Week 7

Now 19, Vasha still remembers the first time she snorted Adderall. She narrowly escaped being kicked out of school completely and pleaded to be given another chance. Although she had to meet with a counselor on a regular basis and stay out of school for a few days, she knows it could have been worse. Still, she wishes that she never listened to that bratty kid Spence who talked her into trying. Even though they got caught in the act, she remembers going home that night and feeling so out of control that she tried it on her own. Then, she was hooked. From there, it was a gradual progression of things to try to help her deal with her emotions and impulse control -- first, she tried some Xanax that she got from Spence -- she was so "out of it" that she can barely remember what he tried to do to her. She thinks that they didn't have sex, but she's never been sure. She just knows that she made the decision right there and then not to hang around him anymore.

She found plenty of other kids, though, who kept her supplied with downers and amphetamines. She would alternate these to try to manage her moods. School became a blur, and her grades dropped substantially in a short time. She was seen as a "bad kid" -- beyond reaching, beyond help. Her "choice" to try snorting Adderall was something she wishes she could go back and change. She got suspended again when, in another state of mind, she threw a punch at a teacher. At that point, the school placed her in "alternative school" and essentially washed its hands of her. She managed to graduate and has been living with her mother, working odd jobs and generally wondering what comes next.

Her latest boyfriend, Chad, was her supplier. Chad and Vasha would have huge fights and then collapse into a mish-mash of marijuana smoke and sex. Chad never told Vasha that he was HIV+, and she didn't find out until long after she learned that she was pregnant. 

* Given Vasha's diagnosis of ADHD, why would the school have been able to do what they did? What is the problem with that course of action?

* What could Vasha's mother have done when the school was not meeting her Special Education needs regarding her disability? Why do you think her mother did not advocate for her daughter? Provide some hypotheses.  

* What do you think accounts for Vasha's choice of partners? Why doesn't she just make better choices?

* If she were willing to participate, what services would you recommend for Vasha? Where could she go to get these services? How would she pay? Is she eligible for Medicaid or other public assistance regarding medical care?

DECISION POINT:

What does Vasha do now that she is pregnant?

Week 6

Vasha is now a 15 year-old girl who has found a way to "fit in" with a small group of friends. The four of them have much in common - Vasha is Hindu, Tamil is from Afghanistan, Jake claims to be a practitioner of Wicca (which he refers to as 'Wicker' thinking that it's the correct term for the religion), and Spence just got out of a residential treatment center for kids with emotional problems. An unlikely group, to be sure, but one with whom Vasha has found something of a second home. Of course, there is nowhere Vasha would rather be than at her real home, but these friends she's made are a wonderful substitute when she's not at home.

Vasha is still close to her mother, and the family has been through alot since Arup died. Most of the siblings are off living their lives, but they come back quite a bit to visit. 

One day, Vasha and her friends are talking at lunch. Somehow, the conversation rolls around to ADHD, Spence's stay at the facility and the kinds of medications he had while he was there. It comes up that Vasha is on a medication for her ADHD. Spence wants to know if she's ever tried snorting it, and she is horrified - "of course not" she says. Spence, however, having been around lots of kids with lots of problems, has a way of being convincing and sly when he wants to be. He manages to turn Vasha's initial reluctance into a promise for her to bring some of her meds to school with her tomorrow. Spence is going to show everybody how to "get high" on Adderall.

The next day comes, and Vasha brings her meds with her, unaware of the potential ramifications of such an act. The four go outside after lunch, and Spence starts to tell them how it's done...

It is about at that moment that the Assistant Principal walks around the corner, catching all of them in the act of snorting a controlled substance on school property.

* Describe typical developmental milestones for a 15 year-old girl.

* What are the intrapersonal dynamics that might lead an otherwise kindly 15 year-old girl to experiment in such a way? How about the interpersonal dynamics?

* What do you suspect will be the reaction of Vasha's mother to the news? Write a developmentally and culturally appropriate narrative of the dialogue that Vasha and her mother have regarding this event. 

DECISION POINT:

Does Vasha get kicked out of school? If so, for how long? If not, what are her consequences?

Week 5

Vasha is now 9 years of age. Her mother, with the assistance of a local child psychiatrist, placed her on medications two years ago. 

* What medications was Vasha likely prescribed given her diagnosis of ADHD? Have the medications you indicate been approved by the FDA for use in children?

* Write a narrative “interview” in which you communicate with Vasha in an effort to get to know her.

* Write a narrative “interview” in which you talk with Vasha’s mother about her.

* Who is Vasha? What kind of child is she? What might someone expect upon meeting her for the first time? Base Vasha’s imagined personality on what you know about she and her family so far.

Week 4

Vasha Singh – Week Four

Vasha is now 7 years of age and in the second grade. Shura has been able to make ends meet thanks to a large life insurance policy that Arup had. In addition, Shura’s family has provided financial assistance when she has needed it. She is feeling better and is able to support all of her children both in the home and as they keep going to college – there are now two children in college, and another will go this year. Education has always been hugely important for the Singh family, and Arup made sure that if anything ever happened to him, money would not be a barrier for the family’s educational aspirations.

In school, Vasha has been having a better year since she was identified as a student with a slight learning disability. She also has an “Other Health Impairment” in that her pediatrician diagnosed her with Attention-Deficit /Hyperactivity Disorder.

An added complication is that Vasha is the only Hindu student in her school, and other kids sometimes laugh at her, calling her names. They have seen her mother come to pick her up wearing traditional Indian dress, and they don’t understand. What’s more, many of the children come from families whose experiences with those who are different from the perceived “norm” is limited.

* Describe the developmental milestones for a typically developing 7 year old.

* What is the prevalence of ADHD in the population of Indian –Americans? Is it more or less prevalent than in the general population? Why do you think this is?

* What kinds of things can the school do to address bullying and diversity?

* Assuming that Vasha has an IEP for a reading disorder, what has already taken place with regard to interventions prior to the Special Education process? (Hint: Find RTI strategies for reading). What are some goals that you might find on Vasha’s IEP given the interaction of LD and ADHD?

Week 3

Vasha Singh – Week Three

Shura gathered her kids together and made the long trip back to India when Vasha was 8 months old. Vasha spent the next two years in the caring arms of her extended family, and her mother was able to grieve.  Vasha was now almost 3 years old, and she was, by all accounts, a happy, healthy little girl. She was speaking Hindi with ease, and her mother and relatives were amazed at her ability to pick up new words and her ability with language in general.  Life seemed to be going well in India, and Shura did not know whether she would return to the United States. Then news came that her oldest had been admitted to a prestigious university in the U.S. It seemed like a good time to return to the U.S. after all. After saying goodbye to her extended family, Shura once again made the long trip across the ocean.   

* What are the major developmental milestones for a 32-month old child?

* What challenges might Vasha encounter as she returns to the United States? How easy do you think it will be for Vasha to learn English after having been exposed to Hindi exclusively? You should find information regarding language acquisition in children of this age.

* What else is important for you to know about Vasha’s family at this point? (Hint: Think about all that you don’t currently know about the family that could be helpful for you with regard to demographic information.)un

Week 2

Vasha Singh – Week Two

Vasha came into the world as the 10^th child in a busy family. Her birth was what Shura expected, and Vasha was generally a “good” baby, as her brothers and sisters had been. At 6 months of age, Vasha was a healthy baby, eating well and growing quickly. All was going just as Shura had expected until one morning in April – she still remembers it. She was standing at the kitchen sink when she got the call. Arup had had a heart attack and was taken to the hospital. Shura dropped everything, picked up Vasha and the other 2 children at home and rushed to the hospital. By the time she arrived, it was too late. Arup had died minutes before she arrived.    

* Write a narrative appropriate to the rest of the children in the family regarding how they should be introduced to new sister (though Vasha is 6 months of age, this would have taken place when Vasha came home from the hospital). What might the other children expect in terms of mom’s time and energy?  

* What should Shura expect at this point in terms of Vasha’s major developmental milestones? What should a 6-month old be doing?

* What are the mental health risks for Shura given the death of her husband?  Are there culture-specific ways of grieving that Shura might access?  What wonderings do you have about other resources Shura might draw upon at this difficult time? How might Shura’s suffering and grief affect Vasha at this point in her development?

DECISION POINT

 

* Does Shura return to India?

For the first post, each group will learn some information about each person’s family of origin. This should aid each group in beginning to imagine their respective adoptee. While some of the information may at first appear to be unrelated to our subject of study, life-span issues for individuals with disabilities, fear not. It will all make sense as we move through the semester. 

Vasha Singh – Week One

Arup and Shura Singh had a large family. They both came from large families, but theirs was particularly big: 9 children and counting, the oldest in college and the youngest on the way. Arup owned a construction company in a large suburb of a major city, and the family was doing well. They traveled several times a year back to their country of origin, India, to a beautiful town south of Delhi. The Singhs prepared to welcome a new child into their home. Shura wondered if this might be the last one – her mother had stopped at 10, so she might as well.

     

What is the affect of birth order on family dynamics?

Is it unusual for a family whose country of origin is India to have such a large family? (Hint: Look at demographic information regarding ethnicity and family size)