America is a 17-year-old biracial male who was left by his crack-addicted mother at a young age and placed into foster care. He lived with his foster mother Mrs. Harper and her brother Reggie but became lost in the system. After attempting suicide, he was placed in a youth treatment center where he worked with his psychiatrist Dr. Maureen Brennan. America struggled with anger and developed maladaptive behaviors due to his traumatic experiences of abuse and being in the foster care system. Dr. Brennan helped him confront his past and prepare to age out of foster care.
5. SUMMARY
AMERICA IS A SEVENTEEN YEAR OLD BI-RACIAL
MALE.
MOTHER WAS ADDICTED TO CRACK AND LEFT
HIM AS A YOUNG CHILD, AND SOON WAS PUT INTO
FOSTER CARE.
HE LIVED WITH MRS. HARPER AND REGGIE.
BECAME LOST IN THE FOSTER CARE SYSTEM AND
PUT INTO THE YOUTH TREATMENT CENTER
AFTER ATTEMPTING SUICIDE.
6. SUMMARY CONTINUED
DR. MAUREEN BRENNAN WAS HIS THERAPIST IN
THE YOUTH TREATMENT CENTER.
HE WAS ANGRY, AND DEVELOPED MALADAPTIVE
BEHAVIORS WHEN FUNCTIONING IN SOCIETY.
DR. BRENNAN SUPPORTS AND ENCOURAGES
AMERICA TO CONFRONT HIS PAST AND SOON AGE
OUT OF THE FOSTER CARE SYSTEM.
http://www.youtube.com/watch?v=R3-myivwc4I.
8. Person-In-Environment
(PIE)
“The Person-in-Environment (PIE) is a system for assessing
problems in social functioning, developed by Karl and
Wandrei.”
Social Functioning
Lecroy & Jose B. Ashford
9. Four Factors of Client
Problems
Factor I
Social-role Problems
Example: Abuse
Factor II
Environmental Problems
Example: Foster Care
Factor III
Mental Disorders
Example: Symptoms of PTSD, Depression, and Anxiety
Factor IV
Physical Disorders
Example: Did not display any in movie
10. Assessing Clients by PIE
System
1. What are the problems in social functioning presented
by the client?
2. What problems exist in the social institution in this
community that are affecting the client?
3. Are any mental health problems or strengths present?
4. What are physical problems and strengths are noted?
5. What strengths and resources does the client possess
to deal with their concerns, issues, or problems?
(Lecroy & Ashford)
12. Psychological Hypothesis
• Cognitive Development and Information Processing
• Psychological Hazards and Risks
• Social Cognition and Regulation
13.
14. Cognitive Development and
Information Processing • Client’s attention span, memory, concentration, and
capacity for abstract thought
• Client’s reality base
• Client’s learning abilities and performance
• Client’s language ability and vocabulary
15. Cognitive Development and
Information Processing
• Client’s self-perception
• Client’s emotional responses
• Client’s self-statements
16. Psychological Hazards and Risks
• Client’s experience of past life events
• Client’s experience with recent life events
17. Social Cognition and Regulation
• Client’s social knowledge about others
• Client’s capacity for empathy
• Client’s capacity for impulse control
• Client’s capacity for emotional regulation
18. Social Cognition and Regulation
• Client’s social skills
• Client’s social problem solving skills
• Client’s maladaptive behavior patterns
• Client’s coping skills
20. Groups and Families
• Role systems and client interactions
• Family’s patterns of communications
• Family’s roles
21. Communities and Support Systems
• Communities of which the client is a member
• Support systems available to the client
• Institutional contributions to client’s problems
• Organizational contributions
• Multicultural gender and spiritual hypothesis
22. Coping
• Listened to Music
• Played Basketball
• Fighting
• Isolation
• Dissociation
23. CRITICAL QUESTIONS
• BASED ON THE INFORMATION PROVIDED, DO YOU SEE WHY AMERICA HAD
DIFFICULTIES WITH…
TRUST?
CONTROL?
SELF-ESTEEM?
RELATIONSHIPS?
24. REFERENCES
• America. (2009, February 9). YouTube.
Retrieved November 3, 2013, from
http://www.youtube.com/watch?
v=yUONc6MeLwI
• Ashford, J. B., & LeCroy, C. W. (2013).
Human behavior in the social environment: a multidimensional (5th ed.). Australia: Brooks/Cole, Cengage Learning.
• Self-Injury Awareness Video 2013. (2013, March
1). YouTube. Retrieved November 3, 2013, from
https://www.youtube.com/watch?
v=toOKvG9li3c
25. REFERENCES
• Diagnostic and statistical manual of mental disorders: DSM-5.
(5th ed.). (2013). Washington, D.C.: American Psychiatric Association.
• Dee, R. (Director). (2009). America
[Motion picture]. America: Sony Pictures Home Entertainment.