APA Format and No Plagiarism 2-3 pages * Summaries of the two interventions and their respective research regarding effectiveness* Recommendations for Tiffani’s social worker that address the following* Factors to consider when choosing between the two intervention* The social work skills that the staff would require to implement the intervention* The training required to implement each interventionAn evaluation of evidence-based practice based on your reaction to the experience, in which you address the following questions:* Would you as a beginning researcher, have enough knowledge to benefit from researching evidence-based practices? Why? or why not? * How might the research that you conducted increase your confidence in the intervention with Tiffani?* Is the information provided enough to make a decision regarding interventions? Why? or Why not? NOTE: No Plagiarism on following file please: “NOTE 1Assgn.docx
note_1assgn.docx
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Evidence-Based Practice and 12-Step Programs
Evidence-based practice is the process in which the clinician incorporates wellresearched interventions with clinical experience and ethics with the client’s preferences and
culture to guide and inform the delivery of treatments and services (Social Work Policy, 2018).
The 12-step program has garnered great success dating back several decades. 12-step
programs like Narcotics Anonymous (NA), utilizes a ritualistic concept in efforts to bring
sobriety in the lives of those who abuse drugs. Rituals of using drugs are replaced with rituals
that encourages sobriety. The 12-step program is repetitive where individuals must attend
regularly and share in the activities that suggest their willingness to change (Capuzzi & Stauffer
(2016).
The Case of Tiffani Bradley
In the case of Tiffani Bradley, a 16-year old female who is a victim of sex trafficking
who admitted to her social worker that for several years she has abused years she’s used crack,
meth, oxy, marijuana, as well as countless others. As Tiffani’s social worker begin considering
the best possible intervention for someone with the challenges that Tiffani has to endure, it is
important for the worker to consider all aspects of Tiffani’s situation and what will work best.
In reviewing the media, we find Tiffani’s social worker in dialogue with a woman who
appears to be her supervisor (Laureate Education, 2013d). The social worker and the supervisor
appear to have a disagreement along the lines of the Tiffani’s treatment plan. When the
supervisor recommends Tiffani for the 12-step program to address Tiffani’s substance abuse
issues which she also highlights the program can could be used with other approaches, the social
worker states that she has seen little evidence to support the efficacy of a 12-step program
(Laureate Education, 2013d). Tiffani’s social worker feels that if Tiffani attends a 12-step
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program, it would be too much for her considering the emotional and physical abuse she has
suffered over the past few years with her pimp and family. Evidence based research would be a
good tool to utilize when it comes to making an assessment of the program and the client’s
current status by asking discovery questions. Several questions I would ask are what are the
benefits of a 12-step program, are there any proven results among adolescent and if so, what are
they?
Interventions & Its’ Effectiveness
The two interventions I would suggest for Tiffani are the Brief Strategic Family Therapy
(BSFT) and Seeking Safety. BSFT is an evidence-based intervention that could be used when
treating an adolescence with substance abuse issues as it is a short-term, family-treatment model
developed for youth with behavior problems such as drug use, sexual risk behaviors, and
delinquent behaviors (Szapocznik et al., 2012). BSFT has proven its’ efficacious in treating
adolescent drug abuse, conduct problems, associations with antisocial peers, and impaired family
functioning. The outcomes are essential risk factors for unsafe sexual behavior (Szapocznik et
al., 2012).
BSFT has consistently been evaluated in numerous clinical trials evaluating the
efficacy and effectiveness and shown specific therapist behaviors that are associated with the
most favorable adolescent and family outcomes. As a result of its’ proven successes, the United
States Department of Health and Human Services has coined BSFT approach as one of its
“model programs,” and to be included in the National Registry of Evidence-Based Programs and
Practices (Szapocznik et al., 2012).
Seeking Safety is an evidence-based model that was specifically developed to help
survivors with co-occurring trauma and substance use disorders. What is great about this
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treatment is that it does not ask the client to delve into emotionally distressing trauma narratives.
What is equally important about this intervention is the key word “safety” – safety of the client
as they do the work; helping clients envision what safety would look and feel like in their lives;
and helping them learn specific new ways of coping (Najavits, 2015). Another great component
of seeking safety that will benefit Tiffany is the fact that it helps to restore past ideals. This
treatment plan would be inclusive as its central principles not only addresses cognitive and
behavioral but also interpersonal and management skills (Najavits, 2015). The final key principle
in seeking safety is that it gives attention to the process the therapist follows.
Recommendations for Bradley’s Social Worker
Tiffani has suffered both emotional and physical abuse by her family which caused her to
run away from home and ultimate led to her being a victim of sex trafficking. One thing a social
worker need to understand is that trauma often occurs first followed by the addiction. In
reviewing Tiffani’s history of abuse, she has experienced some major trauma which led to drug
abuse. The worker would need to use skills such as critical thinking Tiffani has co-occurring
disorder of trauma (PTSD) and substance use disorder and in considering this, the worker will
need to use an intervention that will treat the trauma and substance abuse simultaneously.
Seeking Safety stays in the present, teaching a broad array of safe coping skills that they
may never have learned if they grew up in dysfunctional families or may have lost along the way
as their addiction and trauma spiraled downward. All of the Seeking Safety coping skills apply to
both trauma and addiction at the same time – providing integrated treatment that can help boost
motivation and guide clients to see the connections between their trauma and addiction issues.
Evaluation of Evidence-Based Practice
Evidence-based practices is essential in social work in that it involves critical thinking
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and evaluation of information to determine the best approach and treatment for the client. Social
workers utilize evidence-based programs to aide in the treatment of their clients. In looking it
could best serve Tiffani as it relates to her trauma and drug abuse, it was important to make sure
both co-occurring disorders were treated simultaneously.
SOCIAL WORK SKILLS & INTERVENTION
References
Capuzzi, D., & Stauffer, M. D. (2016). Foundations of addictions counseling (3rd ed.). New
York, NY: Pearson Education, Inc.
Najavits, L. (2015, 02 22). Pro Talk. Retrieved from Rehabs.com: https://www.rehabs.com/protalk-articles/seeking-safety-an-evidence-based-model-to-address-trauma-and-addictiontogether/
Social Work Policy Institution (2018). Evidence-Based Practice. Retrieved
from http://www.socialworkpolicy.
Substance Abuse and Mental Health Services Administration. (2018). Evidence-Based Practice
Resource Center. Retrieved from https://www.samhsa.gov/ebp-resource-center
Szapocznik, J., Schwartz, S. J., Muir, J. A., & Brown, C. H. (2012). Brief Strategic Family
Therapy: An Intervention to Reduce Adolescent Risk Behavior. Couple & family
psychology, 1(2), 134-145.
Waldron, H. B., & Turner, C. (2008). Evidenced-based psychosocial treatments for adolescent
substance abuse. Journal of Clinical Child & Adolescent Psychology 37(1),238-261.
doi:10.1080/15374410701820133
Whittaker, J. K. (2009). Evidence-based intervention and services for high-risk youth: A North
American perspective on the challenges of integration for policy, practice and research.
Child & Family Social Work, 14(2), 166–177. Retrieved from the Walden Library
databases.
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