Case Presentation

By: Ashley Phillips

 Background Information
• Client is a 29-year-old, single, African-American male
• Father of 3 young children (1 in foster care)
• No known criminal history
• Tested positive for marijuana July 2018
• Last drug screen
 Problem Statement
• Child is currently in foster care. Plan is reunification with child.
• Barriers:
• Substance abuse
• Currently has a 1 bedroom apartment
• Financial status
• Has only attended 1 supervised visit out of 9
 Services
• Freedom House
• What is it?
• Help manage mental health disorders
• Help recover from addictions and maintain sobriety
• Offer individual, group, and family therapy
• Substance Abuse Assessment
• Mental Health Assessment
• Department of Social Services
• Supervised visits
• Assist with housing and medical insurance
 Strengths and Limitations

Strengths
• Transportation
• NC driver’s license
• Part-time job
• Has attended parenting classes
• Cares about child
Limitations
• No medical insurance
• Lives about 2 hours away
• Substance Abuse
• 1 Bedroom apartment
• Financial status
 Assessment Goals and Specific Interventions
with Time Frames
• Motivational Interviewing
• Client will attend monthly drug screenings
• Have positive drug screens
• Client attend Freedom House scheduled for every Wednesday from 1-2pm until
service is no longer needed
• By next court date, client will demonstrate progress on current living situation
• Client will attend supervised visits with child beginning next week on 10/23/18
 Syllabus Questions
• What are some biases you had going into the interview? Would not show up; no interest in interview
• What were some value differences between you and the client? Does not believe in therapy/seeking
services
• What events or life experiences have shaped them into the person they are? Parents have passed away;
in and out of foster care; never sought mental health treatment
• What is the staff recommendation about diagnosis, interventions or treatment? Freedom House; drug
screenings is NOT treatment
• What does research say on their diagnosis/problem/treatment? Has been very successful in the past
based on statistics from Freedom House
• What changes do you recommend for the agency or service? Follow-up more with clients (GAL)
 Competencies Used
• 1.2: Use reflection and self-regulation to manage personal values and maintain
professionalism in practice situations.
• 1.3: Demonstrate professional demeanor in behavior; appearance; and oral, written,
and electronic communication.
• 1.5: Use supervision and consultation to guide professional judgment and behavior.
• 2.2: Present themselves as learners and engage clients and constituencies as experts
of their own experiences
• 2.3: Apply self-awareness and self-regulation to manage the influence of personal
biases and values in working with diverse clients and constituencies.
 Competencies Used
• 4.2: Apply critical thinking to engage in analysis of quantitative and qualitative research
methods and research findings.
• 5.1: Identify social policy at the local, state, and federal level that impacts well-being, service
delivery, and access to social services.
• 6.2: Use empathy, reflection, and interpersonal skills to effectively engage diverse clients and
constituencies.
• 7.1: Collect and organize data, and apply critical thinking to interpret information from
clients and constituencies.
• 7.2: Develop mutually agreed-on intervention goals and objectives based on the critical
assessment of strengths, needs, and challenges within clients and constituencies.
 Competencies Used
• 7.4: Select appropriate intervention strategies based on the assessment, research
knowledge, and values and preferences of clients and constituencies.
• 8.1: Critically choose and implement interventions to achieve practice goals and
enhance capacities of clients and constituencies.
• 8.3: Use inter-professional collaboration as appropriate to achieve beneficial practice
outcomes.
• 8.4: Negotiate, mediate, and advocate with and on behalf of diverse clients and
constituencies.
• 9.1: Select and use appropriate methods for evaluation of outcomes.