1. Reactive Attachment Disorder

3. 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

4. Attachment : the reciprocal, enduring relationship between adult and child resulting in mutual satisfaction Disruptions to normal social, behavioral development ?

5. 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

6. 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

7. 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

8. The Effects of Negligence and Isolation
RAD Case Study
Genie Wiley
The Effects of Negligence and Isolation

10. 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.

11. Progress
List achievements and progress since last status update was given
Address schedule implications
Highlight those things that made progress possible

12. 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

13. 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

14. 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

15. 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

16. 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

17. 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

18. 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