Students are to complete the below case example for class participation points. The case example is a practice exercise to assist students in applying practice knowledge with clients in agency settings. Students will earn 2 points for successfully mastering the case examples. Upon completion of the case examples, students will have demonstrated the following Competencies. They are: Competency 1: Demonstrate Ethical and Professional Behavior Competency 4: Engage in Practice-informed Research and Research- Informed Practice. Competency 6: Engage with Individuals, Families, Groups, Organizations, and Communities. Competency 7: Assess Individuals, Families, Groups, Organizations, and Communities Chad is a young Caucasian male with dark features who is 12 years old. Today, Chad's father and stepmother are seeking help in dealing with persistent mental health conditions. Chad resides with his biological father Pete, his stepmother, Josie, and his four siblings, Jack 11, Carol, 8, Susie, 4, and Amy 2. Chad gets along well with his sisters and there is usually little, if any, conflict between them. He has some contact with his biological mother, Beth, but it is intermittent. He last saw his mother approximately 3 months ago. Through therapy, Chad has been able to identify that he was deeply hurt by his parent's separation and subsequent divorce. He has also stated on several occasions that he is scared that Josie will leave as Beth did. The family does not engage in formal religious services; however, they decide their faith is something that is very important to them. The family engages in collective prayer before meals and bedtimes. For approximately 1 year, Chad has been outwardly manifesting symptoms in the form of rage, including verbal and physical aggression. At first, his outbursts would be months apart. Recently, they are occurring much more frequently. The parents report that they have needed to use the county crisis line at least a couple of times a month. They also report an increase in the duration of his episodes. They state that earlier the acting out would last only an hour, but now Chad can be in an

altered state for hours or even days. His episodes of rage occur only within the family setting. There are no negative behavior reports at school. When defining Chad's behavior, all presents agree that Chad is a great kid who can be extremely helpful. However, when he becomes overwhelmed, he will act out. Past outbursts include verbally accosting, his parents and siblings, making threats of bodily harm, and stating odd things. When asked to further define what odd things are, his stepmother reported that last summer Chad would ask his siblings to use a knife to cut the bad out of him. Stepmother reports several instances where Chad would talk about his evilness. At home, Chad has acted out physically by biting his stepmother in the stomach, which broke the skin. He also stabbed his stepmother in the foot with a piece of a broken broom, which partially paralyzed her foot. When Chad reaches this level, his father states that he attempts to restrain him but despite being so small, Chad is very strong when he is upset. He frequently acts out on his brother Jack. Chad is alert and oriented to the time person, place, and situation. He demonstrates consistent eye contact with the social worker and appears to look younger than his chronological age. He smiles frequently while he sits slouched in his chair, close to his stepmother, Josie. Chad is more affectionate with his stepmother than would typically be expected for a boy his age. Josie's rate of speech is normal, and his tone is appropriately varied throughout the interview. He denies auditory or visual hallucinations as well as suicidal or homicidal ideation. All presents agree that Chad is a generally healthy child. He has no history of chronic or acute physical health conditions. he has no known allergies. Currently, Chad takes 5 milligrams of an antianxiety medication twice daily that was initially prescribed to him while he was hospitalized approximately 2 months ago. Chad has a current diagnosis of intermittent explosive disorder, major depressive disorder, and anxiety not otherwise specified that was given to him by a psychiatrist while Chad was hospitalized appropriately 2 months ago. During the past summer vacation months, Chad terrorized Jack. Chad would constantly make demeaning comments to Jack. He would physically fight with his brother and one time hit Jack in the face with a metal object that caused a deep laceration. To ease the conflict, parents implemented a safety plan in which both boys were not in the home at the same time. The parents used family members and other natural supports throughout this time. The parents report that Chad's behavior put a big strain on the whole family. His stepmother describes life in the

house with Chad as living on eggshells. The parents report that they enjoy doing things together as a family. Family game nights and movie nights are consistent activities within their home. The family also enjoys spending time outdoors in the nearby mountain region. The family is unhappy with their current housing and is actively searching for a new residence. The parents have been looking for a new home for months but report little success in finding a location that can meet the needs of such a large family within their budget. The stepmother has a close friend who resides about 35 minutes away and is interested in moving to that area of the county. Currently, the family is not involved in any community activities and does not report having any ties to the community. The children do not participate in any extracurricular activities; however, they did attend a summer school program at their school this past summer. Please perform a comprehensive biopsychosocial-spiritual-cultural assessment of the client utilizing the provided form. Kindly provide your professional insights on the case and propose evidence-based treatment plans.