Sunday, February 19, 2017

Jacobs Story Part 2

Jacobs Story Part 2

After Kamora was put in the hospital Jacob and his siblings were removed from the home and stayed with their maternal aunt while both parents were put under investigation on allegations of child abuse.  The children were returned home to me four days later as the father of the girls was arrested on child abuse charges.  Jacob was aware right away about what had happened to his sister.  Even at such a young age I believe he understood how serious it was.  I also believe that Jacob lived in fear because he recalled his sister’s dad yelling at Kamora A LOT when she cried and calling her bad names.  Jacob never reported seeing abuse though.  However, the yelling and name calling was scary enough for a now 4yr old boy who already had some underlying issues that I was trying to figure out through the past two years of weekly therapy sessions.  In the following months to come Jacob suffered a tremendous amount of stress for a 4yr old little boy.  With the relentless ongoing investigation and open case with the Department of Human Services the children were removed once again after 3 weeks of being back home.  Jacob and his sister Kolisa went to live with his maternal uncle and his family while Kamora went to a medically fragile foster care home and his oldest sibling Thomas was placed with his father.  That is where Jacob and his sister Kolisa lived for the next 4 months.  It was not only stressful for Jacob and his sister but for his Aunt and Uncle who had two children of their own under the age of four.  After the four months it was just too stressful and Jacob and his sister went to live with his paternal grandparents even though they were scheduled to be returned home in just two weeks’ time.  This move to the grandparents only prolonged their homecoming an extra 2-3 weeks from the original planned time.  But nonetheless they got to come home to me finally.  Shortly thereafter Jacob started attending a therapeutic daycare called The Kempe Center through Children’s Hospital for neglected and abused children.  Jacob attended Kempe Center for several months before starting 1st grade at a local elementary school that had a BD program (behavioral development) which could meet his needs.  While attending Kempe Center Jacob was diagnosed with mood disorder, and anxiety, and PTSD.  I chose not to medicate Jacob at that time because I am one that just isn’t on board with medicating children.  Jacob also received a 119 IQ score while being tested during his evaluation at Kempe Center.  I was told repeatedly don’t worry about academics it will come to him.  He is smart and has the ability to gain what he needs (because he was behind in reading) and struggled with writing.  Focus on his behavior.  I was also told that Jacob not only was gifted but that Jacob suffered emotionally and that I would have to continue to monitor him closely that he would be prone to bullying in years to come because of his nature.  Once Jacob graduated Kempe Center he was able to go to public school in the first grade but had to be in a self-contained classroom with para support.  By second grade mom agreed to put Jacob on Medication to help him regulate his mood swings and anger.  The medication helped some but not enough.  He started to gain weight.  He became overweight and his behaviors got worse as time went on. Jacob also took a huge step of faith this year in second grade when he was 8yrs old by professing Christ as his Savior and following through with Baptism as a confession of that faith.  But even that wasn’t enough to really help Jacob with all of his emotional struggles.  By third grade Jacob had to be removed from public school and put into day treatment.  Jacob attended Mount Saint Vincent’s Day Treatment Program for 9 months where he got individual therapy, group therapy, family therapy with me, and continued his education.  In the fourth grade Jacob was ok to go back to public school in a self-contained classroom with para support again.  As well he received special transportation to take him to the school that could provide for his needs. He stayed at this school through the 5th grade.  Fourth and fifth grade were really rough years on Jacob finding his way back into the public school setting.  There were many obstacles we faced with self-harm and visits to Children’s. There was a lot of transition with teachers in the two years at the school and a portion of this time there was another kid that bullied Jacob so bad that I am not sure he ever recovered from it fully.  In fact, I believe that it is a big factor in Jacobs’s current issues and problems with his behavior today and added to his PTSD.  But all in all he finished elementary and moved onto Middle school.  Through all these years Jacob continued to go to mental health therapy weekly visits and med evaluations monthly.  We tried a range of therapies but nothing seemed to work because we could never get to the root of anything due to always having to address current situations that were happening.  As well, Jacob has been receiving occupational therapy in home for the past 5 years to help with fine motor skills such as hand writing, keyboarding, brushing teeth, and skills of daily living.
In November of 2015 I finally had him tested at Children’s with a full psychological test, adaptive test, and another IQ test which was his 4th one I believe and added to what is his list of diagnosis currently which were:

  • Mood disorder
  • Anxiety
  • PTSD
  • ADHD

Children’s added
  • delayed milestones


Jacob has significant delays in many areas.  These have been overlooked over the years due to his high IQ.  But he suffers emotionally and adaptively.  His overall function is at a 5 or 6 year old not a 12 year old.  And it makes it really difficult to work with him because he is so smart but so far delayed emotionally.  He “looks” normal.  But he doesn’t “act” normal.  And kids tease him and bully him.  They think it’s funny to get him upset and let him spew over then look at him like there is something wrong with him.  Then tell everyone that he has “anger issues”  It really saddens me.

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