Yesterday's FREE practice question featured the topic of treatment planning. Today we have the answer and rationale for you!
A therapist meets with the parents of a 16-year-old boy who was recently suspended from school after being caught with alcohol on campus. The parents share that their son has been fighting and abusing alcohol for several years. The father cries as he expresses his sadness and frustration, noting his son’s behavior has caused a serious strain in his relationship with his wife and that is why they are seeking therapy. The wife nods in agreement, sharing their lack of intimacy and constant arguing that she hopes to address through therapy. The wife states, “our son had a difficult childhood because his sister was constantly sick and he didn’t get the attention he needed. My husband is too hard on him, he treats our son terribly.” Which of the following goals should be included in the treatment plan for this case?
A.Improve problem solving and conflict resolution between parents; Refer parents to Al Anon; Increase intimacy between parents
B.Improve problem solving and conflict resolution between parents; Refer son to Alcoholics Anonymous; Increase levels of empathy between parents
C. Increase positive communication within the family; Refer son to Alcoholics Anonymous; Increase levels of empathy between parents
D. Increase positive communication within the family; Refer parents to Al Anon; Increase intimacy between parents
The best answer for this question is A.
The question is asking which goals should be included in the treatment plan for this case. This question is not only testing your ability to identify appropriate goals for therapy, but also is ensuring you are able to understand who comprises the treatment unit. The parents are in the room and although they are having problems with their son, he is not part of the therapy and thus goals should not focus on him. The issues presented by the parents include arguing, lack of intimacy, and conflict due to their son’s behaviors. Answer A directly addresses the parents expressed concerns about their relationship and a referral to Al Anon, a support group for family members coping with loved ones abusing alcohol, would help them to understand how alcohol abuse affects their family and their relationship. Answer B and C both include referrals for the son, which is inappropriate since the son is not part of the treatment unit. Answer D includes a focus on improving communication within the family, but again this is incorrect because the entire family is not working with the therapist.
Which answer did you choose? Does the rationale fit with your understanding of treatment planning and how you would work in the clinical setting? Or did you learn something new with this scenario? If you have any further questions feel free to check in with a TDC coach. We are here to support you all along the way. And if you came up with the same answer-great job! You are right on the right track to getting licensed.
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Ugh, these questions drive me crazy!! but the rationale is understood. You are correct that the unit of treatment is the parents...overthinking the problem...I should have know that.