Human Service Scenario

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Human Service Scenario Analysis Amber Taylor BSHS/322 August 17, 2013 Jean Holtz, MSE, MA, LPC Human Service Scenario Analysis John Adams is an unemployed, 19 year old Caucasian male that currently lives in San Francisco with his divorced mother and two younger siblings, both female, ages 15 and 10. He dropped out of high school at the age of 17 not long after his parent’s divorce, at which time he moved from the Los Angeles area with his mother and sisters so they could be close to his extended family for support. John states that he doesn’t feel as though he fits in with his family, previous friends, or the student body at his new school. John admits to becoming more disengaged with family and since the move has had minimum social contacts. John disclosed that his presenting issue is self-harm. He states that he is currently not suicidal, and has no thoughts or plans to commit suicide. He began scratching lines and words in his arms and legs at the age of 17, and describes the self-harm as progressive. At first he would scratch on his skin with a thumb tack or safety pin a few times a month, and he currently cuts, with a razor blade, at least two times per week. John also states that he was previously diagnosed with depression at the age 14 by his pediatrician in Seattle, but he has never received treatment or taken medications for depression. John describes feeling hopeless, exhausted, and having a general lack of interest in daily life. John was referred by St. Joseph’s hospital after being admitted by his mother. Mr. Adams is willing to explore treatment at this time; he states that he is tired of causing pain to his family and he wants to learn to be happy again. The personal communication style John would benefit from includes empathy, opened mindedness, asking open ended questions and waiting for John to respond in his own words,
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