Ask familiar staff for hypotheses member is assigned to pick him up from (educated guesses). the day program. S - Substance abuse? Unlikely But always ask those who know his Sam is always supervised so substance Unlikely routines and habits. use and abuse are impossible. Given his history of . Review his record for history. -Record indicates frequent abuse by A - any evidence of institutionalization, his current Inquire about current situation. more capable males in institution when Abuse/neglect: behavior could be an anniversary - Have there been any staff he was young. trauma reaction, an indication of changes? Activity changes? -A new middle aged and balding staff We know anything definite. current abuse, or an indication - Has anyone entered his life who member has started at residential don’t that something is making him is bald? program. Sam has acted fearful ever fearful of abuse. -Has he been in any situations since this man started work, even prior to escalation of behavior though by all reports the staff person where someone could have abused has been absolutely appropriate. him? -No indication of current abuse. P - Psychiatric issues History and reaction to bald men The recent hiring of a bald man Do a careful record review for suggest some bald male hurt him. He He is being treated for PTSD and has triggered his PTSD. prior psychiatric history. lived in an institution for 15 years. depression. Records show he was repeatedly abused Feeling powerless to change the by more capable males. He has the Sits with back to like situation, he has become exaggerated startle reflex often shown wall. Doesn’t to be touched by strangers. depressed in spite of medication. by people with PTSD. History also indicates that irritability He is irritable and he is isolating and isolation are his characteristic himself symptoms of depression. Our plan depends on the answers we get to questions and to outcomes from evaluations and assessments. Suggestions in the plan must be VII: Make a plan. connected to our “outcomes”. (Please note: This plan complete. meant to give you an idea of how to outline a plan. We want to be sure to address each of the issues we listed in the isn’t It’s section of the analysis.) “SYMPTOMS” Do This To Address This
Ask familiar staff for hypotheses (educated guesses). member is assigned to pick him up from the day program. S - Substance abuse? Unlikely Unlikely But always ask those who know his routines and habits. Sam is always supervised so substance use and abuse are impossible. A - any evidence of Abuse/neglect: We don’t know anything definite. Given his history of institutionalization, his current behavior could be an anniversary trauma reaction, an indication of current abuse, or an indication that something is making him fearful of abuse. . Review his record for history. Inquire about current situation. - Have there been any staff changes? Activity changes? - Has anyone entered his life who is bald? -Has he been in any situations prior to escalation of behavior where someone could have abused him? -Record indicates frequent abuse by more capable males in institution when he was young. -A new middle aged and balding staff member has started at residential program. Sam has acted fearful ever since this man started work, even though by all reports the staff person has been absolutely appropriate. -No indication of current abuse. P - Psychiatric issues He is being treated for PTSD and depression. Sits with back to wall. Doesn’t like to be touched by strangers. He is irritable and he is isolating himself The recent hiring of a bald man has triggered his PTSD. Feeling powerless to change the situation, he has become depressed in spite of medication. Do a careful record review for prior psychiatric history. History and reaction to bald men suggest some bald male hurt him. He lived in an institution for 15 years. Records show he was repeatedly abused by more capable males. He has the exaggerated startle reflex often shown by people with PTSD. History also indicates that irritability and isolation are his characteristic symptoms of depression. VII: Make a plan. Our plan depends on the answers we get to questions and to outcomes from evaluations and assessments. Suggestions in the plan must be connected to our “outcomes”. (Please note: This plan isn’t complete. It’s meant to give you an idea of how to outline a plan. We want to be sure to address each of the issues we listed in the “SYMPTOMS” section of the analysis.) Do This To Address This