D642: Advanced Generalist Practice II
Advanced Practice and Intervention with Individuals
Team Members:
Date Completed:
______
Case Analysis – The Richards Family
Review the case scenario presented below. Based on the information that is provided, prepare a case analysis and report that responds to the seven tasks listed. An evaluation rubric is provided for each task.
Family Members:
The Richards family includes Leonard, 14, Amanda, 9, the father, Fred, age 50, the mother, Linda, age 46. Linda’s father, Edward, age 72, has been living with the Richards family since his wife Marie died two years ago. Edward and his wife Marie were married for 50 years and had three children, Linda, 46, Joan, 44, and Peter, 40, all of which are currently married with children. Fred’s dad, John age 84, currently lives in an assisted living facility near the Richards’ family home. Fred’s mother, Elizabeth, age 80, lives in a nursing home and has Alzheimer disease. Fred has one older sister, Rita, age 59 and has always lived alone.
Amanda is Joan’s daughter, Linda’s sister. Amanda’s biological mother and father were murdered when Amanda was 3 years old. Joan and her husband, Frank, were apparently involved with a street gang, in a different city. The murders were thought to have been related to drug dealing. Amanda has been living with her aunt Linda since the death of her parents.
Leonard is Fred and Linda’s son. Linda and Fred have been married for 15 years. Fred has two other children from a previous marriage, Jim age 24 and Jill age 20. Both have been living with their mother, Susan, age 45 who is now remarried to John, age 48 who lives in another State.
Presenting Problems:
Leonard, 14, is being referred to your agency by his DFC caseworker. The presenting problem is that Leonard reportedly has been sexually abused by his step-brother Jim, Fred’s son from a previous marriage while staying with the Richards family a few years earlier.
Fred, 50, was referred to your agency by his attorney. Approximately two week ago, Fred was arrested while operating his vehicle under the influence of alcohol. This is the third time Fred was arrested and charged with driving under the influence.
Amanda, 9, was referred to your agency by her school social worker. Debbie, the school social worker, reports that within the past 3 months, Amanda has been having behavioral problems. She often will have temper tantrums in the classroom and with peers. She is often absent from school. Whenever she gets angry, she threatens to run away or to tell her aunt how badly her teachers treat her.
Linda, age 46, is currently not employed outside the home. She has recently been laid-off by her employer as an administrative assistant due to major cut backs with employer. The Richards family has moved several times in the past five years due to various financial difficulties. Linda does not report having any problems.
Instructions:Your team is to prepare a case analysis report based on the information provided on the Richards family. One of the team members has been assigned to be the individual therapist with one of the family member’s presenting a problem. (Note: Any family member could benefit from individual intervention. It’s up to the team to decide which family member you will choose to work with individually for your case analysis – no right or wrong – the team needs a rationale to support your choice). Another team member has been assigned to work with the Richard’s family and work in close collaboration with the individual therapist. Both the individual therapist and the family therapist work together to work with the external systems involved with the family.
The case analysis report should include information that addresses the tasks and goals listed below:
- Task: Introduction (5%)
Indicate on your paperwho on your team will be assigned the role of individual therapist and who will serve as the family therapist.
Goal: The team is able to:
5 4 3 2 1 Write aclearly written introduction of the case analysis paper that describes who will serve as the individual therapist and who will work with the family. The introduction also describes how the paper is organized and presented.
- Task: Construct a family genogram and ecomap (10%)
Goal: The team is able to:
5 4 3 2 1 Develop a family genogram that identifies on all the family members and extended family members.
5 4 3 2 1 Develop a family ecomap that identifies all the external systems, friendship networks, and other relevant systems involved with the family. The ecomap also includes the types of relationships patterns between members of the family and members of related external systems.
- Task: Assessment and Intervention Goals(15%)
Goal: The team is able to:
5 4 3 2 1 Succinctly review and highlight the key issues of the case.
5 4 3 2 1 Describe how individual members of the family are affected by the identified problems
5 4 3 2 1 Develop specific intervention goals for this case. (Specify goals for the individual chosen for CBT intervention and goals for the family as a unit).
- Task: Individual Intervention: Cognitive Behavioral Therapy, Principles, and Strategies. (20%)
Goal: The team is able to:
5 4 3 2 1 Describe the elements of cognitive behavioral therapy (CBT) that can be incorporated into the intervention plan.
5 4 3 2 1 Select any one of the family members and discuss how CBT might be effective in working with the presenting problem.
5 4 3 2 1Describe the assumptions, principles, strategies, and techniques of the CBT approach used for intervention.
5 4 3 2 1Describe how the intervention plan will be evaluated.
- Task: Family Intervention (20%)
Goal: The team is able to:
5 4 3 2 1 Discuss/describe what are the family issues that need therapeutic intervention
5 4 3 2 1Discuss how the family therapist would intervene and rationale.
5 4 3 2 1Describe the family therapy assumptions, principles, strategies, and techniques used for intervention with the family,
5 4 3 2 1Provide some ideas as to how the team would evaluate therapeutic outcomes for working with the family.
- Task: Larger-Systems Intervention (20%)
Goal: The team is able to:
5 4 3 2 1 Discuss how the individual clinician and the family clinician will work together to meet the therapeutic goals of family members.
5 4 3 2 1Assess the involvement of the larger systems and the relationship patterns between the family and larger systems.
5 4 3 2 1Assess boundaries between systems.
5 4 3 2 1Discuss how the team would intervene or work with larger-systems involved in the case.
- Task: Conclusions and References (10%)
Goal: The team is able to:
5 4 3 2 1Write a conclusion that succinctly reviews and highlights the major issues addressed in the report.
5 4 3 2 1Provide complete references of sources used to prepare the case analysis report and in accordance to APA style guidelines.
Report Format
The case analysis report should follow this format:
- Introduction
- Written description of the family: Genogram and Ecomap
- Assessment and Intervention Goals
- Individual Intervention
- Family Intervention
- Larger-systems Intervention
- Conclusions
- References
Once your team has completed the case analysis, save your file as D642Capstone.doc. The team leader uploads the case analysis to the module 9 folder drop box on Oncourse and notifies the instructor via Oncourse email that the report has been submitted to his/her drop box.
See the course syllabus addendum for due dates