Human Service Scenario Analysis
The interview process between a clinician and his or her client seems to be the groundwork upon which treatment and healing begins. Dependent on the type of case and diagnosis is presented specific settings, techniques, and boundaries will be applied to produce the best results. Thus, it is imperative for a clinician to fully comprehend how what may appear insignificant in his or her opinion negatively can influence his or her client in the vastest way. A scenario of a 15-year-old Filipino female recently hospitalized for attempted suicide will be used as a theoretical case study and the methods in helping her will be examined. The primary goal of the scenario analysis is to evaluate, identify, and treat the young girl in regard to her exceptional set of circumstances, personal characteristics, and cultural divergence. Supplementary to the clinician’s initial objectives it is important that a stage is prepared for the client to feel compelled to communicate openly and receive guidance to heal.
Alexis Gomez was referred to me by a hospital social worker called to investigate her attempted suicide case. My services is requested to work closely with the young teenage girl in deciding the length of her therapy, whether or not she would require institutionalized care, and the state of her home environment. The first interview was thought best to be scheduled at one of my office’s located at a small community agency near the client’s home to provide a less sterile and clinical atmosphere. To gain a better perspective of the individual I was to meet so also to help form healthy expectations I reviewed the notes gathered by the hospital social worker detailing the young girl’s medical, family, and cultural background. Upon studying the information provided I learned Alexis came from an affluent two-parent household with two older siblings living in a quiet suburban town. She is an honor student enrolled in all AP courses at a Catholic school where she is involved in numerous athletic sports and is well-liked by her peers. Although Alexis’ family background reveals that in the Filipino culture family is highly valued above any other and is the fundamental societal unit she is struggling with relationship issues with her mother and siblings. In a traditional Filipino family the father is reported to encompass the role of provider and head of house while the mother takes on the responsibilities of the domestic and emotional development and values of the family (philippinecountry.com, 2006). The adolescent is remarked to have had a close personal relationship with her mother but lately has been feeling closed off and inadequate because of her mother’s constant mood changes usually directed at the young girl. As well, Alexis has stated briefly that she feels abandoned and alone because her adult siblings spend less quality time with her or at home because of work and personal relationships. Moreover, family tensions have been a cause for additional stress in the home environment between her parents, older brother, and the relationship the parents disapprove of leaving him to move out. Given that in the Filipino culture families are extraordinarily close parents occasionally find it difficult to allow their children to leave, especially their first born son, which many times results in adult children staying home as long as they please (philippinecountry.com, 2006). As I continued to peruse the reports, I found that Alexis’ desperate action was too fueled by her parent’s restrictive and smothering behavior limiting her social freedoms or relationships, pressure to excel in school seeing as education in the Filipino background is considered central to upward mobility and social standing (everyculture.com, n.d.), and bullying from jealous peers. The young girl appears to isolate herself even from those closest to her and exhibits signs of resentfulness and hostility that promote...
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