1. Juvenile is a 15 year old, mixed race, femalewho is entering the Lee County JuvenileDetention Center for the 3rd time. Charge is Domestic Violence; juvenile andmom had altercation over juvenile skippingschool which turned physical; juvenile alsotested hot for marijuana Juvenile attended court where she was given21 days with hold for plan (after 21 days willhave to re-appear in court for final plan) Judge asked that juvenile be assessed forinpatient A&D program

2. Juvenile was given the MAYSI 2 Questionnairewhich is a requirement of the Detention Centerby Senate Bill No. 2818 which states that Alljuveniles shall undergo a health screeningwithin one (1) hour of admission, or as soonthereafter as reasonably possible. Juvenile was given the SASSI A2 by thecounselor after the initial question and answersession. It was determined that juvenile used marijuanaon a daily basis and further information wasneeded to be gathered to determine whattype of treatment juvenile would need; 3. The MAYSI-2 is a standardized, reliable, 52-item, true-false method for screening every youth of ages 12-17entering the juvenile justice system, in order to identifypotential mental health problems in need ofimmediate attention. The MAYSI-2 provides information that alerts staff tothe potential for the following mental and behavioralproblems: Alcohol/Drug Use, Angry-Irritable, Depressed-Anxious , SomaticComplaints, Suicide Ideation, ThoughtDisturbance, Traumatic ExperiencesResource: WWW.assessments.com 4. The SASSI-A2 can be used by counselors in school,mental health facilities, and juvenile justice programsas a screening inventory to determine if anadolescent is in need of further, more in-depthassessment of substance use disorders (Users Guide,SASSI Institute, 2001). The SASSI A-2 is designed to discriminate betweenadolescents who have a high probability of having asubstance use disorder (abuse or dependence) andthose with a low probability. In addition, the profilecan be used to generate clinical hypotheses aboutthe respondent. The SASSIs unique contribution hasbeen to detect substance abuse problems evenwhen the respondent denies or attempts to concealsuch problems (Miller & Lazowski, 2001). 5. No history of medical conditionsaccording to juvenile No developmental delays; juvenile is ontrack in 9th grade at age 15 Juveniles mom is diagnosed as Bi-Polar I,according to juvenile Juvenile has never been assessed formental health conditions as she refusesto receive help for anger issues anddefiance 6. Juvenile is currently in 9th grade at TupeloHigh School Advanced Academy whichworks with children who are truant andfall behind in school Juvenile skips school often and refuses todo work when attending school stating Ido not like school and just want to getmy GED. Juvenile school records indicate thatgrades are average 7. Juvenile has a very volatile home life.Juvenile and mom have had numerousphysical altercations. Juvenile has been in JDC one other timefor Domestic Violence which was due toaltercation with mom. Socially juvenile makes poor friendchoices and stays in trouble for skippingschool and hanging out and gettinghigh. 8. MAYSI 2 Juvenile scored in the caution range for somaticcomplaints on the MAYSI-2. Juvenile did state that headaches were much of the focusof somatic complaints Juvenile scored low on Alcohol/Drug use, Angry/Irritable,Depressed/Anxious, Suicide Ideation, ThoughtDisturbance, and Traumatic Experience SASSI-A2 Juvenile answered questions based on the past six months In using The Decision Rule the juvenile had one rulemarked yes and scored below 15 on the SCS whichindicates that there is a high probability of having aSubstance Abuse or Dependence Disorder Due to scoring 15 or less on the SCS the juvenile is morelikely to have a Substance Use Disorder 9. MAYSI-2 The findings from the MAYSI-2 were accurate with the juvenilesbehavior pattern. The juvenile did not want any assistance withanger issues upon talking with her. The juvenile did not feel as ifshe had really done anything inappropriate, therefore I did notexpect her scores to reflect any elevation angry/irritable orsuicidal ideation. I am however surprised that the alcohol/druguse was not high. I feel as though our relationship had notdeveloped yet which caused some bias on the answers on thisparticular section. SASSI-A2 The SASSI-A2 findings were not surprising. By this point the juvenileand I had developed a rapport and I feel that the questionswere answered honestly. The juvenile does have a problem with marijuana use as sheadmitted to using every day. This information makes recommendation for in patient treatmentmore viable. 10. DSM Diagnosis Axis I 305.00 Cannabis Abuse 313.81 Oppositional Defiant Disorder Exhibits someConduct Disorder TraitsAxis II V 71.09 NoneAxis III noneAxis IV poor coping skills, poor decision making skills, issues withauthority, issues with primary support group; refusal to seek helpwith anger in counselingAxis V GAF 62 Recommendations AOP (Adolescent Offender Program) for assistance with angerissues/drug issues or; Family Resource Center for family counseling as well as individualcounseling; Juvenile will be hostile toward any counseling; the court may findit necessary to include counseling as a condition of her release 11. www.assessments.com www.minddisorders.com Senate Bill No. 2818 (as sent to Governor)