xxxxx is a 16 year old male living with his grandmother and two younger siblings. He leaves home without permission, gets angry and verbally abusive towards his grandmother, brings unknown people to the home without permission, and was recently caught using marijuana at home with a friend. It is recommended that xxxxx be placed in a Level 2 Residential Facility to learn positive coping skills to address his anger and poor decision making, and to focus on his treatment away from his community. The placement may help xxxxx before he turns 17, as prolonged issues could jeopardize his chances of being accepted into other programs.

1. Case Study #1- Service Authorization Request(SAR) Justification
* This clientwas facing detention/jail time withanother probationviolation. I helpedto determine
this recommendationafterthe clientreceived3 months into Intensive In-Home services.
Recommendationutilizedminimal lengthofservice and enabledclient’sneedstobe met whenthe
opportunity presenteditself.Ultimatelyhelpedthe family’shouseholdtomaintainpeace and the
clientto remain safe.Recommendationprovidedthe optimal outcome for the child and family
consideringthe alternativesof detention/jail andcontinuedchaos in the home.
xxxxx isa16 yearold male thatliveswith hisgrandmotherandtwoyoungersiblings.xxxxx leavesthe
home withoutpermission almostdaily.Itwasreportedthathe leftthe home for4 weeksa few months
ago. xxxxx will call hisfriendsortheirparentsandhave themtocome gethimfromhis house andwill
not come home until he wantsto. xxxxx getsveryangrywhenhe doesn’tgethiswayandbecome
verballyaggressive andabusivetowardshisgrandmother.xxxxx will hitwallsandslamdoorswhen
angry.This has become almostadailyoccurrence withthe Ethan. The grandmotherstatesthat xxxxx
refusestofollowherrulesandthatshe doesn’tknow whatelse todowithhim.
xxxxx bringsunknownpeopletotheirhouse withoutherpermission.Whengrandmothertellshimthat
he can’t allowpeople over,he allowsthemtocome inanyway.Whenaskedtocalledthe police for
support,grandmothersaidthatshe feelsthathersafetyisthreatenedbyhimsoshe doesn’tfeel
comfortable callinganyonetoreporthisbehavior.Grandmotherdescribesasituationthatoccurredon
11.5.15 where the clientsaidhe wasgoingto a friend’shouse. Thisfriendwasthe same friend he was
caught usingdrugswithinthe home. It waslater foundout on 11.10.15 that the clienthadgone to his
friend’sfather’shome.The grandmotherreportedthatthe friend’sfatherwasadrug addictand had
multiple warrantsforhisarrest. xxxxxwasthere withseveral otherfriends. xxxxx gotthe friend’sfather
to go gethis biological mother, whoalsoisadrug addict and calls xxxxx togetmoneyortransportation.
xxxxx,hisfriend, andhisfriend’sfathertook xxxxxmothertoBoone,NCandpossiblyintoTennessee
withouthisgrandmotherknowinganythingaboutit.
xxxxx manipulatesgrandmotherusingguiltandintimidationtokeepherfromcallingauthorities. xxxxx is
on probationforhavingillegalsubstancesonschool grounds.AsaresultxxxxxcompletedSA programat
Burke Recovery. xxxxx admitsthathas beenusingmarijuanarecently tocope withthinglike the deathof
hisfriendandissueswithhismother. xxxxxwascaughtusingmarijuanaherhome lastweekwithhis
friend. Grandmotherreportsthatshe foundcontrabandof marijuanause inhisroom. xxxxx ridesto
school withhisgirlfriendandrecentlybeen skippingschool regularlywithher.xxxxx threatens todrop
out of school because he doesn’twanttoride the bus. xxxxx statedthathe didnot care if he violated
the termsof probationorgoesto detention.
xxxxx hasshownthe abilitytoverbalizehisfeelingsandhisneedforchange tostaff. xxxxx saysthathe
understandsthe affecthisbehaviorhasonhisgrandmotherandhis familywhenstaff isaround.
However, xxxxx continuestomake extremelypoordecisionsthatcanultimatelyleadtoa dangerous
situation. Itwill benefit xxxxx tolearnpositive copingskillstoaddresshisangerandsocial skillsto
addresshis poordecisionmaking.The teamhopesthatbeingoutof hiscommunitywill alsohelp xxxxx

2. to focuson histreatment. xxxxxwillturn17 soon andprolongingthe outof home placementmay
jeopardize hischancesof beingacceptedintoaprogram. Itis the clinical recommendationof FOCUS
BHS, that xxxxx be placedoutof home ina Level 2ResidentialFacility.