Case Studies in Child, Adolescent, and Family Treatment

**A detailed look at how to apply clinical theories to social work practice**Thinking through real-life cases to make connections between theory and practice is a crucial element of social work education. Now in its __Second Edition__, __Case Studies in Child, Adolescent, and Family Treatment__ contains a wide range of cases described in rich detail by practitioners, scholars, and researchers. Chapters represent contexts and approaches across the social work spectrum, so students will get to glimpse into the clinical experience of a full range of professionals. With chapter overviews, case sketches, study questions, and references for further study, this book makes an invaluable reference for social work students. Learning by example is the best way to develop the skill of clinical reasoning. Editors Craig W. LeCroy and Elizabeth K. Anthony—two distinguished scholars in the field of social work—have brought together an impressive roster of contributors who add their unique voices and clinical perspectives into their insightful case descriptions. Organized into five thematic sections, __Case Studies in Child, Adolescent, and Family Treatment, Second Edition__ covers the most important areas in social work practice, including: * Child welfare and adoption * Individual and group treatment * School and community settings * Family treatment and parent training With the updates in the __Second Edition,__ students will learn the most current lessons in social work practice from a diverse range of scholars, researchers, and practitioners in the field. In contexts ranging from child welfare to homelessness, this book provides the critical thinking skills students need to understand how social work theory applies in clinical environments. Case Studies in Child, Adolescent, and Family Treatment 3 Contents 7 EPAS Standards 11 Matrix for Chapter Content 15 Preface 19 About the Editors 23 Contributors 25 1 Case Studies in Individual Treatment and Assessment 31 REFERENCES 34 CASE STUDY 1-1 FROM CHILDHOOD TO YOUNG ADULTHOOD WITH ADHD 35 FIRST SESSION 36 TWO MONTHS LATER: ELLEN AT THE BREAKING POINT 39 ELLEN 40 A YEAR LATER 42 RON 44 NATE AS A PREADOLESCENT 45 MEDICATION 47 WHERE IS NATE AT AGE 13? 47 THE TREATMENT TEAM 48 TREATMENT SUMMARY 48 ELEVEN YEARS LATER 49 Recap 49 A Teen Without a Direction 50 Art as Focus 51 Nate Is Growing Up 53 DISCUSSION 54 REFERENCE 58 CASE STUDY 1‐2 SOLUTION‐FOCUSED THERAPY WITH CHILD BEHAVIOR PROBLEMS 59 ENGAGEMENT 60 Engagement Strategies with Parents 61 Engagement Strategies with Children 63 EXCEPTIONS 65 COMPLIMENTING 68 TECHNIQUES TO MAKE EXCEPTIONS CONCRETE 69 The Miracle Question 70 Scaling Questions 71 SUMMARY OF SUBSEQUENT SESSIONS AND TERMINATION 73 CONCLUSION 73 REFERENCES 74 CASE STUDY 1‐3 CRISIS INTERVENTION WITH A DEPRESSED AFRICAN AMERICAN ADOLESCENT 75 CASE DESCRIPTION 76 ISSUES IN ASSESSMENT 77 Developmental Issues 77 Clinical Issues 77 Sociocultural Issues 77 CASE DISCUSSION AND ANALYSIS 78 Assessment of the Therapist’s Preparation and Self‐Awareness 78 Assessment of Client 78 Assessment of the Therapist’s Knowledge of the Client’s Background 82 Pretherapy Intervention 84 Hypothesis Testing 85 Monitoring Therapist–Client Interactions 86 Monitoring the Client’s Responses and Transference 87 Goal Setting and Problem Resolution 88 Planning for Intervention 89 CASE SUMMARY 90 REFERENCES 91 CASE STUDY 1‐4 WHAT A FEW CBT SESSIONS CAN DO: THE CASE OF A MOTIVATED YOUNG ADULT 94 THE INITIAL CONTACT 94 FIRST APPOINTMENT 95 SECOND APPOINTMENT 98 THIRD AND LAST APPOINTMENT 100 CASE STUDY 1‐5 THE CASE OF AUNDRIA: TREATING SUBSTANCE ABUSE DURING ADOLESCENCE USING CBT AND MOTIVATIONAL INTERVIEWING 102 AUNDRIA: AN INTRODUCTION 102 ASSESSMENT 105 INITIAL SESSIONS: AUNDRIA’S AMBIVALENCE 108 ACTION PHASE: USING CBT APPROACHES 110 TERMINATION: REFLECTIONS ON WORKING WITH AUNDRIA 112 REFERENCES 113 CASE STUDY 1‐6 A DEVELOPMENTAL APPROACH TO WORKING WITH SEXUALLY ABUSIVE YOUTH 116 INTRODUCTION 117 CASE STUDY 118 Demographics and Sex Offense History 118 Family History 119 Mental Health Concerns, Strengths, and Clinical Issues 120 Treatment Considerations 121 ETIOLOGICAL THEORY, TYPOLOGIES, AND DEVELOPMENTAL PATHWAYS 121 TRAUMA AND VICTIMIZATION 122 STATIC, STABLE, AND DYNAMIC FACTORS 124 RISK AND PROTECTIVE FACTORS 125 CALLOUS‐UNEMOTIONAL TRAITS, TRAUMA, AND DISINHIBITION 126 PSYCHOSEXUAL EVALUATIONS 126 CASE CONCEPTUALIZATION SUMMARY AND TREATMENT RECOMMENDATIONS 129 CONCLUSION 132 REFERENCES 133 CASE STUDY 1‐7 EFFECTIVE INTERVENTIONS FOR ADOLESCENT CONDUCT DISORDER IN RESIDENTIAL TREATMENT 140 INTRODUCTION 140 CASE STUDY 141 FIRST SESSION 142 MOTIVATIONAL INTERVIEWING 143 CONFRONTATIONAL STYLES 145 Assessment 146 TREATMENT 148 COGNITIVE‐BEHAVIORAL MODEL 149 SKILL BUILDING 154 OUTCOME 156 CONCLUSION 156 REFERENCES 158 2 Case Studies in Group Treatment 160 REFERENCES 162 CASE STUDY 2‐1 A SOCIAL SKILLS GROUP FOR CHILDREN 163 TEACHING SOCIAL SKILLS 164 STARTING THE GROUP 164 AN EXAMINATION OF THE TRAINING PROCESS 165 Selecting Skills and Situations 165 Discussing the Social Skill 166 Setting Up the Role‐Play 167 Modeling the Skill 167 Role‐Playing and Rehearsing the Skill 168 Practicing Complex Situations 168 Group Process Illustrated 169 Practicing Social Skills in the Natural Environment 169 CONCLUSION 174 REFERENCES 174 CASE STUDY 2‐2 A CULTURALLY GROUNDED EMPOWERMENT GROUP FOR MEXICAN AMERICAN GIRLS 175 INTRODUCTION 175 CULTURE IN CLINICAL WORK WITH LATINAS 176 CASE ILLUSTRATION 178 CASE STUDY 179 DISCUSSION 188 REFERENCES 190 CASE STUDY 2‐3 DEVELOPMENTAL PLAY GROUPS WITH KINDERGARTNERS IN A SCHOOL SOCIAL WORK SETTING 192 INTRODUCTION 192 THEORY AND GROUP PROCESS 193 TREATMENT GROUP: BEGINNING 196 PRETEST 197 TREATMENT GROUP: MIDDLE PHASE 198 TREATMENT GROUP: ENDING PHASE 200 POSTTEST 202 DISCUSSION 202 CONCLUSION 203 REFERENCES 203 CASE STUDY 2‐4 GAY YOUTH AND SAFE SPACES 204 USE OF GROUP WORK WITH SEXUAL MINORITY YOUTH 205 LISTENING TO ZACK 206 UNRESPONSIVE ENVIRONMENTS 208 3 Case Studies in Family Treatment and Parent Training 212 REFERENCE 213 CASE STUDY 3‐1 HOMEBUILDERS ®: HELPING FAMILIES STAY TOGETHER 214 CASE OVERVIEW 215 INTERVENTION 216 Week One: Gathering Information, Relationship Building, and Setting Treatment Goals 216 Week Two: Active Work on Goals 221 Week Three: Teaching, Learning, and Some Application 225 Week Four: Progress Continues but Setbacks Occur 229 CONCLUSIONS 231 REFERENCES 231 CASE STUDY 3‐2 EVIDENCE‐BASED APPROACH TO PARENT TRAINING 233 DESIGN OF THE GROUP 235 RECRUITMENT AND ASSESSMENT 237 THE GROUP 239 REFERENCES 247 CASE STUDY 3‐3 PROMOTING POSITIVE PARENTING: INFANT MENTAL HEALTH INTERVENTION WITH HIGH‐RISK FAMILIES 249 ACKNOWLEDGMENTS 249 BACKGROUND 249 CASE OVERVIEW 251 INTERVENTION 254 The Attachment and Biobehavioral Catch‐up (ABC) Intervention 255 Implementing ABC with Maribel and Her Family 256 CONCLUSIONS 262 REFERENCES 263 4 Case Studies in Child Welfare and Adoption 266 REFERENCES 268 CASE STUDY 4‐1 A CASE STUDY OF THE APPLICATION OF NTU PSYCHOTHERAPY FOR TREATMENT FOSTER CARE AND EMOTIONAL TRAUMA 269 OVERVIEW 269 NTU PSYCHOTHERAPY 270 NTU PHASES AND TECHNIQUES 271 FAMILY BACKGROUND 276 RETURN TO THE UNITED STATES 277 INTERVENTION PLANS 279 CONCERNS/BARRIERS 279 THERAPY SESSIONS 280 Session 1 280 Session 2 281 Session 3 283 Session 4 284 Session 5 285 Session 6 286 Session 7 287 Session 8 288 CASE MANAGEMENT UPDATE 289 PROGRESSIVE LIFE CENTER 291 REFERENCES 292 SUGGESTED READINGS 292 CASE STUDY 4‐2 HELPING FAMILIES WITH REUNIFICATION: RETURNING A CHILD TO A LESS‐THAN‐PERFECT FAMILY 293 RESIDENTIAL TREATMENT AS PUNISHMENT 296 TO RETURN OR NOT TO RETURN?: THAT IS THE QUESTION 301 THERE’S NO PLACE LIKE HOME (OR: BE CAREFUL WHAT YOU WISH FOR) 303 CASE STUDY 4‐3 NOTHING LEFT TO LOSE: GROWING UP IN FOSTER CARE 307 CASE STUDY 4‐4 DECIDING WHAT IS BEST FOR SAVANNAH: THE GRIEF AND JOY IN A SUCCESSFUL ADOPTION 319 REFERENCES 325 5 Case Studies in School and Community Settings 326 REFERENCES 328 CASE STUDY 5‐1 ZAI: A HMONG ADOLESCENT CREATES HIS OWN WAY 329 CASE STUDY BACKGROUND 329 HMONG CULTURE 333 TREATMENT 334 CONCLUSIONS 340 REFERENCES 340 CASE STUDY 5‐2 UNDERSTANDING BULLYING AND PEER VICTIMIZATION: THE IMPORTANT ROLES OF PEERS, PARENTS, AND SCHOOL PERSONNEL IN PREVENTION AND INTERVENTION 342 CASE STUDY SCENARIO 342 DEFINING BULLYING AND THE ROLES OF YOUTH INVOLVED 343 TYPES OF BULLYING BEHAVIOR 344 RESPONSES TO BULLYING BEHAVIOR: THE ROLE OF PEERS, SCHOOL PERSONNEL, AND PARENTS 344 INTERVENTION RESPONSES: WHAT CAN PEERS, SCHOOL PERSONNEL, AND PARENTS DO? 346 Assessing for Bullying 346 Intervening with Bullying 347 CONCLUSIONS 353 REFERENCES 353 CASE STUDY 5‐3 FINDING A VOICE AND MAKING IT HEARD: A CASE STUDY OF LOW‐INCOME URBAN YOUTH 358 DEVELOPMENT AND THE CAPACITY TO PARTICIPATE 360 FORMING A GROUP AND LEARNING TO EXPLORE: WHAT IS MY COMMUNITY? 361 Practitioner Reflection 364 CREATING AND USING EVIDENCE 364 ANALYZING DATA, ADVOCATING FOR IDEAS, AND AGREEING ON SPECIFIC CONCERNS 367 Practitioner Reflection 369 FINDING A VOICE, PLANNING, AND TAKING ACTION 370 Practitioner Reflection 374 REFERENCES 374 FURTHER READING 375 CASE STUDY 5‐4 LIVING IN SURVIVAL MODE: A YOUNG WOMAN’S EXPERIENCE OF HOMELESSNESS 376 CASE STUDY BACKGROUND 376 DISCUSSION 381 BUILDING RELATIONSHIPS 383 HELPING PEOPLE HELP THEMSELVES AND POSITIVE ADULT RELATIONSHIPS 384 BOUNDARIES 385 NOW NEEDS, THE BIG PICTURE, AND PROGRAM CONSISTENCY 385 GOALS 388 YOU CAN TRY AGAIN NEXT TIME 389 CONCLUSIONS: CONSTANT LEARNING 390 Author Index 393 Subject Index 401 EULA 418 "A detailed look at how to apply clinical theories to social work practiceThinking through real-life cases to make connections between theory and practice is a crucial element of social work education. Now in its Second Edition, Case Studies in Child, Adolescent, and Family Treatment contains a wide range of cases described in rich detail by practitioners, scholars, and researchers. Chapters represent contexts and approaches across the social work spectrum, so students will get to glimpse into the clinical experience of a full range of professionals. With chapter overviews, case sketches, study questions, and references for further study, this book makes an invaluable reference for social work students. Learning by example is the best way to develop the skill of clinical reasoning. Editors Craig W. LeCroy and Elizabeth K. Anthony--two distinguished scholars in the field of social work--have brought together an impressive roster of contributors who add their unique voices and clinical perspectives into their insightful case descriptions. Organized into five thematic sections, Case Studies in Child, Adolescent, and Family Treatment, Second Edition covers the most important areas in social work practice, including: Child welfare and adoption Individual and group treatment School and community settings Family treatment and parent training With the updates in the Second Edition, students will learn the most current lessons in social work practice from a diverse range of scholars, researchers, and practitioners in the field. In contexts ranging from child welfare to homelessness, this book provides the critical thinking skills students need to understand how social work theory applies in clinical environments"-- Résumé de l'éditeur "A detailed look at how to apply clinical theories to social work practiceThinking through real-life cases to make connections between theory and practice is a crucial element of social work education. Now in its Second Edition, Case Studies in Child, Adolescent, and Family Treatment contains a wide range of cases described in rich detail by practitioners, scholars, and researchers. Chapters represent contexts and approaches across the social work spectrum, so students will get to glimpse into the clinical experience of a full range of professionals. With chapter overviews, case sketches, study questions, and references for further study, this book makes an invaluable reference for social work students. Learning by example is the best way to develop the skill of clinical reasoning. Editors Craig W. LeCroy and Elizabeth K. Anthony--two distinguished scholars in the field of social work--have brought together an impressive roster of contributors who add their unique voices and clinical perspectives into their insightful case descriptions. Organized into five thematic sections, Case Studies in Child, Adolescent, and Family Treatment, Second Edition covers the most important areas in social work practice, including: Child welfare and adoption Individual and group treatment School and community settings Family treatment and parent training With the updates in the Second Edition, students will learn the most current lessons in social work practice from a diverse range of scholars, researchers, and practitioners in the field. In contexts ranging from child welfare to homelessness, this book provides the critical thinking skills students need to understand how social work theory applies in clinical environments"-- Provided by publisher A detailed look at how to apply clinical theories to social work practice Thinking through real-life cases to make connections between theory and practice is a crucial element of social work education. Now in its Second Edition , Case Studies in Child, Adolescent, and Family Treatment contains a wide range of cases described in rich detail by practitioners, scholars, and researchers. Chapters represent contexts and approaches across the social work spectrum, so students will get to glimpse into the clinical experience of a full range of professionals. With chapter overviews, case sketches, study questions, and references for further study, this book makes an invaluable reference for social work students. Learning by example is the best way to develop the skill of clinical reasoning. Editors Craig W. LeCroy and Elizabeth K. Anthony—two distinguished scholars in the field of social work—have brought together an impressive roster of contributors who add their unique voices and clinical perspectives into their insightful case descriptions. Organized into five thematic sections, Case Studies in Child, Adolescent, and Family Treatment, Second Edition covers the most important areas in social work practice, including: Child welfare and adoption Individual and group treatment School and community settings Family treatment and parent training With the updates in the Second Edition, students will learn the most current lessons in social work practice from a diverse range of scholars, researchers, and practitioners in the field. In contexts ranging from child welfare to homelessness, this book provides the critical thinking skills students need to understand how social work theory applies in clinical environments. "Examines how to apply clinical theories to social work practice. Contains a wide range of cases described in rich detail by practitioners, scholars, and researchers. Chapters represent contexts and approaches across the social work spectrum, so students will get to glimpse into the clinical experience of a full range of professionals. Covers the most important areas in social work practice, including: child welfare and adoption, individual and group treatment, school and community settings, family treatment and parent training"-- Provided by publisher