Case Studies

Self-Harming Case Study

Reason for Referral
I was unable to gain a reason for referral prior to seeing X.

Clients Reason for Referral
At initial assessment X said she would like to be confident and happy within her emotional state. She also wanted to be able to deal with comments and not let them upset her.

Session Information
X attended each session on time. She was eager to find solutions. She explained she has been bullied since year 6. She has been bullied at school and on the school bus, so bad that she now gets the train to school. She made a disclosure around self- harming which the school is aware of. Also she told me she only has one friend Y, who she told me also self harms. They were both being bullied by the same people. She said a boy in her year told her to go hang herself. X has told me that mother has confided in X and made some disclosures. We used the Jepeca cycle to help her understand and manage her reaction to this.? During the filters session X struggled to play or hear the words used by her bullies. She was pleased to learn about it though and could see how this could benefit her. X told me in session 3 her negative thoughts were holding her back but until she came on the programme, she could not find a solution. Emotional Awareness was a very difficult session. This is where she told me that she saw "red" as meaning guilt. She feels guilty because people have been mean to her, she feels its her fault. We worked through this in the session. She said she has had the urge to harm herself but has resisted. She handed the blade back to her Mother to destroy which I praised X for doing.

Conclusion
X was nervous that we had our final session but looking back over the paperwork, she could see the real difference in herself. She has realised that she is capable of dealing with different situations. She has made 3 new friends since the programme started. She is now able to look at herself in the mirror. She said she is the one that controls what happens to her. She found the programme to be good, enjoyable and beneficial. She described herself as having perseverance, being caring and a friendly girl.

Confidence Initial Assessment: 0.5 Final Assessment: 6
Self-Esteem ?Initial Assessment: 0 Final Assessment: 5
Behaviour (Home) Initial Assessment: 8 Final Assessment: 8
Behaviour (School)?Initial Assessment: 8 Final Assessment: 8

Case Study

Behaviour Case Study

Reason for Referral
X was referred to take part in the Jepeca programme because of concerns about her behaviour at school.

Clients Reason for Referral
At initial assessment X said she would like to behave better and change her attitude.

Session Information
X was a keen participant who was clearly stressed in the first session. She said she felt unable to control her attitude and anger when people ask her to do things she doesn't want to do or when people say rude things to her.? X showed a very good understanding of the Jepeca techniques and was able to demonstrate how she was using them each week. Before session four when we would cover Emotional Awareness X came to the base very upset. She said someone had been rude to her during the break time. X had become upset and came to the base crying. X realised that normally she would have hit out or retaliated but on this occasion she had moved herself out of it. This was a turning point for X as she realised she had control over the situation more by walking away than if she had gotten involved. This seemed to give her the courage to continue on this path.

Conclusion
At final assessment X said she had a good week at home and at school. She said her friends had said she is much nicer now and her family said she is doing better at school now. ?X described how she is using the Jepeca techniques as a way of controlling and managing her feelings when people say rude things to her. She looked happy and smiled proudly when she described how happy and in control she felt.
X said she is on her way to meeting her goals and said she knows how to continue with ensuring she does meet them fully. She also reported she is getting along better with her family and that they have begun to spend more time together especially seeing her father more.

Confidence Initial Assessment: 8 Final Assessment: 8
Self-Esteem Initial Assessment: 7 Final Assessment: 8
Behaviour (Home)?Initial Assessment: 4 Final Assessment: 6
Behaviour (School) Initial Assessment: 5 Final Assessment: 7

Case Study

Anger and Behaviour Case Study
X was referred to take part in the Jepeca programme because he had been expelled from his previous school because of difficulties with behaviour.

Clients Reason for Referral
At initial assessment X said he would like to be better behaved by the end of the Jepeca programme.

Session Information
X attended all but one session. At first he appeared a little disinterested and bored but soon began to realise that the ideas being discussed and the techniques being taught were useful to him. X presents as a very clever boy who was often way ahead of me, in that he had worked out the solutions before I had fully explained how it might work. ? X was able to explore how negative thoughts can prevent us from achieving our goals and looked at ways we can think in a more positive way about ourselves. He was very surprised when I demonstrated how strong negative thoughts can be and even though we try to fight against them they can still prevent us from reaching our goals. ? X found Emotional Awareness difficult but participated well. He reluctantly explored his feelings of annoyance when his friends annoy him. He was able to come up with many good options for dealing with this. X was unable to explore his feelings of annoyance when it involves an adult so I suggested a few and suggested he could do this one in private at home.

Conclusion
At the final session X was more 'alive'. He smiled a lot and said he has reached his goal, feels much better now, doesn't lose it quickly anymore, behaves better and is more relaxed. He recognises that he still sometimes reacts negatively but is very aware that this is his choice and that he can change it if he wants too. ? X said his mother has noticed a difference in his behaviour and has told him she is very proud of him. This has meant a lot to X. X is also feeling proud of himself and described some situations where he has taken control of his own feelings and actions which has resulted in a good outcome for X.

Confidence Initial Assessment: 6 Final Assessment: 9
Self-Esteem? Initial Assessment: 7 Final Assessment: 10
Behaviour (Home) Initial Assessment: 8 Final Assessment: 9
Behaviour (School )?Initial Assessment: 7 Final Assessment: 8

Case Study

X had a very draining and demanding home life, which left little energy for her school life. She felt very low at times and had suicidal thoughts and would often seek help from the school. She was referred to the Jepeca programme as she did not want to work with a counsellor. After six weeks she said she was able to manage her thoughts properly and knew what to do with them. She used the techniques in school exams as she said in her science exam she was very close to giving up but instead used her Jepeca techniques and finished it. Her friends had noticed a huge difference as she really laughs now, where as before it had always been a fake laugh. She feels a lot happier and says things used to be black and white but now they are colourful. After the Jepeca programme she feels free and she feels that she is being herself and she likes being herself. She described her sessions as fun, helpful and colourful.

Case 11

This young lady refused to come to school for over three weeks because she was being bullied. The school had not been aware that there was an issue. She did not like being her and had enough of being called names. She also did not get on with her mother and there was a lot of fighting at home. She was a good student with good grades but was not attending school and her grades were slipping. After the second week on the Jepeca programme she was using the technique and was no longer a victim of bullying. She described her experience as helpful, understanding and informative as in she now knows what to do. She talks more to her family and feels they are much closer. She described herself as a lot happier and smiling a lot more than she used to which her teacher has noticed. Her grades had improved as had her attendance. She also mentioned that the programme helped her to deal with nightmares. As there was no mention of the bullying in our final assessment I asked her if it had helped and she said that she couldn't remember being bullied as "it was so long ago"! One happy, in-contorl and productive young lady.

Case 10

13yrs Referral: Disruptive and verbally abusive to teachers and mum. Brother permanently excluded previously. He did not like being disruptive but had gotten into a cycle and did not know or see a way out. He found the programme very engaging and utilized the techniques instantly with immediate effect. Described his experience as fun enjoyable and wicked – he doesn’t mess around as much in lessons which makes him proud and happy. A year (pilot update) later he said that he is lucky to be in school as he could have been a lost boy. He also wanted to return to his class as there was an experiment that he wanted to witness and learn!!! True.

Case 9

10yrs Referral: Cries a lot, worries and puts pressure on himself. He had additional needs and sometimes found it difficult to understand the impact his actions had on others. He described the experience as fun, confidence building and problem solving. He said he is not nervous now and gets on better with his family. He loved the techniques and strategies and said “I started to realise am not a complete fool in life” “I am more confident and less fussed by insults” (He really is such a lovely boy).

Case 8

14yrs Referral: Low self-­esteem, very sad, self-­harming. Physical disability. Seen by CAMHS, counsellor and psychologist with little change. Presented with behavioural and attendance issues. Mum rang the deputy head after two weeks to thank them for putting her on the Jepeca programme. She uses the techniques regularly with tremendous results. She described her experience as funny, helpful and interesting as she looks at things differently. Mum’s testimonial “My daughter is very precious and you have helped give back that spark of love and light, that you see again”. A year (pilot update) later she was using the techniques successfully and enjoys herself.

Case 7

11yrs Referral: Needs confidence and control of emotion. This boy was one who could have gone under the radar but luckily he attended a forward thinking school. He was quiet, shy and easily upset. By not doing anything he was restricting his abilities and choices, which we worked on during the sessions. By the end of the programme he could go places and not feel scared anymore. His dad said he was more confident when he is with new people. He could talk to the teacher. He described his experience as fun, helpful and cool and said there was a big difference – “I don’t feel shy anymore”.

Case 6

10yrs Referral: Transition to secondary. Described as very sensitive and angry, sometimes immature. During initial assessment he described himself as sad sometimes, scared and worried on the final assessment this changed to kind, non-­argumentative and happy. His home life and school life were very unhappy and this was reflected in his attitude, body language and choices. Whilst working though the six weeks he understood the impact he was having on the situations and how he could change things. Now he talks to people differently. Likes being himself and he plays outside with others.

Case 5

11yrs Referral: Very quiet, low confidence and non-­assertive. Brothers have additional needs. Found it difficult to cope with her home life and this was reflected in her homework, school
relationships and communication skills. Described herself as fat, with attitude, moody and bossy on final assessment this changed to happy, joyful and magical. Initially she marked her confidence as 1/10. She described her experience as fun, happy and exciting her confidence was 10/10 on the final assessment. She was not so sad or on her own and felt better able to cope with her brothers with the new techniques she had learned. She helps her brothers now and ignores people that used to annoy her.

Case 4

10yrs Confidence and self-­esteem referral. Described herself as small chubby and after 6 weeks smart, artistic and helpful. She was very sad, quiet and withdrawn. She did not contribute much in class. Her confidence had risen from 1/10 to 9/10. She was not scared anymore and doesn’t get upset easily anymore. Described her experience as helpful and fun. She stands up for herself and is more confident.

Case 3

11yrs Referral: needs help with family issues. Domestic violence - ­step dad. She described herself as crazy, emotional, sad and annoying after the programme she was bossy sometimes funny and nice. CP issues were identified on the initial session and passed to the CP point of contact. After 6 weeks she described the programme as fun, helpful and good. It helped her control her anger and has a better relationship with her mum. She feels happier now. The initial CP concern was addressed and was no longer an issue.

Case 2

16yrs Referral: Parent terminally ill. Seeing counsellor in school. Said - with the counsellor he talks about his feelings but with the Jepeca programme he knows what to do with them. Described his experience as changing, relaxing and exploring. He can concentrate more and people don’t annoy him now. A year later (pilot update) he said that he found the programme the most useful intervention when his parent died and he still uses it with his homework and friends.

Case 1

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