Case Study and Panel Discussion Local Evidence-Based Mental Health Treatment Modalities for Children and Families Case Study and Panel Discussion

Ricky 6 year old boy, middle child Dad: active duty in the Navy Mom: part time consultant Birth History: born at 35 weeks, brief NICU stay; mother took psychotropic meds during pregnancy Medical history: asthma, bed wetting, nightmares, prior motor delay treated with physical therapy School: in kindergarten, principal’s office several times, disruptive behaviors (speaking out of turn, yelling and using swear words, pushing/hitting other kids, lying, and not following classroom directions), suspended for 3 days

Family 8 year old sister, Gina, 2nd grade; Fighting with his sister about TV, leading to hitting sometimes 6 month old baby brother; mostly ignores, sometimes complaints about crying or smelly diapers Swears at his mom and does not listen; doesn’t do well hearing ‘no’ Mom very organized when dad deployed, has schedule and expectations of children   Excitement, fun events, gifts when dad returns; Dad does things ‘spur of the moment’

Parents Soon after dad’s return, arguments about managing the kids’ daily schedules, money, responsibilities Dad makes plans with friends, and mom not able to Loud verbal fights, including swearing, within earshot of the kids They do not get physical with each other, but dad will sometimes pound his fist on the table in frustration and mom has thrown a glass on the floor in anger Dad leaves the house when he is upset