Provide a brief overview of the family members in the chosen case study.
Complete a genogram and ecomap.
Explain the key points of therapeutic conversation.
Formulate key questions for additional information.
Ensure your assessment addresses:
Identifying data
Developmental stage and history of family
Environmental data
Family structure
Family functions
Family stress and coping
Family composition
Provide a brief overview of the family members in the chosen case study.
Complete a genogram and ecomap.
Explain the key points of therapeutic conversation.
Formulate key questions for additional information.
Ensure your assessment addresses:
Identifying data
Developmental stage and history of family
Environmental data
Family structure
Family functions
Family stress and coping
Family composition
Evidence based nursing practice is one of most important for perfect and accurate in terms of saving a life.this presentation covers almost all aspect of EBD
This slide contains information regarding Family Health Nursing. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated. Thank you!
Overall health and well-being are greatly impacted by the communities in which patients live and work. Access to care is influenced by economic, social, and political issues. Depending on the needs of the individual and the population, it may be a major factor in determining physical, emotional, and mental health as well as morbidity and mortality.
The state of having addressed basic needs for ease, relief, and transcendence met in 4 contexts of experience (physical, psychospiritual, sociocultural, and environmental)
Comfort involves identifying the comprehensive needs of patients, families, and nurses and addressing those needs.
Ergonomics- comfort at the workplace, promotes optimum function or productivity (Kolcaba &Kolcaba, 1991)
NANDA- comfort in terms of pain management
Confortare Latin- to strengthen gently
Evidence based nursing practice is one of most important for perfect and accurate in terms of saving a life.this presentation covers almost all aspect of EBD
This slide contains information regarding Family Health Nursing. This can be helpful for proficiency level and bachelor level nursing students. Your feedback is highly appreciated. Thank you!
Overall health and well-being are greatly impacted by the communities in which patients live and work. Access to care is influenced by economic, social, and political issues. Depending on the needs of the individual and the population, it may be a major factor in determining physical, emotional, and mental health as well as morbidity and mortality.
The state of having addressed basic needs for ease, relief, and transcendence met in 4 contexts of experience (physical, psychospiritual, sociocultural, and environmental)
Comfort involves identifying the comprehensive needs of patients, families, and nurses and addressing those needs.
Ergonomics- comfort at the workplace, promotes optimum function or productivity (Kolcaba &Kolcaba, 1991)
NANDA- comfort in terms of pain management
Confortare Latin- to strengthen gently
Community diagnosis is vital in health planning, evaluation and needs assessment, several types of indicators are valid to be used for community diagnosis including Socio-economic, demographics, health system, and living arrangements.
2-night package #LekkerStap programme for groups wanting to explore the wilderness & coast west of Mossel Bay. Includes Point of Human Origin caves visit at Pinnacle Point to learn about the emergence of modern human behaviour. Optional afternoon excursion (with transport) to Jakkalsvlei Private Cellar, Herbertsdale, for wine tasting.
South Afica
Toy Story’s JessieIntroducing the Character Jessie is on.docxcandycemidgley
Toy Story’s Jessie
Introducing the Character
Jessie is one of the main characters in the Pixar/Disney animated blockbuster movie Toy Story 2 (Plotkin, Jackson, & Lasseter, 1999). In the story, Jessie is a cowgirl doll modeled after the fictitious cowgirl character in a 1960s children’s western TV show called Woody’s Roundup. The story centers on a band of toys who are going to be sold to a Japanese toy museum and their efforts to undermine that sale and remain together.
As the story unfolds, we learn that Jessie, once a favored toy to her owner, was abandoned when the girl grew out of her interest in childhood play things. Jessie was subsequently purchased by Al of Al’s Toy Barn, who was in the process of collecting a full set of toys that were marketed in conjunction with the Woody’s Roundup television show.
As Toy Story 2 unfolds, the pain of Jessie’s abandonment becomes obvious to the other toys, and especially to Woody, who is also struggling to remain in the favor of his boy owner, Andy. As the toys work together to overcome the differences that divide them, they ultimately rally to liberate themselves, and in the process, stage a last-minute rescue of Jessie and provide her once again with connection, attachment, and a sense of being loved.
Basic Case Summary
Identifying Information
. Jessie, who refuses to use her last name because “it reminds me of them” (her foster parents), is an 11-year-old white preteen who has, for the last 3 months, been living at the Storyland Home for Girls. She has displayed increasingly disturbing asocial behavior at this facility, which has led to her spending increasing time alone, “shying away” from staff, and watching other peer residents with what was described as a “cold aloofness.” In appearance, she can be described as a wiry, energetic, and wide-eyed red-haired waif. She has her own room at the facility because of her wary behavior and unwillingness to interact with the other residents.
Presenting Concerns
. Jessie was referred for counseling by the disciplinary dean at the Storyland School due to escalating concerns about her highly ambivalent reactions to staff and peers. Background, Family Information, and Relevant History. Jessie was born in Muskegon, Wisconsin, the youngest and unexpected third child to parents who were both under 20 years old. Jessie’s mother and father were both raised in the Wisconsin Foster Care System after being abandoned at birth; her father was in recovery for Alcohol Use Disorder. When Jessie was born, her parents were living in a one-bedroom apartment over a grocery store in downtown Muskegon, were receiving government support, and had recently placed Jessie’s older brother up for adoption.
Jessie was born 5 weeks premature and presented a significant challenge to her young parents, who were referred to, but did not take advantage of, pre- and postnatal social services resources. As a result, Jessie received poor postnatal care and was often left in the ...
CASE STUDY Dean is a White 16-year-old. He is a sophomore at G.docxwendolynhalbert
CASE STUDY
Dean is a White 16-year-old. He is a sophomore at George Washington Carver High School. He lives with his father and his stepmother in a semirural community in the South. His father and mother divorced when Dean was 8 years old, and both parents remarried shortly after the breakup. Dean’s mother moved to another state, and, although she calls him from time to time, the two have little contact. Dean gets along well with his father and stepmother. He is also a good “older brother” to his 5-year-old stepbrother, Jesse. Dean’s father owns and operates an auto-repair shop in town. His wife works part time, managing the accounts for the business. She is also an active contributor to many community projects in her neighborhood. She regularly works as a parent volunteer in the elementary school library and is a member of her church’s executive council. Both parents try hard to make a good life for their children. Dean has always been a somewhat lackluster student. His grades fell precipitously during third grade, when his parents divorced. However, things stabilized for Dean over the next few years, and he has been able to maintain a C average. Neither Dean nor his father take his less-than-stellar grades too seriously. In middle school, his father encouraged him to try out for football. He played for a few seasons but dropped out in high school. Dean has a few close friends who like him for his easygoing nature and his sense of humor. Dean’s father has told him many times that he can work in the family business after graduation. At his father’s urging, Dean is pursuing a course of study in automobile repair at the regional vo-tech school. Now in his sophomore year, Dean’s circle of friends includes mostly other vo-tech students. He doesn’t see many of his former friends, who are taking college preparatory courses. Kids in his class are beginning to drive, enabling them to go to places on weekends that had formerly been off-limits. He knows many kids who are having sex and drinking at parties. He has been friendly with several girls over the years, but these relationships have been casual and platonic. Dean wishes he would meet someone with whom he could talk about his feelings and share his thoughts. Although he is already quite accustomed to the lewd conversations and sexual jokes that circulate around the locker room, he participates only halfheartedly in the banter. He has listened for years to friends who brag about their sexual exploits. He wonders with increasing frequency why he is not attracted to the same things that seem so important to his friends. The thought that he might be gay has crossed his mind, largely because of the scathing comments made by his peers about boys who show no interest in girls. This terrifies him, and he usually manages to distract himself by reasoning that he will develop sexual feeling “when the right girl comes along.” As time passes, however, he becomes more and more morose. His attention is divert ...
Running Head Family InterviewFamily InterviewCompari.docxcowinhelen
Running Head: Family Interview
Family Interview
Comparison of Structural Family Therapy and
Solution
-Focused Therapy
Introduction to Marriage, Couple, and Family Counseling
COUN-6201F-3
February 8, 2015
Family Profile
The family I interviewed is the Smith and Brooks family. This family consists of Jason Smith a 22 year old African American male, his girlfriend Carly Brooks a 22 year old Native American/Caucasian female, their five month old daughter Ellie Smith, who live with Carly’s parents Cherly Brooks a 47 year old Native American/Caucasian female and Joe Brooks a 56 year old Caucasian male. Jason and Carly were best friends for four years before they started dating two years ago and Cherly and Joe have been married for 24 years. This family also have two cats (Pepper and Posy), a dog (May), and a horse (Ava Rain). Although this family is somewhat diverse, how they relate with one another is uniquely special. Based on my observations during the interview, this family truly enjoys each other’s company, being around each other and spending quality time.
Significant Changes in the Family
Within the past two years there have been some significant changes within the family dynamics. One of the significant changes is that almost two years ago Cherly’s mother (Carmen) past away. According to the family Carmen was the glue of the family. She was someone who could make any conflicts in the family disappear as quickly as it begun, as well as having the ability to put a smile on anyone’s face regardless of their mood. When Carmen got sick, it took a toll on the family and caused a bit of stress due to the uncertainty of her health. Carmen spent a week in the hospital before she was moved back home (against the wishes of certain family members), where within a couple of days she passed away peacefully in her sleep in the comforts of her own bed. Another significant change for the family was when Cherly and Joe’s daughter started dating Jason, Carly’s pregnancy, and Jason moving in. When Jason and Carly started dating, Cherly and Joe were not too happy with their daughter dating someone who was African American. Carly had no biases about who she dated and had her share of boyfriends who were of different races, which displeased her parents. Jason and Carly have been friends for five years before they decided to date each other. Because Carly’s parents already knew Jason from his friendship with their daughter, and already had love and respect for him, as well as knowing what type of person he was, they accepted the relationship and welcomed Jason into their family. After a year of Jason and Carly dating, she became pregnant. Telling her parents about the pregnancy was one of the most difficult things she ever had to tell her parents, but to Carly’s surprise her parents welcomed the news, and of all people her father suggested that Jason move into their home to be closer to Carly for support and helping her out with the pr ...
Respond to Olivia and Katie post work to expand the discussion by co.docxpeggyd2
Respond to Olivia and Katie post work to expand the discussion by contributing unique, relevant content (personal/professional experiences or examples) or by expanding and adding depth to the thoughts and ideas shared by your peers (presenting different strategies in the book, or new ideas and thoughts, or similar personal/professional experiences to connect with).
Olivia post
The ability to view ourselves from an unbiased perspective allows us to critically assess our personal strengths and weaknesses. This is an important step in the process of finding the right resources for our personal learning style. Ego and pride can be a hard thing to overcome, but I have found that reaching out for help provides endless benefits. I have found myself hesitant to ask for help in a professional setting. Because I am much younger than many of my coworkers, I feel a constant need to prove my worth. I feel as though my asking for help can be interpreted as an inability to perform my job duties effectively. I have since found out that this is not the case and in return, I am better equipped to do my job. If we are able to overcome the fear of putting our pride aside and asking for help, we will reap many benefits on the path to success. Overall, the ability to focus on the right things allows us to be better prepared to take advantage of critical opportunities.
After reviewing the multitude of online amenities provided at SNHU I feel better prepared to continue my work as a student. I plan on utilizing the Smarthinking 24-hour tutoring service as well as the drop off paper review. I think this is an amazing resource to have available that encourages students to ask for help when it is needed. The ability to get help from our peers is a tool I believe to be instrumental to success. It is reassuring to know that I have multiple resources at my disposal during this time in which I continue to further my education.
Katie post
I think being able to use resources to help you succeed is a great characteristic to have. Sometimes in the past I have been too stubborn in my ways to be able to ask for help or use resources to help me and have not done as well as I had intended.
I think knowing more about you will allow you to be able to choose the right resources, because knowing the most about yourself allows you to know which resources you will benefit the most from. I have always struggled in math; it has never been my strong suit. When I first attempted to go to college right after I graduated from high school, I really struggled with the math course I was assigned. My school provided us with a resource called Math Lab. It was mandatory to complete one hour a week there. However, when I knew I needed more time and more assistance with what I was learning I decided not to reach out for help. Looking back, I am not sure why I refused to use more resources. I think I would have been more successful at my first attempt at college if I put my pride to the side .
Working With Children and Adolescents The Case of DaliaDalia is.docxhelzerpatrina
Working With Children and Adolescents: The Case of Dalia
Dalia is a 14-year-old, biracial female of African and Irish American descent who resides with her parents in a middle-class suburb. She is the youngest of three children and is currently the only child remaining in the home. Dalia’s parents have been married for 25 years. Dalia’s father works in the creative arts field with a nontraditional work schedule that has him gone overnight and sleeping late into the morning. Dalia’s mother is an executive who works long hours. Dalia was diagnosed with sickle cell anemia in early childhood and was hospitalized multiple times. At present, Dalia’s health is stable with the last serious episode occurring 2 years ago.
Dalia’s parents reported that until middle school, Dalia was an easygoing, good-natured youngster who enjoyed singing and participating in activities with her peers and family. Dalia denied any problems with drugs or alcohol but admitted to drinking with friends. Dalia described her family relationships as tense, stating, “My dad lets me do what I want” and “My mother is always trying to control me.” Dalia described her relationship with her older brother, who lives in another state, as “cool,” and her relationship with her older sister, a college sophomore, as “not cool.”
Dalia’s parents sought out counseling services for behavioral issues on the recommendation of her school. The issues included argumentative behavior with authority figures, physical altercations with peers, poor concentration in class, irritable mood, verbal combativeness when confronted, truancy, and highly sexualized behavior with male peers. At home, Dalia had become more argumentative and physically threatening. Her parents had discovered that she and her friends drank alcohol in their home. Dalia’s parents also reported that she was up most of the night and slept most of the day. They also reported that her mood was highly irritable and that she was extremely impulsive. She had no interest in getting involved with any extracurricular activities, stating that those things are “corny and boring.”
In the first meeting, Dalia and her mother both appeared agitated with each other and became argumentative when going through the intake information. Dalia quickly told me that she was not planning to talk about anything because this meeting was her parents’ idea. She stated, “I don’t have any problems, my parents do.” Soon into this first visit, Dalia blurted out that her mother was upset with her because she had just shown her a tattoo she had had done recently, purchased by using a fake ID. I acknowledged her news and asked if this was the way that she usually shared important information with her mother. Dalia shrugged and stated, “I don’t know. I figure I better her tell her now before she gets too busy.”
I asked both Dalia and her mother what their expectations were for counseling and what each would like to get from these visits. Dalia’s mother seemed surprised an ...
Working With Children and Adolescents The Case of DaliaDalia is.docxambersalomon88660
Working With Children and Adolescents: The Case of Dalia
Dalia is a 14-year-old, biracial female of African and Irish American descent who resides with her parents in a middle-class suburb. She is the youngest of three children and is currently the only child remaining in the home. Dalia’s parents have been married for 25 years. Dalia’s father works in the creative arts field with a nontraditional work schedule that has him gone overnight and sleeping late into the morning. Dalia’s mother is an executive who works long hours. Dalia was diagnosed with sickle cell anemia in early childhood and was hospitalized multiple times. At present, Dalia’s health is stable with the last serious episode occurring 2 years ago.
Dalia’s parents reported that until middle school, Dalia was an easygoing, good-natured youngster who enjoyed singing and participating in activities with her peers and family. Dalia denied any problems with drugs or alcohol but admitted to drinking with friends. Dalia described her family relationships as tense, stating, “My dad lets me do what I want” and “My mother is always trying to control me.” Dalia described her relationship with her older brother, who lives in another state, as “cool,” and her relationship with her older sister, a college sophomore, as “not cool.”
Dalia’s parents sought out counseling services for behavioral issues on the recommendation of her school. The issues included argumentative behavior with authority figures, physical altercations with peers, poor concentration in class, irritable mood, verbal combativeness when confronted, truancy, and highly sexualized behavior with male peers. At home, Dalia had become more argumentative and physically threatening. Her parents had discovered that she and her friends drank alcohol in their home. Dalia’s parents also reported that she was up most of the night and slept most of the day. They also reported that her mood was highly irritable and that she was extremely impulsive. She had no interest in getting involved with any extracurricular activities, stating that those things are “corny and boring.”
In the first meeting, Dalia and her mother both appeared agitated with each other and became argumentative when going through the intake information. Dalia quickly told me that she was not planning to talk about anything because this meeting was her parents’ idea. She stated, “I don’t have any problems, my parents do.” Soon into this first visit, Dalia blurted out that her mother was upset with her because she had just shown her a tattoo she had had done recently, purchased by using a fake ID. I acknowledged her news and asked if this was the way that she usually shared important information with her mother. Dalia shrugged and stated, “I don’t know. I figure I better her tell her now before she gets too busy.”
I asked both Dalia and her mother what their expectations were for counseling and what each would like to get from these visits. Dalia’s mother seemed surprised an.
rgumentative behavior, engagement in physical altercations, .docxcarlstromcurtis
rgumentative behavior, engagement in physical altercations, and evidence of mood swings can all indicate that an adolescent is experiencing anger and depression. Self-harming can surface in adolescents, too, as they experience difficult emotions.
For this Discussion, read the case study of Dalia and consider what you, as her social worker, would do if you observed self-harm indicators.
By Day 3
Post
a brief explanation of self-harming behaviors that Dalia is exhibiting. Describe theoretical approaches and practical skills you would employ in working with Dalia. How might familial relationships result in Dalia’s self-harming behavior? Please use the Learning Resources to support your answer.
Working With Children and Adolescents: The Case of Dalia
Dalia is a 14-year-old, biracial female of African and Irish American descent who resides with her parents in a middle-class suburb. She is the youngest of three children and is currently the only child remaining in the home. Dalia’s parents have been married for 25 years. Dalia’s father works in the creative arts field with a nontraditional work schedule that has him gone overnight and sleeping late into the morning. Dalia’s mother is an executive who works long hours. Dalia was diagnosed with sickle cell anemia in early childhood and was hospitalized multiple times. At present, Dalia’s health is stable with the last serious episode occurring 2 years ago.
Dalia’s parents reported that until middle school, Dalia was an easygoing, good-natured youngster who enjoyed singing and participating in activities with her peers and family. Dalia denied any problems with drugs or alcohol but admitted to drinking with friends. Dalia described her family relationships as tense, stating, “My dad lets me do what I want” and “My mother is always trying to control me.” Dalia described her relationship with her older brother, who lives in another state, as “cool,” and her relationship with her older sister, a college sophomore, as “not cool.”
Dalia’s parents sought out counseling services for behavioral issues on the recommendation of her school. The issues included argumentative behavior with authority figures, physical altercations with peers, poor concentration in class, irritable mood, verbal combativeness when confronted, truancy, and highly sexualized behavior with male peers. At home, Dalia had become more argumentative and physically threatening. Her parents had discovered that she and her friends drank alcohol in their home. Dalia’s parents also reported that she was up most of the night and slept most of the day. They also reported that her mood was highly irritable and that she was extremely impulsive. She had no interest in getting involved with any extracurricular activities, stating that those things are “corny and boring.”
In the first meeting, Dalia and her mother both appeared agitated with each other and became argumentative when going through the intake information. Dalia quickly told me ...
Argumentative behavior, engagement in physical altercations, and evi.docxjewisonantone
Argumentative behavior, engagement in physical altercations, and evidence of mood swings can all indicate that an adolescent is experiencing anger and depression. Self-harming can surface in adolescents, too, as they experience difficult emotions.
For this Discussion, read the case study of Dalia and consider what you, as her social worker, would do if you observed self-harm indicators.
By Day 3
Post
a brief explanation of self-harming behaviors that Dalia is exhibiting. Describe theoretical approaches and practical skills you would employ in working with Dalia. How might familial relationships result in Dalia’s self-harming behavior? Please use the Learning Resources to support your answer.
Working With Children and Adolescents: The Case of Dalia
Dalia is a 14-year-old, biracial female of African and Irish American descent who resides with her parents in a middle-class suburb. She is the youngest of three children and is currently the only child remaining in the home. Dalia’s parents have been married for 25 years. Dalia’s father works in the creative arts field with a nontraditional work schedule that has him gone overnight and sleeping late into the morning. Dalia’s mother is an executive who works long hours. Dalia was diagnosed with sickle cell anemia in early childhood and was hospitalized multiple times. At present, Dalia’s health is stable with the last serious episode occurring 2 years ago.
Dalia’s parents reported that until middle school, Dalia was an easygoing, good-natured youngster who enjoyed singing and participating in activities with her peers and family. Dalia denied any problems with drugs or alcohol but admitted to drinking with friends. Dalia described her family relationships as tense, stating, “My dad lets me do what I want” and “My mother is always trying to control me.” Dalia described her relationship with her older brother, who lives in another state, as “cool,” and her relationship with her older sister, a college sophomore, as “not cool.”
Dalia’s parents sought out counseling services for behavioral issues on the recommendation of her school. The issues included argumentative behavior with authority figures, physical altercations with peers, poor concentration in class, irritable mood, verbal combativeness when confronted, truancy, and highly sexualized behavior with male peers. At home, Dalia had become more argumentative and physically threatening. Her parents had discovered that she and her friends drank alcohol in their home. Dalia’s parents also reported that she was up most of the night and slept most of the day. They also reported that her mood was highly irritable and that she was extremely impulsive. She had no interest in getting involved with any extracurricular activities, stating that those things are “corny and boring.”
In the first meeting, Dalia and her mother both appeared agitated with each other and became argumentative when going through the intake information. Dalia quickly told me.
Chelsea Zabala - 4-20-15 - Riley & Holmes - Friedman Family Assessment Model
1. The Friedman Family
Assessment Model (Short Form)
Chelsea Zabala
Southwestern Adventist University
NURS 424 Community Health Nursing
Beverly Dabney, PhD, RN
4-20-2015
2. The Freidman Family Assessment Model (Short Form)
IDENTIFYING DATA
1. The family name is Riley & Holmes.
3. Family composition
FAMILY COMPOSITION FORM
Name
(Last,
First)
Gender Relationship Date and
Place of
Birth
Occupation Education
Holmes,
Casey
Male Boyfriend Currently
unemployed
Former
general
laborer for a
construction
company
(until loss of
job)
High school
dropout
Riley,
Jessica
Female Mother,
Girlfriend
Waitress at
a restaurant
earning
$2.75/hr
plus tips
GED, part-
time student
at the NBH
Community
college
studying
cosmetology
Riley, Ryan Male Son NBH
Hospital
Riley,
Carrie
Female Daughter NBH
Hospital
4. The type of family would be a cohabitating couple.
The boyfriend, mother and children live in the same household; one child from
ex-boyfriend; second child from current boyfriend.
Sometimes a dual-career family, where mother works as a waitress and boyfriend
works as a general laborer; boyfriend is unemployed most of the time though
5. Cultural (ethnic) background
The stated ethnic background is Caucasian (white).
i. The mother and boyfriend are both Caucasian.
The language spoken in the home is English, by all family members.
6. Religious Identifications
Mother is a non-practicing Christian; attended the Neighborhood Christian
Church before having Ryan
Boyfriend has no religious affiliation
7. Social class status
About family lower class
3. Family lives paycheck-to-paycheck with some support from the girlfriend’s
mother
Boyfriend brought in money before he was fired. Most of the money comes from
the girlfriend.
Some supplementary assistance from the mother.
Girlfriend believes money is tight and wishes boyfriend would get a job to help,
but they are getting by.
8. Family’s Recreational or leisure-time activities
Boyfriend (has no job) usually stays at home watching TV, while watching the
baby son. He likes to party a lot with friends.
Girlfriend parties with boyfriend sometimes. She sometimes spends time with her
son, Ryan.
Ryan, the son, usually spends time with his grandma or at the daycare center. He
sometimes spends time with his mom, Jessica.
Carrie, the daughter from the boyfriend, mostly spends time with grandma and the
daycare center. Sometimes mom spends time with her.
DEVELOPMENTAL STAGE AND HISTORY OF FAMILY
9. Family’s present developmental stage
Childbearing families with infants
10. Extent of developmental tasks fulfillment
Couple is not married.
Boyfriend does not take caring for child seriously, until Jessica becomes pregnant
with his child.
Couple sometimes spends time together, but Casey is abusive of Jessica.
11. Nuclear family history
Jessica gave birth to Ryan, but ex-boyfriend left her and gives no support.
Jessica and Casey start dating and living together with Ryan.
Jessica and Casey [still not married] have a child of their own Carrie—along with
Ryan—become a family of four.
12. History of family of origin of both parents
Jessica’s mother lives near her and tried to raise her as a Christian, though Jessica
has become a non-practicing Christian after Ryan’s birth.
Casey had a troubled youth. His parents were divorced when he was very young
and was bounced back and forth. Both parents are now remarried. Growing, up he
often saw his father hit his stepmother when he was angry.
ENVIRONMENTAL DATA
13. Characteristics of Home
A rented small 1-bedroom apartment with minimal furniture and appliances.
14. Characteristics of neighborhood and larger community
It is the poorer section of the Neighborhood, located close to manufacturing
plants. Houses are small and old. Some run-down, some neat. Some yards are
fenced. There is a small grocery store in the area. Homeless people are found in
this area. There are sidewalks along most of the streets, but they are old and
showing signs of decay. The woman’s shelter is located outside of the city limits.
Southend has both low- and high-density residential and light industrial zoning.
4. 15. Family’s geographic mobility
Family does not own a car.
A health clinic is in the neighborhood.
Women’s Health Services and Hospital are in a neighboring neighborhood.
The public school is very far from the home.
16. Family’s associations and transactions with community
Jessica works at a restaurant as a full-time waitress. She occasionally goes to the
hospital and clinic for check-ups during her 2nd pregnancy.
Casey would work at construction sites until he was fired.
Ryan and Carrie used the Daycare services when mom was at work.
17. Family’s social support network (ecomap)
Jessica and the kids are usually supported by her mom at times.
Jessica and Casey rely on their friends in certain situations.
FAMILY STRUCTURE
18. Communication Patterns
Jessica’s feelings of need and love are sometimes met by Casey at times, but there
is no open communication. Casey exerts his influence and power over her, while
she does not talk back afraid to lose him. Jessica emotionally relies on Casey—
that Casey does not fully provide. Jessica interacts well with her children when
she leaves time open to be with them.
Casey interacts more with Carrie (his child), than Ryan (Jessica’s son from an ex-
boyfriend)—who he thinks is annoying. Casey is possessive of Jessica and says
he loves her. When she does something that angers him, instead of talking about
it, he yells and sometimes hits her.
19. Power Structure
Casey holds most of the power in the family. Whenever they argue, Jessica tries
to accommodate Casey in order not to anger him. If Jessica angered Casey too
much, he would yell and sometimes hit her, but the next day he would apologize
and say he loves her.
There is usually no discussion between the two about how the money is spent.
Jessica usually gives Casey the money (and he buys mostly beer). She has
resorted to hiding some of her paycheck for herself to buy other necessary needs
and wants.
20. Role Structure
Jessica carries out the roles of mother, girlfriend, daughter, employee, and friend.
As a mother, she tries her best to take care of Ryan and Carrie, but her strain as an
employee doesn’t give her many opportunities to take care of them. She tries to be
a good girlfriend to Casey, but sometimes he gets mad at her. Her relationship
with her mother is mostly strained—due to differing opinions on how to take care
of Ryan and Carrie. Friends like to invite her to party and hang out.
Casey carries out the roles of boyfriend and father. As a boyfriend, he does not
really help Jessica carry the financial strain. He claims to love her and is sweet to
her, but when he is angry he tends to hit her and abuse her. Casey does not
completely embrace his role as a father or caretaker of Ryan, until Carrie (a child
of his own) is born where he starts to take some responsibility for the children.
5. Ryan and Carrie play the roles of siblings and children. As children, they enjoy
spending time more with grandma and at the daycare center than the house. Ryan
loves his sister and likes interacting with her and making her laugh. Carrie enjoys
the attention from her older brother, too.
21. Family values
Jessica has good work ethic trying to earn money for her family, but Casey does
not hold the same values as shown by his lack of care for searching for a job when
he lacks one.
Casey has no care for education, but Jessica wished to continue her education, but
because of the need to work for finances—she had to drop out of school. She does
allow Ryan (and later Carrie) attend Daycare services.
Casey has no future time orientation and only cares about the now as evidenced
by his lack of responsibility in his jobs and lack of searching when he is out of
work. He also begins to steal from cars as he believes that this is a better way of
earning money—not considering the future consequences with the law. Casey
believes that partying and having fun is most important in life. Jessica a bit of
future time orientation as she works to keep up with finances, but has no clear
plan throughout the episodes.
Overall, family health does not seem to take great importance as most of the
money is spent on beer and cheap food. This is further evidenced when Ryan is
taken to a check-up later and the doctor notices that he is behind in his growth and
development.
There is a strain between Jessica and her mother to whether she should take care
of them or the children should move in with her mother. Her mother doesn’t
approve of the live-in boyfriend, but Jessica thinks it’s okay.
FAMILY FUNCTIONS
22. Affective Function
Casey and Jessica are intimate, but emotionally they may not be that connected as
Jessica thinks they are. Jessica and her kids are pretty close that they acknowledge
her as mom, but they like it better when they are at grandma’s house. Casey is
initially not close to Ryan, but when Carrie is about to be born—he tries to be a
somewhat better father figure.
23. Socialization Function
Since the family is of a lower economic class and neighborhood, the family is at
risk for child-rearing problems.
Casey usually ignores Ryan and feeds him/changes him when necessary, but
spends most of his time watching TV—leaving Ryan to cry in his room.
Ryan (and later Carrie) have confusion in care-taking experiences. They are
ignored at home, but at grandma’s house they are well-taken care of and love
being there.
Jessica is busy at work usually and spends a little time with her kids when she
gets home, but she is usually tired. She has greater value for his kids than Casey
(though Casey later tries to be more involved when Carrie [his child] is born).
24. Health care function
6. The family has no set mealtimes. Jessica and Casey eat when they can, but the
food is usually not nutritious because of the financial strain. Casey usually uses
the money to buy more beer to party and drink. He occasionally smokes too.
Ryan and Carrie are formula-fed. Before Carrie was born, Casey would just leave
the bottle with Ryan—so if it would fall out, that would basically all he could eat.
They received good meals though whenever they stayed at their grandma’s house.
The only use of health care services are for Jessica’s check-ups during her
pregnancy with Carrie and Ryan’s check-ups, too. They used the hospital’s
emergency services where Ryan was diagnosed with respiratory synctival virus
(RSV) and failure to thrive (FTT)—related to the lack of nutrition at home.
There is no family meal-planning. Casey usually is given money by Jessica to
take care of groceries—which he mostly uses for beer.
Casey and Jessica take care of themselves a bit, though have no practice of
healthy meals. Ryan does not get his needed nutrition at home [related to the ED
visit earlier]. When Carrie is born, nutrition is still a bit negligent at home, but
when Casey is thrown in jail, the family moves in with grandma for better meals.
FAMILY STRESS AND COPING
25. Short- and long-term familial stressors and strengths
Stressors: Financial strain and instability; Child-rearing strain and insufficient
knowledge; Unknown future; differing expectations between family members;
Pregnancy and new member of family
Strengths: Ability to thrive in current situation; Strong support from Jessica’s
family; some good work ethic
26. Extent of family’s ability to respond, based on objective appraisal of stress-producing
situations
The family usually deals with stressors separately; or in pairs (Jessica and Casey)
27. Coping strategies utilized (present/past)
Friend support; Familial support; Crying [Ryan/Carrie]; Rationalization [Jessica]
28. Dysfunctional adaptive strategies utilized (present/past, extent of usage)
Casey resorts to hitting/yelling at Jessica when angry; Casey ignores Ryan when
he is crying; Denial/Rationalization [Jessica]; Projection/Displacement [Casey]