Case Study and Panel Discussion Ricky 6 year old boy middle child Dad active duty in the Navy Mom part time consultant Birth History born at 35 weeks brief NICU stay mother took psychotropic meds during pregnancy ID: 929790
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Slide1
Local Evidence-Based Mental Health Treatment Modalities for Children and Families
Case Study and Panel Discussion
Slide2Ricky
6
year old
boy, middle child
Dad: active
duty in the
Navy
Mom: part
time
consultant
Birth History: born at 35 weeks, brief NICU stay; mother took psychotropic meds during pregnancy
Medical history: asthma, bed wetting, nightmares, prior motor delay treated with physical therapy
School: in
kindergarten,
principal’s
office several times,
disruptive
behaviors (speaking out of turn, yelling and using swear words, pushing/hitting other kids, lying, and not following classroom
directions), suspended
for 3
days
Slide3Family
8
year old sister, Gina
,
2
nd
grade;
Fighting with his sister about TV, leading to hitting sometimes
6
month old baby
brother; mostly ignores, sometimes complaints about crying or smelly diapers
S
wears
at his mom and does not
listen; doesn’t do well hearing ‘no’
Mom very organized when dad deployed, has schedule and expectations of children
Excitement, fun events, gifts when dad returns; Dad does things ‘spur
of the
moment’
Slide4Parents
Soon after dad’s return,
arguments
about managing the kids’ daily
schedules, money, responsibilities
Dad makes plans with friends, and mom not able to
Loud verbal
fights, including swearing, within earshot of the
kids
They
do not get physical with each other,
but dad
will sometimes pound his fist on the table in frustration and mom has thrown a glass on the floor in
anger
Dad
leaves the house when he is
upset