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Rick Cage Case Studies

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Rick Cage is a 56 year old white male admitted to the Veteran’s Domiciliary to participate in the Chronically Homeless Veteran (CHV) program to address homelessness. Mr. Cage was referred by Lake County Probation and was mandated to participate in the CHV program, which provided a partial hospitalization program. Mr. Cage was recently release from prison after serving 2 years at Mansfield Correctional Facility. Mr. Cage was charged and found guilty of drug possession and tampering with evidence in 2014. After being assessed, Mr. Cage presented with the following problems: frequent legal involvement, substance use, mental and physical health issues, homelessness, minimum income, and lack of social/coping skills. As the social worker, I explored …show more content…

Cage exhibits behavior patterns that have led to his engagement with the criminal justice system. According to Mr. Cage’s probation officer, the primary goal is to monitor his behavior while referring him to engage in services that will provide behavior modification. Behavioral intervention strategies do not require one to be able to think abstractly. It is said to be a popular practice approach with persons with cognitive and developmental disabilities. Due to Mr. Cage’s cognitive barriers such as memory loss and limited comprehension deficiency, it would be difficult to address his presenting issues using psychodynamic and cognitive theory-alone. “Behavioral theoretical approaches offers an approach to direct practice that focuses on observable, concrete client behaviors and outcomes, rather than internal mental processes” (Walsh, Corey, & Corey, …show more content…

Cage’s case. I have an allotted time to build rapport and provide therapy to Mr. Cage. With his history of domestic violence, his attitude and behavior toward me may be aggressive. This may be a barrier to developing a relationship with him. Mr. Cage reported his religious preference is Protestant. Mr. Cage reported that he is currently active in practice. Looking through the lens of a behaviorist, I can only utilize Mr. Cage’s religious practice, if it relevant to behavior goals. As the therapist, he may find that I am minimizing his religious beliefs in which he identifies as an influential piece of his life. Mr. Cage’s legal background can be a diversity issue. Mr. Cage can be perceived as a “criminal,” which may impact him establishing housing and engaging with others in society. This may impact my ability to address Mr. Cage’s presented problems within the timeframe of 4

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The book “Incognito: The Secret Lives of the Brain” by David Eagleman is a summary of how David Eagleman, a neuroscientist, thinks is the best way to reform the criminal justice system in the United States. Eagleman argues that sentencing for crimes should not be based on the crime itself but rather the person who is committing it ability to reform. Throughout the book Eagleman gives examples and explains how a person who consciously commits a crime is not completely at fault since there many factors that influence a person’s conscience mind. He cites the examples of stress and drugs as two factors that could alter a person’s personality and contribute in making a person commit a crime.

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Joseph’s overall progress in sex offender specific treatment continues to be poor. Joseph’s attendance overall has been good, he is compliant when asked to complete homework assignments and working through the Pathways workbook, but it is clear that he is a passive participant and is not putting forth the effort to make sustainable changes in his life. To date several approaches have been employed to engage Joseph in treatment, but these attempts have been met with resistance. As previously stated in his last report, his cognitive distortions appear to be deep rooted and this has impeded his ability internalize a sense of wrong doing with regard to his sexual offenses, as well as his other delinquent behaviors.

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Frank and Leon lead very different lives from the very start. Frank, was given a better opportunity from infancy to thrive into adulthood where he was able to become productive member of society. At the infancy stage Frank, was able to develop an emotional bond with his mother and father. His parents had family support to help support them challenging times and he was able to develop trusting relationships through his stages of development. Whereas Leon, was neglected by his mother and was not able to establish an emotional bond with her at the infancy stage.

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Halfway houses are places where offenders can live, work, and pay rent, while receiving treatment or job training, they are a critical component in reintegrating offenders into society. There are two types of halfway houses, in or out, halfway in refers to the last chance for an offender to correct criminal behavior before being incarcerated, and halfway out is typically parolees and prerelease offenders. Both equally as important, correcting antisocial behavior is key in rehabilitating offenders, teaching positive behaviors and necessary skills to overcome the challenges of life. The environment allows offenders to live in society, and enables them to learn how to navigate and overcome obstacles in real life scenarios, while under supervision.

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It is truly a journey with maps and road blocks and detours, but also with traveling companions and different destinations (Garthwait, 2014). This metaphor can be applied to both our professional and personal roles. We all set out on this journey to become social workers, and we all in some way wanted to first and address the

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Intensive Supervision Programs are ineffective at reducing prison overcrowding, reducing correctional spending, expanding the sanctions available for law violators, enhancing public safety, creating a less punitive environment than prison, and lastly promoting the rehabilitation of offenders. ISP’s began to sweep the nation around the 1980’s and 1990’s in order to assist with prison overcrowding and correctional spending. This program was also designed for offenders who deserve more than parole, but not necessarily prison. Many obstacle’s came with the development of Intensive Supervision Programs including how to determine if these programs are effective or not. There are many type of offenders, ranging in multiple ages and committing various crimes.

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In conclusion, offenders who have been confined to prison require a little more attention in prisons than what they have been receiving. Not only will programs such as anger management, substance abuse counseling, vocational skills assist them in ways to readjust to society once they have been released but it is essential for offenders to seek some kind of aftercare program once released. Engaging is some kind of aftercare assistance upon being unconfined is important and can help revitalize ones position in society. There are a number of aftercare programs that can contribute to making the transaction an effortless one, those consist of community involvement, faith based setting, and enrolling in educational courses.

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However, high risk violent offenders do not show consistent improvement. CBT may fail to work with the high risk offenders because of low willingness to change, comorbid psychological disorders, or insufficient treatment (Howells, 2009). Also, there is a high number of offenders with antisocial personality disorder (APD). Howells (2009) explained that anger management programs may need to be longer in order to be effective with the APD population. Similarly, the impulsivity and low compliance that accompanies many with APD may account for the offenders’ low willingness to change.

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The topic of chronic offender concept this is where crime starts at an early age. Siegel states that relatively few offenders become chronic criminals perhaps chronic offenders possess some individual trait that is responsible for their behavior (2014). This makes me think of how trauma plays a role in how a brain develops and the damage it does to the part of the brain that makes decisions. I believe that if the trauma exposure theory is applied to the offenders when they begin to commit crime at an early age there could be prevention for chronic behavior. Then a Chronic offender could very well be just an offender.

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Over the course of the last several months of my senior year, I have had the opportunity to work with the most vulnerable of the homeless population in Vancouver, Washington. Working with the harm reduction model, I have realized that the clients that are in the Housing First program are dealing with far greater issues than mental health and substance abuse. As a case manger, this only allows me to so much with the client and has shown me the importance of obtaining my MSW. By achieving this goal, I can help the client through psychotherapy and to affect change.

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