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Student’s Name:

Professor’s Name:

Course Title:

Date of Submission:

Case assessment

The child exhibits signs of depression. The girl lacks a better family structure and love

from guardians. The large size of the family makes it impossible for the child to overcome past

depressions. Lack of care and the uncomfortable environment contributes to the child’s

depression and withdrawal. The attempt by her grandparents to isolate her has negatively

impacted the child psychologically. Lack of supportive mechanisms from guardians remains a

contributor towards her current state. The child suffers from stress attributed to her immediate

environment. Bulling in school and her parent’s death are contributors towards her current state.

Interventions

The Hamilton depression rating scale (HAM-D) showed that the child suffered from

Major Depressive Disorder (MDD) having recorded a score of more than 24. The executed

clinical plan works towards reducing the stressors and improving on the patient’s environment.

The child suffers severe depression caused by the environment and past experiences. The child’s

age means working on her negatives and engaging her family in improving her wellbeing.

Working on the patient cognitive ability makes it possible for the child to accept her current state.

Communicating to the child creates a level of trust between the care provider and the patient.

The core of the clinical plan is to reduce the score to moderate and normal levels. The clinical
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model bases on dealing with the stressors by reforming the family setting, school environment

and having the child accepting her current state. The child should be able to adapt to changes in

the environment. The child’s wellbeing would be determined by the manner in which she adapts

to the environment and the manner in which the immediate environment contributes towards the

child’s wellbeing. The essence of the family based therapy would be to reduce relapse at any

stage of the child’s recovery process. Reducing the stress level to less than 7 in HAM-D score

remains the aim of the interventions.

Evaluation

Improving on client’s observation and response remains core. In this, ‘responding’ play

an integral part in ensuring the problem at hand is well communicated between the client and the

care provider. Creating a positive communication model works effectively in determining the

core issues and working on agreeable solution. Client observation would effectively determine

the impact of the interventions model on the stress level. The reaction of the client needs to be

considered in that, a negative reaction would mean ineffective model of the action plan. Client

observation ensures evaluating the action plan and determines its effectiveness in dealing with

the stressors. Engaging the family members, forms part of the client observation.

Describe how you used supervision in providing service to the client.

Client observation was part of supervision. The intervention model ensures the family

setting remains positive in the recovery of the child. My role as a supervisor meant

recommending and retraining the extend family on the need to remain supportive. In determining

the progress of the child, I oversaw the gradual improvement of the child by analyzing the

client’s progress at different levels. I adjusted interventions based on the clients HAM-D score. A

higher score meant ineffective nature of the model and need to introduce alternative methods in
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improving the child’s mental health. Assessment formed the basis of my supervisory role in the

case management. Balancing between a family-based model and a direct intervention aimed at

ensuring the health of the child improves.