Biography
Biography: Zaininah Binti Mohd Zain
Abstract
Introduction: Most of the time clinicians tend to focus on the biological aspects of treatment. However, there is usually more than that meets the eye. At times cases of child abuse or neglect may be missed unless we look at root issues.
Case Report: A case of 12 year old girl with school refusal, poor academic performance, disruptive behaviour, and frequent tantrums and gullible was presented. Psychosocial issues identified include disorganized attachment, neglected childhood, incapable parents and provider, intellectual disability with poor socio-economic status and poor family support.
Discussion: Due to complex interactions between the symptoms elicited and the surrounding psychosocial issues, immediate interventions became warranted. Between a father who was incapable to look after her and her lower intellectual functioning, making her gullible and vulnerable to exploitation by others, further complicated by her behaviour of running away from home put her at imminent risk of various potential harm. Utilization of external multiagency services, hospital admission is decided based on clinical evaluation and impending risk of harm to self; psychosocial evaluation, identifying appropriate psychosocial intervention, liaising with the relevant agency to activate child protection service.
Conclusion: A holistic management plan encompasses a bio-psychosocial approach which should utilize numerous services including allied health professionals, social welfare services, educationist and police.