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Rate Eileen’s biological mother in the Caregiver Domain. Eileen is a four-year-old girl living with a foster family. About a month ago, police were called to the home when Eileen and her two-year-old brother James were seen wandering outside at 2am. They found that the mother was not home at the time, and it was unclear when she had last been home to check on Eileen and James. The children were placed in state custody. Since that time, Family Services has arranged parent-child contact at the office with the children and their mother. Eileen did not have a prior relationship with her father, and the team is trying to reach him. During visits, Eileen’s mother appears attentive, knowledgeable about child development, and very nurturing. Eileen and her brother are excited to see her each day but struggle significantly when it is time to say goodbye. Eileen is very dysregulated, often still crying, when she is brought to childcare. The teachers at childcare report Eileen’s behavior has become very concerning since she was placed in custody, and they say it takes most of the day to regulate her. Eileen reacts negatively to transitions during the day, often displaying tantrum behavior including crying, screaming, not listening, refusing to follow directions, and hitting the teachers or her peers when upset. Recently, she broke a teacher’s pair of glasses. The childcare staff has reported concerns to the foster family, and while they feel the separation from her mother has been traumatic, have warned that Eileen will have to leave their program in two weeks if she can’t regulate her emotions and continues to be aggressive toward staff. The foster parents are worried about childcare ending and having to find alternative care for Eileen. When she doesn’t have visits with her mother, she exhibits boundless energy and is often running around the home, making it difficult to adapt to a daily routine. They have discovered she really enjoys going for walks in the woods near their house and this helps to burn off some of that excess energy. Foster parents noticed that Eileen has difficulty using her hands to grasp and hold objects and she needs help to dress herself when her clothes have buttons or zippers. Since the case was opened, Eileen’s mother has been open to receiving services to help her reunify with the children. She has acknowledged that a drinking problem started one year ago following a sexual assault, and she has just begun substance treatment to address her addiction and trauma. She recognizes that her substance use and mental health are negatively impacting her parenting and knows that young children cannot be left alone, but drinking caused her to make bad decisions. At the time, she had no one else to watch the children, and she still doesn’t. Eileen’s maternal grandparents have expressed some interest in playing a bigger role in Eileen’s life. They had lost contact after an argument with Eileen’s mom but are hoping to mend the rift and develop relationships with the children. Eileen’s mother shared that she experienced a typical and healthy pregnancy, but that there were complications during Eileen’s birth that led both her and Eileen to spend additional weeks in the hospital. She reports that she also experienced postpartum depression following Eileen’s birth. Eileen met developmental milestones as expected and has had all her well-child visits with her pediatrician. She is not currently receiving treatment for her developmental or behavioral health needs. Child Strengths 0. Centerpiece strength. Central to planning 1. Strength present. Useful in planning 2. Identified strength. Build or develop strength 3. No strength identified. Strength creation or identification may be indicated Rate accurately and numerically with CANS 3.0 Assessment: 1. Interpersonal Skills 2. Educational Skills 3. Talents and Interests 4. Spiritual/Religious 5. Persistence (3-5) 6. Curiosity (3-5) 7. Adaptability (3-5)

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