Case Study Of Billy's Treatment Plans

Disruptive Behavior Disorders. Oppositional defiant disorder (ODD), conduct disorder (CD), and attention deficit hyperactivity disorder (ADHD) form a cluster of childhood disorders considered to be “disruptive behavior disorders” (American Psychiatric Association, 2004). Although most violent adolescents have more than one mental disorder and they may have internalizing disorders, for example depression or substance abuse, there appear to be increasingly higher rates of physical aggression found in these adolescents who experience disruptive behavior disorders than for those with other mental disorders. The fact that violent juvenile offenders are more likely to have these diagnoses is not surprising, because impulsive and/or aggressive behaviors are part of their diagnostic criteria. Additionally, there is relatively high co-morbidity with substance abuse disorders, which are also associated with juvenile violence (Moeller, 2001). Individuals with conduct disorder have the following features but this list is not inclusive for example they may have little empathy and little concern for the feelings, wishes, and wellbeing of others, respond with aggression, may be callous and lack appropriate feelings of guilt re remorse, self-esteem may be low despite a projected

Case 15.1 discusses Bobby Jones, a nine-year-old African American boy. He is in the fourth grade at Lewiston Elementary School. He is being raised by his mother Susan and has five siblings. Recently, Bobby’s teacher, Ms. Matthews has had some concerns regarding his behavior. She stated that he is disruptive, never completes his work and that he is very negative when it comes to school (Pomeroy, 2015). Based off of the information provide in case 15.1, Bobby presents with many of the symptoms and behaviors that are consistent with Oppositional Defiant Disorder (F91.3), and the severity is moderate. According to the Diagnostic and Statistical Manual of Mental Disorders, DSM-5, ODD involves a frequent pattern of angry/irritable moods, vindictiveness,

Tommy R. is a 6-year-old boy and a kindergarten student in a K-8 combined elementary and junior high school in the San Jose greater metropolitan area. There has been a meeting requested by his educational team and parents to talk about his behavior in school and cognitive abilities in the classroom. School staff have been receiving complaints from Tommy’s teacher and classroom staff about not following direction and non-compliance. Tommy also struggles with completing some classroom tasks as well.

A rating scale was completed by a Parker Elementary school teacher, Mrs. Smith for 8 year old Andrea. The Disruptive Behavior Rating Scale (DBRS) consisted of 50 questions with responses with zero representing rarely/hardly ever, one representing occasionally, two representing frequently, and three representing most of the time. The scale utilized is used by clinical professionals for diagnostic purposes of four different areas for behavior concerns these include: distractible, oppositional, impulsive-hyperactivity, and antisocial conduct. The rating scale was completed on 1/31/1992.

The Externalizing Problems Composite measures behaviors, which are typically “under controlled” by the child and are often seen as disruptive to both peers and adults within the school or home environment. This composite was measured on the teacher rating form, which included the Hyperactivity, Aggression, and Conduct Problems scales. Mrs. Simpson reported in school, Gustave exhibits typical classroom behavior and self-control. Also, Gustave does not act aggressively or demonstrate any rule breaking behaviors. Overall, Gustave’s behavior in school is within the average Range and similar to peers his age.

The Behavior Assessment System for Children, Third Edition (BASC 3) is a comprehensive set of rating scales and forms that help parents, teachers, and clinicians understand the behaviors and emotions of children and adolescents. The BASC 3 Rating Scales measures both adaptive and clinical characteristics in the home and school settings. The Parent Rating Scales and Teacher Rating Scales were completed by Christopher’s mother Mrs. Chavez and Christopher teacher, Ms. Mask. Scores in the table below, are based on a Mean of 50 and an SD of 10. On the Clinical Scales, scores of 60+ indicate difficulties, with those difficulties rising to the level of clinical significance at 70. High scores on these scales are indicative of behaviors that are

University at Buffalo Center for Children and Families (n.d.). Scoring Instructions for the Disruptive Behaviour Disorder Rating Scale. Retrieved from

In summary, one can see that Zach’s treatment plan is multifaceted and is intended to stabilize the Zach and his uncle as a family. Zack’s concerns are the result of a complex situation that involves a number factors associated to his past emotional abuse, his specific strengths and needs, and his current environmental situation, like his uncle’s low income and the capacity of the school to support him. It is expected Zach and his uncle will require support to follow the treatment plan due to the limitations in transportation, work schedule, and the impact of low income. That beings said, with this support, it is likely that Zach’s relationship with his uncle will improve and the dynamics of this situation will stabilize.

Description of duties consisted of providing therapeutic interventions to children, adolescents, and their families as it relates encouraging and facilitating positive developments within the client's functioning within their community, school and household environment. As the client is entered into the OPT/TSF program, the goal is for the client to remain in the community with less intensive services. Through the services, I observe the client's behaviors and become familiar with their referral provided by Delaware Division of Prevention and Behavioral Health. Once an assessment is completed, I develop a treatment plan which consist of long and short-term goals, objectives and interventions goals that would ensure the client's success within the OPT/TSF program.

This report detailing issues in behavior intervention first reviews information regarding the use of functional behavior assessments and then explains intervention strategies which may be effective in dealing with behavior issues in schools. In addition, issues that impede treatment are discussed. This source appears to be objectively written with the goal to inform the reader of functional behavior assessments, treatment for problem behavior and issues which may cause treatment to fail. This source may be useful when researching Behavior Intervention Plans because team members and

-Shifting the family’s view of treatment from focusing on the adolescent as “the problem” to enhancement of family relationships as an important part of the solution.

At the time of the assessment she currently had 62 behavioral infractions at school. Some of her self-report included “lashing out”, being “verbally abusive”, and dislikes physical touch. Katie presented with borderline personality disorder tendencies, runaway behaviors, significant history of trauma, self-injurious superficial cutting and high emotional vitality and reactivity. At

Behavior health services rendered to child/adolescents who suffer from poor social skills, educational obstacles, grief, physical and sexual abuse. A treatment plan is initiated for children/adolescents and parent the treatment plan will focus on evidence based

Furthermore, stays at a friends house while his mother works from 1:00am to 5:00am. Per documentation the patient presents with mannerism of throwing his head back, laughing at inappropriate times, and throws his hands over eyes to talk. The patient presented with these behaviors during the time of assessment. According to collateral the patient reports to "Ms. Mitchell, principal at Tabernacle Elementary School, that he was going to kill himself and others." Collateral reports that patient cut himself with a broken razor from a pencil sharpener. Further, the patient reports that he is useless and that no one likes him nor does he have anyone to play video games with. The patient expresses these thoughts during the assessment. According to collateral the patient has multiple incidents with his behavior since 2013. As noted, "Some of these behaviors including pulling string out around neck from sweatshirt, smashing milk in cafeteria, kicking others students, swinging a waffle bat at another student, inappropriate language and hitting a student on the bus." The mother expresses that the patient does not see a need to go to school and wishes to stay home.

The social worker taught the mother how to use discipline in the house. The mother before was a drug addict, and she didn’t know how to raise her kids, moreover the kids were in foster care, so they didn’t really have discipline in their lives. They made rule charts for the kids to follow and if they followed they would get points if not they were taking out points from them. The social worker taught some basic skills of parenting to the mother so she can control the kids’ behavior.