client interview

SW 450 / SPRING ’18 ASSESSMET ASSIGNMENT For each of the following safety threats, determine whether the safety threat is present in the family system. Your determination must be supported by specific questions and answers given during the family interview. If there is external information you are using to inform your assessment, include it after your documentation of the client interview(s). After assessing for safety concerns, identify strengths within the family system. Assess whether these strengths can mitigate any identified safety concerns. Finally, assess whether the children need to be removed from the home. Document the rationale for your assessment using the safety threshold criteria. SAFETY THREATS 1. Caregiver leaves child alone and child is not competent to care for self, or caregiver leaves child with persons unwilling or unable to provide adequate care, placing the child at substantial risk of harm. 2. Child is fearful of caregiver, other family members or other people living in or having access to the home. 3. The behavior of a child living in the home threatens immediate harm to himself or to others and the caregiver can not control the behavior. (Note: Any of the following examples apply only if the caregiver is not able to control the behavior.) 4. Caregiver is verbally hostile when talking to or about the child and/or the caregiver has extremely unrealistic expectations for the child’s behavior. 5. Caregiver’s behavior is violent or out-of-control. 6. Domestic violence among adults living in or having access to the home seriously impairs the necessary supervision or care and/or the physical safety of the child. 7. Caregiver has caused serious harm to the child or has made a believable threat to cause serious harm to the child. 8. Caregiver’s explanation for the child’s injury or physical condition is inconsistent with the observed or diagnosed injury or condition. 9. Caregiver refuses access to the child, or there is reason to believe that the family is about to flee, or the child’s whereabouts can not be ascertained. 10. Caregiver has not, can not or will not protect child from serious harm, including harm from other persons living in or having access to the home. 11. Caregiver is unwilling or unable to meet the child’s immediate needs for food, clothing, shelter, and/or medical or mental health care placing the child at substantial risk of harm. 12. Caregiver, paramour or other person living in or having access to the home previously harmed or endangered a child and circumstances indicate the person is a present danger to the child. 13. Child sexual abuse is suspected and circumstances suggest that continued sexual abuse is an immediate concern. 14. Physical conditions in the home are hazardous and immediately threaten the child’s safety. 15. Drug and/or alcohol use by caregiver or others living in or having access to the home places the child in immediate danger. (For more assistance, see Exhibit 6, Substance Abuse Behavioral Indicator Checklist and Exhibit 8, Guide and Instructions to Assessing Risk Factors for Substance Exposed Newborns.) 16. The caregiver’s involvement in criminal activity or the criminal activity of any other person living in or having access to the home endangers the child 17. The physical or mental health or mental limitations of caregiver or other person living in or having access to the home places the child in immediate danger. FAMILY STRENGHTS: NEED FOR REMOVAL: ” Is there a specific, observable family condition-behavior, emotion, attitude, intent, perception, situation, etc.? ” Is the condition out-of-control of the caregiver? There appears to be no existing means within the family that can assure the control. ” The condition affects a vulnerable child, meaning any child who is reliant or dependent on others for protection. ” Could the condition reasonably have a severe physical effect on the child? Severe effect could include serious physical injury, significant pain and suffering, terror or extreme fear, impairment or death, etc. ” Is the severe effect imminent? That is, it could happen just about any time within the near future-today, tomorrow or during the upcoming days or weeks.