miller, current vice chairman at the Geauga County Board of Mental and Recovery Services, Linda stated that high rates of alcohol
and drug abuse
among the teens in Geauga County are rising. Excessive alcohol
use in Geauga County remains relatively high as 76. 9 percent of senior students’ reported to have consumed alcohol
at least a dozen of times in their lifetime and reported to using marijuana and other drugs
on at least three to four occasion before graduation. Linda agreed that there is need for implementing a detoxification rehabilitative program to help patients in Geauga community complete their detoxification process and ensure long-term treatment and a safe recovery.
Melanie Blasko, CEO of Lake Geauga Center on Alcoholism and Drugs Abuse
added that an ambulatory detox facility needs to be implemented as early as possible. Melanie stated “when addicts stop using drugs
their bodies go into withdrawal and it is the physical symptoms that occur due to withdrawal that make drug
detox centers so necessary”. Melanie expressed true concern for the people of Geauga County who have nowhere to turn when trying to get clean, she stated “we often refer them to emergency rooms, or urgent care clinics in hopes they are provided with some sort of relief, this however is not the safest and most reliable form of detoxification, those treated at ER’s most likely return to using because they are not given the proper counseling or tools to aid in there recovery:.
In addition, David Boyle; the executive director at Ravenwood Mental Health Center in Geauga County where substance abuse
services are provided to residents stated “we are limited in treatment of substance and alcohol abuse
and often have to make referrals for clients who are in need of immediate detox services. Clients are often referred to emergency rooms or urgent care clinics however it is important to note that drug
detox alone is not enough to help someone sustain a life without drugs
. Although absolutely vital to the process and a solid first step, drug
detox must be followed up by an efficient and effective drug
treatment program that addresses the mental, spiritual, emotional and physical aspects of changing the foundation for one’s life”.
The County Hospital Emergency Room CEO argued the ER doctors are not trained specifically in drug
detoxification and thus are unable to conduct effective supervision vital to patient’s needs. He stated “when patients present with drug
withdraw symptoms the staff is required to treat them with meds such as Benadryl, or anti-seizure medications, then patients are told to follow up with their primary care physician”. He concluded by saying that some patients are referred to places like Lake Geauga Recovery where they are offered treatment services and counseling however there is no detox facility offered in Geauga County.
Assessment section that I have already completed ??" feel free to change/redo/make better
rehab in Geauga County is the only way out of a lifestyle of addiction to drugs
for the thousands of individuals in the region who are plagued by drug
addiction. While the majority of people desire to stop and attempt to do so by themselves, nearly all people will not succeed in doing so simply because they are only dealing with the surface manifestations of their drug
addiction. It is one thing to cease using drugs
for a brief amount of time, trying to quit abruptly and on one's own. Many individuals will relapse simply because there are deep rooted problems which trigger their alcohol
and drug abuse
and caused them to use drugs
to medicate to begin with. Unless these problems are addressed, there is no possibility that the individual will stay drug
free and most often the problem only gets much worse. This is why drug
rehab in Geauga County is the only way to honestly quit, where addicted men and women can benefit from a wide range of rehabilitation tools to tackle the correct causes of their drug
Although Geauga County does offer an array of drug
facilities that offer a variety of treatment options, one crucial factor that aids in a successful recovery from drugs
is missing. Currently, Geauga County does not offer ambulatory detoxification services for individuals who are in desperate need to get clean and sober. Detoxification is considered to be the first and most crucial step in recovery from addiction. Addiction takes a toll on an individual emotionally, but also physically and many addictions become a physical dependency. This means that the body will actually grow to need the substance to function properly. This makes coming off an addiction very difficult and is why detox services are needed for those wishing to kick their addiction.
Currently all drug
service providers in Geauga County refer clients who are seeking detoxification services to emergency rooms and urgent care centers for treatment. This poses a significant problem on not only the individuals seeking help but the other service providers such as the hospitals and urgent care centers as they are not properly trained or equipped to treat withdrawal nor provide an adequate recovery plan that these individuals so desperately need. However, a complete lack of detox services in Geauga County has become abundantly apparent. By default, the county jail and local community hospitals have had to provide nonmedical detox services. While this serves as a needed safety net, it is not appropriate to expect these entities to continue to try to fill a service gap that needs to be delivered within a therapeutic and organized continuum of care.
According to Marcus Wolman who is employed at Geauga County’s Urgent Care clinic “having an ambulatory detox facility here is Geauga County would be a huge asset, it could even be integrated right here at our urgent care center, patients’ needs to be properly and safely detoxed not just given a pill and left to their own devices”. According to Geauga County Hospital representative “$1.2 million was spent in 2012 to evaluate individuals for significant drug
problems, having an ambulatory detox facility for these patients can save us a lot of money”.
The extent of implementing an ambulatory detoxification facility in Geauga County would be a great asset to its community. Drug
and alcohol abuse
is at an all-time high in the state of Ohio and Geauga County is feeling its wrath. In 2012 drug
related arrests in Geauga County increased by 19% .Of the reported 289 individuals in Geauga County in the year 2011 who sought help for drug
addiction only 24% reported still being clean and sober at the end of 2012. In addition crime increased by 17% in Geauga County between the years 2011 and 2012 of which 13% was directly drug
The problem that Geauga County is faced with is not that their addicted and alcoholic residents do not or will not seek treatment it’s that they are not being offered the proper course of treatment that is crucial to a successful recovery. Yes, individual and family counseling, intensive outpatient group sessions and education courses are all an important and critical aspects of the recovery process however there are more crucial steps that need to take place first, such as 1.Evaluation: Upon beginning drug
detoxification, a patient is first tested to see which specific substances are presently circulating in their bloodstream and the amount. Clinicians also evaluate the patient for potential co-occurring disorders, dual diagnosis, and mental/behavioral issues.2. Stabilization: In this stage, the patient is guided through the process of detoxification. This may be done with or without the use of medications but for the most part the former is more common. Also part of stabilization is explaining to the patient what to expect during treatment and the recovery process. Most importantly providing the patient with intensive medical interventions for safe withdraw management. 3. Guiding Patient into Treatment: The last step of the detoxification process is to ready the patient for the actual recovery process. As drug
detoxification only deals with the physical dependency and addiction to drugs
, it does not address the psychological aspects of drug
addiction. This stage entails obtaining agreement from the patient to complete the process by enrolling in a drug
rehabilitation program. Statistics show that alcohol
addicts who begin with proper detoxification followed by counseling and intensive outpatient services are more likely to remain clean and sober than those who skip the detoxification process.
Geauga County can benefit significantly by implementing an ambulatory detox facility in their community. Drug abuse
is a problem that involves communities as much as it does individual users. Drug abuse
can increase family stress, crime and significant health problems. Geauga County residents want to feel safe and protected, they want to have a sense of security and know their children are not at risk for things such as drugs
, violence and crime. In 2011 Forbes Magazine ranked Geauga County as the fourth best place in America to raise a family; this is due to its safe neighborhoods and low crime rates, a significant factor for many families choosing to live there. By reducing the prevalence of drug
use and abuse
in the community Geauga County can benefit from reduced crime rates, family stress, and health problems.
The rest of the sections listed below need to be completed ??" please make sure it flows with the rest of the paper and that each heading and subheading is addressed and specified in order according to the outline.
Planning (10 points) this entire section should be between 3 and 4 pages
VI. Discuss your potential interventions to address this need (have at least 2 interventions)
VII. Explain how the community assets/resources will be engaged in the helping process. (community assets/resources were talked about in the engagement section)
VIII. Propose two interventions to address key organization needs or to expand existing resource/assets
IX. Examine the pros and cons of each intervention
X. Discuss your goals and objectives for your interventions ??" make sure to have goals and objectives for each of your interventions. http://topachievement.com/smart.html
Evaluation (3 points) approximately ½ to 1 page
• Discuss the benchmarks or outcomes-indicators of success
Termination (1 point) approximately ½ to 1 page
• Explain how you will bring the relationship with the community to a close
Please notice the point system marked next to each section. The engagement and assessment sections are worth 7 points each, the planning section is worth the most, 10 points so make sure to put a lot of effort in this section. Evaluation is 3 points and the termination section is 1 point, therefore you do not have to focus too much on those sections with lower point values.
Key resources websites:
• The Geauga County Board of Mental Health and Recovery Services
• Lake Geauga Recovery Centers
• Ravenwood Mental Health Center
• United Way of Geauga County
• University Hospitals Geauga medical Centers
• Ohio Department of Alcohol
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