1. Reunification: Brianna
Presented by: Shana Burgess, Jessica Emig, Sarah Payton, Effie Rothwell, Jeana Smith

2. Family History

3. Genogram

4. Assessment Multi-Axis Diagnosis
Axis I: Oppositional Defiant Disorder
Axis II: V71.09 No Diagnosis or condition
Axis III: None
Axis IV: Problem with primary support group, Problems related to social environment
Axis V: GAF 55 Current
Axis I: Criteria A. Pattern of negativistic, hostile, and defiant behavior lasting at least 6 months , during which four (or more) of the following are present:
Often loses temper: Brianna will lose her temper and throw tantrums when she does not get what she wants from family and friends.
Often argues with adults: Brianna argues with her grandparents about what to wear to school, bedtime, what to eat, and homework.
Often actively defies or refuses to comply with adults’ requests or rules: Brianna is constantly defiant and disrespectful to her grandparents.
Is often angry and resentful: Brianna is angry especially when she does not get her way.
Criteria B: The disturbance in behavior causes clinically significant impairment in social, academic, or occupational functioning. Brianna has significant impairment with her family because of her lack of respect and defiant behavior.
Criteria C: The behaviors do not occur exclusively during the course of a Psychotic or Mood Disorder. No, Brianna does not have a Psychotic or Mood Disorder diagnosis.
Criteria D: Criteria are not met for Conduct Disorder, and , if the indvidual is age 18 years or older, criteria are not met for Antisocial Personality Disorder. No, Brianna is 7.
Brianna has problems with her primary support group she is disrespectful to her grandparents and is constantly defiant to their authority. She argues with them over everything from what to eat, homework, bedtime, and rules. Brianna also struggles with playing with children her own age when she does not get her way. She can get along with others only if she can control them.
Brianna received the GAF score of 55 for her moderate difficulty in social functioning with her family members and her interaction with other children.

5. Treatment Plan
Goal One:
Objective:
Evaluation:
Goal Two:

6. Treatment Plan
Goal Three:
Objective:
Evaluation:
Goal Four:

7. Policy Intergration
Kinship Care- Kansas Relative Placement for Foster Care and Guardianship Citation: Ann. Stat. §§ (p); Effective April 6, The term ‘kinship care’ means the placement of a child in the home of the child’s relative or in the home of another adult with whom the child or the child’s parent already has a close emotional attachment. If the court has ordered the child removed from the custody of his or her parent(s), the court shall enter an order awarding custody to: The goal is still reintegration with mom but its been 2 yrs with not much progress. • A relative of the child or to a person with whom the chiId has close emotional ties who shall not be required to be licensed. Brianna is placed with her Maternal grandparents

8. Policy Integration Cont.…
• Any other suitable person- There has not been any other identified source that would be suitable for Brianna • A shelter facility- Brianna has lived with her Maternal grandparents since being removed from moms care. Brianna also spend frequent times with her grandparents before Brianna was taken from mom. • A youth residential facility- Brianna has never been in a PRTF • The secretary if the child is age 15 or younger, or age 16 or 17 if the child has no identifiable parental or family resources or shows signs of physical, mental, emotional, or sexual abuse Custody awarded under this subsection shall continue until further order of the court. Requirements for Placement with Relatives Citation: Ann. Stat. § A relative of the child or to a person with whom the child has close emotional ties who receives custody of the child shall not be required to be licensed under Chapter 65, Article 5.

9. Policy Integration Cont….
Adoption And Safe Families Act of P.L (ASFA)
ADOPTION AND SAFE FAMILIES ACT ASFA is a federal law and rules have been implemented by the U.S. Department of Health and Human Services, Administration for Children and Families to interpret the provisions of ASFA. Missouri relies on federal funding from Title IV-E of the Social Security Act to fund foster care and other programs related to children. Initially, much of the requirements of ASFA were not a part of Missouri law per se, however, many of the provisions of ASFA have now been enacted in Missouri. Failure to comply with the requirements will result in reduction or loss of federal funding. CORE REQUIREMENTS: The first court order removing the child from the home must contain a judicial determination that continuation of the child in the home is contrary to the welfare of the child. The best practice is to MAKE

10. Policy Integration
THIS FINDING IN THE INITIAL EX PARTE ORDER PLACING THE CHILD IN ALTERNATIVE CARE. See Rule Within 60 days of removal of the child from home, there must be a judicial determination of ”reasonable efforts” to prevent removal. Section This time period coincides with the requirement that the adjudicatory hearing be held within 60 days of the removal of the child from home as required by Section However, the best practice is to MAKE THIS FINDING EITHER IN THE INITIAL EX PARTE ORDER PLACING THE CHILD IN ALTERNATIVE CARE OR IN THE ORDER ISSUED AFTER THE MANDATORY PROTECTIVE CUSTODY HEARING, WHICH MUST BE HELD WITHIN 3 DAYS OF REMOVAL, EXCLUDING SATURDAYS, SUNDAYS AND LEGAL HOLIDAYS. Section See also Rules and Within one year of the child entering foster care and annually thereafter, there must be a permanency hearing, and there must be a judicial determination related to reasonable efforts to finalize the permanency plan. Section Certain situations permit DFS to be relieved of the obligation to make reasonable efforts to reunify the family. Section Certain situations require that a Termination of Parental Rights petition be filed to expedite permanency.

11. References
acement.pdf
andbook/Juvenile_Generally/AdoptSafeFamAct.htm