{"text":"W f \nq Please ask for: Ext 5814 \nConsultant Child Psychiatrist and Psychotherapist \nYour Ref: \nDate: 20\/11\/\u20ac8 \noer \nTANYA DARLING (DOB 21.5.84) \nTanya is already known to your Service. She has been seen b-report \ndated 26 March 188) and is also known to_ who is currently at the \nbeginning of a new involvement with her. \n| am writing following on from a recent meeting at Kelso High School which \nrecommended that her educational needs be met through an individual package \nwhich will also take account of and respond to her emotional behavioural needs. \nTanya moved to Keiso High from Eariston several years ago when it became clear \nthat she had very considerable special educational needs and that she would benefit \nfrom the opening of a Record of Needs and support from a resourced secondary \nschool. Tanya presents as a very vulnerable pupil who has considerable emotional \nneeds which zppear to derive primarily from her family situation. Her behaviour \nfluctuates in school between periods when she can be very polite and caring and \noutbursts where she can actively confront staff, both verbally and through a variety of \nreactive-manipulative behaviours which historicaily have included running out of \nschocel and trying to get out of a moving taxi and minor incidents of self harm. \nRecently in school there have been a couple of incidents where she locked herseif in \na toilet and was found with her face in the wash hand basin which she had filled with \nwater, About half an hour later she managed to steal a knife from the kitchen, locked \nherself in the toilet again and scratched her wrist with the knife. \nThe recent pattern of behaviour is not qualitatively different to other patterns of \nbehaviour in the past. Her behaviour in school has been very tightly controlled \nthrough a contract system where her wish to remain at Kelso High School has been \nlinked structurally to behavioural conditions which she has now exceeded. It should \nbe empnasised that Tanya has shown some ability in the past to limit and control her \nbehavicur according to the contract requirements. However, she has nct been able \nto sustain this for sufficiently long periods to make her continuation at Kelso High \nSchool sustainable in the immediate 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