African American female who self-referred for inpatient treatment
Case Study
Jane is a 22-year-old African American female who self-referred for inpatient treatment due to drug and alcohol use. She is from and still lives in New York City. She is currently unemployed and homeless and has charges pending due to a number of “bounced” checks written over the past several months. Jane has had several part-time jobs that she has been fired from or abruptly quit. While in high school, she had aspirations of being an architect. Jane’s mother was a heavy drug user while pregnant with her. When Jane was born, she was addicted to crack and spent several months in the hospital. Jane reports that both of her parents were drug addicts, and she experienced physical, sexual, and emotional abuse throughout childhood at their hands. Her father died of liver disease at the age of 37.
Jane also reports that at the age of 14, she was kicked out of her family’s home because her father suspected that she was gay. Although they live in the same town, she has not had any contact with her mother for 7 years. Jane describes her relationship with her older sister as “fair.” Jane is not presently involved in a steady relationship, but she does have a network of friends in the local gay community whom she has been staying with off and on. Jane has serious trust issues and does not have anyone she can open up to in her support network. At the time that she left home, Jane survived by becoming involved in sexual relationships with older men, many of whom were also abusive. She has had numerous sexual partners (both male and female) over the past 7 years, has traded sex for drugs and money, has had sex under the influence of drugs and alcohol, and has been made to have sex against her will. Jane struggles with her identity and sexual orientation and considers herself as bisexual, not gay.
Jane first used alcohol at age 14, when she had her first sexual encounter with a man. She began using other drugs, including inhalants and marijuana, by age 16 and amphetamines and cocaine by age 19. At 22, four months prior to entering treatment, she began using crack.
Prompt
Your DAP Case Note should explain foundational information about your chosen developmental theory, including information about its founder. You will then apply the theory to the case scenario client to begin conceptualizing the case from a counseling perspective. You should conclude your paper with a summation of your findings and make an overall determination of the client’s mental wellness.
Specifically, the following critical elements must be addressed:
Overview
Developing a therapeutic and comprehensive plan requires an assessment of a client’s overall mental health and functioning. You will apply your chosen theory to the case scenario client to begin conceptualizing the case from a counseling perspective and develop a plan of action. You should conclude your paper with a summation of your findings and make an overall determination of the client’s mental wellness.
Specifically, the following critical elements must be addressed:
A. To create context for your Plan section, summarize your assessment of your client’s case by describing the outcome of the application of the developmental theory.
B. Describe any specific ethical and cultural considerations you will make when working with this client based on your assessment of his or her case.
C. Based on your description of the client’s current state, in regard to his or her career and work history, describe any specific considerations you will make when working with the client.
D. Explain the client in terms of his or her overall wellness and mental health status. Use your assessment to inform your explanation.
E. Based on the client’s overall wellness and mental health status, describe what needs to be addressed to get the person to a state of mental wellness.
Sample Solution
A therapeutic and comprehensive plan is a document that outlines the goals, objectives, and interventions for a client's treatment. It is typically developed by a team of professionals, including the client, therapist, and other relevant providers. The plan should be tailored to the individual needs of the client and should be reviewed and updated regularly as the client's needs change.
The following are the steps involved in developing a therapeutic and comprehensive plan:
Gather information. The first step is to gather information about the client's history, current functioning, and goals. This information can be obtained from the client, their family, and other relevant sources.
Full Answer Section
Identify the problem(s). Once the information has been gathered, the next step is to identify the client's problem(s). This may involve identifying specific symptoms, behaviors, or thoughts that are causing the client distress or interfering with their functioning.
Set goals. Once the problem(s) have been identified, the next step is to set goals for the treatment. The goals should be specific, measurable, achievable, relevant, and time-bound.
Choose interventions. The next step is to choose interventions that are appropriate for the client's goals. There are many different types of interventions available, including psychotherapy, medication, and lifestyle changes.
Develop a plan. Once the interventions have been chosen, the next step is to develop a plan for how they will be implemented. This plan should include the specific activities that will be done, the frequency and duration of the activities, and the people who will be involved.
Implement the plan. The next step is to implement the plan. This may involve working with the client to develop skills, providing support, or monitoring their progress.
Evaluate the plan. The final step is to evaluate the plan. This involves tracking the client's progress and making adjustments to the plan as needed.
A therapeutic and comprehensive plan can be a valuable tool for helping clients achieve their treatment goals. By following the steps outlined above, you can develop a plan that is tailored to the individual needs of the client and that has a high likelihood of success.
Here are some additional tips for developing a therapeutic and comprehensive plan:
Make sure the plan is based on evidence-based practices.
Involve the client in the development of the plan.
Be flexible and willing to make adjustments to the plan as needed.
Communicate the plan to the client and their family.
Monitor the client's progress and make adjustments to the plan as needed.
By following these tips, you can develop a therapeutic and comprehensive plan that will help your clients reach their treatment goals.
Here is an example of a therapeutic and comprehensive plan for a client with depression:
Goals: The client will reduce their symptoms of depression, improve their mood, and increase their engagement in activities.
Interventions: The client will participate in individual psychotherapy, group therapy, and medication management.
Plan: The client will attend individual psychotherapy sessions once a week for 12 weeks. They will also attend group therapy sessions twice a week for 8 weeks. The client will start taking an antidepressant medication and will be monitored by their doctor.
Evaluation: The client's progress will be evaluated at the end of each week of therapy and at the end of the treatment plan.
This is just an example, and the specific interventions and plan will vary depending on the individual client's needs. However, this example illustrates the key components of a therapeutic and comprehensive plan.
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