Treatment Plan for Carmelita’s Pregnancy Problem
Introduction
Carmelita happened to have been made pregnant by Fernando, her boyfriend whom she was seeing secretly. She realized about the pregnancy after conducting a home test and decided to seek help from a Crisis Hotline. Carmelita was afraid of informing her parents about it as she could be chased away from home. Therefore, she needed help in relation to this problem.
Identifying Information
Carmelita Dulce who is 16 years old and a junior in a high school known as Pancho Villa, was made pregnant by her boyfriend Fernando whom she had been seeing secretly for a year. Carmelita is single and comes from the Latino community, which implies that she is a Latino.
Precipitating Event
The principle precipitating event is that Carmelita is pregnant and needs assistance on procedures of addressing her problem. Besides, she does not know how to inform her conventional Mexican parents about this issue.
Presenting Problem
Carmelita’s parents are not aware of the relationship or Fernando himself. Carmelita realized that she was pregnant after she performed a pregnancy test at the home of her best friend. Her main fear is that she could be chased from their home once her parents knew about her pregnancy.
Family History
Carmelita’s father works as a gardener in one the landscaping organizations. Her mother who stays at home is allowed to work outside their home when Carmelita’s father happened to obtain a temporary lay-off from work. This makes her mother do the motel maid job as it could help in covering the family expenses at that moment when her husband is jobless. Moreover, Carmelita has four siblings who are aged 14, 12, 10 and 8years. Carmelita’s dad is a conventional Mexican who has domineering traits. Carmelita’s mum, Mrs. Dolce often differs with her husband in many matters. The two happened to move in together when Carmelita’s grandfather died.
Medical History
Carmelita lacks any history of being a smoker. She goes to church, which is the only exercise she does. On the other hand, she was introduced into sex when she was 16 years old. These are the only details that are related to Carmelita in relation to her medical history.
Military and Mental Health History
There are no mental problems that are associated with Carmelita’s mental health background. This observation was also noted in her military background as she had never been involved in military activity or role in the past.
Education
Carmelita is a high school student at Pancho Villa where she performs very well. In addition, she had the dream of being a nurse in her future life. Her high graduation to college could make her the first in the family to have attended college.
Activities
School and Church are the only activities which Carmelita embraced.
Religious Factors
Carmelita comes from a Christian background since her family confides in a pastor regarding their problems.
Legal History
Carmelita lacks any legal history.
Lethality
Carmelita does not have lethality issues.
Domestic Violence
She lacks any issue of domestic violence.
Treatment Plan
Objectives:
- To assist Carmelita deliver her baby without hindrances and present it for adoption in a suitable agency
- To enable Carmelita continue with her learning and achieve her goals alongside maintaining a good relationship with her parents
Step One
The first action involves conducting a test to ascertain Carmelita’s pregnancy status. This calls for arranging an appointment for Carmelita with Planned Parenthood clinic so that a pregnancy test can be performed on her.
Step Two
This stage would involve assisting Carmelita inform her parents about her pregnancy. Achieving this would call for the involvement of Carmelita’s aunt, Tia. Tia is close with Carmelita and this would make Carmelita comfortable prior to her parents being informed about the situation. Beside, Tia plays a significant role of being a link to Carmelita’s parents because she Latino community values the involvement of the family members in child’s affairs. This approach is suitable because Carmelita fear her parents and she has expressed the desire of her aunt being the first to be contacted. Besides, the use of informal structures that may compromised the confidentiality of a client’s problem may be embraced when the clients grants a permission for that. Furthermore, Carmelita’s parents need to be informed about their significance in helping Carmelita’s out of her problem.
Step Three
In this step, Carmelita needs to be made comfortable with her situation. This stage would come after the confirmation that she is pregnant. Thus, a meeting needs to be scheduled for her to meet a doctor who should advise her on how to handle her condition. Some of the issues to be addressed should include birthing class, parent class and prenatal vitamins. Carmelita needs to be informed about the significance of prenatal vitamins as they have positive effects on the health of the mother and inborn child. Moreover, arrangements need to made for her to attend birthing and parenting classes as the will help in safe delivery awareness and child upkeep respectively. Such measures are vital because Carmelita will not be close to her mother who could help her. This follows her move to stay with her aunt until the child is born.
Step Four
Being pregnant and having to live with her aunt, Carmelita needs to attend a school that is close to her aunt’s place. This is crucial because it will ensure that both her health and that of her child are protected as it will rid her from the stress travelling a long distance to school (Pies, 2012). Furthermore, it will also help her attend classes efficiently. A meeting will have to be scheduled with the principal of Pancho Villa High school so that Carmelita’s transfer process can be finalized through issuance of her documents. Necessary medical care measures will also need to be arranged for Carmelita, while she moves to her aunt’s place.
Step Six
This final step will follow the birth of the child and few months of breastfeeding. Adoption arrangements will be made for the child since both Carmelita and her parents are unable to take care of the child based on their financial status and tight schedule. The child’s prenatal care will have to be arranged at one of the public health clinics. Care will be taken to ensure that Tia and Carmelita obtain first appointment. Here, Carmelita will have to sing the relevant paper work alongside being offered emotional support. Seeking the parent’s opinion on adoption options is vital in addressing the parent’s interest (Buckles, 2013). Prior to the giving of the child for adoption, Carmelita will have to assess the various adoption options that are available via meeting with the agency for child adoption.
Resources that can be exploited to assist the Clients
Planned Parenthood will help in facilitating the achievement of a suitable prenatal care to Carmelita.
Planned Parenthood
Freddie Mac Foundation will also be an appropriate resource as it will help with the adoption problem.
References
Buckles, S. (2013). Adoption Subsidies and Placement Outcomes for Children in Foster Care. Journal of Human Resources, 48(3) 596-627
Pies, C; Poser, S. (2012). Integrating The Life Course Into a Local Maternal and Child Health Program. Maternal Health & Child Health Journal, 16(3) 649-655
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