Zavion (Rate Arianna as Caregiver) Zavion is a 17-year-old African American boy who will turn 18 in six months. He has been staying in a homeless shelter for teenagers for the past three weeks because his mother kicked him out of the house due to his drinking. Zavion's mother, Arianna, works as a manager at a local bank. She lives with Zavion, who is her biological child, and an 8-year-old daughter whom she adopted two years ago after fostering her. Arianna reports that for the past six months, Zavion has been catching rides after school to spend time with an older peer group who are drinking and huffing. Arianna had previously arranged with Zavion's school to provide a 1 to 1 support to get him on the bus (Zavion cannot drive because of his executive functioning deficits). Arianna thinks she needs a more targeted transportation plan from the school. At least four times a week Zavion comes home between 10 p.m. and midnight intoxicated, and he is loud and confrontational on these occasions. An incident occurred recently when Zavion became angry as Arianna refused to give him money and he broke some dishes in the kitchen. This awakened and frightened Zavion's sister. Arianna was first shocked and then angry at Zavion's destructive tantrum. She called the police at this point and asked them to remove Zavion from the house. After a night sobering up in a jail cell, the police drove Zavion to the homeless shelter. Arianna states that although she remains deeply committed to her son, she wants to have him enter a rehab or AA program before he comes home. She says that it has been extremely stressful parenting Zavion since he began drinking, but as long as he is in recovery, she thinks she could manage. Zavion attends the regional vocational high school where he has an IEP because of his IQ of 70 and his history of significant mood disturbance. The case manager says that Zavion requires more support than other youth in the special education classroom in order to complete his coursework and to get to his job on time, although he does not have a diagnosed learning disability. Zavion's case manager at the high school has been working with Zavion for three and a half years. He recalls that it was challenging at first to build a relationship with Zavion because of his struggles with controlling his emotions. Zavion's biological father abandoned the family many years ago, and Zavion is always guarded with new providers because of his sense of mistrust of relationships. Zavion is able, however, to develop strong relationships given enough time. He trusts his case manager and the supported employment coach at the school. He has developed restaurant kitchen cooking skills in school. He began supported employment three days a week this year, and is doing well with active coaching and support on the job; Zavion says he would like to be a chef when he is older. Zavion has been diagnosed with depression. Although he is taking mood stabilizing medication, he is not always compliant with meds and can be quite moody, irritable, and impulsive. Zavion is slated to graduate from high school in four months. His case manager is working with the regional adult disabilities agency to assist Zavion in developing a relationship with the providers there in preparation for his transfer. The plan is to transition him to supported housing sometime in the next few years because of his need for support around self-care. Zavion has just begun to learn basic daily living and money management skills, but he needs more support to internalize most skills (other than cooking) because of his deficits in executive functioning and staying focused. He has learned to use a cell phone to make appointments and keep track of a to-do list. He can be disorganized and impulsive and his case manager feels that Zavion won't be able to keep a clean apartment or do his grocery shopping without help. With a targeted plan of training and coaching, he may be able to achieve independent living skills in a few years. Zavion reports that he knows he has a drinking problem and does not know how he can stop because he has been drinking for about a year now. He says his new older friends are nice to him, and they like to party and get him drunk so they can "hook up" with him. He wants to go home, but he is sick of his mom nagging and yelling all the time and he thinks that his sister gets "everything she wants." He thinks he should stay at the homeless shelter because they "make me go to school but don't make me do my homework." Zavion says the only people he can talk to are his case manager and his job coach, and he knows that next year he won't be able to work with them anymore. He knows that he needs support to get a job and keep it, and he is not sure if the new agency is going to have good people to work with.

Caregiver Resources and Needs

0. No evidence of need. No action needed. 1. Significant history or possible need that is not interfering with functioning. Watchful waiting/prevention/additional assessment. 2. Need interferes with functioning. Action/intervention required. 3. Need is dangerous or disabling. Immediate action/intensive action required. 0123

for the following answer for each number using numbers 0,1,2,3 1. Physical Health 2. Developmental 3. Mental Health 4. Substance Use 5. Partner Relationship 6. Caregiver Adjustment to Trauma 7. Legal 8. Acculturation/Language 9. Culture Stress 10. Self-Care/Daily Living 11. Organization 12. Supervision 13. Resourcefulness 14. Decision-Making 15. Parenting Stress 16. Housing Safety and Accessibility 17. Residential Stability 18. Financial Resources 19. Safety 20. Informal Supports 21. Cultural Differences within a Family 22. Transportation of Child 23. Knowledge of Condition 24. Care/Treatment Involvement 25. Knowledge Congruence 26. Family Relationship to the System