Paper Writing Services very small in stature, appearing to be only 8 years old. He also acts younger than s 12 years, carrying around toy
|related to cld abandonment could have affected ts family if they chose to relinquish custody to the Department of Family and Cldren Services (DFCS). 8. How would you advocate for social change to positively affect ts case? Advocacy witn the school system for early identification and testing of cldren like Chase would be helpful. 9. Were there any|
Choose one of the three Case Studies focusing on a family in crisis. Each member of the family has unique issues that you must address. You must also determine the primary problems (ts may include diagnostic impressions but not formal diagnoses), intervention, prevention, and education required to assist the family. In your project, do the following: Reflect on your journal entries throughout the course and consider what you may have learned about yourself as a future clinician working with cldren, adolescents, and families. Explain any areas of strength you have identified by completing ts course that will assist you in working with cldren, adolescents, and families. Working With Cldren and Adolescents: The Case of Chase Chase is a 12-year-old male who was brought in for services by s adoptive mother. He is very small in stature, appearing to be only 8 years old. He also acts younger than s 12 years, carrying around toy cars in s pockets, wch he proudly displays and talks about in detail. Chase was adopted at age 3 ½ from an orphanage in Russia. The adoptive parents are upper middle class and have three biological cldren (ages 9, 7, and 5). Chase is reported to often get upset with s siblings and t or kick them. s mother stated that Chase has always had issues with jealousy, and when her other cldren were younger, she had to closely monitor m when he was around them. She reported several occasions when she found Chase attempting to suffocate each of s younger siblings when they were babies. The mother stated that Chase came to the United States without knowing any English. She knows very little about s family of origin other than that he lived with s biological parents until age 2 and then lived in the orphanage until he was adopted. She reported that the plane ride from Russia was horrible and that Chase cried the entire flight and refused to sleep for the first 2 days they had m. The mother reported that Chase often des food in s room and gorges mself when he eats. She does not understand ts behavior because he always has enough food, and she never restricts s eating. In fact, because of s small size and weight, she often encourages m to eat more. She also reported that Chase hates any type of transition and will get upset and have temper tantrums if she does not prepare m for any changes in plans. He is reported to kick and t both parents, and they have had to restrain m at times to stop m from hurting mself and others. The parents have never sought help before, but recently the school has been complaining Working With Cldren and Adolescents: The Case of Chase / Page 2 of 4 © 2016 Laureate Education, Inc. of s inability to focus and increasing disruptive behaviors. s teachers report that he -struggles with school, has no friends, and often has “meltdowns” when he does not get s way. Prior to our meeting, Chase had never had any testing for special education nor had he ever received any counseling services. During intake, I met briefly with Chase alone. He appeared anxious, had pressured speech and facial tics, and was unable to keep s legs still. He chose to play a board game during our time in the session and talked in detail about World War II and each of the boats in the game. When asked how he knew all about warsps, he stated that he often watched television documentaries on the subject. Plan: Initially Chase’s parents were unsure what to do about their son’s behaviors. s mother was the primary caretaker and s father thought she should handle any therapy or problems related to school. s mother reported that she was “at the end of her rope” and was ready to give her son up to foster care. She shared her frustration with her husband who “just did not understand how hard it was.” It was concerning that Chase had never received any services prior to our meeting and that the school had not properly referred m for testing to address s behaviors and s academic struggles. Both parents were asked to come in for sessions together to work as a united front in addressing Chase’s behaviors and to be supportive of each other. The parents were taught behavior modification, and they were successful in establisng a reward system that motivated Chase to follow the rules in the home. In addition, the parents were provided with psychoeducation regarding autism spectrum disorders, including how to parent a cld with these symptoms and how to advocate for Chase in the school system. The school complied with the Working With Cldren and Adolescents: The Case of Chase / Page 3 of 4 © 2016 Laureate Education, Inc. parents’ request for testing, and Chase was found to meet criteria for special education, and an individual education plan (IEP) was established. In addition, a referral was made to psycatry, and medication was prescribed to help Chase with s outbursts, s tics, and with focus wle at school. Lastly, Chase was offered a socialization group with other cldren on the autism spectrum, and he developed better skills in making friends and eye contact and self-sootng and calming mself to avoid tantrums. Reflection Questions The social worker in ts case answered these additional questions as follows. 1. What specific intervention strategies (skills, knowledge, etc.) did you use to address ts client situation? Chase obviously had major developmental issues and issues related to socialization. Both parents were unaware of their rights and how to advocate for their son. In addition, the father was very traditional and thought that s wife was responsible for taking care of the cldren and that he did not need to be involved in parenting. It was necessary to get the father involved and for both parents to act as a unit. In addition, neither parent had demanded help for their son witn the school system and they needed to be educated about their son’s educational rights and how to get s needs met. 2. Wch theory or theories did you use to guide your practice? Theories used in working with Chase included structural family therapy, behavior modification, parenting, case management, and psychoeducation. The use of these interventions was very successful in getting Chase diagnosed and receiving needed services in the educational system. 3. What were the identified strengths of the client(s)? Chase was very bright and had a very loving family and two parents who were motivated to make parenting changes to keep Chase in their home. 4. What were the identified challenges faced by the client(s)? The most serious challenge for Chase was that he went undiagnosed for autism spectrum disorder (ASD) until he was seen by me at age 12. Early intervention may have been useful to help mediate s social challenges as well as s educational challenges. Working With Cldren and Adolescents: The Case of Chase / Page 4 of 4 © 2016 Laureate Education, Inc. 5. What were the agreed-upon goals to be met to address the concern? Identified goals included the reduction of tantrums, an increased response to parents’ requests witn three prompts, and an increase in age-appropriate socialization. 6. Did you have to address any issues around cultural competence? Did you have to learn about ts population/group prior to beginning your work with ts client system? If so, what type of research did you do to prepare? Chase was adopted from Russia, so research was done to understand challenges for cldren who were adopted from an orphanage as well as what type of support ts family may receive from outside agencies to maintain placement. In addition, research was done to determine what option they had for relinquishment if the parents decided they could not continue to raise Chase. 7. What local, state, or federal policies could (or did) affect ts case? Chase had an international adoption but it was filed witn a specific state, wch allowed m and s family to receive services so he could remain with s adopted family. In addition, state laws related to education affected Chase and aided s parents in requesting testing and special education services. Lastly, state laws related to cld abandonment could have affected ts family if they chose to relinquish custody to the Department of Family and Cldren Services (DFCS). 8. How would you advocate for social change to positively affect ts case? Advocacy witn the school system for early identification and testing of cldren like Chase would be helpful. 9. Were there any legal or etcal issues present in the case? If so, what were they and how were they addressed? There was a possibility of legal/etcal issues related to the family’s frustration with Chase. If s parents had resorted to physical abuse, a CPS report would need to be filed. In addition, with a possible relinquishment of Chase, DFCS could decide to look at the cldren still in the home (Chase’s adopted siblings) and consider removing them as well. Adapted from:
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