Complete a SOAP Note and treatment plan based on the information provided: Josh

Complete a SOAP Note and treatment plan based on the information provided:
Presenting Situation
Joshua is a 12 year old boy who attends Middle School as a 6th grader. Joshua has
been in placement with his grandmother for several months. His behavior has been on
the decline since his middle sibling was recently placed in the home with him. He was
strongly reactive to any signs that his sister was receiving more attention than he was.
He becomes easily angered, his moods shift from constricted to volatile, with frequent
angry outbursts, that carryover to and interfere with school. Joshua shows multiple
signs of arousal (e.g., difficulty sleeping, impaired concentration, edginess and
irritability). He was recently diagnosed with oppositional defiant disorder and ADHD
although he doesn’t yet have an IEP. In school, he is taking the following classes:
Remedial Reading, Math, 6th grade Science, Art, Social Studies and P.E. His favorite
class is Art and the Remedial Reading class is his least favorite. He is at least two
years behind in reading. When he is in a happy mood, Joshua is talkative and social
with his peers.
Joshua’s grandmother, who has her own history of childhood trauma, has become more
depressed and overwhelmed by his emotional outbursts and she has had difficulty
providing consistent caretaking to either of the children, including sending them to
school. She is reluctant to make contact with the school as it just adds one more
overwhelming responsibility to her life.
Trauma History
Joshua has been in the care of his Grandmother since he was 18 months old at which
time Child Protective Services removed him from his parents’ care due to neglect,
physical abuse and parental substance abuse. When initially interviewed by CPS the
mother acknowledged that she was under tremendous stress due to an often violent
relationship with her husband. She admitted that caring for Joshua was difficult because
he was often irritable and rejecting of her attempts to console him. At other times, he
was very restless and clingy toward the mother, especially when the father was present.
She also said Joshua was “slow to develop.” The mother admitted that she and her
husband had a history of drug and alcohol abuse.
At age 5, an attempt to reunify Joshua with his parents failed when he was once again
removed from their care due to a report made by his Kindergarten of seeing bruises on
Joshua’s legs and arms. He was placed back in care with his grandmother and has
been with her since. His parents have separated and he only sees his mother at family
events and holidays. He has had no contact with his father since the second set of
allegations was substantiated when he was 5.

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After reading the Epic of Gilgamesh (Introduction and the Epic itself), please a

After reading the Epic of Gilgamesh (Introduction and the Epic itself), please answer the following questions:

What are the main themes of the Epic? What specific passages express them? How do they reflect major concerns of Mesopotamian society?
What symbols, motifs, and metaphors predominate in the epic? What might they mean?

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Manga hills- The mysterious hill – Bison Safaris


The manga hills is found in both Nyamira and Kisii county whereby Nyamira county takes the top of the cliff while Kisii takes the lower case.

This hill is associated by the Abagusii community and they call it the Emanga ridge. Standing on this hill, one can see beautiful landscapes of the southern parts of Kisii up to the lake region.

The Manga hills as several historical facts and for someone who loves history wouldn’t want to miss out knowing the Abagusii beliefs. The hill has an endless hole called Engoro ya manga which is believed to have connected to the great Lake Victoria.

It is believed that during the migrations, the Abagusii people first settled in this hill before they moved to other parts of Kisii. This hill is full of caves and massive rocks that served to the people as places of shelter and and they could spot the enemy during attacks.

Manga hills served as the first court and during the colonial era, the first court was called Ritongo and was useful in settling disputes and negotiating dowry prices.

This hill is considered sacred/holy place and it has procedures to follow for all who want to see it. One has to tie a bundle of green grass then collect some pieces of firewood which are thrown into the hole so that ancestors allow the access. It is also here that community elders come to offer sacrifices and offerings to their ancestors when faced with disasters such as drought, famine and floods.

It is believed that when the region becomes very hot and dry, the ridge will burn itself and then there will be heavy rains. It  is believed that at night the residents, see fire burning bushes but when they visit the place the following day, they won’t see any damage caused by the mysterious fire.


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