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    Case Study: Assessments

    George, husband

    Teresa, wife

    L.B., 7, son

    J.J., 3, daughter

    Mom is babysitter for L.B. after school.

    Teresaâ??s sister is babysitter for J.J. at home with her own children during the day

    You are a therapist in private practice and George is in your office. George says his wife is crazy. Their 3 year old will not talk yet and has trouble with most activities of daily living.

    â??The wife takes 3-year-old J.J. to the doctor, who says that she is autistic and needs some kind of special services. I donâ??t know what Teresa is doing with the kid, really. I take the 7-year-old boy, L.B., to school every day and pick him up to go to my momâ??s after school. My mom is real good with kids and watches him until I pick him up at night. My wife is just nuts. Sheâ??ll be crying and all when I get home. I work hard and bring the entire check home for food and taking care of the house and all, but that woman is not okay about anything. What should I do? I canâ??t quit working. I work 40-50 hours a week and stop to get L.B. and we all go to be home together at night and she is a mess. The house is a mess and J.J. is just sitting there. Nothing seems normal any more.

    What should I do? I am a good man. Really. Iâ??m older than her and I know how to be a good man. I come home, I work, and I donâ??t run around. I take care of my boy and my mom. What should I do about this? Really. I have never seen anything like it. I thought sheâ??d be working again by now and the baby would be more grown up by now. Something just isnâ??t right here.

    Teresaâ??s sister keeps J.J. during the day, but she is kind of dumb, you know. She just takes the kids and lets them play or sit or whatever. My Teresa used to be fun. Now she is just not herself. I say â??Whatâ??s wrong with J.J., Teresa?â? And Teresa just cries. She wanted a girl baby and she was so happy. Now nothing seems good anymore. The rest of the family doesnâ??t know what to do either.

    What do you think? Huh? What do you think is wrong here? What can I do? Can you help us to get normal again?�


    What types of informal assessments might you use to help George and his family?
    Who else besides George would you want to see and what informal assessment would you use with these folks?
    What makes the assessments you chose for each person the best choice compared to the other assessments you learned about?
    What ethical considerations should you take into account working with George and his family?

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    Solution Preview

    Screening and Assessment:

    As a therapist, there are several types of informal types of assessments that I would use to help George and his family such as the clinical rating scale which is a circumflex model of marital and family systems. The model involved in this form of informal assessment is composed of three main dimensions such as family cohesion, family flexibility and family communication. The therapist has to conduct this assessment personally.

    In addition I would also request the use of Beck Depression Inventory II assessment which involves the creation of a self report personality inventory used in screening for severity of depression in adults. I would also recommend Children's depression inventory assessment to be conducted on L.B since he is seven years of age. This will measure any symptoms of depression and severity.

    Other than George I would want to see Teresa since she is the wife to George and mother to L.B and L.L. I would encourage her to take the family assessment device ...

    Solution Summary

    The solution provides assistance in the screening and assessment of the case study whose information is provided above (see original question).