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You are a social worker  working in a rural setting in SA who is employed at the local community health centre. You are working closely with another worker  from Disability SA.

A  family has been referred to you for assistance and support, in particular the eldest son, Andreas who has a mild disability and is 20  years of age.  

 

 The mother, Lulla is a  second generation Australian born Italian woman who is 45 years of age and a single parent since divorcing her husband 10 years ago. Her oldest son, Andreas, 20 yrs of age has Asperger’s  Syndrome ( a mild form of autism) and her younger son  Demetrius is 17 and studying  Year 12. Andreas is currently studying at TAFE  but has not been employed in any job since finishing  Year  11 about  5 years ago.   Andreas lacks confidence in his abilities and has a very limited support network or social friends.  He often links in with his mother’s social activities.  He is fairly estranged from his father Alexis, as his father has never really been able to cope with his son’s mild disability.  Andreas has a few difficulties in socialising due to his disability and prefers the company of older adults as his peers are often lacking in understanding of the fairly mild social faux pas he sometimes  make.

Andreas has never had a girlfriend, but would like to have a girlfriend. He would also like to have  some  of his own friends so that he can go out to do things on the weekend. Andreas would like to get a job and even though he loves his mum and really is very attached to her,   he would like to live independently of his mother.   Andreas believes being able to live independently of his mother will be a sign that he has matured and may be able to cope with independent living. Whilst he is generally, able to look after himself daily, he lacks motivation and is unable to set goals for himself or stick to a plan to work towards achievable goals .   Andreas suffers from mild depression and anxiety. He feels frustrated that when  he sees other young adults his age going out and having a good time and being able to earn their own money through employment because  he is not able to do this.  He has always been told there is nothing wrong with him so he and the rest of the family are in constant denial about the mild disability.

He never went to kindy or pre - school as his parents tried to protect him from being ridiculed by other kids due to his mild disability. Andreas went to a local public school for a few months when he started school. However, he could not cope and he was teased by the other children. He began to refuse to go to school. As a result, Andreas was home schooled  by his mother Lulla, so never was able to make friends as a child. Andreas was assessed by a psychologist when he was around 10 years old, but there has never been any professional assistance or support or intervention put into place.

Andreas has always been socially inept and has struggled with interpersonal communication with his peers. He is a likeable young man with a pleasant respectful demeanour, yet often presents as being a square peg in a round hole.   This is particularly so due to his limited social skills , his inability to read the reaction of his listeners ( ie when they get bored or think he is a “ Nerd”, or his sole  interest in cars and this then becomes the focus of his very limited discussion topics at all times. Andreas  lacks skills and abilities to hold an extended conversation with others, on topics that do not focus on cars.

Whilst he generally gets on with his younger brother Demetrius, Demetrius is resentful of his brother Andreas, because he believes  he will have to support and look after Andreas once their parents are deceased.   Demetrius has lots of friends and an active social life. However, he does not include Andreas in any of these activities as he is embarrassed by his older brother and does not want to be seen with him unless it is at a family gathering.

 Andreas was always put down as a child by his father who often yelled at him, calling  him a “spastic”, “dumb” or “stupid” as Andreas has always struggled to comprehend instructions unless they are very simple and straightforward.  This experience throughout his childhood and early adult life  has left Andreas  with very low self esteem and confidence in his social interactions and his ability to try and secure some form of employment. Andreas is also very slow in whatever task he undertakes and therefore is too scared to try and seek employment. When Andreas is challenged about his lack of motivation and his procrastination on all things he becomes quite defensive.  

 Unrealistically, Andreas aspires to have his own small business yet does not really understand the complexities of small business management or how to get started in his own business.  This is the reason he is studying for a Certificate IV in Small Business Management through the local TAFE  college. He is enrolled in this program as an external student as he is too shy and lacking in confidence to participate in classes. His mother also does most of his assignments to help him get through the course.  Lulla will also be heavily involved in any small business they may try to start as Andreas will  not be able to take leadership of a business venture.

 His mother Lulla has always over compensated and used to do most of all of his assignments both at high school and at TAFE as Andreas could not really write academically or comprehend the academic requirements of his studies at a high school level or at TAFE. Lulla is beside herself as she has constantly encouraged Andreas to try and get a job or to join groups so he can meet some people his own age and hopefully make some friends etc .  

However, Andreas constantly puts up major barriers and obstacles to any of these suggestions. Andreas is too scared to venture out of his safe comfort zone. All he does all day is watch TV , surf the internet, tries to sell small items on e-bay, and go to the local shopping centre for a coffee and to have a look around. He has his driver’s license and so is mobile and he uses his mother’s car as she works locally and Andreas can drop her off in the morning and then is free to collect his mother at the end of the day.  Andreas does not like to drive long distances or at times when there is likely to be heavy traffic. He also maintains a general speed of around  55 – 60 kms even on the freeway or in zones where the speed limit is 100 kms per hour.

 Andreas’ father is Lebanese and of Muslim belief system. His own upbringing was very socially isolating as his family did not mix with other Australians or any other race for that matter.  They migrated to Australia in the early 70’s and were ostracised by mainstream society. Andreas’ father, Alexis always was aggressive as a child and teenager and still is, as an adult. As a child, Alexis also had a learning disability. Alexis was yelled at whilst at school by his teachers and also labelled as a difficult student because of his learning difficulties and aggression. This left Alexis with low self esteem and an inability to relate to others as a peer. He therefore cannot cope with his son Andreas being  “ slow and unable to get a job or to mingle in society. “

They have very little family support because most of their close family members live interstate.

 

You will need to answer the following:

  • Explore and apply Cummins’ 5 Step intervention model or Miley’s 4 stage Intervention model or Kirst –Ashmann Hull  7 step Generalist Intervention Model. Explain each step of the model  that you choose to use.
  • Use either the Strengths Perspective , Empowerment Model or Systems Theory when developing your intervention plan
  • Explore relevant cultural  issues.
  • What SW roles would be helpful and why?

 

 

 

 

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