Kinship care, adoption and permanency health assessments — viva

Branching structured oral on the health assessment of children in out-of-home care: the staged assessment schedule, consent and guardianship, developmental trauma, placement stability, and the Aboriginal and Torres Strait Islander Child Placement Principle.

branching clinical structured oral3 min readVerification in progress

Prompt

A 4-year-old boy newly placed in formal kinship care with his grandmother, no health record, unknown immunisation status and behavioural dysregulation; the candidate must explain the staged assessment, consent, the developmental-trauma mechanism, the care plan and the Child Placement Principle.

Opening question

A 4-year-old boy was placed with his maternal grandmother two days ago under a short-term child-protection order. He has no available health record, his immunisation status is unknown, and his grandmother describes him as 'wild' and unsettled. Walk me through how you would conduct his care health assessment. [1] [2]

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You have read the opening of this viva. The complete unit — every section and its primary-source references — is part of the Paediatrics Fellowship fellowship atlas.

References5Show ledger

[1]Szilagyi MA, Rosen DS, Rubin D, Zlotnik S, et al; Council on Foster Care, Adoption, and Kinship Care; Committee on Adolescence; Council on Early Childhood Health care issues for children and adolescents in foster care and kinship care. Pediatrics, 2015.PMID 26416941
[2]Leslie LK, Hurlburt MS, Landsverk J, Rolls JA, Wood PA, Kelleher KJ Comprehensive assessments for children entering foster care: a national perspective. Pediatrics, 2003.PMID 12837879
[3]Rubin DM, O'Reilly AL, Luan X, Localio AR The impact of placement stability on behavioral well-being for children in foster care. Pediatrics, 2007.PMID 17272624
[8]Ford JD, Grasso D, Greene C, Levine J, Spinazzola J, van der Kolk B Clinical significance of a proposed developmental trauma disorder diagnosis: results of an international survey of clinicians. Journal of Clinical Psychiatry, 2013.PMID 24021504
[9]Shmerling E, Creati M, Belfrage M, et al. The health needs of Aboriginal and Torres Strait Islander children in out-of-home care. Journal of Paediatrics and Child Health, 2020.PMID 31517415