casestudy assessment

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Client Description This case involves Peter Parkly, a 21- year-old Caucasian male, who was experiencing problems identify a potential career after graduation and concerned that he consumes to much alcohol at social events.

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Case Study of Peter

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  • 1. Client Description This case involves Peter Parkly, a 21-year-old Caucasian male, who was experiencing problems identify a potential career after graduation and concerned that he consumes to much alcohol at social events.

2. Purpose of Assessment Peter entered counseling stating concerns that when hegraduates from college this spring he will not find a job,does not know what career he is interested in, and not sureif he chose the right major. Peter also says his alcohol consumption has increasedduring social events with friends and he is worried that heis using alcohol to help cope with academic problems. The Self-Directed Search and SASSI-3 will beadministered to Peter to help formulate a diagnosis andtreatment goals. 3. Assessment Procedures and Protocols The Self- Directed Search (SDS) (Form R) (Holland,1994a) is based from John Hollands Typology. Hollands (1992) theory has four tenants 1: In our culture, most persons can be categorized as on ofsixetypes: realistic, investigative, artistic, social,enterprising, or conventional. 4. Assessment Procedures and Protocols 2: There are six kinds of environments: realistic,investigative, artistic, social, enterprising, or conventional. 3: People search for environments that will let themexercise their skills and abilities, express their attitudesand values, and take on agreeable problems and roles 4: A persons behavior is determined by an interactionbetween his personality and the characteristics of hisenvironment. The SDS will be given to match personality traits with afitting work environment. 5. Assessment Procedures and Protocols Administration of the SDS should be given to individualscurious about vocational alternatives and self-exploration. SDS is most effective in a quiet environment Those with an 8th grade education or above should becapable of answering Form R. While the test is taken and scored by the individual,supervision or checking the test can help reduce errors. 6. Assessment Procedures and Protocols Alcohol Abuse (DSM-IV-TR; American PsychiatricAssociation, 2000) is diagnosed based on problems in atleast one of four areas in a 12 month period: 1: failure to fulfill major social role obligations at work,home, or school. 2: drinking repeatedly in a manner that creates thepotential for harm (e.g., drinking and driving) 3: incurring repeated alcohol-related legal consequences 4: continuing to drink despite known social orinterpersonal problems because of drinking. 7. Assessment Procedures and Protocols Whiston (2009) states, The Substance Abuse SubtleScreening Inventory 3 (SASSI-3) has a 93% rate ofaccuracy in identifying individuals with substance-relateddisorders. Reporting feedback to clients can help increase self-awareness, more information, and build rapport. The SASSI-3, along with, guidance from the DSM-IV-TRwill infer if Peter has reached clinical significance for adiagnosis. 8. Medical/ Developmental History Peter has no known medical conditions. Based from information Peter has disclosed it seems hecould be suffering from identity confusion-clashing roles,value systems, unable to make decisions (Berzonkly&Kuk, 2000; Kroger, 2004). Moreover, those suffering from identify confusion maskproblems by procrastination and avoidance (Berzonkly&Kuk, 2000; Kroger, 2004) Peter could be using alcohol and partying as ways toavoid feelings of low self-esteem. 9. Medical/ Developmental History Zunker( 2006 ) states that the exploratory stage of Superstheory of developmental stages and tasks states: Exploratory (15-24) characterized by a tentative phase inwhich choices are narrowed but not finalized. Specification (18-21) a period of moving from a tentativevocational preferences toward a specific vocationalpreference. It seems that Peter is close to his developmental stage.Preferences and interests are being narrowed down. 10. Family Psychiatric History Peters mother has a diagnosis of Bipolar I disorder, anduntil her mood stabilized from psychopharmacology, sheactively abused alcohol, pain medication, and marijuana. 11. School/Academic History Peter had maintained a 3.2 grade point average untilhis senior year in college. His grades have slippedthis semester due to partying, and he is trying tomaintain a 3.0. He also has been skipping class more frequentlyattending only one or two classes a week. 12. Home Behavioral/Social Peter has been sleeping late and skipping classes. His days now consist of watching television, going tofraternity parties and checking Facebook. Each weekend he goes to the Square and consumes3-5 alcoholic beverages Friday and Saturday night. 13. Assessments Used and Appropriate Interpretations After reviewing the SDS, activities, competencies,occupations, self-estimates were summed to get the totalscores of RIASEC personality types. The highest three score compose the summary code: S(highest), I (second), E (third) S and I have a correlation of .30, S and E have acorrelation of .54. 14. Assessments Used and Appropriate Interpretations Social Occupations (SIE) Clinical Dietitian Nurse Instructor Physical Therapist Nuclear Medicine District Supervisor Probation and Parole Officer 15. Assessments Used and Appropriate Interpretations Following the nine rules of the SASSI-3 results show thatPeter has a low probability of a substance dependencedisorder. Using the DSM-IV-TR Peter meets criteria for AlcoholAbuse by meeting criterion 1 and 2. 16. Summary of Findings Peter meets the Holland summary code of SIEmeaning he is Social, Investigative, and Enterprising. He has a low probability of substance abuse,however, he does meet criteria for Alcohol Abuse. 17. DSM Diagnosis Axis I: 305.00 Alcohol Abuse Axis II: None Axis III: None Axis IV: Problems related to social environment and educational problems 18. Treatment Plan and Recommendations Peter can begin exploring career environments thatfit his personality and interests. By using the SDS henow has ideas of future vocations and can begin tofind more information about those jobs to narrowdown a selection. Cognitive and Behavioral strategies can be used tointervene his Alcohol Abuse. Identifying replacementbehaviors and self-reinforcement could help, alongwith, challenging thinking errors for the need todrink excessively.