Theories Of Esmrel

UCM: CPSW did a home visit again and talked with Annette regarding her relationship with her mother Ms. Clifton. Annette stated that some times that they both disagrees on things and that and than Annette gets upset with her mother. CPSW talked about therapy with Annette and Ms. Clifton. Annette looked at her mother when this therapy talked about family therapy with her mother Ms. Clifton. Ms. Clifton refused to participate with Annette any family therapy. Ms. Clifton stated that Annette has anger issues and that they don't need family therapy at this time. Annette was very quite and mostly was looking her mother's responses regarding family therapy. CPSW told Ms. Clifton andf Annette to think about it and that we will talk about it on next

Within the first discussions with Dr. Gerald Blechman, I was questioned on the subject of the weekend overnight visitations, to which I responded “they started well”. In my explanation, I included the defense of certain difficult aspects that could be attributed to a new schedule and living environment, a limited set of time that encouraged for there to be less individual time, and other factors that were unavoidable and eventually worked through. Secondarily, I commented that the visitations had all been perfectly free of almost any inappropriate behavior until the most recent, and that not all instances of visitation were “terrible”, as I had described certain inappropriate moments. With these points made, I mentioned the justified

Will you need or want to contact the parent or obtain parental permission for counseling services prior to meeting with Geoffrey? Why or why not?

Today, MSC visited Maria at her residence for a face to face visit. When MSC walked in Maria was having a snack at the table. Maria waved and greeted her staff. MSC said, Hello, How are you?" She stated that she needs to talk to MSC in private after she finishes her food. MSC spoke wither Medical Direct Care Counselor Marie Rose. She stated that Maria has been doing good. He is cooperative at times, but requires redirection. Maria stated that she is medically stable and her behavior has improved over the past few months. She is communicates her wants and needs effectively. Maris continues to go to all of her medical appointments and enjoys attending program. Maria goes on all community inclusions and makes suggestions on places she would like to go. She struggles with balancing money, staff continues to assist her in budgeting.

Mother explained that the client studies but takes the exam fast. PP and FF asked if the school makes adjustments for the client since he has an IEP. Mother shared she doesn’t know. PP encouraged mother to talk to the teachers and make sure the client has his academics needs. Mother agreed to talk to the teachers and once CFS comes back from leave he will go to the school too. FF and PP went over family concerns, ways the wrap team can support them and mission statement. Client shared that he would like to improve his grades to participate in a school sport. PP and FF praised the client for wanting to improve his academics and want to participate in a school sport. Mother expressed her mission is to close her case and not reopen. PP praised mother for sharing and wanting to close her case and leave in the pass. Mother expressed concerns over client behavior at home and school. Mother shared that client talks back and doesn’t follow directions at home. Client shared that he doesn’t like to be the only child doing chores at home. Client shared that he gets frustrated and talks back to mother. Mother expressed that she relies on the client a lot to do chores because he is the oldest. PP

A, B) MSTT met with the caregiver to examine how she plans to increase the supervision and monitoring of the youth while out in public. Caregiver expressed while the youth is at home she is going to speak with her mother and his aunt to help while she's at work. MSTT encouraged caregiver to reach out to the school and ask them if they would be able to supervise and monitor him. Caregiver contacted the school and is waiting to hear a response. MSTT will continue to work with the caregiver in increasing the supervision

Pt has a hx of conflict within the family structure. Per report from mother they recently been evicted from their home to living with a friend and her 2 children. Pt states she does not trust her mother because she calls her “retarded and crazy”. Pt reports having low self esteem. Per report from mother, pt father is not participative with the pt.

A,B) Drew expressed his desired outcome for Esmrel is for him to do well in school. For him to behave at home, and he expressed Esmrel is doing all those things now. He explained working with MSTT he has learned how to handle certain situations in a different manner meaning how to control his anger by utilizing coping skills, and etc.

Carl Fleischer, a 17 year old high school student was sent to the Social Workers office to discuss surrounding issues that might be the cause of his failing grades. Carl was very candid in his conversation with the Social Worker and admits to being an under achiever. Carl is not performing well academically which is a concern. The school Social Worker wanted to learn about Carl and asked him open and closed ended questions about is daily life style. Carl was very talkative in the conversation about himself and became detached when asked to talk more about why he felt he dad was a scumbag.

The next area of focus presented itself after asking certain questions in this area. Mr. and Mrs. Lake discuss the emotional stress brought on by moving from California to Arizona last year and leaving their 23 year old handicapped son Brad behind in California. Brad resides in a group home where he has lived for the past 10 years. He is very accustomed to his environment there; his needs are put first and it is best for him to stay there. To cope they contact his’ group home weekly to evaluate his needs and concerns the home may have. In addition, plans are made so Mrs. Lake can drive or fly to California to attend important meetings and appointments with her son Bradley. She describes the stress of being so far from her son very hard. She states she relies on her husband, Christian faith, and Brads’ care-takers to help her cope. Observations of this couple show a very solid support system provided

MT picked CT up from school where he was outside playing with his peers. MT observed CT laughing and being playful and as he was leaving with MT, his friends came up to him and gave him a hug goodbye along with his teacher. In the car drive to get the other client CT was asked MT what activity they was going to do during the session. MT expressed since all of the CTs had a good week with behaviors they was going to go bowling. CT showed eagerness and sang along to the music in the car. When MT picked up a CT to go bowling, both CTs showed excitement to go bowling together. While driving to the bowling alley, both CTs talked about random topics. At the bowling alley, MT had both CTs use one bowling ball to help them work on taking turns and

Julie Jones is a single parent. She lives with her children, eleven-year-old Eric and seven-year-old Stella. He ex-husband, Brad, pays child support regularly but does not spend much time with his children, even though he shares custody of them with Julie. She has a full-time job at the local university. When she is not working, her time is devoted to her children--helping them with schoolwork, driving them to soccer practice and games, taking them to music lessons and play dates. Feeling overwhelmed by all her responsibilities, Julie asks to speak with you, her pastor, about her situation. She is feeling increasingly resentful and angry with her ex-husband for not being more involved in the children's lives. Eric has been getting into trouble

Action: MHS was finishing up a meeting with Jonathan’s adoption worker. Jonathan was sitting in the chair next to MHS. Johnathan appeared calm and not involved in the meeting. MHP and MHS discuss communicating with Jonathan and he adjust to the home. Johnathan become very vocal and active. Jonathan was looking through the window yelling as people walk by the home. MHS asked Johnathan to move from the window because Johnathan pulled down the curtains. MHP and MHS observed Johnathan move around the home without assistance. MHS report Jonathan is learning the family member’s names. MHS provide a report of Jonathan’s behaviors in the community and at

A,B) Renee explained to MSTT all of Asa negative behaviors happen outside the home. She explained within the home Asa follow the rules and does not disrespect her or his dad. Renee explained as of late she had no reason to hold Asa accountable for anything because he is staying out of trouble by remaining in the home away from his negative peers. Renee explained since Asa have been staying home the only issue she have with him is the lack of motivation he has shown about his future.

In this scenario we have a couple, Jesus and Alva who state they have been married for 17 years and are seeking counseling due to having many issues that are affecting the family as a whole. Jesus’s behavior is of an aggressive, controlling individual, which displays anger issues and is extremely defensive in his dealing with Alva. Alva believes that her husband is beyond strict and she is constantly intimidated and scared of his behavior. Jesus is a violet person, he has destroyed his own property as an intimidating tactic and demands full obedience without question. Jesus states, he is the boss of the family and demands respect and submission. Jesus, blames his authoritarian rules on the way he was raised and reprimanded as a child. Jesus