Patty

Document Sample
Patty Powered By Docstoc
					Patty #1
BACKGROUND INFORMATION

Patty is a 13-year-old female who is currently in the 8th grade. She lives with her parents
and five siblings. Her mom is unemployed and her dad is a part-time truck driver. The
family receives Assistance for Dependent Children (ADC).

Just about three months ago, Patty was sexually molested by a friend of the family who
offered to drive her home from school and instead took her to his apartment. The incident
was not reported to the authorities, but was handled “between friends.” The man agreed
to leave town and never contact Patty or her family again. Patty felt very betrayed by the
friend and has shown contempt for all men, including her dad, since that time.

Patty entered counseling at that time and all of her siblings are also in counseling for
various reasons. Patty attends her counseling sessions. Patty uses her counseling sessions
to talk about the sexual abuse incident. She agrees it has affected her relationship with her
family but admits drinking on weekends. She likes her counselor and will call her
occasionally just to talk.

Her mother consistently attends her appointments despite the difficulty due to other
family issues and transportation problems. Mrs. X realizes Patty is heading down the
wrong path but is unable to control Patty’s actions anymore. Mrs. X indicates,
“I try to follow through on the counselor’s suggestions but I am losing control.”

HOME

Mrs. X reports that Patty does not shower daily and that her siblings accuse her of having
"greasy hair. "She refuses to do any chores. Patty is constantly fighting with and teasing
her siblings. Since she was molested, she has become very rebellious toward her dad. She
“hates men.” She is much more difficult to manage than other girls her age, and her
behavior is getting worse. Mrs. X has said repeatedly that nothing is working for Patty
and “I can’t control her anymore.” “She won’t listen to me.” “I’ve tried everything that
counselor suggested except locking her up in the house and that won’t work either.” Mrs.
X feels that if things don't change soon, Patty may not be able to stay in the house. Since
Patty refuses to obey rules, there is no way to control her activities. “She just does what
she wants” according to Mrs. X. Patty has run away from home overnight twice in the
last three months. One time the police picked her up the next evening in a nearby city.
She said that she was “just walking” and had nowhere in particular that she was headed.

SCHOOL

Patty is doing very well in school and is on the honor roll. Although she generally does
not have discipline problems, twice last month her teacher made her go to study hall for
detention for the rest of he day for talking back to her. Patty is able to keep up with her
homework assignments and is proud of her honor roll achievement. Her teachers however
have noticed her poor hygiene and have sent notes home.

COMMUNITY

Mrs. X is convinced Patty has shoplifted on more than one occasion within the past two
months. She has found jewelry and clothes hidden in her room several times and
confronted Patty about where they came from. Patty claimed that friends gave them to
her, although she refused to give their names. The only contact she has had with the
police was when she ran away. At the time, she was released with a warning about
curfew violations.

Patty does occasionally hang out at the local teen centered after school.

BEHAVIOR TOWARDS OTHERS

Mrs. X says that Patty is very impressionable and that she has lately begun to “hang
around with friends who are bad news.” She gets along well with others, outside of her
family. She is quarrelsome and argumentative at home and will start arguments for no
reasons.

MOODS AND EMOTIONS

Patty is always crabby at home. Since she was molested, she has been anxious and
worried most of the time the time, and more than Mrs. X feels she should. She does not
seem to enjoy the things that she used to and complains that nothing is fun anymore. Mrs.
X reports that she often sees Patty crying uncontrollably and believes that it is due to
Patty’s low self-esteem. She has worn only very dark colors for the last three months.
Patty has nightmares and has trouble going to sleep about 2-3 times per week since the
molestation occurred. She complains about being tired all the time.

SELF-HARMFUL BEHAVIOR

No indication of self-harmful behavior is evident.

SUBSTANCE ABUSE

Mrs. X thinks that Patty uses alcohol and drugs every weekend to be in the “in crowd”.
Over the last month, most of her friends have changed to being drug users. Patty says that
being with friends and partying on the weekends relaxes her and that she would never
allow herself “to get hooked”. Patty reports, “I just like that way it makes me feel and it
helps me forget about my problems.”

THINKING

No impairing thought disturbances were reported.
MATERIAL NEEDS

All material needs are satisfactorily met. Even though the family is poor, Mrs. X makes
the children’s clothes and manages with the household money.

FAMILY/SOCIAL SUPPORT

Mrs. X describes family life as “chaotic, we live in a zoo.” Every child is in counseling
and sometimes “I can’t keep track of who goes where.” “We are poor” and all of the kids
“hate each other,” and there is constant fighting in the house. “I know there are problems
with Patty that I can’t handle anymore.” Mrs. X feels that is very hard to know when
Patty comes and goes and that she cannot supervise her daughter anymore She feels that
since Patty blatantly refuses to obey the house rules, there is no way to control her
activities. Patty's dad yells at her a lot and hit her once, bruising her arm.
                   CAFAS SUMMARY SCORING SHEET
         CHILD AND ADOLESCENT FUNCTIONAL ASSESSMENT SCALE

Child ID:___Patty _#1 ________ Date Assessed:____/____/______ Service Start Date:
_____/____/______
Agency Case #:__________MaineCare #_______________ DOB: ___/____/_____ Gender ___M
___F
Child’s County Residence: _________________ BDS Region: ____ I ____II ____ III
Rater Name:____________________ Agency/Program Name:_____________________________
Rater ID#:______________________
                                               Services Program (check of the following)
CAFAS Administration:                                   MH Case Management _____
 ____ Baseline____ Entry into Service                   Children’s Behavioral Health
Services(65H) ____
 ____ Annual ____ Exit
 ____ Other ___________________


                            Scale Scores for Youth’s Functioning
                                     DIMENSION                                                       DIMENSION
                                                                                                       RATING
                                                                                                   Choose one rating option
                                                                                                    (30) (20) (10) (0)
 Role Performance
     School/Work
     Home
     Community

 Behavior Toward Others

 Moods/Self-harm
    Moods/Emotions
    Self-Harmful Behavior

 Substance Abuse

 Thinking
                                                                     Total for Youth


 Levels of Overall Dysfunction based on Youth’s Total Score
 8-Scale Summary               Description
 0-10                     Youth exhibits no noteworthy impairment
 20-40                    Youth likely can be treated on an outpatient basis, provided that risk behaviors are not present
 50-90                    Youth may need additional services beyond outpatient care
 100-130                   Youth likely needs care which is more intensive than outpatient and/or which includes multiple
                            sources of supportive care
 140 & higher             Youth likely needs intensive treatment, the form of which would be shaped by the presence of
                            risk factors and the resources available within the family and the community
 Rev. 8/14/03

				
DOCUMENT INFO
Shared By:
Tags: Patty
Stats:
views:68
posted:12/3/2009
language:English
pages:5
Description: Patty