Hypothetical Working Agreement
Denise Brownlee
Communication Skills for the Human Service Profession
Tanisha Laidler, PhD
June 21, 2012

Abstract
Freydia is 27 year old. Her date of birth is September 15, 1985. Her address is 166 Okolona Cutoff Rd, Houston, MS 38851. She is about 5’7 and weighs about 130lbs. Freydia looks like she needs a medical evaluation and a physical routine performed to see if there are some concerns with her health. She stated at the current time, she has not used any prescription drugs. She is a resident of Chickasaw County. Freydia social security number is 587-23-4567. The number she can be reached at is 662-844-7000. She is an African American female. Her relationship status is single. At the current time Freydia is not working. Freydia is a high school dropout which she got her GED in 2005. She started out taking some college classes but never finished what she started. Keeping a clinical record is required (American Psychological Association,2007). She is bisexual in whom she prefers both men and women. At the current time she is single and her religion is Methodist. Her mother found her an apt when she found out she was pregnant. Freydia has worked odd and end jobs but still relied on her mother to take care of her and the children. She is a high school dropout that had several problems in grade school. She has several complaints in the past from different employers. Freydia had worked at a Grocery Pride supermarket right before her first pregnancy. She was fired because she got caught stealing from the store. Two years later after her first child, she had her second child and things began to go downhill. This is a working agreement paper that will help me understand Freydia problems and her expectations.
Freydia has numerous problems and concerns. She has been associated with several crime schemes. She has overdosed five times over the four years she been a crack addict. Freydia prostitutes for money to support her habit. Her seven year old was a crack baby and has physical and emotional problems. Her mother has experienced her being in a violent behavior. She did not admit that she had multiple problems such as addiction to pills, alcohol, and depressants. Freydia had past treatment at a 90 day drug treatment facility in Tampa, Florida. She relapses two months after returning home on her twenty -third birthday. Freydia tends to social gathering where her friend and people she does not know sometimes use drugs. Although, Freydia has a drug problem, she loves and care for her children daily. The children seem to be well taken care of and love their mother. She makes sure they go to school and food is on the table.
During the assessment Freydia was aware of her coping mechanism. She expressed they were denial, acting out and emotional and that she wanted to change her environment. Although Freydia has a very supportive team, she still cannot get herself together. She is coping with the fact that she uses drugs and her mother has the children. She has taken advantage of her mother, Frances, which has been there with since day one. Freydia and Frances are very close and Frances check on her every day. Her mother has attended meeting with her for support. Freydia church group has tried to intervene during her addiction to help. Frances even got her father and his family to lean on to encourage and comfort her. Freydia comes from a religious family. Her family believes in God and Spirituality is also important to their family. Freydia said that she was ready for a major change in her life. She plans to see some changes in about 9 months. Freydia motivation to change is to get her children back.
During this assessment Freydia was ask a lot of biopsychosocial stressors and behaviors. Freydia admitted that her father was an alcoholic and abusive to her mother. Her mother took a lot of prescription drugs and she said the mother abused them. Freydia said the she was looking for attention and that when her father died of a heart attack, she struggle with grief. We also interview the mother and she said that the statements that Freydia made were true. She stated that this is why she wanted Freydia to get help to she can get her children back and start a future with them. Frances has three other children and when she was Freydia age, she experiences the same thing. She said that she had to correct her mistakes so she could take care of her children. Freydia’s father was addicted to drug abuse. He was in and out of Freydia life until his death. He abused her mother and he never sought help for it. Freydia’s father was also a high school dropout. Freydia is the youngest of five and only one of them is known of drug use. She is the closest to her mother because the older ones live so far away. A description of a client’s overall functioning often includes relational and other behavioral observations, cognitive and intellectual levels and skills, and emotional and affective state and self-regulation. Freydia was very polite and cooperative while during this assessment (Murphy and Dillon, 2007). She let me know that she would do anything to get her children back. She seemed to be a little bit nervous. The face to face interview made Freydia feel like she was in a safe and secure environment. Freydia said that she needed someone to help her with that motivation to change. During the assessment she became very emotional and told her mother she was sorry for taking her down this road and she wanted a life for her children. Freydia admitted that she had a problem and that she needed help.
Freydia’s goals are to get her children back from her mother. She wants to enter a rehabilitation facility and hopes that they have a work program she can enter. Freydia want to cooperate with the clinician worker to set up a place and times they can have meetings. She wants to know if she can set up times to visit her children at her mother house even if it is supervised. She is willing to take parenting classes. Freydia also wants to finish where she left of and go to college to earn a associates degree in Business.
Freydia has agreed to the Tupelo Outpatient Rehabilitation Facility. We have confirmed that can participate in the workforce program at the facility. This is how she will pay for her treatments and fees. Freydia has agreed to meet with me for 24 weeks. We will meet one hour once a week to see how she progresses in the facility and if anything is going on with her. Freydia agrees that she will stay out of places that are harmful to her and distance herself from her acquaintances. She agrees that she will not use and achohol or drugs since she has access to be in and out of rehabilitation. While Freydia is in treatment, she will be able to see her children only if her mother is present. Freydia has agreed that she will be taking random drug testing to ensure the facility that she is not using drugs. The demands of the larger society can also intrude on priority setting. Freydia, the woman who wishes her children back, might see getting sober and getting work training as priorities (Murphy and Dillion,2011). She also will meet once a week for 6 weeks at the Mommie Me Time parenting classes to help advance her parenting skills. By the end of Freydia’s treatment, she will be a sophomore in Ole Miss University.
In this agreement if Freydia does not comply with this agreement, Child Protective Service will be notified and all of her rights to her children will be taken away. The children will remain in custody in her mother care. All treatments will be stop and she will be responsible for paying her fees and if she wants future services also. If Freydia decides to come back to the facility, she will be inpatient and remain in our care until she is capable of being drug free. Freydia will start over all evaluations and will be reevaluate every week. Each clinician worker that Freydia works with will report to me each week to see how Freydia is progressing. Her mother and children will be able to come once a month. Since this will be Freydia second time in facility, I need to see all reports and evaluation and she is required to fill out a self evaluation form.
At the time Freydia came in she was advised that she had the right to privacy and the information is shared between her and me. The confidentiality of the clinical record must be ensured. For those clinicians who are subject to Heath Insurance Portability and Accountability Act of 1996, HIPAA rules and security standards must be followed (Center for Medicare and Medicaid, 2012). The clinician must be sure that anyone who comes in contact with the client’s record, including agency or office staff and billing personnel, be trained how to handle confidential client information (Murphy and Dillon,2011). The client was told the content of her information will be disclosed during the intervention. Freydia was read and explained the informed consent and she agreed to all the terms and agreements and she signed it. I as the clinician worker signed it, Denise Brownlee.

References
American Psychological Association. (2007). Record keeping guidelines. American Psychologists, 62, 993-1004.
Murphy, B. C., & Dillon, C. (2011). Interviewing in action in a multicultural world. Assessment, Formulation and Goal Setting. Ch.7 (4 ed.). Belmont: Brooks/Cole Pub Co
Centers for Medicare and Medicaid. (2012). Retrieved from website: https://www.cms.gov/Regulations-and-Guidance/HIPAA-Administrative-Simplification/HIPAAGenInfo/index.html?redirect=/HIPAAGenInfo/

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