Tuesday, May 29, 2012

Week Four


Little to nothing is known about Arturo’s biological family or origins. Arturo’s mother speaks little English and has managed to subsist on the little cash she gets from her migrant labor – that and an informal network of people who assist her here in the States. All that we know is that Arturo was born in the U.S. and was taken from his mother by Social Services. His mother visits with him once a month for 2-3 hours when she is able to find work in the local area.

The foster family lives in a relatively rural area and is in the lower range of middle income. The foster mother works in food service at a local university and the father owns a small trucking company. Both have completed high school and have lived in the local area all of their lives. They have been able to arrange for one of them to care for Arturo most of the time, and when one of them is not available, they have been able to leave Arturo with the mother’s mother who lives next door. Joel, the foster father, was ambivalent about taking in Arturo given his country of origin. He knew, however, that the family needed the money, so he reluctantly agreed. Tina, the foster mother, had been wanting a child ever since she miscarried just after the two were married. She didn’t care that Arturo was from Mexico and loved him like she was his own flesh and blood. There are no other children that live nearby.

Arturo’s hearing has come to test out in the “highly impaired” range. Since he is in foster care and is technically in the custody of the state, he qualifies for Medicaid. Now at age four, Arturo has been able to participate in some therapeutic services, and he has been developing in his use of sign language. His spoken language has been much slower to develop, and he struggles to articulate basic sounds.

Behaviorally, Arturo is a willful child and has a strong sense of initiative. He seems to “know what he wants when he wants it.” Pediatricians long ago ruled out any other disorders, and Arturo appears to be otherwise happy and healthy with the exception of his hearing loss which is thought to have been caused by early and frequent ear infections from the time he was an infant. Arturo sometimes gets on Joel’s last nerve with what Joel considers to be his “refusal to mind” him. This is frustrating to Joel, and more than once he has restrained himself from using corporal punishment with Arturo. Add that to the fact that Joel has his prejudices about “foreigners,” and, even though he agreed to take the boy in, his patience is wearing thin. Tina has noticed that her husband has a much shorter fuse with Arturo than she does, and she doesn’t like it. She knows that taking Arturo in was her idea, and the placement has lasted a lot longer than they both thought. Still, she loves Arturo and wants the best for him. The foster care social worker has asked the two about adoption, but Joel hasn’t been open to considering it.  

1) Describe services that Arturo might have received and might receive under IDEA Parts B and C. Describe the transition between the parts of IDEA that takes place and the age at which it does so.
2) In a small town, are support groups available for parents who have foster children? What services are provided for these parents? (You may use Harrisonburg as an example of a small town/rural area).
3) Cite research that presents evidence of the dangers of corporal punishment. Is there any research to support it? Is corporal punishment generally recommended for children in foster care? Why or why not?
4) How might Arturo receive assistive technology devices through Medicaid? Does Medicaid pay for such devices? How does a child qualify?

DECISION POINT ::: Do Joel and Tina adopt Arturo? 

4 comments:

  1. 1. IDEA stands for Individuals with Disabilities Education Act. This Act was originally enacted by Congress in 1975 to ensure that disabled children will have the opportunity to receive a free appropriate public education, just like other children. IDEA is broken down into four parts, Part A, B, C and D. We will concentrate on parts B and C.
    Part C comes first. Part C of IDEA includes early intervention services for infants and toddlers with disabilities. Part C covers from when the child is born till when he or she is three years old. Services under Part C include education to children in their natural environment. Part C also encourages active parent evolvement. Arturo also might have seen a Speech Language Pathologist under Part C.
    Part B comes second. It is assistance for education of all children with disabilities. Part B covers from the child’s third birthday until they reach their twenty second birthday. Part B helps to make sure the child has access to a free appropriate public education that meet the child's unique needs helps to prepare the child for further education, employment, and independent living. Under Part B, Arturo would have received a IEP, or Individual Education Program.
    The transition from C to B is very difficult for both the child, and the parents. This is because in Part C, parent involvement is mandatory and the parents are the decision makers, when in part B, the child becomes the rule maker and must begin to make his or her own decisions. The child makes the transition from part C to B anywhere from their 3rd birthday, to 135 days after that date. At this point, the school system “assumes primary educational responsibility.”

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  2. 2. Yes, small towns do have support groups for parents with foster children. The town of Harrisonburg in Virginia has its own Children’s Services of Virginia, Inc. (CSV). This includes foster/adoptive family support groups. The United Methodist Church also provides family services and support groups in Harrisonburg. Some of the services provided are “adopted persons support, groups, crisis intervention/ family, preservation, family therapy, foster/adoptive parent support, groups, individual child therapy, information/referral, school advocacy services.”

    3. In a study conducted in 2010, long term positive behavioral effects of corporal punishment were unseen, while there were many visible negative outcomes (Gershoff, 2010). These outcomes included increased aggression, antisocial behaviors, mental health problems, defiance and physical injury (Gershoff, 2010). It has been determined that corporal punishment has better immediate, compliant effects than other means of punishment (Gershoff, 2010). Corporal punishment is not recommended for any parent, especially for children in foster care due to possible abuse before they were put into the foster care system. This may trigger anger or emotional issues that may cause the child to cause harm to the people around them or cause them to relive the event and cause emotional issues.

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  3. 4. A child is eligible for Medicaid if they are a citizen and if their family has a low enough income (‘Who is eligible-infants, children, & families’, 2012). Nationally, The Early and Periodic Screening, Diagnosis and Treatment (EPSDT) Program that is run by Medicaid is required to provide hearing screenings, diagnostic services and treatment for children under the age of 21 that are covered by Medicaid (‘Medicaid regulations’, 2012). Hearing aids and accessories are covered under the treatment segment (‘Medicaid regulations’, 2012).

    Decision Point:
    We believe that Joel and Tina should adopt Arturo because the stability they can provide would be very helpful to Arturo dealing with his disability and learning how to adapt to living with it.

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  4. Children's services of virginia, inc. (csv) adoption agency and foster care. (n.d.). Retrieved from http://adoption-agencies-foster-care.findthebest.com/l/3833/Children-s-Services-of-Virginia-Inc-CSV
    Danaher, J.. Early intervention program for infants and toddlers with disabilities (part c of idea). N.p., 2001. Web. 31 May 2012. .
    Gershoff, E. (2010). Report on physical punishment in the united states: What research tells us about its effects on children. Retrieved from http://www.phoenixchildrens.com/PDFs/principles_and_practices-of_effective_discipline.pdf.
    Johnson, C. D.. "Supporting Families in Transition between Early Intervention and School Age Programs." Hands & voices. N.p., 2005. Web. 31 May 2012. .
    Medicaid regulations. (2012, April). Retrieved from http://www.hearingloss.org/content/medicaid-regulations
    Special education advisor. N.p., n.d. Web. 31 May 2012. .
    United methodist family services of virginia, inc. adoption agency and foster care. (n.d.). Retrieved from United Methodist Family Services of Virginia, Inc. Adoption Agency and Foster Care
    Who is eligible -infants, children & families. (2012, April). Retrieved from http://www.ncdhhs.gov/dma/medicaid/families.htm

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