Exam 11: Social Work With Selected Client Groups

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Discuss what a social worker should do when managed care will not reimburse unless there is a DSM-IV-TR diagnosis.Is it ethical to misdiagnose in order for the client to receive needed services?

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As a social worker, it is important to prioritize the well-being and best interests of the client. When faced with a situation where managed care will only reimburse if there is a DSM-IV-TR diagnosis, it can be tempting to misdiagnose in order for the client to receive the needed services. However, it is not ethical to misdiagnose a client in order to obtain reimbursement or access to services.

Instead, a social worker should advocate for the client within the constraints of the managed care system. This may involve working with the client to accurately assess their needs and symptoms, and then advocating for the appropriate services and support within the framework of the DSM-IV-TR diagnosis criteria. It may also involve collaborating with other professionals, such as psychiatrists or medical doctors, to ensure that the client receives a thorough and accurate assessment.

Additionally, social workers can work to address the systemic issues within managed care that prioritize reimbursement over the actual needs of the client. This may involve advocating for policy changes or working within their organization to develop alternative approaches to accessing services for clients.

Ultimately, it is important for social workers to uphold ethical standards and prioritize the well-being of their clients, even in the face of challenging reimbursement requirements. Misdiagnosing a client in order to access services is not ethical and can ultimately harm the client in the long run. Advocating for the client within the constraints of the system and working to address systemic issues is a more ethical and sustainable approach.

Which of the following is NOT true?

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Social workers are responsible both ethically and legally when confronted by abuse of elderly persons.

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According to the National Center for Elder Abuse, for every case of elder abuse, neglect, exploitation or self-neglect reported to the local authorities, five cases go unreported.

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With increasing technology comes new ways of conducting therapy.Today, online therapy is an accepted practice in social work.

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Discuss some of the costs to society that domestic violence has (judicial, medical, shelter, etc).

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Divide the class into two groups.Have one group debate the merits of physician-assisted suicide, while having the other group point out reasons to be opposed to a physician assisting a client in ending his/her life.

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Practitioner discrimination rarely affects mental health diagnosis.

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If a client denies the occurrence of domestic violence early in the client-social worker relationship, then the worker should drop the issue.

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Childless adults with HIV can easily acquire Medicaid to pay for their healthcare.

(True/False)
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Homicide by intimate partners is the leading cause of premature death for American women.

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Over two million people in the US are infected with HIV/AIDS with an estimated sixty thousand new cases annually.

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Which of the following is NOT a concern about of online therapy?

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Can therapeutic alliances be developed online? Discuss some of the benefits to online therapy verses face-to-face therapy. Discussion Topics:

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Discuss the inconsistency between Standard 1.02 of the Code, which asserts that social workers have a responsibility to limit self-determination when people pose a serious risk to themselves or others, and the NASW Standards for Palliative and End of Life Care. Class Exercises:

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Approximately two-thirds of all elder abuse perpetrators are

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Which of the following is NOT true?

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Discuss with the class the many forms of domestic violence: who it involves, who the client is, and what the treatment outcomes are.

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Women are more likely to be murdered by intimate partners than by any other assailant.

(True/False)
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What ethical concerns are associated with the three stages of end-of-life decision making?

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