When Completing Vignettes Assignment Help: How to Answer This Question

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Original Question

When completing the vignettes, there is a vignette assumption. That is, when reading assume that a full assessment has been done and no mention means ‘no evidence’. This is the standard quality assurance if it is not documented it does not exist assumption. What that means, then if there is no mention of a need, the rating should be a ‘0’. If there is no mention of a strength, then the rating should be a ‘3’. So, no mention of any suicidality would result in a rating of ‘0’ on Suicide Risk. No mention of any talents or interests would result in a rating of ‘3’ on Talents/Interests. Another way to think about it is that you start the assessment with all 0 ratings on the Needs and all 3 ratings on the Child/Youth Strength and then you look for evidence to adjust your scores accordingly using the action levels. Caregiver ratings use the Need action levels for the vignettes. Ordinarily certain items would have an N/A option (for example Job Functioning for an underage child, or Foster Caregiver for a child not in foster care). For the purposes of this test please rate such items as ‘0’ for needs and as ‘3’ for strengths. Suzi (rate aunt and uncle as caregivers) Suzi is a nine-year-old girl who has been living in a residential treatment facility since she was six years old. Suzi experienced repeated physical abuse by her birth mother and other adults who were in and out of the home. Records indicate that Suzi experienced severe sexual abuse as a child when she was residing with her father. At age 2 1/2, Suzi’s maternal uncle and aunt became her and her older brother’s legal guardian. They are loving, caring and invested in her care. Suzi’s aunt and uncle have two children of their own but have been unable to handle her behaviors in their home although they still take care of her brother. They relinquished custody of Suzi and she is now in the custody of the county and has been in and out of several foster home placements before coming to the residential treatment facility. It was determined that due to the past abuse, it is not a viable option for Suzi to live with her biological mother or father. In addition, Suzi expresses great fear that she will have to go to live with her mother again and will be “hurt”. These expressions of fear occur after visits with her biological mother. Her father had been incarcerated for the abuse of her older brother. The location of her father has not been known for several years. Suzi is struggling with the fact that there have been several “families” in her life, but the only family with whom she wants terribly to belong — her uncle and aunt, — are not currently able to have her live with them. This family feels that they are unable to meet her needs and the safety of the other children would be compromised if Suzi returned to their home at this time unless they received considerable in-home assistance. Suzi’s aunt and uncle are both employed. Her uncle is a delivery truck driver who works the morning shift and her aunt works at a local motel during the afternoon shift. Neither has any physical or emotional problems nor is there any evidence of substance abuse. They own their own home, which they maintain well. They have not visited Suzi consistently while she has been in residential treatment, but state their willingness to take her into their home “under the right circumstances.” Suzi does well in school academically; however, her school records indicate that she is loud, hyper, oppositional and argumentative with peers and staff. Her peer relationships have been testy and confrontational. She has made verbal threats to hurt her peers, but she has not acted on her threats. Suzi has difficulty coping with feelings of anger, rejection, depression, and anxiety as she becomes aggressive, oppositional, and defiant. She does not injure others with her aggression. Suzi has denied any thoughts of suicide. She has difficulty accepting limits and following the direction of adults and authority figures. She becomes easily frustrated and will act out aggressively (e.g. by pushing chairs, slamming doors) during group activities. In addition, Suzi has poor personal boundaries, difficulty forming meaningful attachments, wetting herself when she is angry, soiling herself, inappropriately touching peers, impulsivity, and low self-esteem. She feels unwanted, has poor social judgment and has conflicting feelings towards foster care, which have all contributed to her poor social adjustment. Attempts to obtain a foster family for Suzi have failed because of her oppositional behavior and the significant problems with her encopresis. She is able to control her bowel movements in school and rarely soils herself there but she continues to soil herself on a regular basis in the residential treatment facility. Her personal hygiene has been variable. Child 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. Psychosis 2. Mania 3. Impulsivity/Hyperactivity 4. Depression 5. Anxiety 6. Oppositional 7. Conduct 8. Adjustment to Trauma 9. Anger Control 10. Substance Use 11. Eating Disturbance

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