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Working Agreement - Case Study Example

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BioPsychoSocial Stresses: She is under multiple stresses. One, she is under the pressure to come out of the addiction she is in. She also has to lead her family. For this, her job and of course, children would all form a part of this pressure. She is under biological stress directly because of the usage of Cocaine, while the rest of the factors contribute to the Psychological stress factors…
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Working Agreement
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Working Agreement

This also gives rise to psychological stress. The issues need to be addressed to ensure that the person comes out of her social and psychological stress which could also eventually break her down.
Significant developmental History: The client has been addicted to crack cocaine for the past four years. It is possible for her to get out of it but it is yet to be done and the Child Protective Services have taken custody of the children and given them to their grandmother. The client needs to go through a parental program in order to get back in to the routine even if she were to come out of this issue. In the current situation, the person is subjected to psychological stresses that could make her behave emotionally. That possibly explains the reason for her to walk into the counseling room for getting the children back.
Goals: The goal for the assessment will be to get the children back to the client. In order to achieve this goal, she would be interested in executing the rest of the work that might be required to cure her as well as bring in normalcy in her life. A secondary goal therefore, will be to get back into normal life with a job and with the family. If the therapy is successful, the client would have got back the children under her custody. There could be more complete life with the family than living by her in the care centers. All this would have changed if the counseling were to be successful.

In order to achieve this goal, a series of session wise goals need to be fixed and executed. These are the desired outcomes of the sessions that are held and would ideally like to achieve the same.

Prioritized Goals: The goals need to be properly prioritized in order to ensure that all the needed gains are obtained from the sessions. In order to realize her goal of getting the children back to her, it is needed first to get her sober before even asking for the custody of the kids. If the first priority is to get sober, then the second one will be to get her some work training so that she can earn for herself and for the family. Apart from this, she also has to have a parenting course done. All this could be the influence of the society on her behavior. Therefore, the third priority in her list will be to attend a six week parenting training course before she embarks on any other mission.

Roles of other stake holders: The other stake holders in the process would be the clinician apart from the mother and the children of the client. While clinician has a guiding role, the role of the mother of the client and the children of the client is varied. The mother would support the children of ... Read More
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