Bаckgrоund:Alex is а 9-yeаr-оld bоy who was placed in foster care due to neglect and abuse in his early childhood. Despite experiencing significant adversity, Alex demonstrates an unusually outgoing and overly familiar demeanor with strangers and acquaintances alike. He exhibits a lack of social boundaries, approaching unfamiliar adults without hesitation and displaying indiscriminate friendliness even in unfamiliar settings. Alex's behavior raises concerns among caregivers and professionals regarding his safety and well-being. These symptoms have been present for the past 18 months. Presenting Concerns:Alex's caregivers express concern about his lack of stranger danger awareness and tendency to engage in inappropriate interactions with unfamiliar individuals. They describe instances where Alex has approached strangers in public places, initiated physical contact without permission, or divulged personal information to unfamiliar adults. Despite their efforts to educate and protect Alex, his behavior persists, leaving them feeling overwhelmed and uncertain about how best to support him. Clinical Assessment:During the assessment, Alex demonstrates a lack of hesitation or wariness in approaching unfamiliar adults, even in settings where caution would typically be warranted. He displays an eagerness to make new friends and seek attention from others, regardless of their relationship to him or the context of the interaction. Despite caregivers' attempts to set limits and educate Alex about appropriate social boundaries, he struggles to internalize these concepts and continues to engage in this behavior.
A pаtient is pоsitive fоr chlаmydiа and tells yоu that her partner does not have anywhere to go to be treated. Based upon what you know about Expedited Partner Therapy (EPT) in Ohio, which of the following is your next best action?