Danielle is an 8-year-old girl with significant behavioral and emotional challenges including ADHD, ODD, and a language-based learning disorder. She displays aggressive behaviors at home and school and has injured others. Her mother describes her as verbally and physically aggressive on a regular basis. Danielle's parents are divorced after incidents of domestic violence, and her mother struggles with depression and alcohol abuse. Both parents are involved but her father's job limits his ability to care for her full-time.

1. Story: (rate mother in caregiver domain) Fill in the answers
Story:(rate mother in caregiver domain) Fill in the answers on the form attached. Need
within an hour today 7/15/22Danielle is an eight-year-old female who lives with her
mother and five-year-old brother. She fights with her peers and doesn’t have any friends.
She has a very difficult time interacting with other children and has displayed significant
aggressive and assaultive behaviors at school and home. It has been reported that on a few
occasions this behavior has resulted in injury to others. These behaviors prevent her from
being able to participate in any recreational activities. She attends a school for youth with
emotional and behavioral challenges. She struggles academically and has an individual
education plan (IEP) that addresses learning and behavioral needs. She has language delays
characterized by limited receptive abilities and she is impulsive. Danielle has been
diagnosed with ADHD, ODD, and a language-based learning disorder. The school
professionals have offered multiple services to help Danielle function better at
school. Danielle’s mother describes her daughter as a “terror,” with behavior that is verbally
and physically aggressive toward her displayed on a regular basis. She says she has a hard
time understanding Danielle’s emotions and feelings. She also notes that Danielle’s brother
is afraid of her. Frequently, Danielle doesn’t follow her mother’s directions and is defiant.
When she is asked to do something, she refuses and her behavior escalates, becoming
aggressive and including the throwing of objects. Danielle’s mother has expressed her
concerns about being able to keep Danielle safe at home and has asked about alternative
placements. She doesn’t understand why Danielle acts like she does and her discipline is not
effective. Her parents are divorced and have a difficult relationship that at times escalates to
hostile arguments. When her parents were living together, arguments were constant and
there were several incidents of domestic violence during which the police needed to
intervene. Prior to the divorce, Danielle’s father was arrested for hitting her mother during
an argument in which both children were present. Since then, whenever there are any
arguments with lots of yelling, Danielle appears to go into a trance which her mother
describes as ‘daydreaming’. During these times, Danielle doesn’t seem to hear or see
anything that is happening around her. Danielle’s mother has a history of alcohol abuse and
is in recovery, attending meetings. She has been treated for depression for many years and
is currently managing her depression with medication. Given her own struggles with her
depression and the stress of dealing with Danielle’s behaviors, she has not advocated for
additional services at Danielle’s school. For example, even though she attends all meetings,
she never challenges the IEP team even when she believes the services in place are not

2. working.Both parents are employed and share physical and financial responsible for child
care needs. Danielle’s relationship with her father is strong; they appear very connected. At
this time, he is not able to care for her full-time because of his job as a long distance truck
driver. Danielle’s father reports that when she is with him, Danielle does well. He
acknowledges that his daughter is challenging due to her delays, but reports being able to
manage her behaviors. He frequently goes to therapy with Danielle but is not always sure
how to participate. Her therapist reports that Danielle has offered some ideas for her
treatment plan and that her father is supportive but needs support himself. She like
spending time with her father because they do various art projects together. She reports
that doing art makes her feel better and relaxed. She hopes to be a professional artist when
she grows up.