Jodeci FarringtonCASE PRESENTATION

12 years oldStays with her fatherMom left when she was eight years oldCase worker is in her life

Helps her financially and emotionally.History of cutting herselfEngaged in having sexSmoking illegal substances

JOHN DOE

I believe that due to the experience of her mother leaving at such a young and vital age, John Doe is hurting and doesn’t know how to deal with the feelings that she is experiencing.

Therefore she expresses her hurt through pain, practicing self harm and engaging in activities that are not appropriate.

“Due to the detachment of being without her mother, John Doe has resorted to expressing her emotions through self-harm and engaging in inappropriate behavior.”

PROBLEM STATEMENT

Counseling (group or individual) Preferably group so that she can take notice to others that

are going through the some of the same things that she is and to know that she has their support whenever it was needed.

Psychiatric unit inside the hospital John Doe has experienced this. Said she loved it because she had people to talk to, and

they understood her.

SERVICES?

Strengths:1. Support when needed2. Better perspective on life3. Build her confidence up.

Limitations:1. She may not take what she learns inside group therapy

back home and apply it.2. Her father has to be on board with change and

acceptance as well.3. How she will deal when she is alone and she cant pick

up the phone to call on someone.

STRENGTHS AND LIMITATIONS

Root of Issue?What bothers her that drives her to cut herself?Prevention tactics.

ASSESSMENT GOALS

Positive Rewards for a better attendance.Alternatives to cutting herself.

INTERVENTION

1. Hearing John Doe’s story did not make me pose any biases against her. I understand the situation of not having a mother present, as well as seeking a way out of the pain.

What I didn’t realize is causing pain on yourself the way she was.

BIASES?

2. I realized that the client did not care much about life, whereas I value my life. I understand that life is too short, and have dealt

with, to the best of my knowledge, my past.Praying that she deals with hers in a positive light as

well.

VALUE DIFFERENCES?

3. Opportunities, losses, poverty.Having her mom disappear out of her life at a time

where she was becoming a young woman and going through advanced stages of growing up, caused her to resort to anger and pain.

From that, she began cutting herself to deal with the pain of thinking about it.

Her father has not always been there in ways that she needed him to be.

Started hanging out with the wrong crowd to feel that love.

LIFE EXPERIENCES THAT HAVE SHAPED JOHN DOE?

4. The staff here at Fairmont Middle believe that she needs to begin seeing someone on a fixed schedule for at least two or three times a day.

They believed the psychiatric ward did her some good.Monitor her behavior in schoolGive positive feedback when they see her in the

hallwaysCheck up’s

STAFF RECOMMENDATION?

5. Dualism in self-harm1. Private self harm (rooted in real distress).2. Public (sell-indulgent attempts to seek

attention). Happens more with young women than men. Lesbian, gay, and bisexuals. School and peer relationships. “Storm and stress of adolescents”

Cry out for attention or saving ones own life (coping). We have to deal with children delicately. How we deal with them and their emotions while

experiencing the changes of growing up, deals with how they will handle situations that approach their values and character.

WHAT DOES RESEARCH HAVE TO SAY ABOUT IT?

“So perhaps most important of all for practitioners is an acknowledgement that self-harm is a complex and multifaceted phenomenon and therefore it is useful to consider multiple ways of understanding self-harm” (Scourfield, J., Roen, K., & McDermott, E. (2011).

Telling someone to not cut themselves is like taking a bottle away from a hungry child.

The bottle cures the hungry child, such as cutting is the only coping skill known to those who cut themselves.

Our job as practitioners is to help develop other alternatives other than cutting. Pay critical attention to what stimulates someone to want to

resort to harming themselves, then try slowly transitioning into another coping alternative that is less harmful and more beneficial.

6. More involvement with John Doe from case supervisor.

More positive role models to introduce her to.Attention and confirmation.

CHANGES OR RECOMMENDATIONS

Doe. John, personnel communication, March 12, 2014.Scourfield, J., Roen, K., & McDermott, E. (2011). The

non-display of authentic distress: public-private dualism in young people's discursive construction of self-harm. Sociology Of Health & Illness , 33(5), 777-791. doi:10.1111/j.1467-9566.2010.01322.x

REFERENCES