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.