Trauma Case Study : Trauma Case

Jane is a nine year old girl who has been brought in to therapy by her mother for stealing, being destructive, lying, behaving aggressively toward her younger siblings, and acting cruelly to animals. Jane has also been acting clingy and affectionate toward strangers.

How can trauma on specific clients can be reduce by implementing example of this is the Alaska native (ACE) which is adverse childhood Experiences .This is inclusion program is for Trauma Informed services. The study consist of the relationship of Adverse Childhood Experiences to adult health (Hochman, 2017)

I. Theoretical and Research Basis for Treatment While working with Precious it has become clear that she has gone through a number of traumas as a child and up until her young adulthood. Precious, dealing with both sexual and physical abuse, has come a long way in wanting to seek treatment and actually wanting to move past her previous traumas. Relevant treatment choices for Precious would be Eye Movement Desensitization and Reprocessing (EMDR) Trauma focused cognitive behavior therapy Exposure therapy Cognitive Processing Therapy Integrative treatment of complex trauma for adolescents.

It will be important to conduct the trauma based assessment as early as possible. However, it is vital that a therapeutic rapport be established with the client before proceeding in asking questions regarding the trauma. It takes time for a traumatized individual to trust and be willing to disclose their experiences. When it is felt that the client is ready it is important to let the client know that they have the right to not answer questions. It is important to discuss why we are asking the questions and ensuring the client that we have their best interests in mind and can provide them with a safe and secure location to work through the trauma.

It is this writer’s belief that these babies should be cared for by another family member or child welfare agency until the mother can prove that she is responsible. This would be measured by the mother attending counseling sessions where she learns about the dangers of drug abuse and she would also undergo random drug testing to assure the child will be safe in her care.

Kwiatkowski et al (2014) informs us that when the infant is first born they are drowsy and lethargy, by the time they reach 1 they show signs of problems with speech, autism, and unlike strangers, by age of 4 their IQ is less than average, and by age 8 they seem to be more aggressive to their peers. These are significant problems that are due to problems within the operation of the brain and strongly corresponds with brain development consequences, as a result of prenatal exposure to meth. Since research is telling the public of these complications in the brain development of the fetus society is beginning to change their view and their thinking about the issue.

Maltreatment: CW informed clean of the allegations reported to DSS: Reporter alleged Olivia Patterson gave birth to a daughter, at her home 08/17/2017. Mom did not received any prenatal care. Olivia and her daughter tested urine screen tested positive for amphetamines and benzos. R/s mom stated she did not know she was pregnant until 2 weeks ago. R/s that mom has stated she has a history of meth and THC use. Mom and child were admitted to SRMC. Olivia has a 3 year old son.

On Wednesday, September 7, 2016 at about 1541 hours while represent at Brooklyn Special Victim Unit, located at 653 Grand Ave, Brooklyn, Sgt. Smolarsky, SVU and I interviewed Ms. Ryan-Mary Roberts. The following is a detail description of what transpired;

As you may recall, a new cumulative trauma claim was filed on behalf of the applicant, based on the deposition testimony given by the applicant on January 11, 2016. The new cumulative trauma claim alleges an injury to applicant’s head, eye, neck and shoulder spanning from June 1, 2007 through September 1, 2010. The cumulative trauma claim has been alleged against Butler Manufacturing, also known as Bluescope Steel North America. The case number for this claim is ADJ10645627. A denial letter was sent on November 14, 2016 by Sedgwick Claims Management Services, Inc., on behalf of Bluescope Steel North America.

Your introduction is very engaging and emphasizes the important role of communication after experiencing trauma. I believe your topic is very relatable because there is a sense of denial, seclusion, and dissociation that correlates with trauma and loss that many of us have experienced. Open communication within a family unit provides opportunities to express thoughts and feelings and develop appropriate coping strategies (Zambianchi & Bitti, 2014). In your intro you stated, "The impact childhood trauma has on our society and on children." As a suggestion, maybe you could expand on this statement or state specific impacts childhood trauma has on our society or on children. I love your examples of evidenced based interventions and how

Substance abuse is a prominent psychiatric disorder that continues to be one of the main complex issues impacting public health today (Hser, Lanza, Li, Kahn, Evans, & Schulte, 2013). Children affected by maternal substance misuse of are at high risk for a wide variety of negative outcomes including: emotional, developmental, social, cognitive, and behavioral issues as well as challenges in academic functioning (Stamler & Yiu, 2012). The main reason these children are at risk is because from conception to throughout their childhood, their environment has been compromised by an accumulation of social determinants of health. These may include poverty, low maternal education, instability of income, poor

The client name is Johnny. He is an eight-year-old, low SES African American male. He identified himself as Black. He lives with a seven-year-old stepbrother and mother in an independent home in inner city of Milwaukee. The client was referred to intensive outpatient unit by his mother due to suicidal / homicidal ideations (almost daily), impulsive / disruptive behaviors and mood instability both at home and school. Mother was also worried about his sexualized behaviors towards brother, cousin and peers. The client’s behavioral and emotional problems started at the age of four. He has multiple inpatient admissions over the past three years (Mom believes at least five admissions). The client had a multiple trauma history including sexual and

The Child Abuse Prevention and Treatment Act (CAPTA) was introduced in the 1970’s, but was reauthorized most recently in 2004. CAPTA’s main focus is on the prevention of maltreatment and neglect of youth. This act clearly defines maltreatment and neglect so that each state can authorize what sort of consequences should be placed on abusers. Although each state has their own laws against child maltreatment, CAPTA outlines what specifically counts as child abuse to ensure the safety of all children. In this policy, mothers who use drugs or alcohol are consider perpetrators and can be punished according to state laws if caught.

During the peak of the crack cocaine epidemic many states passed laws requiring medical professionals to report pregnant drug users to the relevant authorities. The foster care system became inundated with infants and children who were removed from the care of their mothers. Moreover, many mothers were prosecuted for child endangerment (Buck, 2017).

When I decided to take the trauma course, I was hesitant at first to take it. I did not know what to expect nor felt I would be prepare listen to stories about traumatic occurrences, despite of the number of years I have worked in the field of community mental health. Therefore, now that we are in week eight, I am delighted to have taken this course. The impression I had at first, has changed my insight concerning what is trauma, as for many years, I did not understand why a person in many instances, could not process their trauma. In a quote by Chang stated, “The greater the doubt, the greater the awakening; the smaller the doubt, the smaller the awakening. No doubt, no awakening” (Van Der Kolk, 2014, p. 22). The goes in congruence with my understanding on trauma and how it has changed during this course. As a result, I feel I am awakening when acquiring more about trauma.