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Site Information

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Molly Brown

on 11 July 2016

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Transcript of Site Information

Case Study: "Ray"
Site Information
Residential and Partial Hospitalization Treatment facility
ages 12-18
facility run by a private Jewish foundation, accepts all denominations
provides GBHC, case management, pharmacological management, and behavioral health counseling
Biologically male
17 years old
Family History
Parents divorced, mother and two sisters out of state; experienced neglect in home with mother.
Father in long-term relationship. Father and his girlfriend both very supportinve of client in transition to step-down as well as questioning sexuality
In foster care since the age of 11 due to custody conflicts; experienced sexual trauma, abuse, neglect while in foster home
No reported history of mental health diagnoses in family
Presenting Problem
Recent hospitalization for threats of self-harm
Suicide attempt after discharge
History of running away, stealing, lying, self harm by cutting
Inability to manage depressive symptoms
History of sexual abuse

Bipolar (mania/hypomania)
Conduct Disorder
Major Depression
Oppositional Defiant Disorder
Reactive Attachment Disorder
Client Goals
Make successful adjustment to treatment milieu and successful completion of treatment program as evidenced by 75% participation
Acknowledge depression verbally and resolve its causes leading to normalization of emotional state
Difficulty staying on task
Avoidance of discussion
Little to no responsibility for treatment, actions, behaviors
Increased focus
Challenges with re-directions
Increase in desire to talk about personal challenges and strengths
Taking full responsibility for treatment progress
Leadership qualities
Focusing on personal growth
Transitioning to step-down
Group Setting
Journaling: Appropriately focused on sexuality and experience coming out.
Music: Identifies aggressive styles of music (screamo, rap, EDM) as therapeutic and relaxing. Difficulty in identifying reasoning behind song choice.
Creative Expression: Difficulty with abstract topics but enjoyed the art making process
DBT: Growth in identifying, managing, and understanding feelings, emotions, and impulses.
Movement: Increase in self-confidence
Mindfulness: Increased awareness of self and emotions, feelings, impulses.
Full transcript