Foster care Assignment Discussion

Discussion: Special Topics in Child and Adolescent Psychiatry
Many children face special issues that impact everyday life, whether it is within themselves, their families, or their environment. The PMHNP must be sensitive to these many issues that children and adolescents are faced with during important developmental years. Foster care Assignment Discussion

In this Discussion, you select a special population and analyze the psychological issues that the population faces. You also address the assessment and treatment needs of the population.

Learning Objectives
Students will:
Analyze psychological issues that may arise in children faced with special circumstances
Evaluate assessment measures used with children faced with special circumstances
Evaluate treatment options used with children faced with special circumstances
Analyze cultural influences on treatments (D)
To Prepare for the Discussion:
Select one of the following topics for the Discussion: ( SELECT ANY TOPIC FROM THE LIST)
Foster care
Gender dysphoria
Forensic issues
Impact of terrorism on children
Explain the psychological issues that may result from your topic.
Describe the most effective assessment measure that could be used, and explain why you selected this.
Explain the treatment options available for children and adolescents involved with your selected disorder.
Explain how culture may influence treatment. Foster care Assignment Discussion
Explain the psychological issues that may result from foster care.

Every year, millions of children are subjected to foster care after their families break down. In fact, foster care causes children psychological harm through impacting social relationships and well-being. This occurs because the situation is stressful for the child who experiences the family breakdown and disconnect. The child copes with the stress by expressing emotional and psychological deviancy that is reported as deteriorating wellbeing presented as delinquency. In essence, a child subjected to foster care is likely to have a change in culture, religion and lifestyle along with adopting new social skills. This means that as the child witnessed the family breakdown that necessitated a relocation into foster care, the same breakdown would be exhibited in terms of health and social behavior (Mash & Wolfe, 2012).

Describe the most effective assessment measure that could be used, and explain why you selected this.

A child placed in foster care is likely to suffer from an adjustment disorder. The most effective assessment measure is to conduct interviews with the child, family members, schoolmates, neighbors, religious guides, and other members of the community who have regular contact with the child. These persons are selected because they are able to easily able to identify any behavioral changes based on a timeline to show whether placing the child on foster care had a negative effect on the child’s psychology. The assumption is that changes in living conditions increases stress levels. The changes include environmental adjustments in schooling, homes and childcare. The environmental adjustments are accompanied by comparable adjustment in relationships. This creates a stressful environment. The stress accumulates over time and is medically characterized as adjustment disorder since the child is unable to settle down and cope with the demands of a new environment that includes new people and customs (Smith, Cowie & Blades, 2015). In this respect, the assessment would note if the child experienced environmental changes that may have introduced new people to be accompanied by adjustment problems.

Explain the treatment options available for children and adolescents involved with your selected disorder.

There are two treatment options for adjustment disorder in children. The first option is the use of psychotherapy in which the child is subjected to a talking forum with a therapist. In this case, the therapist encourages the child to explore the causes of the condition while using constructive approaches to create a supportive environment. The therapy would also help the child to develop healthier strategies for addressing stress. The sessions should also include segments for other family members to enable them support the child during recovery. The second option is to subject the child to neuroleptic, anti-depressant and anti-anxiety medication to change the brain chemistry and adjust behavior. Medication is typically used to complement psychotherapy since the former offers more immediate and short-term relief while the later offers delayed and longer-term relief (Mash & Wolfe, 2012). Foster care Assignment Discussion

Explain how culture may influence treatment.

Culture influences treatment in a range of ways. Firstly, culture determines whether or not the diagnosis will be accepted. Some cultures do not accept the existence of psychological conditions and might propose that the child is either having a tantrum or has been possessed by evil spirits. Secondly, culture might influence the assessment in terms of the form of contact during treatment such as having eye contact. Finally, culture can influence willingness to discuss symptoms thereby impacting the diagnosis (Woodside & McClam, 2015). In this respect, culture can influence treatment.


Mash, E. & Wolfe, D. (2012). Abnormal child psychology (5th ed). Mason, OH: Cengage Learning.

Smith, P., Cowie, H. & Blades, M. (2015). Understanding children’s development (6th ed.). West Sussex: John Wiley & Sons Ltd.

Woodside, M. & McClam, T. (2015). An Introduction to the Human Services (8th ed.). Stamford, CT: Cengage Learning. Foster care Assignment Discussion

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