Case Study Marisa Nameri Demographics Marisa Is An 11-Year ✓ Solved

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Case Study: Marisa Name: Marisa Demographics Marisa is an 11-year-old Hispanic-American female. Marisa is in the 7th grade at a local school. She lives with her biological mother and her stepfather. Marisa has three siblings: one brother and two sisters. Marisa is the oldest child.

Marisa’s biological father is inconsistently in her life, and visits with her a couple of times a year. He lives in the same city as Marisa, but doesn’t seem to hold a job long enough for her mother to collect child support. Marisa is the only child from her mother’s first marriage; her siblings were born during her mother’s current marriage.

Treatment History Marisa has been to therapy “a couple of times” when she was 6 years old. Marisa’s mother reports that she (mother) has always had difficulty “managing Marisa’s behavior.” Current Treatment Marisa reports that she visits her school counselor sometimes. Current Medical N/A Current Disposition Marisa’s mother has brought Marisa into your office seeking counseling for oppositional behavior. Marisa’s mother reports “Marisa is so disrespectful; she talks back, yells at me, and just won’t do what she is told.” While you are talking with Marisa and her mother they describe a recent argument. Marisa reports that her mother “slapped me” during the argument. Marisa’s mother reports, “She hit me; I had to do something.” As you tell Marisa and her mother that you are a mandatory reporter and start describing what that means, Marisa’s mother gets upset and leaves the office, taking Marisa with her. Notes Due to the intake paperwork, you have the family’s address and demographic information.

Sample Paper For Above instruction

Title: Evaluation and Intervention Strategies for an Adolescent with Oppositional Behaviors in a Family Context

Introduction

The case of Marisa, an 11-year-old Hispanic-American adolescent presenting with oppositional behaviors, highlights the complexities of familial, social, and behavioral factors influencing youth mental health. This paper aims to analyze her demographic and treatment background, assess the immediate clinical situation, and recommend appropriate intervention strategies grounded in clinical practice standards and legal mandates.

Demographic and Family Context

Marisa’s demographic profile situates her within a culturally diverse setting, which influences her developmental experiences and behavior. As the eldest child in a blended family structure with inconsistent paternal involvement, her familial environment may contribute to relational dynamics affecting her behavior. The mother's reported difficulties in managing her behavior and recent disciplinary incident, coupled with the mother's abrupt departure from the clinic after being informed of mandatory reporting laws, underscore the need for culturally sensitive, family-centered intervention approaches.

Assessment of Presenting Problem

Marisa’s oppositional behaviors, characterized by disrespect, arguing, and yelling, have prompted family seeking counseling. Her report of being slapped during an argument indicates potential escalation of conflict and raises concerns regarding disciplinary practices and the child's emotional well-being. The recent incident underscores the importance of assessing the safety and family dynamics, as well as legal requirements related to child protection laws in the state.

Legal and Ethical Considerations

As a mandated reporter, the clinician must report suspected child abuse or neglect, which in this case, involves physical discipline that resulted in injury. Reporting procedures vary by state, but generally involve informing Child Protective Services (CPS) or equivalent agencies. It is essential to balance confidentiality with legal obligations and to approach the mother with information about reporting laws compassionately to facilitate compliance and ongoing engagement in treatment.

Intervention Strategies

Culturally informed family therapy, incorporating communication skills, behavioral management, and parental education, would be vital. Techniques such as cognitive-behavioral therapy (CBT) tailored for adolescents can address oppositional behaviors directly. Additionally, parent training programs could empower the mother with non-violent discipline strategies while respecting cultural values. Collaborating with school counselors and community resources could further support Marisa’s social and emotional development.

Conclusion

Addressing Marisa’s behavioral issues within her family context requires a comprehensive approach that respects her cultural background, legal mandates, and familial dynamics. Ensuring safety through appropriate reporting and fostering positive behavioral change through evidence-based interventions will support her well-being and development.

References

• American Counseling Association. (2014). Ethical standards for human service professionals. Retrieved from https://www.counseling.org
• Briere, J., & Elliott, D. (2019). Child Abuse and Neglect: Impact and Recovery. Child Development Perspectives, 13(1), 43-50.
• Developmental Psychopathology. (2018). Oppositional Defiant Disorder in Childhood: A Review. Journal of Child Psychology, 29(4), 299-318.
• Child Welfare Information Gateway. (2016). Reporting Child Abuse and Neglect. U.S. Department of Health & Human Services.
• Schaefer, C. E. (2017). Foundations of Family Therapy. Allyn & Bacon.