Comprehensive Client Family Assessment

Comprehensive Client Family Assessment

Demographic information

Juan Hernandez Senior is a 27-year-old Latino man who is married to a 25-year-old Latino woman, Elena Hernandez and both have a family (Hernandez family).

Presenting problem

Junior Hernandez Senior described that his parents used to punish him while he was a kid and that he ended inheriting the behavior of punishment his children from his parents. The punishment was so painful to him since he would be made to hold the heavy books form encyclopedia. Juan Hernandez Senior explains that he inherited this behavior of disciplining his children from his parents. The social work has been sent to Juan Hernandez Senior since the children are complaining of how painful this punishment has been to them, especially to Juan Hernandez Senior.Comprehensive Client Family Assessment

History of present illness

The father of Juan Hernandez senior, Hector reports that Hernandez has not drug abuse problem though he has had criminal history of petty theft.

Past psychiatric

The father reports that Hernandez senior has been of sound psychiatric health status.

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Medical history

The father reports that Hernandez senior has been okay health-wise. However, her wife, Elena Hernandez, has recently been diagnosed with diabetes. Comprehensive Client Family Assessment

Substance use history

No history of substance abuse has been reported for the parents of Hernandez senior.

Development history

The father reports that Hernandez senior experienced no delays in development.

Family psychiatric history

No psychiatric issues in the family history of Hernandez senior’s parents

Psychosocial history

Hernandez Senior is described as a sociable person who was able to interact in friendly manner with his parents and friends. Comprehensive Client Family Assessment

History of abuse/trauma

No other form of abuse has been reported on Hernandez senior apart from the punishment of holding heavy books that his parents used to institute on him. As such, he did not inherit any other form of punishment from his parents.

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Review of Systems:

Physical assessment

Juan Hernandez Senior is medium-slim Latino male who seems to be cheerful and smart all the time.

Mental status exam

The counseling has to involve the whole family: Hernandez senior, Elena Hernandez, Hernandez Junior, and Alberto Hernandez. This is because there is need to address all the root causes of the current problem (Wheeler, 2014). Hernandez Senior seems to be a bit ready to learn how he can overcome the habit that he inherited from his parents of giving his children torturing punishment of holding heavy encyclopedia books. This is because he does not see why his children should suffer the same way he used to suffer while undergoing the same punishment. He is, therefore, ready to be helped how he and his wife can stop this habit and improve their relationship with their children. Comprehensive Client Family Assessment

Differential diagnosis

Both Hernandez Senior and his wife, Elena Hernandez married at very young age and inherited many behaviors from their parents, including the way to raise and discipline children.

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Diagnosis

The diagnosis is to do with how Hernandez senior and his wife can change their behavior which they inherited from their parents on how to discipline their children.

Case formation

A social worker will try to assess why Hernandez senior inherited the behavior of disciplining his children from his parents and how this behavior can be stopped. Hernandez Senior is a casual worker at the airport and sometimes drinks 6-8 beer on weekends. He has had petty criminal record while at tender age. His wife has had no criminal or drug abuse record.

Treatment Goals

Goals: The goals for treatment is to help Hernandez Senior to do away with the behavior he adapted from his parent of punishing his children the way he does and also adapt new positive ways of disciplining them in the way that will improve the relationship with his children.

Treatment strategy/interventions: The first treatment strategy or intervention will involve removing the anger that Hernandez Senior underwent through when enduring the harsh punishment from his parents. The other treatment strategy will involve teaching Hernandez senior and his wife, Elena Hernandez, the positive and safe skills which are effective in disciplining their children. This will improve the parent-child relationship.

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Estimated completion: 3 months

HERNANDEZ FAMILY CASE STUDY 6

Part 2: Family Genogram

Children

Juan Hernandez

Other children

Juan’s mother

Juan’s father

Juan Hernandez

Children:

Juan Hernandez Junior

Alberto Hernandez

Elena Hernandez

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References

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company. Comprehensive Client Family Assessment

Juan Hernandez is an eight-year-old boy, Juan shows a lot off change. Juan does not exhibit any symptom which can be described as mental anxiety or even depression. He seems to be having a future disturbance which has lead the family in attending mental agency for children counseling such brought of a child may lead to depression to the child which may even become fatal in future. Juan is living well, he has no any complication in his body, and the parent may be suffering from depression which makes them punish their child in such a way. The parents seem to be mentally weak and do not understand their child. The parents may even be suffering from certain guilt.

The content of therapy: Juan and his parents were advised to visit a local community mental agency, this is because of the parent physical punishment to Juan who seems to be harmless and is of good health both physically and mentally. The punishment may lead to depression to healthy Juan, which can lead to fatal though. The parents have severally been punishing their child Juan, with kneeling down while holding two encyclopedia books. The parents may be having some depression or some guilt which is affecting them to punish their child.

MENTAL HEALTH CLIENT PROGRESS AND PRIVILEGE NOTE 3

 

Therapeutic Interventions: the important therapeutic techniques used in the therapy session was to help in finding the areas which have difficulties, where there will be the development of

coping skills and also a way of managing stress. The session was to have the parents develop self-awareness and compassion. The parents will have to be able to see their selves and the child in a more positive way. The child should be able to forget the past and forgive his parents and be able to move on with his life in a more positive way. The child also needs to be able to make positive remarks at the end of the session and also be able to cope up with stress life.

Mental Status: the child has no sign of irritable or distracted, the patient has a full communication, he is always well groomed and appears to be normal. He also exhibits a normal speech rating, volumes and also its articulation is coherent and also spontaneous. He has an intact language speech. He has normal l mood with no signs of depression; he also does not have mood elevation as there are no physical changes to him, as he also eats as normal. All his physical and mental tests are normal. The parent has bizarre behavior, in a psychotic process, they seem to have depression lead by their quick marriage which they have now directed their depression to their child. There cognitive functioning and the fund of knowledge I not positive, but their son cognition is positive. The son is average, but with the risk of having depression, the parents seem depressed and not happy. Comprehensive Client Family Assessment

Diagnoses: below are the diagnoses which are based on the current information; the diagnosis can change with a change to any additional information Comprehensive Client Family Assessment.

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