Discussion 1: Sexual Orientation, Gender Identity, and Gender Expression

Think about the moment in which you became aware of your sexual orientation. Do you recall making a conscious choice to be gay or straight?

Some believe that gender identity and sexual expression is a choice, or more likely, that "people choose to be gay." The counter to that belief is that one does not "choose" his or her sexual orientation; it simply is. This week you consider how people's reactions to someone's gender identity or sexual orientation impacts his or her environment and experience.

When adolescents question their sexual orientation or gender identity, they encounter various reactions from individuals in their environment. For this Discussion, consider how people's reactions to someone's gender identity or sexual orientation may impact his or her environment and experience.

Post your answer to the following question:

• How might potential reactions to an adolescent's questioning of their sexual identity, or gender role, impact their social environment, behavior and self-esteem?

• As social workers, what role can we play in assuring the best outcomes for these adolescents?

• It needs to be at least 75 words and needs to be cited with at least 1 reference and 1 source.

Discussion 2: Theories of Life-Span Development

Zastrow and Kirst-Ashman (2016) stated, "We need theories to guide our thinking and our work so that we may undertake research-informed practice" (p. 127-128). At the same time, the authors asserted, "No theory will be perfectly applicable. Perhaps you will decide that only one or two concepts make any sense to you in terms of working with clients" (p. 128).

Though you may be able to apply only a few concepts in a particular theory to your work with clients, as a social worker, you should be applying evidence-based research to your work. Empirically-based developmental theories may guide you as you assess clients and their presenting problems. You may also apply developmental theories to your treatment decisions.

For this discussion, you discuss theories of life-span development by evaluating a theory that seems especially relevant to you and your role as a social worker. Select a theory of life-span development to address in this Discussion. This may be a theory described in the resources of this course, or you may select a theory based on personal research. Locate at least one scholarly resource (not included in the course resources) that addresses the theory you selected.

Post a Discussion in which you analyze the theory of life-span development that you selected. Summarize the theory; then, identify the strengths and weaknesses of this theory, especially as it relates to social work practice. Explain one way you might apply the theory to your social work practice. It needs to be at least 75 words and needs to be cited with at least 1 reference and 1 source.

Discussion 3: Drug Policies and Ethics

The NASW Code of Ethics provides social workers with guidelines and standards for interacting with clients, colleagues, communities, and society, as a whole. These standards govern interactions and professional behavior of social work practitioners. The NASW has also developed specific standards, which are published in the NASW Standards for Social Work Practice With Clients With Substance Use Disorders.

These standards emphasize the importance of the competence of social workers. The standards indicate that social workers should be knowledgeable of evidence-based interventions for substance disorders. The confidentiality standard becomes essential as social workers must be informed and comply with federal, state, and local laws about substance use, as well as third-party payee regulations.

For this Discussion, review this week's resources, including the case Working with Clients with Dual Diagnosis: The Case of Joe,and consider how social policies affect Joe's circumstances as described in the case study. Then, think about any gaps in service you found in Joe's case. The Case of Joe is below. Finally, reflect on how you might address these gaps or make changes to the policies that affect Joe.

Post an explanation of how drug policies affect Joe's circumstances, as described in the case study. Then, explain any gaps in service you found in Joe's case as a result of the drug policies described in the case study. Finally, describe a strategy you might use to address these gaps or make changes to the policies that affect Joe. It needs to be at least 75 words and needs to be cited with at least 1 reference and 1 source.

Working With Clients With Dual Diagnosis: The Case of Joe

Joe is a 34-year-old, Caucasian male who came to the County Division of Social Services to apply for General Assistance (GA) benefits. The GA program provides cash assistance, Medicaid coverage, and housing for homeless single adults. Joe is in need of Medicaid benefits in order to remain active in his treatment program.

Joe is receiving treatment at the Mentally Ill Chemical Abuser (MICA) partial hospitalization program at the local community mental health center for clients who are dually diagnosed. Joe has a dependence on marijuana, although he has stopped using it for approximately six months, and has been diagnosed with major depressive disorder. He is being prescribed medication.

Joe reports that he is unable to work due to mental illness, and without an income or health insurance, he is unable to obtain his medication. Joe reports that while he was enrolled as a student at the state university, he would sell marijuana to other college students. Eventually, he was arrested and convicted of possession with intent to distribute a controlled dangerous substance (CDS) and served 3 years in prison. Joe has had no further arrests; however, he has not been able to secure permanent housing or employment since his release.

Joe reports that this event has ruined his life. His lack of employment results from an inability to pass most background checks. If he discloses that he was arrested, Joe reports that he is never called for interviews. But when he once failed to disclose the information to the prospective employer, Joe was terminated for lying on his application. Joe believes that he has little hope for future employment.

Joe has few natural supports in his life. He reports that following the incarceration, his family distanced itself from him and his girlfriend at the time broke up with him. He reports that his only supports are his local Narcotics Anonymous (NA) sponsor and his mental health counselor.

Joe reports that his housing situation has been unstable and sporadic for the past 10 years.

Joe's mental health counselor from the MICA program has contacted me to advocate for Joe's approval for benefits. I explained that under the current state regulations, Joe is ineligible for benefits due to his CDS distribution conviction. The only program options that I can offer him are food stamps and access to a homeless shelter outside of the county. The counselor explained that relocation would cause a disruption to Joe's mental health treatment and would cause him to lose contact with his local NA sponsor.

In response to the counselor's concerns, I suggested that Joe contact the local faith-based organization for assistance. Although they do not house single males, they have an extensive network of volunteers, mentors, and donors who may financially support people in need. I referred Joe to a program that offers bonding to people seeking employment who have been previously incarcerated.

Finally, I suggested that the counselor research Joe's ability to remain in treatment at the hospital despite his lack of Medicaid coverage. The counselor agreed to assist Joe with these suggestions.