Problem
Scenario: JOHN, 18
John is 18 years old and lives in a small, close-knit family environment in Melbourne. His family are all practising Christians, which he states influences his views on morality and marriage. John lives in a diverse, multicultural area and some of his friends have emigrated from other countries. They share their favourite music and films with him, which exposes him to a wider range of cultural influences. Some of his friends have also introduced John to alternative therapies, as he states he often feels nauseous and occasionally gets headaches. John is in his first year at university studying architecture and adopts the values and principles of lecturers he admires. John's GP has referred him to you for treatment. The GP states in the referral that he has diagnosed John with depression and anxiety. There is also a question about potential substance use, possibly cannabis or cocaine. At John's first appointment with you, he is observed to be resistant and reluctant to engage. He often mentions that "his friends" will help him out.
Task
A. Identify the ways in which social and cultural institutions impact this client.
B. Evaluate the consequences that factors such as inequality, long-term unemployment, homelessness and age may have on this client.
C. Identify which of the client's health and well-being needs could impact the work you will undertake with the client.
D. Suggest what relevant services you would like to refer the client to, explaining why.
E. Explain how you will monitor and review the effectiveness of the work and/or services you provide to this client.
F. Explain how you will revise the work and/or services you provide to this client if you find the current treatments do not enhance client outcomes enough or do not address social and cultural factors enough.