Walden University Practice-Level Logic Model to Focus Interventions and Achieve Desired Outcomes Discussion – Description
USING A PRACTICE-LEVEL LOGIC MODEL TO FOCUS INTERVENTIONS AND ACHIEVE DESIRED OUTCOMES
While they may be more broadly used to analyze programs, logic models can also be applied in practice, when considering clients’ presenting problems and potential interventions. If you think back to your work earlier in the course with Tiffani, Jake, or Paula, how did you go about determining the intervention based on the problems and needs? Did you see a logical connection in your mind between those elements?
Logic modeling can help to make these connections explicitly clear. For example, perhaps you identify one problem as distrust between parent and adolescent. You observe that the need is a greater sense of trust, and that the underlying causes are history of abusive situations enabled by the parent, history of adolescent lying, and no model of healthy, trust-based parent-adolescent relationship. The intervention, then, might be family therapy to work through the history that has affected trust in the relationship. It might also include parenting classes on repairing a parent-teen relationship. The threads that weave through all of these elements are trust and relationship.
In this Discussion, you create a practice-level logic model of your own, based on the problems and needs that you identified last week.
RESOURCES
Required Readings
Dudley, J. R. (2020). Social work evaluation: Enhancing what we do (3rd ed.). Oxford University Press.
Chapter 6, “Needs Assessments” (pp. 115–147)
Luck, K. E., Doucet, S., & Luke, A. (2020). The development of a logic model to guide the planning and evaluation of a navigation center for children and youth with complex care needsLinks to an external site.. Child & Youth Services, 41(4), 327–341. https://doi.org/10.1080/0145935X.2019.1684192
University of Kansas Center for Community Health and Development. (n.d.). Developing a logic model or theory of changeLinks to an external site.. In Community toolbox. https://ctb.ku.edu/en/table-of-contents/overview/m…
Document: Logic Model Table Download Logic Model Table(Word document)
TO PREPARE
Review the Learning Resources on the logic model, including the Logic Model Table document.
Consider the problems and needs that you identified last week and how those needs might be met by evidence-based interventions applied with clients.
BY DAY 3
Post a completed logic model (in table format) for a practitioner-level intervention based on the problems and needs that you identified last week. Be sure to link the areas across the table.
In the table, describe the types of problems, the client needs, the underlying causes of problems and unmet needs. Then describe interventions that would lead to a change in the presenting conditions. Identify the short- and long-term outcomes that you think would represent an improved condition.
Follow the table format with 1 to 2 paragraphs that elaborate on your practice-level model outline and cite resources that inform your views.
BY DAY 6
Respond to at least two colleagues by:
Offering respectful feedback on their logic model as if you were a member of their work group.
Identify strengths and potential weaknesses in the assumptions or areas that may require additional information or clarification.
Providing substantial information to assist your colleagues’ efforts such as:
Information to support their understanding of the problems and needs in this population
Suggestions related to intervention activities and potential outcomes
Response 1 – SJR
Developing a Logic Model OutlineComplete the tables below to develop the practice-level logic model for the Discussion and the program-level logic model for the Assignment.
Discussion: Practice-Level Logic Model Outline
Problem Needs Underlying Causes Intervention Activities Outcomes
Alcohol abuseMarital conflictStress/anxiety related to PTSD symptoms Knowledge and better understanding of PTSDbetterSpouse with better knowledge and understanding of PTSDHealthy coping mechanism for stress/anxiety from PTSD symptoms (instead of drinking)Better communication skillsBetter conflict resolution skills PTSDUnhealthy coping mechanisms Education for client and his wife regarding PTSDIdentify and implement healthy coping skills to deal with PTSD symptomsLearn healthy communication and conflict resolution skills (client and wife) Decrease in intensity of PTSD symptomsBetter communication between client and wife; better relationship between them;A better understanding from each of them as they learn to see each other’s perspectiveDecrease in alcohol consumption (currently being used as a means to self-medicate and cope)
A Logic Model, as shown above, serves as a way to describe an idea for change that is a good, viable option for an effective intervention with a client (University of Kansas Center for Community Health and Development. (n.d.). As described in the Logic Model above, Jake Levy has reported that he drinks nearly every day. He reported he drinks to help cope with his issues of anxiety and depression and to help him sleep. He informed he has difficulty sleeping, has heart palpitations, is moody, and self isolates. He discussed being worried he will not feel normal again. He stated he always feels on edge and is easily startled. He reported thinking about what happened in Iraq and having recurrent nightmares regarding his experiences there. Jake reported that he fears his wife may leave him due to his drinking if he does not get help. He reported that she is concerned about his drinking and his lack of involvement in their sons’ lives.The plan is to educate both Jake and Sheri about PTSD and how many of the issues Jake is dealing with are a result of the psychological trauma he has experienced in Iraq. This will help Jake and Sheri to both have a better understanding of why Jake is feeling what he is. Additionally, the plan is to help Jake and Sheri learn healthy communication and conflict resolution skills and to help them work to understand each other’s perspective and learn to turn towards each other instead of away (Gottman, 2015). It would also help to teach Jake some coping mechanisms to aid him in dealing with his anxiety.ResourcesGottman, J. M. (2015). The Seven Principles for Making Marriage Work. New York: Harmony Books.University of Kansas Center for Community Health and Development. (n.d.). Developing a Logic Model or Theory of Change. Retrieved from Community Toolbox: https://ctb.ku.edu/en/table-of-contents/overview/models-for-community-health-and-developmentLinks to an external site.Walden University, LLC. (2014). Jake Levy. In Sessions: Case Histories. Laureate International Universities Publishing. ReplyReply to Comment
Collapse SubdiscussionMonica H Levine-Sauberman
Response 2 -A.W.
Discussion: Practice-Level Logic Model Outline for A State Hospital Children’s Ward Parenting Education Program
Problem Needs Underlying Causes Intervention Activities Outcomes
Parents are in need of support in order to improve their child’s outcomesParents need mental health and parenting educationParents aren’t sufficiently involved in state hospital programing in order to support their childChildren discharge back into environments that do no support the skills they learned in state hospital Education on mental health disorders in childrenParenting skills education to build a strong foundation for children to discharge home toSupport and encouragement for increased parental involvement in the state hospital program.Parents should be efficiently prepared and given expectations for a safe and healthy discharge back into home Parents may struggle with their own mental health issues or substance abuse.Lack of adequate experience or poor examples from their own childhoodParents are unaware of how important their involvement in treatment is.Parents are unaware of how difficult their discharge home will be after being inpatient for 6-8 months Parenting education sessions for parents and families with hospital therapist to learn healthier ways to parent their childParenting support group for parents to support each other while their children are in state hospitalParent support sessions to prepare for discharge and resources to provide support post discharge Decrease recidivism and rapid readmissions Improved understanding of parental skills needed to parent a child with a mental heath disorderIncreased support network for parents during their child’s admissionIncreased positive outcomes for children hospitalized in a state hospitalIncreased awareness of support needed post discharge.
Follow the table format with 1 to 2 paragraphs that elaborate on your practice-level model outline and cite resources that inform your views.
Developing a logic model to address poor outcomes for state hospital children post discharge allows our program to examine different aspects of the problem and connect them with possible solutions. The goal of the parenting education program is clearly defined as well as supporting aspects related to the primary issue and what will be achieved by initiating the program. The tools applied to the expected outcome will be measured by a process evaluation and the outcome will reflect whether or not the necessary interventions were put into place to achieve the goal. The final measurement of program success will be achieved through an outcome evaluation (Luck et al., 2020).This logic model will provide the framework to ensure adequate support will be delivered to parents of the children admitted to the state hospital. The logic model process connects stakeholders in discussion regarding the goals of the program and the values that support the goals, strategies to accomplish the goals, and the expected outcome of the program overall (Dudley, 2020 & University of Kansas Center for Community Health and Development, n.d. ). The State Hospital children’s treatment team believes they have noticed negative outcomes for the children discharged to parents who were not involved in their treatment during their time in state hospital. There has been an increase in readmissions, involuntary admissions and missed follow-up appointments for children whose parents were not involved. Evidence supports parental involvement in mental health treatment of a child to be critical to their success. Effort has been made in the community setting to engage family in the treatment of their child. One key component to engagement is that the perceived benefits of including the family should outweigh the cost. The program’s goal would be to promote parent education as well as to provide skills to support parent follow through once the children return home. A parent’s active, responsive contribution to treatment should result in an alliance built between parents and the state hospital treatment team to benefit the children (Haine-Schlagel & Walsh, 2015). The logic model proposes the delivery of parenting skills education as well as children’s mental health education to support outcomes for children as they return home after treatment. Parenting education will be provided by licensed clinicians either individually or in a group setting. A parental support group open to parents and families of children in treatment will also be offered so that the family may work together as a unit to support their child. Expected outcomes would see families being supported educated on the best practices for caring for a child who has been inpatient as well a decrease in recidivism and readmissions post discharge (Kusaka et al., 2022).REFERENCES:Dudley, J. R. (2020). Social work evaluation: Enhancing what we do (3rd ed.). Oxford University Press.Haine-Schlagel, R., & Walsh, N. E. (2015). A review of parent participation engagement in child and family mental health treatment. Clinical child and family psychology review, 18(2), 133–150. https://doi.org/10.1007/s10567-015-0182-x
Links to an external site.
Kusaka, S., Yamaguchi, S., Foo, J. C., Togo, F., & Sasaki, T. (2022). Mental Health Literacy Programs for Parents of Adolescents: A Systematic Review. Frontiers in psychiatry, 13, 816508. https://doi.org/10.3389/fpsyt.2022.816508
Links to an external site.
University of Kansas Center for Community Health and Development. (n.d.). Developing a logic model or theory of changeLinks to an external site.
Links to an external site.
. In Community toolbox. https://ctb.ku.edu/en/table-of-contents/overview/m…
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