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Working Agreement

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Hypothetical Working Agreement

Carolyn Morris

BSHS/322

University of Phoenix

October 10, 2011

Tristram Jones

CERTIFICATE OF ORIGINALITY: I certify that the attached paper, which was produced for the class identified above, is my original work and has not previously been submitted by me or by anyone else for any class. I further declare that I have cited all sources from which I used language, ideas and information, whether quoted verbatim or paraphrased, and that any and all assistance of any kind, which I received while producing this paper, has been acknowledged in the References section. This paper includes no trademarked material, logos, or images from the Internet, which I do not have written permission to include. I further agree that my name typed on the line below is intended to have, and shall have the same validity as my handwritten signature. Student's signature (name typed here is equivalent to a signature): Carolyn D. Morris

Assessment

Freydia is a twenty seven year old woman who came into the Urban Mental Health Faculty because of her crack cocaine use. This was court ordered as one of her conditions to get her children back. Freydia has seven year old boy and a nine year old girl. She was very resistant to counseling but in order to get her children back she needs to complete counseling session, six weeks of a parenting class and attend narcotics anonymous (NA) meetings.

In meeting with Freydia we set up a formal working agreement. It started with an assessment of her, include information on family, problems she was having, “Six classic questions are often used by interviewers to organize their assessment agendas: Who is the client and who should be involved in the assessment process. What do I want to know and what information do I need to gather. Where should the initial assessment take place, as I want Freydia to be as comfortable as possible? When will I have enough information to begin to plan and make a working agreement with Freydia? Why was she referred to me? How should I gather the information, method will be most useful.

I meet with the mother and father along with all the brother and sisters. There is definitely a disfunction in the family as the parents and sibling are no longer speaking to Freydia because of the loss of her children. The family wants her in counseling and to attend NA meeting so she will be able to get her children back as they know she was a great mother before she turned to crack.

I have explained my methods of assessment and have obtained a consent letter. Also I had the client fill out an authorization of release of information so if needed I would be able to discuss her progress with her doctor, Child Protective Services and the Court.

Freydia Assessment

Client Name: Freydia Conley, 1265 S. 42 Ave. Tampa, Fl. 33669

Demographics: 27 year old Catholic Female. Freydia is Hispanic who is a divorced mother of two children 7 year old boy and a 9 year old girl. Has a master’s degree in Business Administration and is now unemployed due to her crack cocaine addiction.

Significant Other: Mr. and Mrs. Frank Conley, (parents) 5572 Bonifay Way, Fort Myers Fl. 34252. (352) 789-1589.Presenting problems: Lost her children because of a 4 year crack cocaine problem.

Biopsychosocial stressors: Stressors are due to lack of finances, children have been taken away and her parents are no longer speaking to her.

Clients Strengths: Very motivated, intelligent, loves her children, religious and honest.

Family Background: Mother, father, 2 brothers and 3 sisters.

Assessment of person in situation, including culture, networks, community, support and spirituality: She has lost all of her support from family due to the fact that drugs are not well received in the Hispanic culture. Old friends no longer want to have anything to due with her since she in normally high. Now that she has started going to treatment there is a new support group through NA.

Health and physical status, including medications: Is in poor health, lost 30 pounds from not eating correctly, and has not seen a doctor in years. Currently she is not taking any medication.

Cognitive/intellectual capabilities and skills: Freydia is capable of taking care of herself when not strung out. She is able to get to and from meeting and to see me.

Behavioral Assessment: Freydia seen to be able to sit and carry on conservation. Her temper was level and able to assist in her assessment.

Emotional/affective state: Needs to calm down cry when speaking about the loss of her children.

Prioritizing

After the third meeting when Freydia was feeling a little more comfortable with the idea of attending these sessions, we sat down and set goals. The first and most important goal was to get her children back. Two other goals were to stay clean and to find a job back in finance. Although her main goal was to get her children back she knew that she would have to get clean and stay clean. With these being long term goals we also set up some short term goals. My objective was by setting these short term goals she would be able to succeed and they she would feel that the long term goal were obtainable. There were two goals: to attend the six week parenting class, that was a requirement of getting her children back and for her to attend NA meetings every day for six weeks.

Next we sat down and she prioritized the goals. I told her she needs to prioritize her goals by “need, urgency, time, impact, and resources.” Freydia knew that her first short term goal was to get her parenting classes done first, and then she was going to attend NA meeting. With the long term goals the first goal she set was to attend her NA meeting and next was to find the job, which she would need before she could get her children back.

Contracting

“Contracting involves the developing of working agreement between clinician, client, and any significant others vital to the realization of goals and objectives”. I chose a formal contract as highly specific and since these meeting were court ordered this left little room for ambiguity. When we constructed the contract we needed to decide if it is going to be an overall contract or contracts for each individual session. Every contract decided upon needs to be specific, realistic, mutually constructed and up held by Freydia and myself. With a contract and their dynamic nature recognizing that people, resources, and situations change it will need to be flexible (Garvin & Seabury, 1997, Seabury, 1976). Once everything has been agreed upon and the signatures are on the contract they need to be upheld by both the client and clinician.

Evaluation

Over the past year we have done consist evaluations to monitor her progress with the court and the Child Protective Worker; we have now completed our court ordered session. Freydia is now going to attend NA on her own. For our last session we are going to evaluate what has been done over the last year. This would be done outside of the office in a neutral setting so she will feel comfortable evaluating me also. Just like the intake interview with the questions, who, what, where, when, and how, I would answer these questions again. I think that it is important to do a follow up interview every three months for the first year to be sure that she stay on track with meeting and any court appearances she might have.

References

Murphy, B.C. & Dillion,C (2003) Interviewing in Action; Relationship, Process & Change

http://www.ohr.sc.gov/OHR/Online/prioritizinggoals.pdf

Murphy, B.C. & Dillion,C (2003) Interviewing in Action; Relationship, Process & Change

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