ChildhoodDisorderVignettes-ChildhoodCaseStudyPaper xChildhoodInterventionsCaseStudySample1 x
CHILDHOOD INTERVENTIONS CASE STUDY
Childhood Interventions Vignettes – Paper
If you do not have a particular child in mind to do your paper, you can choose one of the vignettes below and write the paper around the vignette. You will likely need to embellish and add to the vignette for the purposes of this paper.
Vignette #1 – Josh
Jose is a 7 year old Latino boy who is in the first grade. He lives with his mother, his step-father, his older brother (age 10) and his baby sister (10 months old). Jose sees his bio father on weekends and is not very close to his step-father who has only been in his life for 1 ½ years. Jose struggles at school and has a really hard time paying attention in class. His teacher calls his mother at frequently at
home
to tell her that Jose is constantly jumping out of his seat, interrupting the teacher and other kids and “is constantly on the go”. He also has a hard time paying attention and when he’s supposed to be working in class, he is either out of his seat or looking out the window. Jose’s mother tells you that he has struggled with school since pre-school and that she is worried about him. He struggles with his letters and when his mother tries to do flashcards with him at home, he becomes distracted really easily and just wants to play video games. His mother gets very angry with Jose when he doesn’t pay attention and in your session with her alone, she stated “maybe Jose is just a lazy, bad kid”. You are a mental health clinician placed at his school and he is referred to you for counseling to try to help him in school. His mother noted that she has a hard time getting Jose to focus at home as well and he often loses his schoolwork and other belongings. He is really struggling at school and at home. Jose’s step-father works long hours and they do not spend a lot of time together, so his mother is the primary parent. His biological father has a new wife and step-children, so he is busy in his new life. Jose has a few friends who he plays with at school, who are “rough and tumble” boys like he is. He is very well coordinated and loves playing soccer. Jose appears to have a close relationship with his mother, his brother and his sister. He loves to play with his sister and teach her new tasks, although his mother has to supervise him closely as he sometimes is way too rough with her. Jose was cooperative when you met with him and he loves to draw pictures of his family playing soccer.
Vignette #2 – Lucy
Lucy is a 13 year old African American teenager who was brought in by her mother. She has been struggling with sadness, mood swings and temper tantrums for at least 1 ½ years, according to her mother. Lucy reportedly will have lengthy verbal outbursts and temper tantrums whenever her mother tells her to do her homework or chores and she is angry and irritable most of the time. She is able to sleep most nights and has no reported episodes of heightened energy and inability to sleep. Lucy struggles with friendships as she becomes irritated with her friends very easily. Until about 1 ½ years ago when her symptoms intensified, she always had a small group of friends. She gets along fine with her teachers and is a smart girl who does pretty well in school. Her teacher has commented to her parents, however, that Lucy seems “irritable and down” a good part of the time. Lucy has a younger sister, age 7, who she is close to and she is close to her grandmother, who lives with the family. She and her grandmother enjoy playing cards together. Her grandmother is struggling with cancer, and Lucy has been worried about her. Her father works two jobs and is gone much of the time, so Lucy’s mother is the primary parent. Lucy’s father struggled as a teen and has had some depression as an adult. Lucy has always been a sensitive child who can be moody and depressed at times, according to her mother. Her irritability and tantruming, however, have intensified over the past year. Lucy appeared with a flat affect when you met with her and she rolled her eyes and argued with her mother at times. When you asked her to
complete
the Beck Depression Inventory, she scored Moderate in the scoring section. Lucy wants to be a reporter as she loves to write and is a good writer. Her mother noted that she is really worried about her. Lucy participates in a church youth group; however, lately she has gotten irritated and frustrated with several group members so she has not gone lately.
Vignette #3 – Brian
Brian and his parents came into your clinic. He is 13 and is in the seventh grade and does not have any friends. He has a history (five years) of becoming agitated and angry with his family members when he is asked to do any household chores or his homework. He challenges everything he is asked to do, including getting up in the morning and preparing for school. He is isolated and often is grounded at home because he refuses to do what is expected of him. He is not doing well in school, because his interactions with peers and teachers are mostly negative and contrary. He often starts arguments with his peers. He does not complete his schoolwork during class and often tears up assignments or throws them in the trash rather than handing them to the teacher. Because of his lack of progress in school, he was placed in a behavior adjustment class and labeled as emotionally disturbed. In the class, he often blames others for his misbehaviors and refuses to take responsibility for any of his actions. He becomes angry quickly when he is asked to comply with rules. Brian has always been very artistic and he likes to draw. He also is very mechanical and used to like to build things with his father. Brian has an uncle with whom he is close, who lives across the street from his family. Brian’s parents are very frustrated and often feel like nothing they do works to help their son. They admitted that they sometimes get so frustrated that they give in to Brian and let him have his way, just to avoid a fight.
Vignette #4 – Alex
Alex is 6 years old and was brought in to the mental health center by his adoptive parents. Alex was physically and emotionally abused by his birth parents at a young age until he was removed from their care at the age of 3. They both had a history of drug abuse and often left Alex alone for long periods of time. He was placed in foster placement with his adoptive parents and they eventually adopted him. They love Alex very much and are seeking counseling to help him with his overall functioning. Alex presented as unaffectionate with his parents in the session. His parents noted that Alex is often overly friendly and with strangers. However, at home he can be kind of withdrawn and unaffectionate when his parents reach out to him. His parents noted that Alex rarely seeks affection and when they reach out to him, he sometimes stiffens up. When he falls down or hurts himself, he rarely seeks comfort from his parents, which often concerns them. They noted their concern that sometimes Alex seems withdrawn and sad. They have taken classes and read books on adoption and are concerned and want to help Alex. He is a smart boy who does fairly well in school. He really likes music and his parents both play instruments so music is part of their home life. He also likes to color and draw. His teacher noted that he is often disengaged with the other children at school and will simply observe what they are doing rather than participate. His parents noted that whenever there is a change in their schedule, he becomes very anxious and has difficulty with transitions. Alex is also very uneasy and withdrawn when his adoptive father goes out of town on business. He has a friend who lives across the street, with whom he likes to play. His parents obviously love him very much and are very open to any suggestions to help their son.
Childhood Interventions Case Study (Title page to be included as well)
Demographic Information (Use headings from the outline)
For this case study paper, I interviewed John Doe, who is twelve years old. John participates in an afterschool program, which I work at. He is Asian American, lives with his biological mother and father, and is the eldest of three children. His younger siblings are six and two. John and his family live in Lynwood, California in a home in which they rent. He is in the sixth grade at ABC Elementary School and John is in the special education program, due to his disability. John and his mother agreed to participate in this case study, and I am hopeful that it will be helpful to them.
Presenting Problem/Impairment of Functioning Use headings on the outline
Indent every paragraph John is in the special education class at school due to the fact that he was diagnosed with Attention Deficit Hyperactivity Disorder (ADHD) at the age of eight. Continue on with prompts
Childhood Interventions Case Study
Use this rubric and outline to write a 4-6 page paper on a child with a mental health diagnosis. You can select a child through your internship, work or you can choose a child from a film (please specify) or from the vignettes posted. Follow the outline detailed below and incorporate what you have learned in class. In order to get the full points for each section, you must include all of the info requested and be thorough and coherent in your writing. Include at least 3 citations of research supporting your chosen intervention. Indent all paragraphs and spell check carefully. Use the same name throughout the paper and do not include child’s actual name (to respect confidentiality). Use APA style throughout paper.
20 Points total
.
Title Page
(APA style)
(1 point)
Demographic Information
– (2 points)
· Give a brief description of gender and age of child, living situation, family members, where child lives and goes to school, grade in school, and any other pertinent info.
Presenting Problems, Impairment of Functioning
– (3 points)
· Explain the presenting problems and symptoms of the child.
· What brought child to treatment, who brought child in, and how are symptoms a problem for child?
· How do symptoms impact child’s functioning in different life domains (home, school, relationships, developmental stage, etc.)?
Diagnosis and Criteria – What is the child’s diagnosis
? (4 points)
· If you do not know the actual diagnosis, how would you diagnose the child, based on the child’s symptoms?
· Use the DSM V criteria for the diagnosis and carefully detail why you believe this is the appropriate diagnosis.
· If you are not sure, what two diagnoses would you select to further assess for child?
· Who would you talk with to complete your assessment and determine the diagnosis? (For ex: parents, teachers, child, grandparents, social worker, etc.).
Strengths of Child (2 points)
· What are the child’s personal/individual strengths as well as environmental strengths?
· What are some of the child’s healthy coping skills and resilience factors?
Treatment/Intervention of Choice
(4 points)
· Is the child already in treatment? If so, what type and where, how long, was it effective?
· What intervention(s) would you choose for the child with this diagnosis?
· Why do you think this intervention would be helpful?
· What are some of the potential challenges and how would you overcome them?
· Who else would you possibly include in the treatment and why?
Reference Page
(1 point)
Technical (3 points)
· Spelling, grammar, sentence structure, punctuation.
· Followed directions.
· Thoughtfully written.
