Osvaldo Case Study

Maunica responded well to the intervention. Maunica continue to make very good progress towards her goals. Maunica stated that she is attending school regularly, and is getting along much better with her mom. Maunica stated that she is taking her medications as prescribed. Maunica stated, that she made decision of getting up and going to school every day, complete high school, doing the right things, not to calling 911, and to get along better with her mom. Maunica completed the online Q & A. Maunica stated, getting into trouble, not getting the result wanted, escalating the situation, and suspension. Maunica stated, it help with make choices, expressing feeling and thoughts, and complete something. Maunica stated, what to eat, clothes to wear,

MSTT met with Sabrina to review the consequences, rewards, or changes to deter Esmrel behaviors. Sabrina informed MSTT she contacted the school and they made some changes to Esmrel schedule. The school placed Esmrel back on a point sheet and he no longer has a free period. During Esmrel free period he goes into a teacher's room and engage in school work during that time. Sabrina explained this has been working and Esmrel grades are starting to improve and his behaviors are getting better. MSTT and Sabrina disucss have their been any changes within the home which is also having a positive impact on Esmrel behaviors. She stated everything at home is pretty much the same at home with very little changes. MSTT will work with Sabrina and Drew to

O1: Osvaldo and foster mother will verbalize understanding about ADD and treatment options for ADD.

Intervention: CSP, MHS and Antavia discussed the youth’s refusal to communicate with MHS, attend school and comply with the home rules. CSP and Antavia process her reality of returning home and having a healthy productive life. CSP and MHS discussed the youth’s recent behavior of cursing at MHS and leaving the bedroom window open. CSP provided support to Avtavia as she expressed her feeling about living with her grandfather and the upcoming foster care review board meeting. CSP encouraged the youth to inform MHS or CSP when she needs additional assistance.

Intervention: CSP discussed the youth’s ability to follow the home and school rules. CSP coached the youth to communicate with foster parent and foster sister. CSP praised the youth for resolving issues with foster sister. CSP asked for the youth’s feelings about going home and building a better relationship with her bio-mother. CSP discussed the youth’s behavior towards staff at school and foster parents.

Intervention: MHP request for a report of Samantha’s recent displayed behaviors. MHP, MHS and Samantha process displayed behaviors in the home and the outcomes. MHP and MHS listen to Samantha verbally express her emotions. MHP validate Samantha’s emotions about being in foster care and wanting to be with biological family.

QP reviewed with Quadir appropriate responses to anger feelings. QP asked Quadir to list some rules of the house and school that he has to follow. QP examined with Quadir, what causes him to get upset when asked to complete task from his mother, teacher, and grandparents. QP reviewed with Quadir how to respond to anger situation appropriately. QP discussed with Quadir on task and attentive behaviors in all settings. QP reviewed with Quadir mediation, self-control strategies and impulse delay strategies. QP asked Quadir to discuss a time when he has demonstrated good impulse control and engaged in fewer disruptive behaviors. QP asked Quadir, if he has decreased the frequency of disruptive, aggressive or negative attention seeking behaviors. QP asked Quadir, how he is get along with his mom. QP praised Quadir for the progress he has made with his behavior in the home and at school. QP provided Quadir with feedback on the positive progress he as mad since starting IIH services. QP suggested to Quadir to keep up the good work he has made and continue to improve on the changes he has made with his behavior and the goals he was working

Jose needs to be aware that I am not there to judge his decisions, but I am there to help guide him. Also, I need to know that his ability to follow through with his plans is not a reflection of my abilities as a therapist. Last but not least, I need to circumvent for Jose’s fight or flight response through validating how he feels because of his anger problems, as aggression is a highly limbic based response. Thus, in order to reduce the chances of these errors, I would use specific techniques that are designed to help me avoid them, as well as providing genuineness, validation, unconditional positive regard, and empathy to Jose to help guide Jose toward the goals we set for

Deonte made minimal progress demonstrating positive ways of expressing his feelings. The youth struggled in school when peers teased him during recess. He refused to express his feelings to CSP, MHS and the teachers. CSP and MHS discussed healthy ways are asking for assistance and informing adults of problems. Deonte made moderate progress consistently interact with adults, peer and authority figures in a respectful and healthy manner. The youth interacts with MHS and family, school officials, and adults in the community. Per MHS, the youth demonstrates respect and manners.

Intervention: MHP, Val and MHS discuss Val’s ability to self-redirect when a request is asked from MHS. MHP, Val and MHS process the benefits of using listening skills and asking questions. MHP, Val and MHS discuss observed behaviors. MHP and MHS review positive interventions that Val had positive response. MHP encourage Val to listen and follow instructions to avoid unhealthy behaviors.

Intervention: MHP gave MHS and Valdimir think worksheets to aid Valdimir’s family and Valdimir with progressing reported recent behaviors displayed. MHP, MHS and Valdimir progress the details to the incidents and discuss alternative ways of avoiding making the same mistake. MHP and MHS review noticeable barriers to Valdimir’s ability to comply with the rules and decrease inappropriate behaviors. MHP and MHS discuss motivating Valdimir to comply and respect others.

Intervention: MHP and MHS review the interventions MHS often uses and the interventions effective. MHP and MHS discuss Samantha’s display of self-redirect to improve the display behaviors of aggression and defiantance. MHP summarize MHS report of Samantha’s behaviors display in the home and community.

.Dontrell appeared to be in a very bad mood, he was not receptive to session, however answered some of the questions that was asked during the meet and greet session. Dontrell stated a lot, not in a good way, yelling screaming making threats, using profanity and fighting, everything, argues, throw things, and leave the house, not sure, 8. Dontrell stated, that he does not have a good relationship with his mom, however he would like it to be better. Dontrell stated that his mom does not trust him. Dontrell stated his grades is very poor. Dontrell stated he do not know. Dontrell did not answer this question. Dontrell stated treats him better and trust him. Dontrell stated, yes. Dontrell responded not comfortable. Dontrell responded no. Mom stated,

The meeting started with the positives and the successes. The youth's grades have improved, the youth is attending to all his classes, and is playing to try out for the soccer team. The youth is participating in family activities and the youth is more positive than before. WYP Ngo gathered some information during the meeting. The youth has court on APril 27th, 2017. The youth is participating in Boys Court every other month. WYP Ngo updated the team about the youth's behaviors. The youth is doing better about acknowledging faults, mistakes, and reflecting on his actions. The youth is very thoughtful toward his foster family (always tries to return home with small gifts during the one on ones). The next FTM will be on February 17th, 2017. The

Mom stated that she is concern about Thomas behavior at home with his brother, mom stated that Thomas fight and argues with his brother all the time, being disrespectful to adult, not wanting to eat, which is causing him to lose weight, not being able to control his anger reacting to anger situation poorly and not being able to focus on given task. Mom stated that Thomas is take medication, which she could not remember at the time, however stated that she feels the medications are not improving Thomas ‘s behavior. Mom stated that Thomas gets very angry and aggressive in the home. Mom stated that she could not sent the boys to summer camp because she is afraid of their behavior with their peer and not following directive from adult figures. Mom stated, that Thomas did poorly in school however he is being promoted to the next grade. Mom stated that Thomas has an IEP in place at school. Mom stated, that Thomas was never