CASE STUDY THE ADAMS FAMILY
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1. Assessment – this consists of three
subsections.
a. Assessment Process: Briefly
describe how you would have established rapport with the client. What skills do you think will be successful
in developing a working alliance with the client? This includes describing “use of self” in
establishing a therapeutic alliance.
Discuss factors related to your and your client’s cultural background
(e.g., similarities, differences, etc.).
Personal and environmental strengths (resources and skills) as well as
challenges (deficits) for the client.
These include personal appearance, health and hygiene, response to life
cycle changes, use of alcohol and other drugs, intellectual functioning,
cognitive flexibility, functional/dysfunctional beliefs/behavior patterns,
judgment/self-control, emotional range, appropriateness of emotional display,
cultural identification, acculturation, motivation, etc.
b. Environmental strengths and
challenges – evaluate the client’s environment, addressing the following areas:
primary support group (e.g., family, relationships with parents, siblings,
partner, children, stability of relationships, etc.), social environment (e.g.,
friends, availability of and participation in recreation, availability of and
involvement in social/cultural/religious organizations), education (e.g., level
of education, adequacy of educational environment, relationship with
teachers/classmates, opportunities for self-development/education), occupation
(e.g., work opportunities, employment status, safety and stability of work,
work schedule, satisfaction with job, relationship with employer/coworkers),
housing and neighborhood (e.g., safety adequacy of space, stability of living
arrangements, security/police/fire protection), economic issues (e.g., adequacy
of financial resources, sources of financial support, financial obligations),
health/social service issues (e.g., availability of services, relationship with
service providers, adequacy of health insurance), legal system (e.g., legal
actions, arrest, crime victim), other issues (e.g., adequate transportation).
c. Goals and objectives – briefly summarize three
concerns/problems selected for change and goals for these concerns. These goals and objectives will be developed
by you, based on what you believe the client would express as a priority. Define concerns in an ecological context and
operationalize them so a concrete goal can be established.
2. Preliminary Intervention Plan –
discuss future directions for work with the client. This should include a discussion of the
interventions to be used to move the selected concerns from their current
status to the goals and objectives.
Concerns and goals – identify and specify three (3) central
problems/concerns for this client in order of priority. Treatment plan – propose a course of
treatment including number of sessions, setting, treatment modality, etc. Identify who you would target for the
intervention? How would your
intervention be culturally competent?
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