THIS IS THE CASE I CHOSE ; TIFFANI B. WILL BE USED FOR DISCUSSION AND ASSIGNMENT

Identifying Data: Tiffani Bradley is a 16-year-old Caucasian female. She was raised ina Christian family in Philadelphia, PA. She is of German descent. Tiffani’s familyconsists of her father, Robert, 38 years old; her mother, Shondra, 33 years old, andher sister, Diana, 13 years old. Tiffani currently resides in a group home, Teens First,a brand new, court-mandated teen counseling program for adolescent victims ofsexual exploitation and human trafficking. Tiffani has been provided room and boardin the residential treatment facility for the past 3 months. Tiffani describes herself asheterosexual.Presenting Problem: Tiffani has a history of running away. She has been arrested onthree occasions for prostitution in the last 2 years. Tiffani has recently been courtordered to reside in a group home with counseling. She has a continued desire to bereunited with her pimp, Donald. After 3 months at Teens First, Tiffani said that shehad a strong desire to see her sister and her mother. She had not seen either ofthem in over 2 years and missed them very much. Tiffani is confused about the pathto follow. She is not sure if she wants to return to her family and sibling or go back toDonald.Family Dynamics: Tiffani indicates that her family worked well together until 8 yearsago. She reports that around the age of 8, she remembered being awakened bymusic and laughter in the early hours of the morning. When she went downstairs toinvestigate, she saw her parents and her Uncle Nate passing a pipe back and forthbetween them. She remembered asking them what they were doing and her mothersaying, “adult things” and putting her back in bed. Tiffani remembers this happeningon several occasions. Tiffani also recalls significant changes in the home’sappearance. The home, which was never fancy, was always neat and tidy. Duringthis time, however, dust would gather around the house, dishes would pile up in thesink, dirt would remain on the floor, and clothes would go for long periods of timewithout being washed. Tiffani began cleaning her own clothes and making meals forherself and her sister. Often there was not enough food to feed everyone, and Tiffaniand her sister would go to bed hungry. Tiffani believed she was responsible forhelping her mom so that her mom did not get so overwhelmed. She thought that ifshe took care of the home and her sister, maybe that would help mom return to theperson she was before.Sometimes Tiffani and her sister would come downstairs in the morning to find emptybeer cans and liquor bottles on the kitchen table along with a crack pipe. Her parentswould be in the bedroom, and Tiffani and her sister would leave the house and go toschool by themselves. The music and noise downstairs continued for the next 6years, which escalated to screams and shouting and sounds of people fighting.Tiffani remembers her mom one morning yelling at her dad to “get up and go towork.” Tiffani and Diana saw their dad come out of the bedroom and slap their momso hard she was knocked down. Dad then went back into the bedroom. Tiffani3remembers thinking that her mom was not doing what she was supposed to do in thehouse, which is what probably angered her dad.Shondra and Robert have been separated for a little over a year and have starteddating other people. Diana currently resides with her mother and Anthony, 31 yearsold, who is her mother’s new boyfriend.Educational History: Tiffani attends school at the group home, taking generaleducation classes for her general education development (GED) credential. Dianaattends Town Middle School and is in the 8th grade.Employment History: Tiffani reports that her father was employed as a weldingapprentice and was waiting for the opportunity to join the union. Eight years ago, hewas laid off due to financial constraints at the company. He would pick up odd jobsfor the next 8 years but never had steady work after that. Her mother works as ahome health aide. Her work is part-time, and she has been unable to secure full-timework.Social History: Over the past 2 years, Tiffani has had limited contact with her familymembers and has not been attending school. Tiffani did contact her sister Diana afew times over the 2-year period and stated that she missed her very much. Tiffaniviews Donald as her “husband” (although they were never married) and her onlyfriend. Previously, Donald sold Tiffani to a pimp, “John T.” Tiffani reports that she wasvery upset Donald did this and that she wants to be reunited with him, missing himvery much. Tiffani indicates that she knows she can be a better “wife” to him. Shehas tried to make contact with him by sending messages through other people, asJohn T. did not allow her access to a phone. It appears that over the last 2 years,Tiffani has had neither outside support nor interactions with anyone beyond Donald,John T., and some other young women who were prostituting.Mental Health History: On many occasions Tiffani recalls that when her mother wasnot around, Uncle Nate would ask her to sit on his lap. Her father would sometimesask her to show them the dance that she had learned at school. When she danced,her father and Nate would laugh and offer her pocket change. Sometimes, theirfriend Jimmy joined them. One night, Tiffani was awakened by her uncle Nate and hisfriend Jimmy. Her parents were apparently out, and they were the only adults in thehome. They asked her if she wanted to come downstairs and show them the newdances she learned at school. Once downstairs Nate and Jimmy put some music onand started to dance. They asked Tiffani to start dancing with them, which she did.While they were dancing, Jimmy spilled some beer on her. Nate said she had to go tothe bathroom to clean up. Nate, Jimmy, and Tiffani all went to the bathroom. Nateasked Tiffani to take her clothes off and get in the bath. Tiffani hesitated to do this,but Nate insisted it was OK since he and Jimmy were family. Tiffani eventuallyrelented and began to wash up. Nate would tell her that she missed a spot and wouldscrub the area with his hands. Incidents like this continued to occur with increasinglevels of molestation each time.4The last time it happened, when Tiffani was 14, she pretended to be willing to dancefor them, but when she got downstairs, she ran out the front door of the house. Tiffanivividly remembers the fear she felt the nights Nate and Jimmy touched her, and shewas convinced they would have raped her if she stayed in the house.About halfway down the block, a car stopped. The man introduced himself as Donald,and he indicated that he would take care of her and keep her safe when these thingshappened. He then offered to be her boyfriend and took Tiffani to his apartment.Donald insisted Tiffani drink beer. When Tiffani was drunk, Donald began kissing her,and they had sex. Tiffani was also afraid that if she did not have sex, Donald wouldnot let her stay— she had nowhere else to go. For the next 3 days, Donald broughther food and beer and had sex with her several more times. Donald told Tiffani thatshe was not allowed to do anything without his permission. This included watchingTV, going to the bathroom, taking a shower, and eating and drinking. A few weekslater, Donald bought Tiffani a dress, explaining to her that she was going to “find adate” and get men to pay her to have sex. When Tiffani said she did not want to dothat, Donald hit her several times. Donald explained that if she didn’t do it, he wouldget her sister Diana and make her do it instead. Out of fear for her sister, Tiffanirelented and did what Donald told her to do. She thought at this point her onlypurpose in life was to be a sex object, listen, and obey—and then she would be ableto keep the relationships and love she so desired.Legal History: Tiffani has been arrested three times for prostitution. Right before themost recent charge, a new state policy was enacted to protect youth 16 years andyounger from prosecution and jail time for prostitution. The Safe Harbor for ExploitedChildren Act allows the state to define Tiffani as a sexually exploited youth, andtherefore the state will not imprison her for prostitution. She was mandated toservices at the Teens First agency, unlike her prior arrests when she had been sentto detention.Alcohol and Drug Use History: Tiffani’s parents were social drinkers until about 8years ago. At that time Uncle Nate introduced them to crack cocaine. Tiffani reportsusing alcohol when Donald wanted her to since she wanted to please him, and shethought this was the way she would be a good “wife.” She denies any other drug use.Medical History: During intake, it was noted that Tiffani had multiple bruises and burnmarks on her legs and arms. She reported that Donald had slapped her when he feltshe did not behave and that John T. burned her with cigarettes. She had realized thatshe did some things that would make them mad, and she tried her hardest to keepthem pleased even though she did not want to be with John T. Tiffani has beentreated for several sexually transmitted infections (STIs) at local clinics and iscurrently on an antibiotic for a kidney infection. Although she was given condoms byDonald and John T. for her “dates,” there were several “Johns” who refused to usethem.5Strengths: Tiffani is resilient in learning how to survive the negative relationships shehas been involved with. She has as sense of protection for her sister and will sacrificeherself to keep her sister safe.Robert Bradley: father, 38 years oldShondra Bradley: mother, 33 years oldNate Bradley: uncle, 36 years oldTiffani Bradley: daughter, 16 years oldDiana Bradley: daughter, 13 years oldDonald: Tiffani’s self-described husband and her former pimpAnthony: Shondra’s live-in partner, 31 years oldJohn T.: Tiffani’s most recent pimp

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