Biopsychosocial Paper Essay

Family Composition Steven shortly lives with foster parents. on that point is other teen age male in the home. consort Stevens file prior to this placement he lived with his biologic let, and prior to residing with his biologic fetch Steven was placed in group homes and foster placements, having been previously been aloof by CPS from his parents care due to join abuse issues. Steven receives a each hebdomad a weekly 2-hour visit with his bio coherent pay back that is administer by an agency monitor. According to societal proletarians case notes these visit take place at a local dinner.Steven is to a fault eligible for weekly observed 1-hour visits with his biological father. However, amic equal actor has written in his case notes that father offer no longer make the visits with biological mother due to the fact that he now works graveyard shifts. tender proles every quarter write up states that the mother has had worry refraining from discussing inappropriate topi cs involving her family court case and relate topics with Steven during visits. Also, the mother would some times get defensive when redirected away from discussing these topics.The hearty worker also wrote in the quarterly Report that Steven appeared to enjoy see with his mother, and would often ask her for things that his foster parents sacrifice already said he could not have until he earned it. But the biological mother has been supporting the foster parents by not expectant into Stevens begging. According to the Quarterly Report Stevens foster parents have noticed that his behavioral difficulties at home appear to coincide with his supervised visits with his biological mother. Household Composition According to Stevens file he has lived in his current placement since March 2, 2007.This home consists of the foster parents, and another teenager placed finished the agency mental health program. Quarterly Report states that Stevens foster father is the primary caregiver. Fo ster father has told social worker that Steven lies and manipulates the truth and then gets in trouble for this. Social worker states in his case notes that Steven does not appear to think that he is doing anything wrong. Overall, the social worker feels that Steven is comfortable in this home. According to the Quarterly report Stevens foster father mainly works with him on customary lecture care of his hygiene consistently.As part of an agreement to earn particular(a) cash, Steven is expected to bathe, brush his teeth, apply deodorant, and comb his hair daily. Developmental/ genuine Health There is no information about Stevens take in or early development. According to file Steven had a material trial run on April 27, 2007 and was diagnosed as a well adolescent. The doctor commented that he has a history of ADHD and Depression. Steven received new glasses in May 2007. Steven also had a dentist appointment on April 26, 2007 during which he had two cavities filled.Also accordin g to Stevens file, he has been prescribed mind-expanding medications. These include Abilify and Ritalin. Mental Health According to file, Steven has been diagnosed with ADHD, Cognitive Disorder NOS, and disquiet Disorder NOS. He is currently taking medications for these disorders. He presents with some of the continent ADHD symptoms such as inattention, restlessness, and impulsivity even when he is on his medication. The social worker stated that he is a st mould kid and that he cant or wont look you in the eyes. He appears to miss self-esteem and self confidence.According to quarterly report, Stevens though process is scattered, and he is mentally and emotionally younger than his chronic logical age of fourteen. Social worker writes that is Steven does not get his way, he shows thwarting by pouting, excessive questioning asking why he cant get his way, and slamming doors. According to case notes, Steven has broken his glasses, a slipstream basket, a DVD player, a PlayStation, and has punched a hole in the wall. Steven seems to lack social skills. Intake notes state that he has had a history of physical aggression towards peers at school, and that he is impulsive.Stevens file indicated that he has been baffling in a group through his WRAP services provider to help him with socialization skills, and he attends these meeting on a weekly basis. Steven also receives EMQ Wraparound services for his mental health needs. Quarterly Report states that Steven has an EMQ facilitator that arrange these services. He receives therapy services once a week contracted through EMQ Family Services. In addition, he has two behaviorists who visit him once a week to work on behavior contracts. Steven is prescribed psychotropic medication.His psychiatrist also works for EMQ. Because these service providers are part of EMQ Wraparound program, Steven is supported with a consentaneous network of specialists who cater to his specific mental health needs. Sexual account stateme nt According to Stevens social worker, he is starting to become implicated in girls, and likes talking to them and getting their attention. Alcohol and Substance Use annals Steven has no alcohol or substance abuse history, but his father has had problems with alcohol. This is why Steven was placed in protective custody. Educational HistorySteven is currently in the ninth grade at a local public high school. According to his file he has an active IEP that places him in a special day class for the emotionally disturbed (SDC/ED) children. Social worker writes that Steven can handle the class work and homework, but struggles emotionally and behaviorally during class. According to the social workers report, Stevens last teacher noted that he has difficulty staying in his seat as well as disturbing the students in the class with his talking. According to Stevens IEP he falls within average range in reading, math, written language and oral expression.However, he has difficulty with perc eive comprehension, handwriting size and spacing, organizing, maintaining focus, and handling frustration. Prevocation skills listed as areas of concern on Stevens IEP were task completion, social skills and follows directions. Also on the IEP as areas of need include written language. According to Stevens IEP, he is able to write multiple paragraphs, but lacks proper writing conventions. The IEP also shows that Steven is flip all his classes with a GPA above a 3. 0. Social worker states that Steven does not want to be in special education classes because it is not cool.