Vargas Family-Discharge Summary

Vargas Family-Discharge Summary

Read the entire “Vargas Family Case Study” (all eight sections). Consider the progress (or lack thereof) over the past eight sessions. Using the “Discharge Summary Outline” template; include the following in your outline:

1. A brief summary of what was going on with the family

2. A review of the initial treatment goals

3. Theories and interventions used

4. A brief discharge summary for the family treatment

5. Clinical recommendations for sustained improvement or referrals for additional services

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PCN-521 Module 8:Vargas Case Study Discharge Summary Outline

  1. A brief summary of what was going on with the family at the onset of counseling:


  1. At the onset of counseling, the family was divided. The main reason behind the division was the constant disagreement between Bob and Elizabeth concerning Frank’s bad behavior. Frank was impulsive, consistently lost things, did not listen and was consistently picking on his sister, Heidi. While Elizabeth believed that Frank had ADHD, Bob minimized his behavior claiming that it was normal behavior for a boy. Bob and Elizabeth constantly argued with each other and this created tension in their marriage and the family in general.

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  1. A review of the initial treatment goals:


  1. The main goal of the first session was to develop a hypothesis that was maintaining the problem.
  2. The second goal was to develop a therapeutic relationship with each family member to improve the therapy session.
  • Theories and interventions used
    1. Week 1:
      1. Rapport building
      2. Family fun day out
    2. Week 2:
      1. Weekly soccer matches
    3. Week 3:
      1. Developing a family tree
    4. Week 4:
      1. Structural family therapy
      2. Family structure chart
  • Mirroring activity
  1. Constructing genogram
  1. Week 5:
    1. Bateson’s cybernetic model
    2. Strategic family therapy
  • Mental research institute model
  1. The Milan Family system model
  2. Haley and Madanes Strategic Approach

Vargas Family-Discharge Summary

  1. Week 6:
    1. Act and talk it out
    2. Soccer for the mind
  • Paint your feelings
  1. Week 7:
    1. Narrative therapy
  2. Week 8:
    1. Solution-focused brief therapy

Vargas Family-Discharge Summary

  1. A brief discharge summary for the family treatment:


  1. Reasons for seeking therapy: the family came to therapy to work on their communication problems. Elizabeth and Bob were fighting in front of their children, Frank was attacking his sister while Heidi’s achievements were ignored leaving her exposed to developing attention deficit disorder.
  2. Significant findings: Frank should get an official ADHD diagnosis and if he has the disorder, proper treatment interventions should be administered. The interventions proposed are designed to facilitate a state of wellness for the entire family. The weekly soccer matches appear to be working as the family report progress and improved interaction. Bob has shown the most transformation towards the end of therapy. He understands the amount of work Elizabeth puts in to take care of Frank. Heidi is also closer to Frank and she no longer feels ignored


  1. Treatment: solution focused brief therapy was used where solutions were identified. Several sessions were held with the entire family where observations were made. Narrative therapy was also used together with solution-focused brief therapy
  2. Termination of therapy condition: the family has improved its communication strategies, Bob is more passionate about Elizabeth’s struggles and Frank and Heidi are interacting positively. The family is holding weekly bonding sessions over soccer matches and everyone is enjoying each other’s company.
  1. Clinical recommendations for sustained improvement or referrals for additional services:
    1. Frank is referred to a pediatrician for further analysis according to the American Psychiatric Association’s Diagnostic and Statistical Manual
    2. The family should continue to have weekly family time
    3. The family should hold therapy sessions with the extended family
    4. Frank should be enrolled in a soccer camp to improve his soccer skills



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