Michael Delino Stewart Case Summary

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HISTORY OF CONSUMER’S PRESENTING ILLNESS: Michael Delino Stewart, age 14, was admitted to Elkins Mountain Schools (EMS) level III residential program on November 29, 2017. He was referred to EMS by Carolyn Shultz, West Virginia Department of Health and Human Resources (WVDHHR) Marion County caseworker, due to opposition/defiance, verbal/physical aggression, fighting, self-injurious behavior, family relational problem, and school conduct problem. The 11/30/17 WV Behavioral Health Care Connection Form identified opposition/defiance as a severe symptom/behavior. Moderate symptoms/behaviors were identified as hostility, self-injurious, and verbal/physical aggression. Mild symptoms/behaviors were identified as violence, withdrawal, depression, …show more content…

The Family/Social Support Subscale was 20 because family conflict is pervasive and continual. Social/Legal Records indicate Michael is currently on probation for Domestic Battery due to physical aggression toward his mother. After this incident he was transported to the Genesis Youth Crisis Center. He resided there from August 03, 2017 until he was transferred here at the Elkins Mountain School. While residing at Genesis Youth Crisis Center he was oppositional/defiant, aggressive, and eloped but he eventually came back several hours later to the center. Michael identified playing football, BMX riding, and mountain biking as his free time/preferred activities. Michael was unsure of any best achievements. He believes that riding/racing ATV’s is his special interest/talent. Michael was unsure of his best asset. Michael identified that his family provided him with a source of hope. Michael reported he does not express himself spiritually and is uncertain of his philosophy of …show more content…

He had fair insight and poor judgment. Michael scored 18 on the ASAP 20, a suicide assessment, which is considered medium risk based on correlates to risk of self harm. While Michael’s score may be somewhat higher than other adolescents, it does not indicate he is currently at risk of self harm. Michael denied any current suicidal ideation, indicated he had no current plan or current intention to commit suicide, and conveyed reasons to live. Michael reported mild depression but no feelings of hopelessness. Michael reported of no current thoughts of harming

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