Interventions Case Study Essay Example for Free

Interventions Case Study Essay The case study chosen is about Sean which comes from chapter 7 in the Crisis Intervention Case Book. Sean is a 19 year old sophomore who is currently on disciplinary probation for getting in a fight during freshman year and breaking the other students jaw. Sean admits to drinking and also smoking marijuana since high school and occasionally on campus. Currently Sean was brought to the emergency room by a friend after passing out on the lawn at a beer party. His friend had seen that Sean vomited all over himself and would not wake up. His friend then called 911 and an ambulance came. At the emergency room Sean’s stomach was pumped and a blood test shown an extremely high level of alcohol along with marijuana and oxycontin. Sean’s case is considered a medical crisis because if his friend would of left him there Sean could have choked on vomit and died. Crisis components Sean’s case starts off as a medical crisis because of the circumstances Sean being unconscious and having an extremely high blood alcohol level. In this case if Sean’s friend would have left him on the lawn thinking he was going to let him just sleep the situation could have become critical. Many individuals can vomit or aspirate while intoxicated and could possibly die of asphyxiation especially when they become unconscious or unable to wake up. The individual should be brought to a hospital immediately where they can be observed and treated. Sean combined three different substances that night which included alcohol, marijuana (THC), and oxycontin. This is a lethal combination, which could have ended in Sean being in a coma or possibly even death; because of this Sean could be considered suicidal. It was also mentioned that Sean had alcoholism in his family and it can be genetic. Sean admitted to not being able to control his drinking and not remembering what happened the night before. This is a dangerous aspect of  drinking. Intervention strategies When Sean’s medical crisis was stabilized, he was evaluated and began speaking with a counselor. When speaking to the counselor Sean admits that, he does not remember what happened last night or how he came to be at the hospital. He remembered being at the Sigma house and playing a drinking game around 10:00 pm and did not remember much after that. He even mentioned a story about drinking when he was in high school. Sean was very worried that his parents would find out and that they would make him come home. He seemed to be very nervous about not knowing whether his parents were called or not. Sean admitted to smoking marijuana before the party. He also stated that a friend gave him oxycontin. Sean mentioned that his father was an alcoholic and used to come home all the time drunk, which caused tension between his father and mother. His father would come home slurring his speech, coming home buzzed or sometimes not coming home at all. His father attended AA meeting and he no longer drinks. The counselor asked Sean if it would be okay to set an appointment for him at the outpatient center at the medical center, which Sean seemed willing to do anything to stay in school. The counselor also agreed to meet with Sean’s parents to discuss the plan they have made to make it easier for Sean to confront them. There are other intervention strategies that could have been provided such as a support group that Sean can be involved in with other students who are in the same situation as Sean or who have been there. When trying to stop drinking, peer support groups can be an invaluable source of guidance, assistance, and encouragement. Groups are very helpful, not only in maintaining sobriety, but also as a safe place to get support and discuss challenges. Connecting with others who know first-hand what you’re going through can help reduce feelings of isolation, fear, and hopelessness. Staying motivated and positive is much easier when you have others you can turn to and lean on to help you get through tough times. It would also benefit Sean to join a school club or sport. Sean would feel part of a team and can spend extra time practicing and keeping busy instead of drinking. If Sean’s drinking escalates then he may need to attend weekly AA meetings. Sean could also look into changing dorms to one that I think the last draw would be moving back home and getting away from the partying environment. His parents could  give him support and he would have a safe place to come home to after classes and on the weekends. Strategy to implement change There is not much that can be done to change someone who doesn’t believe they have a problem and who doesn’t want to change. However the university that Sean attends could set a new policy to make changes within the school and students. It seems to me that there are many parties which include drinking, and drugs on school property and any plans would have to include limiting drinking on campus and in the dormitories, a strong drug enforcement policy and disiplines when these policies are broken. A strategy could be for the school to ban excessive partying to the point where people are passing out and are in danger. It can be impossible to eliminate partying all together, but there can be rules such as partying must not proceed past 12:00 on school campus. On an extreme level the university could put a ban on all alcohol on campus and enforce it strictly. They can put students on an academic probation, or even expel them altogether if found with drugs, or alcohol. If authorities are involved which would include a student being brought to a hospital from drugs/drinking that person will be banned from living on university property if continued. This can eliminate the amount of partying and the level of partying going on. It can even come to a point where a student may be kicked out of the university because of multiple warnings. This can promote change to the campus and the students knowing that the university does not support drug abuse, or alcohol abuse. The university would have to take a strong stand and enforce these rules for them to be successful. In conclusion there are many aspects that would qualify Sean as an alcoholic. Sean cannot control his drinking and will not remember what happened the night before. Sean has had drinking altercations in the past. He also admits to using marijuana and other drugs such as oxytocin. Sean’s counselor set an appointment at an outpatient center and agreed to meet with his parents to discuss their plan. Further interventions such as support groups and AA meeting may be necessary if Sean’s drinking does not decrease. To implement change the university may need to add policy’s that relate to drinking on campus and partying. This will help students like Sean who may struggle with alcohol and other drugs. Reference: Cavaiola, A. A., Colford, J. E. (2011).Crisis intervention case book. Belmont, CA: Brooks/Cole Cengage Learning.

gatdream Corruption of the Dream in F. Scott Fitzgerald’s The Great Gatsby :: Great Gatsby Essays

Corruption of the Dream in The Great Gatsby  Ã‚   The American Dream describes an attitude of hope and faith that looks forward to the fulfillment of human wishes and desires. What these wishes are, were expressed in Thomas Jefferson's Declaration of Independence of 1776, where it was stated: We hold these truths to be self-evident, that all men are created equal, that they are endowed by their creator with certain unalienable rights, that among these are life, liberty and the pursuit of happiness. This search for freedom and happiness actually goes back to the very beginning of American civilization, to the time of the first settlers. The first settlers were all religious refugees who were driven to the New World by persecution. To these people, America represented a new life of freedom, holding a promise of spiritual and material happiness. For those settlers who were not so religiously inclined, America was still a fairyland, a land of great possibilities. And so the first thirteen colonies came into being, amidst the religious and materialistic hopes of the first settlers. Material prosperity and progress kept pace with religious and spiritual goals because the Puritans and the Quakers alike approved of industry and material advancement. For, whereas physical pleasures were evil, hard work and achievements were regarded as indications of inner goodness. When the Eastern Seaboard, comprising the thirteen colonies, became overcrowded, the settlers began to move west. The opening of the Middle and Western States increased the sense of hope and faith. And this looking forward beyond the immediate present, this belief in the future, has become a national characteristic that may partly explain the speed of American advancement in so many areas of activities. The democratic system, first voiced in Jefferson's Declaration of Independence in 1776, may be traced to this basic attitude of hope and confidence. The American Dream, however, originally relates to a desire for spiritual and material improvement. What happened was that, from one point of few, the material aspect of the dream was too easily and too quickly achieved, with the result that it soon outpaced and even obliterated the early spiritual ideals. So there emerged a state of material well being but lacking in spiritual life or purpose. So that when Fitzgerald produced Gatsby, modeled no doubt on the writer's own faith in life, he seemed to have created a character who represented an early American in whom the Dream was still very much alive.

Analysis of The Notebook Essay

The Notebook begins at a nursing home where an elderly man called â€Å"Duke† reads a love story that is written in a notebook to an elderly woman who is also a patient. The story is set in Seabrook Island, South Carolina where a local boy by the name of Noah Calhoun falls in love with a young heiress named Allie Hamilton. In order to get her to go on a date with him, Noah climbs up a Ferris wheel at the local carnival and threatens to jump off unless she agrees to go out with him. Their first date is at the movies and ends with the two dancing in the street. The end of their date leads into a beautiful summer love affair where the two fall deeply in love with each other. Allies parents are dead set against the two young people being together; this is mainly due to Noah’s status (being poor) in the world. Eventually the two break-up and Allie returns home to Charleston with her parents. Even though the two are apart they are still very much in love with each other. Noah writes a letter to Allie every day for one year; unfortunately Allies mother intercepts the letters and does not give them to her daughter. Since neither one hears from the other they decide that they have no choice but to move on. Noah goes on to fight in World War II, while Allie goes on to college and then volunteers as a nurse who cares for wounded soldiers. During her time as a volunteer Allie meets Lon; a young lawyer who comes from old money. The two date for a while and then one night while out with her parents Lon proposes to Allie and she accepts. Even though she is engaged to someone else Allie still thinks about Noah. In the meantime Noah returns home from the war and sees Allie eating at a restaurant with Lon and catches the two of them kissing. Noah decides to go back home and restore the plantations house, thinking that if he can finish it then Allie will eventually come back to him. One day while searching for her wedding dress Allie sees a picture of Noah and the finished house in the paper. Allie decides that she must go back and see Noah. Upon her arrival the two talk for a while and then eat dinner. L ater the next day he takes Allie for a boat ride out on the river and shows her the swans. On the way back it is storming and Allie finally asks Noah why he never wrote to her. Here she finds out that Noah did in fact write to her and after arguing for a while the two ends up making love. The next day Allies mother  shows up and gives her the letters that Noah had written all those years ago and tells her that she needs to make a choice. Eventually Allie chooses Noah and she breaks off her engagement with Lon. In the present we find that â€Å"Duke† is actually Noah and the elderly woman is Allie. The two have been married happily all of these years. The reason that Noah has been reading this notebook love story to her is because Allie has dementia and at times his retelling her the story helps her to remember. At the very end of the movie Allie asks Noah if he thinks that their love is strong enough to take them away together, meaning die together. He believes that it is and the two lie down on the bed wrapped in each other’s arms and die peacefully. I found this movie to be very touching, sad, and happy all at the same time. The way the tw o loved each other so fully and completely through everything is something that I believe is clearly lacking in today’s world. Through most of the movie we find Allie holding her emotions in, fearful of hurting those that she cares about. We can see this when she finally concedes to her parents’ wishes and moves back to Charleston. We also see this when she accepts Lon’s proposal, not just because she cares and loves him, but because he is what her parents would have chosen (and approved of) for her. Another major place where we see this is towards the end when she is trying to make her decision on whom to be with. In each instance we find her extremely fearful of expressing her emotions. Another issue that we see through the movie is inadequate interpersonal skills. This is one of the hardest communication obstacles to overcome. This is because many people simple do not know how to express their emotions. While this can be seen with all the arguing that occurs between Noah and Allie; we also see it more subtly with Allie and her mother. This is because Allie and her mother never simply sit dow n and talk to each other about the issue of the relationship between Noah and Allie. Instead of explaining to Allie from the beginning how she felt and why she felt that way about the relationship she instead decided to yell and hide the letters that Noah had written. Had the two learned to communicate better from the beginning it would have saved a lot of heartache. Through this movie we can also see the Socialization Theory at work. This theory talks about the different ways that men and women are taught to express their emotions. During this movie we see Allie’s mother hold her emotions in when it comes to anything other than he  daughter’s actions. Anne is what would be considered the perfect southern woman. She does not express any negative emotions in public setting; instead she keeps them to herself. We can also see this with her father and how he ever so eloquently addresses Noah and his unhappiness with him seeing his daughter. In both respects Allies parents act emotionally how the upper class of southern society would expected to. This movie shows every aspect of a relationship, from the good to the bad. It shows that no relationship is perfect; they all have their ups and there downs. While many different elements of em otional communication can be seen, for me the concepts of fear, inadequate interpersonal skills and the socialization theory are the most appropriate. I believe that this movie can teach all people something about relationships.

Heavy Water Facts

Heavy water is deuterium monoxide or water in which one or more of the hydrogen atoms is a deuterium atom. Deuterium monoxide has the symbol D2O or 2H2O. It is sometimes referred to simply as deuterium oxide. Here are facts about heavy water, including its chemical and physical properties. Heavy Water Facts and Properties CAS number 7789-20-0 molecular formula 2H2O molar mass 20.0276 g/mol exact mass 20.023118178 g/mol appearance pale blue transparent liquid odor odorless density 1.107 gm/cm3 melting point 3.8C boiling point 101.4C molecular weight 20.0276 g/mol vapor pressure 16.4 mm Hg refractive index 1.328 viscosity at 25C 0.001095 Pa s specific heat of fusion 0.3096 kj/g Heavy Water Uses Heavy water is used as a neutron moderator in some nuclear reactors.Deuterium oxide is used in nuclear magnetic resonance (NMR) spectroscopy in aqueous solutions involving the study of a hydrogen nuclide.Deuterium oxide is used in organic chemistry to label hydrogen or to follow reactions involving water.Heavy water is often used instead of regular water in Fourier Transform Infrared Spectroscopy (FTIR) of proteins.Heavy water-moderated reactors are used to produce another isotope of hydrogen — tritium.Heavy water, made using deuterium and oxygen-18, is to test human and animal metabolic rates via the doubly labeled water test.Heavy water has been used in a neutrino detector. Radioactive Heavy Water? Many people assume heavy water is radioactive because it uses a heavier isotope of hydrogen, is used to moderate nuclear reactions, and is used in reactors to form tritium (which is radioactive). Pure heavy water is not radioactive. Commercial grade heavy water, much like ordinary tap water and any other natural water, is slightly radioactive because it contains trace amounts of tritiated water. This does not present any sort of radiation risk. Heavy water used as a nuclear power plant coolant contains significantly more tritium because neutron bombardment of the deuterium in heavy water sometimes forms tritium. Is Heavy Water Dangerous To Drink? Although heavy water isnt radioactive, its still not a great idea to drink a large volume of it because the deuterium from the water doesnt act quite the same way as protium (a normal hydrogen isotope) in biochemical reactions. You would not suffer harm from taking a sip of heavy water or drinking a glass of it, but if you only drank heavy water, youd replace enough protium with deuterium to suffer negative health effects. Its estimated you would need to replace 25-50% of the regular water in your body with heavy water to be harmed. In mammals, 25% replacement causes sterility. 50% replacement would kill you. Keep in mind, much of the water in your body comes from the food you eat, not just water you drink. Also, your body naturally contains small amounts of heavy water and every smaller amount of tritiated water. Primary Reference: Wolfram Alpha knowledgebase, 2011.