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Case Study
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Report Findings Psychology Case Study Research Paper

Case Study Instructions:

*Trace the probable course of an investigation using one of the models presented here such as root cause analysis or one of the protocols for conducting a specific type of investigation. (See materials in the online resources for this module.) This is not a general discussion - you must apply one of the models to your scenario specifically identifying the various elements of the model and how you have applied it. Make sure to identify a model/s you are using, describe it using relevant theory, identify the steps, and discuss how you have applied each step to the investigation.
*Draw conclusions based on what you believe you will have found. (Note: You will have to be somewhat creative here because, of course, you will not actually be able to conduct the investigation unless you have chosen one from your work setting.)
*Write a formal report of 5 pages, double spaced, summarizing the course of your investigation, stating your findings and recommendations.
Focus on the scenario you have followed throughout the course.
The Scenario:
You are an administrator with a group home which cares for developmentally delayed and physically disabled male adults. You receive a report that a resident appears to have been struck by someone on the night shift and has suffered physical injury.
Upon arriving at the home, you meet Adam. Adam is a 27-year-old male who is physically and mentally disabled and confined to a wheelchair. He has been diagnosed with moderate-severe mental retardation. He lives in the group home with 5 other mentally disabled male residents.
Although Adam is developmentally delayed, his ability to communicate is fairly good. His speech is slow and often slurred, but over time, his caretakers have learned to understand his words very well.

When the morning staff arrived for work and went to get Adam ready for his day, they observed some rather large bruises on Adam’s legs and back. When they asked Adam what happened, they report he told them, “Mike hit me.” Mike is a worker on the night shift.
In this scenario a physically disabled man with mild cognitive impairment was injured some time during the night shift when there was only one staff member on duty. In the original scenario, the victim was described as having a mild cognitive disorder and fairly clear speech, but for the purposes of this module you should imagine that he has spastic version of cerebral palsy, little control of his limbs, and finds speaking very difficult. While he seems comfortable speaking with his daytime caregivers who have known him for many years, he is shy around strangers. When you ask him to tell you what happened, he turns his head away, looks down at his lap, and just shakes his head. Since he has a private room, there were no witnesses around. His caregivers have told you that he undoubtedly knows what happened, but is afraid to tell anyone. When the possible perpetrator's name is mentioned, he shakes his head, rolls his eyes, and moves his limbs in an agitated manner. The daytime staff are convinced that he was mistreated. The overnight staff member denies any wrong doing, claims that he was unaware of any bruises, and has implied that the marks had either been sustained while the day shift was on duty or had been self-inflicted.
The Online links:
Root Cause Analysis
Root cause analysis is a method of using systems thinking to trace a problem through to its roots cause or causes. It is used effectively in investigation accidents and other safety concerns. The article below discusses root cause analysis in determining sources of industrial accidents, a very useful application of this technique. Archetypes for Organisational Safety - Karen Marais and Nancy G. Leveson
The following website covers "root cause analysis for beginners". It demonstrates how root cause analysis can be used in investigations of various kinds as well as in quality control. http://www(dot)asq(dot)org/pub/qualityprogress/past/0704/qp0704rooney.pdf.
Incident Analysis: Work Settings
Canadian Center for Occupational Health and Safety www(dot)ccohs(dot)ca/oshanswers/hsprograms/investig.html. This Canadian site provides a relatively simple, yet clear description of accident investigation using systems theory.
Investigation in the Child Welfare System
U.S. Department of Health and Human Services Administration for Children and Families
Child Welfare Information Gateway
"A Coordinated Response to Child Abuse and Neglect"
http://www(dot)childwelfare(dot)gov/pubs/usermanuals/foundation/index.cfm
This is an extremely interesting article in a very comprehensive site. Chapter Nine on the Child Protective Process is particularly useful.
Investigating Sexual Harassment
http://www(dot)bankersonline(dot)com/operations/gp_investharass.html
Top 10 tips for conducting an effective sexual harassment investigation - http://www(dot)hrhero(dot)com/hl/articles/2012/07/31/top-10-tips-for-conducting-an-effective-sexual-harassment-investigation/
Analysis of Management Decisions
Jose Blanco, John H. Lewko, David Gillingham "Fallible Decisions in Management: Learning From Errors". Disaster Prevention and Management. Bradford: 1996. Vol.5, Iss. 2; pg. 5. This article available in full text from the ESC library discusses the use of incident analysis in investigation of particular events and in prevention planning.
http://www(dot)ccohs(dot)ca/oshanswers/hsprograms/investig.html
Root Cause Analysis and Mental Health Incidents
Suzette Woodward, Mike Rejman, Kathryn Hill. The Mental Health Review. Brighton: Sep 2004. Vol.9, Iss. 3; pg. 17, 4 pgs

Case Study Sample Content Preview:

Report Findings
Name:
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As the administrator of the group home which this incident happened, it is my responsibility to get to the bottom of the matter. I am dealing with Adam, a 27-year-old male who is physically and mentally disabled. He suffers from a spastic version of cerebral palsy therefore he has little control of his limbs, finds it difficult to communicate and is confined to a wheelchair. The incident in question is said to have happened at night and Adam has physical injuries on his legs and back. Mike, a nightshift worker is the main suspect, one because the incident happened at night and a verbal confirmation from Adam. Another side to the story is Mike points out that the injuries might have happened during the day shift or are self-inflicted. Since there were no witnesses, we are left with he said and he said situation and can’t pass judgment without giving Mike the benefit of the doubt. To uncover the truth, I will utilize the two tools of the root cause analysis, the 5whys and scatter plot diagram to find a correlation between the events.
The 5 whys
With this method, I am going to ask a series of questions in a successive manner successive to deduct the information present regarding the incident. CITATION Pau18 \l 1033 (Foster, 2018)
* Can the victim communicate? (1st why)
Despite Adam being physically and mentally disabled, he has a fairly good ability to communicate. However, due to his moderate-severe mental retardation, his speech is often slow and slurred. His caretakers have over time been able to understand what he is saying with ease and it seems that Adam is also comfortable interacting with them. He is, however, a shy individual and finds it difficult to talk to strangers therefore my interaction with him was not going to provide me with the needed answers.
* Why it is difficult to get the needed answers? (2nd why)
Since Adam feels free to communicate with the caregivers, he told them the cause of his bruises when asked about it. “Mike hit me,” he said which is the first piece of information since he stays in a private room and there were no witnesses. When I try to ask him the same question, he turns his head away, looks down at his lap, and just shakes his head. The caregivers already know the information and they tell me he is just afraid to tell anyone about the incident.
* Why is Adam afraid? (3rd why)
First of all, he is a shy individual and finds it difficult to talk to strangers, explaining why he fails to confide in me. Also, he has been a victim of a possibly traumatic experience from the physical abuse therefore he is reserved about telling anyone other than his caregivers. He seems to get along with the caregivers because they take care of him every day. Other than that might view them as his caregivers or friends and under these circumstances, he sees them as the only people capable of protecting him.
* Why does he not confide in me if he seeks a protector? (4th why)
Shyness aside, having an unknown individual asking him about the event seems like an interrogation which puts more pressure on him. Since am the one tasked with handling the matter, he views me as the authority figure capable of making de...
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