Hernandez Family Assessment

• Review this week’s Learning Resources and reflect on the insights they provide on family assessment.
• View the Hernandez Family: Sessions 1-6 videos, and consider how you might assess the family in the case study.

Note: For guidance on writing a comprehensive client assessment, refer to pages 137–142 of Wheeler (2014) in this week’s Learning Resources.

The Assignment

Address in a comprehensive client assessment of the Hernandez family the following:

• Demographic information
• Presenting problem
• History or present illness
• Past psychiatric history
• Medical history
• Substance use history
• Developmental history
• Family psychiatric history
• Psychosocial history
• History of abuse and/or trauma
• Review of systems
• Physical assessment
• Mental status exam
• Differential diagnosis
• Case formulation

  Hernandez Family Episode 1

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  Hernandez Family Episode 1 Program Transcript

  JUAN HERNANDEZ: But we didn’t do anything wrong. That woman, that social worker, who came to our house, I told her, me and Elena, we decide what’s best for our boys, not her. Telling us we punish to hard. She doesn’t know anything about us.

  ELENA HERNANDEZ: We give our sons a good life. We love them very much. It’s not fair what she said about Juan and me. We’re good parents.

  FEMALE SPEAKER: Mrs. Hernandez, I understand how difficult this is for you–

  JUAN HERNANDEZ: I don’t think you do. Everything that we do, we do for them, everything. We work hard. We take care of them. And when they don’t follow the rules, they get punished, strictly. The old fashioned way.

  ELENA HERNANDEZ: Shh. Quiet. I told you.

  JUAN HERNANDEZ: Sometimes I’m not strict enough with them. Look, I punish my sons the way I see fit. That’s the only way they are going to learn. That’s how we learned from our parents, right? Nobody took parenting classes. That’s ridiculous.

  FEMALE SPEAKER: I understand you’re angry. And you’re raising your children the way you were brought up to do. But ACS has required that you do this.

  JUAN HERNANDEZ: What if I don’t want to be required?

  ELENA HERNANDEZ: I have a question.

  FEMALE SPEAKER: Of course.

  ELENA HERNANDEZ: If we go through with this, the things we talk about with you, will it be private?

  JUAN HERNANDEZ: But we have not agreed to do this.

  ELENA HERNANDEZ: I don’t want to be here either. But I don’t want to loose our children. Would it be private, what we talk about?

  FEMALE SPEAKER: The information we share is between us. The only exception to that is if one of you says you’re going to hurt yourself or hurt someone else. In that case, I have to report it to the ACS worker. But everything else is strictly confidential.

  © 2017 Laureate Education, Inc. 1

   

   

   

   

   

   

   

   

   

   

   

   

   

   

   

  Hernandez Family Episode 1

  So how do you think we can work together to make this a positive experience for both of you?

  JUAN HERNANDEZ: Parenting classes, really? What about the bills? I’m not going to be able to work overtime.

  ELENA HERNANDEZ: If we do what we’re supposed to do, would it be OK with our family?

  FEMALE SPEAKER: There are no guarantees. But here’s what I can say. We’ll all work together to create a plan based on what the ACS worker has required and recommended. Then it will be up to her what the outcome will be.

  So shall we make a plan?

  Hernandez Family Episode 1 Additional Content Attribution

  MUSIC: Music by Clean Cuts

  Original Art and Photography Provided By: Brian Kline and Nico Danks

  © 2017 Laureate Education, Inc. 2