Youth Worker Documentation Notes

**Context of engagement** Client was referred by their school counsellor, Mrs. Green, due to increasing truancy and reported withdrawal from social activities. The purpose of this initial engagement session was to establish rapport and understand the underlying reasons for their recent behavioural changes. The session took place at the youth centre, providing a neutral and confidential environment. **Description of concern** The client, [Sarah J.], a 15-year-old female, expressed feelings of sadness, isolation, and anxiety regarding returning to school. She reported difficulty sleeping, a loss of interest in hobbies she previously enjoyed, such as playing netball, and frequent headaches. She also mentioned occasional panic attacks when contemplating social interactions. **Timing, cycle and pattern** The presenting concerns began approximately three months ago following a change in her friendship group at school. Her truancy started around six weeks ago, occurring primarily on Mondays and Fridays. The feelings of sadness and anxiety are more pronounced in the evenings and before school, often triggered by social media interactions or thoughts of school. The headaches are intermittent but have increased in frequency over the past month. **Impact on functioning and relationships** [Sarah J.] has significantly reduced her attendance at school, impacting her academic performance. Her relationship with her parents has become strained due to arguments about school attendance and her withdrawn behaviour. She has isolated herself from her usual friend group and spends most of her free time alone in her room. Daily activities like eating regular meals and maintaining personal hygiene have also been affected. **Observations** During the session, [Sarah J.] presented with a dishevelled appearance, wearing oversized, dark clothing. Her affect was flat, and her mood appeared subdued. She made minimal eye contact initially but gradually became more engaged as the session progressed, particularly when discussing her hobbies. She spoke softly and her posture was slouched. **Referrals** [Sarah J.] was provided with information regarding local mental health services, specifically a youth counselling service specialising in adolescent depression and anxiety. A referral to the school's educational psychologist was also discussed, with parental consent to be obtained. Resources on managing anxiety and sleep hygiene were provided. **Follow up plan** A follow-up session has been scheduled for 1 November 2024, at 14:00 at the youth centre, to further explore coping mechanisms and potential avenues for re-engagement with school and social activities. Goals for ongoing support include improving school attendance, re-establishing positive social connections, and developing healthy coping strategies for anxiety. [Sarah J.] agreed to consider contacting the mental health service and discuss the educational psychologist referral with her parents.