Genogram Intake Assessment

First of all, these cases, remind me of a book I borrowed from my mother, which I highly recommend, “The Boy Who Was Raised as a Dog by Bruce Perry”. My mother is working on her Ph.D. in psychology, and I enjoy reading her DSM-V, as well. The case studies by Dr. Perry, a child psychiatrist in crisis trauma were some of the most disturbing cases, he encountered in child abuse. Even though they are disturbing, they are necessary in order to comprehend how to treat children in crisis. My interest in childhood trauma stems from the desire to get teacher certification and pursue special education. The case I picked was a boy form. Santa Clara County. The child was born in 1990, and despite having extreme terror of being

There are different types of trauma child welfare programs focus on. They typically focus on behavioral and emotional problems and ways to correct the child (Greeson et al. 94). However, it is not as simple as the welfare programs want it to be. One first must look at the trauma history of the child, or the “Trauma History Profile”, also known as THP (Greeson et al. 97). The THP addresses “lifetime exposure to trauma and contains a

Reporter (Charlesetta) stated the following: He has been talking about the abuse and has been going back and forth since October 20th/ He said he was sexually assaulted by a 12 year old girl (unknown). Ms. Katina allowed the girl to come over. No one was responsible for their care. Ms. Katina was not there.

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

IRTC spoke with CPS, Cari Covahey, who reported that she spoke with the subject child twice and there was no disclosure of sexual abuse. CPS expressed that she only conducted minimal fact finding interviews with the subject child and will inquire more pertaining to the alleged relationship between the subject child and her boyfriend. CPS expressed that the only person the subject child informed this information to was her 7 year old cousin. CPS expressed that the foster parent is unaware of the child having a boyfriend and the source indicated that the child was alleged telling her cousin a “dirty story.” CPS articulated that the subject child was medically assessed at Richmond University and there was no observed trauma to the vagina or the

Other than her mental health issues she has received medical services for a urinary tract infection. The client has pierced her own lip, navel, but denied any self-injurious behaviors on her body at the time of assessment. She also displayed her forearms, which is her primary area of superficial cutting and denied any self-cutting on concealed areas on her body. Her mother reported she has an uncomplicated pregnancy and delivery and that Katie met al of her developmental milestones within typical limits. Katie is also capable to complete all appropriate developmental

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.

Pt is a 12 y/o African American female presented at NNBHC with dx of ADHD combine type, ODD, Disruptive Mood Dysregulation D/O, Mood D/O, PTSD and Sexual Abuse (victim/ perpetrator), who have been feeling severely depressed and SI. Pt states that she has had SI with a plan to overdose or cut her wrist. Pt is considered high risk due her unsuccessful attempt to commit suicide on 7/5/2015 by taking a handful (unknown quantity) of Clonidine. She was hospitalized at CHKD until she was medially stable, than transferred to Maryview for mental stabilization. Pt states that she is unable to contract for safety at this time, and unsure of what she may do due to her impulsivity. Pt has also have been currently distributing nude pictures to adult males via cell phone. Virginia Beach Police Department is involved with the solicition of child pornography per report from pt mother. Pt have been using explicit communication of sexual acts via text message with males and females. Since 7/5/15 there have been a change in medication Vyvanse 70mg to 30mg. Pt have a hx of becoming verbally aggressive towards hospital staff when medications change. Pt denies any psychosis or paranoid thinking.

Presenting Problem: He has 2 Kempsville Acute visits, endorses anger and thoughts of suicides. Reported hx of Neurodevelopmental problems most recently as consistent with Autistic Spectrum Symptoms. He reported having intense anger toeards his parents but denies homicidal thoughts, acknowledges suicidal thinking. On May 27, 215 he pulled a knife on his mother, no injury occurred. Mother states he has been increasingly agitated. He has been posturing at his mother yeling clinching his fist at her as well as sneaking out and lying. Mother states he obtained the knife from his room and threatene her life. He states his mother swas chasing him around with a broom which is why he grabbed the kife. He states he is depressed all the time. He a Hx of suspensions for fighting while in school and he was the aggressor.

The reporting party (RP) stated a home visit was made on 4/8/16 for foster child Ronny Perdomo. During the visit the RP observed multiple bruising to the foster child's lower part of his spine, upper left shoulder, and on his back area. The RP stated she took pictures of the bruises. The foster mother Ana Ramos explanation for the bruising was the child is Anemic. The RP stated on 4/11/16 she consulted with her SCSW who advised her to take the child for a forensic exam. The RP stated on 4/12/16 she took the child to have a medical examination. The RP stated on 4/19/16 at approximately 1:50PM she received a call from a Nurse Practitioner (name not provided) from High Desert Regional Clinic who informed the RP the child's bruising was highly

On 4/27/17 at approximately 1835 Medical was requested to respond to Higbee to do an assessment on offender Smith OID 252929 following an altercation with another offender in Tubman Unit. Offender was assessed and was noted to have a small abrasion on the left arm and scratches on the legs. Vital signs were stable. The dressing was applied on the abrasion on left arm and ffender was informed to contact health service if she has any other medical concerns.

McKinley went home on Monday, with her behavior card on yellow. The mother gave her a warning that she’ll beat her if it happened again. On 12-16-17, McKinley went home again, with her behavior card on yellow. Jessica got made and whooped/beat McKinley. Jessica gave McKinley a pound to the top of her head with her fist, followed by a pound to the left side of her forehead (near her temple), which resulted in bruising and swellings. Jessica got madder and got a belt and used corporal punishment on McKinley. There are bruises to McKinley’s upper left arm and upper left hip. McKinely told the reporter about the bruise on her hip, the reporter did not see those. McKinely is dark complected, and the bruises are seen without having to strain the

It is very hard to distinguish and recognize actual abuse but as the practitioners we must not be afraid to seek for more information from parents or other specialists. If concerned we should contact to social services to prevent/stop the crime from being committed. It is crucial to keep in head how serious consequences of any kind of abuse are and how disturbing they are on development and future of every child. We must not ignore any symptoms especially if they do not stop with the time. Our one action or referral can change whole life of the child for better.

The reporter stated Demetris has called other relatives to tell them Earl beats Donavon with an extension cord; Earl has beat the child at least two times. The reporter stated when Earl gets angry, he takes his anger out on the child by telling him to strip down to his skin; Earl then whips the child with the extension cord. The reporter stated Donavon has whelps and cuts all over his body and face after he’s whipped and it stings and hurts when he tries to take baths. According to the reporter, the last incident of abuse occurred 1-2 days ago. Donovan hasn’t needed any medical treatment or emergency medical care for the whelps and the cuts have a small amount of bleeding. The reporter stated that the last incident occurred because Donavon

Tangeman, Keegan R. and Shelby, Janine. (2012) “Intervention Application for Self-Injury Following Childhood Sexual Abuse”. Handbook of Child Sexual Abuse: Identification, Assessment, and Treatment. Online.