Please see the attached case study and related discussion question
Before and After: The Case for Primary and Secondary Prevention
Jimmie 15, from what one would call a typical family. His parents worked,
owned a smallish but well-tended home, did their best with three children, and
participated in their children’s lives as much as they were able. Jimmie, as the
oldest, was responsible for managing his younger sisters after school until his
parents came home. His chores included getting them snacks, playing with them
or helping them with homework, and keeping them “within sight.”
Jimmie, now 16, began to resent the responsibility, believing he was missing out
on being with his friends. Their texts and Facebook posts were ever-present
reminders of being left out.
Rebelling, Jimmie began to self-medicate; it eased the pain and resentment. His
slow decline was missed by his working parents. They didn’t notice the change in
friends and Jimmie went from argumentative to listless, which they mistook as
acquiescence, until the accident.
Driving a friend’s car, leaving the sisters at home unattended, high on something a
friend said was great, Jimmie went off the road. Damage to the car and to a
neighbor’s property was moderate; no one was hurt beyond a few bumps and
bruises. Jimmie and his friends were arrested. Jimmie was charged with driving
without a license, driving while intoxicated, reckless driving, and possession of drugs.
The parents, running a gamut of emotions, were referred to the town’s community
youth services where they could meet with a social worker as well as with a police
officer prior to court. They were offered a one-time diversion because this was
Jimmie’s first offense.
Diversion, if followed, would keep Jimmie out of court, away from drugs, and leave
him with a clean record.
The social worker and police officer, versed in prevention for at-risk youth,
discussed the following questions with Jimmie, his sisters, and his parents:
· What risk factors, in retrospect and for future consideration (thinking of the
sisters), could be addressed through primary prevention? How could the
family’s environment be employed to prevent a recurrence?
· What responsibilities might Jimmie assume as secondary prevention to
restore his standing in the community?
Several meetings later, Jimmie went before the diversion board to outline with his
family, the social worker, and police officer the plan for primary and secondary
prevention. This was a contract signed by all.
One year later, Jimmie, now 17, and his family had fulfilled the contract. Jimmie’s
case was released without prosecution.
Discuss the following questions:
1. What risk factors, in retrospect and for future consideration (thinking of the sisters), could be addressed through primary prevention? How could the family’s environment be employed to prevent a recurrence?
2. In your response posts, discuss what responsibilities Jimmie might assume as secondary prevention to restore his standing in the community.
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