Conjoint Session: Case Study

Invention: MHS actively builds a level of trust with the client and her mother during this first session. MHS greeted the client warmly with a smile and a shake hand. MHS began the session by introducing herself to the family. MHS asked the client to introduce himself to the MHS. MHS gathered information from the client’s mother. The client’s mother informed the MHS client is having trouble sharing with his sibling, allowing his sibling to talk, helping around the home and paying attention. The client said he is doing fine. He said he is nice to his brother, but he does not like his sisters because they hit him. The client’s mother said he is always moving around doing something. The mother shared that the client talks to much and he is

The therapist met with the client for the individual session to continue setting the rest of the behavior contract and to set the daily duties schedule which will reflect how he will be able to use the time management skills. The client was well prepared with the main objectives that he wants to discuss with his parents during the next conjoint session. The client discussed the components of his daily behavior contract and duties, according to his parents’ expectations which they discussed it last week. The client listed some of the future goals, which the therapist had asked the client to prepare. The client was open to sharing his thoughts and feelings about the future objectives and how he feels anxious because of his parents’ reactions

During the time of the assessment the patient was awake and alert. The patient reports that he has been continuously trying to cope with the separation from his twin sons and daughter. Patient reports it is difficult only being able to see them a few time out the week. Patient reports that thinking about the situation and all the things he has been through, has become

Response (R): The session took place in the home. At the start of the session, the mother explained to the counselor

Lisa reports that she is having a good day today. Individual was very open to talk about his past and present issues in her lifetime. Individual reports she has been experiencing depression and maniac periods. Individual stated she is taking her medication as prescribed last Friday ( 04/06/2017). Lisa reports she is sleeping better since then. Individual was attentive and collaborative throughout the counseling session. Lisa stated that this time she is fully committed with her treatment because she really wants to work and improve her family relations. Individual stated that she is willing to do FT is necessary. Individual denied current SI/HI and denied present plan to harm/kill self or others.

On Thursday, April 7, 2016, I was able to attend an Interagency Team Meeting (ITM meeting) with Shaneen Brown, the case manager of Elwyn’s outpatient program. This ITM took place at 1:30pm and it lasted for about an hour. During this ITM meeting I was given the opportunity to take the lead and be in charge of the meeting. At this meeting we were able to meet the mother and father of the client. However, because this was just a meeting to review documents the client that is going to be receiving services was not present.

During this phone appt. the assessment was completed. Cx openly discussed the three times she was molested as a child and being physically abused by her aunt and uncle, with whom she was living. She reported that when she told her aunt that she was molested, her aunt slapped her in the face and told her to never talk about it again. Tx listened with empathy and supported her as she shared these difficult experiences. Client stated her three goals: Have a career she loves and this will support her and her son, have a stable relationship in which she doesn't feel jealous, and have a peaceful, spiritual routine in life.

The client attended his first assessment session with his mother. He was of average size and weight for his age and was

The client is scheduled to see his therapist on 12/15/2015. He sees his therapist weekly. This writer informed the client during the next session to provide this writer the contact information of his therapist, so that this writer can coordinate care. In addition, the client reported that he has an appointment with his psychiatrist, Dr. Perlman sometime next month, but doesn’t know the exact date.

Primary Counselor will meet with Pt. to discuss her living arrangement situation at her mother' s house and what she plan to do to make that a safe housing. Pt. will report any changes in her recovery and emotional status (negative or positive) to Primary Counselor. Counselor will encourage Pt. to attend a minimum of one group and/or individual counseling session

Oberservation /Participation: MHS met with the client and the client’s mother at the home. The client appeared to be in a good mood when the MHS arrived. The client was playing with a toy and MHS joined the client on the floor at his level to build rapport with the client. The client had trouble sitting still during session, so the MHS and the client walked around the yard, the client enjoy being outside with the MHS. The client mother was present during the session, the client mother provide information about the client’s medical condition. The client mother reports that the client often displays violent behavior. The client’s mother also shared she has some concern about the client’s medication sad affect. The mother informed the MHS that

The client is in the school-age child stage. She is a 10-year-old, and her issue at hand is creating positive friendships that don’t hinder her confidence. She is still young and learning on how to develop relationships. It was recorded in her file that only P.C’s Mom has showed up to her teacher conferences.

During the initial phase of the treatment, the therapist should be curious about the client’s experiences and also focusing on hearing their story to gain a full understanding of not only the problem, but the client’s point of view, hence making the client the expert. This also helps the therapist avoid any assumptions throughout their sessions. The therapist would also acknowledge some of the feelings that were expressed; such as frustration. She would look for clues of hope between the couple and what they would like to be different in the future. Once Bill and Leslie defines the problem, the next focus is on goal setting and finding solutions based on the clues presented. One of these clues is when Bill states that their problem is

S: Today the client was on lunch duty which means she was helping the kitchen staff in serving food to other students. After this, the client was able to help and engage in developing a treatment plan. It was first discussed what P.C would like to work on over all. She stated that her goal should be improving her friendship with her classmates and improving her feelings. Her goal was set to improve social and emotional functioning. It was decided that the objectives would include improving her self-esteem and engaging with her peers more. It was then discussed the action steps that will be taken place for each of these objectives. It was agree upon that P.C would write in a journal about her feelings and focus on positive feelings. She explained

The purpose of this home visit was to check-in with the mother and child to assess the goals, challenges, successes, and new developments of the family and the child’s development that has transpired over the past week. The mother is accustomed to the idea checking in because she immediately began to update the family consultant, though it is unclear if she knew the other tasks that the family consultant wanted to complete. The student intern did not have a full understanding of what the home visit was going to be covering, because during travel time, the family consultant discussed the family plans and their goals.