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Case presentation on juvenile

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  • 1.  Juvenile is a 15 year old, mixed race, female who is entering the Lee County Juvenile Detention Center for the 3rd time. Charge is Domestic Violence; juvenile and mom had altercation over juvenile skipping school which turned physical; juvenile also tested “hot” for marijuana Juvenile attended court where she was given 21 days with hold for plan (after 21 days will have to re-appear in court for final plan) Judge asked that juvenile be assessed for inpatient A&D program
  • 2.  Juvenile was given the MAYSI – 2 Questionnaire which is a requirement of the Detention Center by Senate Bill No. 2818 which states that “All juveniles shall undergo a health screening within one (1) hour of admission, or as soon thereafter as reasonably possible. Juvenile was given the SASSI – A2 by the counselor after the initial question and answer session. It was determined that juvenile used marijuana on a daily basis and further information was needed to be gathered to determine what type of treatment juvenile would need;
  • 3.  The MAYSI-2 is a standardized, reliable, 52-item, true- false method for screening every youth of ages 12-17 entering the juvenile justice system, in order to identify potential mental health problems in need of immediate attention. The MAYSI-2 provides information that alerts staff to the potential for the following mental and behavioral problems: Alcohol/Drug Use, Angry- Irritable, Depressed-Anxious , Somatic Complaints, Suicide Ideation, Thought Disturbance, Traumatic Experiences Resource: WWW.assessments.com
  • 4.  The SASSI-A2 can be used by counselors in school, mental health facilities, and juvenile justice programs as a screening inventory to determine if an adolescent is in need of further, more in-depth assessment of substance use disorders (User’s Guide, SASSI Institute, 2001). The SASSI A-2 is designed to discriminate between adolescents who have a high probability of having a substance use disorder (abuse or dependence) and those with a low probability. In addition, the profile can be used to generate clinical hypotheses about the respondent. The SASSI’s unique contribution has been to detect substance abuse problems even when the respondent denies or attempts to conceal such problems (Miller & Lazowski, 2001).
  • 5.  No history of medical conditions according to juvenile No developmental delays; juvenile is on track in 9th grade at age 15 Juvenile’s mom is diagnosed as Bi-Polar I, according to juvenile Juvenile has never been assessed for mental health conditions as she refuses to receive help for anger issues and defiance
  • 6.  Juvenile is currently in 9th grade at Tupelo High School Advanced Academy which works with children who are truant and fall behind in school Juvenile skips school often and refuses to do work when attending school stating “I do not like school and just want to get my GED.” Juvenile school records indicate that grades are average
  • 7.  Juvenile has a very volatile home life. Juvenile and mom have had numerous physical altercations. Juvenile has been in JDC one other time for Domestic Violence which was due to altercation with mom. Socially juvenile makes poor friend choices and stays in trouble for skipping school and hanging out and getting high.
  • 8.  MAYSI – 2 › Juvenile scored in the caution range for somatic complaints on the MAYSI-2. › Juvenile did state that headaches were much of the focus of somatic complaints › Juvenile scored low on Alcohol/Drug use, Angry/Irritable, Depressed/Anxious, Suicide Ideation, Thought Disturbance, and Traumatic Experience SASSI-A2 › Juvenile answered questions based on the past six months › In using “The Decision Rule” the juvenile had one rule marked yes and scored below 15 on the SCS which indicates that there is a high probability of having a Substance Abuse or Dependence Disorder › Due to scoring 15 or less on the SCS the juvenile is more likely to have a Substance Use Disorder
  • 9.  MAYSI-2 › The findings from the MAYSI-2 were accurate with the juvenile’s behavior pattern. The juvenile did not want any assistance with anger issues upon talking with her. The juvenile did not feel as if she had really done anything inappropriate, therefore I did not expect her scores to reflect any elevation angry/irritable or suicidal ideation. I am however surprised that the alcohol/drug use was not high. I feel as though our relationship had not developed yet which caused some bias on the answers on this particular section. SASSI-A2 › The SASSI-A2 findings were not surprising. By this point the juvenile and I had developed a rapport and I feel that the questions were answered honestly. › The juvenile does have a problem with marijuana use as she admitted to using every day. › This information makes recommendation for in patient treatment more viable.
  • 10.  DSM Diagnosis › Axis I 305.00 Cannabis Abuse 313.81 Oppositional Defiant Disorder Exhibits some Conduct Disorder Traits Axis II V 71.09 None Axis III none Axis IV poor coping skills, poor decision making skills, issues with authority, issues with primary support group; refusal to seek help with anger in counseling Axis V GAF 62 Recommendations › AOP (Adolescent Offender Program) for assistance with anger issues/drug issues or; › Family Resource Center for family counseling as well as individual counseling; › Juvenile will be hostile toward any counseling; the court may find it necessary to include counseling as a condition of her release
  • 11.  www.assessments.com www.minddisorders.com Senate Bill No. 2818 (as sent to Governor)