Personal Boundaries: A Case Study

Since the initial report, there have been numerous reports and many more reports that were screened out before reaching the agency. On January 30, 2012 there was an unsubstantiated report related to the open case. December 1, 2014 was an unsubstantiated report. Following that report, on December 26, 2014, all the children were ordered by a judge to be returned home, against the recommendations of the DCPS. The judge stated they knew the parents were good parents and were trying their best. After that court order, the judge from Youth Court removed DCPS from all dealings with the family unless another case was opened. On April 7, 2015, a report was called in through the Child Abuse Hotline. It was substantiated by a social worker. The report, called in the by school nurse, stated that Scott’s ketones in his urine were very high on April 5th, she reminded the parents that he needed to be taken to the doctor or to the Emergency Room. Chris said he would take him immediately. On April 6th, Scott’s blood glucose levels registered as “high” on his meter indicated that it was over 600. A level this high could mean coma or death. The nurse again stressed the importance of taking Scott to the doctor. On April 7th, Scott still had not been taking to a doctor and his ketones were still elevated and his blood glucose levels still remained high even after insulin injections and fluids. She made the report for medical

A, B) MSTT met with the caregiver to examine how she plans to increase the supervision and monitoring of the youth while out in public. Caregiver expressed while the youth is at home she is going to speak with her mother and his aunt to help while she's at work. MSTT encouraged caregiver to reach out to the school and ask them if they would be able to supervise and monitor him. Caregiver contacted the school and is waiting to hear a response. MSTT will continue to work with the caregiver in increasing the supervision

Focus: Santonias and family will learn and develop firm, consistent limits and maintain appropriate boundaries. Ms. Smalls (MHP) and Ms. Givens (MHS) discuss Santonias reported incidents in school and home.

Intervention: Ms. Smalls (MHP), Santonias and Ms. Givens (MHS) discussed Santonias complying with the rules of the home. MHP and Santonias had a discussing about his NFL football team as a way to build rapport. MHP requests feedback on possible goals from Santonias and MHS for Individual Plan of Care. MHP, Santonias and MHS discuss and process an incident that happened at the school’s gym.

Focus: Santonias and family will learn and develop firm, consistent limits and maintain appropriate boundaries. Ms. Smalls (MHP), Santonias and Ms. Givens (MHS) debrief recent incidents in the home and community.

Action: MHP and MHS discuss Donovan’s behaviors in the home and community. MHP and MHS review monthly paperwork that is needs to be submitted. MHS and MHP complete a walk-through of Donovan’s bedroom and play room. MHP and MHP discuss upcoming medical appointments. MHP email Ms. Greene at the MUSC Foster Care Support Clinic to assist MHS with verifying upcoming medical appointments. MHP and MHS discuss MHS contact with Donovan’s DSS worker.

8. Selenna has displayed disrespect, manipulating and defiant behaviors in the home. MHS report Selenna, refuses to talk about her past traumas to start the healing process.

personal communication). The child in the Gann’s care was in six different homes in the year leading up to placement with them and it was the result of physical abuse; one removal was the result of physical abuse by the caretaker’s adult son. The agency needs to do more thorough background checks on anybody who will be in frequent contact with the child in everyday life to strive for more stability, so that the child does not endure multiple placements in such short amount of time.

UCM: CPSW received a call from Ms. Messerli reporting that she needs the lock number for her storage from foster provider family. She also stated that she needs the boy's cell phone back. CPSW reminded Ms. Messerli that this writer will ask the foster provider about the phone and storage numbers. CPSW reminded Ms. Messerli to focus on her recovery and not to disrupt her children as well as the foster provider and if she needs anyting to let the CPSW aware of it. Also, CPSW reminded Ms. Messerli not to contact or call both children until the theripist approves it. Ms. Messerli stated that she will try. Howerver, Ms Messerli sounded unhappy and really upset about not contacting her children Nick and Alexander.

Intervention: MHP and MHS discuss Santonias getting into a physical altercation with a peer that started on the school bus or school grounds. MHP encourage MHS to gather more details about the incident. MHP and MHS discuss providing Santonias encouragement to use coping skills and positive reinforcement.

RCG Rose Campos reports no health problems. Ms. Campos also reported that she has had no problems with Elijah at home. However, I am concerned that Elija is not safe in his present home with, the maternal grandmother due to Austin’s behavior. Ms. Campos reports no physical harm to Elijah by Austin, but Elijah has witnessed Austin’s violent and abusive behavior to Ms. Campos. I am concerned about Austin’s exposure to this violent and abusive behavior to his grandmother.

Action: MHP introduced herself to Drayton. MHP and MHS discuss Drayton’s needs and scheduling a medical appointment at the MUSC Foster Care Clinic. MHP and MHS complete intake paperwork. MHS explain having the remainder of the paperwork to sign on Friday. MHP interacted with Drayton. Drayton had a limited use of words display frustration by walking away or throwing things across the room. MHS provide MHP the DSS worker information that dropped off Drayton to the home. MHP and MHS could reach the DSS worker to ask questions about the outcome of court.

Intervention: MHP provides Ms. Smith with a DSS update on Samantha’s adoption process. MHP and MHS discuss the adoption process and how this could trigger Samantha’s display of verbal and physical aggression in the home.

Action: CSP spoke to the youth about being discharged for not complying with the home rules. The youth expressed he did not want to go because he enjoys the area. MHS explained to the youth that doing drugs in the home, and lying about giving his family her address are safety issues. CSP encouraged the youth to do his best at his next placement.

God calls us to be good stewards, however, God also says we should have clear boundaries, because without clear boundaries we can not be good stewards. I believed I was being a good steward by putting other peoples' needs and problems before my own. Furthermore, I often took responsibility for other peoples' happiness. According to Townsend (1996), in order to have clear boundaries, we need to know what is our responsibility and what isn’t. During the process group experience I realized that I am not responsible for the happiness of others.