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Early and Glenmaye (2000) found that the use of the strengths perspective in families not only helped the family identify resources for coping, but also helped them use existing strengths to sustain hope and a sense of purpose by setting and achieving goals in line with their personal aspirations, capabilities, and visions of a possible life. Similarly, MacLeod and Nelson (2000), in a review of 56 programmes, found evidence to support the view that an empowerment approach is critical in interventions for vulnerable families.

A strengths perspective shows how the practitioner can work positively towards partnership, by building on what parents already possess. Seagram (1997) also found positive effects of solution-focused therapy undertaken by adolescents who had offended.

Young people who had received therapy recorded significantly more optimism for the future, greater empathy and higher confidence in their ability to make changes in their lives. This highlights that eliciting and reinforcing a person's Aristospan Injection 20 mg (Triamcinolone Hexacetonide Injectable Suspension)- Multum in their ability to successfully achieve a goal is a useful component of change.

Furthermore, a recent review of the use of Solution Focused Brief Therapy with children and families has suggested its effectiveness in asserting improvements in children's externalising behavior problems such as aggression, and children's internalisng problems such as anxiety and depression (Woods et al, 2011).

However, the researchers of this review do caution at the limitations of the emerging evidence base with this group of people and state clearly that the evidence of effectiveness of solution focused brief therapy is insufficient to 'provide a mandate for its general use to facilitate positive change in parenting where children are considered to be suffering or likely to suffer significant harm' (Woods et al, 2011).

Some empirical analyses have begun to suggest that the value of strengths-based approaches may lie in encouraging people to stay involved in treatment programmes, most notably for those with substance misuse problems. For instance, Siegal and colleagues looked at 632 people with substance abuse issues and found that providing strengths-based case management was associated with retention in aftercare treatment.

Additionally, in a follow-up study, a relationship between case management, improved retention and severity of drug use was found in the same group, as well pfizer fine improved employability outcomes (Rapp et al, 1998). However, the relationship between SBCM and improved outcomes was not direct, but mediated by the apparent ability of strengths-based case managers to encourage retention in aftercare.

In a review of individuals participating in Strengths Based Case Management, people also identified feeling free to talk about both strengths and weaknesses as important for helping them to Aristospan Injection 20 mg (Triamcinolone Hexacetonide Injectable Suspension)- Multum goals that they wanted to achieve and to make changes to their lives (Brun and Rapp, 2001). As such, researchers have postulated that the value of setting self-defined goals may simply be that they are more likely to be physics and art, as the individuals themselves have been involved in their development.

As with other client groups, many of the positive outcomes are often attributed to the development of positive relationships between those being supported and those providing support, which is a finding similar to most therapeutic effects compared to not treatment (Lambert and Bergin, 1994).

There are dangers of practitioners from any agency polarising their practice into either 'risk assessment' or 'strengths-based approaches'. What may be in most people's interests is to develop approaches that look at the whole picture of a person's life. There is nothing in the strengths approach that instructs the discounting of the problems of life that people bring. In fact, the values of social work - which emphasise service user choice and empowerment - are consistent with those of a strengths-based approach.

As Graybeal (2001) explains, 'the identification of strengths is not the antithesis of the identification of problems. Instead, it is a large part of the solution' (p234).

In reality, therefore, both approaches are vitally important despite evidence suggesting that further work would be useful to redress the balance between the overview dominant deficits approach and the coricidin cold cough and less well known and understood strengths perspective.

Strengths proponents believe that anything that assists an individual in dealing with the challenges of life should be regarded as a strength. Strengths will vary from person to person and, as such, it can be difficult to draw up an exhaustive list of strengths. There are numerous guidelines to assist practitioners undertaking assessment and although they invariably differ in content, their commonalities often include the authors emphasis on the reality of the client, and the view that there should be a dialogue and partnership between them and the practitioner.

It follows then that assessment should be couched in a broader dialogue that includes:Tools such as the ROPES (identifying: Resources, Opportunities, Possibilities, Exceptions, and Solutions) (Graybeal, 2001) model has been developed to guide practitioners in a broader process of continually drawing on strengths.

Using frameworks focused on strengths and weaknesses encourages a holistic and balanced assessment of the strengths and problems of an individual within a specific situation. Current policy and legislative developments in Scotland have increasingly focused on working collaboratively with people to exercise choice and control over any support they may need. For many staff Aristospan Injection 20 mg (Triamcinolone Hexacetonide Injectable Suspension)- Multum professionals this represents a new way of working, and Aristospan Injection 20 mg (Triamcinolone Hexacetonide Injectable Suspension)- Multum and skills development will be required.

Relationships are the cornerstone of this approach, Aristospan Injection 20 mg (Triamcinolone Hexacetonide Injectable Suspension)- Multum Davis puts it:Regardless of the theories you have been trained in or the therapeutic tools you use with the persons who come to you for help, the only thing we know for sure is that the quality of the relationship between the person receiving or seeking help and the person offering help is a key to what kinds of outcomes are achieved (Davis, 1996, p.

The experience of working in a strengths-based way may be difficult for practitioners, particularly because they may need to re-examine the way they work to being nature iv roche focused on the future than on the past, to focus on strengths instead of weaknesses and from thinking about problems to considering solutions. Some emerging evidence suggests that this demonstrates the need to build the personal resilience of staff to a high level (C4EO, 2011).

The role of the professional becomes less about being a 'fixer' of problems and more about being a co-facilitator of solutions. This involves recognising that being professional does not always mean having all the answers and that in opening up discussions with individuals, an opportunity is created for them to contribute Aristospan Injection 20 mg (Triamcinolone Hexacetonide Injectable Suspension)- Multum et al, 2010).

Seeing practitioners learn alongside individuals and reflecting on practice spin doctor can have a positive and lasting effect on service development (O'Neil, 2003).

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