You are employed in a counselling agency providing professional counselling services to people experiencing personal, relationship, or work-related issues. This counselling agency
Client History
As the eldest daughter, Emilia spent a great deal of her childhood helping her mother take care of the siblings and helping with the housework. Until the age of 14, she was a quiet, compliant child. At that point, however, Emilia began to change. Her mother did not know why and was too overwhelmed by the care of the younger children and the difficulties of adjusting to a new country and new cultural context to pay close attention, and her father was working a great deal. However, this is the point at which Emilia began an involvement with drugs, which continues to the present. Emilia is the mother of Joey, described below. Following the birth of Joey, as she struggled with substance use disorder, Emilia became pregnant again. After much anguish, but with great resolve, Emilia had an abortion. This has resulted in an estrangement from her family: in particular, her parents believe that she has committed a mortal sin and do not want her around their home.
Client Concerns
* Emilia has been unable to complete treatment for addiction, despite an authentic desire to stop using drugs. It is often difficult for Emilia to secure a treatment spot quickly, when she is motivated to change, and the few treatment programs she has experienced have seldom been culturally-consistent with her identities or fully evidence-based.
* Because of her substance use history, Emilia lacks consistent work history. She did finish high school, but she has rarely worked since.
* As a Lawful Permanent Resident, Emilia’s drug problems could result in her judgment as a person of ‘poor moral character’, which, under U.S. immigration law, could result in denial of an application for U.S. citizenship, or even her deportation. While Hector and Celia do not understand these risks well, Emilia’s siblings, especially Junior and Alejandro, have a better sense of the potential repercussions if Emilia is arrested for drug offenses, but they do not know how to help their sister.
* Emilia is separated from her family due to their rejection of her following her abortion, leaving her with a limited social support system.
Question: Discuss 4 risks factors and 4 protective factors for Emilia incorporating strength perspective. The risk and protective factors are to be assessed at the individual, family/community, and larger society levels.
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