Spiritually Modified Cognitive Behavioral Socw611

Spiritually Modified Cognitive Behavioral Socw611

Biopsychosocial Holistic Approach

Respond to at least two colleagues who chose a different intervention and provide insight and/or feedback.

Support your responses with specific references to the Learning Resources. Be sure to provide full APA citations for your references.

Response to Hilda,

Elderly spirituality is significant because it can improve mental health. According to Monod, Martin, Rochat, Buela, & Spencer (n.d.) “Spirituality is an important component of quality of life, and a resource in patients coping with illness” (p. 1). Addressing spirituality in the elderly population can assist with positive life outcomes.

The Spiritually Modified Cognitive Behavioral Therapy (SMCDT) can be used to assist the elderly population. The use of SMCDT was effective in reducingsybsyndromal anxiety and minor depression in this population. The treatment consisted of a group meetings using non-denominational, pray wheel. “The Prayer Wheel is a non-denominational, standardized, replicable and structured format for praying that was developed by Canadian psychiatrist Rossiter-Thornton” (2000) for use in his private practice. “The wheel contains eight components; each designed to be completed in approximately five minutes. For this study the wheel was changed to be used in a group setting” (Doris, et al., 2002 p.159). During the group meeting the participants wrote the answers to the eight component questions in a notebook. They had the option to share their answers, but it was not mandatory. The reduction was measured in six-month intervals.

I am not a proponent of using spirituality as an intervention or in conjunction with other interventions. However, as a social worker I am aware of the need to be flexible and open minded to all treatment options. According to Holosko, Skinner, Patterson, & Brisebois (2013) “Interventional strategies have become more strategic, multidimensional, and time framed as needs arise” (p.210). I would not proactively use spirituality as an intervention, but I am not opposed to it if the client requests or the assessment identifies it as the best option.


Doris, R., Elizabeth, M., Christine, B., & Risa, L. (2002). The Effectiveness of a Spiritually-Based Intervention to Alleviate Subsyndromal Anxiety and Minor Depression Among Older Adults. Journal Of Religion & Health, (2), 153.

Holosko, M. J., Skinner, J. F., Patterson, C. A., & Brisebois, K. (2013). Intervention with the elderly. In M. J. Holosko, C. N. Dulmus, & K. M. Sowers (Eds.), Social work practice with individuals and families: Evidence-informed assessments and interventions (pp. 197–235). Hoboken, NJ: Wiley.

Monod, S., Martin, E., Rochat, E., Buela, C., & Spencer, B. (n.d). Validation of the Spiritual Distress Assessment Tool in older hospitalized patients. Bmc Geriatrics, 12


Response to Judy

The significance of addressing spiritual wellness among the elderly is the mortality rates improve with a healthy spirituality. While working in Palliative care, spirituality is considered a crucial part as is psychological, social or physical support. Spirituality has shown to have a positive effect on elderly patients that are facing long-term illness, disability, and even death. It helps the patient to cope whether illness or a life-threatening event. Many studies have documented significant associations between spirituality and better mental, physical, and functional health, especially in cancer, HIV, and hospice patients (Monod et al., 2010). There are however undesirable outcomes associated with negative thoughts of spirituality. Patients at time blame God or think the Devil is causing the illness. These types of thoughts equated with increased mortality rates. Spirituality gives people hope, strength, and purpose of life. When a person loses or doubts about something that is such a huge part of them, it can have devastating effects.


Spiritual Distress Assessment Tool or SDAT to assess patient’s spiritual needs. This process resulted in the definition of the SDAT, that is, a formalized assessment procedure to identify

unmet spiritual needs, to score the degree to which spiritual needs remained unmet and to determine the presence of spiritual distress (Monod, 2010). In preliminary studies conducted the SDAT was acceptable to asses the spiritual needs of elderly patients.


Spirituality is of vital importance for this population. The mortality rates as I stated above are enough to warrant the necessity of such a value system. Elderly patients with a positive outlook towards spirituality had a lower mortality rate. Those that had a negative outlook had a higher mortality rate. Spirituality gives meaning, purpose and hopes to all of us, not only those that are ill. The elderly population has a better outlook on illness, disability, and even death when they have their spirituality to lean on.



Monod, S. M., Rochat, E., Büla, C., J., Jobin, G., Martin, E., & Spencer, B. (2010). The spiritual distress assessment tool: An instrument to assess spiritual distress in hospitalized elderly persons. BMC Geriatrics, 10, 88. doi: http://dx.doi.org.ezp.waldenulibrary.org/10.1186/1…

Biopsychosocial Holistic ApproachRespond to at least two colleagues who chose a different intervention and provide insight and/or feedback. Support your responses with specific references to the Learning Resources. Be sure

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