Steven Part 2

Envelope #2: Second day after placement

During the comprehensive developmental exam, the doctor has concerns about Steven's developmental delays and recommends that he be evaluated for services through the Arizona Early Intervention Program. The pediatrician also wants Steven to have an extensive eye examination by a Pediatric Ophthalmologist and would like the exam completed this week.

At 5:00pm today, you have the introductory meeting with Sara Smith (Steven's mom). During the meeting you each share information and learn about each other. It is apparent that Sara is angry at CPS and desperately wants to have her child returned to her care. Sara is courteous with you because you are caring for her son although she seems scared of your motives and fears she will never get her son back. She did provide you with an abundance of information so you can care for her child as she would. The first parental visit is set for tomorrow at 5:00pm.

1. How do you feel after meeting Sara?
• Surprisingly positive because she is working with us, sharing information, and doing what's best for Steven.
2. What are the benefits of this type of meeting when a child is first placed in your home?
3. How do you prepare Steven for his parental visit?
4. Who is responsible for transporting Steven to the visit?
• CPS and the foster parents but primarily the foster parents.

Envelope #3: Third day after placement

The CPS Case Manager reports all went well with Steven's visit with mom. He was so excited to see her that he clung to her leg when informed that mom needed to leave. Mom bought him a new teddy bear to sleep with and a new blanket to carry around that he brought to your home when he returned from the visit.

While the case manager is there she asks to see your home. You give her a tour. In Steven's bedroom she checks on his bedding and opens the closet and dresser drawers. Then in the kitchen she opens the cupboards and checks the refrigerator.

Once the case manager left your home, Steven begins to act our. He is screaming, crying and running around having a tantrum. He continues to be inconsolable after using every technique you know.

Steven, in anger and frustration, grabs something very special to you. The piece has great sentimental value and is irreplaceable. It falls to the floor and breaks.

After Steven has cried himself to exhaustion, you tuck him into bed for the evening. You finally can take a breath.

1. What is your immediate reaction to the loss of this item?
• Anger. I would need to take a deep breath before I react.
2. How do you handle Steven's behavior?
• Timeout for 2 minutes in order to help him calm down. Talk to him about what happened at his visit and why he is feeling the way he is. Explain to him that is behavior is unacceptable.
3. How do you feel about this outburst?
4. If it continues how will you deal with such incidents in the future?
5. What do you think of the actions of the CPS Case Manager while in your home?
• Intrusive and frustrating but at the same time we understand that it's in the best interest of the children.

Envelope #4: Ninety days after placement

This evening while you are fixing dinner one of your children and a friend are playing their favorite video game in the next groom. Steven enters the room where the children are playing and says, "mine...froggy game...now". Your child pauses the game and tells Steven that as soon as they are done with this game, he will put on the froggy game and play with him. Steven does not want to wait and goes over to the game system and pulls it onto the floor, it is attached to the tv and the tv falls to the floor. The TV has hit Steven in the head and he is now bleeding. Steven is crying and still yelling that he wants to play the game.

After you remove Steven from the area and attend to his wounds you believe that he needs stitches.

1. Where do you go to seek medical attention?
• If only stitches are required, we can only go to an urgent care.
2. Who do you notify and how do you document it?
• CPS must be notified within 2 hours. We will have to file a significant incident report.
3. What are you going to do about Steven's actions?
• No TV & video games. Explain the reason these items are being taken away and begin working on his patience and sharing.
4. What assistance might you have with the property damage?
• We can file a claim with the Provider Indemnity Program. 
5. How do you feel right now about your decision to bring Steven into your home?

Envelope #5: Six months after placement

This morning you take Steven to Target to get some more clothes. Once inside, Steven yells his mom's name and runs to his mother. He is not going to leave her side.

Later in the day, Steven is quietly playing with building blocks on the living room floor. You step away to use the restroom. When you re-enter the living room, Steven is no where in sight and the front door is open. You rush outside and yell his name; frantically you search everywhere for him. You are unable to find him.

Thankfully, Steven was found by the police. He had run after a dog that was in the front yard. The police found him six blocks away from your home.

1. How do you handle the situation in Target?
• Say hi, talk for a few minutes. Explain to Steven that we only have a few minutes but he'll see his mom again on the specific date of the next visit.
2. How do you feel about the situation in Target?
• Awkward and uncomfortable
3. What reports do you need to file after the runaway incident?

Congratulations, you have just completed a simulation of your life with a foster child in your home!

1. How do you feel?
2. What type of impact has this experience had on you and your family?
3. Did anything have to change with Steven entering your family?
• Yes, work schedules, patience level had to increase, our roles within the house changed

Meet Steven

You receive a phone call from your licensing agency at 3:00 am stating the following: 

• Steven is 2 and a half years old and was removed during a police raid of the home, Methamphetamine's were found to be cooking in the trunk of the family's only vehicle. Mom, Sara Smith, had called the police to inform them of the operation. Mom stated she was in fear for her life and that of her child because the boyfriend beats them both. The police were able to confirm signs of domestic violence. The boyfriend was arrested for the manufacturing of meth and possession with intent to sell. Mom was released and placed in a shelter. Steven was placed in the care of CPS until his safety in the care of his mother could be assessed. CPS is concerned that Steven's mom stayed in the home after she knew about the meth operation. There were additional concerns as to whether or not she would bail out her boyfriend.
• The police warrant was served at 11:00 pm and Steven was sleeping in the home when the police arrived. Steven underwent all the necessary precautions to safety remove him since he was believed to have been exposed to toxic, active chemical agents. He was then taken to Hope Hospital for an intital medical examination and toxicology testing. His clothing was taken due to a chemical smell and he was given a shower to remove any trace chemicals. Steven was released with instructions that he was to have a comprehensive medical examination from a pediatrician within the next two days.
• Steven is an only child.
• Mom reports she is unsure of whom the child's father is, she has no family living in the state and has no friends, neighbors, or co-workers who can care for Steven.
• Three months ago, Mom relocated to the area with her boyfriend of one year. They had been living 250 miles away in another part of Arizona.
• Mom reports that Steven has no known medical issues. He is a loving and obedient child who is very attached to her. No other information was able to be gathered since the Mom was ushered away to the hospital for an evaluation and then taken to a shelter.
• The child has only the clothes on his back due to the possibility of chemical contamination from the meth production. The clothes were provided by CPS.

Even though there is very little information known about this child, you and your family decide you are willing to make a commitment to this child and to provide a stable and nurturing home while he is out-of-home foster care. Steven arrives at your home at 5:00 am.

1. What do you need for Steven?
2. You need to schedule Steven's medical exam. What proof of insurance do you have?
3. Who will take Steven to the medical examination?
4. Who can sign the forms?
• We can for the initial exam and routine care.
5. How do you get the examination paid for?
• We sign them "Tina Lyons for DES/CMDP" in order to not be liable for payment.
6. What do you want to learn from Steven's mom at the ice breaker meeting?
7. How are you feeling about this day?
• Nervous, excited, scared, sympathetic & sad for Steven, overwhelmed

Get a good night's sleep and get ready for tomorrow's envelope!

PS MAPP 9: Teamwork & Partnership

This class had so much potential. Last week we were told we'd have a panel at the beginning of this class that would have resource (foster care) parents, community resources, and adopted kids. We were going to be able to ask questions but we should be mindful of their situation and only ask respectful questions (obviously!). 

For the first hour, the panel consisted of a woman from the Department of Health Services, a man from a foster readiness/permanency program (this program is ending soon), a kinship licensing woman,  and an HCTC (Home Care Training to the Home Care Client) parent. HCTC is for children with extreme behavior issues. The first hour was pre-approved questions that were pretty dry and irrelevant to our situation. After that a resource parent arrived. She has 7 kids in her home, 5 have been adopted. She was very helpful, honest, and realistic. I took away 2 things from her:

1. Have a family album ready to go and give it to the child when you pick them up and are taking them home for the first time. That way they can look through the album and see both of us, our house, Maggie, our siblings, our parents, our niece and nephews, activities we enjoy doing, etc. She said it is very helpful especially for younger kids because they are so scared at first. 
2. Always ask the GAL (Child's lawyer) when the court date is and attend. Apparently that is the only way you are going to get the full story.

The rest of the class we discussed the different team members systems we will be working with and the problems we might have with them. We broke into groups and each received a system to discuss what roles we have with that system, any problems we might encounter, ways to solve the problems, and who we could reach out to.

The last topic of the night was abuse. As resource parents, Jon and I are both mandated reporters. As resource parents we have a 1 in 2 chance of being accused of child abuse. That is a 50/50 chance! This part scared me quite a bit, I can't imagine being accused of child abuse or going through the investigations required when I know I didn't do anything. The goal of this part of the class was to make us aware that it occurs, why it occurs, and how to deal with it when it occurs. We are to keep our perspective, be honest, cooperate, document everything, ask questions, and get support. 

Our homework for this week sounds interesting and for the first time, a little more realistic than the previous assignments. This week we were given 6 envelopes. The first envelope has a child's name. We are to open the first envelope the day after class (That's today, Wednesday). Then we open an envelope each day after that in numerical order and complete the assignment based on the situation that has occurred. They seemed to also give us a case that was within the age range we are looking to foster/adopt. Our child's name is Steven. 

I'll do my best to give a daily update on each envelope so you can join us on our mini journey! We haven't read today's envelope yet so look for an update tomorrow!