Choose one of the following family vignettes and create a thorough treatment plan which illustrates the intersectionality of the above factors. Include at least six long-term goals. Develop at least five objectives and six interventions for each long-term goal. Be sure to include any sub-system work needed and work with other agencies.
The Juarez family is comprised of three children: Juan, age 15; Jesus, age 12; and Sarah, age 5. The parents are originally from Mexico and have had all three children here since they immigrated 16 years ago. They are still in the process of obtaining citizenship. They struggle with making ends meet and both parents speak limited English. Jesus has been experiencing mood problems at school and angers easily. He often gets into fights and is on probation for assault. He is quiet most of the time and is having trouble sleeping. The other two children are doing fine, but the parents are concerned that Sarah is overly anxious. The parents do not always agree on discipline as Mr. Juarez believes that spanking with a board is appropriate, and they have been reported to Child Protective Services for abuse. The family is strong in its faith and regularly attends Catholic Mass. The family has been referred to you through Child Protective Services.
The Smith family is a blended family with five children. The father, John, has three children from a previous marriage: Josh, age 10; Emily, age 7; and June, age 5. Their step-mother (Becky) has been in and out of psychiatric hospitals most of her life. Becky’s second husband has been accused of sexually abused their two girls while she battled substance abuse and mental illness. The father was notified by Child Services once the girls told their aunt, and he has custody of them at this time. Becky’s divorce was problematic, and she has a strained relationship with her ex-husband. She and her stepson Josh have heated arguments and she suspects he has been using drugs and alcohol. She is very controlling and consistently argues with teachers and other authority figures about how to interact with her stepson. Both John and Becky work full-time and struggle with poverty and are afraid of the court costs that could occur from the sexual abuse charges. They live in a rural town. They have self-referred to you for parent-child problems concerning Becky and her stepson Josh.
The Bell family consists of a single mom raising her two sons. They have just moved from a family shelter as Mrs. Bell has left an abusive husband. Her eldest is Sam, age 15 and her youngest is Joe, who is 12. They are African American. She works part time at two jobs to make ends meet. Sam experienced a lot of mixed feelings lately regarding his sexuality, but does not want anyone to know. He is bullied at school and does not have any friends. He does not like sports, but does prefer drama class. He is failing in most of his classes. He often masturbates while thinking about other boys and has viewed a few gay websites. His mother is unaware of his struggles; she just thinks he is depressed. Joe has also had problems with his peers and they have been picked up by the police for vandalism on several occasions. She is unsure what to do to help her boys and is not sure about therapy. The family has been referred to you by the school.