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Diagnosis to Treatment Planning

Diagnosis to Treatment Planning: Case Assignment 2
Resources
• Diagnosis to Treatment Planning: Case Assignment 2 Scoring Guide.
• Child Case Study Backgrounds.
• iGuide: ePortfolio.
As in Case Assignment 1, your assignment is to describe how you would diagnose and treat one of the clients from the Child Case Study Backgrounds. For this assignment, please choose a different child than the one that you wrote about in Unit 4.
A reminder: The clients in the media piece are the same children with whom you have been working during several of the courses in your Play Therapy specialization. Each child is a few years older, and each has now encountered a specific type of trauma, similar to those addressed in this course.
For this assignment, you should select the child who you will work with, read the updated case, and research the particular trauma involved. Considering our discussions in this course related to unique issues involved in particular types of trauma, identify those issues for the case that you choose. Then write about how you would prepare and follow through on treatment, including:
• Using what you learned from the literature in the process of diagnosis.
• Articulating your rationale for the use of play therapy in this instance.
• Considering any legal and ethical issues that are likely to arise in this case.
• Developing specific goals for treatment for this particular child.
• Developing a treatment plan for this particular child.
• Reflecting on how you might handle what you consider to be the most likely difficulties you expect to encounter.
THE CLIENT
Name Michael
Gender Male
Age 7
Heritage Irish
Spirituality Non-practicing Baptist
Presenting Symptoms Wearing multiple layers of clothing, compulsive checking house to see no one has broken in, hurt animals in past, easily triggered into fear
Strength Areas Close to older brother in a positive way, enjoys sports although not very good at them, relationship with mother is fairly strong
Developmental Slightly delayed in language, motor, and social skills
Diagnosis NA
Family of Origin —-
Mother Suzanne
Father Not permitted to visit due to family violence, attempted to kill mother
Caregivers Lives with mother
Siblings Gregory, 14
School 1st Grade, public school
Socio-economic Status Working class
Interests / Hobbies Baseball and sports
Pets None
Other Michael wears three to four layers of clothes most of the time. He also gets up every night and goes through the house to check to see that no-one has broken in. He has hurt animals in the past and so Suzanne had to get rid of their dog and cat. Michael witnessed his father trying to strangle his mother when he was an infant and toddler. He has not seen his father since he was 27 months old.

Michael’s mother and father both grew up in homes where they were physically abused (by their fathers and mothers). His mother, Suzanne, has entered therapy and is making slow, steady progress. She has begun to limit her children’s exposure to her own family of origin and she has also attended a parent education course that has been helping her parent in a more positive way. She is becoming aware of the relationship Michael’s early exposure to violence has on how he is behaving now. Suzanne’s sibling, a sister (single, never married, and no children), occasionally watches the boys. She has just moved into the home, works part time, and enjoys helping out with the boys. Suzanne is feeling very overwhelmed right now.

Mother, older brother

UPDATE:
Michael’s mother has found it very difficult to respond empathically toward Michael. He has made some progress in treatment, though he continues to be easily triggered into rages and struggles in school. Suzanne basically ‘took over’ as the caregiver for Michael when she moved in. She moved out about six months ago, as did Michael’s older brother, who is now 17. Michael was recently discovered having taken an overdose of his mother’s sleeping pills.
Studies
Readings
Use your Gil text to complete the following:
• Review Chapter 5, “Silent Grieving in a World Without Words,” pages 67–91.
• Read Chapter 14, “”This Mommy Has No Milk!”: A Neglected Child’s Adaptation to Loss and Hunger,” pages 288–310.
Use the Capella University Library to complete the following:
• Read Hardy and Crenshaw, 2007, “The Crucial Role of Empathy in Breaking the Silence of Traumatized Children in Play Therapy,” from International Journal of Play Therapy, volume 16, issue 2, pages 160–175.
• Read Perry, 2009, “Examining Child Maltreatment Through a Neurodevelopmental Lens: Clinical Applications of the Neurosequential Model of Therapeutics,” from Journal of Loss & Trauma, volume 14, issue 4, pages 240–255.
Optional – Readings
You may choose to complete the following, but it is not required.
• Read Madsen and Ryan, 2007, “Filial Family Play Therapy with an Adoptive Family: A Response to Preadoptive Child Maltreatment,” from International Journal of Play Therapy, volume 16, pages 112–132.

Chicago Crime Wave Targets Children
Launch Presentation | Transcript
NBC Archives on Demand
• Click Launch Video to view Chicago Crime Wave Targets Children, an NBC news report first broadcast on August 15, 2010.

Legal and Ethical Issues Scenarios
Launch Presentation

Play Therapy Resource Portal
Launch Presentation

Child Case Study Backgrounds
Launch Presentation
Multimedia
• Click Launch Presentation to view Legal and Ethical Issues Scenarios. This interactive media will ask you to decide how you would handle each of three situations involving whether, what, and how to report potential cases of abuse. Before working through this piece, you will want to have studied your state’s requirements, as well as the ethical expectations of your professional association.
• Click Launch Presentation to access the Play Therapy Resource Portal. Additional resources on children dealing with abuse are included in the section entitled Abuse: Physical, Sexual, Emotional, and Neglect.
• Click Launch Presentation to access Child Case Study Backgrounds.
• e-Books
• Schaefer, C. E. (2010). Play Therapy for Preschool Children. Washington, DC: American Psychological Association.
• Zeanah, C. H., Jr. (Ed.) (2009). Handbook of infant mental health (3rd. ed.). New York, NY: Guilford. ISBN: 9781606233160.

 

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