Title abc123 version x1miller family case studyccmh
1. Title
ABC/123 Version X
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Miller Family Case Study
CCMH/565 Version 6
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University of Phoenix MaterialMiller Family Case Study
Review the following case study.
Choose a therapeutic scenario from the options at the end of the
case study.
The Miller family consists of married parents (Jim, 43; Stacie,
41), and their 4 children (Mike, 19, is a freshman at the state
university on a baseball scholarship; Liz, 17, is a senior in high
school; Erin, 15, is a sophomore in high school; and Sarah, 11,
is in the 5th grade). They live in a very comfortable, suburban,
middle-class neighborhood, and have resided there for the past
10 years.
Jim came from a lower middle-class family that seemed to
always struggle to make ends meet. Both his parents are still
living in a town about 3 hours away. His dad worked long hours
at the factory and would often head to the bar after work. The
family didn’t see “Grandpa Jimmy” as an alcoholic, but he
definitely liked to unwind before coming home. He was never
abusive — just sort of “absent” emotionally. Jim’s mother was a
homemaker and did what she could with what the family had.
Jim had one older brother, but he died in a boating accident
when he was 5 and Jim was 3.
Committed to providing a better life for his family, Jim l earned
2. to work hard. He is a sales rep for a large pharmaceutical
company, with an annual salary of $95K. But during the last 2
years, he has earned approximately $105K. He attributes his
higher earnings to his hard work, long hours, “wining and
dining” his physician clients, and staying up on the latest
research on the medications he reps. He was promoted to
regional sales manager 3 years ago, but it didn’t go well. He did
not like managing people as much as taking care of his clients,
so he requested to return to his old territory and has been much
happier (although his long hours mean he is home less
frequently). He enjoys being a dad and sees his primary role as
a provider. He misses coaching Mike’s youth baseball and
basketball teams, and has adjusted to Mike being away at
college by working longer hours. His daughters are his
“angels,” although he admittedly feels like he is losing touch
with them, their interests, their friends, etc. He believes the best
thing he can do is continue providing for them the best he
knows how, even though it means he spends less time at home.
In addition, the arguments between him and Stacie seem to have
increased. She is beginning to resent his increased time away
from home and tells him the extra money isn’t worth it. Jim
resents being caught in the middle of her inconsistencies — on
one hand, she wants him home more, and yet on the other, she
always seems to talk about traveling, getting “upgrades” for the
house, driving a nice car, etc. “You can’t have your cake and
eat it too,” he reminds her. And while he would like more
leisure time too, he doesn’t mind avoiding the emotional
“drama” by working longer hours.
Stacie is a small-scale entrepreneur and has made a business out
of her artistic and fashion interests by making custom jewelry
and selling the merchandise online and in small boutiques. Her
business occupies about one-quarter of the basement but is
content spending 10-20 hours a week with it. Stacie has a small
group of loyal customers and feels like she has found her niche.
3. She also has visions of growing her company, but feels like she
carries most of the parenting load and doesn’t have the time to
expand her business. In particular, Stacie feels like there are
days when she can barely keep up with the girls’ activities and
demanding schedules. While she appreciates having a fairly
comfortable lifestyle, she feels growing resentment that the vast
majority of household and parenting obligations fall on her
shoulders. She has attempted to talk with Jim about her
frustrations, feeling like she is alone on the homefront, but it
doesn’t take long before they both become defensive, even
argumentative, so she has learned it’s best to not even bring it
up.
Stacie grew up in a comfortable, middle-class home. Her father,
who passed away 4 years ago from pancreatic cancer, was a
strict authoritarian and was deeply entrenched in what Stacie
used to call “prehistoric gender roles.” He never did any of the
household work, and the only parenting Stacie remembers her
father taking part in was the role of disciplinarian. She was
close to her mother, but could never understand why she put up
with his lack of involvement in the home. She recalls her mom
would always defend her father, saying “He works hard all day
providing for the family; that’s what a good father and husband
does”). Stacie remembers thinking, “That’s not how my family’s
going to be when I get married!” Her mother lives alone and is
healthy and active. Stacie has an older brother and a younger
sister, with whom she gets along well. They both have “nice”
families and both live within 45 minutes of Stacie.
Mike is the only son and seems to be the “golden child.” He is
good looking and charismatic, and has always been an
exceptional athlete. His grades were never stellar, but he was
always able to somehow pull off decent grades without much
effort or extra studying. Growing up, he was fairly mischievous,
but not really a behaviorally-challenged boy. Mike pushed the
boundaries a bit — he got caught smoking weed once in high
4. school — but was generally well-behaved throughout his
adolescence. Mike is adjusting to college life, has worked his
way into a starting position on the baseball team, and is
managing to maintain a low B average while pursuing his
Recreation Science degree.
Liz is a senior in high school, but has drifted from her previous
plans to attend medical school and become a pediatrician. Up
until the end of her sophomore year, she was a stellar student,
almost obsessed about getting straight As and took pride in her
academic achievements. She dreamed of saving the world one
sick child at a time. However, during the summer between her
sophomore and junior years, she met a group of free-spirited
kids who seem to have influenced her toward a different path.
She became a bit more defiant at home, and while she is not
“out of control,” there is definitely a confrontational approach
behind her interactions with family, especially toward Jim. In
responding to her father’s requests, she typically makes
comments such as, “You’re never here anyway, so why should I
listen to you?” Rather than argue with her, Jim’s typical
response is to withdraw, making an under-the-breath comment
like, “It’s your life — screw it up if you want to.” He feels sad
about the conflict, but doesn’t seem to have the energy to take a
stand. Stacie has also felt the pain of the growing distance
between her and Liz. She is confused about how their
relationship changed so drastically, but despite the increase in
arguments between them, they both report getting along “OK.”
Erin loves school and has always gone above and beyond in her
studies. She takes pride in her organization skills and
recognizes she is a bit more mature than many of her peers,
especially the out of control boys who always seem to disrupt
class). She is already preparing for college by reviewing the
SAT manual and usually spends her free time reading,
programming, etc. Erin is disgusted that Liz seems to have
“thrown her life away by hanging out with those losers” and
5. rarely spends time with friends her age in typical social
settings. She is not socially awkward, but rather sees her peers
as uninteresting, and going nowhere since all they talk about is
dating, music, and the latest fashions. Erin frequently stays up
after bed time, as Stacie confides in her about some of the
frustrations of managing the household. This usually leads to
Erin taking on extra chores, preparing meals, etc. in order to
feel as though she is taking some of the load off mom’s
shoulders. She is quick to volunteer to pick up the slack and
seems to enjoy her relatively new role as mom’s confidant.
Sarah has always been the quiet, yet sometimes “odd” one of the
family. She likes to play with her dolls and stuffed animals
alone in her room, sometimes for hours. Stacie noticed some
aggressive play on one occasion, where one of the stuffed
animals was “killing” all of the other characters and Sarah was
speaking in very angry tones. She has never had any social or
general behavior problems at school, but tends to be quiet and
stays to herself most of the time. Sarah doesn’t seem to be shy;
she just seems uninterested in interacting with the other kids at
school. According to Stacie, Sarah is just different from the
other girls. When they were her age, they were into fashion
dressups and wanted to wear makeup. Meantime, Sarah has
shown no interest in that sort of thing. She does, however, enjoy
going on picnics, visiting her grandmother, and sitting down to
read. During the last few months, however, she has not wanted
to visit extended family and has begun reacting to her mother’s
requests to do her chores with angry outbursts that include
yelling and then shutting down. Stacie assumes Sarah is going
through a phase and misses her older brother.
Possible Therapeutic Scenarios:
1. Jim and Stacie have agreed to see a marriage counselor to
improve their relationship.
7. 3. What are some strategies for preventing users or employees
from downloading and installing rogue applications and
software found on the Internet?
4. What other strategies can organizations implement to keep
security awareness top of mind with all employees and
authorized users?
5. Why is it a best practice of a remote access policy definition
to require employees and users to fill in a separate VPN remote
access authorization form?
6. What security controls, monitoring, and logging should be
enabled for remote VPN access and users?
7. Should an organization mention that it will be monitoring and
logging remote access use in its remote access policy
definition?
8. Review the following characteristics of the mock Sunshine
Health Care Provider:
· Regional Sunshine Health Care Provider has multiple, remote
health care branches and locations throughout the region;
· Online access to patients’ medical records through the public
Internet is required for remote nurses and hospices providing in-
home medical services;
· Online access to patients’ medical records from remote clinics
is done through SSL VPN secure Web application front-end
through the public Internet;
· The organization wants to be in compliance with HIPAA and
IT security best practices regarding remote access through the
public Internet in the remote access domain;
· The organization wants to monitor and control the use of
remote access by implementing system logging and VPN
connections;
8. · The organization wants to implement a security awareness
training policy mandating that all new hires and existing
employees obtain remote access security training. Policy
definition to include HIPAA and ePHI (electronic protected
health information) security requirements and a mandate for
annual security awareness training for all remote or mobile
employees.
Using the following template, create an organization-wide
remote access policy for Sunshine Health Care Provider (this
should not be longer than two pages):
Sunshine Health Care Provider
Remote Access Policy for Remote Workers & Medical Clinics
Policy Statement
{Insert policy verbiage here.}
Purpose/Objectives
{Insert the policy’s purpose as well as its objectives; use a
bulleted list of the policy definition.}
Scope
{Define this policy’s scope and whom it covers.
Which of the seven domains of a typical IT infrastructure are
impacted?
What elements, IT assets, or organization-owned assets are
within the scope of this policy?}
Standards
{Does this policy point to any hardware, software, or
configuration standards?
If so, list them here, and explain the relationship of this policy
to these standards. In this case,
remote access domain standards should be referenced, such as
encryption standards, SSL VPN
9. standards; make any necessary assumptions.}
Procedures
{Explain how you intend to implement this policy organization-
wide and how you intend to deliver
the annual or ongoing security awareness training for remote
workers and mobile employees.}
Guidelines
{Explain any roadblocks or implementation issues that you must
address in this section and how
you will overcome them per defined policy guidelines.}