Reference no: EM133604279

Case Study 1

The Duty senior social worker is contacted by Police in East Lothian who have received information from the child's grandmother Mrs T.

Mrs. T told them that she cares for Jenny every weekend and at bedtime she noticed bruising to Jenny's foot that went from the top through to the sole. She asked Jenny how this had occurred and Jenny said that her father, William, did it to her.

Mrs. T explained that her daughter Shona and her partner William lived within Wester Hailes. Mrs T had 'never taken' to William. Mrs T did not believe that William was Jenny's father, although the couple had reunited following Jenny's birth. Jenny had had a bruise to her face several weeks previously and Jenny had explained that she had fallen. Mrs T wished to remain anonymous.

An Initial Referral Discussion took place between a Police Inspector, senior social worker and community pediatrician. A decision was made that the social worker and police officer should jointly interview the child. Following the interview a decision would be made regarding a medical examination of Jenny.

The social worker contacted the mother, Shona, to tell her that a Child Protection Investigation was taking place, and what it would involve. Shona was angry that an investigation was taking place but said she would accompany her daughter to the interview.

Jenny was interviewed at the social work centre. She said that her daddy had caused the bruising but it was an accident when they were playing football. Although the interview did not determine that the cause of the injury was deliberate, given the extent of the bruising, the social worker asked that a doctor examine the injury. Shona complied with this request. The examination was not conclusive - the GP felt that the injury could have happened as a result of an accident but was concerned that Shona had not sought medical advice as the bruising on the foot must have caused Jenny pain and difficulty in walking. Shona and William said that Jenny had been trying to get attention and had lied to her grandmother about the injury as she knew that Mrs T did not like William. Shona said Mrs T spoiled Jenny. Without further information the investigation did not proceed further. Mrs T was insistent that Jenny had told her that her father had caused the injury deliberately.

Case Coordination Activity

Date:

Name:

Include the links for sources used to address each question.

Determine the following for your scenario:

Identify all problems/issues
Prioritize those problems/issues (be prepared to justify your ranking)
Who could help for each problem? (be specific in terms of resources and agencies)
Are the problems chronic or acute? (EACH one)
Will the client need follow up services (long term) for any of the problems? Which?
Are there any underlying issues that you can identify?
What are the client's resources?

The form must include the links for sources used to address each question.

Determine the following for your scenario:

Are there any potential diagnoses? What? WHY?
Explain the scope of the problem. (WHO and HOW are they impacted?)
What are the symptoms related to the Diagnosis? Are there other issues/symptoms that are NOT related to the diagnosis?
What Treatment approach would you use? BE SPECIFIC in terms of theories and techniques. WHY did you pick those (evidence based)?
What are possible alternative methods for dealing with the client's Diagnosis? (other than what you've recommended)
What adjunct services may be needed? (be specific in terms of agencies and resources)