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

PSY FPX 5110 Assessment 2 Mary Anne is an 18-year-old Hispanic woman with the comorbidity of an opioid use disorder (OUD) and a non-suicidal self-injury disorder (NSSID). She has voluntarily entered a women’s treatment facility offering equine-assisted counseling (EAC). Although she was untruthful with her treatment team about her current self-injury, under the influence of EAC, the horse eventually elicited from Mary Anne to tell the truth about her hidden self-harm technique. Discussion of cultural identifications and best practices pass on learning potential for everyone treating the client.

Cultural Differences

Relevant Biases

1) PSY FPX 5110 Assessment 2 Struggled with having the patience to let the process occur between the client and the horse.

• Prepare to boost cultural competence: Attend two separate Multicultural Gestalt style technique training sessions in order to help develop an understanding of the client-centered therapy/counseling process more effectively across cultures.

2) Frustrated by the client’s persistent medicating and viewed her age as a barrier for lasting recovery. Does the client truly wish to change and live a healthier, happier living? Is her age retarding 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 treating young adults. Also, continue seeking supervision working with young adults who self-mutilate for an additional year or more until you feel more comfortable with the special population.

Best Practice for Working With a Hispanic Female

Trust must be earned, and seeking counseling may be contrary to her cultural values.

• Moitinho et al. (2015): When the client failed to inform the treatment team of her self-harm when she was engaging in it, it was not a case of avoiding the healing process. It was about establishing trust and learning the different roles of the counseling staff and the potential outcomes of the interventions.

Provide prevention and intervention early in life to prevent long-term negative consequences. Practice respect, and they will realize the counselor is sincere and compassionate.

• Colizzi et al. (2020): Be respectful, flexible, supportive, and in an appropriate manner at all times. Competence is demonstrated in building a healing, interactive, and safe place.

Best Practice for Working With a Client in Tx

The client is in treatment due to their need; however, they may struggle to let go of the old way of living.

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

Best Practice for Working With a Client That is Still Medicating

It is more complex than a counselor may realize at first in the client cutting. It is a complicated disorder that needs to be unwound smoothly because it is a mechanism for dealing with the pain and tension of living, 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 with other professionals regarding NSSI and read three peer-reviewed articles about NSSI. Competence in 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!

• Reflect on your own biases and how they can get in your way.

• Hispanics may take longer to become comfortable trusting therapy professionals.

• Don’t take things personally.

• Don’t forget how to demonstrate multicultural competency.

References

Carter (2016). Reflecting Humanity: Biological, Psychological, and Sociological Perspectives – Capella University (2nd Edition). Kendall Hunt 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

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 ageing: Health consumers, markets and hegemonic challenge. Sociology of Health & Illness (40)6, 1069–1086.  https://doi.org/10.1111