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Lifespan Planning – Your Options: Adjusting Our Life Plan

Introduction – Planning for the Unexpected
A First Step: Facing the Facts – Kendra's Story
Lean Into Change – Sam’s Story
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Introduction – Planning for the Unexpected

As we move through life stages and transitions, it seems nothing is more predictable than change. Although there are many positive things we can do to "get ready" for parenting, marriage, empty nest, growing older, we can never know exactly what the future might hand us. Lifespan planning involves anticipating and planning for one’s future needs. These may be health needs, financial needs, or retirement needs for you and your family.

However, sometimes we must cope with life's unexpected challenges. We need to create our life plans with a "reality check" – knowing that we may need to adjust them or ourselves to face the unexpected.

Have you ever noticed that some of us seem to be able to "go with the flow" much better than others? What are those strengths or assets that these people possess? Can we begin now to develop these characteristics in ourselves in order to face life's startling surprises? Here are some ideas to do just that.

A First Step: Facing the Facts – Kendra's Story

Kendra's life plan never included parenting two toddlers at age 60. Yet, when her grandchildren were removed from her son's home, she had a big decision to make. With much ambivalence, and a lot of heart, she took them in. Needless to say, her plans and expectations of life in her 60's changed dramatically.

The first thing Kendra did was to face the facts….she knew this was not going to be easy and that she would need help. The first words of M. Scott Peck's bestselling book, The Road Less Traveled are "Life is difficult." When we write our life scripts as though everything will be smooth sailing, we can be devastated by trouble and difficulty. Kendra had learned a long time ago to accept both the good and bad of life.

Lean Into the Change – Sam's Story

When challenges come, many of us fight against them. Think of the time you learned your teenage daughter was pregnant, or your parent had cancer, or that you did not get the job you had counted on. Initially, we want to run from changes like this. But when we can learn to lean into reality, no matter how painful, we are often in a better position to handle the challenge.

Sam had been working for this job opportunity all his life. He just knew they liked him at the interview and was really excited about moving across the country. Then the call came. He was shocked when they turned him down. Sam went into an angry depression. How could this happen to him? He isolated himself – stopped eating much and slept very little. He found it hard to believe this had happened.

Fortunately, with the help of others Sam began to realize that he could either stay in this dark place forever, or that he could pick up the pieces and move on. Yes, it was a painful disappointment, but he wasn't going to let it take him down for good. He started talking with friends about how hard it was. Then he began to think about his current options. He still had connections. This wasn't the only company in the world. His wife agreed to support them financially while he searched for the next opportunity.

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Once we face whatever it is that has interrupted our life plan, we can realize we do not have to go it alone. Some of the brightest, most capable people are those who can ask for what they need. Kendra and Sam learned that their success or failure depended upon themselves and those gathered around them who could help. Highly trained, professional social workers are among those who can provide guidance and support to help individuals cope with difficult situations like Kendra's and Sam's.

Social Workers are professional team members who have special skills to share that can make life transitions more successful. We offer empathy and support, but we don't stop there. We have studied ways you can use to alleviate real illnesses like depression or anxiety that can show up at times of distress. We know of other resources in the area that can benefit you. For Kendra, it was a Grandparent's Group that met at a local church. We can help you adjust your life plan to fit your new situation. But social workers know we are only part of the team you will need. We realize that family, friends, community, church groups, and others will be vital to your success.

Make your life plan, but don't hold on too tight. Prepare that the unexpected will come. When it does, face the facts, get support, and lean into change. The best of life is still waiting for you!

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Youth Development Real Life Stories

Introduction

 

Pahrump Valley Times

Family Safety Real Life Story – Social Work Students Rally in Annapolis, Maryland

Introduction

More than 350 graduate and undergraduate social work students from across the state gathered at Lawyer’s Mall in Annapolis on Feb. 24 for Social Work Student Advocacy Day to advocate for vulnerable children and families further impaired by budget cuts to services. School of Social Work students have traveled to Annapolis for the last 10 years to rally and receive updates from legislators on bills addressing various social problems such as homelessness, health care, domestic violence, addiction, and child abuse.
“When we first started doing this 10 years ago, it was a handful of students and a couple of boxes of Dunkin’ Donut Munchkins,” says Gisele Feretto, MSW, an instructor at the School of Social Work’s Title-IV-E Education For Public Child Welfare program. She has organized the annual rally for a decade and has seen the event grow each year with students from other schools joining the effort.

At the rally, students were joined by professional social workers, members of the Maryland chapter of the National Association of Social Work (NASW-MD), social work educators from across the state and Department of Human Resources Secretary Christopher McCabe, who spoke to the crowd.

“Many people don’t realize that people within the government advocate for and work on behalf of our most vulnerable people. The Department of Human Resources is a government agency that advocates on behalf of the most vulnerable citizens, and we have opportunities for you when you are finished school,” McCabe said. “I am a father of four children and know how hard it is to raise a family with all the resources I have. The people you speak for don’t have those resources,” he told students and encouraged them to consider careers in public service.

The crowd shouted slogans such as “Hey Hey Ho Ho, This Apathy Has Got to Go,” and “Social Problems Are Complex, We Got Some But Need The Rest.” They also carried signs and placards along with 15-inch decorated paper dolls, representing an at-risk child affected by cuts to services. They marched around Lawyer’s Mall and raised, large fake dollar bills, and shouted, “Show me the money!”

Ferretto notes, “This is an educational experience for our students. Part of the day involves the students learning who their legislators and are speaking to them on behalf of those who will be affected by bill they [the legislators] are considering,” says Ferretto. “As social workers, we have to give voice to the vulnerable children, already at risk for abuse and neglect-who don’t have a voice of their own. As social workers, we must be advocates for children.”

The day-long rally began with the students learning about the role social workers can play in the legislative process and included presentations on advocacy skills and lunch with key legislators. More than 75 legislators dropped by to visit with students during the pre-rally sessions. The pre-rally sessions also honored School of Social Work alumna, Kerry Hall Cleaver, who launched the event 10 years ago during her own student internship with NASW-MD; Moya Atkinson, former president of the NASW-MD; and various legislators including Selema Marriott, who began their careers are professional social workers.

Students from the School’s Title IV-E program made the dolls carried at the rally. After the rally, students delivered the dolls-each labeled with a specific challenge at-risk children face daily-to legislators along with letters and a fact sheet on Maryland’s children.

The Title-IV-E program combines classroom work and field instruction. The issues described on the dolls are based on actual cases culled from their field placements. “These paper dolls give voice to a child that students have worked with on the Title-IV-E units at local departments of social services,” says Ferretto.

Ferretto says the purpose of the rally is to “remind legislators of the struggles Maryland’s children face as they debate legislative issues and fiscal concerns impacting children and families.”

For Daphne L. McClellan, PhD, executive director of NASW-MD-the fact that 350 students from an array of schools, including Bowie State University; Coppin State College; Frostburg State University; Hood College; McDaniel College; Galluadet; Salisbury University; University of Maryland Baltimore County; and the University of Maryland, College Park, joined students from the School of Social Work demonstrates how much the event has grown from the original 15 students of a decade ago. “The day is a huge success because students come away with an understanding of and excitement for the legislative process, with personal, hands-on experience sitting in committee meetings and interacting with legislators,” McClellan says.

Reprinted with permission of the author.

Family Safety Real Life Stories

Introduction

Youth Development Real Life Story – Proving a New Life Can Lead to a Life Full of Joy

Pregnant at 15, she received a master’s at 29

In a country that claims to value the sanctity of life, it’s amazing how much scorn is still heaped upon pregnant teens who decide to keep their babies.

Neila Johnson found that out the hard way in 1994. That was the year that Detroit’s Cooley High School refused to let her run for the homecoming court because, as she said at the time, she had a 2-year-old daughter: A teen mom wouldn’t present the right image.

It was one of many humiliations she suffered while trying to raise her daughter and stay in school.

“That’s when the fight began for me,” said Johnson, now 29.

Last Saturday, Johnson defied the naysayers and graduated from the University of Michigan with a master’s degree in social work. Next month, she begins a job working with the American Civil Liberties Union of Michigan.

But her successes are still bittersweet.

“People say I should be proud because of what I’ve accomplished as a teenaged mom,” Johnson said last week. “It’s so hard to live with everyone else’s low expectations.”

Life’s lumps produce a Diamond

Teen moms face daunting odds. According to the National Campaign to Prevent Teen Pregnancy, less than one-third of pregnant teens ever finish high school, and their children face higher than average odds of low birth weight, living in poverty and faring poorly in school.

Johnson never thought she’d be part of those statistics.

“I was on the track team; I was on the homecoming court as a freshman,” she said. “It was always my dream to go away to college.”

Then, at age 15, she got pregnant, succumbing to peer pressure to have sex. She considered an abortion, but when she learned her pregnancy was further along than she’d guessed, her mother balked at signing the medical release. Her family encouraged her to keep the baby.

It was a hard labor. The umbilical cord wrapped around the baby’s neck. Johnson’s blood pressure dropped and she suffered a seizure. The baby, while born healthy, remained nameless for 12 days while Johnson fought for her life.

When she was finally strong enough to see the baby, “she was like a jewel to me,” said Johnson. “So I named her Diamond.”

Defying expectations

Johnson struggled to take control of her life again. First, she says, she suffered abuse at the hands of the hospital staff, which she claims wanted to teach her a lesson. And it didn’t end there, at her church, she was denied a scholarship — again, she said, because she was a teen mom.

Johnson said that relatives shunned her as if “I was contagious.” She said she received looks of disgust from strangers when she walked her baby at the mall.

“I remember when Diamond was about 5 months old, I had a collapse,” she said. “I wanted it to be all over.”

She credits her family with keeping her from becoming another statistic. By her senior year, she was on the honor roll and wanted to run for homecoming court again. But she was rejected.

Johnson says principal Posey Williams refused to let her run because he didn’t “believe in girls having babies out of wedlock,” she told the Free Press in 1994. Williams, who is no longer at Cooley, denied that there was a prohibition against teen mothers. But Johnson said criteria suddenly were imposed that made it difficult for a teen mom to qualify, including participation in extracurricular activities.

The denial was a life-altering event for Johnson.

“He ignited a fire in me,” she said. “My high school graduation was the most thrilling day of my life. When I went up on stage, I heard Diamond say, ‘That’s my mama!’ I looked for her, and directly in front of my family was the principal. I felt so proud.”

College a challenge

That fall, Johnson left Diamond with her sister and went to New York University with an eye toward law school. The transition was overwhelming. Not only did she feel out of place as a minority student, she was a freshman with a toddler at home.

“I almost never had anyone come to my room because it was like a shrine to Diamond,” she said. “Once, I let my friend Amy come over and she started crying. She told me that she had assumed that I was privileged like the rest of the kids at NYU. She’d only read about people like me.”

Diamond also had a hard time. “At first I missed my mom, so I just started reading a lot of books,” she said. “But I knew that she needed to go away to school to make both of our lives better.”

Johnson began volunteering to work with teen moms in Harlem, none of whom could believe that she was a teen mother, too. It was then that she began to rethink her law career and to consider social work.

In her junior year, she brought Diamond to New York to live with her. And Johnson still graduated, with honors, taking a degree in sociology.

After graduation, she started work on a master’s in social work at Columbia University. After the Sept. 11, 2001, terrorist attacks, she decided to transfer to U-M.

“In this world, too many people are ready to judge you when they don’t know your story and don’t care,” said Johnson. “If I visited Cooley, it wouldn’t be for revenge. It would be to inspire other young people — whether they’re pregnant teens or not.”

A better life

Johnson isn’t the only one who has defied odds — so has her daughter.

Diamond, whose father remains in her life, is an honor student at Royal Oak’s Jane Addams Middle School who loves math and is curious about sculpture.

“People thought because she had me, that my mother wouldn’t do more with her life,” Diamond said on the eve of her mother’s graduation. “But she’s made it.”

Maybe Johnson’s graduate degree will bring her closer to her dream of opening a safe house for teen moms. It’s time that someone realized how hard society makes it for unwed girls to choose life for their babies, and life for themselves, too.

Contact DESIREE COOPER at 313-222-6625 or dcooper@freepress.com.

Copyright © 2005 Detroit Free Press Inc.

Reprinted with permission of the Detroit Free Press Inc.

NASW Practice Standards

Introduction

Social work practice consists of the professional application of social work values, principles, and techniques to one or more of the following ends: helping people obtain tangible services; counseling and psychotherapy with individuals, families, and groups; helping communities or groups provide or improve social and health services; and participating in legislative processes. The practice of social work requires knowledge of human development and behavior; of social and economic, and cultural institutions; and of the interaction of all these factors.

Practice

Social work practice consists of the professional application of social work values, principles, and techniques to one or more of the following ends: helping people obtain tangible services; counseling and psychotherapy with individuals, families, and groups; helping communities or groups provide or improve social and health services; and participating in legislative processes. The practice of social work requires knowledge of human development and behavior; of social and economic, and cultural institutions; and of the interaction of all these factors.

NASW Standards

Dementia Current Trends

Introduction

The fastest growing segment of the population in the United States are seniors over the age of 85. Older persons in the United States are faced with many challenges.

According to The Merck Manual of Geriatrics, Americans over age eighty-five account for about 12 percent of all elderly. This figure is expected to rise to 18 percent by the year 2040. The average number of years a person can be expected to live fairly free of physical or cognitive disability is 77 for men and 81 for women. This has many implications for the needs of or increasing older population.

Due to innovations in medicine, pharmacology, and other healthcare services, mortality and morbidity rates are declining. As a result, hospital stays have been sharply reduced, prompting an expansion of needed community-based services. This includes skilled and home-attendant, social work and psychiatric supports, senior centers and adult day health care programs, medical care, hospice care and more.

Due to increased longevity, seniors are often faced with inadequate savings and income because of increasing cost of living expenses. This is a stressful situation as well a serious threat to independence. High insurance co-payments, spend-downs (jargon), and prescription costs can be an obstacle to needed medical care.

The following illustrates an example of the special needs of the older client:

Mrs. R. is a 79-year-old divorced immigrant. She had been hospitalized several times to treat depression. Because she was feeling stressed by immigrating to this country and also felt depressed, she sought help at an outpatient clinic. Mrs. R. told the psychotherapist that she had been having trouble getting out of bed and carrying out her normal daily routine.

Mrs. R. received individual psychotherapy and medication management to address her depression and enable her to resume the tasks of daily living. Although she became psychiatrically stable with improved daily functioning, her medical health deteriorated. Mrs. R. was diagnosed with hepatitis C, high blood pressure, and asthma.

Since beginning chemotherapy treatment for hepatitis, her depression worsened. This is a common problem in the elderly where medications can have psychiatric and physical side effects. This can further impair functioning and complicate diagnoses and treatment. In this case, Mrs. R. stopped taking her psychotropic medication, her severe depression returned and a prolonged psychiatric hospitalization followed.

How Social Workers Help

A social worker helped Mrs. R. in the following ways.

  • Collaborated with the patient's various medical and psychiatric providers.
  • Monitored Mrs. R's medications and made sure she took them correctly and on schedule.
  • Linked Mrs. R. to a Medical Day Program who could provide daily medical and social and support as well as attend to her activities of daily living.

Collaboration and coordination was key to the success of this individual. Social workers routinely assess, intervene, and link patients like Mrs. R. to the services they need.

A Look Toward the Future Needs of the Elderly

Increased Adult Day Medical as well as Social Programs can improve the provision of daily medical oversight, bathing, and meals to insure proper nutrition, cognitive remediation, and social supports. They also serve as respite care for caregivers. Spirituality is often overlooked. Exploration into clients’ beliefs and faith can be an excellent source of support and can be incorporated into the social work interventions

Cognitive Remediation is a growing need as well. For the elderly the three D’s are “Delirium," “Dementia” and “Depression." Each is prevalent, and negatively impact on daily functioning and quality of life, emotionally and physically. Services in medical and mental health programs need to increase focus on improving cognitive skills and helping clients cope and adapt to declining cognitive functioning.

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Susan Winston, LCSW, is a social worker. Ms. Winston has been practicing social work as a clinician and program director since 1978 in a variety of community based mental health and substance abuse programs. Currently she runs a large mental health program in Queens, New York that serves a significant elderly population.

Healthy Lifestyles – How Social Workers Help

Introduction

Social work is a profession for those with a strong desire to help improve people's lives. Social workers help people function the best way they can in their environment, deal with their relationships, and solve personal and family problems. Social workers often see clients who face a life-threatening disease or a social problem. These problems may include inadequate housing, unemployment, serious illness, disability, or substance abuse. Social workers also assist families that have serious domestic conflicts, including those involving child or spousal abuse.

Social workers often provide social services in health-related settings that now are governed by managed care organizations. To contain costs, these organizations are emphasizing short-term intervention, ambulatory and community-based care, and greater decentralization of services.

Most social workers specialize. Although some conduct research or are involved in planning or policy development, most social workers prefer an area of practice in which they interact with clients.

Medical and Public Health Social Workers

Medical and public health social workers provide persons, families, or vulnerable opulations with the psychosocial support needed to cope with chronic, acute, or terminal illnesses, such as Alzheimer’s disease, cancer, or AIDS. They also advise family caregivers, counsel patients, and help plan for patients' needs after discharge by arranging for at-home services—from meals-on-wheels to oxygen equipment. Some work on interdisciplinary teams that evaluate certain kinds of patients—geriatric or organ transplant patients, for example. Medical and public health social workers may work for hospitals, nursing and personal care facilities, individual and family services agencies, or local governments.

Mental Health and Substance Abuse Social Workers

Mental health and substance abuse social workers assess and treat individuals with mental illness, or substance abuse problems, including abuse of alcohol, tobacco, or other drugs. Such services include individual and group therapy, outreach, crisis intervention, social rehabilitation, and training in skills of everyday living. They may also help plan for supportive services to ease patients' return to the community. Mental health and substance abuse social workers are likely to work in hospitals, substance abuse treatment centers, individual and family services agencies, or local governments. These social workers may be known as clinical social workers.

To find a clinical social worker in your area, click here.

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