Applying the Framework & Post-Test
Jolol Family Vignette
“Sam” Jolol (as he is called by his wife and friends) is a 44-year-old, Somalian-American male who recently lost his job at the meat processing plant in Emporia when it closed its doors. Sam quickly moved his family to Garden City after being hired at a local beef packing plant a few weeks later. Sam and Jane have been married for 12 years and have three children. Sam’s parents still live in Somalia and his mother is in poor health. Jane is Caucasian and her parents still live in Emporia. The ages of their children are 12, 10, and 6. The move was difficult for the entire family. Most of their family and friends live in Emporia, and Jane had to quit her part-time job because of the move to Garden City. Shortly after moving to Garden City, Sam suffered a stroke, which left the right half of his body paralyzed. He also suffered some cognitive impairment as a result of his stroke. Unable to perform the rigorous duties associated with his work, Sam was not able to return to his job. He is often cared for by his two oldest children. Jane found a new job in Garden City after several months of searching. Her new job, even though it is full-time work, does not pay as well as her previous employer in Emporia. Jane works 40+ hours per week, in addition to caring for Sam when she is home from work, and taking the children to and from various activities. Their 6-year-old child has recently started hitting and being physically aggressive toward other children at school. The oldest child has recently reported sleep disturbances and not enjoying her usual activities. In addition, her previous 4.0 GPA has plummeted. The ten-year-old child has not exhibited any difficulties since the move.
Applying the Framework with the Jolol Family
An example of how the integrated model applies to a clinical situation around chronic illness will now be given.