Discussion questions

Description

Question 1

Childhood Trauma Case Study

Instructions: Read the Case History and complete the questions below. Resources are available to help you to answer the questions. Submit your completed questions to the discussion board by the due date.

Case History

Age 5

When Ian was five, his mother died of cancer. Shortly after, his older sister, her husband, and their toddler daughter moved into the family home. The sister’s husband murdered his toddler daughter and accused Ian of the murder. Ian confessed to a police investigator. He thought he had killed his niece because he once hit her with a toy. Despite Ian’s confession, the sister’s husband was convicted of the murder and is currently serving a 25-year sentence. His sister, whom Ian loved, moved out of his home. Ian has no other siblings.

Age 5 to 8

Ian’s father, David, didn’t believe in talking about problems. He was confident that Ian would forget about these events. He thought he had a great relationship with his son because they spent a lot of time together fixing motors and electronics and hunting and fishing. He didn’t realize that despite this sharing of activities and the feelings of closeness, he was dismissive in regard to Ian’s psychological trauma. None of Ian’s trauma was mentioned to his primary care physician or school counselor. David did have a good relationship with his son in many ways, but he was dismissive of the effects of Ian’s trauma. David, too, had experienced trauma, with the death of his wife and the murder of his granddaughter being most prominent.

Years later, in efforts to decrease internal stress, David drank vodka in the evenings. David would often verbally insult Ian and physically abused him multiple times. Ian would lock himself in his room for hours to feel safe, oftentimes until the next morning. Moreover, Ian was bullied at school due to his poor hygiene and disheveled appearance.

When Ian was eight, he sexually abused the three-year old daughter of his day care provider who lived next door. Ian’s sexual acting out raised questions about whether his sister’s husband, a registered sex offender, had sexually abused Ian years prior.

Age 9

Due to several reports made to Child Protective Services (CPS) for abuse and neglect by employees at Ian’s school, Ian was taken from his father’s custody and placed into foster care.

Reference: Center for Advanced Studies in Child Welfare. (2014). A Case Study Involving Complex Trauma. https://cascw.umn.edu/featured/part-3-case-study-c…

Case Study Questions
 

1.)What are examples of childhood trauma that Ian experienced?

Resources:

·       Understanding Childhood Trauma (https://www.samhsa.gov/child-trauma/understanding-…)

·       Fast Facts: ACEs (https://www.cdc.gov/violenceprevention/aces/fastfa…)
 

2.)What mental health challenges are commonly related to childhood trauma?

Resources:

· Effects of Childhood Trauma (https://www.verywellmind.com/what-are-the-effects-of-childhood-trauma-4147640)

·       Statistics on Childhood Trauma (https://acestoohigh.com/got-your-ace-score/)

3.)What physical conditions can be caused by childhood trauma?

Resources:

·       Fast Facts: Consequences of ACEs (https://www.cdc.gov/violenceprevention/aces/fastfa…)

·        Statistics on Childhood Trauma (https://acestoohigh.com/got-your-ace-score/)

·       Effects of Childhood Trauma (https://www.verywellmind.com/what-are-the-effects-of-childhood-trauma-4147640)
 

4.)What is the Adverse Childhood Experience (ACE) tool? Why do we use it? What does it screen for?

Resources:

·        What is the ACE Screening Tool? (https://www.chcs.org/media/TA-Tool-Screening-for-ACEs-and-Trauma_020619.pdf)

·        Why Screen for Childhood Trauma? (https://www.acesaware.org/learn-about-screening/benefits-of-ace-screening/)

·       ACE tool (https://www.naadac.org/assets/2416/michael_bricker_acesassessment_ac16_ho.pdf)

5.)What do you think Ian’s score was on the ACE tool? What does Ian’s ACE score suggest?

Resources:

·       Fast Facts: ACEs (https://www.cdc.gov/violenceprevention/aces/fastfa…)

·       ACE tool (https://www.naadac.org/assets/2416/michael_bricker_acesassessment_ac16_ho.pdf)

Questions 2

Developing confidence in your ability to explain the trade-offs in your decisions.

Ethical Decision Making — Developing confidence in your ability to explain the trade-offs in your decisions.

This discussion forum requires you to rethink a prior situation and decision

Think of a situation where you had to make a decision and ethical values were at stake (preferably in the work place).

Respond with your experience.

What were the values?

What decision did you make?

Articulate the values that you maximized in your decision.

What values did you minimized in the process?

If confronted with the same situation today, would you make the same decision?  Explain.

Question 3