Do not add information but use your creativity to support what you see in the case as written.

Case Analysis
All assignments must be typed double-spaced, in APA style, and written at graduate level English.
This assignment consists of a case study and direct application of course concepts to the persons and situation presented. All discussions must take into account the legal and ethical considerations, as well as issues of culture and human diversity that may pertain to the situation presented below.
Along with the text, you are also required to use current, evidence-based research to enhance your case presentation. Please use a minimum of eight (8) research articles taken from online or hard copy professional journals. APA citation is required.
Please keep your responses focused on what is presented in the case. Do not add information but use your creativity to support what you see in the case as written. Avoid elaborations and assumptions. This assignment MUST be typed, double-spaced, in APA style, and must be written in graduate level English.

Assignment must be 9-10 pages total plus a title and reference page.

[Please do not copy or type the case into your assignment]

Anne is a case manager with a community agency. One of the most effective ways to describe her work as a case manager is to read about one of her recent cases illustrating what she does. Lily and George Lee, an Asian American couple, were referred to Anne by their daughter’s physician after they indicated they were struggling with their daughter’s anger management and attitude.

As narrated by the Anne, the case manager:

At our first meeting, I learned that the Lees had been married for twenty-five years and have three daughters. Their 2 oldest daughters are away at college. The Lees are struggling with their youngest daughter, Lindsey, age 18, a senior in high school. Having been fairly strict parents while raising the first two, George and Lilly were having a hard time keeping track of Lindsey. Unlike her sisters, Lindsey has struggled with substance abuse. For the past 2 years, she has used alcohol and marijuana on a weekly basis, and has admittedly tried other drugs.
As the problems continued to unravel, so did the story of a very troubled marriage. I suggested meeting with George and Lilly separately to attempt to get a more complete picture of the situation. They were both agreeable.
Meeting with George revealed a man who did not like to admit to any problems with his marriage; truthfully, they appeared to have been struggling quietly for years. George admits to struggling with drugs and alcohol in the past, but claims to be drug free for the past 20 years, and rarely drinks alcohol. George was a man who was aggressive through his silence. He tortured his family, not with alcohol or violence, but with the silent treatment. After talking with him, it was evident that George was an angry man, upset with the hurt that his wife had caused him. He would admit his anger or frustration to Elizabeth. When she would inquire why, however, he would refuse to talk to her. In this way, he controlled her emotions and behavior.
Meeting with Lilly uncovered a woman who was dying to talk to someone about her struggles with George. She felt trapped in her marriage. She felt the only time she could be herself was when she was not with George. She admitted that, a few years ago, she had met a man who seemed to understand her. This made her realize that, in all of these years with George, she had never been the person she thought she was.
The man Lilly felt a connection with was a close family friend. It hurt George very much when he became aware of the strong feelings between Lilly and the friend. The couple agreed not to speak or socialize with this friend anymore and to try to work things out between them. Lilly became submissive and willing to do whatever it took to make their life together appear loving from the outside. Although she was dependent on George, she continued to be drawn emotionally to the friend and began to speak and meet with him behind George’s back.
The family initially came to the agency because of Lindsey. Once they were accepted for services, Lindsey was the easiest person in the family to work with. Before the meetings, Lindsey was aggressive toward her parents and sisters, hung with “the wrong crowd,” drank and smoked marijuana, and skipped class. Her grades had dropped from a strong B+ to all Cs and Ds. Every time something would not go her way, she would lose control and scream at her parents. The next day she would act as though nothing had happened.
Lindsey came voluntarily and, after some rapport was established, she talked openly about what her life was like and how she wanted things to be. She agreed to attend young people’s AA support groups and change her choice of friends. Her grades improved, and, although her temper is still hot, she had learned to apologize. I believe that if Lindsey continues to maintain her peer support and sobriety and receive positive reinforcement and affirmation for who she is and for her abilities, she will continue to grow and develop into a mature young woman. We will continue to work on anger management once every two weeks.
Unfortunately, for George and Elizabeth, life won’t be that easy. I referred George to the center’s psychologist for an evaluation. He was diagnosed as passive-aggressive personality disorder, and therapy was recommended. I have arranged for him to see a counselor who works well with males. I believe he will also benefit from participation in a group at our center for people who want to change behaviors. His negativism and inability to accept responsibility for his behavior are particularly troublesome in his marriage. One of George’s assignments was to consider his untreated addiction issues and consider attending AA or another recovery oriented support group, to which he is resistant. He has also been encouraged to read about passive-aggressive personality disorder and, although he isn’t completely in agreement with his diagnosis, there is some improvement in his ability to talk about his feelings.
Lilly has agreed not to see her friend until she has worked things out with George. Her physician suspected she was depressed and a psychological evaluation by a psychologist at the center supported a diagnosis of clinical depression. She refuses to take any medication for it. I will continue to meet with her once a week. We are trying to develop a plan of action for her so she has some goals that will allow her to improve her self-concept and take responsibility for her well-being.
1. Based on Anne’s work with this case, how would you describe her job responsibilities as a case manager? Would you do anything differently?

2. Describe the recordkeeping that you would implement in this case.

3. How does the case manager involve George, Lilly, and Lindsey in the case management process? Do you agree with her strategies? Would you do anything differently?

4. What social diagnosis methods might you employ with this case? How might that enhance your work with this family?

5. Using a strengths-based approach and client empowerment, how would you promote client involvement and client satisfaction for each member of the family?
6. Consider cultural, ethical, and legal implications in your answer.