10 questions 3 to 4 sentences each
Throughout Â this course and your synchronous activities, we will be focusing on the Â members of the Campbell family. Please review the following case Â information to get an understanding of this family, including Â demographic information, roles, and identified issues. You will use this Â case study as a basis for your final treatment plan.
Meet the Campbell Family
This Â family lives in Fort Lupton, a rural town in northern Colorado with a Â population of almost 7,500 residents. About 55% of residents are Â Hispanic and another 42% are white. The unemployment rate is 16%. The Â primary industry in Fort Lupton is construction, although there is also a Â growing gas and oil industry.
The family was referred to Weld Â Countyâ€™s Department of Health Services for assessment and evaluation Â after the 15-year-old son, Jacob, was charged with grand theft auto. He Â is scheduled to attend court later this week. Kali, Jacobâ€™s 17â€“yearâ€“old Â sister, has previously been on probation for drug use and possession of Â marijuana.
Jacob and Kaliâ€™s dad, Joe, has requested a meeting. He Â says, â€œMy family is falling apart, and no one is talking about it.â€ He Â says that Jacob is a screwâ€“up and doesnâ€™t seem to care, and that Kali, Â who never leaves her room, is always high. â€œFrankly, I donâ€™t blame her,â€ Â he says. â€œMy wife Karen her mother, is drinking herself to death.â€
At Â the intake, each family member filled out a brief entrance form. Joe is Â frustrated and on edge, saying that no one wanted to come, including Â his wife, and he had to bribe his daughter and son to get in the car. Â Karen is sitting next to her son with her head down, avoiding any eye Â contact. Kali laughs at her father and is on her phone. Jacob has his Â baseball cap pulled over his eyes, slumps in his chair, and is Â pretending to be asleep.
- Karen Campbell is a 34â€“yearâ€“old female. Â Her father is Hispanic, second generation from Mexico, and her mother Â was Hopi Native American. She is a stayâ€“atâ€“home mom who works part time Â for a friend with a house cleaning business.
- Karenâ€™s father is Â 55. He lives on the family ranch where Karen grew up, and Karen says she Â sees him a couple of times a year. Karenâ€™s mother passed away two years Â ago at the age of 51 from heart failure.
- Karen has no siblings. Her brother committed suicide when he was 14 years old. Karen was 10 at the time.
- Karen was raised Catholic, but has not attended church in over 20 years.
- Karen is a stay at home mom that works part time for a friend who has a house cleaning business.
- Karen Â says that she started dating Joe in the eighth grade. They married when Â Karen got pregnant with Kali at the age of 17. They have been married Â for 17 years, with two previous separations. The first separation was Â when Karen was three months pregnant with Kali and Joe enlisted with the Â Army. Karen says her mother made her move back home at that time, Â because she didnâ€™t trust Joe. When Joe finished his twoâ€“year commitment, Â they reconciled, right after Karen delivered Jacob.
- The second Â separation was two years ago, and Joe actually filed for separation. Â Karen says it was because she was not coping well with her motherâ€™s Â death, that she â€œjust fell apart.â€ Joe didnâ€™t know how to handle it, so Â he just left. (For his part, Joe says he left her because she was Â depressed and drinking herself to death like her mother did.)
- Karen says she is anxious about obtaining help, but that she also feels guilty, and that she is a failure as a parent.
- She Â says, â€œMy kids used to like me, we used to be close. Now they never Â talk to me â€”they avoid me, really. Iâ€™ve failed them as a mother, so now I Â really have no purpose in life.â€
- Karen reports one good Â girlfriend whom she does not see often. She does not go out socially, Â and she drinks at home to â€œcalm her nerves.â€
- Karen presents as unkempt, frazzled, and nervous. She has dark circles under her eyes and looks physically unhealthy.
- Karen reports a previous diagnosis of depression and has active diabetes. She also reports current high levels of anxiety.
- Joe Â is a 35 year old Caucasian male who is estranged from his father Bob. Â Joe has not talked to Bob since his father left the family over 25 years Â ago. Joeâ€™s mother is in the local nursing home, after having been Â diagnosed with early onset dementia at the age of 57. Joe says he picks Â his mom up every Sunday to attend the Lutheran church. He reports being Â very close to his mother, and says he is frustrated that Karen and the Â kids refuse to go to church with them.
- Joe has two older sisters Â who live in the same town. He says he tries to see them, but Karen Â doesnâ€™t get along with them, so â€œitâ€™s not really worth the effort.â€
- Joe is an Army veteran and served for two years in Afghanistan after his high school graduation, shortly after marrying Karen.
- Joe Â is a longâ€“haul truck driver. He was once a police officer, but he was Â injured on the job 10 years ago. After he left the force, he started Â working for his brotherâ€“inâ€“lawâ€™s trucking business. He says it helps his Â marriage to be away from home for long periods of time, but because he Â is gone so much, the kids donâ€™t listen and â€œeverything has fallen Â apart.â€
- Joe is an active member of the American Legion and he is Â there most nights that he is not working, talking to the other police Â officers and community members.
- Joe says Karen was his high Â school girlfriend, and when she got pregnant he did the right thing by Â marrying her. He says he joined the Army so he could provide a better Â life for his family, and he was devastated when Karen moved out of their Â home to live with her mother.. He says he had to beg her to come back, Â and it was only after she became pregnant with Jacob that they Â reconciled.
- Joe says he left again two years ago and moved in Â with his sister and brotherâ€œinâ€law after Karenâ€™s mother died. Karen had Â started to drink heavily, and began to be angry and violent towards him. Â He moved back home about a year ago when he realized his kids were out Â of control and Karen needed some help in dealing with their behaviors.
- Joe Â said in his individual intake that he wants a divorce. â€œI canâ€™t stand Â Karen, her drinking, and how she has given up, but I am afraid for my Â kids if I leave,â€ he said. â€œTheyâ€™re already a mess because of her, and Â if I leave, who knows what will happen?â€
- Joe smokes cigarettes on a daily basis and â€œdrinks beers with the guys.â€ He denies any previous psychological diagnosis.
- Kali is a 17â€“yearâ€“old mixedâ€“race teenager who presents as quiet, agitated, and disengaged.
- She Â has been arrested twice for drug use and possession of marijuana. She Â is still on probation for her last charge six months ago, when Kali and Â her girlfriend were caught smoking marijuana at the high school football Â stadium.
- Kali says that she is bisexual and her parents think Â it is â€œa stage,â€ but she feels that she loves all people. She says that Â she is in love with her girlfriend, who is 19 years old.
- Kali Â says she doesnâ€™t go to school because it is stupid and she doesnâ€™t learn Â anything. After her girlfriend graduated last year, there is just no Â reason to attend. She says, â€œThere is nothing my parents or the stupid Â law can do about it. I am 17! They canâ€™t make me go if I donâ€™t want to Â anymore, so mom can just get over it and stop crying about it.â€ Her dad Â says she left school because she is embarrassed that she is gay and was Â bullied by the other kids.
- When asked what her future plans are, Â Kali says, â€œIâ€™m just waiting to turn 18 so I can get out of this stupid Â place with my girlfriend, because we are going get as far away from Â here as we can.â€ Kali reports no desire to find a job or obtain her GED. Â She says she may go to school later to become a hairdresser, but only Â if she has to.
- Kali has violated her probation by testing Â positive for marijuana. During her intake, she said, â€œDrug laws are so Â stupid. Itâ€™s a natural plant! And why does it matter if I am 17 or 21?â€ Â Kali says smoking marijuana helps her to stay calm, reduces her anxiety, Â and helps her deal with her parentsâ€™ constant arguing. â€œWell, if you Â can call it that,â€ she says. â€œMom yells and dad just sits there and Â takes it, I donâ€™t know why.â€
- Joe says, â€œKali is a beautiful kid, but she takes after her mom â€“ which sucks, because she wonâ€™t amount to anything.â€
- â€œI Â donâ€™t know what to do with her now that she likes girls,â€ Karen says. Â â€œItâ€™s so embarrassing that she keeps getting in trouble with this girl, Â but I know it will pass. Itâ€™s just hard to watch her make these bad Â decisions. I donâ€™t know what the big deal about marijuana is, itâ€™s not Â like we didnâ€™t drink when we were her age. Why does the law have to get Â involved? If it keeps her calm, whatâ€™s the problem?â€
- â€œI think Â Kali is depressed but she wonâ€™t talk about it,â€ Joe says. She told me Â once, â€œIâ€™m not a mess like mom! If I was depressed I would be like her, a Â stupid mess who does nothing but drink and sleep. I am nothing like Â her.â€
- Kali has never had an official diagnosis, but was referred Â to counseling for depression by her school counselor as well as her Â probation officer.
Â Jacob Campbell
- Jacob Â has recently been charged with grand theft auto and is scheduled to Â attend court this week. â€œI was bored and we had just won the regional Â football playoffs,â€ he says. â€œMom picked me up drunk at the school, and Â dad was gone who knows where, maybe working, so what was I supposed to Â do? My teammates needed me. So I drove her home and she passed out. I Â didnâ€™t want to take her car, so I took the neighborsâ€™ car. They always Â leave the keys in their car, and theyâ€™re old, so I didnâ€™t think they Â would ever know.â€
- Kali says that Jacob has been taking the Â neighborâ€™s car frequently, probably since he was 13, and that he was Â just stupid this time and got caught.
- Jacob has many friends at Â school and is on the track team as well as the football team. He wanted Â to be a police officer like dad, but now that he has been arrested, he Â doesnâ€™t know what he will do. â€œIâ€™ll probably have to drive a truck Â because I screwed up and I wonâ€™t be able to be a cop,â€ he says.
- Karen Â blames Joe for Jacobâ€™s predicament, complaining that Joe is never home Â to take him anywhere. â€œJacob is my sweet little boy,â€ she says. â€œHe Â doesnâ€™t deserve this!â€
- Jacob gets decent grades at school, but Â is often truant. He says he doesnâ€™t go to school so he can take care of Â his mom â€œon her really bad days.â€ Kali says, â€œYou mean on her Â hungoverâ€“andâ€“canâ€™tâ€“stopâ€“vomiting days.â€
- Jacob has been suspended Â from school twice over the past year for fighting. When asked about the Â fights, Jacob shrugs his shoulders and doesnâ€™t want to talk about it. Â Joe says Jacob was protecting his sister when other kids said nasty Â things about her. â€œHeâ€™ll do his duty as a brother,â€ Joe says with some Â pride. â€œNo matter how stupid his sister is, he sticks up for her.â€
- Jacob Â presents as quiet and polite. He seems to avoid conflict and doesnâ€™t Â want to answer questions directly, allowing his family to answer for Â him.
- Jacobâ€™s best friend is his cousin Tom, who is also 15 years Â old. â€œI wish he would stop hanging out with Tom,â€ Karen says. â€œJoeâ€™s Â family is nothing but trouble.â€ Visibly irritated, Joe says, â€œMy nephew Â is a great kid! Karen just doesnâ€™t want my family to see what a drunk Â she is.â€
- Jacobâ€™s probation officer has sent him to see a psychiatrist for a potential diagnosis of conduct disorder.
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