Behavioral Health in the Community

The principal escorted Audrey, aged 13, an overweight girl with long blonde braids into the ruralmiddle school nurses office. Ms. Schmitz will help you, Audrey. The principal signaled for the girlto sit down and then handed Ms. Schmitz, RN, a note and left. The note bulleted three lines:Disruptive, fighting, teacher requests a home visit.Ms. Schmitz extended a wet facecloth while assessing Audreys appearance. Audrey wiggledon the wooden chair wearing torn and too small clothing, tennis shoes with holes, and a fullbackpack. Place this on your eyes, and see if it helps. The crying childs tongue poked out theright side of her mouth and she swallowed several times as she reached for the cloth. Are youhurt? asked the nurse.Audrey shook her head. I have a sore throat though. She shrugged her shoulders. I wishI were dead. I could jab a pencil in my eye and bleed to death. That would fix them.You sound pretty upset. Tell me what happened.Brian made fun of my tics. I cant help it. I am so tired of people laughing at me, myclothes and my mother. I hit him with a book because he wouldnt stop. I bet he never thought Iwould hit him. I am not a bully, Brian is. A fresh bout of sobbing doubled the girl in half.The nurse read Audreys health record. Learning disabilities, ADHD, Tourettes disorder,prenatal drug exposure, R. 20/80 and L. 20/100 vision, a normal scoliosis screening, and freelunch eligibility. The nurse searched for a telephone number. I need to call your mother.The school secretary said, There is no phone. I can give you the case workers contact.Momma is sick, said Audrey and swallowed. She wont answer the door. 
1. What will be included in the school nurses assessment plan? 
2. What resources should be explored?

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