Medical Case Study: Jaime's Diagnosis

A specific plan is devised to aid child/adolescent in dealing with anger, and difficulty getting along with others. The support system includes people who are relevant in the child or adolescents life. For example, counselors, therapist, family members, community and clergy who work together in assisting the child or adolescent in re-directing their behavior. In addition, to support services a major focus is keeping the child /adolescent in the home or re-unification with parent or caregiver.

Behavior: Reyna behavior has improved from the initial date of placement. Youth became very proud when achieving her goals. Reyna completed his goals of complying with rules of the home and school on a daily basis, express her frustrations in an appropriate manner and have bi-weekly visits with bio-family. Youth learned various ways to cope and express her feelings at individual therapy and SAFY clinicians.

According to the mother and grandmother, he has not been sleeping for more than 3 hours each night for the past week. He has been missing curfew, continuing to use marijuana and aggressive outburst at home. Family members report being in daily fear of his reactions to them particularly when his volatile and demanding something. Police have been called multiple times to intervene during heavy conflict or in effort to locate him after curfew and hours away from the home but with little lasting effect.

This session was conducted in the schools detention room during fifth period. Anthony Cruz a Hispanic male recently enrolled at Morris Academy for Collaborative studies. (AC) and his older sister were raised in a one parent household. (AC) states that his biological mother is addicted to drugs. He has never met his biological father. (AC) believes that he and his biological sister were removed from the home due to the mother being both physically and verbally abusive. (AC) states that bio mother would often hit him and his sister with a belt. After being removed from the home (AC’s) bio aunt became his care giver (AC) refers to bio aunt as mom. (AC) and his older sister were placed in different homes.

William responded well to the intervention. William continues to make progress towards his goals. William stated, being embarrassed in public, being single out, being humiliated, and being disappointed. William stated, sometimes. William stated, being more respectful to them, fighting with his siblings, not using profanity, quit smoking, threating other with respect, and how to do things. William stated, like a kid, stupid, frustrated, humiliated, angry, embarrassed, and shameful. William stated that his mom corrects him a lot. William responded yes, when being correct make him feel stupid. William stated, if the person triggered him or provoked him to respond or reacted in a negative way to a situation or an event. William stated, guilty,

Client was referred to New Behavioral Network for Therapeutic Support for Families. Client was referred for services to address his history of aggression, which include tantrums, crying, throwing himself to the ground and hitting his sister. The client aggressive behaviors could extend for periods of 15 minutes to several hours when upset on a daily basis.

Intervention: MHP educated Char’Darius on the importance of behaving properly. MHP provided Char’Darius with an educational worksheet on anger management. MHP instructed Char’Darius on conflict resolution skills. MHP used role-play to help develop Char’Darius’ anger control skills. MHP provided examples of proper behavior. MHP assisted Char’Darius with expressing his feelings. MHP taught Char’Darius strategies to use when feeling angry. MHP asserted positive reinforcements for positive behavior.

Intervention: MHP, Santonias MHS and family members discuss Santonias display of behaviors and the use of practicing conflict skills. MHP listened to MHS concerns of Santonias display of choices and struggling to use simple problem solving skills. MHP and Santonias role play two scenarios for Santonias to practice walking away, asking for assistance form an adults and talking to MHS with fear of getting in trouble. MHS listen and praise Santonias for expressing his emotions about display of behaviors.

Presenting Problem: Kaleb is a 12 y/o white male presenting ADHD-CT, ODD, and Adjustment Disorder with anxiety and depressed mood. Kaleb was alleged locked in a closet as a form of discipline for lying, stealing and wetting the bed with only a mattress, pillow and bed sheet allowed where CPS was involved. He was required to perform numerous military style exercises as a form of discipline. He has been engaging in assaultive behaviors at school, and at the Seton house. He has demonstrated behaviors in foster care placement to include cursing using racial slurs, and threatening to run away. He is currently placed back with his biological father and stepmother. He also engages in lying, stealing, manipulating, fire setting, abusive behavior

Goal #1: Tyawna will learn healthy alternative ways to manage and express anger, and recognize inappropriate behaviors.

Jose is a 16 year old Hispanic male who was born in Mexico and migrated to the US at the age of 10. He is medium build with brown eyes and is approximately 5 feet tall. Jose is currently residing with his mom and 10 year old brother in Marcy projects. He attends Midwood High School and is in the 9th grade. Jose was referred to my agency by his mother who sought services to address his frequent outbursts in the home. Jose’s mother reported that Jose punches the wall and throws objects around the home when he gets upset. She further reports replacing three TVs over this year as a result of Jose’s aggressive behaviors. The mother reported that Jose’s behavior is escalating and she is worried that his behavior may impact her younger

Pt is a 12 y/o Biracial male presented at NNBHC with his mother due to increase aggression, assaultive behaviors and setting fires. Pt has a dx of ADHD. 8/5/15 Pt mother states the pt started a fire on her carpet, and a trash can with leaves. Pt also got bug spray lighting it on fire going after his older brother. Pt attacked older brother in sleep where he helped a knife to his neck to obtain his cell phone. Pt punched his brother in gentials today to obtain cell phone. Pt stated “ I hate my brother” “ cause he constantly telling my friends I have anger problems”. “ I lie a lot to get out of trouble”, stated the Pt. Pt stated “ I don’t want to kill but I want to beat the crap out of him”, “I stabbed his new shoes yesterday”. Pt stated

Alexander is a five-year-old Mexican-American child who has been my client for five weeks. Both of Alexander’s parents are homeless with unknown mental health diagnoses. It is due to these conditions, as well as physical abuse by his mother, that Alexander and his three younger siblings were removed from the parent’s care seven months ago by Child Protective Services. The four children were placed with their paternal aunt, who was granted temporary guardianship. In this current living situation there are a total of eight children and three adults.

Giuseppe is a 14-year-10 month-old, Latino male in the 8th grade referred for counseling through AB3632 from Hollywood Senior high School under the Los Angeles Unified School District. Giuseppe’s school counselor indicates Giuseppe has difficulty controlling his anger towards peers. She also shares that Giuseppe fights with his peers leading to a suspension from school for three days due to fighting. Giuseppe’s mother reports that at home he is very oppositional especially with his father. Giuseppe’s mother has made multiple threats to call the police and have him spend time at Juvenile Hall if the behaviors persist. The counselor and mother, both report that Giuseppe has an attitude problem and frequently

Bryson's mom (Chris) is believed to causing his illness. Bryson has Muncaousin Syndrome which means that the parent is causing the child to be sick. Bryson has started having seizures after his father (Brad) passed two years ago. October 15, 2017, Bryson was having severe diarrhea, vomit, and nausea according to Chris. Bryson was admitted to LeBronheur Hospital. The lab work done on Bryson at LeBronheur was all normal. Bryson was not dehydrated. Bryson illness is not adding up. Chris in posting on FaceBook, "That the doctor (unknown) does not know what wrong with Bryson. Bryson has been to sees a surgeon and GI Doctor. It may be intestine twisted, herrirods; it may be viral. " Bryson has been to North Medical in Tupelo, Baptist