Reference no: EM133191887
PCN-531 Smith Family Case Study
Directions:You are the family therapist assigned to the case below.You have worked with them for a few months while John attended an Intensive Outpatient Program.They are getting ready to discharge and you are preparing them for ongoing care and recovery.
Smith Case Study: John is a 42-year-old white male who was treated for a severe alcohol use disorder.John was reluctant to enter treatment but was urged by his spouse and had recently been arrested for driving while intoxicated, and he knew he would have to address his legal issues.John had a long history of drinking.Most recently, he was drinking nearly every day, drinking very heavy on the weekends.He maintained his job as an insurance salesman.He had not been in any trouble at his job.He had experienced blackouts at times and did experience mild to moderate withdrawal symptoms, which did lead him to occasionally drink in the mornings to stabilize the symptoms.During treatment, John began to understand that he had a serious problem and was willing to commit to abstinence and ongoing recovery.He started going to Alcoholics Anonymous meetings but had not obtained a sponsor.He was willing to change some of his social habits to avoid situations where drinking was encouraged.John's father was an alcoholic and passed away 5 years ago.John's mother is still alive but does not live in the area.
Margaret is John's wife.They have been married for 17 years.Margaret works herself and has also been the primary parent for their two children.Margaret drinks on occasion and she and John used to drink together socially when they first were married.Margaret began getting very angry at John and began to try and coerce him into treatment.She was successful after John was arrested.Margaret's father was an alcoholic, and, currently, he is sober and no longer drinking.Margaret experiences signs of depression and anxiety.She has, in the past, seen a counselor and is currently on Zoloft.Margaret was reluctant to participate in treatment as she believed that it was his problem.She does understand the concept of enabling and understands that she must stop to help John.She is still quite angry at all the problems his drinking has caused.She has attended a few Al-Anon meetings but does not feel they are helpful.She believes that John just needs to stay sober and things will get better.
Robert is their 15-year-old son.He excels in school and athletics and is a high achiever.He has participated a little in treatment but lacks the full understanding of the issue his father is dealing with.He knows that his father has a problem with alcohol but does not fully understand the comprehensive nature of the issue.Robert is very close with his father and has tended to make excuses for him and has covered up for him at times.He was quick to rationalize his father's behavior and attributed to his stressful job.Robert and his mother have a pleasant but not close relationship.
Tina is the 12-year-old daughter.She struggles in school and has done so since 3rd grade.She has had some behavioral issues in school and at home.She tends to become very oppositional and angry, especially with her mother.She gets into verbal confrontations with her brother.She does not understand much about her father's alcohol problem but understands that her mother does not like it when he drinks.She tests boundaries and limits and engages in arguments to try to get her way.She feels that she is unwanted by her mother and does not feel that she is treated fairly.
The family has become separated and segregated.John and his son would do a lot of things recreationally although this has diminished greatly over the last few years.John does not talk much to his daughter.Tina and Margaret do things together but also fight a lot.Members do not share their emotions easily and anger seems to be the dominant emotion.Tina believes she is blamed for a lot of the stress in the home.Robert tends to be the peacemaker and does not like conflict.During primary treatment, the focus was to help family members understand John's issue and begin to learn better communication skills.
PCN-531 Benchmark - Smith Family Case Study: Final Essay
For this assignment, you are to review the Smith family case study, research discharge/treatment plan options, and provide the details for a treatment/discharge plan for the Smith family.
Write a 1,500-2,000-word paper, describing the typical characteristics, rules and roles of the Smith family as well as the details you would include as the therapist in a discharge/treatment plan for the family. Include the following in your paper:
1. Describe some of the treatment issues that the Smith family may be facing in their recovery.
2. Describe at least four interventions that might be indicated for the Smith family as they move forward in their treatment.
3. Details for a discharge/treatment plan for the family that includes the following:
a. Social planning
b. Support groups
c. Goals and objectives for the family
d. Rituals and rules to try to abide by
e. Relapse prevention strategies and how the family can respond to John when they are concerned about his sobriety
4. Include at least four scholarly sources in addition to the textbook to support your findings.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
This assignment assesses the following programmatic competency: 4.2/4.4: Utilize research to guide decision-making processes.