1. The Target behavior in this will be Anxiety how to track it can just be made up based off as well as the data 2. The depression data scale in the guidelines is an example of how to track data disr

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1. The Target behavior in this will be Anxiety how to track it can just be made  up based off as well as the data

2. The depression data scale in the guidelines is an example of how to track data disregard the first chart to complex it’s a simple one underneath.

3. Case Summary is a guide about the client this is about

https://libguides.usc.edu/socialwork/socialworkEBP  Resource website for Evidence Based Practice

ASK QUESTIONS PLEASE AFTER YOU REVIEWED INSTRUCTIONS IF YOU HAVE ANY

**NEED TO BE WRITTEN IN US AMERICAN LANGUAGE NO BROKEN ENGLISH

1. The Target behavior in this will be Anxiety how to track it can just be made up based off as well as the data 2. The depression data scale in the guidelines is an example of how to track data disr
SSWG8205 Evaluation of Practice: Clinical Hypothetical Single Subject Design Hypothetical Paper #1 PURPOSE: The purpose of this assignment is to provide you with the opportunity to apply single system design evaluations to a practice situation; first hypothetically, then in vivo. DUE DATE: This assignment is due Session 5: Application Paper #1 is due on Session 5 before the start of class. Please submit your paper to the blackboard assignment page. This assignment is worth 10 percentage points of your final grade. DIRECTIONS: Before you start writing your paper, please follow the steps below to develop your plan for assessment and evaluation of the target behavior, selection of an evidence based intervention and generation and analysis of data. Step 1: Selection of Target Behavior Identify one of goals that lends itself well to single subject design; that is a goal that is concrete, countable, clear, occurs frequently or severely enough to have room for change. Step 2: Establishing a baseline Think through how you can collect a baseline of the target for change. What is the behavior or emotion? Go from concept to specific name to precise operational definition. How will it be measured and recorded? Who will collect the baseline data? How, when? For how long? Concurrent or retrospective? Think through what will work best and why. Step 3: Selecting and implementing an intervention Specify what you understand is an evidence based approach to this behavior. This should be a condensed effort at locating at least one source that specifies what has been known to work well to reduce or increase the target behavior or emotion. Hypothesize how you would implement this intervention with your client and what the research says as well as other reasons (client motivation, literacy, comfort level, therapist experience/training) that you think this is an approach that has best potential for being effective in this situation. Step 4: Collecting intervention phase or post-intervention phase data. Decide when you will collect your intervention phase data (do you expect behavior to change immediately or only once treatment is completed?). Match the intervention phase data collection process with the baseline data collection process. Same operational definition, same person collecting under same circumstances. Step 5: Graphing and analyzing data Create your raw data: Time period Tuesday Wednesday Thursday Friday Saturday Sunday Response to triggers trig + res trig + res trig + res trig res trig res trig res Baseline Totals × × × × × × × × × × 10            × × × × × × × × × × 10            × × × × × × × × × × 10            × × × × × × × × × × 10            × × × × × × × × × × 10            × × × × × × × × × × 10            Percent calm responses 1/10 = .1 1/10 = .1 2/10=.2 2/10=.2 2/10=.2 1/10 = .1 Monday Tuesday Wedn Thursday Friday Saturday Sunday Intervention Totals × × × × × ×       × × × × × ×       × × × × ×      × × × × ×      × × × × ×      × × × ×     × × × × × 5      Percent calm responses 3/6=.50 3/6=.50 3/5=.60 2/5= 0.4 2/5=.40 2/4=.50 3/5=.60 ­ Graph your baseline and intervention data. Percent Calm Response Before and During Intervention A phase (Baseline) B phase (Intervention) Depression severity Day of week Rating of depression from (1 not depress sed) to (10 most depressed) Baseline phase: Tuesday Wednesday Thursday Friday Saturday Sunday Intrevention phase: Tuesday Wednesday Thursday Friday Saturday Sunday Visual Analysis What is trend of baseline? What is trend of intervention phase? Is the trend going up, down or stable between baseline and intervention? Are points all higher or lower in one phase compared to the other? Does it look like there is systematic change? Statistical Analysis Two Band Standard Deviation method of statistical significance: Calculate the mean and standard deviation for the baseline period. Multiply the baseline standard deviation times two and add to (if the goal is to increase the behavior) or subtract from (if the goal is to decrease the behavior) the baseline mean to determine your “test statistic”. Go to the intervention phase of the graph and count the number of data points during intervention that were above (if goal is to increase) or below (if goal is to decrease) the test statistic. If there are two or more points that meet this criterion, then you have reached statistical significance. Clinical Significance: Has the change in behavior met some criterion that has made a difference in client’s life? OR Has the change in behavior increased quality of life for client or client’s family? Is there less conflict or stress that is making a difference? NOW YOU ARE READY TO WRITE YOUR PAPER: See outline next page. OUTLINE FOR HYPOTHETICAL PAPER (SSD) ONE: Introduction: Identify what you want to evaluate using Single Subject Design. What treatment variable would be most appropriate to measure using a single subject design? Name it and provide rationale for selection. Operationalize the variable and describe how you would measure it for the baseline. Intervention Discuss what you have found in your limited review for an evidenced based approach to this presenting problem. Describe what you are selecting as having best potential to be effective in this situation. Provide rationale. c. Describe how you would implement the intervention Describe when and how you will collect intervention phase data. Data Presentation and Analysis Insert graph Present visual analysis Present statistical analysis Discuss clinical significance. Conclusions Limitations of design and data collection Inferences based on findings Next steps if you were still working with client in light of these hypothetical results Rubric for Grading Single Subject Design 10 F 12 14 C- 15 16 B- 17 17.5 B+ 18 A- 19 20 A+ Selecting and measuring target behavior Selection and plan for implementing intervention Data Analysis and presentation of results Identification of limitations, quality of conclusions and next steps. Organization and Mechanics of writing Paper Grade Total Score Percentage Letter Grade ___/10 8
1. The Target behavior in this will be Anxiety how to track it can just be made up based off as well as the data 2. The depression data scale in the guidelines is an example of how to track data disr
Calculating Statistical significance using the Two Standard Deviation Band Method Calculating the standard deviation Sum the baseline scores O1 O2 O3 O4 O5 Sum of baseline scores Calculate mean of scores Sum of scores/n Calculate the sum of squares Scores Ox – Mean Square difference between O & M Sum the squares Find the degrees of freedom (N-1) N-1 Calculate the Standard Deviation Sum of squares/Degrees of Freedom Variance = Take the square root of the variance SD= Check your work. https://www.socscistatistics.com/descriptive/variance/default.aspx Calculating the Desired zone Multiply the baseline S.D. by 2 To get the desired zone: Subtract (2 * S.D.) from the baseline mean if goal is to DECREASE target behavior) OR Add (2 * S.D.) from the mean (if goal is to INCREASE target behavior) and (2* S.D.) To determine if scores after intervention are IN THE DESIRED ZONE, count the number of intervention scores that are in the desired zone (2 standard deviations below or above the mean of the baseline) If at least two consecutive data points of the intervention phase fall outside the range of the two standard deviation band of the baseline, then a significant change in performance has occurred across the two phases, since the likelihood of such an event occurring is less than 5% (Vaz, et al.,2007, p.236) Was there a statistically significant decrease in aggressive behaviors following intervention according to the two band standard deviation method? IF TWO OR MORE CONSECUTIVE SCORES ARE IN THE DESIRED ZONE THEN YES: The change in scores is statistically significant (p<.05) if there were not at least 2 consecutie data points during the intervention phase in the desired zone, then the change was not statistically significant (occurred by chance alone). 1. The Target behavior in this will be Anxiety how to track it can just be made up based off as well as the data 2. The depression data scale in the guidelines is an example of how to track data disr Case Study I currently work with an HIV/AIDS client who is an 58 year old African American male, he has been diagnosed with this disease since 1998, how he contracted it was either through drug use sharing needles or sexual encounters he doesn’t know which. He was raised by a single mother who has passed away 3 years ago and who took care of his needs, he currently still resides in his family home alone which is in the process of being foreclosed and he refuses to make plans to move elsewhere. The home has no heat only electricity and his water is currently on only due to the pandemic. The only bills in his name is the electric bill, all other bills are still in his deceased mothers name and past due. His income is limited, he receives social security for disability in the amount of $805 to his rep payee who has reported to no longer wanting to be his rep payee anymore. He is illiterate, he cannot read very well and requires assistance with explanation of things and reading assistance of documents. He does not nor cannot advocate, complete documentation, etc for himself he needs assistance in that area in regards to his medical care, health and dealing with other benefits systems. He receives case management services through his HIV/AIDS clinic, homecare nurse that is assigned to him through the clinic as well and assists with appointment scheduling, medication adherence, etc and he recently was approved to receive waiver services for home health care. Client has no known history of mental health in his family and has not been diagnosed with mental illness. Client does reports being depressed and having anxiety due to his environment and health problems. He worries about losing his family home and not being able to keep up with his bills, in turn he will become overly anxious when things appear to be out of his control his worrying increases with severe panicking. This client has zero outside support, the one support he had a fake niece was stealing his bill money that he was entrusting her to pay his bills since he cannot do that on his own. Since the removal of her he denied a rep payee to assist him with his financials. He depends on the clinic for support but it’s limited to what they can do outside of his medical care. He still is an active drug user, DOC is heroin, he declines any support around treatment and never had treatment and will not stop using. He is a functional user. This client's presenting problems are his housing situation, his home will be foreclosed and he refuses to leave, move into a room to rent due to only being able to afford that or go to shelter. He reports rather sleeping on the streets if he is forced out of his home. His second problem is his finances and not being able to manage them on his own, he refuses to have a private agency be his rep payee, third problem is his health, he is good taking his HIV/AIDS medication and is undetectable but when it comes to other health issues he is not good with keeping up with other health related issues/appointments unless he is experiencing extreme discomfort is when he is ready to engage. He requires assistance managing his finances since he is unable to and since he receives social security it is required for him due to his disability to have a rep payee and lastly he needs assistance with managing his mental health, he becomes anxious and depressed when he feels his life is out of his control. This client SMART goals are: Goal-Client will improve his anxiety Objective: Client will learn and implement coping skills that result in a reduction of anxiety and worry, and improved daily functioning over the course of 3 months. Goal-Client will improve his well being by speaking with his homecare nurse. Objective: Client will speak with his homecare nurse once a week about any upcoming appts/medication review he may have. Goal-Client will learn and implement a small budgeting task. Objective: Client will utilize a simple budget tool to monitor his bills monthly and provide to his case manager over the course of 3 months.

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