Directions:

Larry McCune is a 34 year old man (d.o.b. 3/6/01). Mr. McCune was in a severe car accident four years ago. He has come into the case management unit requesting help with symptoms he originally thought would disappear or that he could handle on his own. The police report states that he was driving his car with his family in the vehicle. He approached a busy intersection and failed to stop for a yellow light that turned red while he was in the intersection. He was hit and two people were killed, one of them his 4-year-old daughter. Larry is well-educated, with several degrees, and works as an engineer in a position he enjoys. Since the accident, however, he has been unable to work consistently and ha has had numerous arguments with his subordinates. His wife left a year ago, taking the remaining child with her, a 9-year-old boy. Larry has not seen his son for 9 weeks and states the meeting was "awkward." Larry still lives in the house he shared with his wife and son, as it was his childhood home and he owns it outright. Larry is complaining of severe headaches and is not clear if these are from stress or the accident in which he suffered what was diagnosed as a mild head injury. He is asking for help because of recurring nightmares that involve the accident and an intense fear of riding in cars, which recently has spread to using any form of public transportation. He states he feels detached from other people and lately has thought that perhaps his life is really over. When asked about suicidal ideation, he states he could never do that to his son. When asked about substance use, he states he smokes e-cigarettes regularly and drinks "only when the headaches are really bad." Larry reports sleeping approximately 4 hours a night and states he is always tired.

Question: develop a treatment or goal plan for Larry. State the presenting concerns briefly. Then consider each type of service. In the first column, type: Strength, Need or N/A (not applicable). In the second column state the goal*. In the third column, state any relevant information that helps explain why this is a strength or why the client has this need.

EXAMPLE.

TYPE	STRENGTH/NEED	GOAL	REFERRAL OR DESCRIPTION
HOUSING/LIVING ARRANGEMENT	Strength	N/A	Owns his home