Generalist Intervention Model: Bobby Little's Reactive Attachment Di

Generalist Intervention Model Paper

Client Identification

Bobby Little is a 7-year-old male who entered into the Foster Care System when he was 5 years old. His father deceased do to a drug overdose and his mother is in prison for drug trafficking. None of his extended family was willing to provide care for him. Bobby has been placed in five different foster homes before entering the Smith home 2 months ago. His Reactive Attachment Disorder makes it difficult for him to form attachments. Despite his disorder, his foster parents are working to achieve a healthy attachment with him.

He is in the first grade at Garfield Elementary School. Bobby’s teacher explain that he dies relatively well in school. His grades are excellent as he spends

his lunch and recess in the library working on homework and reading. Despite his stellar performance in school, Bobby has formed no relationships with any of his peers. He rarely interacts during class conversation and avoids all contact with his teacher.
Engagement
Reactive Attachment Disorder makes it difficult for Bobby to form relationships. With this being said, our initial engagement will be quite difficult. For the first few weeks, our interaction will be one sided. The conversation will primarily be held by the social worker in charge. To achieve a relationship, Bobby needs to meet with the same social worker each week. This will ensure that he is able form an attachment.
The engagement phase will also require that the social worker explain the process to the client. This includes reviewing the rules and demonstrating that he is in a safe place. Demonstrating that the services offered through the agency are there to help Bobby, not hurt him. In the engagement phase, it is important that the social worker listen carefully to anything and everything the client may share. This is especially true when dealing with children suffering from Reactive Attachment Disorder.
Do to Bobby’s age, his foster parents will be at all meetings. When engaging with his foster parents it will be important to emphasize the support offered through the agency. Demonstrating that their thoughts and feelings will be heard is also of utter importance in the engagement phase. Sally and Bill will also need to complete paperwork required for Bobby to receive care.
Assessment
A comprehensive assessment was completed on Bobby, which also listed the strengths the foster family brings to the situation. Bobby comes from a family in which there was significant drug and alcohol use. His father died from an overdose and his mother is in prison for drug trafficking. He lived with several family members, all of whom suffered from substance abuse problems as well. Due to the significant substance abuse, Bobby was neglected for much of his childhood.
Sally and Bill Smith have been providing care for Bobby for the past 2 months, with hopes of adopting him. After the placement, Sally quit her job to stay home and provide care for Bobby. Bill is a pediatrician and has experience treating children with Reactive Attachment Disorder. After a thorough investigation, the Smiths appear to have a safe home and the financial means to provide bobby with the care he needs.
Attached at the end of this document is the eight-page assessment on the client and the foster family he has been placed with.

Also attached is a genogram and an ecomap showing the many supports Bibby has.

Planning

Ordinarily, social workers would work with the client to prioritize problems and create goals. In this case, the problems will be prioritized with the foster parents and Bobby’s caseworker. After a meeting with the caseworker and foster parents the following goals were identified and prioritized: receive treatment for reactive attachment disorder, join a group or a club at school, invite a friend over for a play date, and seek out comfort when distressed.

The first and most obvious goal is to continue Bobby’s treatment for reactive attachment disorder. This was prioritized as the first choice simply because the other goals depend on the success of his treatment. Bobby’s foster family has been dedicated to his treatment plan and continue to go to family counseling to better understand how to care for a child with Bobby’s unique

needs.
The second goal we have prioritized for Bobby is that he become and active member of a club or team at school.

This can be done while receiving treatment as it does not require that he have a relationship with anyone in the team or club. It will help him to experience social skills of others and learn how to communicate with his peers. The hope is that while he actively receiving counseling and a member of a group, he will learn to form relationships.

The third goal prioritized by all members of the team was that Bobby ask a friend over for a play date. It is understood that it may be months before Bobby is able to complete this goal, which explains as to why it is prioritized third in the treatment plan. Our hope is that after receiving treatment and witnessing his peers communicate and form relationships, Bobby will have the confidence and skills he needs to form his own healthy, lasting

relationships.
The fourth and final goal outlined in the treatment plan is for Bobbly to actively seek out comfort when distressed. This particular goal was prioritized last because of the difficultly is poses for Bobby. He has been unable to attach healthily to anyone around him and has learned to comfort himself when distressed. Trusting someone enough to seek comfort from them will not be an easy task to complete. It has been prioritized as the last goal because there will have been months of treatment and exposure to relationships prior to achieving this goal. It is felt that after gaining the skillset and treatment needed, Bobby will be able to achieve this goal.
When working with a child with Bobby’s particular disorder it is important to emphasize the temporary aid offered by the social worker. While his case worker, counselor, and foster parents will have a permit role, the social worker will only be offering temporary services. It is important that Bobby be prepared for the termination of services, as to ensure that he does not regress in his treatment.
Careful consideration was placed into the planning of the prioritization of the goals. All members of the treatment team were in agreement of the plan as it was presented. Bobby’s foster parents are taking an active role in his treatment and have agreed to continue parenting courses as they have proven to be beneficial in caring for Bobby thus far.