A Brief Description Of The Client

Presenting Problem: She has a hx of multiple failed placements and relates being placed in the programs for her substance abuse, anger and aggression. She has 2 past suicide attempmts one from an attempted hanging and the other from attempting to jump off a building. She reported feeling homicidal 7-8 times against her stepfather. Rhonda reported physical and emotional abuse from maternal uncle and incidents of sexual assault btwn the ages of 6 and 12.

Family: Gabriel is 12 year old Hispanic male who lives in Fords NJ with DCP&P resource parent Mr. Ronny Chirichello and two foster siblings. Gabriel has been in Mr. Chirichello home for the past 19 months. Gabriel has adjusted well to Mr. Chirichello home. Mr. Chirichello holds Gabriel accountable for his acting out behaviors in school and give him appropriate consequences (i.e. taking away his cell phone, no TV, games system or outside time, etc). Gabriel responds well to Mr. Chirichello directives and house rules. Gabriel continues to have ongoing difficulties with emotional boundaries with his bio-mom. Gabriel and his sister does not have the best sibling relationship. Gabriel mention to Mr. Chirichello that before his brother passed away he and his sister was close but sine their brother’s death they do not get along.

is 8 year old Caucasian male who has a younger brother. He was taken from his biological parents who was on drugs thus client B. suffers from intense abuse and neglect. He and his brother was left with his father’s mother who had a schizophrenic diagnosis years of neglect and abuse. He had been to five foster homes over a 5 years period and to each he was abused physically, emotionally, mentally and sexually. Client B. has no friends and during the time in the foster homes, his biological mother would only call to say she is trying to getting him back. Client B. is now adopted by a new parents and is now living in a caring environment but he is still struggling with mistrust issues, hurts, and low-self-esteem and anger issues. His adoption parents is very concern and want to see him become less distressed and open to the care and love that they are sharing. Client B. has developed some medical issues which was of concern to the medical provider was called in children services to check in on

Client (AM) is a 20-year-old heterosexual African American female, born in Durham, and currently still resides there. Her primary language is English. She lives with her 13 moth old child (NM) in a one-bedroom apartment. The client is unemployed and currently receives SSI benefits. AM resides in subsidized housing because of her social security income. Client did not finish high school and has no desire to do so.

Helen has reported that she has mood swing and that she has suicidal ideation as well having feeling uncontrollable over her own body. She denies and audio or visual hallucinations. Helen is showing signs of bipolar disorder DSM 296.62.

The client’s name is Keisha, she is a female, single, sixteen years old, African American, high school student. She was transferred recently to a nontraditional high school, to complete the required credits needed to receive her high school diploma. According to her transcripts she is passing her classes satisfactorily. Keisha is scheduled to graduate on time by the summer of 2018. The client was referred to mental health counseling by her grandmother because she appears to be depressed. The grandmother stated that “student lost her mother when she was seven years old, and thinks she is sad about that” .The school psychiatric social worker referred the client to me in order to conduct a mental health assessment. Per her

The client Suzanne is a seven year old girl placed in a treatment center for emotionally disturbed children. This center helps children ages six through twelve years old. Suzanne has been diagnosed with an attachment disorder and has been placed in a group home for two years. There are two types of attachment disorders, attachment and reactive attachment (Smith, 2014). She has been meeting with a facility caseworker weekly for the last eight months. Her three year old sister, Cindy, is also placed in the facility with her. Parental rights are currently being processed to be terminated. The caseworker is looking into alternative long-term placement for the sisters. Each sister has a

The service user I chose to assess is a 17-year-old Hispanic male whose modified name is Ricardo Sanchez. I provided casework services to Ricardo for two years in my previous role as a Therapeutic Caseworker at my current workplace, the Children’s Village, a foster care agency. Ricardo was placed in foster care after he was removed from his father’s care due to verbal and physical abuse. Ricardo’s father assumed his custody after Ricardo’s mother passed over a drug overdose when he was 15. This was Ricardo’s second time in foster care. Ricardo’s first foster care experience happened when he was 10 years-old as a result of alleged physical abuse by his mother, who at the time had full custody of Ricardo. The report was made by Ricardo’s third grade teacher after noticing bruises on Ricardo’s arms. At the time, Ricardo was only in foster care for two months as

She is observed to be in this stage because she is resistant to change her behaviour. Additionally, she doesn’t have the insight to determine that “people are responsible for their own behaviour and how they react to other people’s behaviour in their environment” (C. Marino, personal communication, 2001). The client stated that she would be fine if her son “stopped causing her grief”. However, when queried about her reaction to the son’s behaviour and actions, she just simply stated that the son could rectify the situation if he “would cooperate with the London people.” The client was visibly upset during the interview and wringing her hands. When she would get to the most sensitive areas of her distress, she would make a joke and laugh at herself. However, the client stressed that she was not responsible for her distress, as it was her son’s responsibility that she was upset.

Some children are in foster care, because they were physical abuse by one or both parents. The parents have physically abused the child

The client is aware of her emotions and how they affect her relationship with her husband and children. Her awareness of her unstable mental health situation will be useful later when these emotions are addressed in counseling.

Andrew, a 17-year-old Black-Hispanic male, had been referred for a psychosocial assessment after he was placed in foster care, due to his mother’s inability to provide a stable living situation for Andrew and his brother Alex, and to address the children’s mental health needs. The ADCHS is working on providing a safe and nurturing living environment where there is appropriate and consistent support and supervision for Andrew. The ADCHS has implemented foster case management services and mental health services to address his emotional health and aid in processing his feelings and emotions currently impacting his current level of functioning. Prior to being placed in foster care, Andrew was accused of sexual misconduct by his brother. He denies

Client appears to be very sad in regards of the gunshot incident, and the fact that her friends were involved in the incident. It appears to be that although this incident did not happen to the client directly, she is very distressed by it, and she feels a lot of pain and sadness to accept this event. Client appears to be hesitated to share her emotions with her best friends in regards of the incident. It seems like client has difficulties to accept that her friends use humor to cope with the gunshot incident. It appears that client is angry at her friends' parents based on her description although client further denied it. Client seems to want to control over things that she does not have control of such as when client mentioned that she does not want her friends to go back to work yet. Although client is feeling a lot of distress from the incident, it appears that client is aware of the importance of self-care. Client would likely benefit from increase social support, and self-care

I am currently doing my field practicum at an agency named Quality Care and Advocacy Group (QCAG). QCAG is a therapeutic clinic that provides an assortment of mental health services to clients that need their psychological needs met. Some of the of the services provided at the agency are in-home counseling, behavior aid, family therapy, individual counseling, life skills, and crisis intervention. Our clients’ ages range from children to adults. Many have acute emotional and psychological disorders that they are struggling to overcome in their life. My caseload typically consists of children, elementary to middle school age. My client is an eight-year-old African American male. My client currently resides with his mother and step-father. He has a younger sister that is one-year-old and his mother is presently pregnant with another girl. The client’s natural father was murdered several months ago. The mother reported that the client feels some anxiety over his father’s death and frequently states that he misses him. The client has a strained relationship with his step-father and habitually opposes his rules. The client has been diagnosed with attention deficit hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD). This causes him to misbehave at home and school. The client repeatedly engages in altercations with other students and even staff. The client will attack students and staff with pencils by attempted to stab them. The mother has been called to the

The reporting party (RP) visited foster family on 7/6/15 and found foster father exhibiting mental health behaviors. The RP stated the foster father disclosed he suffers from epilepsy and doesn't take his medication since he doesn't need it. The RP also stated the foster father is prescribe medication due to anxiety and refuses to take the medication. The foster father believes the medication will cause him to "pass out." The RP states the home is a mess with "things all over the place." The RP did not give specific details regarding the "mess." The RP stated the foster father inappropriate behaviors caused him to "last out" at the children and confining the 5 year old child to the back of the garage. The RP stated the child has access to hazardous