Please select one case vignette and then complete the attached Individual Psychosocial Assessment and Individual Treatment Plan. Outside resources are not required, but students may elect to use scholarly resources to support their assessment and treatment plan. Keep in mind that no additional information should be added to the case vignettes, use only the information provided.
Case Vignette 1:
Julia Lopez is a 34 year old Hispanic female who is experiencing bouts of sadness after losing her job of 12 years four months ago, she was an accountant assistant.Julia reported, “Nothing is going well for me, I cry all the time and I am so tired.” Julialives with her second husband, Mark, who is a truck driver and is rarely home, andtheir three children. Julia’s mother has been ill and Julia has been taking care of heras well, commuting 30 minutes one way twice a day. Julia has given up looking for a new job, and aside from taking care of her sick mother she does not leave her home.She has gained weight recently and worries that her husband “will hate her” and “cheat on her.” Julia has lost all energy to care about her appearance, and most daysshe will be in her pajamas when her children get home from school. Julia’s oldestdaughter helps out around the house, washing clothes and cleaning the house. Julia was active in the church, she also participated in community functions and volunteered at the school, however she has not done so since losing her job. Julia’s first marriage was violent, she reported, “Yeah, he like hit me and yelled at me all the time.” Julia shared that the abuse lasted for several years, until one day she left herabuser because he went to jail. Julia has a history of drinking alcohol and she recentlybegan using marijuana, “but only after my kids are sleeping.” Julia has diabetes andhas been prescribed a mood stabilizer, which she takes with a swig of wine. Julia is facing one criminal charge of possession with the intent to distribute, yet she blames the driver of the car for getting pulled over. This referral came from Child ProtectiveServices (CPS), after a teacher reported to CPS that Julia’s youngest child, Susie age6 reported having nothing to eat at home.
Case Vignette 2:
Mark is a 16 year old male who lives with his mother Nicole and two half-siblings.Mark’s parents divorced when he was three years old and he sees his father veryinfrequently. The last time he saw his father was three years ago, when his father showed up out of the blue with his live in girlfriend and her son, John, who is only two years younger than Mark. At that visit, Mark was disrespectful to his father and hisgirlfriend, he swore at both and “borrowed” his father’s car, taking John with him, to goto a party. The police were called to the party, however no charges were filed. Mark believes that he is invisible.
Until this school year Mark was doing well in his classes, and he expressed wanting to go to college to study physics. Currently, he does not do his classwork nor does Mark
complete any homework, reporting “school work is for geeks, it is stupid.” He isperforming poorly in four of his classes. Last week Mark threatened a peer at school and was suspended from school. Mark was on the varsity football team as the quarterback, but with the suspension he cannot play. Mark has taken no ownership ofhis behaviors, he has instead blamed his teachers for his failing grades and “if the punk did not talk to my girl I wouldn’t have threatened him, he needs to learn alesson.” Mark will not be able to return to the football team and has since beenpartying with a group of adults.
Mark’s mother made the referral after he became so angry two days ago that hethreatened to harm himself or anyone around him. Mark’s mother accompanied him to this interview, and shared during the interview that Mark is “really good with his three year old brother and five year old sister,” but yells at his mother and slams hisbedroom door when his mother tries to talk to him. Mark’s mother does not discipline him, sharing “it is not worth the argument.” In addition, Mark’s mother shared that atage six Mark was physically abused by his father and she wonders if that has anything to do with how Mark behaves.
Mark reported that he really does not care what others think about him, nor does he care about the consequences of his behaviors. When questioned about not playing football anymore, Mark became teary eyed and demanded to use the bathroom.
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