REPORT OF THE CLINICAL / FORENSIC PRACTICE AT AGODI PRISON, IBADAN, OYO STATE



COURSE:                    PSY 706
COURSE TITLE:        CLINICAL PRACTICUM
 
INTRODUCTION
The Agodi prison is a state prison in Ibadan were convicted criminals and awaiting trial prisoners are kept. Six of these inmates were assessed based on clinical/ forensic assessment. Five males and a female were assessed. The prisoners may not be accurately judged by their dressing because of the circumstance of less access to water and dominating nature of some prison inmates over water.
Below are the cases;


CASE 1
Name:                   Mr T. O
Sex:                        Male
Age:                       40 years
Place of birth:      Ibadan
Religion:               Islam
Presenting complains:
Mr T.O wants to be released from the prison. He has been in the prison since 2006 till date. He is accused of armed robbery. According to Mr T.O he was apprehended by the police and accused of armed robbery, thereafter he was taken to prison. He claims not guilty to the charges levied against him. He claims someone named Wale Omoga is behind his imprisonment because they had a serious fight and he promised to show him who truly is an indigene of Ibadan.
His case is presently in the High Court; his next sitting is 3rd August, 2011 but was later adjourned to 21st November, 2011.
Occupational history: 
 He is trained as a vulcanizer, he had worked at Tincan Island as a driver and he had a shop at Lagos where he trades. He is also an OPC (Odua people’s congress) member.
Medical history:
He had had an appendicitis operation before and had been treated of food poisoning.
Educational history:
He finished in form 2, the present senior secondary school (SSS) at Wesley College, Ibadan.
Forensic history:
His first experience with the force was when LASMA towed his car, he fought them and he was put in the prison but the second day he was released.
Marital history:
He is married to a woman and they both have three children. The children are presently with his siblings because of his present state of being in prison.
Psychosexual history:
He says he has never been to a brothel before. Normal sexual relations with wife
Family history:
Mr T.O is from a polygamous home. The father married three wives and was a carpenter. His father died in 1976 and he left for Abuja with his mother. The mother died 1997. The father was a carpenter and the mother was a trader.
Welfare assessment:
He needs more food to fast with because it was Ramadan, and toiletries.
He needs to contact Alhaji Yusuf on 08058543154 and Mr Moola Handu Olokuta on 08030820928 to come visit him and bring food and talk about his getting out of the prison. Mr Handu got the lawyer for him. Also, he wants his wife to be contacted and she should be told to check on him through Alhaji Yusuf.
Mental State Examination
·        Appearance: He was wearing a three-quota (3/4) short and a shirt. The clothing are neither dirty nor clean. He has tribal marks on his face, hair colour is black.
·        Speech pattern:     His speech is intonated but speed is normal.
·        Mood:       It is obvious that Mr T.O is sad, depressed and anxious.
·        Affect:     His affect is appropriate           
·        Thought processes:    He possesses concrete thinking and he is able to concentrate.
·        Content of thought:     His thought content is wishful though he could be losing hope.
·        Perceptual disturbance:      He possesses a normal perception of self.
·        Cognitive ability:     He has the right orientation to time, place, person and circumstance. His memory is recent and has capacity for abstract thought.
·        Impulse control:     he is able to control his fears.
·        Judgment and insight:    He was able to solve the problems giving to him, he has true knowledge of self and he is aware of his limitations. Also, he has adopted religiosity has a coping mechanism while in prison. He hopes to continue and never stop praying.

Case formation
·        Predisposing factor: It could be traced to loitering and he was apprehended
·        Precipitating factor: his search for job and lack of finance lead him to loitering
·        Perpetuating factor:   he is still in the prisons because of poor legal proceedings, judicial strike and lack of access to and affordance of a lawyer
·        Protecting factor: the first solution to his problem his getting access to a lawyer, this he is working on as stated in his need assessment
Test administered
Due to time constraint no test is administered to Mr T.O
Diagnostic impression
From what is heard and seen of him there sure are signs of depression
Plan/recommendation
I think Mr T.O be granted access to a lawyer, he should be made to sessions to come out of his depression. Also, social support for Mr T.O his quite low, his family members should be contacted to come visiting a intervals.
















CASE 2
Name:                D. C
Sex:                     Male
Age:                    33 years
Place of birth:   Ekiti
Religion:            Christianity
Presenting complains:
Mr D.C claims to become a prison member because of his boss’ accusation of trying to steal customers from him. He works for an organised security firm owned by his boss. He was put in Agodi prison because a criminal escaped from SARS where he was first imprisoned. Mr D.C claims the boss had come in several times to apologise and explain that he never meant it to be this deep, that is the involvement of the judiciary.  He got into prison August 8, 2010.
Occupational history
Dare was a security man before reprimanded.
Medical history
No medical problem
Educational history
He finished his senior secondary school at Ekiti.
Forensic history
His present case is the only so fa .
Marital history
He is married to a wife named Damilola. They both have a child and she lives in Ile-Ife
Psychosexual history
He does not patronize brothel
Family history
He is from an Islamic background. His father was married to 3 wives and had 12 children. His mother had 4 children out of the 12 children.
Welfare assessment
He needs to contact his mother who still does not believe he is in prison on 08027194142. His brother-in-law named Sola at Alakia junction , Ibadan.    
Mental State Examination
·        Appearance:   he was wearing a red top and a blue-black trouser, though not too clean. He has a good eye contact level, his hair colour is black and he is short.
·        Mood:    he seems quote sad, fearful and anxious
·        Affect:  he has some-worth flat affect
·        Thought processes:    he has concrete thinking and ability to concentrate
·        Content of thought:     it could be phobia of being questioned hoping he won’t say something that may implicate him. He quite paranoid.
·        Perceptual disturbance:    normal
·        Cognitive ability:   he is alert. His orientation to time, place, person and circumstance is quite accurate
·        Impulse control:  he seem guilty and fearful
·        Judgment and insight:  he is aware of his limitations and he is coping by accepting his fate.
Case formation
·        Predisposing factor:  the cause of his imprisonment maybe linked with trying to be a boss of his own while still working for his boss. He was trying to make business out of his boss’ business.
·        Precipitating factor:   lack of sufficient payment as salary may have being a trigger. He claims the salary was small.
·        Perpetuating factor:   the money he was making from the whole business must have encouraged him the more.
·        Protecting factor:  if he could leave his boss’ company and do his security business separate. If what he claims is true, his boss should get him a competent lawyer that will fight for his bail.
Test administered
No test was administered, though personality test was meant to be administered to him.
Diagnostic impression
I think he has a personality problem, paranoid personality disorder to be precise.
Plan and recommendation
A personality test has to be administered to him. Also, a series of cognitive behavioural therapy session hold with him. His boss should be made to cater for his bail out.




CASE 3
Name:                      H.A
Sex:                          Male
Age:                         22 years
Place of birth:        Ibadan
Religion:                 Islam    
Occupational history:     None
Presenting Complain:
His first experience with the police is his present one. He was alongside some other friends of his raided by the police after someone identified him and his friends as one of the thieves that stole his goods. He said at the time they were looking for their bike that got missing at the graduation ceremony venue where they went to celebrate with a friend.
He has a lawyer (lawyer Bakare) handling his case, his next sitting in the court is 15th September, 2011 at high court 13.he feels his lawyer is his a problem, an attempt to change the lawyer has prove abortive has when the other lawyers hear lawyer Bakare is in handling the case they refuse to accept and ask them to continue with lawyer Bakare. Habeeb says lawyer Bakare is just usurping their money.
Medical history:
He is a sickle cell patient.
Educational history:
He is presently in SS3 at Loyola College
Forensic history:
He has had no forensic problem before now.
Marital history:
Mr H.A is not married
Psychosexual history:
No history of sexual relations.
Family history:
He is from a polygamous home. His father is married to two wives and a total of five children. Mr H.A is the last of the children.
Need assessment:
He needs food to fast with for the Ramadan fast.
He needs to call his elder brother Saliu Kola Akanni to visit him and talk about his leaving the prison on 08035736939 and his elder brother’s friend called Dapo on 07032446767.
Mental State Examination
·        Appearance:      he is wearing a black shirt and a black trouser, he doesn’t really look well. He is not tall and dark in complexion
·        Mood:       he looked unhappy, despairing and fearful
·        Affect:       his emotions are quite accurate
·        Thought processes:      his thought process is concrete
·        Content of thought:     it is apparent from his conversation that he has fears and he copes with his beliefs. 
·        Perceptual disturbance:      no sign of illusion
·        Cognitive ability:     he has a correct orientation to time, place, person and situation. He is also capable of abstract thought
·        Impulse control:     he was not really able to control his fears
·        Judgment and insight:     he is quite aware of his limitation and consequences of his action. He is aware of his illness as a sickle cell anaemia patient
Test administration
No test was administered
Diagnostic impression
Is fears could be natural for one who claims to be innocent.
Plan and recommendation
His lawyer is his cause of fear and worry. The recommendation will be for him to get another lawyer so that he could be granted bail. Special medical attention is to be given to him because of his vulnerable state of illness. Counselling sessions will be relevant to help him cope with his fears and situation besides use of religion.






CASE 4
Name:                Mr I.N
Sex:                     Male
Age:                    24 years
Place of birth:   Enugu
Religion:            Christianity
Presenting complain
Mr I.N is in his present situation because he did not show up at the court with respect to his initial court order as part of the criteria for his bail. He was asked to come 7th January, 2010 but he appeared in court 7th March, 2010. He was arrested for his neglect. 
His next court sitting is 24th October, 2011.
Occupational history
He sells electrical parts. He once worked at Farm Mills for a year and half and he has worked as an Okada rider.
Medical history
No medical problem
Educational history
His stopped his education in junior secondary school 2 (JSS2).
Forensic history
He had had a case with the police before now. He was arrested on 20th August, 2010 and taken to Mokola police station for hitting a man who was rushed to UCH. Ikechukwu was asked to pay N150, 000 for the man’s treatment. His elder brother bailed him out. He was given a court order to appear in court on the 7th January, 2011.
Marital history
He is not married but he has a girlfriend he is sexually active with.
Psychosexual history
Family history
His father is married to two wives; his mother is the first wife. They are a total of 9 children of the family.
Welfare assessment
He needed to contact his elder brother to please pardon him for his negligence and come to his aid on 08063701177. Also, he needed to contact his sister at Enugu on 08131165812.
Mental State Examination
·        Appearance:     he appeared quite neat wearing a jersey top and a trouser. He is light complexioned and average heighted.
·        Mood:     he feels regretful and guilty for his neglect
·        Affect:     his affect is in congruence with his mood
·        Thought processes:     Mr I.N has the ability to concentrate, he possesses a concrete thought
·        Content of thought:     his thought content is full of regret, wishing he had listened and adhered to the date.
·        Perceptual disturbance:    none was noticed
·        Cognitive ability:    he has is a good level of alertness, he has orientation to time place person and circumstance.
·        Impulse control:    he was a little able to control his fear, though apparent.
·        Judgment and insight:    he has the ability to make decisions, he is aware of the consequences of his actions. He is not yet copying but hopeful.
Test administered
No test was administered
Plan and recommendation
The court is punishing him for his neglect, from observation of him he seem to be learning from his mistakes

                      











CASE 5
Name:   Mrs J.S
Sex:         Female
Age:        26 years
Place of birth:      Shaki
Religion:           christianity
Presenting complains:
The reason for her arrested is because she stole a small Tiger generator. She has been convicted and she is sentenced for six years imprisonment. She claims to have learnt her lesson.
Occupational history:
She was a hair stylist and a trader. She sold Indian herm.
Medical history:
She has no medical problem
Educational history:
Her education stopped in primary six
Forensic history
She has had been arrested and taken to Mopo police station for selling of Indian herm before her present situation.
Marital history
She is separated from her husband with two children. The first child is under government welfare in a foster home, he was taken away on the 29th October, 2010. She had her second child in prison but he is to be taken away by the social welfare body very soon because he is two years old already and weaned.
Psychosexual history
She has a normal sexual life
Family history
Her father is married to only her mother; they are three children in the family.
Welfare assessment
She is not in need of anything. She prefers to keep her imprisonment away from her family members and friends.
Mental State Examination
·        Appearance:    she is wearing a prisoners’ clothing which is a navy –blue colour. Her hair is not too well kept.
·        Mood:    she seems sad, anxious and guilty.
·        Affect:     her affect seem accurate to her emotions
·        Thought processes:    she has a concrete thought and she was able to concentrate
·        Content of thought:    she expresses regret and guilt.
·        Perceptual disturbance:    none is apparent
·        Cognitive ability:    her level of alertness is alright, she has an alright orientation to time, place, person and circumstance
·        Judgment and insight:    she is able to take decision and solve problems on her own and she is aware of her limitations. There is no form of illness on her part but her baby needs to be taken care of.
Case formation
·        Predisposing factor:    the cause of her problem is greed and lack of self control.
·        Precipitating factor:    her greed got triggered with her in satisfied self with what she earn from her illegal sales of hard drug
·        Perpetuating factor:     the environment is a contributing factor to her greed.
·        Protecting factor:    besides her being in the prison to learn her lesson, she also have to work on her greed which is her major problem.
Test administered
No test was administered
Plan and recommendation
A series of psycho-education therapy should be rendered to her on how to rebalance back to the society. She should undergo vocational training so that she can have something to start up after her sentence, something lawful.








CASE 6
Name:       Mr W.K
Sex:           Male     
Age:           29 years
Place of birth:    Ibadan
Religion:            Christianity
Presenting complains
He claimed to be accused of stealing a bike. The police officer who is to appear and testify against him never appeared in court. He was apprehended 7th May, 2010.
Occupational history
He is a shoe maker
Medical history
He has no medical problem. Though, his father is hypertensive.
Educational history
He stopped his schooling at the senior secondary school level after the SSCE examination.
Forensic history
His first experience with the police was when he fought a police office. Marital history
He is married with a child.
Family history
His father married two wives. His mother is late.
Welfare assessment
He needs to contact his father on 08076482196 and his brother on 08069590268.
Mental State Examination
·        Appearance:    he looked untidy, haggard and rough. He has a couple of scars all over his face and hands.
·        Mood:    he seems anxious and fearful. He seem quite depressed
·        Affect:    he has an accurate affect for his emotions.
·        Thought processes:    he has a concrete thinking.
·        Content of thought:    he is paranoid
·        Cognitive ability:    his level of consciousness is alright. There is alright orientation to time, place, person and situation
·        Impulse control:    he seems to be an aggressive person
·        Judgment and insight:    he has the ability to solve problems, he is aware of his hostility and aggression. Also, he is aware of his present situation to be unfavourable 
Test administered
No test was administered to the client
Plan and recommendation
It will be necessary for Mr W.K to under depression against his depression. His fear especially of the police man not showing up has to be calmed.



















THE SOCIAL WELFARE OFFFICE, IYAGANKU, CHALLENGE IBADAN
The social welfare office is a branch under the ministry of women affairs Ibadan chapter. The social welfare office is charged with the responsibility of child care, child custody and child welfare with respect to schooling, feeding, clothing, medical care and shelter. The social welfare office mediates and takes charge of child welfare after being consulted by either the parent or guardian of a child or children.
Other functions of the social welfare office are:
·        Settlement domestic quarrels.
·        Remand and/ or rehabilitation of juvenile offenders.
·        Rehabilitation of physically challenged children
·        Housing of abandoned children, children that roam about the streets, children that are beyond   
The initial aim is to reunite the parents but if they are persistent to not reuniting then the child who is the reason for trying to reunite the parent are put to focus. The social welfare officer files the report.
The following are steps taken for child care:
·        Most cases are reported by a parent who fears access to and care of the child may not be properly attended to by the other parent.
·        The other parent who may have the child in his or her custody will be summoned via a court order by the social welfare office. If such an individual does not respond he or she will be re-summoned the second and the third time, if still such an individual do not honour the summon then an arrest warrant is given by the court for the arrest of such an individual.
·        After summon, the court decides who the child or children will be in custody of.
·        Sometimes the parents or guardian see and cater for the child/ children through the office of the social welfare.
·        The school and home the child/ children will stay is investigated to make sure it is conducive.
·        Fathers are only given custody of the child/children from age seven and above.










Cases attended to at the social welfare office Iyaganku, Ibadan
At the Iyaganku branch of the social welfare office, Oyo State two cases were attended to;
CASE 1
The case is about the XXX family, consisting of the father, the mother (who is dead) and two children; a boy and a girl with ages 8 years and 4 years respectively. Below is the demographical information about the father.
Name:    Mr XXX
Age:       43 years
Religion:  Islam
Occupation:     sales representative
 Presenting complain
According to Mr XXX he received a call from his brother- in-law that is wife was dead; an attempt to get to Ibadan that same day was abortive because he works in Shaki. The next day when he arrived he was told the wife had been buried according to Islamic rights. Thereafter, he asked to see his children, the mother- in-law redrew the children from running to meet him. She did that saying in Yoruba language “e ma je ko pa yin bi ose pa iyayin” meaning ‘do not make him kill you just as he killed your mother”.  He then reported the case to the police, the police told him to take the case of child custody to the social welfare.  
The wife’s family especially the mother-in-law were summoned with a court ruling. At the court the wife’s family were of the opinion that Mr XXX is irresponsible. The court tried making peace with the two parties with the view that their combined effort will jointly breed the children positively. Later on the two parties were instructed to have a family meeting to settle their differences and come up with an agreement on welfare of the children.    
Basically from his whole narration and complaint he wants to take the children home with him and he doesn’t want them to have anything to do with the wife’s family.
Formulation
·        Predisposing factor:    the cause of this whole issue is his unavailability at home when his wife was ill which was misinterpreted to be careless and irresponsible of him. He claims it is all because of his job and that he comes to see her only that he goes back a little sooner than they will expect of him.
·        Precipitating factor:    the whole issue was triggered by him being referred to as a murderer by the wife’s family
·        Perpetuating factor:    the problem persisted because the wife’s family insisted on not handing the children over to him
  
Intervention
Due to the limited time available the so much was not done, but the two families was asked to hold a family meeting and report two weeks after. The meeting entails reconciliation between the two families. They are to come up with an agreement on how the children will be taken care of without grudge amongst them. Also they both should plan putting in mind that the two parties will have access to the children when they want to and when they have to. The most important thing is the well being of the children.


Case 2
Name:  Mrs YY
Age:    37
Religion:    Christianity
Occupation:  trader and a teacher
Presenting complains:
Mrs YY is the mother of the 11year old girl in question. This is her second visit to the social welfare office to complain. The first time was when she came to make the initial complain and report. Her referral was the police station where she arrested her ex-husband for not seeing her daughter for a while’ according to the story told, Mrs YY never meant to leave her husband but she had to because he refused to take her t his relatives in Ghana. She felt leaving might compel him. Though now she is remarried, according t the initial court ruling she got the custody of her daughter and the husband had access to his daughter too as at when pleased. 
Her present complain is that her daughter runs to her father and he never deems it fit to chase her back. This happens after Mrs YY must have scolded her daughter for doing a wrong. The daughter went to the father for holiday where she decided she wants to stay with her father permanently, after going back to her mother and resuming back to school for some days she ran away. The mother went in search of her everywhere not expecting that she will be at her fathers’ because she felt if the daughter was at her fathers’ he ought to call her to tell her.
She wants is accommodating her to stop and that anytime the daughter comes at undue time he should call and/or send her or take home.
Formulation
·        Predisposing:    the cause of this problem is the comparison the child had made out of her parents. The girl thinks her mother is too strict and wicked while her father is liberal. Her mother gives her N50 to school while her father doing the holidays gives her N100 to spend. The girl says her mother beats her too much and that she wants to change her school to her cousin’s school. Her cousin lives with her father.  Before she ran away from home she had told her friends in school that she will run and never come back to the school again.
·        Precipitating:     according to the young girl it is all because her mother beats her and she gets more money from her father.
·        Perpetuating:    her father never scolded her for her misdoings. By so doing, she never saw what she was did to be wrong since her father dint make her se it like so.
Intervention
The family members were counselled separately. The mother was counselled on reducing the rate she beats her daughter, the father was asked to cooperate with the mother to have a unified way of training their daughter while the girl had the longest session. The girl was told on why she should never run away from home again, how she has to be prudent with her spending and learn to understand the fact that her mother is doing the best for her even though it may not be pleasing.

  

















INTERNSHIP AT SHESHIRE REMAND HOME, POLY ROAD IBADAN
The Sheshire remand home is also a branch of the ministry of women affairs in Ibadan. The remand home is in charge of juvenile offenders, homeless wards, children wandering around the streets and abandoned children. The children are taken care of as regard their welfare, training, send to schools, feed and clothed, given medical treatments and many more.
Juvenile offenders are the children below the age of 18 years that commit and are convicted of crime and cannot be taken to the prison. They are remanded here, trained and punished.
Homeless wards and children wandering around the streets most times were found and taken to the remand home. They are children that have lost their way from home or ran away from home, the police/ social welfare officer/people around takes them to the social welfare office and then they are referred to the remand home. The social welfare officers will interrogate the children to see if their home is traceable so that they can be taken back home.
Abandoned children are quite much. They are children that have been deserted by the parents especially the mother. Some of them are found beside the river, in the bush, at the remand home gate amongst others. Most of them were babies when brought to the home. Though, many of them must have been abandoned due to the physical disability, mental retardation and other disorders affecting the children.  
Many of the children have one ailment on the other. Some of the ailments are paralyses, gait, epilepsy, mental retardation, conduct disorder and ADHD. Doctors do come in time to time to check on them and treat.
A case was attended to;
Name:    lekan
Age:    19 years        
Sex:    male
Religion:    Islam
State of origin:    Ibadan
Referral:   mother
Presenting complain
The mother brought him to the remand home because
·        He steals
·        He is never stable
·        He fights
·        He smokes cannabis
·        He is truant and fails in school
·        He never listens nor obey instruction
·        He acts like a thug
·        He plays violently with bottles and metals
Past psychiatric history
He has been taken to a pastor twice for the above reasons
Medical history
He has no medical problem
Family history
His father is married to two wives. His father is a bus driver. There are six of them for the family.
Occupational history
He sells after school and also acts as a bus conductor for his father.
Psychosexual history
He holds hands with small girls, they kiss too.
Forensic history
He has been taken by the police before alongside many others when the garage his father parks and loads was raided by the police.
Mental state examination
·        Appearance:    he is wearing a blue faded jeans and a dirty shirt. His body is full of scars both healed and fresh wounds. He is not keeping eye contact. He is not as he claim as regards his age, he seem far younger more like a 12 year old boy.
·        Motor activity:     he is hyperactive, restless and inattentive
·        Speech pattern:    he has an Ibadan intonation and he speaks loud.
·        General attitude:    he is not cooperative, he is defensive and uninterested
·        Mood:    he seem irritable
·        Affect:    his emotion is appropriate
·        Form of thought:    there is mild evidence of flight of ideas and inability to concentrate. 
·        Content of though:    he is paranoid in his thought
·        Perceptual disturbance:    no evident problem
·        Sensorium and cognitive ability:    he has orientation to time, place and situation.
·        Impulse control:    he is a little aggressive and unstable
·        Judgement and insight:    he is not aware of his limitations. He always want to be left alone
Case formulation
Predisposing factor:    he seem to have a problem in the head
Precipitating factor:    the environment and insensitivity of the mother to detect fault in the child earlier and not attending to it correctly that is, taking him to a psychiatric hospital and not the church
Perpetuating factor:    his access to drugs have complicated is problem
Protecting factor: it will require pharmatherapeutic treatment and psychotherapy
Test administered
No test was administered
Diagnostic impression
He seem to suffer from ADHD (attention deficit and hyperactivity disorder) which has co-morbid with Conduct disorder
Summary
Lekan is seriously ill and needs urgent psychiatric attention
Plan and recommendation
I recommend he be taken away from the remand home urgently and taken to UCH for psychiatric expertise and psychological intervention.
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