SOWK 543
Assignment #2: Psychosocial Assessement
Winntrest Hampton
February 24, 2015
Professor: Victoria Winsett
I. STUDY
A. Identifying Information:
The client is a twenty-four year old Caucasian male from Arlington, Texas. He currently lives at home with his wife in Medical Lake, Washington. Client has been honorably discharged from the military after serving for six years. He has been home about 5 months. He is currently employed as a security guard for a private company. Client reports that he is used to the structure and organization of the military and is having a hard time adjusting. Client reports since he’s been home, he and his wife argue and fights all of the time. Client reports his wife says he is moody all of
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Client reports since he’s been home from the military he and his wife argue often. Client reports the ending result is not resolve; leaving him frustrated and confused; which leads to anger. Client reports unable to control his anger. Client reports he has attempted to rectify the situation by asking his wife on a couple of dates. The client states she turned him down, causing more frustration, anger, and confusion. Client states he has never had therapy prior to coming to this agency. Client states he does not really want to be here, but “if it is the only way to make things the way they were with his wife, he will give it a try.” Client seeks to learn how to re-build a relationship with his wife and no longer wants to fight. Client reports wanting to “feel happy about life again.”
D. Client’s Description and Functioning:
Client typically arrives to the sessions in t-shirt and jeans. Client’s clothes are clean. He is sometimes clean shaven and sometimes not. Client’s hair is always groomed. His posture is relaxed at times, but no direct eye contact. Client is typically engaged during sessions and is compliant. His mood is up and down. He reports difficulty expressing and communicating within his relationship with his wife. Client reports “he will do whatever it takes to make things the way they used to be with his wife.” He reports that he and his wife were only married six months before he left for the military.
The intervention that was implemented was the invitation for the father to participate in the therapeutic sessions with his son and ex-wife. I explained the client’s recent behavior and the subsequent admittance to my agency. I clarified that the client’s behavior worsens after their divorce which is evidenced by the increased disciplinary infractions he received at school. The client also became more combatant and argumentative with his mother and siblings as reported by them. I proposed the idea of meeting for a family therapy session to uncover the cognitive reasons behind the
The client?s wife asked him to seek help and made the appointment with a VA psychiatrist as well as myself (LCSW) and took him to his initial appointments.
Steve Titensor is a Licensed Marriage and Family Therapist, he is my father-in-law, and I found our interview insightful into the mental health field. Even though he knows I am going into social work and we casually talk about his profession and experience, we’ve never discussed many of the questions from this assignment. Currently he is employed at First Step House, an organization that helps individuals struggling with substance abuse and mental health disorders as the Fatherhood Program Manager. He works with men who have children and are working on goals to regain custody. Previously, he worked for Salt Lake County Youth Services and as a Chaplain at Hill Air Force Base for over 25 years. He’s also been employed as a therapist at LDS Family Services and private practice in his home for over 20 years. He has a vast amount of experience, and it is obvious that he enjoys and is passionate about his profession.
MT has build rapport with the client to help him with stress management strategies and coping skills. The client is currently staying with another family member for the summer and through this change of environment has allow the client to accept the treatment and work on bettering himself as the client has had no behavior incident since being discharge from Dover Behavioral Health to his other family member house. The client’s MT will continue to provide the client resources to help him control his emotion and express himself to others, which would provide help when he moves back with his guardian. In addition, the MT will assist the client’s guardian in improving communication with
The client is a 26 year old, single, male, African American. He is an active duty ship’s serviceman seaman serving in the United States Navy, aboard the USS Belleau Wood (LHA-3). Seaman (SN) Fisher is residing on board the USS Belleau Wood (LHA-3) that is permanently stationed at San Diego Naval Base, 32nd Street in California. SN Fisher was given orders to report to Navy Mental Health Services Department on base as Involuntary Command Referral for diagnosis and treatments, to get an evaluation and expert psychiatric recommendation about whether the service member is mentally fit to stay in the United States Navy. SN Fisher is unwilling to begin counseling,
* I don’t believe it is in the best interest of the original client (the husband) for the counselor to offer marriage counseling to the couple. The scenario does not address the training of the counselor in this field. If I were the counselor, I would continue to see the husband, dealing with his issues and refer the couple to a marriage counselor.
Behavior: Client reported lack of motivation to do anything such as accompanying his wife to run errands, going to the gym, getting back to school. Client reported enjoying working out before he got out of the military. He reported his unmotivated behavior caused many problems between him and his wife and it was taking a toll on their marriage. In addition to having problems with their marriage, he reported having difficulty to sleep. Client appeared stressed and feeling unease during the session with the social worker (SW). He also reported feeling uncomfortable when being around many people. He gets agitated easily especially when he hears people overly concerned with trivial matters knowing that there are people in other parts of the world who do not have clean water to drink and decent food. Client reported feeling unhappy since he returned from deployment but does not know why.
The client, Sally, is a 28 year old, African American woman who is an active duty veteran stationed at Fort Lee, Virginia. She is a relationship, has no children, and is from the Midwest, were the majority of her family currently lives. She joined the military right after high school and has served since. After returning from her tour in Afghanistan a few months ago, she exhibited symptoms that led to her diagnosis of PTSD. She has not sought counseling despite numerous referrals. Recently, several of her fellow comrades decided to host a party in a nearby hotel to celebrate coming home
Solicitors (Scotland) (Client Communication) Practice Rules 2005 made it mandatory from the 1st of August 2005 for all solicitors to issue an engagement letter. These rules are now stated in Rule B4 within the Law Society of Scotland Practice Rules 2011 (hereafter, rule B4). Rule B4 provides that upon receiving instructions from a new client, it is mandatory a solicitor to issue the client with an engagement letter at the earliest practicable opportunity. The rule states that this engagement letter effectively forms a contract between the solicitor and the client and the terms of the letter set to govern the solicitor-client relationship.
For this client system assessment, I have chosen a client I engaged with while at work, my client’s name is Keith. Keith is 34 years old and has had many unfortunate circumstances surrounding his life, beginning with his birth. Keith’s family system consists of himself, his mother and two step siblings. Keith was unfortunately the product of a rape, witnessed repeated domestic abuse situations with his mother’s boyfriends and husbands, was abused himself and to this day, Keith continues to suffer in all domains: emotionally, mentally and physically. I will assess Keith’s family system as well as Keith as an individual utilizing Erikson’s Psychological Stages of Development, Bowman’s Family System Theory and Marcia’s Identity Status Model.
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.
For the story the Great Wall of China is a series fortifications in northern China that was built to protect the northern borders of the Chinese Empire against the intrusion of various nomadic groups. The company has about 30 subsidiaries and 38,000 employees working for them. Taking a look at the products Great Wall Motors has to offer, it includes three categories of “Haval SUV”, “Voleex Sedan” and “Wingle Pickup”. Great Wall Motor has been winning a few awards. It has been listed in the “Forbes Top 100 Chinese Enterprises” twice, had gain honours of "China 's 500 Most Valuable Brands", "Most Valuable Listed Automobile Company" and "No. 1 of Top 10 Listed Chinese Automobile Companies".
In the vignette, it is mentioned that the client Julie, a 34-year-old African American female, is calling about her son 12-year-old son Derik, who seems to be having an adjustment issue relating to her recent marriage to John. Although Julie indicated that she is calling on behalf of her son’s adjustment problem, she spends most of the time talking about her dissatisfaction at work and within her romantic life. When approaching this case through a solution-focused lens, I would stress to her that anyone who is concerned about the problem situation (Derik’s adjustment problem, although it is apparent there are other issues) should attend the sessions. In the initial intake phase, little information is taken, understanding that the client is the expert in what needs to change; as the therapist, my role is to help her access the strengths she already possesses.
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.
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.