One enjoyable activity per week at night, a written recommendation for Gilbert to show to his family.13. Moving from Level 1 family functioning to Level 4 functioning (Vanhook, 2014).14. Create a token economy with Arnie to encourage good behavior. Reason for referral The case was referred by Adult Protective Services due to Arnie's safety and well-being. A social worker was appointed to try to alleviate stressors and help the family be more cohesive. Family concerns/goals:1. Gilbert wants a new family dynamic. He wants Arnie to have a "new brain". Not having to tidy up the house and get Bonnie to exercise.2. Bonnie wants children to listen more.3. Amy wants to leave and get her own identity.4. Ellen wants to work again and have her own space and identity. History of Concerns/Goals: Onset/Context: 28% of families with children with disabilities live below the federal poverty line and are 2-3 times more likely to have to pay out of pocket (Coppin et al., 2006 ). As previously mentioned, family dysfunction and conflict occurred after the father's death, and in the words of clients, "the family is 'stuck in time' and circumstances." This reveals a long history of uncertain, demoralized, and ever-changing rules and dynamics within the family (Gilbert, Ellen,