?Part 1: Read the entire “Vargas Family Case Study

Part 1: Read the entire “Vargas Family Case Study” (all eight sections). Consider the progress (or lack thereof) over the past eight sessions. Using the “Discharge Summary Outline” template; include the following in your outline: A brief summary of what was going on with the familyA review of the initial treatment goalsTheories and interventions usedA brief discharge summary for the family treatmentClinical recommendations for sustained improvement or referrals for additional services Part 2: Review the “Vargas Family Case Study” and the provided literature regarding current trends and integrative models of family therapy. Identify two potential evidence-based or integrative models to which you would consider referring the Vargas family if problems persist. Compose a 6-12-slide PowerPoint presentation to be shared with your class. Be sure to include the following elements for each of the two models: A brief overview of the modelThe target demographic and presenting concerns the model addressesThe research supporting the modelPlease note: Online students need to include detailed speaker notes of what would be said if giving the presentation in person.While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center.
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PCN-521 Topic 8: Vargas Case Study
This session with the Vargas family includes Elizabeth, Bob, Frank, and Heidi. You begin by
inviting Bob and Elizabeth to sit together on the couch and request feedback regarding the last
session. You learn that several of the interventions have provided some relief, but that there are
ongoing concerns regarding Geoff’s safety, as well as with maintaining boundaries that have
been set. Elizabeth tells you that Bob “had strong words” with his parents, who were initially
quite upset. Bob confirms this and states that despite the difficulty, “they need to butt out.” You
validate Bob’s struggle and reframe this as bravery. You note the family’s willingness to seek
help as a significant strength. Bob expresses concern for his sister having recently lost her
husband and nearly losing her son. He shares how unfortunate it is that something bad had to
happen to help him realize how fortunate he is. Bob states that he admires his sister’s strength,
and becomes tearful as he tells Elizabeth that he cannot imagine what it would be like to lose her.
He expresses belief that it would be “impossible” for him to be a single parent and tells his wife
that he realizes he has been taking her for granted. Elizabeth receives these words with quiet
gratitude, providing comfort, being sensitive to Bob’s vulnerability. Bob wipes his tears and
apologizes for what he calls “falling apart.” You notice Frank and Heidi settle in closer to their
parents. Eventually, the therapeutic silence is broken when Frank hands his dad a tissue and says,
“It’s okay for boys to cry. Mom says so.”
© 2016. Grand Canyon University. All Rights Reserved.
Vargas Case Study
Vargas Case Study: Topic 1
Bob and Elizabeth Vargas have been married for 10 years. They have two children, Frank (8)
and Heidi (6). Bob teaches high school PE and coaches football, wrestling, and baseball.
Elizabeth recently quit her job where she was an attorney in a law firm that specializes in Family
Law. She enjoyed her work, had a passion for adoption cases, but decided to stay home for a few
years while the kids were young. Elizabeth believes that Frank might have ADHD. She
complains that he cannot sit still, does not listen, is forgetful, and is always getting hurt. She
believes that much of these injuries are due to Frank’s impulsivity. Elizabeth suggests you talk to
Frank’s teachers who have noticed that he has trouble waiting his turn, will often blurt out
answers without raising his hand, and frequently loses things. Elizabeth acknowledges that Frank
has always been an active child, but believes these behaviors, including picking on his little
sister, are getting worse. Bob seems to be amused by these anecdotes and accuses Elizabeth of
“overreacting,” stating that, “Boys will be boys.” Bob suggests you talk to his parents, both
retired teachers, who agree with him and don’t think there’s anything wrong with Frankie. You
notice Heidi sitting close to Elizabeth, playing on her mother’s cell phone. She glances up
occasionally when her brother approaches, but is otherwise engrossed with the game. Frankie
began the meeting sitting between his parents, but noticed Legos in the corner and was
immediately attracted to them. He interrupts several times to share stories about his teacher,
classmates, and his grandparents, despite numerous reprimands from his mother. After a few
minutes, Frank asks to use his Dad’s phone (in a hurry, Bob had left it in the car), wanders
around the office, looks out the window and comments on a squirrel, then grabs the phone from
his sister who, of course, protests. After Elizabeth had quieted the commotion, you question any
recent changes. Bob and Elizabeth both acknowledge an increase in marital tension and admit to
having several arguments a week, some in front of the children. Bob blames Elizabeth for being
“too high-strung” and says she just needs to relax. Elizabeth says she is unable to relax, fearing
Frankie will end up damaging things or hurting himself or Heidi. She says that if Frankie would
be able to control his behaviors, their marriage would improve dramatically. This, they report, is
the reason for seeking therapy for Frankie.
Vargas Case Study: Topic 2
Elizabeth arrives on time with Frank and Heidi for the second session. Elizabeth appears
somewhat frazzled and tells you that she had just heard from Bob who said he would be “a little
late” because he “lost track of time.” You note Elizabeth’s frustration which she confirms by
saying this is “typical.” She proceeds to share that she feels “completely disregarded,” especially
after having shared with Bob the night before how important these sessions are to her. You
© 2015. Grand Canyon University. All Rights Reserved.
notice that Heidi seems upset as well and looks as if she has been crying. You ask her how her
day is going and she tearfully tells you that Frankie tore up her school paper with the gold star on
it. Elizabeth elaborates that Frank had become angry and ripped up the picture that Heidi was
proudly sharing with her. Frank, who had gone directly to the Legos, appears oblivious to the
others in the room. When you ask him about his sister’s sadness, he replies, “Who cares? She
always gets gold stars!”
As you were about to further explore these feelings, Bob arrives stating, “She probably told you
I’m always late, but hey, at least I’m consistent.” You notice Elizabeth’s eye rolling and direct
your attention to the children, asking them about what brought them to your office. Heidi says,
“I’m good but Frankie’s bad at school, and it makes Mommy and Daddy fight.” Frank, who had
helped himself to one of your books to use as a car ramp argues, “I hate school. It’s boring and
my teacher is mean.” Bob attributes Frank’s boredom to being “too smart for the second
grade…what do they expect?” Elizabeth responds that they, like her, expect him to follow rules
and be respectful, and suggests that Bob should share those same expectations. Bob dismisses
Elizabeth’s concerns by saying, “He’s a normal boy, not like all your friends from work who you
say are “creative.”
You notice Elizabeth’s reaction and decide to redirect your attention to Frank. You ask him what
bothers him most about school, to which he replies, “I get in trouble, then I don’t get to have all
the recess time, then I can’t play soccer because they already started and they won’t let me play.”
You notice Frank’s interest in sports and probe for more information. You learn that he is quite
athletic and has been asked to join a competitive youth soccer team that plays on Saturdays and
Sundays. You discover another source of discord when Elizabeth shares that Bob “feels
strongly” that Sundays are to be spent only at church and with family. Bob confirms that after
church on Sundays, they spend the rest of the day with his parents, siblings, nieces, and nephews.
Elizabeth says that Sunday mornings are the only time she gets to be by herself and that she
typically joins the family around 1:00. Bob adds, “Apparently Liz needs time to herself more
than she needs God and her family,” and suggests she should appreciate his family more because
“it’s the only family she has.”
As the session comes to a close, you share your observations of the family by noting their
common goal of wanting to enjoy family time together. You also suggest that while Frank’s
behavior challenges are concerning, perhaps you could focus next week on learning more about
each parent’s family of origin in hopes of gaining a better understanding of the couple’s
relationship.
Vargas Case Study: Topic 3
Bob and Elizabeth arrive together for the third session. As planned, you remind the couple that
the goal of today’s session is to gather information about their families of origin. Bob begins by
© 2017. Grand Canyon University. All Rights Reserved.
telling you about his older sister, Katie, who is 36 and lives nearby with her three children.
Katie’s husband, Steve, died suddenly last year at the age of 40 when the car he was driving hit a
block wall. Elizabeth speculates that Steve was intoxicated at the time, but Bob vehemently
denies this allegation. He warns Elizabeth to “never again” suggest alcohol was involved. You
note Bob’s strong response and learn that his own biological father, whom his mother divorced
in 1985 when Bob was 3 and Katie was 5, had been an alcoholic. When asked about his father,
Bob says, “His name is Tim, and I haven’t seen him since the divorce.” Bob shares that he only
remembers frequently hiding under the bed with Katie to stay safe from his violent rages. He
adds that in 1990, his mother, Linda, married Noel who has been “the only dad I’ve ever
known.” He insists that his sister married “a devout Christian who never touched alcohol” and
attributed the 3:00 am tragedy to fatigue. He adds that a few days before the accident, Katie had
complained to him that her husband had been working many late nights and “just wasn’t
himself.” Bob speaks fondly of his sister and confirms that they have always been “very close.”
From Elizabeth, you learn that she was adopted in 1985 by her parents, Rita and Gary, who were
in their late 40s at the time. They were first generation immigrants who had no family in the
United States. Their biological daughter, Susan, had died 10 years earlier after Rita accidentally
ran over the 5 year old while backing out of the driveway. Elizabeth surmises that her mother
never fully recovered from this traumatic incident and remained distant and withdrawn
throughout Elizabeth’s life. Elizabeth describes her father, Gary, as “a hard worker, smart, and
always serious.” She shares that most of her family memories were of times spent with her dad in
his study, surrounded by books. She states, “He could find the answer to all of my questions in
one his many books.” Elizabeth describes herself as the “quiet, bookish type” and attributes her
love for books to her father. Like her father in his study, Elizabeth remembers spending most of
her adolescence alone in her room, reading, so she would not upset her mother. Looking back,
Elizabeth tells you she recognizes her mother’s struggle with depression, “but as a kid, I thought
it was me.”
You comment on the vastly different childhood experiences and normalize the potential for
relationship challenges under these circumstances. Acknowledging the differences, Elizabeth
remarks that Bob’s relationship with his family was one of the things that she was attracted to
early in their relationship. Bob agrees with her and comments that Katie and Elizabeth are very
close, “each being the sister neither one of them ever had.”
Vargas Case Study: Topic 4
The Vargas family arrives for the 4th session at separate times. You have been chatting with
Elizabeth and Heidi about Frank’s recent school suspension when Bob and Frank enter. They are
having an animated conversation, laughing hysterically, and Frank is wearing socks, not the rain
boots he left the house in. They proceed to share the story about how Frank’s top scoop of ice
cream just fell into his boot when Elizabeth interrupts. She questions Bob and appears surprised
to learn that instead of going to work with Bob who had agreed to “put him to work” as a
© 2017. Grand Canyon University. All Rights Reserved.
consequence of his suspension, the two of them had spent the day having fun. Frank talks about
his new bike and had begun a story about the movie they saw when he looks at his dad and
instantly stops talking. You notice Bob’s stern look when Frank apologizes stating, “I forgot I’m
not supposed to tell.”
The tense silence is broken by Heidi who begins to tell her parents that she got another gold star
on her spelling test, the teacher picked her to be the helper, she scored two soccer goals at recess,
and made three new friends. You notice that Frank has squeezed into the same chair next to Bob;
Heidi scoots closer to her mother on the couch. You note Elizabeth’s distress and invite Bob to
comment. Bob minimizes the incident that resulted in Frank’s suspension and accuses Elizabeth
of “overreacting.” Frank agrees that “Mom always gets mad” and begins recounting the “funny”
incident that was, according to him and Bob, “no big deal.”
Vargas Case Study: Topic 5
The Vargas family arrives to their 5th session together and on time. As a follow-up to last week’s
focus on the family structure, you decide to consider a strategic approach this week. To check in,
you invite them to share any feedback from last week’s session. Bob reports that he apologized
to Elizabeth for “mishandling the suspension thing” then complains that Elizabeth is still
“holding a grudge.” He admits that he often does not understand why she gets so upset and that
he wants her to be happy. Elizabeth acknowledges that the apology “is a start” and suggests that
the reason Bob doesn’t understand is that he “doesn’t ever listen” to her. Bob tells Elizabeth that
he listens, but gets frustrated because he doesn’t know how to “fix it.”
You notice Frank and Heidi sitting together, quietly looking at a book while their parents talk.
You inquire about any noticeable changes made during the week. Both parents claim to have
made an effort to avoid raising his/her voice and report being pleased with their conduct. When
asked about the children, Elizabeth reports noticing improvement. Bob, however, expresses
frustration with Frank’s constant need of redirection and numerous reminders to complete his
chores. Bob also noted an increase in Heidi’s demands for attention.
Vargas Case Study: Topic Six
The Vargas family arrives five minutes late for their 6th session. Elizabeth apologizes for their
tardiness and complains that they had come from an event hosted by her former employer and
were having an argument in the parking lot. You notice the children appear somewhat disheveled
with red cheeks and grass-stained clothing. They excitedly share stories of coming from a “big
picnic” where they “played lots of games and made new friends.” Frank tells you that he was
playing Kick Ball and that his team was winning. Smiling and tousling Frank’s hair, Bob adds
that he and Frank were “an unstoppable force” who dominated each event at the picnic. Bob and
© 2017. Grand Canyon University. All Rights Reserved.
Frank were in the middle of a celebratory high-five when Heidi tells her dad that she wishes he
would have been on her soccer team. While still engaged in the celebration with Frank, Bob
replies, “Me too; maybe next time.”
Elizabeth states she was “pleasantly surprised” that Bob was enjoying himself, given his strong
personal opinion of many of her friends, who are gay. Bob insists that the picnic was “just okay,”
and that he “was just trying to be nice.” He tells you he doesn’t have “anything against gays,” but
that “they just make me uncomfortable.” Heidi reminds him that he agreed to have her new
friend, Dani “and her two daddies,” over for a barbeque. You comment that the family’s mood
now seems quite improved from how they arrived. Frank explains that his mother got angry at
him and admits to running away and hiding from his mother when she said it was time to leave
the picnic. Elizabeth immediately denies being mad at him. You ask Frank what made him think
his mother was mad, and he replied, “Her eyes were squinty and she had a mean voice.” When
asked if his dad was also angry, Frank replies, “He saw me in my hiding place; he was smiling.
Then in the car, he yelled at me to ‘listen to your mother.’”
Elizabeth shot Bob an angry look when Heidi shares that she was having fun playing soccer and
that she didn’t want to leave either. She adds, “I always listen because I don’t want Mommy to
be sad.” She proceeds to blame her brother for “making Mommy and Daddy fight” to which
Frank makes a counter-accusation, blaming Heidi for the parental discord. Elizabeth and Bob
exchange angry looks, then Bob assures Heidi that, “It wasn’t all your fault.”
Vargas Case Study: Topic 7
Since the last session, you received a call from Elizabeth who stated her family was in crisis. She
reported that her nephew Geoff, the 15-year-old stepson of Bob’s sister, Katie, had nearly
overdosed. She said that the family had noticed some changes with Geoff since his father’s
recent death, but attributed the poor mood and slipping grades to the normal effects of grief.
Elizabeth said that Geoff had never used drugs, as far as anybody in the family knew, and that
the overdose was “a total surprise.” Elizabeth reported that after learning of this, Bob’s mother,
Linda, called the school counselor but complained to Katie that “she was not at all helpful,” and
told Katie exactly how she should handle it. Katie spoke with the school counselor who told her
that she was not allowed to speak with Linda due to matters of confidentiality. Elizabeth
informed you that Katie had shared her frustration with the school counselor’s suggestions to
help him “get his mind off the sadness,” and believed he needed more help. You learned that
Bob’s father, Tim, was trying his best to help, and that Elizabeth felt his intrusion was making
matters worse. Among other things, Tim had taken Geoff out of school on a week-long camping
trip against Katie’s wishes. Elizabeth said that the involvement of Linda and Tim, despite their
good intentions, had begun to cause widespread family strife and asked if you could possibly see
© 2017. Grand Canyon University. All Rights Reserved.
the entire family. You agreed to provide a session with Elizabeth, Bob, Tim, Linda, Katie, and
Geoff.
Vargas Case Study: Topic 8
This session with the Vargas family includes Elizabeth, Bob, Frank, and Heidi. You begin by
inviting Bob and Elizabeth to sit together on the couch and request feedback regarding the last
session. You learn that several of the interventions have provided some relief, but that there are
ongoing concerns regarding Geoff’s safety, as well as with maintaining boundaries that have
been set. Elizabeth tells you that Bob “had strong words” with his parents, who were initially
quite upset. Bob confirms this and states that despite the difficulty, “they need to butt out.” You
validate Bob’s struggle and reframe this as bravery. You note the family’s willingness to seek
help as a significant strength. Bob expresses concern for his sister having recently lost her
husband and nearly losing her son. He shares how unfortunate it is that something bad had to
happen to help him realize how fortunate he is. Bob states that he admires his sister’s strength,
and becomes tearful as he tells Elizabeth that he cannot imagine what it would be like to lose her.
He expresses belief that it would be “impossible” for him to be a single parent and tells his wife
that he realizes he has been taking her for granted. Elizabeth receives these words with quiet
gratitude, providing comfort, being sensitive to Bob’s vulnerability. Bob wipes his tears and
apologizes for what he calls “falling apart.” You notice Frank and Heidi settle in closer to their
parents. Eventually, the therapeutic silence is broken when Frank hands his dad a tissue and says,
“It’s okay for boys to cry. Mom says so.”
© 2017. Grand Canyon University. All Rights Reserved.
PCN-521 Module 8: Vargas Case Study Discharge Summary
Outline
Directions: Review the Vargas Family Case study again in its entirety. Consider the progress
over the past eight sessions. Complete the sections outline below as your discharge summary for
the Vargas family.
I.
II.
III.
IV.
V.
A …
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