NAME: Kurt Cobain
SOCIAL HISTORY
Date: 10/24/2010
Prepared by: Yee Yang
Presenting Problem
Kurt is a 27 years old male who contact our agency requesting help for his Bipolar Disorder also known as Manic Depression Disorder. He stated that he had been having Bipolar or Manic Depression for many years. As a child, he was diagnosis with ADD (Attention Deficit Disorder). He never got the right treatment for these diagnoses.
Currently Kurt describes his depression as hard to manage, irritability, and distractibility causing him to have inability to work and loss interested in social activities with his family and friends.
Client would like to be on medication to help him cope with his depression. He would like to do social activities with his wife and daughter again and doesn’t want his disorder to be a disturbance to them. He is compliance with talking to his doctor and would accept any treatment given to him.
Family of Origin
Client has a sister name Kim who was born in 1971 and at times he would spend time with her. His parents often argue. Client describes his parents as always yelling and fighting at each other. Both children had to deal with it. Parents got divorce when he was eight and he had to go back and forth with visitation. Both parents got remarried. Father remarried to his stepmother Jenny and her two children. He believes that father always takes his stepmother side and favored her children and his half brother Chad. Mother remarried to Pat ‘O Conner, who she divorce later because he was abusive. At times when Kurt was visiting his mother she usually is drunk and yells at him.
Client has a history of substance abuse, which is alcoholism that runs in his family and two suicides in the Cobain family, common in males. Age 12, client’s great-uncle Burle, which is the brother to Kurt’s grandfather shoot himself in the stomach with a pistol and another great-uncle a year later who die also with shooting a pistol. Then another grand uncle falls off the stairs while intoxicated.
Kurt spent his time living with friends when he could. He also slept in apartment hallways and in hospital waiting room. He doesn’t have a place to live.
Birth and Childhood
Pregnancy and Birth was not discussed due to client not knowing the information. Client had a happy childhood until he was eight years old, when his parents got divorce. Before the divorce, Kurt had interest in art and music.
He also learned to play the piano by ear and enjoys a kiddie drum kit his parent gave him. His father urges him to play little league baseball. After the divorce, client became withdrawn. He lived with his father and visits his mother and sister on weekends.
Client is unhappy at home and stated that he never felt loved and secure. Kurt was a trouble maker when he was 12 years old. Client began experimenting with drugs to self medication.
Marriage and Significant Relationships
Kurt married his wife for three years. They have one daughter who is three years old. Kurt’s wife was pregnant with their daughter when they met in 1992 during their concert trips. Kurt describes his wife as unpopular and using him to get famous. She also was using drugs during the pregnancy. At times they often fought about drug use.
Current Living Arrangements
Client lives with his wife and daughter in 5,000 square feet three story house in Seattle with a value of $4,535,000.00. The house has 4 bedrooms and 5 bathrooms. They also bought a $1.13 million mansion. Kurt stated he often uses drugs and that sometime led arguments between his wife and him, so he moved into a cheap $18 a night hotel.
Education
Client never finishes high school. He dropped out of Aberdeen High School due to not having enough credits to graduate. Before Kurt high school drop out, he enjoys drawing during classes and joined a wrestling team. He also has interest in art and music.
Military Service
There was no military Service.
Employment History
After his drop out Kurt mother gave him a choice, either to find work or leave. He decided to leave and left home. Kurt worked at a Polynesian coastal resort. In 1989, became the leader of a band called Nirvana.
Medical History
Aside from Kurt’s manic depression and ADD, Kurt suffered from chronic bronchitis and physical pain in the stomach. Kurt stated using marijuana in 1980 at age 13 and was using it on a regular basic. He also had a period of consuming LSD and used heroin. Beside the drugs, Kurt also drinks alcohol. Client also has a family history of suicide and mental illness in the Cobain family. In 1992, Kurt did attempt his first rehab and after he found out he was going to have a daughter he left rehab.
Legal History
In July 1985, Kurt was arrested for spray painting in town with some friends. His friends got away but he was caught and taken to the police station. The next year he was in trouble with the law after being found wandering around an abandoned building being drunk at night. He end up spending several days in jail.
Social and Recreational Interests
Kurt has interest in art and music. He spent a lot of his time exploring different creative outlets such as writing, painting, drawing, and making collages. He also has talent as a songwriter. Since childhood Kurt was withdrawn and feels misfit in his family.
Religious Activities
Kurt lived with his father who is a born again Christian. Kurt became a devout Christian and attended church services regularly. Religion remains an important part of his personal life and beliefs. Often he uses Christian imagery in his work and maintained interest in Jainism and Buddhist philosophy.
Client Successes, Strengths, and Resources
Client is a successful songwriter and is in a band. He has talent in art and music that is his biggest strengths.
Client did not share any information on resources or support. However, his wife is also there when he tries to commit suicide.
Impressions and Recommendations
This is a 27 years old male who was diagnosis with bipolar or manic depression disorder. He often has thoughts of suicide. He also did not feel that he receive the love and security he needed from his parents. He never got the treatment needed for the diagnosis and self medicate by using drugs and drinking.
My recommendation to Kurt would be taking 10 counseling sessions with a therapist working on his poor self-esteem and family issues. Also having an evaluation done for treatment on his diagnosis determining if he needed medication or other treatment. The last recommendation is spirituality play, helping him with dealing with his problems.
Sunday, October 24, 2010
Thursday, October 7, 2010
Round Robin Scenairo: Strategic Decision
1. Did the completion of the exercise help you understand the concept?
After completing the exercise it help me understand that as the case manager of my round robins I'm just someone who is there to guide the client. It is a strategic decision on how I am going to help the client. I didn't want to do everything for the client or make the decision for the client so I mainly asked the client how would like to handle the situation. Also,I understand who owns the problems and see how much the client can handle the situation before I can jump in to help. This will create the client to have self-determination and independence.
2. How hard was it to answer the questions or respond to the scenario's?
It was difficult to answer the questions because I couldn't just tell the client what to do even if I know the solution. Also I thought it was difficult because of little knowledge that I have about services and resources that will have someone who is visually impaired. I thought the most easy thing about answering the questions was telling the client to continue with receiving the support that that client already had and encourage the client to accept the supports given.
3. How hard was it to give feedback?
Giving feedback to me was a great experience. I like that my other group member included the help from services in the community such as counseling services and having the client go to support groups that have the same situation as the client.
4. Rate your own answers
I rate my own answers as 80%
5. Rate your ability to give feedback
I rate my ability to give feedback 90%
6. Discuss the importance of what you have learned.
I have learned it's important that the case manager don't solve the client's problem. The client own his/her problem and that if the client solve his/her problem, the client will gain self determination and independence. It's also important of being carefully of how far the case manager will get involved. The decision is base on the helper's knowledge and on the opportunity that can be use to help the client grow. Even if you see all your clients as helpless, the best way to help the client is to help the client help themselve.
After completing the exercise it help me understand that as the case manager of my round robins I'm just someone who is there to guide the client. It is a strategic decision on how I am going to help the client. I didn't want to do everything for the client or make the decision for the client so I mainly asked the client how would like to handle the situation. Also,I understand who owns the problems and see how much the client can handle the situation before I can jump in to help. This will create the client to have self-determination and independence.
2. How hard was it to answer the questions or respond to the scenario's?
It was difficult to answer the questions because I couldn't just tell the client what to do even if I know the solution. Also I thought it was difficult because of little knowledge that I have about services and resources that will have someone who is visually impaired. I thought the most easy thing about answering the questions was telling the client to continue with receiving the support that that client already had and encourage the client to accept the supports given.
3. How hard was it to give feedback?
Giving feedback to me was a great experience. I like that my other group member included the help from services in the community such as counseling services and having the client go to support groups that have the same situation as the client.
4. Rate your own answers
I rate my own answers as 80%
5. Rate your ability to give feedback
I rate my ability to give feedback 90%
6. Discuss the importance of what you have learned.
I have learned it's important that the case manager don't solve the client's problem. The client own his/her problem and that if the client solve his/her problem, the client will gain self determination and independence. It's also important of being carefully of how far the case manager will get involved. The decision is base on the helper's knowledge and on the opportunity that can be use to help the client grow. Even if you see all your clients as helpless, the best way to help the client is to help the client help themselve.
Saturday, September 18, 2010
These are the four resources I chose on understanding boundaries,
http://www.counselingconsulting.org/articles/understanding-boundaries.html
http://www.healthcentral.com/depression/therapy-2625-143.html
http://kspope.com/ethics/boundaries.php
http://kspope.com/dual/Gutheil.php
Each website states something difference about boundaries. The first once focused on the good and bad of boundaries. What is good boundaries and what is bad. Also gave good example of each. The second one focused more on therapists violating client's boundaries and their practices on an ethical base. The third and four focused on sexual misconduct and the understanding of boundaries in the helping profession. All four combine make good accurate understand but I feel that the first website was missing a few things. It focused more on relationships and personal space instead of focusing on the client and helper. Each website taught me something new about boundaries and giving me example to look for in crossing boundaries and transference and countertransference. Most importance on boundaries are never to have sexual contact with a client.
http://www.counselingconsulting.org/articles/understanding-boundaries.html
http://www.healthcentral.com/depression/therapy-2625-143.html
http://kspope.com/ethics/boundaries.php
http://kspope.com/dual/Gutheil.php
Each website states something difference about boundaries. The first once focused on the good and bad of boundaries. What is good boundaries and what is bad. Also gave good example of each. The second one focused more on therapists violating client's boundaries and their practices on an ethical base. The third and four focused on sexual misconduct and the understanding of boundaries in the helping profession. All four combine make good accurate understand but I feel that the first website was missing a few things. It focused more on relationships and personal space instead of focusing on the client and helper. Each website taught me something new about boundaries and giving me example to look for in crossing boundaries and transference and countertransference. Most importance on boundaries are never to have sexual contact with a client.
Saturday, September 4, 2010
Creating Codes of Ethics
Agency: Shelter for At Risk Youth
This agency provides a home for at risk youth. Our mission is to work with these individuals to develope a plan that can enable them to achieve self-etseem, improve independent living skills and develop self-determination, and providing programs to help these individuals to give back to the community.
Codes of Ethics Policy
The primary mission of case managers to have obligation to articulate basic values, ethical principles and ethical standards.
1. Relationship with program volunteers, collegues, and other professional
*Staff will respectthe human dignity and civil and legal rights of all program.
*Staff will respect all elments of social welfare system and cultivate a professional cooperation with segment.
*Staff will serve each case with appropriate concerns with no purpose of personal gain.
2. Professional Conduct and Pratices
*No Staff will use their position to secure personal privileged or advantage.
*No Staff will act in their offical capacity in any matter in which they have personal interest that could impair their objectivity.
*Each staff will report to the director without reservation, any corrupt or unethical behavior which could affect the integrity of the organization.
*Staff will not unlawfully discriminate against any program participant or other staff member on the basis of age, religion, race, color, sex, creed, national orgin, ancestry, marital status or any other characteristic protected by law.
*Staff will respect the integrity of private information.
*Staff should not display favoritism or preferential treatment of one participant or group.
* No staff should deal with any social services program.
*No staff should recieve or give gifts to or from program participants.
I understand and further agree to adhere to the codes of ethics and that any voilation of the Codes of Ethics could result in discipline up to and including termination.
Signed__________________________ Date______________
This agency provides a home for at risk youth. Our mission is to work with these individuals to develope a plan that can enable them to achieve self-etseem, improve independent living skills and develop self-determination, and providing programs to help these individuals to give back to the community.
Codes of Ethics Policy
The primary mission of case managers to have obligation to articulate basic values, ethical principles and ethical standards.
1. Relationship with program volunteers, collegues, and other professional
*Staff will respectthe human dignity and civil and legal rights of all program.
*Staff will respect all elments of social welfare system and cultivate a professional cooperation with segment.
*Staff will serve each case with appropriate concerns with no purpose of personal gain.
2. Professional Conduct and Pratices
*No Staff will use their position to secure personal privileged or advantage.
*No Staff will act in their offical capacity in any matter in which they have personal interest that could impair their objectivity.
*Each staff will report to the director without reservation, any corrupt or unethical behavior which could affect the integrity of the organization.
*Staff will not unlawfully discriminate against any program participant or other staff member on the basis of age, religion, race, color, sex, creed, national orgin, ancestry, marital status or any other characteristic protected by law.
*Staff will respect the integrity of private information.
*Staff should not display favoritism or preferential treatment of one participant or group.
* No staff should deal with any social services program.
*No staff should recieve or give gifts to or from program participants.
I understand and further agree to adhere to the codes of ethics and that any voilation of the Codes of Ethics could result in discipline up to and including termination.
Signed__________________________ Date______________
Codes of Ethics Article
Article Title: The Opinions of Preschool Teachers about Ethical Principals.
This article is about a study with preschool teachers in Turkey about ethics codes. Preschool teachers are responsible for children’s growth, professional ethics and ethical decision making. In many countries, such as the United States there are already ethic codes for preschool teachers, however in Turkey there were none listed. This was a study done on twenty-nine preschool teachers from Samsun, Turkey. They were interviewed on professional ethical principles and were asked using semistructured questions to determined if ethics codes were prepare for them and what their opinion on ethical principles. Each opinion was listed and frequency values were calculated for this study.
The link to this article is http://wed.ebscohost.com/ehost/detail?vid=5&hid=113&sid=d0213f1f-7275-4f43-99bb-2d..
This article is about a study with preschool teachers in Turkey about ethics codes. Preschool teachers are responsible for children’s growth, professional ethics and ethical decision making. In many countries, such as the United States there are already ethic codes for preschool teachers, however in Turkey there were none listed. This was a study done on twenty-nine preschool teachers from Samsun, Turkey. They were interviewed on professional ethical principles and were asked using semistructured questions to determined if ethics codes were prepare for them and what their opinion on ethical principles. Each opinion was listed and frequency values were calculated for this study.
The link to this article is http://wed.ebscohost.com/ehost/detail?vid=5&hid=113&sid=d0213f1f-7275-4f43-99bb-2d..
Wednesday, September 1, 2010
Three Levels of Intervention Scenario #4 Exercise
Exercise #4:
Chris is a single father who is truing to work and raise three small children. His wife was killed 2 years ago in a traffic accident. After the inital shock and outpouring if support from friends and neighbors. Chris found himself alone with all the responisiblities and very unsure of himself. He would like to meet other men who have the same problems but cannot find any groups, even though he has been told about servaral men who are in the same situation. He tells you he is not sure what the best method is for disciplining his children, whom he describes as "good kids," Sometimes he feels he is too lenient with them, and at other times he is afraid he is unnecessarily strict with them. A local women;s health center has groups for bereaved single parents, but Chris believes thse would not be open to him. "It would e all women, wouldn't it?" he asks. In addition, he is having a hard time at work balancing the responsibilities there with parenting responsibilities at home. "Of course, I want to do good job and get the promotions so I can support these kids through college, but I need to be home in the evening, or someone does, and I don't think that is always well received at work."
Intervention on the micro level: Chris is a single father with three small children. He's wants to know if there are groups for men with the same problems he has. As his case manager, I would tell him to continue asking around to see if there are groups for men with the same situations as his and to attend any group meeting that he thinks will be good for him. Also, letting Chris know that case manager will work with him step by step for the support.
Interventions on the mezzo level: Chris has support from friends and neighbors, I would encourage him to continue receiving those supports. His children is also a motivation for him, I would tell him to keep a positive outlook at things even if he's in a hard situation right now. I would looked into services that can help Chris with babysitting so that he can go to work and not worry. Encourage him to go or call for more information from the Health center to see if he can attend the meetings . Also, tell Chris he can start his own single men's groups and he can advocate on how they can help other who are facing with the same problems.
Interventions on the macro level: If the micro and mezzo interventions doesn't work, I would suggest Chris go to see a counselor. It can be that he's too stress to focus on another or needed someone to listen to his problems. Seeing a counselor can also help Chris in finding treatments to help him if he becomes stress or starts to burnout. Will also let Chris know that I will continue to work with him to figure out what would help him best.
Chris is a single father who is truing to work and raise three small children. His wife was killed 2 years ago in a traffic accident. After the inital shock and outpouring if support from friends and neighbors. Chris found himself alone with all the responisiblities and very unsure of himself. He would like to meet other men who have the same problems but cannot find any groups, even though he has been told about servaral men who are in the same situation. He tells you he is not sure what the best method is for disciplining his children, whom he describes as "good kids," Sometimes he feels he is too lenient with them, and at other times he is afraid he is unnecessarily strict with them. A local women;s health center has groups for bereaved single parents, but Chris believes thse would not be open to him. "It would e all women, wouldn't it?" he asks. In addition, he is having a hard time at work balancing the responsibilities there with parenting responsibilities at home. "Of course, I want to do good job and get the promotions so I can support these kids through college, but I need to be home in the evening, or someone does, and I don't think that is always well received at work."
Intervention on the micro level: Chris is a single father with three small children. He's wants to know if there are groups for men with the same problems he has. As his case manager, I would tell him to continue asking around to see if there are groups for men with the same situations as his and to attend any group meeting that he thinks will be good for him. Also, letting Chris know that case manager will work with him step by step for the support.
Interventions on the mezzo level: Chris has support from friends and neighbors, I would encourage him to continue receiving those supports. His children is also a motivation for him, I would tell him to keep a positive outlook at things even if he's in a hard situation right now. I would looked into services that can help Chris with babysitting so that he can go to work and not worry. Encourage him to go or call for more information from the Health center to see if he can attend the meetings . Also, tell Chris he can start his own single men's groups and he can advocate on how they can help other who are facing with the same problems.
Interventions on the macro level: If the micro and mezzo interventions doesn't work, I would suggest Chris go to see a counselor. It can be that he's too stress to focus on another or needed someone to listen to his problems. Seeing a counselor can also help Chris in finding treatments to help him if he becomes stress or starts to burnout. Will also let Chris know that I will continue to work with him to figure out what would help him best.
Saturday, August 21, 2010
Case Management Introduction
My name is Ye Yang. I am outgoing. People may say that I like to speak whatever comes to my mind but what they really don't know is that there are so many things that are going through my mind and trying to be filter. I like the color brown and pink. I not a neat person, so I carry a calendar with me everywhere I go. I choose this class because I like to work with people and have a helping spirit. I hope to make a differnces in someone's life at one point or another. By taking this class I hope to gain some knowledge on how to work one on one with clients.
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