Imrana Kapetanovic/Save the Children
How are children's needs being assessed? How do professionals choose the most adequate services? What are the consequences if the best interest of the child is not really taken into consideration? Mr. Daniel Lazarov is social worker at a family type home for children in the Bulgarian city of Lovech. In this case discussion he will present the case of a 16-year-old girl accommodated in the residential care where he works. The case combines medical, psychological and social aspects of case management. This case study poses the question about the psychiatric problems affects the social functioning of the individual. Mr/. Lazarov would like to know how the medical risks could be reduced in order to prevent potential other risks such as trafficking in people, substance abuse and violence. The discussion will be supervised by Dr. Galina Markova – lecturer in Social Work and Director of Know-How Centre, NBU, Bulgaria. Dr. Markova is the author of numerous publications on de-institutionalization. The combination of suspected violence, behavioural problems, medical needs and substance abuse makes the case complex and challenging.
The case discussion will take place under conditions of confidentiality.
In this case discussion, Mr. Lazarov – social worker at a family type home, presents a case of a 17-year-old girl who has difficulties with separation. Her traumatic separation with her mother, her father and her community makes it very challenging for the team working with her to plan her departure from the home. The key points in the discussion are:
- the link between the early history of the individual and her present condition;
- the ability to ‘translate’ physical symptom and behavioural act into symbolic meaning;
- the link between somatic illness and unconscious anxieties;
- sexual promiscuity and the place of the father;
- promiscuity as a defense against separation anxiety.