As a comparison, since he did not write the word FATHER, I would say that Christy's feelings were that his Father, a character who is not capable of representing the ideal Father, is unable to discipline himself to the required ideal level in a family setting.
As a Human Services professional, our job is to rationalize judgments, which are well thought and skillfully conceptualized and analyzed through evaluation of gathered information. We should obtain well-known sources by observing the family environment, and by reasoning and communicating to our patient and his family members. As a caseworker or a case manager, it is important to participate and engage fully in your clients' beneficial health matters by managing and foreseeing risk. I would first review my behavior to analyze what prompt my behavior and his behavior, if Christy starts to have feelings for me as a social worker.
Additionally, I would consider his vulnerability due to the nature of the work. For instance: avoid isolated encounters as well as presents since both scenarios show personal feelings (that did happen while the first nurse was caring for him). She treated him with special care in secluded events. As a caseworker I would do my best to build a relationship without manipulating or involving personal issues. It is our responsibility to protect clients and demonstrate appropriate standards of care and boundaries as well as ethical behavior. .
Among other considerations, I would engage Christy on respecting those boundaries and code of ethics, handling each situation with him with the utmost professionalism. Seek consultation and recommendations through professional organization or a support network in the field such as CMSA (Case Management Society of America). Moreover, if Christy acts out while I am assigned to the case, I would discuss the decision whether or not to continue due to ramifications or possible ones.