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A 16-year-old student just disclosed that she is refusing to go to school following a falling out with her peer group, which has left her feeling rejected by all her former friends. She is highly distressed and reports being bullied every day at school and sent derogatory messages on her mobile and via email. The student then began reacting in an irrational manner and insisted that the school has done nothing to address the situation. The principal is aware of these incidents and knows that disciplinary action was taken against the students involved and support was offered to the student. He also is aware that she refused to see the school counselor.

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A 15-year-old student attends school regularly but often is late. He appears to be very tired, and his school performance is decreasing.

The student disclosed to a teacher that he was late on a particular day because he was caring for his siblings, ages 8 and 10. He stated that he needed to get his siblings breakfast and get them to school. The siblings attend another local school, but he says they have been acting out lately and it is hard to get them out of the house and to school on time.

The student added that his mother is ‘really messed up’ and ‘needs help, she is off her medication’. Staff at the school have not ever seen the student’s mother. It is understood that no other adult is in the home.

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Emily, age 13, is a student. Emily’s maternal aunt, who picks her up after school once a week, asks to speak to you privately. She states that her sister and niece moved in with her recently due to suspected sexual abuse of the niece by the girl’s father. The girl’s mother suspected that her husband was sexually abusing the girl after mother left for work in the mornings because the girl was frequently complaining about pain in her private parts. Mother acted on her suspicion; she and Emily moved in with the maternal aunt. The maternal aunt asks if you have noticed any positive change in her niece’s behaviour since the move.

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Y 13, consult level. Need to talk more to the student to find out more details

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We think that the appropriate choice for this scenario is Y9

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Parent/Carer's Condition.
consult Y13:  Parent/carer is unable to fix meals or provide for CYP’s basic needs AND it is unclear whether another parent/carer is providing for these needs.

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Emotional Condition
Y9

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EL - Group 3 (Athirah, Naz, PP and Sandra)

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EL - Group 3 (Athirah, Naz, PP and Sandra)

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1. Sexual Concern (Immediate Consult Report)

2. R5 - Aunt reported that CYP's mother suspects sexual abuse.

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CYP's Behaviour: G5
Parent/Carer's Condition: Y13

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Parent/ carer’s condition
Require immediate consult
R10: As the mother is ‘messed up’ which she cannot think clearly hence unable to provide care or keep her children safe.

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Sexual concerns
Consult(Y5)- Emily made vague inferences (e.g pain in her private parts)

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Y7 and Y9

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Y7: Behaviour; CYP exhibits unexplained, significant change in behaviour i.e. a new, persistent pattern.
Y9: Emotional; CYP exhibits unexplained, significant change in emotions i.e. sudden, profound and extreme emotional change.

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Category: red, immediate consult and report within 2 h
Gather info from mother, aunt and student.
Arrange meeting with mother and aunt.

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Emotional + behavioral concern
Y7+ Y9

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EL Grp 1 - Janelle, Li Tyng, Cindy, Andrea

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EL Grp 1 - Janelle, Li Tyng, Cindy, Andrea

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This is an emotional condition.

We recommend to: Consult (Y9)

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Y7 or Y9

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Consult:
Y7 & Y9 - since the child exhibits significant change in emotions and behaviour.
- Update Year Head and SM LDT, communicate with school counsellor.

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This scenario comes under "Sexual Concerns", R5.

Reasons:
The girl complained of pain in her private parts.

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Consult (Y5): Check-in with FTs, YH, then internal expert, inform school leaders. Documentation starts from the moment conversations with the aunty re the child. Internal expert and YH will decide on who to speak to the child.

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Parent/carer’s condition
Immediate consult needed (R11)

lack of care giver AND responsible for siblings (under 10) AND no other parent/carer present

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Consult level (Y13)
1. inform year head, sch counsellor
2. gather more info
3. wait for YH to give further instructions

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We would consider this case as 'CYP's Behaviour' - Consult Y7 and 8; 'CYP's Emotional Condition' - Consult Y9; 'Parent/ Carer's Condition' - R10

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Sexual concerns- Immediate consult (R5)