chapter  19
10 Pages

Steps to an Ecology of Treatment: A Handout for Clients with Diabetes

ByShoshana D. Kerewsky

Type II diabetes is rampant in developed countries. Although Type II diabetes is on the rise in children, for most people it is a health concern acquired in adulthood. Self-care for diabetes requires attention to diet and exercise and, in some cases, significant changes in these behaviors. Because food and weight have personal, relational, and cultural meanings, clients with diabetes may have difficulty making and maintaining new health-promoting habits. These handouts and related discussion use aspects of Bronfenbrenner’s ecological model (1989) to increase clients’ and families’ awareness of internal and external factors that contribute to or detract from the client’s engagement in more salutary practices. A more inclusive handout allows the therapist to explore these issues in more depth for purposes of treatment planning and further inquiry.