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Treatment, Planning and Intervention

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Can you select a client or hypothetical client whom you have been working, and consider the treatment plan that is in place for that client and consider the approach you have used to formulate the goals for therapy and the means by which you will help the client to reach those goals.

Discuss the following:

Provide a very brief description of the client (one short paragraph).
What are the main goals for this client's therapy?
What interventions have you been using with the client? (Provide specific examples.)
What led you to select these particular interventions? Are you working from a specific theoretical approach?
What interventions have been successful—and how do you know this?
What interventions have not been successful—and how to you know this?
What changes are you considering making to this client's treatment plan (reformulating some of the goals, trying other interventions, et cetera).
Support your discussion with at least one article from a current journal in counseling that supports the treatment plan you have developed for this client.

Please make your post substantive in nature as well as other theoretical, empirical, or professional literature to support your views and writings. Reference your sources using standard APA guidelines.

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(1) Provide a very brief description of the client (one short paragraph).
This vignette provides a description of a family of African American descent that includes parents and two children, Stella 13 and Neal 9. Mrs. Long presents in therapy with depression and with no known physical illness, but recently lost her job. The family does not communicate with one another. Mr. Long unhappy with burdening the financial load has begun drinking, and has developed a habit of staying away from home to avoid the chaos. To make matters worse, the children have begun to quarrel with one another. Mr. Long has blames her for the children's constant quarreling, and she blames his drinking on all the confusion. Mrs. Long has become more and more depresses as she realized she is losing her once loving and close-knit family. The method of assessment chosen for this family is a modified version of the Beck Depression Inventory-second version (Beck, Steer, & Garbin, 1988).), and Solution-focused therapy (SDT, de Shazer & Berg, 1977)

(2) Describes the rationale for using these particular assessment forms (that is, agency policy, diagnostic clarification, and so on).
Studies show that depression is a major health problems that cuts across cultural and racial lines. A depressive illness can be extremely difficult for people, who have limited resources, or belong to a low socioeconomic status group such as experienced by African Americans. In addition, research reveals that individuals with diverse backgrounds are impacted by factors such as: (a) absenteeism from work, (b) diminished productivity, (c) interpersonal relationships, (d) loss of pleasure in activities, and (e) alcohol, or other substance abuse (Reinecke, & Davison, 2002). African Americans are often reluctant to use common health interventions, because of a lack of trust of the counselors; and because they feel that their problems are not always addressed. Hence, models appropriate for counseling with and African American family is based on one that recognized based on a high level of interaction. For these reasons, an integrated therapeutic approach based on the BDI-II (Beck et al., 1990) and Solutions Focused Therapy (SFT, deShazer & Berg, 1977) is considered as a rationale for a treatment approach for this family.

(3) What are the main goals for this client's therapy?

The main goal is for Mrs. Long to not be ashamed of her depression and view treatment in a way that does not undermine her cultural tradition of being an independent person. A secondary goal is to get the family to learn how to communicate with one another, so that they can solve their problem that consists of Mr. Long's substance abuse. The problems and stress being put on the family as a whole by Mrs. Long's depressive bouts and Mr. Long's drinking and absence from the home may be contributing to the children's problems that only serve to exacerbate Mrs. Long's depression.
From this evaluation, an integrated intervention is proposed consisting of the Beck depression Inventory II (Beck, Steer, & Garbin, 1988), and Solution-focused Therapy (SFT, Berg & de Shazer, 1977). SFT is a future-focused, goal oriented approach that emphasizes the importance of working toward solutions to a problem, rather than focusing on the problem. As an example, the depression of African ...

Solution Summary

This solution discusses assessment for an African American family based on an integrated model of solution-focused therapy and the Beck Depression Inventory.

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Substance Abuse Assessment and Intervention Plan

Help me to develop a Substance Abuse Assessment and Intervention Plan based on the case study of Lisa at the bottom. It should include all of the following sections:

1. Substances abused and implications of abuse
2. Biological predispositions
3. Family considerations
4. Cultural considerations
5. Therapy model
6. Assessment and diagnosis
7. Treatment plan and intervention strategies
8. Ethical and legal considerations

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Case Study: Lisa

Lisa (32) is a heterosexual-identified Mexican American female and mother of twin boys (8) who has come to your agency to address substance abuse concerns at the suggestion of her defense attorney. In your initial session with Lisa, you learn that she began using marijuana and drinking alcohol at age 12, using cocaine at age 14, and shooting heroin at age 16. She claims that she has not used heroin in the last five years, although she continues to drink and to use methamphetamines.

She was referred to you because after a night of heavy drinking and methamphetamine use, Lisa had an argument with her boyfriend Charlie, pulled a knife on him, and threatened to kill him. Charlie was able to run to another room, where he called the police. Lisa attempted to stab him under the door, and finally tried to cut through the door, lodging the knife in the wood. Frustrated, she then got in her car and left. Police stopped her several blocks away, and she was charged with her third incident of driving under the influence (DUI). At the time of the incident, her sons were at her mother's house. In addition to facing charges for driving under the influence of drugs and alcohol, Lisa now faces the possibility of losing custody of her children.

Lisa lived in poverty her entire life, and grew up in the economically disadvantaged west side of San Antonio. Her father, who died of a drug overdose, used heroin as long as Lisa could remember, and beat Lisa's mother. Lisa frequently intervened. Lisa's father had wanted Lisa to be "tough," so he and his brothers had her and her male cousins box each other while the men bet on which child would win. As Lisa grew older, she learned that her survival depended on fighting. She joined a gang in middle school, and has remained connected to the gang ever since.

Lisa blacks out at times when she experiences rage. Her blackouts may last from several minutes to several hours. Lisa has always experienced blackouts, although, because she has used drugs and alcohol nearly every day for 20 years, she is unable to tell you much about the correlation between the blackouts and her drug and alcohol abuse. When she recounts this last incident with Charlie, however, she shares that she acted "just like my dad did to my mom," and that the last thing she remembers in her fight with Charlie was "my dad's voice getting really loud," even though her father has been deceased for 10 years.

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