RECOMMENDATIONS

1.Dewayne has primary psychiatric diagnoses of Disruptive Mood Dysregulation Disorder (DMDD); Attention-Deficit/Hyperactivity Disorder, combined presentation (ADHD); Conduct Disorder, Childhood onset; Posttraumatic Stress Disorder (PTSD); Cannabis Use Disorder; Tobacco Use Disorder; and Alcohol Use Disorder.

2. In light of available aftercare options and in considering the least restrictive clinically- appropriate option, Dewayne should be released to the care of a residential treatment center (RTC) where he would receive intensive mental health care services including medication management. The program should emphasize anger management, treatment of oppositional behaviors, and have a substance abuse treatment component. Considering his PTSD diagnosis, individual trauma therapy is recommended. Family therapy would be appropriate to provide Dewayne’s guardian with resources and education to provide structure and discipline at home once he is released into the community.

3. Dewayne should meet with a psychiatrist on a regular basis. He is currently prescribed methylphenidate 5 milligrams in the morning and methylphenidate 5 milligrams at 1pm.

4. Dewayne should see a primary care provider for regular monitoring of his physical wellness and prior history of elevated blood lead level, dry skin and eczema. While Dewayne was at SGHC, he did not require any medications for somatic conditions.

5. Dewayne should return to his grade appropriate education. Dewayne was attending Commodore John Rodgers as a sixth grader. He has 504 for “behavior” issues.

6. Dewayne would benefit from male mentor who can guide him to healthier ways to manage his anger and encourage him to engage in prosocial behaviors.