Plan Journal

A. To create context for your Plan section,summarize your assessment of your client’s case by describing the outcome of the application of the
developmental theory.

B. Describe any specific ethical and cultural considerations you will make when working with this client, based on your assessment of his or her
case.

C. Based on yourdescription ofthe client’s current state, in regard to his or her career and work history, describe any specific considerations you
will make when working with the client.

D. Explain the client in terms of his or her overall wellness and mental health status. Use your assessment to inform your explanation.

E. Based on the client’s overall wellness and mental health status, describewhat needs to be addressed to get the person to a state of mental
wellness.

Case Study In reference:
Mary is a 21-year-old African American female, self-referred for inpatient treatment due to drug and alcohol use. She is from and still lives in New York
City. She is currently unemployed and homeless and has charges pending due to a number of “bounced” checks written over the past several months.
Mary has had several part-time jobs that she has been fired from or she abruptly quit. While in high school, she had aspirations of being an architect.
Mary’s motherwas a heavy drug userwhile pregnant with her.WhenMary was born, she was addicted to crack and spent several month s in the
hospital. Mary reports that both of her parents were drug addicts and she experienced physical, sexual, and emotional abu se throughout childhood at
their hands. Her father died of liver disease at the age of 37.
Mary also reports that at the age of 14, she was kicked out of her family’s home because her father suspected that she was gay. Although they livein the
same town, she has not had any contact with her mother for 7 years. Mary describes her relationshipwith her older sister as “fair.” Mary is not presently
involved in a steady relationship, but she does have a network of friends in the local gay community whom she has been staying with off and on. Mary
has serious trust issues and does not have anyone she can open up to in her support network. At the time that she left home, Mary survived by
becoming involved in sexual relationships with oldermen, many of whom were also abusive. She has had numerous sexualpartners (both male and
female) over the past 7 years, has traded sex for drugs and money, has had sex under the influence of drugs and alcohol, and has been made to have sex
against her will. Mary struggles with her identity and sexual orientation and considers herself as bisexual, not gay.
Mary first used alcohol at age 14, when she had her first sexual encounter with a man. She began using other drugs, including inhalants and marijuana,
by age 16 and amphetamines and cocaine by age 19. At 21, four months prior to entering treatment, she began using crack.

Last Completed Projects