SOCW6200 Walden University Roles of Social Workers Paper
Assignment: Paper School-Based Social Work – A Case AnalysisSchool social work is not always practiced in the school building. In fact, school social workers often work with a child at home and involve a variety of community resources to support the child and family.In this Assignment, consider the work done by the school social worker with the Rodao family. How would you prepare the family for continued success once your role is complete?Review the Case of the Rodao family from this week’s Learning Resources.By Day 7Submit a 2- to 3-page paper addressing the following:Briefly summarize the case.Identify the specific social work roles demonstrated by the social worker.Identify at least two additional community professionals you would invite to support the Rodao family once the social work services have terminated and what you hope they could offer.Working With Children and Families: Case of the Rodao Family
Michael was a 10-year-old African-American male. Michael lived with one
younger brother, age 8, and an older brother, age 17, who was in and out of the home
due to Division of Juvenile Justice involvement. Two additional older siblings did not live
in the home: one brother, 23, and one sister, 26, who also just had a baby of her own.
Michael and his family lived in a local housing project.
Michael was a fourth-grade student at the local city magnet elementary school.
He was referred to the school-based mental health provider by the assistant principal.
Michael was becoming increasingly defiant and unwilling to comply with the rules and
regulations of the school. Michael experienced drastic mood and behavioral swings
from day to day. He would be a model leader one day, and then the next refuse to
follow any directions and be a distraction to the entire class. Michael argued with his
teachers and refused to complete assignments. During class, Michael would beat
pencils on the table, attempt to talk to anyone around him, or try to engage the entire
class. At times, he became physically and verbally aggressive with peers. Michael
would be intentionally annoying to others and spent more than 50% of the school day in
the office 2 to 3 times a week.
Michael had not received mental health services before being referred, and it
took several months to foster buy-in from Michael’s mother. Michael’s home life had
always been chaotic, with many moves and instabilities. Michael did not know his
biological father growing up, but he did have a stepfather in the home until he was 9
years old, when his stepfather was incarcerated for robbery. The family moved closer to
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Michael’s mother’s family at this time, and Michael’s biological father began to reach out
for a relationship. Before his stepfather was incarcerated, there were several instances
of domestic violence in the home. Michael’s mom always believed that the children
never saw any of the violence, but they lived in the same home and heard the fights and
arguing.
Before Michael’s stepfather was incarcerated and the family was forced to move,
Michael was a model son and student in previous schools, according to his mom,
school staff, and by self-report. He was a leader in his class and was on the A/B honor
roll. Since starting at his new school, Michael was emotionally dysregulated and
outraged. He was no longer able to focus and became easily irritated. Michael still
wanted to be a leader, but his erratic moods and aggressive behaviors hinder his ability
to do so. Michael has also watched his brother go through probation, get involved with
gangs, and spend time in juvenile detention centers.
After the move, the family struggled to find stability and security. Michael’s mom
had a difficult time finding a job, and because of this, after 6 months in the area, the
family found themselves homeless and had to move in with extended family. This move
put the family in the middle of one of the most violent housing projects in the area.
Michael’s level of insight into his behaviors and thinking patterns was very high.
He was able to process cognitively appropriate and inappropriate responses to
situations when he is in a calm state of mind. Michael was an intelligent young man and
was able to use that intelligence to connect his thoughts and his feelings. He wanted to
be a good role model to younger kids and was helpful in working with kindergarteners in
the mornings at school. The recommended treatment was outpatient therapy within the
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school, as well as family sessions to address the stressors in the home setting.
Michael’s goals for treatment were to increase his ability to maintain appropriate
interpersonal relationships and regulate his emotions as evidenced by participating in
cognitive-behavioral therapy, identifying 5 contributing factors to his "bad attitude”;
complying with adults 4 out of 5 times on the first prompt; processing past traumatic
events; learning, practicing, and implementing 5 emotional regulation skills; and learning
self-regulation.
Therapeutic rapport building was the first step I took with Michael and his family.
The family needed support to be able to process events and talk about emotions.
Michael responded to the positive attention, but his mother remained guarded and
unwilling to participate actively. Cognitive-behavioral therapy (CBT) was the modality of
choice. Michael was able to connect to the thinking strategies and identify how thoughts
and feelings are linked to each other. Michael and his family struggled to open up about
personal emotions and the history of violence and abuse within the household. I spent a
lot of time during family therapy sessions discussing appropriate and inappropriate ways
of communication. Just a few months after Michael began services, the family moved
away.
To find a job, mom moved the family out of state with a month left in school. The
family did not engage in any mental health services while living in another state. At the
beginning of the new school year, the family had moved back to a different housing
project and reentered mental health services in the school. The family’s new
neighborhood was not as chaotic, but was a home to one of the city’s major gangs.
Upon Michael’s return, his symptoms were more severe, including becoming more
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physically aggressive with peers. Therapeutic rapport had to be reestablished, and my
consistency and follow-through became an important factor in that development.
After returning to services, Michael’s mom refused to acknowledge that there
were any concerns at home and be directly involved in treatment. The interventions at
this point were directly focused on Michael individually, but I still attempted to call his
mom every other week to engage her in Michael’s progress and discuss any concerns
from home. Michael was engaged during therapy sessions, initially learning selfregulation activities such as blowing up balloons to practice deep breathing, muscle
relaxation through trying to move walls, and coloring Mandalas. After engaging in the
self-regulation activities, Michael and I began to focus on CBT techniques. Michael
learned to process a situation and identify how automatic thoughts affected his feelings
and behaviors when separated from the situation and in a calm state of mind. Michael
was able to identify some of his automatic negative thoughts. He was unable to talk
specifically about traumatic personal events or any related feelings, but did engage in
discussions about trauma and trauma responses as well as the effects of trauma on
thoughts and feelings. I showed Michael how trauma can affect the brain using the
diagram of our brain as a fist with our fingers being cognitive processing, our thumb as
the trigger to fight, flight, or freeze, and our palm as the survival part of the brain.
Michael related to this demonstration and was able to identify being in the survival part
of his brain when he is angry and that he is unable to access the cognitive part of his
brain.
Michael was unable to meet his goals, and his behaviors in the school setting
continued to be out of control. Michael was unable to identify and acknowledge any
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trauma experiences in his past. He will continue working toward his goals and being
able to transfer the strategies he has learned to times when he feels out of control.
Michael’s family will be the biggest challenge moving forward, and getting their
involvement is a crucial factor in the success of treatment. It would be beneficial for the
family to become involved in a higher level of care, such as intensive in-home or
possibly multi-systemic therapy.
Reflection Questions
1. What specific intervention strategies (skills, knowledge, etc.) did you use to
address this client situation?
There were many different strategies that I used. The first was to provide consistency
for the client’s life. I also utilized my knowledge and training in trauma services a lot with
this client. He presented with a lot of indicators of trauma, so it was important to use this
knowledge throughout all of the treatment.
2. Which theory or theories did you use to guide your practice?
Cognitive-behavioral therapy was the theory that guided most of the interventions, along
with the Aim Forward model of trauma-informed care.
3. What were the identified strengths of the client(s)?
The client was smart and compassionate and possessed good leadership skills. He
likes helping others and working with younger children.
4. What were the identified challenges faced by the client(s)?
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The client’s mother was a challenge because she was not trustworthy of others. There
was a history of violence in the home as well as criminal activity. Other challenges
included the family’s transiency and making multiple moves during treatment, including
to another state.
5. What were the agreed-upon goals to be met to address the concern?
The primary goal was to regulate the client’s mood and behaviors. The client’s mother
was less agreeable to goals that involved processing past events and relating to
emotions.
6. Did you have to address any issues around cultural competence? Did you have
to learn about this population/group before beginning your work with this client
system? If so, what type of research did you do to prepare?
The family was African American, and so I was aware of many cultural differences from
personal experience and school. In this case, the mother, in particular, appeared to be
not as open to having a white woman work with them, although this was never stated. It
became necessary to be honest and ask the family to teach me about things that may
be different culturally for them from me.
7. What local, state, or federal policies could (or did) affect this situation?
This family was impacted by poverty and the criminal justice system. The state and
federal policies that govern welfare, food stamps, and housing played a significant part
in the family’s ability to stay in one place.
8. How would you advocate for social change to positively affect this case?
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In this case, I would advocate for better education within the African-American culture in
the projects to have a better understanding of mental health concerns and help to
destigmatize receiving therapy services. I would also advocate for more programs to
assist and work with youth that have a parent that is incarcerated. This is a unique
population that does not get the support that they need.
9. Were there any legal/ethical issues present in the case? If so, what were they
and how were they addressed?
There were legal issues that were involved with the family, but at this time, there have
been no legal concerns directly with the client. The client’s father was incarcerated, and
the client’s older brother was involved in the juvenile justice system and had spent some
time in a juvenile detention center. This was an open topic of discussion during therapy
sessions to assist the client in processing how their involvement in the legal system
affected him.
10. How can evidence-based practice be integrated into this situation?
All the interventions used were evidence-based practices, from cognitive-behavioral
techniques to breathing exercises to trauma-informed care.
11. Is there any additional information that is important to the case?
It is important to note that this client’s younger brother was involved in mental health
services. The mom did not trust the school, and being a therapist in the school was a
barrier that had to be addressed. The mom was more engaged when she understood
that I did not work for the school.
12. Describe any additional personal reflections about this case.
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This case is a complicated case because the family was not very involved and at times
resistant and destructive to therapy. Some families are difficult to engage, but that does
not mean that continually trying to build that rapport is not important. It was important for
me to remember that poverty, in this case, was generational and that this mom has also
had a difficult life. This case is a good example of meeting a family where they were,
and that meant being supportive and working one on one with the client until the mom is
ready to buy into treatment and not forcing family therapy because I thought that would
help.