The Staley Family

By: Leah Johnson, Iris Hamilton, and Avery Livingston

General Information
Address: 1564
Sunshine Rd.
Bloomington, IN 47401.
Housing type: House
Household size: 4
Number of Adults 2
Household situation:
stable
Housing financial
Support: Allen Income
Primary Language:
English
Primary Caregiver:
Susan Staley

Allen Staley

Date of birth
08/27/1982
Age: 32
Gender Male
Education: Bachelors
in accounting
Ethnicity: French
Race: White
Socioeconomic status:
middle class
Job/career: Certified
Public Accountant

Allen Staley
Medical History
Mental Health
Diagnosed with Anxiety
and obsessive compulsive
disorder (OCD) on 6/15/
1978.
Current Medication:
Luvox and Zoloft.
History of abuse: No
History of domestic
violence: No
Insurance Coverage: Yes
Humana Policy: ABF00234.

Employment History
Status: Full Time/
Regular
Length of
Employment 7
years.
Employer:
BKD, LLP

Allen Staley
Questionnaire
Receiving unemployment
compensation: No
Receiving foster care
payment: No
Receiving food stamps
Benefits: Yes
Receiving child support
No.
Housing Financial support
No.
Primary: French
Second Language: English
Marital Status: Married

Age: 30
Date of Birth:
07/15/1984
Gender: Female
Education:
Bachelors
degree, minor in
office
administration
with major in
business law
Ethnicity: Not
Hispanic

Susan Staley

Susan Staley

Race: White
Socioeconomic Status:
Middle class
Occupation: Stay at
home Parent
Pregnancy status: Yes (8
weeks)
Receiving WIC: in process
Relationship to children
living in household
(adoptive mother)
Susan and Allen have full
custody of children

Medical
History

Questionnaire

Mental Health
None
Current Medication:
none.
History of abuse: No
History of domestic
violence: No
Insurance
Coverage: Yes
(Dependent)
Humana Policy:
ABF00234

Receiving unemployment
compensation: Yes
Receiving foster care
payment: No
Receiving food stamp
Benefits: Yes
Receiving child support
No.
Housing Financial
support No.
Primary: English
Marital Status: Married

Staley Children

Name: Sally Renee Staley

Age: 4 (youngest child)
Education level: Preschool
School attended:
Templeton
Sally is adopted
Race: white
Autism & peanut allergy
SSI Benefits: No
Primary language: English
Drug exposed at birth: Yes
Sally received special care
at birth.
Birth Parents: Deceased

Staley Children

Name: Sienna Staley

Age: 8
Date of birth 8/27/2006
Education level: 3rd
grade
School: Templeton
Elementary
Teacher: Mrs. Rickert
Sienna is adopted
Race: white
Diabetic
Primary Doctor: Dr.
Fisher

Sienna Staley

SSI Benefits: No
Primary language:
English
Drug exposed at
birth: No
No special care at
birth
Birth Parents:
Deceased

Toby

Age: 3 years
Breed: Border
Collie

Extended Family Support:

Grandparents- maternal and paternal

Mr. and Mrs. Staley

Paternal
grandparents
Live in France
Help the family
financially
Visit the U.S. every
other year with the
Staley family
visiting France
every two years

Mr. and Mrs.

Johnson- moms dad
and step-mother
Mr. and Mrs. Jonesmoms mother and
step-father
Live locally
Assist with
childrearing
Support the family
emotionally

Support
System

The Staley family lives in Bloomington, Indiana

Bloomington is a city was established in 1818,

in Monroe County in the southern region of the
U.S. state of Indiana. Bloomington is also know
as the "Gateway to Scenic Southern Indiana

Resources of interest
available to family and
functions of each

Post Adoption Services

Bloomington Meadows Hospital
3600 North Prow Road
Bloomington, IN 47404
Marabeth Holland (812) - 961-2461 or
marabeth.holland@uhsinc.com
Function

Provide emotional support and guidance for adoptive

family members.

Adoptive kids support group, creating attachment and

permanency group classes.

Provided support calls and low cost counseling services.

Diabetes Education Programs

& Support Groups
INDIANA UNIVERSITY HEALTH BLOOMINGTON HOSPITAL DIABETES
CENTER:

225 W Dodds St
Bloomington, IN 47403
Nan Vint, BSN, RN, CDE Manager Clinical Specialist
812.353.9258
www.iuhealth.org/bloomington
Function and services:

Management classes

Support groups and education services

Insulin initiation and regulation

Insulin pump information, pump education.

Individual appointments for diabetes education and meal

planning.

Autism Resources
AUTISM SOCIETY: BLOOMINGTON AUTISM
SUPPORT GROUP
3951 N. Meridian Street, Suite 200, Indianapolis, IN
46208
Contact: Esther Asplund, (812) 333-8972,
esther.asplund@att.net
* Function: Education and support group, meets
monthly.

BLOOMINGTON AUTISM SUPPORT

Contact: Elizabeth Sinders, 812-876-1251,
Mom23littleboys@yahoo.com
Contact: Suzie Rimstidt, 812-332-1916,

Autism Resources for

Understanding and Supporting
Siblings

Harris, S. (1994). Siblings of children with

autism: A guide for families. Bethesda, MD:
Woodbine House.

Autism Resources for Understanding

and Supporting Siblings

Siegel, B., & Silverstein, S. C. (1994). What

about me? Growing up with a
developmentally disabled sibling. New York,
NY: Plenum Publishing Corporation

Additional Resources
Head Start Program
1502 15th St, Bloomington, IN
(812) 334-8350
Function: Promotes school readiness of young
children from low-income families.
Monroe County WIC Program
333 East Miller Drive, Bloomington, IN - 47401
(812) 353-3221
Function: Provided nutritional and food voucher
assistance for infant, pregnant women, nursing
mothers and children five and under.

References

Images credit www.google.com/images

Autism Society of Indiana
www.autismsocietyofindiana.org
ISDH WIC
www.wicprograms.org/state/indiana

Childcare/
Education

Click
icon
to
add
picture
Click icon to add picture

Templeton Elementary School

1400 South Brenda Lane
Bloomington, Indiana 47401
Phone: (812) 330-7735 Fax: (812) 330-7779

Templeton Elementary

Public school in the Monroe County Community School

Corporation
Grades K-6
488 students
2-3 teachers at each grade level
Multi age classrooms, looping, & traditional classrooms
ENL programs, a Response to Intervention program, &
enrichment programs in physical education, art, music,
reading and math
Templeton is home to a Ready, Set Grow preschool
classroom
Head Start preschool classroom setting

Templeton Elementary Ready,

Set Grow Preschool

Ready, Set Grow Preschool serves children ages

3-5
RSG focuses on education and Kindergarten
preparedness in a structured and interactive
learning environment
MCCSC School Age care accepts the CCDF/CASY
voucher
The program considers the applications of
children with special needs on a case by case
basis.

Sally Education

Sally attends
Templetons
preschool program
The family chose
this option based
on inclusion
program, location,
affordability and
stability of location
for Sally.

Sienna Education

Sienna attends
Templeton
Elementary in the
third grade as
designated by
residence

Special Education
Needs
For
Sienna
Diagnosis: Diabetic
The school is prepared

to provide care for

Sienna diabetic needs.
The school
participates in the
ASAT.
A written
accommodation and
care plan exists.
Sienna can Physically
a care for her self.

Special Education Needs

Continue

SIENNA

Meal plan and food

exclusion plan are on
file. Susan fix most of
Sienna meals.
Sienna wears a diabetic
bracelet, knows how to
check her insulin level
and is able to apply her
own insulin in case of
emergency.

Special Education
Needs.
For
Sally
DIAGNOSIS:
AUTISM &
PEANUT ALLERGY

Sally participates in full

inclusion, regular
preschool program.
Classroom has no
peanut policy.
Sally has tutor.
A great collaboration
between parents and
teacher exist.

Childcare Resources

Head Start Preschool

Provided by:

1502 15th St,

Bloomington, IN
(812) 334-8350

Individualized services
Health and Dental
Screenings
Family Support
Parent Involvement
Services to meet Special
Needs
Full Nutrition Program
Community Resources
Limited transportation
Some exceptions made
beyond low income

Monroe County, North West YMCA

Center for Children and Families

Care for ages 6wks- 5yrs

Project-based curriculum
Highly qualified staff
Developmental screenings
Healthy, delicious meals
prepared in our state-of-the-art
kitchen
Swimming lessons
Move and Grow classes to help
your child develop healthy habits
for a lifetime
Wooded setting and interactive
playground
Convenient hours, both full- and
part-time options
Casy Vouchers accepted

1375 N. Wellness Way

Bloomington, IN 47404
812-331-5556

South East YMCA

Preschool/Kindergarten

Preschool classes for

ages 2-4
Kindergarten ages 56

Financial assistance
available for
qualifying applicants.

2125 S. Highland Ave.

Bloomington, IN 47401
812-332-5555

Advocacy and
Community
Resources

Advocacy Groups
and Organizations

St Mark's United
Methodist Church
100 North State Road
46 Bypass
Bloomington, Indiana,
47408.

Section 504 Plan:

American Diabetes
Association

Community Resources
Monroe County Public Library

Literacy resources on
numerous topics
available
Provides children's
activities in a disability
friendly atmosphere

Pals Therapy
Therapeutic

sessions are
mounted equestrian activities for
individuals with a variety of
disabilities, Impairments, and
chronic illness
Riding lessons for children of all
ablilities
Inclusive camps are offered
E-mail

Some activities targeted

for groups of children
with a specific need.

Address:
info@palstherapy.org
7644 W Elwren Rd,
Bloomington, IN 47403
(812) 336-2798

References

Templeton Elementary Home Page:

http://www.mccsc.edu/Page/31
Templeton student statistics:
https://k12.niche.com/templetonelementary-school-bloomington-in/
Head Start Info:
http://www.insccap.org/pages/head_
start_early_head_start

References

http://palstherapy.org/our-services/
explore-programs
/
Google.com/images
www.google.com
American Diabetic Association
www.diabetes.org
Ready Set Grow Info:
http://www.mccsc.edu/Page/154

Family Composition
Family Values/ Beliefs

Spiritual Values and Beliefs

Spiritual Values and

Beliefs

Family Religious Denomination: Christians

Political party: Republican

Active members of the City Church For All

Nations Ministry

Attend Church Every Sunday

Susan is a member of the choir

Spiritual Values and Beliefs

Spiritual Values and Beliefs

Continued

The Staleys believe in open community,

words of encouragements and support.
Seeking advice from the elders in the
church and elders family members .
Treating everyone with dignity and
respect.
Acknowledging and accepting others
differences and beliefs.
Being an active participant in the
community and supporting the poor.

Spiritual Values and Beliefs

Continued

Every member of the family is important

Dont stress over anything. God is in
control
Pray and praise the Lord before each
meal
The family that prays together stays
together
Allen is the head of household
Allan and Susan acknowledge their
mistakes and apologized to their
daughters when necessary. They want to

Spiritual Values and Beliefs

Continued

Sally and Sienna love attending church

on Wednesdays after school because
they get to see their cousins and friends
while Susan attempt choir practice
Sienna enjoys helping those in need by
volunteering with Allen twice a month

Spiritual Values and Beliefs

Continue

The body is a temple

Susan attends Yoga classes once a week

Economic Beliefs

Economic Beliefs

The family strives to always pay cash

Invest in the community by supporting
family, owners and local business

Economic Beliefs
Continued

Honor all debts

Self sufficient
Retirement planning and emergency
saving
Self improvement increase knowledge
and income

Economic Beliefs Continued

Share with the poor

Work hard
Monitor all expenses and use a budget
system
Education is the best investment
Susan and Allen make monthly
contributions to the girl, college saving
account

Technology Beliefs and Values

Technology

Technology is beneficial for medication

reminders, home monitoring, and
communication
Technology eliminated communication
barriers for those with family and friends
aboard

Technology

Is the parent responsibility to monitor

children use and interaction with
technology
Technology is not a substitute to family
interaction and socialization

Technology

Technology is beneficial for home, educational and

the workplace use

Technology Powered by Smithville (TV, Phone,

Internet, Security)
4011 S. Old State Road 37,
Bloomington, IN 47404
Clear Creek Crossing - South East Corner of S. Walnut
Street & E. Rhorer Rd.
(812) 935-8324

Political Belief

Republican

Parenting

Parenting

Listen to their children

Allow children to express opinions
Encourage independence
Susan and Allen are both authoritative,
they hold high expectation and set clear
guidance for Sally and Sienna.
Sienna and Sally are disciplined in a fair
and consistent manner

Resources
City Church For All Nations
Address: 1200 N Russell Rd, Bloomington,
IN 47404
Phone: (812) 336-5958

Monroe County Public Library

303 E Kirkwood Ave
Bloomington, IN 47408
(812) 349-3050

Resources
Monroe County Recycling Center, Indiana
solid waste management district
The District 812.349.2020 3400 S.
Walnut Street, Bloomington, IN 47401

Resources
Vibe Yoga
1705 N College Ave
Bloomington, IN 47404

Monroe County YMCA

1375 N. Wellness Way
Bloomington, IN 47404
812-331-5556

2125 S. Highland Ave.

Bloomington, IN 47401
812-332-5555

IU Health Southern Indiana Physicians

Pediatrician: Dr. Richard Malone
812.333.2304
651 S. Clarizz Blvd.
Bloomington, IN 47401
Monday through Friday 8 am - 5 pm, Saturday 8 am - Noon

References
Google.com/images
www.google.com
Vibe Yoga Studio | Bloomington's Top
Yoga & Pilates Studio
www.vibeyogastudio.com
Monroe County Public Library
www.monroe.lib.in.us
About Parenting - About.com
www.about.com/parenting

References
Monroe County YMCA
http://
www.monroecountyymca.org/locations.html

City Church for all Nations

http://www.citychurchfamily.org /

IU Health Southern Indiana Physicians

http://iuhealth.org/southern-indianaphysicians/primary-care/pediatrics/

References
Smithville Communications
https://www.smithville.com/contact

Family Crisis

Family Crisis
The family's medical
insurance has raised
$1000/month, which
the family cannot
afford so they had to
drop it. The father's
medication has just
ran out and he is
starting to panic with
his OCD.

Dealing with crisis

The family has applied for new
insurance coverage and a
premium tax credit to help
lower their insurance cost, In
addition the family has filed for
an affordability exemption to
avoid paying the affordable
care act penalty fee. While
waiting for determination the
family is seeking temporary
assistances from their support
system and other community
resources.

Emergency Medication

The father contacts his regular physician,

explains the dilemma and receives a
month's supply of necessary sample
medications.

Premier Healthcare East

Christopher LaFollette MD
2605 E. Creeks Edge Drive
Bloomington, IN 47401
812-355-2300
http://www.premierhealthcare.org

Emergency Medication

The family requests financial assistance

from the church to supply prescription
medications until Insurance is obtained.

City Church For All Nations

Address: 1200 N Russell Rd, Bloomington, IN 47404
Phone: (812) 336-5958
http://www.citychurchfamily.org/

Emergency Medication

The family as seek assistance from the

Indiana Partnership for Prescription
Assistance (PPA) programs.

Insurance Options

Christians Health Ministries Program is

an affordable, faith-based insurance
option based on level of coverage
(gold/silver/bronze) in which members
share each other's medical expenses .

Insurance Options

Samaritan Ministries Health Insurance

Programs, similar to Christian ministries
are an affordable faith based-insurance
option based on family types (couple,
single, family unit) in which members
share each others cost.

Insurance Options

Immediately apply for CHIP for the

children

Family and Social Services Administration:

Monroe County DFR
1711 N College Avenue
Suite 101
Bloomington, IN 47404
1-800-403-0864
http://www.in.gov/fssa/

Insurance Options
Visit Marketplace website at:
https://www.healthcare.gov/ apply for
Insurance.

Private Insurance Company (Broker)

Resources

Resources
Monroe County Division of Family Resources
1711 N College Avenue, Suite 101
Bloomington, IN 47404

ASPIN Health Navigator

www.aspinhealthnavigator.org

Resources
Christians Health Care Ministries
www.Medi-share.org

www.chministries.org
www.libertyhealthshare.org

Insurance Plans accepted in all states

Resources

Samaritan Health Care Ministry

www.samaritanministries.org

www.firstfamilyinsurance.com

Insurance Plans accepted in all states

Resources
RX for Indiana - a Partnership for
Prescription Assistance (PPA) program.
1.888.477.2669 or http://rxforindiana.org.

Needy Meds
www.needymeds.org

References
Google.com/images
www.google.com

City Church for all Nations

http://www.citychurchfamily.org.

Healthcare.gov
www.healthcare.gov

References
ASPIN Health Navigator
www.aspinhealthnavigator.org

Family and Social Services Administration

http://www.in.gov/fssa

References

Christians Health Care Ministries

www.Medi-share.org
www.chministries.org
www.libertyhealthshare.org
Samaritan Health Care Ministry
www.samaritanministries.org
www.firstfamilyinsurance.com

Celebration

Sally Preschool Graduation

Sally Graduation

Sally has successfully

completed Preschool
and is ready for
Kindergarten.

Sally's academic
performance has
improved and she has
become more social.

Sally no longer needs

a tutor.

Sallys Graduation Celebration

Family night out:

Jump-n-Joey's
Address: 108 N Curry
Pike, Bloomington, IN
47404
Phone:(812) 8221947

Celebration

Justin William Staley.

Bundle of Joy

The Staley Family

welcome their
newborn baby boy
Justin William into
the word on March
22, 2014.

Susan Staleys Baby

Shower
When: March 21, 2014
Where: City Church For All Nations
1200 N Russell Rd, Bloomington, IN
47404
Time: 12pm-4pm

Delivery/Labor Information
Indiana University Bloomington Hospital
Address: 601 West 2nd Street
Bloomington, Indiana 47403
Phone Number: (812)353-5252

Doctors:
OBGYN Doctor: Dr. Melissa Walters M.D.
Labor/Delivery Unit Room: 1302

The Staley Family

Resources

Resources

Indiana University Bloomington Hospital

www.babycenter.com

Bloomington Area Birth Services

2458 S Walnut St.
Bloomington, IN 47401
(812) 337-8121

About Parenting - About.com

www.about.com/parenting

Resources
La Leche League of Bloomington, IN
www.lllusa.org/web/BloomingtonIN

Hoosier Courts Nursery School

Address: 1150 N. Union Ct., Bloomington, IN
47408

Monroe County WIC

333 E. Miller Drive, Bloomington IN 47401

References
Indiana University Bloomington Hospital
http://iuhealth.org/bloomington/

Google Images
http://www.google.com/images

Templeton Elementary
http://www.mccsc.edu

References
About Parenting - About.com
www.about.com/parenting

Bloomington Area Birth Services

Monroe County WIC