CASE PRESENTATION: BOYS AND GIRLS

HOMES OF NC
ASHLEY BAREFOOT
BACKGROUND INFORMATION

• Client age: 10
• Race: Hispanic
• Came into foster care in 2012 at the age of 4.
• Leveled therapeutic after living in one foster home
• Placed with dad after leveled up, then grandma, then released to mother against court
orders June 2017.
• Back in care February 2018 with foster parents through our agency
BACKGROUND INFORMATION

• The client was relocated away from her mother due to sexual abuse that was taking
place in the mothers home. The mother would allow her boyfriend’s to have intercourse
with the client at the age of four. She was then in a kinship placement with her father,
who eventually grew tired of parenting and sent her to live with her paternal
grandmother. Grandmother then sent her back to live with her mother against court
orders. DSS found out and then placed her in foster care.
• She has severe PTSD and anxiety after suffering through her abuse. She is currently
enrolled in therapy to help recognize her triggers and how to overcome her diagnoses.
• She also has difficulties attaching and trusting others.
PROBLEM STATEMENT

• Client is currently in foster care and foster parents want to gain better control of her
behaviors and successfully bond with client.
STRENGTHS AND LIMITATIONS

• Strengths:
• Freethinker
• Resilient
• Intelligent
• Mature

• Limitations:
• Experiences anxiety
• Unrealistic expectations
BIASES GOING INTO THE INTERVIEW

• Going into the interview, I thought I was going to be talking with a scared girl who could
not hold a conversation for very long. I formed this bias due to knowing everything she
had experienced as a child. I figured if I had gone through similar scenarios, I would be
withdrawn and afraid to talk to anyone. This bias quickly went away when she began
talking. She is a bright girl who does not let her past define who she is right now. She is a
conversationalist who makes jokes and frequently asks questions.
VALUE DIFFERENCES BETWEEN ME AND THE
CLIENT
• Clients Values:
• Trusting relationships
• Security
• Permanency

• My values:
• Financial security
• Family
• Stability
WHAT LIFE EXPERIENCES HAVE SHAPED CLIENT?

• My client has learned from her life experiences that her past is not who she has to live
up to be. She can be whoever she wants to be. She is 10 years old now, and is becoming
very successful in school, and is developing social relationships. She is learning to bond
with her foster parents, by learning she can trust them. She experienced years of trauma
as a child, but I believe she will be a resilient teenager and adult.
WHAT DOES RESEARCH SAY ON THEIR
DIAGNOSIS/PROBLEM/TREATMENT
• Anxiety disorders often co-occur with depression as well as eating disorders, attention-
deficit/hyperactivity disorder (ADHD), and others (Anxiety and Depression Association
of America, 2018).
• Anxiety disorders affect one in eight children. Research shows that untreated children
with anxiety disorders are at higher risk to perform poorly in school, miss out on
important social experiences, and engage in substance abuse (Anxiety and Depression
Association of America, 2018).
• Studies show that about 15% to 43% of girls and 14% to 43% of boys go through at least
one trauma. Of those children and teens who have had a trauma, 3% to 15% of girls and
1% to 6% of boys develop PTSD. Rates of PTSD are higher for certain types of trauma
survivors (U.S. Department of Veterans Affairs, 2018).
RECOMMENDATIONS FOR THE AGENCY

• Continue a treatment plan with therapeutic services

• Live in a two-parent foster home and form an attachment
• Continue with medication management for diagnoses
COMPETENCIES USED

• 1.2, 1.3, 1.5 • 6.1, 6.2

• 2.1, 2.2, 2.3 • 7.1, 7.2, 7.3, 7.4

• 3.1, 3.2, • 8.2, 8.3, 8.4

• 4.1, 4.2, • 9.1, 9.2, 9.3, 9.4
• 5.2, 5.3
REFERENCES

• Anxiety and Depression Association of America. (2018). Children and teens, Anxiety and
Depression Association of America. Retrieved from https://adaa.org/living-with-
anxiety/children
• U.S. Department of Veterans Affairs. (2018). PTSD: National center for PTSD. U.S.
Department of Veterans Affairs. Retreived from
https://www.ptsd.va.gov/understand/common/common_children_teens.asp