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SECTION IV: BIOGRAr ICAL PROFILE
Youth’s Name: Biological Parents:
DOB: 08-15-2002 Place of Birth: Maryland Sex: Female Delivery: Vaginal Race African American or
Black Height: 5'4"
Weight: 96 Hair: Black Eyes: Brown Identifying features: None
Complexion: Medium Brown Teen Parent: No
Religious Affiliation: N/A
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SECTION V. MEDICAL PROFILE
A. Somatic Health Conditions
Allergies/Asthma Head injury Sexually transmitted Diabetes Hearing problem diseases Eczema Hepatitis Sickle Cell Anemia Epilepsy Learning disability El Vision problem Encopresis Lupus Other Enuresis Medications Hernia Pregnancy
Comments/details: The Respondent reportedly has vision problems.
B. Primary physician: The Respondent has no assigned physician at this time.
C. Private Health insurance or Medical Assistance and number: Maryland MA / Medicaid
D. Current Medications:
Name of Medication
Dosage Frequency Date Started Prescribing Doctor
Other Comments
None
E. Evaluations/Assessments:
Assessment Type Date Results Follow up Actions None
Hearing Impaired T T D 1 (800) 735-2258 DJS-99-3
] Informal: Offense Date Petition# /
Police Report # Alleged Offense Intake Decision Intake Decision
Date 1 2 - 1 4 - 2 0 1 6 i T h e f t M i s d e m e a n o r - u n d e r
$ 1 0 0 0 R e s o l v e d a t In t a k e 0 1 - 1 1 - 2 0 1 7
SECTION II: CURRENT OFFENSE AND CIRCUMSTANCE OF OFFENSE
A. Summary of current offenses: The Petition of the State of Maryland states that on or about October 2, 2016, the Respondent did willfully and without consent take and carry away a€B W H on da Civic with the intent to temporarily d e p riv e 4 H S Q £ ttB iP o f the use and possession of said property; Did fail to return and remain at the scene of an accident resulting in bodily injury to another person; Did drive a motor vehicle without a valid license; Did fail to provide name, address, driver’s license and registration when involved in an accident involving damage to an attended vehicle; Did fail to yield the right away to any other vehicle lawfully within the intersection when the signal is shown; Did drive a motor vehicle in a careless and imprudent manner.
B. Youth’s perception of his/her involvement in the current offense: The Respondent admitted to her involvement and advised that she has learned a lesson and will not be in trouble again.
C. Parent/guardian’s perception of the youth’s involvement in the current offense and suggestion for disposition: M s.4 flH fc reported that, “ If it wasn't for my daughter committing this offense, I would not have known where she is at all times like I do now. I just need help to keep her in check and on the right path.”
D. Victim Impact Statement: No victim impact statement provided.
E. Restitution: No restitution was ordered at this time.
SECTION III: PERSON(S) PROVIDING INFORMATION AND RELATIONSHIP TO RESPONDENT
A. Respondent - t f a M V B Respondent’s Guardian/Custodian -̂ SSSBSHm s C Department of Juvenile Services Representative (or record s j-^ S B ^ g g jg ^ r D. Board of Education Representative (or recoxdal - Count y Public Schools E. Local Police Representative (or records) - ^ I S S fc E o u n ty Police Department F. Other: (i.e., Psychologist, Psychiatrist, Drug and Alcohol Assessment
Representative, DSS Representative, etc) -
Hearing Impaired TTD 1 (800) 735-2258 DJS-99-36
$35,000 to $ 4 9 ,^ 9 $50,000 and over Is the family receiving public assistance of any kind? El Yes No If yes, give type and amount: SNAP and housing; amount not disclosed Is youth receiving SSI or Social Security Benefits? Yes El No Is the youth’s parent receiving child support on behalf of the youth? Yes E No
B. Dates of Investigation Home Visit: (2/22/2017) Residence: Single Family El Apartment Other (e.g., mobile home, shelter)
E Rent Own Living with relatives/friends Other
Length of time in the residence: 1.5 years Physical condition: Good Number of bedrooms: Two Condition of Home: Good Are the basic needs being met (electricity, running water): E Yes No Safety Concerns: None Primary method of transportation: Accessible to Public Transportation: Yes E No Convenient to Resources: E Yes No Previous residence (county and state): Baltimore, MD Comments: A home visit was conducted on the above date with no safety concerns observed.
C. Neighborhood Safety: Frequent Crime/Police Activity Drug selling Fights Graffiti Abandoned/empty buildings Gang activity People carry weapons Family or friends victims of criminal behavior E None of the above
Summary: The family reported no criminal activity in the area
D. Peer relationships: Is the youth considered to be a leader, follower, or loner and why? The Respondent reportedly has all three qualities. Does the youth have anti-social or pro-social friends? Pro-social Gang involvement: Yes E No Does the youth have positive relationships with adults in the community? Yes Is the youth involved in a romantic relationship: Yes E No
If yes, is partner positive? N/A Summary: The Respondent reportedly has a mixture of friends within her age group. She is very social and well liked.
Hearing Impaired T TD 1 (800) 735-2258 DJS-99-36
F. Behavioral Health. The Respondent reportedly is not involved in counseling.
History o f neqlect or em otional, physical, or sexual abuse: Neglect
Physical abuse
Yes £3 No Yes £3 No
Emotional abuse Yes E3 No
Sexual abuse Yes £3 No
H. Substance Abuse History Tobacco use: Yes 13 No Current drug or alcohol use: El Yes No Drugs: E3 Yes No
If yes, type of drugs: Marijuana Frequency: The Respondent is working towards sobriety. Comments/Details: The Respondent reported that she last smoked a month ago
Alcohol: Yes ^ No Frequency: N/A Comments/Details: The Respondent denies any alcohol use.
Summary of any family, siblings, or peer drug or alcohol problems: None
SECTION VI: EDUCATION & EMPLOYMENT
A. Education Name of school: ^ N H H R P - i ig h Current grade: 09 Grades failed: None Other schools attended: None Special Education Services: None Summary of current grades (quarter/semester): The Respondent is performing poorly in school due to her excessive absences. Summary of school disciplinary actions: The Respondent has been suspended for conduct issues and also given lunch detention, Saturday school, or In School Intervention. Attendance (average # unexcused absences per quarter): none ^ 1-5 5+
B. Em ploym ent History of employment: Yes £3 No Where employed and number of hours: N/A Currently employed Yes 0 No Summary: The Respondent is currently too young for employment. Career goal(s): The Respondent wishes to become a Pediatrician.
SECTION VII: HOME AND COMMUNITY ENVIRONMENT
A. G ross fam ily income: £3 Under $15,000 $15,000 to $34,999
Hearing Impaired T T D 1 (800) 735-2258 DJS-99-36
E. Use of Free Time Does the youth participate in any structured or unstructured activities? Yes EJ No Is the youth involved in any religious programs? Yes 0 No
Was the youth previously involved in any pro-social activities? If so, why/when did they cease? Ms. Harris reported that the Respondent was involved in church groups up until she ran away.
SECTION VIII: HOUSEHOLD/FAMILY
A1. Mother: 12-06-1981DOB:
Maiden Name: Address: Reason if not in home: Employer & address: Position/Hrs.: Salary: Emp. Length: Prior position/hours: Physical health: Marital status: Education level completed: High School Military experience: Yes El No Criminal/Delinquent/Incarceration record: DYesDNo A Maryland Judiciary Case Search was conducted on March 10, 2017, and found no records of a criminal history. Drug/Alcohol history; None Phone 864 Emergency #:
N/A Unemployed N/A N/A N/A N/A Good Single
Other information/Notable problems: Ms. Harris reported that she is trying very hard to repair her relationship with her. She advised that she wants to have a better relationship with her daughter because she is her only child. She acknowledges the improvement. HIM M M M istated that her daughter was out of control and at times she wanted to sign over her parental rights.
A2. Father: DOB: Address: Reason if not in home:
Incarcerated in Federal Prison Parents are not together.
B. O ther m embers o f household:
Name Relationship Age (DOB) School/Work Criminal or Delinquency Background
None Yes No
Hearing Impaired TTD 1 (800) 735-2258 DJS-99-36
Review in Folder ID January 10, 2018 _______ Page 1
Type of Review Resource Staffing Review Date 01-08-2018 Currently EmployedJ Created by Updated by
Supervision Level
Next Review Date 04-08-2018
Participants Participants Title / Role L.. Oliver-Dozier CMS D. Lampkin CMSS R. Bowen RS
Review Measures 1 Review Measure Score 1 Date 1 Exception
Comments/Notes Date: 1/8/2018 Completed by:
Youth: DOB: 8715/2002
Legal Status: Probation
Present Location: Home
Reason for Staffing: Youth was placed on supervised probation on 2/9/2017 for Theft Misdemeanor. Youth had been referred to FFT while on supervision in March of 2017. The services were successfully terminated in September of 2017. Shortly after being discharged from FFT, the youth and mother started to have difficulties again. Youth has recently taken her mother's car again and their relationship is strained. In court, the mother asked the Courts of FFT could work with the family again, specifically Tammie Nowlin who had previously worked with the family. The courts supported this request. ******************************************
MCASP: Date: 2/17/2017 Social Hx: 4 Delinquent Hx: 7 Risk: Low Supervision Level: Low Family Need: Moderate ******************************************
Offense History Facts Sustained/Outcome 1 Theft Misdemeanor: Probation: 2/9/2017
Prior Contacts (Intake Level/Contacts Not Sustained in Court) 1. ASLT2; Unspecified Misdemeanor: STET: 10/15/2014
Information about clients and their families is C O N F ID E N T IA L . This document cannot be duplicated or its contents divulged except as permitted by the confidentiality policy of DJS.
C. Youth’s and fam .,,'s strengths and weaknesses:
Respondent’s Strengths: The Respondent is beautiful, intelligent, caring, loving
Respondent’s Weaknesses: The Respondent is lazy stuck in the patterns
Family Strengths: Unknown
Family Weaknesses: The family can improve communication
Does the youth wish to be removed from the home/reside elsewhere? No
SECTION IX: PLACEMENT HISTORY
P la c e m e n t D a te P la c e d D a te R e le a s e d R e a s o n F o r R e le a s e
GPS Statewide 02-23-2017 County
Electronic Monitoring 01-05-2017 02-23-2017 CD/EM Roll-Off
SECTION X: SUMMARY AND RECOMMENDATIONS:
In connection with Case N o .4 0 M £ IP it. the Respondent was found involved to Theft Misdemeanor. In addition to the standard conditions, he was ordered to the following special conditions: Obtain/maintain employment, obey curfew, submit to drug alcohol/mental health evaluation (and engage in any recommended treatment/education) (if desired by the Department), random urinalysis (upon the Department's request and a t youth's expenseO, Take all medications as prescribed, attend Shock Trauma Tour, Participate in individual/family counseling (FFT or IFCS), write letters of apology and prepare career research project.
The Department completed a Needs Assessment on February 22, 2017, and based upon the social history and the delinquent history of the Respondent she poses a low risk for reoffending. The Respondent scored in the high range for needs in the areas of aggression. The Department developed a Treatment Service Plan to address those needs. Along with assisting the Respondent with the completion of her conditions of probation, the Department will also help her eliminate the use of illegal substances and reduce the frequency of expressions of anger.
Section XI: SIGNATURES
Hearing Impaired TTD I (800) 735-2258 DJS-99-36
January 10, 2018 Page 2
2. Traffic Violation Incarcerate: Not Sustained: 2/9/2017 3. THEFM: RAI: 1/11/2017 4. THEFM: RAI: 10/23/2017
Pending: 1. Traffic Violation Incarcerate; Traffic Violation Non-lncarcerable
Court Dates: TBD ******************************************************
Domain History Health: Youth has vision problems. Unclear if youth wears glasses. No other significant physical health problems reported at this time. Youth has never been diagnosed with a mental health disorder. Youth is not currently prescribed medication. No history of pyshciatric hospitalizations.
Family/Guardian History: Youth resides with her mother. No one else resides in the home. Father is incarcerated. Mother and youth have a strained relationship. Youth has a history of running away from home. Youth had FFT services last year which were recently closed out in September. Youth and mother continue to struggle and youth was charged in December for taking her mother's vehicle. Mother requested to the Courts that FFT services be initiated again.
Education: Youth is currently enrolled a f ^ ^ ^ a k e High School. Youth is a 9th grade student and is not receiving special education services. Youth has a history of attendance issues, however attendance has improved since being placed on GPS by the Courts.
Mental Health: No current diagnosis reported. Youth has not had a mental health assessment completed. Youth is not taking medication at this time. Youth does not have a history of psychiatric hospitalizations.
Substance Abuse: Youth has a history of using substances. Youth is currently being tested by DJS. Youth admits to using marijuana. If youth continues to test positive for marijuana she will be referred to have a substance abuse assessment completed and follow recommendations.
Aftercare/Re-Entry: NA
Parent/Youth Attitude Toward Plan: Mother is not opposed to in home services. Mother requested services at the last court hearing.
Prior interventions and placements Probation; GPS; FFT
Services Requested: FFT -Approved
Is an MCASP Override Needed to Refer to Services Requested? No
Information about clients and their families is C O N F ID E N T IA L . This document cannot be duplicated or its contents divulged except as permitted by the confidentiality policy of DJS.
