Karim is brought to a community outpatient mental health clinic due to his father’s observation that he is “not acting like a normal 13-year-old.” Karim’s father, Yousef, reports that he is failing school, has no peer group, and he is often angry at home, “lashing out at this younger brother and sister.” Yousef brought him to the clinic because he thinks he is suffering from the same mental illness his mother has, and the last straw was that he was found with marijuana in his bedroom. Yousef reports a long and detailed history of his wife’s family having substance abuse issues. Yousef reports that Karim’s mother lives with debilitating symptoms of anxiety and intermittent depressive episodes. Yousef seems uncomfortable talking about his wife and her symptoms but has feels there is nothing more he can do to support his family by himself. When you talk to Karim, he reports “My dad is exaggerating. I have friends. And, my little brother and sister are annoying, and are always bothering me and stealing my stuff. Besides I prefer hanging out by myself”.
What are some of the “lenses” that social workers can view this case?
?Medical (Mental Health and Substance-Use) ?Family context ?School context ?Structural context ?What about the social context? ?Does that matter? ?How How might our treatment plans differ depending on which lens we use? How might our interventions choices differ? How can we maintain a focus on the social context when thinking about cases on all levels?
(Based on case study on George, found at Eradicate-Social-Isolation-Faculty-Development-Institute-CSWE-2017.pdf (grandchallengesforsocialwork.org) https://grandchallengesforsocialwork.org/wp-content/uploads/2019/09/Eradicate-Social-Isolation-Faculty-Development-Institute-CSWE-2017.pdf