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Legal Standards
According to the case, a Pacific Islander family received a letter in which the apartment management company claims that Anamalia should move house because some of her neighbors are scared of noise during family arguments. As a reply to this issue, intervention in the care plan suggests legal assistance to avoid eviction. Although it is mentioned in the case that Amalia is having difficulty making the rent payments, it is not the main reason for removal stated in the letter, but it is fear of her neighbors. In this case, the apartment management company discriminates against the woman having a family with children. Moreover, Anamalia has recently finished her MA degree and is applying for jobs at a local hospital. Thus, she will be able to pay the house rent again.
Therefore, legal assistance aligns with legal standards about helping the family with children avoid eviction, which is considered by interventions in a health care plan. However, neighbors also can have a right to be scared of family fights, and legal help to Anamalia can not align with legal standards on safety. To change the situation according to legal standards, Anamalia needs to find a job to pay the rent and get special parenting classes to stop fights and terrifying neighbors.
Ethical Guidelines
As Anamalia experiences difficulty paying the rent and buying food for children, intervention suggests emergency assistance to provide her with groceries. According to Iserson (2020), the populations health depends not only on disease and injury management but also on recognizing and meeting patients basic needs, such as safety, food, and clothing. Therefore, intervention aligns with ethical guidelines and the necessity to satisfy basic needs. Moreover, it is mentioned that the family has strong ties to the local Pacific Islander community. This fact means that it will be easy for Anamalia to enter parenting classes: no one will judge her because they have strong ties, which is considered in the interventions of the care plan. I do not think that there are some places where interventions do not align with ethical guidelines in this case.
Primary Crises
Primary crises include situations where the family is in immediate need: housing, treating acute health conditions, absence of healthy food and clothing. In this case, Anamalia needs accommodation (because she might lose it), Eloni and Kolomalu need healthy food and mental health counseling. Interventions fully respond to these needs: legal help in avoiding eviction and mental health treatment are suggested.
The assistance in housing and food benefits the family so that they can focus on other issues. For instance, Anamalia may concentrate on finding a job, paying the rent, and entering parenting courses without feeling anxious about basic needs. The only issue that is not discussed in the care plan from the immediate need is clothing, but it is not stated that the family lacks it. If there is a need for clothing, neighbors may collect their staff to help Anamalias family because they have strong ties.
Secondary Crises
Secondary crises include health care treatment for chronic conditions, education, financial, mental, and job stability. The family experience nearly all of the mentioned secondary crises but chronic conditions. Eloni has been suspended from school; therefore, some education courses or home education should be provided for him, which the care plan does not consider. Both children experienced mental issues: their previous stepfather abused Eloni, and Eloni abused his little brother Kolomalu. Moreover, it is problematic for Anamalia to find a job and pay the rent, but interventions only suggest legal help in avoiding eviction, which might be insufficient.
Thus, the care plan addresses secondary crises to a small extent, solving only the issues of mental traumas. Interventions should recommend some jobs in local hospitals to a woman with an MA degree, which would solve financial and housing problems. Therefore, having money, Anamalia will afford home education for Eloni if it will be necessary. Moreover, it is stated that Eloni can be addicted to drugs, but no interventions are provided; therefore, some treatment should be suggested.
Tertiary Crises
Tertiary crises refer to healthy environmental conditions, appropriate after-school care, ongoing supports for the family, and other longer-term issues. As it is seen from the apartment companys letter, some of the neighbors are scared of family fights in Anamalias house. At the same time, the family has strong ties with the local community; thus, they might want to help her going through the crisis. However, interventions do not suggest any measures concerning long-term issues. The tertiary intervention that would address crisis can be an organization of local parental meetings, which will help families reveal similar issues and discuss problems. This suggestion would benefit clients in a way that parents will know what others experience and what childrens behavior should be alarming.
Importance
The Pacific Islander family has been through different levels of crisis: primary (problems with housing, lack of food), secondary (financial, educational, job, and mental health issues), and tertiary (fear from neighbors, possible crises in future). If all the listed problems are not addressed, Anamalias family will be destroyed quickly: they will be evicted from the house and starving, having their mental issues unsolved. Suggested interventions differ so that some of them aim to solve short-term problems, such as housing and groceries, while others try to deal with long-term issues, such as violence and mental traumas. However, they all complement each other, making the family stable in all senses.
Reference
Iserson, K. V. (2020). Providing ethical healthcare in resource-poor environments. Springer Netherlands, 32(4), 293-312.
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