Evaluation of Progress of Treatment Plan Goals: a Case Study

My field study involved the evaluation of a particular client with whom I’ve worked for approximately 2 years within a Behavioral Health Rehabilitation Services situation. I wanted to assess the progress he has made in attaining his treatment plan goals. The degree to which he is advancing in his mastery of these goals will indicate the effectiveness of the daily interventions used. If progress is not being made, current interventions would need to be altered.

Ray Smith (name changed for confidentiality purposes) is a 13-year old boy attending 7th grade at a local public middle school. His parents initially sought out supports due to behavioral concerns in October 2005. Over the last several years, he has been evaluated by multiple psychologists and psychiatrists and, based upon the descriptions of his behaviors, has been given various diagnoses, some of which include Attention Deficit/Hyperactivity Disorder (ADHD), Obsessive-Compulsive Disorder (OCD), and Oppositional Defiance Disorder (ODD). His current diagnosis is Asperger’s Disorder and ADHD. Across school, home, and community settings, Ray generally has problems coping with changes in normal routine. He becomes easily frustrated and has a tendency to display his frustration through complaining, arguing, as well as through aggressive words and gestures (punching/pounding on desks, balling up his fist with his index finger extended like a gun and then pointing the “gun” at those with which he’s angry, making comments about thinking he or the person he’s angry with were better off “dead”, etc.). Ray also has difficulty making connections with others. He has occasional problems with interpersonal boundaries. He can be bossy and controlling with his peers, and has difficulty understanding when his actions upset others. Ray frequently becomes preoccupied w/ certain topics of interest, can become consumed with fantasy play, and is frustrated when others do not want to engage according to his plans....