CONCEPTUALIZING A CASE 5
There are also several supports in Makala’s life. Her aunt is currently her guardian and
gives her both material and other support. Her school is also another important support for the
student as she has been elevated to a leadership position. The fact that the school has not
removed her from this position despite her recent behavior indicates the confidence the school
community has in Makala. Her teacher and physical trainer are also life supports as they are keen
to help her keep her development on the right track. Despite the support offered to Makala, she
misses out on important interventions such as counseling that specifically aim to address her
recent behavior. As a Christian, the church serves as an important support factor in Makala’s life.
According to Battey (2009), spirituality is important for the overall well-being of an individual.
The church represents an important dimension for Makala’s spiritual development, boosting her
development. It is, therefore, important to establish whether she has been skipping church
recently as has been the case for school. This information would help towards developing a
comprehensive treatment for Makala.
Legal and Ethical Issues
One of the key legal issues surrounding Makala’s case is the absence of her father amid
her change in behavior. Her father has the legal obligation to perform his parental obligations.
He has instead left Makala’s aunt to perform all the parental duties, raising the ethical issue of
whether his actions are in conformity with the expectations of the American society. Although
the health information about Makala was obtained in accordance with the legal requirements of
the HIPAA Privacy Rule code, the important ethical question of whether Makala should have
been involved in the process remains unsolved (English & Ford, 2004). Another ethical issue is
whether the school has been fair to Makala by failing to offer her more support in the form of
counseling. Recent events, including the death of her grandmother, suggest that the girl is