Changes for Hope Inc.

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TERTIARY PREVENTION

The targeted youth are easy to identify. As children, when they approach adolescence, they will have already had a lengthy history of receiving authority services. The authority will have made numerous unsuccessful attempts to engage the child/family in well-resourced efforts to support the family in maintaining its integrity. The level of intrusiveness will have increased over time. The child will experience several out-of-home placements, seldom returning to the same caregivers when the return home attempts fail. Many will have also experienced emotional, physical and/or sexual abuse by the time they are adolescence. They will be several grade levels below their potential. Many will be under permanent guardianship orders with only a tenuous connection to their families.

Many of the children who have witnessed/experienced violence/abuse will continue to exhibit the symptoms of Trauma and have been diagnosed with Post-Traumatic Stress Disorder. Children who have experienced early and persistent relationship disruption will exhibit the symptoms of Reactive Attachment Disorder. A portion of the children will qualify for the diagnosis of Conduct Disorder or Fetal Alcohol Syndrome Disorder, both serious designations with often poor prognosis. And finally, there will be a variety of substance abuse issues and disorders. This extensive list of issues, events and difficulties describes many of the children/adolescents needing the benefit of stable, emotionally, and physically secure relationships to achieve the best possible maturational development. However, the potential contradictory requirement to balance the needs of children with the desire to maximize the on-going integrity of the child’s family makes relational stability much sought after but seldom achieved.

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