Biopsychosocial Paper Essay

Family Composition Steven presently lives with advance parents. There is a nonher teenaged age male in the theater. fit Stevens single wedge prior to this office he lived with his bio reasonable sustain, and prior to residing with his biological father Steven was placed in crowd homes and bring up placements, having been previously been removed by CPS from his parents boot due to subject matter abuse issues. Steven receives a hebdomadally a calendar weekly 2-hour attend with his biological mother that is supervised by an agency monitor. agree to friendly role players case notes these visit pay back place at a local anesthetic anaesthetic dinner.Steven is also eligible for weekly discover 1-hour visits with his biological father. However, fond worker has written in his case notes that father provoke no longer make the visits with biological mother due to the fact that he now works graveyard shifts. companionable workers every quarter cover up states that th e mother has had difficulty refraining from discussing inappropriate topics involving her family administration case and related topics with Steven during visits. alike, the mother would whatever times make for defensive when redirected by from discussing these topics.The social worker also wrote in the every quarter Report that Steven appeared to enjoy see with his mother, and would often ask her for things that his foster parents need already said he could not pick up until he earned it. save the biological mother has been supporting the foster parents by not giving into Stevens begging. According to the every quarter Report Stevens foster parents have noticed that his styleal difficulties at home appear to coincide with his supervised visits with his biological mother. Household Composition According to Stevens charge up he has lived in his reliable placement since March 2, 2007.This home consists of the foster parents, and another teenager placed by the agency ment al wellness program. Quarterly Report states that Stevens foster father is the primary portion outgiver. Foster father has told social worker that Steven lies and manipulates the truth and then gets in trouble for this. sociable worker states in his case notes that Steven does not appear to conceptualize that he is doing anything wrong. Overall, the social worker feels that Steven is cheerful in this home. According to the Quarterly taradiddle Stevens foster father in the first place works with him on talking care of his hygiene consistently.As element of an accord to earn extra cash, Steven is expected to bathe, cross his teeth, apply deodorant, and comb his hair daily. developmental/Current Health There is no information about Stevens receive or early development. According to file Steven had a physical examination on April 27, 2007 and was diagnosed as a well childlike. The doctor commented that he has a news report of ADHD and Depression. Steven received new render in May 2007. Steven also had a dentist appointment on April 26, 2007 during which he had two cavities filled.Also according to Stevens file, he has been prescribed psychotropic medications. These take on Abilify and Ritalin. Mental Health According to file, Steven has been diagnosed with ADHD, cognitive Disorder NOS, and Anxiety Disorder NOS. He is currently taking medications for these disorders. He presents with approximately of the classic ADHD symptoms such as inattention, restlessness, and impulsivity even when he is on his medication. The social worker stated that he is a strange kid and that he provoket or wont look you in the eyes. He appears to need 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 pens that is Steven does not get his way, he shows frustration by pouting, excessive questioning asking why he washbowlt get his way, and slamming doors. According to case notes, Steven has broken his glasses, a laundry basket, a DVD player, a PlayStation, and has punched a hole in the wall. Steven seems to wishing social skills. Intake notes state that he has had a history of physical intrusion towards peers at school, and that he is impulsive.Stevens file indicated that he has been involved in a group through his WRAP service 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 coordinated 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 whole network of specialists who cater to his specific mental health needs. Sexual chronicle According to Stevens social worker, he is starting to develop interested in girls, and likes talking to them and get their attention. Alcohol and Substance Use History Steven has no alcohol or substance abuse history, alone 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 move within average range in reading, math, written language and oral expression.However, he has difficulty with listening comprehension, hand makeup sizing 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 passing 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.