Case Study - Adolescent Male
Dr. Scott Smith
Social Work 311
June 13, 2010
Role of Person in the Environment theory in Understanding Social Problems Sexual Assault and Homeless Male Adolescent
Sexual assault overview
Paper Intent and Overview
This paper will present a hypothetical case study of a 17-year-old African American male who has been referred for social work services after being a forced recipient partner during oral and anal intercourse. Using the person in the environment theory, antecedents of the adolescent’s behavior will be presented in the context of his family, social environments, with specific attention to the unique experience of male homeless/runaway’s in the United States. The adolescent’s current functioning and likely trajectory will be presented, informed by current research on male sexual assault, social networks of high-risk youth, and statistics from the RAINN 1998
Demographics and Social History
M.H. is a 17-year-old, heterosexual, African American male who was born in the U.S. M.H. was brought up practicing Islam, and enjoyed worship along side his maternal grandparents sunset on Thursday to sunset on Friday. His grandfather taught him how to pray daily, which is performed five times (after dawn, at noon, at mid afternoon, after sunset, and at night). M.H. smiles as he speaks of his religious practices, then distress came across his face as he states, “I stop doing it all around 11 months ago when my grandfather died. First my grandmother when I was 10, then my grandfather and they where what love is.”
Physically, M.H. presents with poor hygiene, pacing, wringing his hands and is tearful. He complains of sore throat, chest pressure, palpitations, and shortness of breath. He is diaphoretic and his hands are trembling. His blood pressure is 140/90, pulse 110, and respirations 30 and shallow. Visible laceration bruises, and abrasions are noted along with torn clothing. Psoriasis is apparent, characterized by large, red patches covered with thick silvery scales in the outermost layer of the epidermis of the neck, arm, legs, and upper shoulders. Secretion of blood from a patchy scale on the upper left shoulder, and the fingernails are pitting with yellow discoloration of both hands.
On review of medical history, records indicate that M.H has been seen and treated at Detroit Receiving Hospital on three occasions. At 10-years-old he was brought in by biological mother with a fractured femur and various bruises. Mother states that her son was horse playing and fell with a cousin in the basement. At 11-years-old he was brought in by step-father and mother with a dislocated left shoulder and abrasions to the left torso; step-father and minor states they were playing football. At 13-years- old M.H. was brought in via emergency medical technicians and step-father, non-responsive to stimuli and lab results indicates high doses of acetaminophen and codeine phosphate and tested positive for Human Papilloma Virus (HPV). Social Environment
For the past 1.5 years, M.H., has resided on the streets of Detroit, MI sleeping anywhere he can (e.g., alleys, bus stations, squatting in abandon buildings, under freeway overpasses, etc). M.H. was raised by his maternal grandparents until he was 10-years-old and he moved with his biological mother and step-father. M.H. began physical, mental, and sexual abuse from his step-father three weeks after moving in. “I didn’t trust my mother cause she let it happen to both of us,” states M.H. When asked how frequently his step-father mentally, physically, and sexually abused, M.H. offered the name calling and hitting, punching, or even pushing of me would always happen when my mother was awake, and if she protested then he would start on her; this would always happen if his step-father was drinking and/or smoking marijuana (approximately...
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