Remove or Replace: Header Is Not Doc TitleRivera Family Case Study Rivera Family Case Study Part 1 Please read the Rivera family case study to develop a diagnosis for Miguel Rivera age 10 based on the information provided. Follow the scoring guide and utilize the DSM 5. Identify any ethical considerations or laws. Please use the AAMFT code of ethics, HIPAA (if necessary) and your state laws or statutes. Please identify which systemic treatment you would utilize for this client and family. The Rivera Family Demographics The Rivera family is Puerto Rican, and they live in RiverBend City, Florida in a single-family home that they own. The family is middle class, and both parents work outside of the home. Sosa Perez’s mother came to live with them 8 years ago after being widowed, she assists with childcare and housekeeping. Family Demographics · Mother: Sosa Perez de Rivera, age 44, born in Puerto Rico, teacher at RiverBend City high school · Sosa is pragmatic and practical, yet she takes time to nurture her children when they need it. · Father: Jose Rivera, age 45, born in Florida, orthodontist in group practice in River City · Jose is funny and tells jokes to lighten the mood. · Son: Pedro Rivera, age 16, born in Puerto Rico, 10th grade, RiverBend City high school · Pedro is very serious and studious and wants to be a surgeon. He is busy with school, after school activities, and looking for good pre-med programs. · Daughter: Tisha Rivera, age 14, born in Florida, 9th grade, RiverBend City high school · Tisha is popular at school, is class president, and a cheerleader. She wants to be a teacher like her mother and work in a high school. · Daughter: Maria Rivera, age 12, born in Florida, 7th grade, Palms elementary and middle school · Maria is artistic and a dreamer. She loves butterflies and fairies and wears purple a lot. · Son: Miguel Rivera, age 10, born in Florida, 5th grade, Palms elementary and middle school · Miguel is a perfectionist who has to do “everything right”. He gives up when things don’t work out the way he had planned. His room is orderly. · Maternal grandmother: Magdalena Cortez de Perez, age 71, widowed, born in the Dominican Republic, in-home child care provider and housekeeping. · Magdalena has always been “the rock” of the family, pragmatic, practical, and stoic. She allows “no-nonsense” or emotional outbursts from anyone. Family history: Sosa and Jose Rivera met in Puerto Rico when they were in high school together. Jose’s parents had moved to Puerto Rico from Florida when he was 12 for his father’s work as an engineer. Sosa and Jose got married after graduating, then both moved to Florida to attend college. Sosa received her teaching credentials in mathematics and chemistry and Jose attended dental school and received his orthodontic specialization. .

1. Remove or Replace: Header Is Not Doc TitleRivera Family Case
Study
Rivera Family Case Study Part 1
Please read the Rivera family case study to develop a diagnosis
for Miguel Rivera age 10 based on the information provided.
Follow the scoring guide and utilize the DSM 5. Identify any
ethical considerations or laws. Please use the AAMFT code of
ethics, HIPAA (if necessary) and your state laws or statutes.
Please identify which systemic treatment you would utilize for
this client and family.
The Rivera Family Demographics
The Rivera family is Puerto Rican, and they live in RiverBend
City, Florida in a single-family home that they own. The family
is middle class, and both parents work outside of the home.
Sosa Perez’s mother came to live with them 8 years ago after
being widowed, she assists with childcare and housekeeping.
Family Demographics
·
Mother: Sosa Perez de Rivera, age 44, born in Puerto
Rico, teacher at RiverBend City high school
· Sosa is pragmatic and practical, yet she takes time to nurture
her children when they need it.
·
Father: Jose Rivera, age 45, born in Florida,
orthodontist in group practice in River City

2. · Jose is funny and tells jokes to lighten the mood.
·
Son: Pedro Rivera, age 16, born in Puerto Rico, 10th
grade, RiverBend City high school
· Pedro is very serious and studious and wants to be a surgeon.
He is busy with school, after school activities, and looking for
good pre-med programs.
·
Daughter: Tisha Rivera, age 14, born in Florida, 9th
grade, RiverBend City high school
· Tisha is popular at school, is class president, and a
cheerleader. She wants to be a teacher like her mother and work
in a high school.
·
Daughter: Maria Rivera, age 12, born in Florida, 7th
grade, Palms elementary and middle school
· Maria is artistic and a dreamer. She loves butterflies and
fairies and wears purple a lot.
·
Son: Miguel Rivera, age 10, born in Florida, 5th grade,
Palms elementary and middle school
· Miguel is a perfectionist who has to do “everything right”. He
gives up when things don’t work out the way he had planned.
His room is orderly.
·
Maternal grandmother: Magdalena Cortez de Perez, age
71, widowed, born in the Dominican Republic, in-home child
care provider and housekeeping.
· Magdalena has always been “the rock” of the family,
pragmatic, practical, and stoic. She allows “no-nonsense” or

3. emotional outbursts from anyone.
Family history:
Sosa and Jose Rivera met in Puerto Rico when they were in high
school together. Jose’s parents had moved to Puerto Rico from
Florida when he was 12 for his father’s work as an engineer.
Sosa and Jose got married after graduating, then both moved to
Florida to attend college. Sosa received her teaching credentials
in mathematics and chemistry and Jose attended dental school
and received his orthodontic specialization.
Their first child, Pedro (who was named after Jose’s father) was
born when Sosa was 28, following his birth the couple visited
her family in Puerto Rico. The other children; Tisha, Maria, and
Miguel were all born approximately two years apart in Florida.
Magdalena the children’s maternal grandmother moved in with
them after her husband passed away, Miguel was 2-years old.
Magdalena has assisted with child care and housekeeping
allowing Sosa to work without having to transport her youngest
to daycare and preschool. The 3 older children were already in
school.
School Shooting Incident
Nine months ago Tisha attended a football game with her cheer
squad and the RiverBend City Football team at a high school in
a town 45 miles from RiverBend City. During the game there
was a shooting, a student walked into the stands at the football
game and fired randomly into the stands and toward the field.
The shooter injured 20 people and killed three. The shooter was
a 16-year-old Caucasian student who had gotten expelled

4. because he was aggressive at school, called the Hispanic,
African American, and LGBTQIA students bad names in person,
and on his social media accounts.
One of Tisha’s squad was shot in the hip, and one of their
football players was seriously injured when a bullet barely
missed his lung. Tisha rode to the hospital with her friend who
had been injured she remained at the hospital until her father,
Jose was able to pick her up. Tisha has received therapy
because she was having nightmares about the incident. The legal
and media encounters were stressful for Tisha and her family.
Miguel’s best friend is the youngest brother of the football
player who was seriously injured. He was with the family when
they received the news of the shooting and their son’s injury.
The family had to rush to the hospital taking Miguel with them.
He remained at the hospital with the family until his mother,
Sosa was able to pick him up. When Sosa arrived Miguel was
frightened, shaking, and crying. His grandmother Magdalena
told him that “bad things happen and that he would need to
toughen up”.
Client Referral:
You have received a referral from the Palms elementary and
middle school counselor for Miguel. Miguel’s grades have
fallen from As to Cs and Ds and he often says he has a stomach-
ache and/or a headache and wants to go home from school
Since the shooting incident, Miguel starts crying and shaking
when there are active shooter drills. He also becomes upset
when there are fire drills or weather drills at school. Miguel has

5. also become sensitive to people arguing, yelling, and loud
noises like doors slamming. Miguel had an incident at school
where hid at school after a kid slammed the door. The school
asked the janitor to locate Miguel when the teacher reported
him absent after recess.
Rivera Family Case Study Part 2 (Additional Notes)
While working with the Rivera family, Sosa talks about how
this whole event has reminded her of how much she misses her
own father and that she never got a chance to see him before he
died and that the casket was closed during the funeral. She
endorsed feeling like she never really absorbed that he was
gone. Sosa’s father died suddenly in an auto accident and had a
closed casket because of the damage done to his body.
Magdalena told Sosa, “Shush. There is nothing we can do about
it but move forward.” During family therapy, it became obvious
that Sosa and Magdalena compartmentalized their feelings to
move forward and neither had processed their grief.
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Unit I Journal
Before projects are approved, the project sponsors need to
explain how the project would create business value. For this
journal entry, provide a definition of business value in your own
words. Then, reflect on a project that you worked on or are
familiar with at your current or former organization. Explain
how the project created value for the organization and its
overall strategic goals.
Your journal entry must be at least 200 words in length. No
references or citations are necessary.