questions

case part 1

case part 2

case part 3

Read the Crossroads Center case and answer the following questions: 1. How would you summarize the current situation at the Crossroads Center? 2. What is the client looking to accomplish? What challenges exist for the client in accomplishing his objectives? 3. How would you design an engagement that uses dialogic OD practices to assist this client? The Crossroads Center was founded 16 years ago as a nonprofit drug and alcohol treatment center for adults and adolescents. The center isted inquit, rural area shout in hour from a major hacer como se purate cream-colored buildings that encircle a large park, walking paths, and a duck pond. Except for a small almost hidden sign on the main building, most comme members cannot distinguish the center from any other set of office buildings or detached apartment units located in the spy town The conter has two segments of operate differently depending on the patient's age. The first is an adult treatment facility, where treatment primarily costs of support provided by psychologists and license therapists. Adults who coroll at the center usually find out about it through their health insurance provider, which pays 100 percent of the center's fees for up to 30 days of inpatient treatment and 30 outpatient visits. The center's staff can support up to 120 adults at any given time The second part of the center is adolescent residential treatment facility, where pas live together in the facility and are supported by a network of clinical psychologists, physicians, nurses, addiction cold therapists. The center also provides staff teachers who give educational assistance while the patients live at the center, which can last for up to 8 wecks depending episode. The residential cewe is much more spesie to operate, given the additional staff and hinged so there are typically just 10 to 40 patients living at the center at any point in time The finding sources for the adolescent treatment facility include insurance as well, but also grants and foundations as well as federal and state program Darrin Spoldi was appointed director of the center almost 3 years ago. During his short the center received three new grants from national forces and increased by me thind the number of patients that the center has reached Darrin called Lisa Rodriguce late with an urgentest The center was at risk due to a new lande meded some advice to avoid the worst case scenario "I'm really glad that you're here." Dard, as he and Liss walked along the sidewalk path otside the center. We're in a desperate station, and we donde something so we may not be able to keep the center open You sounded very concerned when we pake last week." Lisa admitted. But I had thought when we spoke a few months ago that things were og se well "Exactly." Durin said quietly looking down at the weeds on the cage of the sidewalk had just a major grant and our funding some more sold at any point during my time here. Ironic, as it turns out. Things were sailing smoothly until just recently. In fact, jeta few weeks ago we concluded our yearlong study on adolescent recidince we hned the additional therapist staff Recidivism? What's that Lisad "It's our return rate. We follow up with our patients after they leave the center to see how they are doing and whether they are able to maintain the skills they leam during their time here or whether they need to returns to come for additional treatment. We found out that our patients are the lowest rates of return to drag and alcohol abuse among miers like ours in this region. In fact, the rate has proved by about 15 percent over a few years ago "To what do you attributesLisa wondered "There's no question. It's both our teachers and our therapists. Durin and confidently. Patient after patient in the study we did reported that they had incredible support from the therapists, and having the teaches here on staff kept them focused on their studies, so that when they returned to school they had little difficultymaig About a year and a half apo we added three new therapists to the staff, and the change was incredible I know how good or work is here I've worked in treatment facilities like this throughout my carcer, and this is the most successful model I've seen. "Tell me about what's cousing your concem for the center" Lisa kod Let me summarize. A highly successful local center is going to close because of a state law that holds unintended consequences, and the closure will affect a large number of patients, staff, and community members. It seems to me that there are a lot of groups that have a stake in this center being successful and continuing to operate. There are the patients and staff, obviously, but also the patients' families, the grants and foundations that contribute to your success, the community, even the state legislature," Lisa concluded. "You've got it, Darrin said quietly. Lisa continued, You have a lot on your shoulders here. I can see that it's affecting you a great deal personally. What do you think of bringing together a larger group to help you decide what to do? We could keep it to your staff, or we could invite members of these other groups." "It sounds like a good idea," Darrin agreed. And at this point I'm at a loss about what to do next, so I'll take any suggestions. Tell me more. Who would we invite? How long would it take, and how would it be structured?" "Let me think more about that. I can get you a proposal quickly and we can get started as soon as possible, Lisa said. "For the first time in a few weeks, I'm starting to feel hope," Darrin smiled. I'm looking forward to your proposal.