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Published by Pine River Institute, 2023-04-21 13:41:54

29461SK ADMISSION SUPPLEMENT 20230421LK

29461SK ADMISSION SUPPLEMENT 20230421LK

NEW STUDENT ADMISSION SUPPLEMENT 29461SK


What is this report? Youth-Reported Mental Health, Relationships, & Acting Out How to read this graph What does the YOQ measure? Relationships: dysfunctional relationships, aggression, defiance Mental Health: anxiety depression, fearfulness, self-harm Acting Out: impulsiveness, attention problems, high frustration This report summarizes some of the surveys youths and caregivers completed around the time of their assessment. We hope this information will help you to conceptualize the work you will do with this family. We use a survey called the Youth Outcomes Questionnaire to understand youth's current mental, relationship, and behavioural health. Some results are self-reported, and some are 'observer' reported. For example, we may show you how a youth perceived family functioning, or how a parent perceived their child's level of anxiety. The graph shows the youth's score in relation to 0: with 0 being a score that has been established by tens of thousands of people in North America as the 'Healthy Line'. Scores below 0 indicate the youth is in the healthy range. Scores above 0 suggest this area might need attention. Scores of 1 or more away from the healthy line indicates a signficant difference from the healthy cutoff; higher scores indicate higher symptoms. Each bar represents a different health factor - mental, relationship, or behavioural health:


The youth's mental health, relationships, & behaviour What to do with this information This information is for you to better understand this youth's own perception of their emotional and environmental experiences. You might want to share this information with the youth to encourage clinical dialogue and collaborative treatment planning. 0 1 2 3 Mental Health Relationships Acting Out Youth Self-Reported Mental Health, Relationships, & Behaviour at Assessment


Parent-Reported Mental Health, Relationships, & Acting Out Parents also rate their perception of their child's mental health, relationships, and behaviour. For this, they complete a survey called the 'Child Behaviour Checklist'. This assessment is also popular internationally and is very common in research studies. You can see this scale assesses several factors. For all of them, a score of 70 or more indicates areas of clinical concern. 50 60 70 MOM DAD MOM DAD MOM DAD MOM DAD MOM DAD MOM DAD MOM DAD MOM DAD ANXIOUS DEPRESSED WITHDRAWN SOMATIC SOCIAL PROBLEMS THOUGHT PROBLEMS ATTENTION PROBLEMS RULE BREAKING AGGRESSION 70 Scores of 70 or higher indicate clinically problematic functioning.


Substance Use, School, & Social Behaviour Mom indicates Stevie uses marijuana 4-6 times per week, and drinks when out with friends. Stevie has not been attending school recently, missing half the days in the recent three months. Dad indicates police contact without getting arrested, and stealing from a store. In the last year, Stevie was recently treated in hospital for mental health concerns and thought about ending his life.


Family Functioning We use the McMaster Family Assessment Device (FAD) to understand a family's openness and acceptance. This is another widely used assessment used to inform general family functioning. Youths and caregivers complete this assessment. This is a symptom scale, so higher scores mean higher dysfunction. Scores of 2 or lower indicate healthy family functioning. If scores are different from a family member or different from 2 by .25 or more, it can be considered a significant difference. (ND = NO DATA) 2 1.9 MOM FAD SCORE DAD FAD SCORE 2.3


Parental Emotional Intelligence EI & Maturity Reading the graph Emotional Intelligence (EI) is the ability to be aware of, control, and express emotions and be fair and empathic in relationships. EI is a strong predictor of personal well-being and success. We measure EI because it aligns really well with maturity. EI includes such strengths as emotion regulation, positivity, and selfesteem. We are interested in caregiver and youth EI, as we aim to foster growth in this area for all family members. The graph shows each caregiver's score on the elements of Emotional Intelligence. Among adults, the average score for Positivity is 5.4, for the other three elements is about 5.0. Higher scores mean healthier levels of each factor. Each element is explained below the graph.


Sociability includes Emotion Management, Social Awareness (confident around others, and can navigate social situations with sensitivity, adaptability, and attuned perception), and Assertiveness (forthright and frank, can give and receive compliments, good leader and advocate) Self-Control Sociability Self-control incudes Emotion Regulation, Emotion Management (ability to influence other people's emotions (e.g., calm them down), and Impulse Control (thinking before acting or making decisions). The positivity aspect of EI relates to current happiness and optimism about the future, cheerfulness, feeling good about one's self, and selfesteem. This factor includes Empathy, Emotion Perception (understanding own feelings and others' emotional expressions, and Emotional Expression (ability to communicate feelings). Positivity Emotionality 1.0 2.0 3.0 4.0 5.0 6.0 7.0 POSITIVITY SELF-CONTROL EMOTIONALITY SOCIABILITY Parent Emotional Intelligence at Time of Assessment MOM DAD


Attachment Attachment Styles Secure Attachment is the ability to have trusting, lasting relationships, open communication, seeking support when needed, and emotion expression. Insecure-Dismissive style is a reluctance to be close with others, worry that others don't care for them, and intense reactions when relationships end. Insecure Avoidant attachment is characterized by investing minimal emotions in relationships, not seeking help, and difficulty sharing thoughts / feelings. Insecure-Fearful attachment is characterized by a disorganized mixture of all styles. Those with this style find it hard to trust and often suppress feelings. Attachment is the way we interact with and relate to other people. Attachment style is formed very early in life and becomes an established way of relating to specific people. Attachment is influenced by self-worth and trust.


Mom's Attachment Style to Their Own Caregivers Dad's Attachment Style to Their Own Caregivers


Adequate Relational Boundaries Factors of Relational Boundaries & This Family's Ratings V HIGH V HIGH V HIGH V HIGH V HIGH HIGH V HIGH V HIGH V HIGH V HIGH VERY LOW VERY LOW MOM DAD Blurred Boundaries: Child is an extension of caregiver, thereby hampering personal individuation. Psychological Control: Caregivers intrude on child's autonomous behavoiurs, feelings, & thoughts, interrupting development of child's identity. VERY LOW VERY LOW VERY LOW VERY LOW AVERAGE VERY LOW Guilt Induction: caregiver coerces child to act or feel in a way that complies with their own ways. Children often do not express their own wishes or individuality. Triangulation: child acts as a mediator between caregivers Parentification: (role reversal) children fulfil caregiver's need for care while dismissing own needs. VERY LOW VERY LOW Having clear, hierarchical, attuned boundaries establish caregiver roles as authorities, and promote healthy development of child individuation and identity. Inadequate boundaries are characterized by coercive manipulation and role confusion. Each parent rates themselves on this assessment, and their results are shown below in relation to the AVERAGE PRI PARENT.


The research team sincerely hopes this summary provides insight or information to help plan treatment for this family. If you have questions, comments, or suggetions about how to improve this document, please email us at [email protected]. Thank You!


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