Functional Limitations:
The reported functional limitations, based on school and treatment staff documentation, while valid, do not reflect the severe and repeated trauma. Developmental delays in all of these areas are to be expected but these delays were most likely caused by a hypersensitive fight or flight response developed in early childhood. Repeated and severe abuse and neglect caused childhood RAD which was the initial diagnosis. School and treatment history appear to focus on behavior management and on ADHD symptoms. Due to past behaviors, Kenny has been limited legally to remain under 24/7 adult supervision.
Mobility Independence Issue:
Court ordered 24/7 adult supervision which impedes his ability to travel to and from school,
In some cases of relocation, the moving parent allows for the child to have longer vacations with the nonmoving parent as an act of good faith to continue the relationship between the child and the nonmoving parent. However, regardless of distance, both parents are legally obligated to uphold the court’s decisions about parenting time and current orders. The court won’t deviate from any parenting plan or other written agreement unless it is no longer is in the child’s best interests.
The counselor selected a diagnosis based on the use of the Child assessment form and the Behavioral checklist and the reports on his case notes and present a diagnosis of 301.81 (F43.10) Posttraumatic Stress Disorder (PTSD) American Psychiatric Association, Diagnostic and statistical manual of mental disorders, 5th ed,( 2013). This diagnosis was established because the client does show symptoms of distress in his interactions at home. Children who are exposed to intense fear and anxiety, after experiencing traumatic or life-threatening event and may feel fearful and anxious as well as ‘emotionally numb, do become angry withdrawn and irritable. Catani and Sossalla, (2015) noted that children who undergo abuse in a traumatic way will have PTSD. They also sometimes avoid people, places that remind them of the
Moreover, in the process of diagnosing/assessing a child with RAD, it is important to note that RAD is a term that has been used interchangeably with attachment disorder by therapist; they are not intended to be understood as synonyms. While having a history of pathogenic care is required before diagnosing a child with RAD, it would not be surprising that the child has had a history of significant injuries and a report of poor mental health (Center for Child & Family Health, 2009). According to the
James is not doing well in school; he has a poor attitude towards school and exhibits angry outbursts for no known reason. Sometimes he will attend school with bruises on his body; this has been happening since he entered the school system. When a teacher questions James about the bruises, he responds back with no emotions. “In the Traumatic System Therapy treatment has explicitly addresses these two core domains. The social environment (e.g., family, school, peer group, neighborhood) ordinarily has a core function of helping a child to contain emotions and behavior” (Saxe, Ellis and Brown, 2016). These failures have three probable causes: (1) The child has not yet accessed the system of care, (2) The child is falling
Although there is no mention of the condition he has, he has challenging behaviour which may require physical intervention and physical restrain, requires
“There are situations of where the child shuts down and stays in his own world. Studies have shown a link between child abuse and delayed intellectual development. The child loses his ability to adapt to his or her environment leading to poor cognitive development. The child produces feelings of guilt, violation, loss of control and lowered self-esteem sometimes with suicidal tendencies. Common problems include emotional and behavioral problems, poor performance in school, and possible further abuse (Husted).
The victim was court ordered to be admitted at the Specialized Treatment Facility by Harrison County Youth Court on 04/27/16; he will be admitted for six months and the expected discharge date is 10/27/16. The reporter stated John was has been diagnosed with bipolar disorder, ADHD, marijuana abuse, mood disorder, severe mood swings, disruptive behavior, border line dyslectual disorder, basic personality disorder, mental incompetance; John is unable to function on his age level and has a very low IQ; John is unable to read, write, and count. Mr. Young stated John will never be able to live on his own and will always need assistance. During a session with John on 04/28/16, he disclosed that his father punched him in the face but that the details
DeJon continues to leave home without his mother’s permission. He has recently admitted to smoking blunts and marijuana; however his UDS conducted on 7/29/16 was negative. DeJon was sexually abused by a male baby sitter when he was 5 years old. He also has a history of abusing animals, specifically cats, and reportedly killed a cat due to the cat being his face. There is no recent reports animal abuse. DeJon has He has not been compliant with being on house arrest through the court services unit. He had 14 discipline referrals this past school year resulting in 18 days of out of school suspension and two suspensions off the school bus. In spite of missing 28 days of school last year, he passed to the 7th grade. His IEP provides accommodations for his
Vignette 1 for Developmental Delay: Demetrius is a 41 month old boy. He is an only child and lives with both parents who remain married to date. Demetrius currently resides in a split-level home, with 6 steps leading to the upper level and 9 steps leading to the lower level. His family has limited financial resources, no close relatives that live within a 1-hour driving distance, and few local community contacts. Demetrius has recently been referred to a nearby Children’s Treatment Centre to address functional issues stemming from developmental delays in multiple domains: gross and fine motor, functional emotional, and communication and language. Demetrius was diagnosed with global developmental delay at 38 months of age and is currently being
This is problematic because the levels of stress these children are under are very high. These high Ace scores are related to major chronic health, mental health, economic health, and social health issues. Finding the appropriate intervention for children with higher ACE scores or that could experience more trauma is key to helping children in the foster system over come adversities. Adverse childhood experiences are common, but that does not mean that we cannot be proactive. When creating a treatment plan it is important to recognize that some children have already experienced trauma, so that would be late stage intervention, but it is also important to plan early intervention.
ALLEY-ASTON’s 6 year-old son COCHRAN, Kalub (COCHRAN) has been diagnosed with Asperger’s Syndrome, OCD, Sensor Integration and ADHD. For the past 2 years, COCHRAN has been receiving in-home intensive behavioral stimulation services through Family Priority-Williamsburg (FP).
Mr. Lucas was diagnosed with Axis I: major depression, recur, severe wo/ psych/ mother passed away at age 5. Axis II Active- Chronic pain specified manifestations; major depression disordered, single, mild wo/psych and antisocial personality disorder, recurrent; chronic pain due to nerve damage from being shot. Type III. Axis IV: Economical problems, problems, Problems with primary support group and problems related to social environment and other psychosocial and environmental problems. According to the Developmental Center psychiatric evaluation level of care/care recommendation is HIGH intensity community base services. It states Mr. Lucas may need substance abuse treatment, individual therapy, case management, and care to with assist
There are many different forms of child abuse. In “A Child Called It” Dave suffers many different kinds of extreme abuse. Child Abuse can be physical, emotional , psychological and neglect. Kids that are abused are 25% more likely to have mental health issues. Statically that means 1.8 million children that were abused are going to suffer from a mental health issue. One out of four kids are going to suffer for a circumstances which they where they were helpless in. According to Victor Carrion a professor at the University of Stanford says "Children experiencing four types of trauma were 30 times more likely to have behavior and learning problems than those not exposed to trauma." As well as these kids suffering from a mental illness, 30% are more likely they will also suffer a learning disability too. Imagine going to school depressed and your mind is
In an attempt to explain the level of Kelly’s disability, an in-depth explanation of the various levels of learning disabilities will now be examined. These can be grouped into four categories; Mild, Moderate, Severe and Profound.