Identifying Strengths And Barriers For Carla: Case Review

Part A: Identifying strengths

Category Save Time On Research and Writing Hire a Pro to Write You a 100% Plagiarism-Free Paper. Get My Paper	Strength 1	Strength 2
Interpersonal relationships	Carla lives in her family home with her parents. Save Time On Research and Writing Hire a Pro to Write You a 100% Plagiarism-Free Paper. Get My Paper	Her mum, her cousin Maria are her good friends who visit her and spend quality time with her.
Communication	When she is not mad at someone, she can effectively express her desires and wishes.	She is able to talk to her therapist, and speak out vividly about what goes through her mind.
Coping	To silence the voices in her head, she takes pills that she believes to silence those voices and make her behave well.	She sometimes rejects the voices in her head. At one instance she rejected the idea of beating up a seven-year-old girl.
Cognitive skills	She has the ability to work on basic mathematics, and has the goal to learn how to read.	For the past five years, she has been working at an animal shelter, cleaning, feeding and taking care of the animals and people around.
Interests	She enjoys going out to places in a car with her mum, Maria, Luciano and Jenna. She also enjoys music and watching television.	She has a goal to learn how to read.
Previous successes	At one time, she rejected the voice in her head to beat up a seven-year-old girl.	Sometimes she takes her drugs because she believes they silence the voices in her head and do not make her extremely mad.
Education and vocational achievements	She attended a special needs class for both her lower and high school.	She has been working in an animal shelter occasionally for the past five years.

Domain	Goal	Current status	Individual barriers	Societal barriers
Relationships	Meet her brother Mario and her two nephews	Mario lives out of the province and never visits her. He does not allow her to meet his two children.	Her state of sadness and anger may make her not receptive to her two nephews and Mario.	Mario and his family may not be comfortable meeting her in her schizophrenic state.
Housing	Live in her own apartment	Lives in the basement of her family home where her mum and dad can step in.	She may not be having enough money to afford a good apartment as her job pays very little.	Many housing agencies and owners may not accommodate her due to her mental and psychological disorder.
Health	Get her blood sugar levels on a healthy check	She was currently diagnosed with borderline diabetes.	Eating chips and pop may elevate her blood sugar, making her condition progress which will necessitate her to take more pills.	Restaurant and other food joints may not be aware of her condition and will therefore offer her anything she demands.
Financial	Earn more money	Her job pays her very little money that she keeps asking for money from her mum.	Her limited ability to read coupled up with her verbal and physical aggression may lower her chances of getting a better job.	Companies and various employers may have very little confidence on her ability to deliver well at the work place.
Education and vocation	Acquire the ability to read	She has limited ability to read and must ask others to read for her.	Her restlessness and aggression may make her less patient to the thought processes involved when mastering words and concepts.	Many tutors and teachers may fear taking her through sessions of learning how to read due to her state of physical and verbal aggression.
Leisure	Go out to places in the car	She is taken out to places occasionally by her mum, cousin Maria, brother Luciano and Doctor Jenna.	She is likely to eat junk foods such as chips and pop that may cause a hazardous surge in her blood sugar.	Due to her state of restlessness and aggression, hotels, parks of other visiting sites may not accommodate her.

	Empowering statements I would say to Carla	Reason
Her success in finding out the costs of taking the pottery class	“Congratulations Carla, you are an initiative person and I am sure you will do well in the course.”	This statement will make her feel good about herself. It will motivate her and encourage her to give her very best and focus throughout the course. It will boost her self-confidence and courage.
Her telling me that she did not tell Maria about it yet	“I am sure Maria will consider taking the course with you if all circumstances will allow her. If at all she will be limited by circumstances, she will be glad you have done all this for her. Just go ahead and request her.”	This will again boost her self-confidence and courage. She will have the energy to tell Maria about it and not expect her to agree definitely. If Maria will decline and explain herself, Carla will have the capacity to understand this.
Next steps in terms of asking Maria	“please relax and tell her when you are calmer and relaxed. Call her on the phone and tell her as soon as you can.”	This will put her in a relaxed state, where she will confidently tell Maria about the pottery lessons. She will properly articulate her idea where Maria will understand very well. Simply, this will enhance their communication.

People who would offer great support to Carla in place of her case manager include her Mum, her cousin Maria and the cop who frequents the surrounding of her house every day. These are non-professionals who would make a positive impact in Carla’s condition. Professionals who would make impact include her doctor in charge of monitoring her blood sugar at the hospital, her psychotherapists at the hospital and a community therapist from a psychiatric agency. These people would play different roles to ensure Carla’s well-being.

Carla’s mum would ensure she feels loved and valued from her unconditional motherly love and natural commitment towards her daughter. Maria would give her company and listen to her concerns with unconditional positive regard. She will ensure that she is available for Carla in case she needs medical attention. The cop would ensure he can track Carla’s where-about at any time. He will protect her from any harm that is likely to befall her. The doctor in charge of monitoring her blood sugar levels would make sure she keeps her sugar levels on check. She will make sure she eats healthy and whole foods that will improve her condition. Her psychotherapist at the hospital will construct a counselling plan that will work towards her psychological improvement. She will offer technical support every time Carla is presented at the hospital. Finally, her community therapist will visit Carla at least thrice in a week to offer well-planned and effective counselling sessions. This therapist will observe professional ethics even when she establishes a closer and intimate therapeutic relationship with Carla.

Carla’s case is shocking. Working on this assignment made me think about the many individuals in our homes or on the streets, who are suffering from similar psychological disorders, but are simply referred to as ‘mad people.’ These people are neglected by the society and end up being engulfed by their own state of mind. When working with people like Carla, it is important to treat them with oneness and kindness. We should not treat them with exceptionalism, rather, we should show them that they are just like normal people, with a small mental alignment. When working on this assignment, I encountered challenges such as limited practical knowledge on Carla’s condition, as such conditions present themselves differently in different people. On my next assignment, I will ensure I visit medical practitioners to enquire more about such psychological conditions.

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