The Perini Family: A Biopsychosocial Assessment (Term Paper Sample)

The Perini Family: A Biopsychosocial Assessment Author Institutional Affiliation Course Code: Course Title Instructor’s Name Date The Perini Family: A Biopsychosocial Assessment Introduction Agency Setting The most suitable type of organization to address Mr. Perini’s issue is a family service center. A family service is a social services facility, accessed privately or publicly, and approved through a state-issued license as an agency that provides family services. The agency can have a psychiatric unit, a unit for other types of mental health issues, or a facility dedicated to the residential treatment of emotionally distressed patients. A family service center makes use of a secure environment to dispense care to families and individual family members. Whom Does It Serve? The subgroups served by this type of agency are families and individual family members who include children, the elderly, and other victims of family conflicts. What Services Are Offered? A family service center primarily offers outpatient care services to individuals in different health groups. Some of the services provided include psychotherapeutic services, parental skills training, drop-in services, home visitations, individual job training, substance use prevention, violence prevention, attendance for special needs children, respite services, mental health services, family member counseling, socioeconomic assistance, juvenile care, literacy supports, and crisis care services. Family Service Center Roles The agency serves several roles, the most fundamental of which is to dispense family counseling and rehabilitation-driven services to all people who present there with psychological, emotional, or psychiatric problems. Most of these problems are handled at the agency because of their inherent difficulty of management in the home setting. The emotional instability of an individual presenting at the agency, combined with the nature of any underlying psychiatric/psychological problem are determinant factors of the type of service to be dispensed. Further, if the individual is in need of specialized medical interventions and professional supervision, this would also count towards the decision to hospitalize the patient. The agency also serves as a specialized facility for forensic work surrounding the family counseling service among individuals in need of deeper familial interventions. Agencies also dispense services concerning long-term forensics and facilitate the observation and treatment of cases involving minors presenting with high incidences of family conflict. The agency is also a resource for dispensing specialized family-based services for people in need of other kinds of mental health services. Further, it serves as a support framework for evaluating, researching, and training professionals practicing in the field of family counseling. Finally, the agency provides telephony services regarding family therapy and psychological consultations as well as online and in-house support services for agencies serving in other areas of individual assistance. Family Basic Identifying Information Ages Mr. Antonio Perini, the patient presenting at the facility, is 41 years old. His wife, Selma D’Angelita Perini, is 36 years old. Mr. Perini’s two children from his first marriage, Mariana and Paul, are 16 and 13 years old, respectively. Benedetta, who is Selma’s daughter from her first marriage, is 14 years old. Selma’s mother, Solie Guilietto, is 69. Sex/Gender Mr. Perini and his son, Paul, are male, while Mr. Perini’s firstborn daughter Mariana, his wife Selma, his wife’s daughter Benedetta, and his mother-in-law Solie, are female. Race/Ethnicity Antony Perini – Hispanic Selma Perini – European American Mariana – Hispanic Paul – Hispanic Benedetta – European American Solie Guilietto – European Socioeconomic Status Mr. Perini has a good job and earns a good income which renders the family income above average. Mr. Perini is a holder of a bachelor’s degree in industrial technology while his wife has a bachelor’s degree (B.Ed.) in elementary education. The family’s occupational prestige is higher than average. Marital Status Mr. Antony Perini is married to Selma Perini while their children, Mariana, Paul, and Benedetta are unmarried. Solie Guilietto is widowed. Occupation Mr. Perini is a supervisor in a thriving automotive repair shop while his wife is an elementary school teacher. Place of Residence Mr. Perini and his family currently reside at Church Hill, in Richmond, Virginia. Spirituality Mr. Perini and his entire family, including his mother-in-law, are Catholics. Primary Reason for Presentation Mr. Perini reports feelings of desperation, sadness, and helplessness, and exhibits a state of despair. The problem began about four months ago, in March 2019, when he married his current wife, Selma. The primary precipitating factor is the state of constant anger and uncommunicativeness exhibited by his daughter Mariana. Past Medical Issues Mr. Perini has been diagnosed with acute appendicitis before, while Selma, his wife, has once been treated of gastroesophageal reflux disease (GERD) and continues to take a prescription of over-the-counter antacids. Solie Guilietto has developed degenerative kidney disease due to her long-term diagnosed type II diabetes. Mr. Perini’s son, Paul, was diagnosed with asthma at an early age. Current Medical situation Solie Guilietto continues to receive treatment for type II diabetes while Selma is on a prescription of antacids for the management of GERD. At times, GERD symptoms cause Selma to have appetite problems and when these occur at night, lead to insomnia although this has been largely prevented in the four months she has been married to Perini. Perini’s son Paul uses a salbutamol inhaler to manage his asthma. Substance Use Problems Mr. Perini is a regular smoker, having started at the age of 23. He smokes between one and five cigarettes per day. His wife has also been an occasional smoker since the age of 26, smoking about three cigarettes per week. Past Personal History Childhood/Adolescence (Children in The Family) Mariana, who is Perini’s 14-year-old daughter exhibits signs of adolescence-triggered behavior. Episodes of being talkative, ingratitude, and rudeness, are alternated with quietness, aloofness, distance, uncommunicativeness, and neuroticism. Although Mariana appears to exhibit extroverted traits as witnessed through her interactions with her stepsister, she is also highly neurotic making her emotionally impulsive, erratic, angry, and anxious. Comparatively, Mariana’s brother, Paul, is highly conscientious, observing organization, orderliness, achievement-oriented, and extraverted through his gregariousness and thrill-seeking nature. Benedetta exhibits a largely introverted personality characterized by quietness, reflectiveness during conversations, self-awareness, a preference for creative expression than talking, and being a reflective decision-maker. Benedetta is active in music and sports. Adult History The Perini family currently has six members, three adults and three children. Perini has been working in largely social settings throughout most of his adult life, having worked at a packaging company and a courier service before landing his current job. His line of work has allowed him to cultivate social relationships with his best friend, Jake, and two other friends, Martin and Rob. Perini had been married before, for 15 years, to his deceased ex-wife, Lorena. Perini’s highest level of academic achievement is a bachelor’s degree. Selma has been an elementary school teacher for most of her adult life. Having been an actively outgoing person, she has created an appreciably wide social network both physically and on social media. Her highest academic achievement is a bachelor’s degree, but she expresses prospects of pursuing a master’s degree in the same field. Most people in her social circle are friends she met during her time in college. Selma became a mother to one from her former marriage which lasted eight years before filing for divorce citing physical abuse by her ex-husband. Solie Guilietto is an older adult currently living with her daughter and his new husband. Having recently become a widow, Solie’s life has mostly been secluded and quiet, and her decision to move in with the Perini’s provided an opportunity to receive the psychogeriatric and physical support she needs. Initial Assessment of Family’s Emotional Functioning Appearance (overall physical and emotional impression: clothing, grooming, build) The entire family is well-dressed and appears to have put in effort in preparing to attend the family therapy session at the agency. Mr. Perini exhibits a sad, despaired, and anxious demeanor due to the current state of Mariana and how her attitude is affecting various family members. Mr. Perini also appears gloomy, depleted, distraught, and confused by the reactions exhibited by his daughter. General behavior (mannerisms, gestures, rigid, coordination, eye contact, facial behaviors, restlessness, agitation, etc.) Mr. Perini maintains eye contact but constantly makes distraught facial expressions when describing the situation at home. He sits calmly and does not appear fidgety or uneasy, although he sounds like someone in desperate need of assistance and an answer to his problems. His voice is low and calm yet also distressed and his verbal expressiveness is astute and detailed. Mariana appears, behaves, and speaks nonchalantly, while Benedetta and Paul are calm and collected. Attitudes of family members (cooperative, friendly, frank, seductive, defensive, hostile, apathetic, evasive, guarded, pleasant) From his description, Mr. Perini’s family seems to be bothered and affected by the behavior exhibited by Mariana. His stepdaughter, Benedetta, is especially traumati...