Showing posts with label confidentiality. Show all posts
Showing posts with label confidentiality. Show all posts

Friday, September 26, 2008

Elizabeth Has a Crush

I believe I talked about Elizabeth's* case in one of the first posts, Confidentiality. Elizabeth is a new girl who has a significant history of sexual abuse. Similar to other victims, she has a history of abusing other children as well. We learned this information on the first day of school. One of the measures we took was to limit her exposure to younger children. The one place we had limited control was the school bus. She rides a small special-ed school bus, which creates a more intimate situation. Apparently Elizabeth has developed a crush on a student 2 years younger than her. Unfortunately this student is immature and he isn't aware of her intentions. It all started when I saw the two of them walking off the bus, she had her arm around him. That didn't sit well with me. Later, when I met with the social worker, her intern informed me of some of the things that Elizabeth mentioned to her. Elizabeth told her about having a crush on this particular boy and her desire to kiss him. We knew that something had to be done immediately. The trick is doing something that doesn't raise the alarm of everyone in the school, yet ensures the safety of all children, including Elizabeth. I redid the bus seating arrangement. There is supposed to be a perimeter of empty seats around Elizabeth. I had to move her crush farther away. I often wonder if any of the children, including her, get why we go through all these motions. I wonder if she knows why she has an escort whenever she leaves her classroom. I wonder if she scares herself as much as she sometimes scares us.

BBC

Tuesday, September 02, 2008

Confidentiality

Today we met with teachers to discuss the accommodations page in each child's IEP. This meeting usually isn't a big deal because the teacher has only known the child for a couple of days at this point. We met with the specials teachers (art, music, gym and media) to discuss all of the children who have IEPs. We had to discuss the new child who has a history of sexual abuse. We had to make certain arrangements so that the child would have an escort for whenever she left the room. We had to inform the teachers about this plan, without explaining why. It was hard to emphasize the need for constant supervision without giving any details. I adhere to confidentiality, almost to the point where I don't even share information with team members. I don't participate in hearsay, if someone wants information I tell him or her to consult the file, if he or she has permission to do so.

I am sensitive to this child's needs, but I'm also sensitive to the safety and well-being of the other children. I also don't want to single-out this child, but I'm not sure how to ensure safety without doing so. This will be tough.

BBC

 
Free Hit Counter
Free Hit Counter