Treatment One
The first treatment plan is to reduce Adam’s fear of sleeping alone in a room at night by himself without his foster parents sleeping next to him. Foster parents state that even though he is scared to sleep alone, he does show great strength in being able to communicate effectively when he is scared at night. Of course he communicates by yelling for help, but at least he doesn’t sit in silence when he becomes scared. Being able to communicate is recognized as strength. MSWI believes that it’s best to keep into consideration that Adam has experienced a form attachment issues by being removed from his mother’s care, being exposed to different caregivers and being in the foster care system at age 4 and before he turned 5 he had
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Foster parents state that he has a limited vocabulary of appropriate language. Foster parents state that he may have picked up bad language during the first four years when he was living with his mother and different caregivers, but this is not certain. However, there is hope in Adam; foster parents state that there are times when Adam does mimic appropriate language from foster parents vocabulary. Therefore, he shows great strength in wanting to change his language habits (this has to do with his environment; the more sophisticated or healthy environment he is exposed to, the less inappropriate language he will use).
Problem Two
Adam sometimes engages in inappropriate language at school and at foster parent home. When he becomes anxious or irritable he will use inappropriate langue such as saying, “kiss my booty”, “eat poop”, “shut up stupid” “you idiot” or “kiss my ass” (he said kiss my ass at school).
Goals
The short-term goal is to reduce use of inappropriate language from 4 times a day to once a day. The long-term goal is to eradicate inappropriate language at school and at home.
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MSWI concluded that she doesn’t have the skills to build a healthy relationship with her son; therefore, MSWI believes that play therapy would be good for the client and bm. Play therapy will help bm increase attunement with her son, help Adam with his self-control, and help Adam improve his ability to take direction from someone else (Lowenstein, 2011). MSWI chose play therapy because it is good to use with solution-focused therapy. Also play therapy is good to use with families for interacting purposes and in this case, family play therapy is good because it will give a meaningful way for bm to interact with her son for the short time they are together. Family play therapy will be ongoing until family reunification occurs; it will help the mother increase her skills of how to interact her