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Precious

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on 16 April 2014

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Transcript of Precious

Riann Cecil
Samantha Carrillo
Genogram
Samantha Carrillo
Riann Cecil
Caitlin Dralle
Pamela Munoz
Genogram
Genogram
Grandma
Precious's Father
Clarice Precious Jones
Mongo Jones
Abdul Jones
Mary Jones
Important people in Precious' life
Ms. Rain
Ms. Weiss
Nurse John
Precious
Precious
Culture
Culture of Family
Family Assessment
Family Assessment
Strengths
Limitations
Challenges
Intervention
Important people in Precious' life
If Precious was our client halfway through...
If Precious was our client at the end of the movie...
Treatment for HIV+
Housing
Resources and health care support for Mongo
Continued educational opportunities
Help finding a job
Continued work in dealing with past trauma
Continued work gaining confidence and a more positive self-image
Case Management
Case Management
First... Thoroughly investigate home life...
Remove from home and mother's care
Provide treatment to Precious and her mother separately
Interventions for Precious
Interventions for Precious
Interventions for Mary
Interventions for Mary
Strengths-Based Perspective
Cognitive Theory
Psych Evaluation
Possible mental illness and/or depression
Tootsie
Tootsie is Precious's maternal grandmother
Takes care of Mongo but isn't the legal guardian
Enables abuse
Fearful of Precious's mom
Thinking process... "distorted thinking affects how they see themselves, their experiences, and their future... affects their feelings and actions and keeps them from accomplishing their goals or resolving their problems and concerns.
Precious's Mother
Strengths-Based Practice
Strengths-Based Practice
Mary is Precious's biological mother
unemployed
physically, sexually, emotionally and verbally abusive
possible mental illness
fraudulent practice with welfare and food stamps
Widow
...Social workers' role to help their client resolve their own problems and achieve their goals... Issues will be resolved through the client's strengths and skills... Practitioners role to provide a way to develop or tap into these strengths.
Cognitive Therapy
Carl Jones
Precious's biological father
Biological father of Precious's two children
Mary's boyfriend
Sexually and physically abusive
Died of AID's
16 years old
Victim of rape by her father
Victim of physical, emotional and verbal abuse
Mother of Mongol and Abdul
High School student
Illiterate
Morbidly Obese
Mongo is the biological daughter of Precious and Carl (Precious's Dad)
Has Down Syndrome
Being raised by Grandmother eventually ends up with Precious
Abdul is Precious's biological son
His father is also Carl (Precious's Dad)
Newborn
Ms. Rain is a teacher at Each One Teach One (GED program)
Positive role-model
First trusted person that Precious opens up to
Provides structure in classroom and helps Precious learn how to read
Helps Precious build confidence and gain a healthy self image
Advocated for Precious and helped her find resources
Precious's Welfare social worker
Investigates the family
Finds out about abuse and kicks Mary off of welfare
Advocates for Precious
Nurse that helped her through the delivery of her son
The first male in Precious's life to show her affection in a healthy way
Becomes Precious's friend
Strengths-Based
Intervention Techniques
Strengths-Based
Intervention Techniques
Using Confrontation
Emphasizing Motivation and Commitment
Maintaining Focus
Checking for Ambivalence and Resistance
Story and Narrative Building
Building and Using Natural Helping Networks
Compliment Success
Precious and her
family live in Harlem, New York
More specifically in an apartment complex in the projects
Low income housing
Run down neighborhood
gang infested
heavy drug and crime activity
Cognitive Therapy Techniques
Cognitive Therapy Techniques
Collaborative Relationship
Homework
A-B-C Model
Educating the client
Family dynamic built on violence, agression and abuse
Taking advantage of government agencies
Little to no importance placed on school or finding a job
Cognitive Therapy
African Americans make up the majority who live in Harlem in the 1980's
"There's always something wrong with these tests. These tests paint a picture of me with no brain. These tests paint a picture of me and my mother, my whole family as less than dumb. Just ugly black grease, need to be wiped away, find a job for."
-Clareece 'Precious' Jones
Family Strengths
Precious's Strengths
-Develops a sense of trust
-Compassionate
-Strong
-Shows willingness
-Gains dignity
-Strong coping skills
-Survival skills
-Determined
-Family shows commitment
-Clear Responsibilities and Roles within the family
-Determined

Family Limitations
-Very high expectations of children
-Lack of parental discipline
-Lack of communication
-Show inequality and ignorance
-Neglecting and selfish parents
-Show little positive interaction with children
Precious's Limitations
- Suffered emotional, psychological, sexual and physical abuse from family
-mother of two children at 16 years of age
-illiterate
-Is forced to take the parental responsibilities at home

Assertiveness Training
Family Challenges
Poverty
Neighborhood in which they live
crime and drugs
No access to healthy food, and limited budget
Obesity
(Viewig, et. al., 2007)
Communication
Mary
Inability to maintain healthy relationships
Possible mental illness
Possible depression
Lack of support
Linked to poverty
Inability to cope with anger and stress in her life
(Middlemiss, 2003)
Cognitive Therapy
to treat depression
People who are depressed often see themselves,
their experiences, and
their future in negative terms
Precious
Illiteracy
Can be linked to poverty and being a minority
(Washington, 2001)
HIV positive
17 with 2 children
Both children are fathered by Precious' father
Which can affect her psychologically
Children's health risks
One child with Down Syndrome
Abuse from both mother and father
View of self
Discrimination
Life script that depressed people write for themselves is often negative and self-defeating
Focus is on correcting the negative thinking
Anger Management
Anger Management
Anger is a destructive emotion that consumes many clients and often leads to acts of violence
Stress Management
Stress can cause anxiety, which can lead to serious mental and physical disorders.
Three most widely used techniques...
Positive Imagery
Breathing Exercises
Muscle Relaxation Exercises
Person-Centered Therapy
Focus is on the client, they decide what will be addressed in the session.
Helper does not engage in any form of assessment, or pursue any type of agenda that would interfere with client's goal.
Completely up to the client to decide which direction the session will go in
Client determines if the session will be filled with conversation, the expression of feelings, or silence.
Intervention Explanation
The interventions chosen have been individualized for both Mary and Precious because in order for them to have a chance at having a chance for a future relationship they must first work on healing themselves individually.


Precious

Mary
Find inner strength and peace ~ Admit and accept faults
Gain self-esteem ~Learn positive self care
Work through trauma options
Find resources to help her be a ~ Ability to maintain successful parent and adult healthy relationships
- Healthy communication
skills
Desired Outcomes
~ If/when desired outcomes emerge, then family therapy CAN be an option if both parties are willing.
"Some folks has a lot of things around them that shines for other peoples. I think that maybe some of them was in tunnels. And in that tunnel, the only light they had, was inside of them. And then long after they escape that tunnel they still be shining for everybody else."

-Clareece 'Precious' Jones
Precious
Abdul Jones
"The other day, I cried. But you know what? Fuck that day. That's why God, or whoever else, makes other days."
-Clareece 'Precious' Jones
References
Boyle, S.W. et. al. (2009). Direct practice in social work. Boston, Massachusetts,
Pearson Education Inc.

Middlemiss, W. (2003). Brief report: poverty, stress, and support: patterns of parenting
behavior among lower income black and lower income white mothers. Infant and
Child Development 12, 293-300.

Vieweg, V. R., et. al. (2007). Correlation between high risk obesity groups and low
Socioeconomic status in school children. Southern Medical Association 100(1) 8-
13.

Washington, J.A. (2001). Early literacy skills in African-American children research
considerations. Learning Disabilities Research & Practice, 16(4), 213-221.
Full transcript