Assessing Client Families Essay
Assignment 1: Practicum – Assessing Client Families
Introduction
Comprehensive family assessment involves evaluating the interactions in a family setting in order to determine factors that affect the family members. Accordingly, the assessment involves interviewing the children and other family members, collecting and analyzing the information, in order to identify the root cause of a specific problem within the family setup (Saltzman et al 2013 & Freedman, 2014). This assist will present a family assessment for a specific family. In accordance with the HIPAA regulations, anonymous names will be used to safeguard the confidentiality of the clients.
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Demographic Information
The family is made of four family members namely, Roderigo (father), Monica (wife), Lupita (daughter), and Lisa (daughter). Roderigo is a 38-year-old Africa American male, while Monica is a 36-year-old Latino female. Roderigo and Monica have two daughters Lupita (7 years) and Lisa (5 years). The family does not own a home but both Roderigo and Monica work as casual workers in a local company Assessing Client Families Essay.
Presenting Problem
A family friend visited the local children welfare offices and informed the available social worker that the parents were mistreating their children. On that material day, the father had physically abused both girls until the first-born daughter fainted. The family friend further reported that on many occasions the girls went without food as a punishment for any wrongdoing. The family friend further reported that the parents have been abusing their children for a very long time.
History of Present Illness
Roderigo reported that, on the material day, he was just about to go to work when he realized that a part of his money was missing. The two daughters denied having seen any money and therefore he decided to beat both of them in order to get the truth Assessing Client Families Essay. The mother was in the house but did nothing to save her daughters from the beating. Youngest daughter managed to get out when the father was still beating the sister and alerted a neighbor, who in turn called their family friend. The family friend decided to report the issue to the children welfare department.
Past Psychiatric
Roderigo disclosed that he diagnosed with borderline personality disorder when he was 16-years-old. No one else in the family has a history of mental health problem.
Medical History
No one in the family has any notable health problem
Substance use History
Roderigo reported that during his teenage years, he used to occasionally smoke marijuana and cocaine. However, he quit substance abuse when he turned 21-years after a cocaine overdose.
Development History
This element needs further assessment
Family Psychiatric History
Roderigo was once diagnosed with a borderline personality disorder. His father suffered from schizophrenia while his mother is still living with bipolar 2 disorder. No other significant history of psychiatric illness. Assessing Client Families Essay.
Psychosocial History
Roderigo, Monica, Lupita, and Lisa stay as a nuclear family. Both Roderigo and Monica work as casual workers. The family occasionally go out together over the weekend to enjoy each other’s company.
History of Abuse/Trauma
Monica was sexually abused by a relative when she was 15-years and underwent counseling therapy to overcome the trauma. Roderigo reported that he grew up in a dysfunctional family and his father always battered the mother and children as well.
Review of Systems
A further assessment is needed Assessing Client Families Essay
Mental Status Exam
All family members were oriented to time and place. The entire family participated in the therapy to ensure the root cause of the family problem was identified.
Differential Diagnosis
The father emotional swings, explosive anger issues, and borderline personality disorder and abusive towards his two daughters
Diagnosis
Child abuse and anger issues
Case Formulation
A family friend reported to the social worker at the local children welfare offices that Roderigo and Monica had been abusing their two daughters. On that material day, the father had physically abused both girls until the first-born daughter fainted. The family friend further reported that on many occasions the girls went without food as a punishment for any wrongdoing. The concerned social worker recommended Roderigo and Monica to undergo parenting classes while Roderigo also undergoes anger management therapy to help him manage his anger issues.
Treatment Plan
Treatment Goals
Roderigo and Monica will develop age-appropriate and effective disciplining strategies
Roderigo effectively control his explosive anger Assessing Client Families Essay
Treatment Strategies
Roderigo and Monica will undergo parenting classes twice per week and also Roderigo will attend anger management therapy one time weekly. Roderigo and Monica will be educated on the appropriate parenting and how to handle indiscipline in their children. As a result, they will use appropriate disciplining approaches (Wheeler, 2014). On the other hand, the anger management classes will ensure Roderigo is able to manage and control his anger any time the children misbehave.
Estimated Completion period: 3 Months
Social Support System
- Colleagues
- Friends
- Relatives
References
Freedman, J. (2014). Witnessing and positioning: Structuring narrative therapy with families and couples. Australian & New Zealand Journal of Family Therapy. 35(1), 20–30.
Saltzman, W. R., Pynoos, R. S., Lester, P., Layne, C. M., & Beardslee, W. R. (2013). Enhancing family resilience through family narrative co-construction. Clinical Child and Family Psychology Review. 16(3), 294–310.
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.
Students will:
Assess client families presenting for psychotherapy
Develop genograms for client families presenting for psychotherapy
To prepare: Assessing Client Families Essay
Select a client family that you have observed or counseled at your practicum site.
Review pages 137–142 of Wheeler (2014) and the Hernandez Family Genogram video in this week’s Learning Resources.
Reflect on elements of writing a comprehensive client assessment and creating a genogram for the client you selected.
The Assignment
Part 1: Comprehensive Client Family Assessment
Create a comprehensive client assessment for your selected client family that addresses (without violating HIPAA regulations) the following:
Demographic information
Presenting problem
History or present illness
Past psychiatric history
Medical history
Substance use history
Developmental history
Family psychiatric history
Assessing Client Families Essay
Psychosocial history
History of abuse and/or trauma
Review of systems
Physical assessment
Mental status exam
Differential diagnosis
Case formulation
Treatment plan
Note: I f no information for medicines or past medical history clarify needs to be added, or no reported.
Part 2: Family Genogram(selected any family genogram)
Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).
Required Readings
American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.
Standard 5B “Health Teaching and Health Promotion” (pages 55-56)
Nichols, M. (2014). The essentials of family therapy (6th ed.). Boston, MA: Pearson.
Chapter 8, “Experiential Family Therapy” (pp. 129–147)
Chapter 13, “Narrative Therapy” (pp. 243–258)
Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice. New York, NY: Springer. Assessing Client Families Essay
“Genograms” pp. 137-142
Cohn, A. S. (2014). Romeo and Julius: A narrative therapy intervention for sexual-minority couples. Journal of Family Psychotherapy, 25(1), 73–77. doi:10.1080/08975353.2014.881696
Note: Retrieved from Walden Library databases.
Escudero, V., Boogmans, E., Loots, G., & Friedlander, M. L. (2012). Alliance rupture and repair in conjoint family therapy: An exploratory study. Psychotherapy, 49(1), 26–37. doi:10.1037/a0026747
Note: Retrieved from Walden Library databases.
Freedman, J. (2014). Witnessing and positioning: Structuring narrative therapy with families and couples. Australian & New Zealand Journal of Family Therapy, 35(1), 20–30. doi:10.1002/anzf.1043
Note: Retrieved from Walden Library databases.
Phipps, W. D., & Vorster, C. (2011). Narrative therapy: A return to the intrapsychic perspective. Journal of Family Psychotherapy, 22(2), 128–147. doi:10.1080/08975353.2011.578036
Note: Retrieved from Walden Library databases.
Saltzman, W. R., Pynoos, R. S., Lester, P., Layne, C. M., & Beardslee, W. R. (2013). Enhancing family resilience through family narrative co-construction. Clinical Child and Family Psychology Review, 16(3), 294–310. doi:10.1007/s10567-013-0142-2
Note: Retrieved from Walden Library databases.
Required Media
Governors State University (Producer). (2009). Emotionally focused couples therapy [Video file]. Chicago, IL: Author.
Note: You will access this media from the Walden Library databases. The approximate length of this media piece is 115 minutes.
Laureate Education (Producer). (2013b). Hernandez family genogram [Video file]. Baltimore, MD: Author. Assessing Client Families Essay.