Comprehensive client assessment of the Hernandez family.

hernandez household evaluation | NURS 6650 – Psychotherapy With Teams and Households | Walden College

Demographic data: The Hernandez household consists of father Jose and mom Maria, their son Tomas aged 11, and daughter Monica aged 14. They’ve been married for 17 years, relocated to a brand new city a number of months in the past resulting from Jose’s job switch and attend church weekly.

Presenting Drawback: The mother and father have are available for relationship counseling but in addition state that their kids have been withdrawn just lately and they want assist addressing this drawback as properly.
Historical past or Current Sickness: Maria states that she has seen a shift in her kids’s habits since shifting to the brand new town- Tomas is exhibiting aggressive habits in the direction of his sister whereas Monica has grow to be extra withdrawn and disengaged from social actions.

Previous Psychiatric Historical past: None reported

Medical Historical past: No continual sicknesses reported Substance Use Historical past: Each mother and father report occasional alcohol consumption; no stories of any substance use amongst both baby
Developmental Historical past: Kids seem inside anticipated developmental milestones based mostly on age.

Household Psychiatric historical past: No psychiatric points acknowledged by both mother or father or prolonged members of the family.

Psychosocial Historical past – Each mother and father work full time with various schedules; each are concerned in further curricular actions at college in addition to group based mostly volunteer packages; obtain adequate quantity of help from prolonged members of the family residing close by.

Historical past of Abuse & Trauma – None reported by mother and father or evident throughout evaluation course of
Assessment of Methods – Negatives outcomes throughout all methods assessed
Bodily Evaluation – All members of the family reveal regular bodily traits upon examination.


Psychological Standing Examination – Upon commentary, all adolescents demonstrated good hygiene practices together with age acceptable dialog subjects mentioned between friends when noticed collectively throughout session.

Differential Analysis- Attainable despair based mostly on present signs exhibited together with withdrawal from beforehand loved actions.; Attainable adjustment dysfunction resulting from latest relocation inflicting disruption of acquainted routines and relationships .Traumatic experiences previous to relocation ought to be additional explored with additional evaluation instruments akin to SASSI (Substance Abuse Refined Screening Stock). A malingering analysis can’t be dominated out at this level given inadequate particulars about previous conditions parenting methods used and many others..


.Case Formulation – Adjustment difficulties which each kids at present exhibit might probably stem from underlying points associated to them forsaking acquainted environment equipped by earlier residence together with missing capacity in forming constructive long run relationships inside these residing at present location submit relocation ensuing into emotions of unhappiness , hopelessness , exhaustion and many others brought on instantly resulting from these modifications past their management..Remedy Plan– Developmental assessments akin to Baby Habits Guidelines (CBCL) could also be ordered adopted up later via structured scientific interview periods aimed in the direction of understanding nature trigger particular behaviors exhibited at present in order that correct focused interventions may be applied e.g., Cognitive Behavioral Remedy (CBT), Eye Motion Desensitization Reprocessing (EMDR remedy) if want arises relying upon conclusions drawn over course future periods amongst different therapeutic modalities.. Household counseling must also stay ongoing other than individualized interventions supplied individually focusing upon restore of broken familial relationships caused these days plus in search of higher communal agreements relating to division duties extra prevalent prior leaving former house setting.

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