Introduction
Ian is an eighteen year old male, referred by the Juvenile Justice system for therapeutic counseling due to his conviction as a sexual offender. As a social worker reading Ian case file, Ian’s case history starts after his mother’s death when he was five-years old. Ian’s sister and her husband moved into the family home to assist Ian’s father with his care. While in the home, Ian’s brother-n-law murdered his 18-month old daughter, Ian’s niece. Ian mistakenly confessed to the crime because he hit his niece earlier with a toy. After an investigation, Ian’s brother-n-law was found guilty, and he is currently serving a 25-year prison term. Ian’s brother-n-law does not correspond with the family, and it was later determined he was on the sex offender’s registry when he moved into the family home. Ian’s sister moved out the family home after the incident, and Ian’s father parented Ian alone. Ian’s father, David, did not verbally discuss his emotions about the traumatic life events with Ian, but they maintained a close interaction with one another. David provided Ian with a stable home in a safe neighborhood with prestigious schools and recreational activities. David maintains a job with a sustainable income to support the family. The family appeared to maintain homeostasis during the traumatic events surrounding their lives. Ian observed as a model student by teachers and friends until Ian committed a sexual offense. When Ian was eight-years old, he committed a sexual offense against a three-year old neighbor, and due to his age, the judge recommended therapeutic treatment instead of incarceration. Ian’s father refused to take him. The judge assigned Ian a family ACE counselor, whom David and Ian saw as a mother figure oppose to a therapeutic counselor. The effectiveness of the ACE counselor’s relationship with the family was questionable since Ian reoffended. Ian reoffended when he was 11, and his father agreed to therapeutic treatment with psychoeducation. Ian has been in treatment since the incident and shows positive progression into a stable young man, who attends college, maintains healthy relationships, and a part-time job. Assessment/Theoretical Approach The assessment creates a dialogue with Ian and the social worker. …show more content…
This communication establishes a rapport, based on Ian’s pace to disclose information (Walsh, 2014). The social worker will explore areas of Ian’s childhood, trauma, relationships (current and past), cognition, and physical symptoms (Bland, 2010). The social worker facilitated each session with a strengths perspective and an empowerment approach to therapy (Kolk, 2005). The social worker will use several tools to access the information via a Trauma Focused- Cognitive Behavioral Therapy Approach (TF-CBT). This CBT model focuses on the symptoms associated with trauma such as PTSD, depression, anxiety, and behavior disorders (Force, 2008). The social worker chose this model from Ian’s prior history of suspected sexual abuse and his violent past sexual offender behaviors (Ferguson et al 2013). The National Institute of Justice states CBT establishes a meaning and understanding to the trauma for the individual and their family. CBT address the maladaptive cognitions, emotions, feelings and behaviors associated with the trauma (2016). Based a systematic review of adult sex offenders, it is recommended early interventions be implemented due to the high recidivism rates of offenders (Langstrom et al 2013). In order to complete Ian’s assessment the social worker asks Ian the following questions: (Kessler et al. 2004) 1. How do you feel about your sister not being involved in your life (Hall & Hall, 2011)? Clients often feel guilty about the abuse, and it was their fault. 2. Do you have any emotions associated with Mary, ACE …show more content…
creating a context for change, 2. challenging old patterns and expanding alternatives, and 3. consolidation (2016). The first component focuses on building a safe rapport with the client and therapist. Individuals have a constant sense of lost and fear of re-victimization. The client moves at their individual pace to disclose old patterns and develops new ones with the therapist’s assistance. The therapist will use a TF-CBT approach during sessions to challenge cognitive, emotions, feelings, and behaviors. In the consolidation phase, Ian’s father and girlfriend unite for psychoeducation and discuss the outcomes to treatment. This is a safe environment to communicate areas of concern and strength-building
Ian is an eighteen year old male, referred by the Juvenile Justice system for therapeutic counseling due to his conviction as a sexual offender. As a social worker reading Ian case file, Ian’s case history starts after his mother’s death when he was five-years old. Ian’s sister and her husband moved into the family home to assist Ian’s father with his care. While in the home, Ian’s brother-n-law murdered his 18-month old daughter, Ian’s niece. Ian mistakenly confessed to the crime because he hit his niece earlier with a toy. After an investigation, Ian’s brother-n-law was found guilty, and he is currently serving a 25-year prison term. Ian’s brother-n-law does not correspond with the family, and it was later determined he was on the sex offender’s registry when he moved into the family home. Ian’s sister moved out the family home after the incident, and Ian’s father parented Ian alone. Ian’s father, David, did not verbally discuss his emotions about the traumatic life events with Ian, but they maintained a close interaction with one another. David provided Ian with a stable home in a safe neighborhood with prestigious schools and recreational activities. David maintains a job with a sustainable income to support the family. The family appeared to maintain homeostasis during the traumatic events surrounding their lives. Ian observed as a model student by teachers and friends until Ian committed a sexual offense. When Ian was eight-years old, he committed a sexual offense against a three-year old neighbor, and due to his age, the judge recommended therapeutic treatment instead of incarceration. Ian’s father refused to take him. The judge assigned Ian a family ACE counselor, whom David and Ian saw as a mother figure oppose to a therapeutic counselor. The effectiveness of the ACE counselor’s relationship with the family was questionable since Ian reoffended. Ian reoffended when he was 11, and his father agreed to therapeutic treatment with psychoeducation. Ian has been in treatment since the incident and shows positive progression into a stable young man, who attends college, maintains healthy relationships, and a part-time job. Assessment/Theoretical Approach The assessment creates a dialogue with Ian and the social worker. …show more content…
This communication establishes a rapport, based on Ian’s pace to disclose information (Walsh, 2014). The social worker will explore areas of Ian’s childhood, trauma, relationships (current and past), cognition, and physical symptoms (Bland, 2010). The social worker facilitated each session with a strengths perspective and an empowerment approach to therapy (Kolk, 2005). The social worker will use several tools to access the information via a Trauma Focused- Cognitive Behavioral Therapy Approach (TF-CBT). This CBT model focuses on the symptoms associated with trauma such as PTSD, depression, anxiety, and behavior disorders (Force, 2008). The social worker chose this model from Ian’s prior history of suspected sexual abuse and his violent past sexual offender behaviors (Ferguson et al 2013). The National Institute of Justice states CBT establishes a meaning and understanding to the trauma for the individual and their family. CBT address the maladaptive cognitions, emotions, feelings and behaviors associated with the trauma (2016). Based a systematic review of adult sex offenders, it is recommended early interventions be implemented due to the high recidivism rates of offenders (Langstrom et al 2013). In order to complete Ian’s assessment the social worker asks Ian the following questions: (Kessler et al. 2004) 1. How do you feel about your sister not being involved in your life (Hall & Hall, 2011)? Clients often feel guilty about the abuse, and it was their fault. 2. Do you have any emotions associated with Mary, ACE …show more content…
creating a context for change, 2. challenging old patterns and expanding alternatives, and 3. consolidation (2016). The first component focuses on building a safe rapport with the client and therapist. Individuals have a constant sense of lost and fear of re-victimization. The client moves at their individual pace to disclose old patterns and develops new ones with the therapist’s assistance. The therapist will use a TF-CBT approach during sessions to challenge cognitive, emotions, feelings, and behaviors. In the consolidation phase, Ian’s father and girlfriend unite for psychoeducation and discuss the outcomes to treatment. This is a safe environment to communicate areas of concern and strength-building