Case Study Treatment Plan: The Assessment Process Resources Case Study Treatment Plan: The Assessment Process Scoring Guide . APA Style and Format . Turnitin . Writing Feedback Tool . Case Study Treatment Plan Template . Case Study Treatment Plan  |  Transcript For this assignment, complete the Assessment Process sections of the treatment plan for your course project. This treatment plan is based on the case study you selected for your course project. You can review the case studies in the Case Study Treatment Plan media piece available in the resources. The Assessment Process sections of the treatment plan that you will complete for this assignment consist of the following: Identifying information. Presenting problem. Previous treatments. Strengths, weaknesses, and social support systems. Assessment. Diagnosis. References. The sections of the treatment plan you submit for this assignment should be 4–5 pages in length, with a minimum of two references from current articles in the professional literature in counseling. Be sure to cite your references in current APA format. To assist you in completing this assignment, please use the Case Study Treatment Plan Template (available in the resources) to organize your work. Each section of the template includes a description of the type of information you must include. You should type your paper directly into this template, save it as a Word document with your name, and then submit it to the assignment area. OSCAR'S CASE STUDY Oscar is a 19-year-old Hispanic male who is the oldest of 5 children. His family has been farming the same land for 4 generations. Currently they grow vegetables for the regional grocery chain's produce departments. They live in a rural area of the county. Three generations live in two separate houses on their land. They are fiercely independent and have little to do with people in town, although the family itself is extremely close knit. Oscar is currently a freshman at the same college his father attended, majoring in agriculture. When he came home for spring break, his parents noticed significant changes in his appearance. He had lost weight, looked haggard, wasn't sleeping and seemed irritable and argumentative. He told his parents that he did not want to return to college after the break. He went on to say that his roommate had placed cameras in the room so he could record everything Oscar did while the roommate was absent. His grades were poor and he expressed that he believed his instructors were prejudiced against him. This poor performance was in stark contrast to his performance in high school, where he was in the top 10% of his class. Within days of coming home he had stopped showering and began wearing multiple layers of clothes (3 pairs of jeans and 4 t-shirts). He became essentially non-communicative, responding to questions with one-word answers and not initiating conversation. Oscar seemed unhappy or irritable whenever he encountered a member of his family.

1. Case Study Treatment Plan: The Assessment Process
Resources
Case Study Treatment Plan: The Assessment Process Scoring
Guide
.
APA Style and Format
.
Turnitin
.
Writing Feedback Tool
.
Case Study Treatment Plan Template
.
Case Study Treatment Plan
|
Transcript
For this assignment, complete the Assessment Process sections
of the treatment plan for your course project. This treatment
plan is based on the case study you selected for your course
project. You can review the case studies in the Case Study
Treatment Plan media piece available in the resources.
The Assessment Process sections of the treatment plan that you
will complete for this assignment consist of the following:
Identifying information.
Presenting problem.
Previous treatments.
Strengths, weaknesses, and social support systems.
Assessment.
Diagnosis.

2. References.
The sections of the treatment plan you submit for this
assignment should be 4–5 pages in length, with a minimum of
two references from current articles in the professional
literature in counseling. Be sure to cite your references in
current APA format.
To assist you in completing this assignment, please use the Case
Study Treatment Plan Template (available in the resources) to
organize your work. Each section of the template includes a
description of the type of information you must include. You
should type your paper directly into this template, save it as a
Word document with your name, and then submit it to the
assignment area.
OSCAR'S CASE STUDY
Oscar is a 19-year-old Hispanic male who is the oldest of 5
children. His family has been farming the same land for 4
generations. Currently they grow vegetables for the regional
grocery chain's produce departments. They live in a rural area
of the county. Three generations live in two separate houses on
their land. They are fiercely independent and have little to do
with people in town, although the family itself is extremely
close knit.
Oscar is currently a freshman at the same college his father
attended, majoring in agriculture. When he came home for
spring break, his parents noticed significant changes in his
appearance. He had lost weight, looked haggard, wasn't sleeping
and seemed irritable and argumentative. He told his parents that
he did not want to return to college after the break. He went on
to say that his roommate had placed cameras in the room so he
could record everything Oscar did while the roommate was
absent. His grades were poor and he expressed that he believed
his instructors were prejudiced against him. This poor
performance was in stark contrast to his performance in high
school, where he was in the top 10% of his class. Within days of
coming home he had stopped showering and began wearing
multiple layers of clothes (3 pairs of jeans and 4 t-shirts). He

3. became essentially non-communicative, responding to questions
with one-word answers and not initiating conversation. Oscar
seemed unhappy or irritable whenever he encountered a member
of his family and began spending all his time in his room. He
even refused to talk with his youngest brother, with whom he
had always been close. He did not take meals with his family, a
long-standing tradition in his family, and left his room only in
the middle of the night. He could then be heard opening drawers
in the kitchen, going into his siblings' rooms and leaving the
house for long periods of time.
The family (parents and grandparents) became very disturbed
and consulted their priest. The priest recommended that the
parents take Oscar to see a fellow parishioner who is also a
counselor. This counselor was also disturbed with Oscar's
presentation and recommended hospitalization. The family was
very reluctant, but eventually agreed. By the time they got to
the hospital, Oscar was essentially non-communicative, only
nodding or shaking his head in response to direct questions.
The parents provided history that indicated Oscar had been a
good student in high school and had participated in the school's
FFA club. He has always wanted to carry on the family tradition
of farming. He did not have many friends, but the family
attributed that to their living in the country.
The psychiatrist diagnosed Oscar with major depressive
disorder, single episode, severe with psychotic features and
prescribed anti-depressants. He was released three weeks later,
with some improvement. One week later he was readmitted,
with the same presentation he had at the previous admission.
This time, though, his father reported that he had found a cache
of knives in the barn, some from the house, some from the
grandparent's house and some from the barn itself. When he
asked Oscar about them, Oscar responded that he needed them
to protect himself from attacks. When his father asked from
whom, Oscar responded that he had seen one of his college
professors in the field of broccoli. That same day, Oscar's
mother found notes stuffed between Oscar's mattress and box

4. springs in Oscar's handwriting. The content of them was Oscar
arguing with someone about killing his younger siblings. One
side did not want to do it and begged to not have to; the other
side ordered the killings, saying that was the only way to keep
them safe. In light of these two events, both parents were afraid
for Oscar to remain at the house. Oscar swore that he would
never hurt any of his family and said that was why he had been
keeping away from them. His parents could not be sure that no
harm would come and were unable to watch Oscar day and
night. Therefore, they readmitted him to the hospital.
During this admission, Oscar was more forthcoming with his
treatment team. Once they had this additional information, the
team realized that Oscar's initial diagnosis had been wrong.
They began a re-assessment. Oscar acknowledged that the
problems began about the time of the new semester. He was
unable to complete his school work, as he was "consumed" with
the need to follow instructions that were being given to him.
These instructions actually began with a buzzing in his head,
which quickly evolved into specific directions. When pressed,
he acknowledged that he did not know who was giving him the
directions, though he sometimes thought it might be Jesus.
These instructions were for him to keep a log of every time he
heard a door close on his hallway in the dorm. Oscar came to
believe that doing this was the only way to keep his family safe
from dark angels. Oscar tried to keep these voices quiet by
smoking marijuana on a daily basis. While this helped in the
short term, it also made it more difficult for him to complete
any of his school work. By the time for spring break, the
messages had begun to change. He was no longer able to keep
his family safe by keeping a list; the voices told him he would
have to kill them. Oscar knew that he did not want to kill his
family. He could also not avoid going home for spring break.
Therefore, he devised the plan to isolate himself.
Once the family recovered from their initial shock and as Oscar
began to show some improvement with his new, anti-psychotic,
medication, his parents and grandparents wanted to take him

5. home to the farm. They believed that life on the farm, being
outside and with hard, physical labor would cure Oscar. Finally,
Oscar agreed to tell them what has been happening with him. At
that point, the family agreed to residential treatment for Oscar.
When asked if anyone else in the family has ever had symptoms
like this, the grandfather acknowledged that he had a brother
(Oscar's uncle) who had religious visions. This brother left the
family and became a monk. Later the family heard that he had
died under mysterious circumstances. One of the other monks at
the monastery told Oscar's grandfather that his brother had died
from engaging in a prolonged fast. The family is very lucky on
two counts: 1) they have their medical insurance through the
farmer's co-op and it includes coverage for residential treatment
for up to a year, and 2) this hospital has a residential treatment
unit for late adolescents and young adults. You are working as a
counselor at the Residential Treatment facility where Oscar has
been placed. He will be here for a minimum of 6 months and as
long as one year. Professional staff at this facility includes 3
counselors, an addictions counselor, a social worker (currently
on maternity leave), a psychologist, and 2 nurses on every shift.
Oscar's psychiatrist is also on staff and will continue to follow
his care.
The social worker usually coordinates clients' treatment plans;
however she is currently away on maternity leave so you will be
the lead therapist who is coordinating Oscar's treatment during
the next 45 days. Once she returns, you will collaborate with
her for developing Oscar's post-residential treatment and
resources for him and his family.