Hernandez Family Assessment – Savvy Essay Writers | savvyessaywriters.net
Hernandez Family Assessment – Savvy Essay Writers | savvyessaywriters.net
The Assignment
Address in a comprehensive client assessment of the Hernandez family the following:
- Demographic information
- Presenting problem
- History or present illness
- Past psychiatric history
- Medical history
- Substance use history
- Developmental history
- Family psychiatric history
- Psychosocial history
- History of abuse and/or trauma
- Review of systems
- Physical assessment
- Mental status exam
- Differential diagnosis
- Case formulation
- Treatment planRunning head: HERNANDEZ FAMILY ASSESSMENT 1HERNANDEZ FAMILY ASSESSMENT 6
Hernandez Family Assessment
The purpose of this paper is to complete a comprehensive assessment of the Hernandez family by addressing all information possible from the videos presented in this week’s module.
Part 1: Comprehensive Client Family Assessment
Demographic information
Juan Hernandez Senior, a 27-year-old Latino man, married to Elena Hernandez, a 25-year-old Latino woman, and have two sons, Juan Jr., 8-years-old and Alberto 6-years-old.
Presenting problem
The Administration for Children Services (ACS) referred the family for allegations of child abuse.
History of present illness
Mr. and Mrs. Hernandez are questioning why they are here. They are “punishing the children the way we were when we were their age”. Mr. Hernandez discusses how his father would make him hold encyclopedias for “hours” when he did not obey his father. They both express they are good parents, and everything they do is to better the children’s lives.
Past psychiatric
The style of punishment has been passed down from Mr. and Mrs. Hernandez parents. Both describe punishment by their parents as “misery”.
Needs to be added to
Medical history
Needs to be added to
Substance use history
Needs to be added to
Development history
There appear to be no developmental delays in any member of the family at this time
Needs to be added to
Family psychiatric history
Mr. and Mrs. Hernandez appear to be very concerned about the reason for the referral. They seem to care genuinely for their children. In discussing their upbringing, there doesn’t seem to be a family history of mental illness.
Psychosocial history
Mr. Hernandez appears to be the primary source of income, per the discussion of overtime and the inconvenience of having to attend meetings.
History of abuse/trauma
Juan Jr has reported no other form of abuse except for the type of punishment of holding encyclopedias.
Review of Systems:
Needs to be added to
Physical assessment
All members of the family appear to be in good health.
Needs to be added to
Mental status exam
All members of the family are appropriately dressed and well groomed. The sons are playing together appropriately. Mr. and Mrs. Hernandez’s speech is clear and appropriate. Mr. Hernandez is visibly upset about the ACS claims. Mr. and Mrs. Hernandez appears at this time to be mentally stable with no abnormal thought processes, insight, or judgment.
Differential diagnosis
V62.4 – Target of (Perceived) adverse discrimination or persecution (APA, 2013)
The therapist expresses concerns that there may be evidence of discrimination committed by the ACS worker using the term “Mexicans” when discussing the case. The Hernandez case could be a valid concern and should be discussed further between supervisors.
Diagnosis
V61.20 – Parent-Child Relational Problem (APA, 2013)
Juan Sr admitting to disciplining Juan Jr. in maybe an inappropriate manner supports the diagnosis. Although there is no physical abuse, the mental consequences of using book holding as a punishment could lead to Juan Jr. avoiding books in school. This avoidance could lead to poor performance in school later on.
Case formation
ACS has referred this family for investigation of abuse by the father (Mr. Hernandez) for possible inappropriate punishment of son (Juan Jr.). Both parents appear to be very concerned about this accusation and express their concerns and frustrations appropriately. Both sons are present and appear to be interacting appropriately without aggression. Mr. Hernandez discusses attending parenting class as an inconvenience by having to miss overtime, which is essential to provide for his family. Mrs. Hernandez expresses concerns about keeping the family together. Both agree to ACS recommendations of attending parenting classes.
Treatment Goals
Goals:
Teach safe and effective discipline skills
Teach age appropriate behavior
Teach managing of frustrations
Treatment strategy/interventions:
Positive Parenting Program and family therapy can assist with attaining set goals for this family.
Estimated completion: 12 weeks
Part 2: Family Genogram
References
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.
Looking for a Similar Assignment? Order now and Get 10% Discount! Use Coupon Code “Newclient”
