SWK 64 5 : Field Practicum III

1. SWK 645: Field Practicum III Presenter: Jennifer D. Street, LCSW Class Meeting Week Eleven

2. Agenda • Welcome • Announcements • Case Study Presentations • Situation of the Week • In small and large group • Child Abuse and Neglect

3. Case Presentations This will be an informal oral presentation in class Think of it like a case staffing with your classmates as your agency colleagues Each student will get 15 minutes to present a brief case presentation per the outline provided. You will not have time to share everything, so hit the highlights. Email me your case presentation prior to class. Classmates will have 15 minutes to ask questions, discuss, and provide feedback

4. Case Presentation Outline Fake Case Name:(Jane or John Doe) Identifying data :(Age, gender, ethnicity, other relevant identifying info for clinical supervision) Reason for consultation: (Why are you presenting this client? What are you needing from the supervision? ) Presenting Issue:(Reason client came to the agency? Why now?) Relevant Background:(see next slide) Diagnosis: Axis I Axis II Axis III Axis IV Axis V   Process: (How did you do it?) Interventions Used & Purpose: (Which ones and why?) Outcome: (What has worked well, what has not?) Difficult Spots: Questions: Concerns: Next Steps: ( What will you do for next session?)

5. Relevant Background Relevant Background Data Includes: a.) Psychiatric data - inpatient/outpatient, suicidal/homicidal behavior, D & A, physical/sexual abuse, MH dx? b.) Medical data - medications, operations, hospitalizations, chronic medical illnesses, accidents, injuries, disabilities c.) Family data - psychiatric illnesses, D & A, suicide d.) Social data - home, occupation, financial, legal, marriage, children, smoking, caffeine, religion, leisure, military Development/childhood history - anything relevant to our assessment of this case? Foster care, adoption, parental abuse (physical, mental, emotional, sexual), parental substance abuse, abandonment Mental Status - general appearance & behavior, speech, mood, affect, thought processes, suicidal/homicidal ideation, memory, cognition, judgment, insight

6. Case Presentation Schedule Week 12: Kelly & Mandy Week 13: Tom & Brittney Week 14: Marsha & Melissa Week 15: Tony

7. Situation of the Week • Small group guidelines: • Briefly summarize your situation of the week for your partner • Ask for feedback • Reverse the process

8. Situation of the Week • Large Group Guidelines: • Choose an appropriate practice situation • Summarize it in 2-3 minutes (with attention to confidentiality) • Develop one question or comment you would like the class to respond to in discussion

9. Child Abuse & Neglect

10. Case Examples

11. Example 1 Honey Byrd (DOB 07/14/03) is a thin, once retained, speech and language impaired, second grade, multiracial child.  Honey, her mother, father, and 5-year-old brother (Slugger) reside at 1121 NW Angel Tree Lane, Apt 109, Miracle, FL 98765. Honey’s teacher, Mrs. Anderson, is in your office to discuss the concerns that she has with regard to Honey’s peer relationships or lack thereof. You are the social social worker. Mrs. Anderson reports that Honey was retained in the 1st grade and her scores indicate that she is in danger of failing again. The father will not allow Honey or her brother to participate in the after school-tutoring program on the school campus. Nor will he allow the services of the SES providers. Ms. Anderson has made several attempts to get the parents in for a conference. The mother is out of town again, (working) according to Honey. The father, a former military officer, told you at parent pick-up (two weeks ago) that he would be in the following Monday. He has not shown up nor has he returned any of your calls. When Mom is in town, she does return your messages and show concern as to the academic progress of Honey. It has been observed that Honey tends to seek the approval of all adults and does not play with any of the girls in her class. Students have asked Mrs. Anderson why Honey never eats. From time to time Honey will interact with the male students, but only if it involves some sort of physical challenge. The last time Honey challenged one of the boys to a race she fell and hurt her arm and legs. After going to the nurse, it was found that she had old bruises on the knuckles of both hands, as well as her legs. When asked how she got them, Honey replied: “My Dad, he has me boxing ‘cause I gotta get tough. He said I’m a Byrd girl and Byrd girls ain’t no punks.”  Honey then proceeds to mimic how she boxes and the “drills” that she and her brother do for an hour everyday.  Honey’s advice to you is that you should try the drills because they help her shape up. According to her, Dad says her weight is getting out of control and that’s why she doesn’t eat lunch some days. When questioned about the old bruises on her legs, Honey said she fell. Honey asked if she could go back to class, and asked that the nurse not call her dad. The nurse informed her that it is school policy to call home when a child has been hurt at school. It’s then that Honey informs you that she and her brother are not supposed to come in the office or talk about what goes on at home. Honey says, “What goes on in the Byrd house stays in the Byrd house.”

12. Example 2 Sunshine Garcia (DOB 05/04/97) is a 13-year-old Hispanic middle school student. Sunshine, her 3 younger sisters (Melba, Peaches, and Cream), and her mother reside at 101 N. Diversity Lane, in Happy Acres, Florida 00000. Ms. Garcia emigrated to the United States, but the children were all born in Florida. Sunshine recently confided in you that she has a boyfriend and she may be pregnant. As a result of this information, you made a referral was made to the Teen Parent Program in your area.  After interviewing Sunshine at school, you decide to make a home visit. Because Ms. Garcia speaks very little English, your school has arranged for Ms. Garcia to come to school today for a conference with the teen parent social worker and other support staff, including a Spanish translator. During the conference it is revealed that the father of Sunshine’s child is 23 years old and resides in the home with the family. He has a full time job and provides significant financial support to the family.  Ms. Garcia also works full time, but at a low paying job due to her lack of education and of English fluency. The mother is aware of the age of Sunshine’s boyfriend, but thinks that there is nothing wrong with the age difference. In fact, it appears that she has encouraged their relationship as a way of improving the family’s financial condition.  Ms. Garcia states that Sunshine’s boyfriend is a good man who loves the family and takes care of them.

13. Example 3 Bouncy Boy is a 16 year old black male, dob 9/30/04 who is in 10thgrade, although by academic credit he would still be considered a 9th grader. Bouncy’sparents emigrated from a Caribbean country where harsh physical discipline is considered the norm.  His father, Big Boy, left the family after his 8-year-old sister was born and returned to his native country.  There has been no further contact with him.  The family resides at 16 Amityville Ave., Horror, FL  00669. Bouncy reports that last year his mother, Dislikes Boy, bit him during an argument.  She was arrested after the police were called.  Bouncy reports that he’s been hit a lot since he was about 8 or 9 years old. At school, Bouncy has many friends of both sexes.  He has been assigned to Saturday School several times as a result of coming late to school and cutting a few classes.  Sometimes his socializing with peers has left him locked out of class after a period change. Bouncy has avoided getting caught up in fights, threats, or other antisocial, aggressive acts.  He likes to talk with the track coach (although he can’t compete due to a low grade point average), and he hangs out around the ROTC office. Today, Bouncy came to school and said that his mother will not allow him to return home.  The guidance counselor called the home, but the phone number is no longer in service.  He also called the mother’s place of employment, but she no longer works there.  There are no other emergency contacts. You are the social worker called in to assist in this matter.

14. Legal Criteria for Reports The Florida Abuse Hotline will accept a report on a child when: There is reasonable cause to suspect that a child (an unmarried person who is born, under the age of 18 and who has not been emancipated by order of the court); • is a Florida resident, and can be located in Florida, or is temporarily out of the state but expected to return; • has been harmed or is believed to be threatened with harm as defined by statute; by a parent, legal custodian, caregiver, or other person responsible for the child’s welfare. OR: • is not a Florida resident but can be located in Florida and has been harmed in Florida or is believed to be threatened with harm in Florida as defined by statute; • by a parent, legal custodian, caregiver, or other person responsible for the child's welfare. (Taken from 2013 DCF Guide to Mandated Reporting)

15. Making a report in Florida Everyone, includingprofessionallymandatoryreporters, shouldcontact the Florida AbuseHotlinewhentheyknow or havereasonable cause to suspectthat a child or a vulnerableadulthasbeenabused, abandoned, neglected, or exploited. The Florida AbuseHotlineCounselorwilldetermineif the information providedmeetslegalrequirements to accept a report for investigation. Thereare four ways to make a report: By Telephone 1­800­96ABUSE (1­800­962­2873) By Fax 1­800­914­0004By TDD 1­800­453­5145Web Reporting http://reportabuse.dcf.state.fl.us (Taken from 2013 DCF Guide to Mandated Reporting)

16. Information Needed Specific descriptions of the incident(s) or the circumstances contributing to the risk of harm are very important. This includes who was involved, what occurred, when and where it occurred, why it happened, the extent of any injuries sustained, and what the victim(s) said happened, and any other pertinent information. Callers should have the following information ready or should provide it in the fax or web report:   Name, date of birth (or approximate age), race, and gender, for all adults and children involved.   Addresses for all subjects, including current location.   Information regarding disabilities and/or limitations for vulnerable adult victims.   Relationship of the alleged perpetrator to the child or adult victim(s). Other relevant information that would expedite an investigation, such as directions to the victim (especially in rural areas) and potential risks to the investigator, should be given to the Florida Abuse Hotline Counselor. Do not delay in contacting the Florida Abuse Hotline even if you do not have all the necessary information. The Florida Abuse Hotline Counselor will make an assessment based on the available information, and will decide if it is sufficient to accept a report for investigation. (Taken from 2013 DCF Guide to Mandated Reporting)

17. In Class Activity There will be 3 groups. In your group you will be assigned one of the case studies we previously discussed. Assign role of counselor and hotline worker and practice making an abuse report for the child in your case study. What additional information would you want to gather before making a report? What would you initial plan be to help this child/family?

18. Questions?

19. For Next Week • Modules 1-11 • O’hare Chapters 2-4 & 14 • Next journal due • Prepare case study for class beginning week 12

20. Have a great week!