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Final Exam - Case Scenario Psychological Issues in Children & Adolescents in the Legal Setting For the final paper, students will receive a case scenario in the week(s) prior to the Final| Paper. Students will then respond to the case scenario with the bellow focal points in a minimum of 12 (maximum 13) double spaced pages in APA style; page limitations due not include reference page(s). Please use the "drop box” created - Course Content - Final Paper 1. A robust description (APA format) of what are the key social, ethical, medical and psychological issues presenting in case scenario. 2. A brief description of what interventions, programs and services would be recommended for youth 3. A brief but comprehensive description of relevant research, legal finds, and relevant Amicus Briefs and analysis of how reviewed works would could impact outcome of youth described in case scenario. 4. A brief, but critical evaluation of the limitations of the existing literature and recommendations for future research, Youth is a 14-year-old Caucasian female who was brought to juvenile detention facility on a warrant on a remand with her original charge being Criminal Mischief and Assault (victim is the mother/current legal guardian); after youth had missed several probation appointments and recent urine screens indicated dilute or missed urine screen appointments. Youth was attired in detention scrubs and appeared well groomed, gave somewhat detailed answers during evaluation, and made inconsistent eye contact. When comparing youth self-report and review of records/information youth gave to detention staff upon initial detainment, youth presents with inconsistent responses regarding suicidality. Youth reported having a “good” memory, and denied any issues regarding paying attention. Her voice was of normal rate and rhythm. She was oriented to person, place, time, and situation. Youth denied hallucinations consistent with a mental health diagnosis. Youth reported she is able to sleep through the night and reported having a paying attention. Her voice was of normal rate and rhythm. She was oriented to person, place, time, and situation. Youth denied hallucinations consistent with a mental health diagnosis. Youth reported she is able to sleep through the night and reported having a good appetite; but she clarified that without her medication (Trazadone at night) she does not sleep well. Youth also reported that she will have an “ok” amount of energy. Youth denied any current suicidal or homicidal ideation, intent, or plan and denied to this clinician a history of any suicide attempts. Youth did report having suicidal ideation last September stating “I just did not want to be around anymore." Youth's self-reported mood of “good," was congruent with her present affect. Youth's judgment and insight were fair. Records review and interview with collaterals (mother and probation officer) indicates that youth has a history of low self-esteem, variable mood & affect presentation (i.e. in some reports depressed in others agitated manic, and in others avoidant), a past suicide attempt and has been hospitalized in the past; however youth denies both suicide attempt and hospitalization. It is important to note that mother and probation officer & review of records indicate that first suicide attempt (at age 12) was at home and attempt via hanging and the second suicide attempt earlier this year was from overdose of alcohol and resulted in hospitalize for three weeks before youth was stabilized and returned home. Youth has also received a diagnosis of Major Depressive Disorder (MDD) and Bipolar Disorder in also received a diagnosis of Major Depressive Disorder (MDD) and Bipolar Disorder in the past and has been treated for both. Currently she is in treatment with a primary care physician who is prescribing a mood stabilizer and something for sleep” as well as with a therapist who's primary intervention of choice to date with the youth has been dream analysis. Youth discussed that she will not consume caffeine often. Youth reported first using nicotine at age 12 and would use once a month up until six months ago. Youth also reported first using alcohol at age 12 and would consume about once a month every six months. Youth discussed having an issue with drinking. Youth reported drinking a bottle of vodka and was found by her mother "passed out” in shrubs with abrasions on her face. After being taken to the hospital, it was also found that youth had been sexually assaulted. Mother of youth and youth did not discuss this incident with this clinician. Mother of youth also reported juvenile detention staff that she does not believe that youth has an issue with alcohol. Youth reported to this clinician that she has no plans to consume alcohol after this incident. Upon records review it appears that this incident (recent alcohol intoxication where hospital also reported sexual assault) was not classified as suicide attempt; however due to youth Type I Diabetes took over a week to stabilize youth before returning home. Records review indicate that youth refused to discussed the evidenced of sexual assault and mother aligned with you and denied that it had occurred. Youth discussed her parents divorcing when she was about age three years of age. Youth then lived with her father until age 11 and has lived with her mother since. Father of youth currently resides out of state and youth discussed talking to her father often and feels much supported by him. Youth discussed arguing often with her mother and her younger brother who resides with them. Youth denied any family history abuse however discussed in records review indicates physical abuse had occurred between youth and her father when youth was placed with father which resulted in mother of youth filing for full physical custody (granted by the State when youth turned 12 years of age). Youth denies this. Reports from human services also indicate domestic violence when her parents were still together that resulted in report to social services. Reports from numan services also indicate domestic violence when ner parents were still together that resulted in report to social services. Youth is currently in the eighth grade and although youth reports she receives grades of As and Bs, youth also reports that she does not attend school often. Youth discussed being involved in soccer when she lived with her father and would like to continue this. Youth also discussed being suspended once last year for harassment and denied any expulsions. Youth denied any history or affiliations with any gang. This is youth's fourth arrest and second time in detention. Youth discussed feeling supported by her family however would like to improve the relationships with her mother and brother and discussed wanting to go live with her father out of state. Mother of youth would like to see youth continue with her treatment and receive counseling services to help improve her mood.
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Explanation & Answer

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Outline
Introduction
Body
Conclusion


Running head: PSYCHOLOGICAL ISSUES IN CHILDREN & ADOLESCENTS

Psychological Issues in Children & Adolescents
Name
Institutional Affiliations
Date

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PSYCHOLOGICAL ISSUES IN CHILDREN & ADOLESCENTS

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Psychological Issues in Children & Adolescents
In any type of evaluation, each response engaged given by a patient provides a
fundamental basis into which further analysis can be done, either for treatment or psychology. To
hone this the examiner is bound to observe the ethical, social, medical statutes in the process of
examination. Social issues, especially in meant health, are one the most common ideology that is
evident in any diagnosis. The patient under observation is expectedly known to have some social
issues either with the family member, medical practitioners and the peers with whom they
interact with. In this scenario under consideration, the 14-year-old female youth admits some of
the deemed issues that are not positive in nature with notably little positive interaction.
The youth has been reported engaged in at both family level and the school. The youth
admitted to having had continuous quarrels and violence with her mother and younger sibling at
home but at some point having domestic quarrels, contrary to the abrasions on her body. Another
incident that is evident in the scenario that the youth had engaged in the harassment cases in
school that resulted in a suspension from school. Other social issues presented in the scenario is
the reported cases of violence of both parents in the earlier years. There is a close relationship
between the outrageous experiences with the sociability of an individual in the future. For
example, feelings of depression, low self-esteem which are evident in the youth during the
examination, are either directly related to the level of mental stability (Hegarty, 2011). This then
influences her behaviors at school, evidenced by the admission to having been reportedly
engaged in a harassment case that leads to suspension.
Nursing or medicine a professionalism is based on ethical statutes that explicitly define
and govern the services rendered to the patient. It is based on the greater need to serve with
integrity while serving to the best need of the patient. these ethical principles include autonomy –

PSYCHOLOGICAL ISSUES IN CHILDREN & ADOLESCENTS

3

the ability of the practitioner to respect the patient body and leaving the patient to solely
determine the sort of treatment, beneficence that is explicitly defined as the willingness to do
good willingly, non-maleficence that is focused on not doing any harm to the patient in any way
and finally the justice aspect the is the need to treat and exercise medicine practice on the patient
effectively without any course of injustice, that is fair treatment of the patients. Any violation of
these principles by the medical practitioner bound to the legal actions being taken upon them.
Mental health officer is more bound to more complex ethical rules that define the point and level
of activity during the examination. The violation of this principle may be a moment of taking the
advantage of the professionalism of the patient and as big as the involving sexual assault and
wrong prescription (Jinger G. Hoop, 2008).
In our case, the youth has reportedly admitted to several medical centers where she has
undergone treatments in relation to the effect. Possibly, the ethical principle has been engaged in
all the clinical appointments of the child. For example, well-kept records about the child health
have been used in the scenario that was used to provide adequate information about the youth in
the juvenile detention camp. Ethical observance b the examining officer is also evident given the
interactive session of the examiner and the youth after the juvenile attiring session. The examiner
also engages the comprehensive interview and preview of records in order to obtain more
information about the youth before detainment.
Medical and psychological issues evident in this scenario involve the integrative analysis
of the youth former record. This allows the medical practitioner to determine the extent of the
effects on the patients. Numerous medical and psychological issues are notable during and after
examination of the patient, especially in the case of mental disorders is done. One of the most
common issues is the bipolar disorder that is observable when the patients experience mood

PSYCHOLOGICAL ISSUES IN CHILDREN & ADOLESCENTS

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swings that are last for short periods of time. These mood swings are the mania and depression
periods that are excessively observed in the patients. In the case of mania, the patient is over
excited accompanied by excess energy in the patient. This is followed by a deep moment of
depression that leads to seclusion from the people around. Other issues include the use medical
prescriptions to hone the state of the patient health at large.
The youth...


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