Reference no: EM133303823

Case Scenario #1: Samantha

Prevention and Intervention Plan

Client Demographics:

Race: Caucasian American

Age: 19

Residence: Currently resides with her sister Kimberly in a two bedroom apartment. Samantha reports to have been living at this residence for approximately two years after she aged out of foster care. She and her sister have a turbulent relationship, her housing is not stable at this location.

Education: Samantha reports that she has a 10th grade education. She has expressed her desire to obtain her General Education Diploma (GED)

Medical Needs: Samantha is currently 4 months pregnant and has tested positive for HIV two weeks prior to initial meeting when she took a test "at one of those neighborhood events where the nurses come and do free testing to let you know your status and stuff." She declined to disclose the identity of the father of her child and denied following up with resources "I don't have the money for that stuff." She denied any other history of medical care and is not currently seeing a physician.

Addiction History: Samantha has a history of marijuana and alcohol usage. She reports being in sobriety for three months after discovering her pregnancy status. She is not active in any addiction programs or supports at the time of initial meeting. Prior to her sobriety, she reported smoking marijuana 3-4x per week with a monetary value of 10$ per day. Her alcohol usage is reported to consistent of drinking 1-2 8oz beers a day with a frequency of 2-3x per month. She reported cravings and urges to resume marijuana and alcohol usage during the initial meeting as a result of her medical status.

Mental Health History: Samantha reports a family history of depression with her maternal aunt successfully committing suicide when Samantha was 10 years of age. Samantha acknowledged suicidal ideations however she does not have a plan at this time. She denied homicidal ideations and attributed her symptoms to feelings of worthlessness and helplessness. She reports ongoing anxiety and fear that she will not be able to support her child or accomplish her life goals and described crying 4-5x per week. She reported a history of a suicide attempt 9 years ago when her aunt died by hanging and then 5 years ago when her parents died "I tried pills but they didn't work."

Supports and Social History: Samantha reports that she has "some friends" in the community that she socializes with on a regular basis. She described her family supports as "pretty much nonexistent" after her parents passed away in a car accident 5 years ago. She currently resides with her older sibling however the two are constantly engaged in conflict as a result of Samantha's inability to financially contribute to the household. Samantha has not informed her sister of her pregnancy or HIV status "she will ask me to get out because she already has two kids and the place is small." She reports that she is romantically involved with three different men and reports that she does know the identity of her child's father but will not disclose this due to his married status. She reported most recently engaging in unprotected sex with all three men, however "I stopped once I got my positive result." She reported a sexual history of 16 sexual partners 10 of which she reported having unprotected sex with "they didn't want to use protection so I didn't force them."

Reason for Initial Visit:

Samantha is self-referred to your human service office after seeing a flyer "saying if you need help dealing with life and stuff." She reports that she would like gain self-sufficiency as she must disclose to her sister that she is pregnant soon "I know she is going to put me out because I been pregnant two times already and this time I'm keeping it." She denied having any health insurance, and reported ongoing needs related to housing, employment and "trying to be a good mom, I don't know what I'm doing and I just want to make it in the world. I feel like I never had a chance at life so I don't want that for my baby." She has signed a release of information for her sister as an emergency contact only.

Following the plan provide

1. An overview of the scenario and presenting needs
a. Provide an overview of the client's demographics
b. discuss both the crisis and prevention needs of the client

2. Incorporation of a Crisis Intervention Model
a. Identify the type of crisis the client is experiencing
b. Select one of the crisis intervention models and discuss how
it would be best suited to address the type of crisis the client is experiencing.
c. Identify a specific intervention resource in the community that would be best suited to address the needs of the client

3. Identification of Prevention and Intervention Resources
a. What referrals would need to be made for the client?
b. Identify a specific prevention resource in your community that would be
appropriate for your client.

4. Discussion of potential risk factors
a. Identify a minimum of 2 risk factors that could manifest throughout the service
delivery
b. Be sure to include an explanation as to why these specific factors were identified
as being a risk

5. Discussion of Ethical Issues
a. Considering the risk factors previously identified for your client what are some
ethical considerations for this case? And support the answer with applicable ethical standards from the
National Organization of Human Services (2015).