Reactive Attachment Disorder
Reactive Attachment Disorder - rare but serious condition in which an infant or young child doesn't establish healthy attachments with parents or caregivers - may develop if the child's basic needs for comfort, affection and nurturing aren't met and loving, caring, stable attachments with others are not established
Attachment : the reciprocal, enduring relationship between adult and child resulting in mutual satisfaction Disruptions to normal social, behavioral development ?
Symptoms of RAD ? Withdrawal, fear, sadness or irritability that is not readily explained Sad and listless appearance Not seeking comfort or showing no response when comfort is given Failure to smile Watching others closely but not engaging in social interaction Failing to ask for support or assistance Failure to reach out when picked up No interest in playing peekaboo or other interactive games
Critical formative years ages 1 - 5 The risk of developing reactive attachment disorder from serious social and emotional neglect or the lack of opportunity to develop stable attachments may increase in children who : Live in a children's home or other institution Frequently change foster homes or caregivers Have inexperienced parents Have prolonged separation from parents or other caregivers due to hospitalization Have a mother with postpartum depression Are part of an unusually large family, such that parental time is scarce or available unequally or rarely Critical formative years ages 1 - 5
Treatment for RAD ? - with treatment, children with reactive attachment disorder may develop more stable and healthy relationships with caregivers and others - treatments for reactive attachment disorder include positive child and caregiver interactions, a stable, nurturing environment, psychological counseling, and parent or caregiver education
The Effects of Negligence and Isolation RAD Case Study Genie Wiley The Effects of Negligence and Isolation
Status Summary Is project on track for delivery as expected? What is final date for delivery? What are final cost estimates? Status against any other high-level shipping goals Manufacturing rate Delivery Partners, etc.
Progress List achievements and progress since last status update was given Address schedule implications Highlight those things that made progress possible
Attention Areas List delays and problems since last status update was given List corrective actions being taken Address schedule implications Make sure you understand Issues that are causing delays or impending progress Why problem was not anticipated If customer will want to discuss issue with upper management
Schedule List top high-level dates Keep simple so audience does not get distracted with details Distribute more detailed schedule if appropriate Make sure you are familiar with details of schedule so you can answer questions
Deliveries List main critical deliverables Yours to client Yours to outside service Outside services to you Other departments to you Understand your confidence rating to each deliverable Indicate confidence level on slides if appropriate
Costs List new projections of costs If there are cost overruns Include original estimates Understand source of differences in these numbers – be ready for questions If there are cost overruns Summarize why List corrective or preventative action you’ve taken Set realistic expectations for future expenditures
Technology List technical problems that have been solved List outstanding technical issues that need to be solved Summarize their impact on the project List any dubious technological dependencies for project Indicate source of doubt Summarize action being taken for backup plan
Resources Summarize project resources Dedicated (full-time) resources Part-time resources If project is constrained by lack of resources, suggest alternatives Understand that customers may want to be assured that all possible resources are being used, but in such a way that costs will be properly managed
Goals for Next Review Date of next status update List goals for next review Specific items that will be done Issues that will be resolved Make sure anyone involved in project understands action plan