Family Vision: For Tina comply with parental directives/rules, learn how to express feelings appropriately, improve decision making skills and improve relationship among family members.
Family: Tina is an African American female, age 16 y/o who resides in Elizabeth with her mother Ms. Gilder, uncle, grandfather and cousins. Tina and Ms. Gilder continue to have a conflicting relationship. Tina and Ms. Gilder relationship are slowing improving. Tina has been out the home for a month now, she was placed in a Specialized Residential Treatment Program on 10/11/17. Since her admission into the program Tina and Ms. Gilder became closer. There is still a lot of family work that needs to be done but at this time, Tina and Ms. Gilder are able to communicate
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Gilder attends weekly family sessions to assist the family with unresolved family issues, healthy communication and strengthening the family bond.
Psych/Mental Health: Tina is diagnosed with F91.3 Oppositional Defiant Disorder. Youth is not on any medication at this time. Tina was hospitalized back in Tina was hospitalized back in March 7th, 2017 for inebriated and out of control. She was discharged on March 23rd, 2017 from the CCIS unit. She then was stepping down to the Tina stepped down to the Trinitas Adolescent Full Day MICA program on 3/24/17. Tina successfully completed the MICA program and was step down to the Trinitas MICA group on 6/20/17. Tina continue to miss her weekly group sessions at the MICA program.
Due to youth’s non-compliance with MICA treatment contract resulted in an unsuccessful discharge from the MICA group. Samantha Lukenda (Trinitas Hospital OP Department clinician) recommended a higher level of care. CM made a phone referral to a specialized program for youth. She was scheduled for a telephonic interview for Friday 9/1/2017 at 11am. Youth missed the telephonic interview on Friday 9/1/2017. Youth refuses to attend a specialized program. At that time youth is not open to attending a specialized
I pledge to support the honor system of Old Dominion University. I will refrain from any form of academic dishonesty or deception, such as cheating or plagiarism. I am aware that as a member of the academic community, it is my responsibility to turn in all suspected violators of the honor system. I will report to Honor Council hearings if I am summoned.” By attending Old Dominion University you have accepted the responsibility to abide by this code. This is an institutional policy, approved by the Board of Visitors.
Family is something that plays a tremendous role in our life. Even though the structure of families has changed over the years, it is important to acknowledge that there many families out there whether they are traditional families, nuclear family, stepfamilies or others which tend to have different types of problems in their families. Therefore, many families attempt to go to family therapy in order for them to obtain help in solving the different types of issues they might have at home. As stated in the book Family Therapy by Michael P. Nichols (2013), “The power of family therapy derives from bringing parents and children together to transform their interaction… What keeps people stuck in their inability to see their own participation in the problems that plague them. With eyes fixed firmly on what recalcitrant others are doing, it’s hard for most people to see the patterns that bind them together. The family therapist’s job is to give them a wake-up call” (2013).
Each family member will be taught on the importance of listening to the issues raised other members of the family. This will lay down the foundation for the future sessions. I will also coach the members of the Kline household on how to provide suitable feedback on issues raised by other family members. The session shall also entail a discussion of the expectations of each family member. It is a good point to begin instructing the family on the necessary required in order for those changes to be achieved.
From a structural therapy perspective, it would be important to work on re/defining and restructuring the family so that it can operate in a more functional and healthy way. Clarifying and defining the boundaries between Nancy and her children, particularly Sarah, will be critical in trying to erode the enmeshment that is currently occurring. These treatment goals might be more difficult to achieve with Melanie and Amy considering they are currently living with their great grandmother; however, effort on the social workers part should still be made.
The CPS social worker was available to meet with the QP and provide information about Kayla's biological family dynamics.
CM conducted a 30 Day CFT meeting for Alexia Taylor (youth) at Daytop Treatment. In attendance were Jasmine Alexander (CM), Alexia (youth), Kelly Hennebry (Case Manager), Jaimie Coviello (Therapist) and Lisa Marshall (caregiver). CM completed initial Strengths & Needs Assessment and the crisis plan was reviewed.
As stated by Hornberger, Smith (2011) “Whatever the level of family functioning, the problem behaviors have affected all family members. If the therapeutic goals are sustainable outcomes that improve health and well-being, then the family, which may or may not be part of the problem, must be part of the solution.” I believe it is important for
The focus is on the messages being clear with respect to content and direct in the sense that the person spoken to is whom the message is intended. Roles, focus on whether the family has established patterns of behavior for making family functions operate which include provision of resources, providing nurturance and support, supporting personal development, maintaining and managing the family systems and providing adult sexual gratification. In addition, roles includes consideration of whether tasks performed within the family are clearly and equitably assigned to family and if the tasks is carried out responsibly by the family member. Affective Responsiveness, assesses the degree to the point which family members experience appropriate affect in the presence over a
Alexis would benefit with continued exploration of contributors to her depression. Alexis does not have a relationship with her biological father. Alexis believes this contributes greatly to her poor self-esteem and self-worth. It will be important for Alexis to find resolution with this. Improving the communication with her mother and her mother’s fiancé will be important as the they become a blended family. Alexis has identified concerns about how her mother’s fiancé communicates his feelings of frustration and anger, stating it triggers how she was communicated to with her mother’s x-husband. In the past Alexis has struggled with the expectations and standards her mother has established; therefore, it will be important for Alexis
Focus: Samantha’s family will improve communication with peers and authority figures in various settings. Ms. Smalls (MHP), Ms. Smith (MHS) and Samantha discuss using verbal communication to express emotions.
The therapy is identified as being brief and seeks to observe family interactions, looking at the system and, the goal is to get every family member to take part in the session and to highlight the specific issue that need to be addressed. In out case study, the mother, and the couple should take part in the therapy, because they are all part of the conflict. In this way the therapist, the couple, and the mother can work together to come out with goals to define the parameters and fix the problem.
CM spoke to Gardan Speights (Psychiatric Social Worker - Bergen Regional Medical Center) regarding a follow-up on Sinai (youth). CM was informed Bergen Regional will release youth tomorrow at 11:00am back to Mr. Maccagno (caregiver). Ms. Speights noted youth wants to be placed on medication in order to cope with caregiver. The team is not in agreement with medication for youth. Ms. Speights contacted Maria (CST) to discuss school placement for youth; CST will follow-up with the Jersey City Medical Center Partial Hospitalization program to rescheduled intake appointment.
Communications Theory is a therapeutic modality that can be used as an intervention in family therapy settings. Developed by the well-respected family therapist, Virginia Satir, the concepts and techniques behind Communications Theory have earned much respect amongst therapists worldwide. Satir focused on the importance of establishing and maintaining clear channels of communication to improve the lives of families who struggle with myriad challenges. She believed that families needed to be given ways to see hope more clearly. She also professed that the presenting problems may not be as important as the way in which people cope with the problems. More clearly, her focus was more on helping people gain hope through better communications skills which lead to more effective coping mechanisms (…).
therapy aims to improve family relations, and the family is encouraged to become a type of
Elizabeth is a 28-year-old female who is currently living in a shelter. She reports that her four children are in foster care due to a drug raid at her home. She was three years old her mother and father had an altercation, and her father kidnaped her. When she returned to her mother five months later, she was not allowed to see her father again; he died in 2008. Her parents were never married. Two years later her sister died at the age of 15 due to complications with cancer. Elizabeth has experienced significant loss of loved ones in her life. What she shared was denied an opportunity to have closer with her father or his family due to her mother behavior. She also struggles with thoughts of possibly having more mental health issues which