Get Answer: When Taking Practice Question Guide

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Original Question

When taking a practice or certification test on a child/youth version of a TCOM tool, we use a vignette assumption: when reading the story, we make an assumption that a full assessment has been done and that no mention of an item means “no evidence.” This is based on the standard quality assurance assumption that “if it was not documented, it doesn’t exist.” This translates to the following for rating purposes: If there is no evidence of a NEED, then the rating should be ‘0.’ If there is no evidence of a STRENGTH, then the rating should be ‘3.’ As an example, no mention of impulsive or out-of-control behavior would lead to a rating of ‘0’ for Impulsivity/Hyperactivity. No mention of any talents, hobbies or interests that the youth has would lead to a rating of ‘3’ for Talents and Interests. Another way to approach rating is to start the assessment with all ‘0’ ratings on the NEEDS items and all ‘3’ ratings on the STRENGTH items and then look for evidence in the vignette to adjust your scores up or down. In some tool versions, some items include an N/A (not applicable) option due to age or some other factor (for example, Oppositional Behavior is not relevant for a youth over the age of 18). Since you will not see an N/A option on this test, please automatically rate these items a ‘0’ if it is a NEED item and a ‘3’ if it is a STRENGTH item. Jorge is fourteen and self-identifies as a Latino male.  Six months ago, he ran away from his mother and stepfather to the home of his grandparents where he continues to live.  He left because his stepfather was verbally and physically abusive toward him and his mother, and he constantly worries about his stepfather killing his mother.  His mother denies any abuse, but when he arrived at his grandparents’ house, Jorge showed evidence of physical abuse (i.e., bruises on his face and a cut lip consistent with a punch to the face).  He has some contact with his mother, but not as much as he would like, because of his stepfather. His grandparents – especially his grandmother – also worry for their daughter’s safety and get anxious when she doesn’t answer their calls, but they do not let this take away their focus on caring for Jorge.  Jorge’s grandparents are caring, supportive and happy to have Jorge there. They take pride in their home which they have owned for over twenty years and maintain beautifully.  They report that Jorge is well-behaved at home and a great help to them at home and in the garden.  They say that Jorge is especially interested in gardening and helps the neighbors on either side of the house with their gardens.  The neighbors, who are also Latino, say that Jorge is pleasant to talk to when they are gardening, and he works hard. Jorge’s aunt lives with her parents to help them out, and she speaks highly of Jorge, saying he is a good boy, helpful and respectful. Spanish is spoken in the home, and while Jorge and his aunt are also fluent in English, his grandparents have a limited understanding of English. Cultural traditions are part of the family’s daily life. Until recently, Jorge was performing adequately in the 8th grade, but his grades have been steadily declining over the past eight months, and he is now failing all his classes.  In addition, he frequently skips class, so he doesn’t know about or understand assignments.  Because his grandparents don’t understand English well, Jorge’s aunt has met with his teachers and principal to discuss his decline in school achievement which they attribute to his anxiety around his mother’s welfare. Still, they have not been able to come up with a solution. Jorge spends most of his time with a close group of friends, some of whom are Latino.  Last week Jorge was found by the police drinking outside with his friends at 2 AM. He was not charged but his aunt had to come to the police station to collect him.  He admitted that he drank because of peer pressure. Several days after this, Jorge’s mother came to her parents’ house severely beaten.  She did not want them to call the police because she feared what her husband would do to her.  Her husband followed her into the home, heavily intoxicated.  He attacked Jorge, shouting “This is all your fault!”  Jorge ran into the kitchen and grabbed a knife with which he threatened his stepfather. The police arrived before the situation escalated and took both Jorge—who was still holding the knife—and his stepfather into custody. After speaking with all the witnesses, Jorge was released back into the custody of his grandparents with no charges filed but the stepfather was charged with assault and is awaiting trial. Stepfather has a history of being convicted and serving time for similar charges. Behavioral/Emotional Needs 0. No evidence of need. No action needed 1. Significant history or possible need that is not interfering with functioning. Watchful waiting/prevention/additional assessment 2. Need interferes with functioning. Action/intervention required 3. Need is dangerous or disabling. Immediate action/intensive action required 0 1 2 3 1. Depression 2. Anxiety 3. Atypical Behavior/Autism Spectrum 4. Attachment Difficulties 5. Impulsivity/Hyperactivity 6. Oppositional Behavior 7. Eating Disturbance 8. Psychosis (thought disturbance) 9. Mania 10. Attention/Concentration 11. Conduct 12. Anger Control 13. Substance Use

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