Physical Abuse Case Summary

This was a child abuse case where a Dodge County father and the live-in girlfriend he

Abuse is behaviour towards a person which deliberately or unintentionally causes harm to them. It is a violation of an individual’s human and civil rights and in the worst cases can result in death.

Child abuse is when a parent or caregiver, through action or failure to act, causes injury, death, emotional harm or risk of serious harm to a child. According to The Federal Child Abuse Prevention and Treatment Act, as amended by the CAPTA Reauthorization Act of 2010, at a minimum, child abuse and neglect is defined as, "Any recent act or failure to act on the part of a parent or caretaker which results in death, serious physical or emotional harm, sexual abuse or exploitation"; or "An act or failure to act which presents an imminent risk of serious harm (Children 's Bureau, 2010)." The law recognizes a child as being any person who is under the age of 18. The law is broken into 2 sections, and each section treats the idea of child maltreatment in different ways. Criminally, those who abuse children are able to be arrested and prosecuted in court. Civil statutes say that people who suspect a child of being abused are mandated to identify and report it.

When in a health and social care environment the service providers need to make sure service that the users, using the service are being treated in the right way. If this is not ensured it could result to the service users being abused, treated differently due to vulnerability. Other reasons that may result to poor treatment are: different social classes, different social statuses and many more, this may vary depending on the situation.

Ms. Webster is a 28 year old female who presented to the ED via LEO under IVC by her mother for suicidal ideation and alcohol dependence. Ms. Webster denies allegations to nursing staff. Per documentation she appears intoxicated. Per documentation Ms. Webster states, "Going through withdrawals". Before assessment this clinician spoke with nursing staff about Ms. Webster, they reports she has been asking for Ativan since she has been placed in her room. They reports she informed them that she had not consumed any alcohol today. At the time of the assessment Ms. Webster is found sitting upright in her room. Ms. Webster reports she had a plan to hang herself. She states, " you know I have to say that to get into detox." Ms. Webster reports alcohol abuse as primary stressor contributing to her distress. She denies depressive symptoms. Ms. Webster states,

The safety and security of many children across the world are in danger due to physical abuse. Child abuse has been linked to an assortment of changes in the brain which result in psychological, behavioral, and academic problems. While it is unclear whether the population that had been maltreated as children is accurate, physical maltreatment in the first 5 years of life places a child at risk for a variety of psychological and behavioral problems during adolescence. The following three literature reviews attempts to prove and support the premise.

On October 25, 2016, Maritza Contreras (Mother) reported suspicious looking bruises on her daughter Rayna Interiano-Gomez a second grader at Cora Kelly School. Reyna had spent the weekend with her father and the mother reported conflicting with the father as to the way he disciplines their daughter.

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Mrs. Passmore is a 31 year old female who presented to the ED via LEO attempting to harm herself. Per documentation Mrs. Passmore reports someone taking her Klonopin several days ago and has not been able to take it. Today she allegedly tried to cut her wrist. She denies suicidal ideation, homicidal ideation, and symptoms of psychosis to nursing staff. At the time of the assessment Mrs. Passmore reports a mental health history of bipolar, anxiety, and depression. Mrs. Passmore noted she has only been hospitalized when she was 15 year old for behavior issues. She denies having a history of self harm or suicidal attempts. Mrs. Passmore reports recently she has been going through a lot. She reports her father died 3 weeks ago, financial issues,

Patient is a 53-year-old female who presented to the ED after a attempt to commit suicide by cutting both her wrist. Patient stated: "I don't care about my life, I can die and it would not matter to me." Patient becomes tearful and expresses when she was cutting her wrist she didn't die. LEO brought patient into the ED from DayMark recovery services under IVC. At the time of assessment, patient endorses feeling suicidal with a plan. Patient reports health, conflict with neighbors, and financial issues as the primary factors contributing to her current distress. Patient reports having a history of suicide attempts by overdose, the last being "years ago". Patient reports no hospitalizations from incidents. Patient reports a history of domestic

Mr. Allison is a 26 year of male who presented to the ED via LEO reporting feeling depressed and suicidal ideation without a plan. Mr. Allison reported to nursing staff relational conflict with a female he started to see after his wife and he separated. At the time of the assessment Mr. Allison presents calm and cooperative. According to Mr. Allison 5 months ago his wife and he separated after a 7 year long relationship and 2 daughter. Mr. Allison reports for the past two months seeing another female who he has become involved with. Mr. Allison reports this new female told him a few weeks ago she cheated on him. Mr. Allison noted this female has issues with alcohol. He reported being a supportive person in her life, which has caused additional stressors in his life. He expressed feelings of depression. Mr. Allison describe feelings as feelings of hopelessness, worthlessness, tearfulness, sadness, isolation, increased sleep and fatigue. Mr. Allison reports relational issues, family conflict, legal issues, recent anxiety attacks and substance abuse as stressors contributing to his distress. He reports no history of self harm, no hospitalization for mental health, a strong support system (referring to his father, mother, and wife). Mr. Allison was seen on 10/08/16 and 10/09/16 for anxiety attacks, however was discharged. On 10/9/16 he mentioned issues with his recent female friend and reports he felt better over his situation and want to go home. No mention of suicidal ideation

Leo is a 14-year-old Hispanic/African American male. Leo has witnessed Intimate Partner Violence between his parents and illegal Substance Use. His biological mother is Schizophrenic and has been a child of the system herself. She was taken out of the home and grew up in foster care. His father witnessed domestic violence in the home and has been a part of the probation system. Leo has three siblings, one of which lives with him. His mother has a one year old that still lives with her.

There were several criminal domestic violence cases held in Rockville District Court of Maryland (courtroom 411) on October 21th, 2016 with Judge Zuberi B. Williams. Defendant Lainez-Gorosito, Bryant S was charged second degree of assault that he beat his girlfriend in Gaithersburg by the State (case number: 0D00350791). The case was postponed to December 23th, 2016 as continuous trial. Cross-claim of defendant Malonely, Jenny N was charged second degree of assault to her husband Chaudhary, Arjun by the State (case number 6D00357454). She was not guilty to the charge and the case was closed by judgment of acquittal with spouse invoked marital privilege after oath. Defendant Chaudhary, Arjun was charged second degree of assault to his wife Malonely,

Patient is a 46 year old female who presented to the ED via EMS due to overdose on Benadryl. Patient reports financial issues with supporting her daughter going to college. Patient reports depressive symptoms of fatigue,worthlessness, hopelessness, tearfulness,irritable, and anhedonia. At the time of assessment, patient denies feeling suicidal or having a plan. While patient currently denies suicidal ideation and plan, review of the patient's medical documentation does not support that. When confronted about admitting being suicidal and having a plan, the patient presented guarded and later reports she felt like harming herself during overdose due to financial situation.The patient reports she does not want to let any of her daughters down.