Carol is a 23-year-old heterosexual Caucasian American female and the mother of a 1-year-old baby girl. She is currently unemployed, having previously worked for a house cleaning company.

Carol is a 23-year-old heterosexual Caucasian American female and the mother of a 1-year-old baby girl. She is currently unemployed, having previously worked for a house cleaning company.

The baby is healthy and developmentally on target, and she and the parents appear tobe well bonded with one another. Carol lives in a rented house with her husband, Joseph. Josephis a 27-year-old heterosexual Hispanic male. He was recently arrested at their home for a drugdeal, which he asserts was a setup. Both parents were charged with child endangerment becauseweapons were found in the child’s crib and drugs were found in the home. The parents assert thatthe child never sleeps in the crib but in their bed. As a result of the parents’ arrest, SocialServices was notified, and the child was temporarily placed in a kinship care arrangement withthe maternal grandmother, who resides nearby. As a result of Joseph’s arrest, he was fired fromthe cleaning company where he worked, and the family is now experiencing financialdifficulties.After initial contact was made with the parents, a number of concerns were noted and thefamily was recommended for additional case management. The grandmother indicated that shehad concerns about Carol’s drinking habits and stated that Carol’s father and grandfather werealcoholics. She and the father separated when Carol was a baby, and Carol has had only limitedcontact with him. There appears to be significant tension between the grandmother and Carol andJoseph. I addressed the alcohol issue with both parents, who denied there was a problem, butshortly after the discussion, Carol was involved in a serious car accident with the baby in the car,and she was determined to have been under the influence of alcohol. I advised Carol that she could not have any unsupervised contact with her child until she completed intensive inpatientsubstance abuse treatment. I made arrangements for her placement, but after a week, she wasdischarged for noncompliance with the rules. She was then referred to an intensive outpatientprogram and began therapy there. Initially her attendance was erratic because she had lost herlicense as a result of the DUI. Eventually, however, she became engaged in the program andbegan to address her issues. She acknowledged that she had begun using drugs at a very youngage, but said that she had only begun drinking in the previous year or so. We discussed thegenetics of her family, and she said that she realized that she had deteriorated rapidly sincebeginning to drink and knew that she simply could not drink alcohol.Joseph’s mother is deceased, and his father travels extensively in his job and is notavailable as a support. Joseph was very devoted to his mother and was devastated by herpremature death. We discussed the strengths t

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