ClinicalComplex
Substance use, incarceration and kinship care
A grandmother raising five grandchildren while their mother uses and their father serves a prison sentence.
- People
- 19
- Generations
- 4
- Marriages
- 5
- Conditions
- 9
- Lines
- 15
- Portraits
- None
- Conditions
- ADHD, Alcohol misuse, Anxiety, Asthma and 5 more
- Lines
- Caretaker, Close-hostile, Focused on negatively, Distant and 5 more
Free accountThree templates are open to everyone. A free account opens all 34.
Intake notes for Substance use, incarceration and kinship care
Paste these notes into the AI assistant to rebuild the family.
Jamal Miller (13), an 8th grader with ADHD diagnosed in 2021, is the index client. Since 2023 he has lived in Loretta's kinship home, a temporary placement with his grandmother, Loretta Jackson (60), a certified nursing assistant with diabetes since 2015. With them live his sisters, Aaliyah Miller (16), an 11th grader with anxiety since 2024, and Zoe Miller (9), a 4th grader with asthma since 2019; Zoe's fraternal twin, Zion Miller (9), a 4th grader; and their half-sister, Nevaeh Delgado (2), a toddler, who has had neonatal abstinence syndrome from birth and was placed with Loretta straight from the hospital. Since 2024 Loretta has been the legal guardian of Jamal, Aaliyah, Zoe, Zion and Nevaeh. Presenting problem: fights at school and a shoplifting charge in 2026. Loretta says Jamal is "just like his father". A date convergence: Jamal was charged at 13, the age his father was at his first arrest, in 1998. Recent changes: the children's mother, Tasha Miller (née Jackson, 39), unemployed, has had polysubstance use since 2006 and is still using; she lost custody in 2023 after an arrest for possession and misses most visits. She married DeShawn Miller (41), a barber, in 2009, and they separated in 2020. DeShawn has been in state prison since 2022 for drug distribution, with earliest release in 2029. Since 2019 he has had an affair with Keisha Brown (36), a retail manager; their son, Darius Brown (6), a kindergartner, is half-brother to Tasha's children, and Keisha takes him to visit DeShawn in prison. Since 2023 Tasha has lived with her partner, Ray Delgado (43), a day laborer with drug misuse and Nevaeh's father. Extended family: Loretta married Curtis Jackson (1963–2018), a forklift operator, in 1986. He had alcohol misuse from 1985, drank through his children's childhoods, beat Terrence and died of a heart attack in 2018, leaving her widowed. Tasha's brother, Terrence Jackson (36), a peer recovery coach, had polysubstance use from 2008 and has been in remission since 2021; he attends NA. He married Alicia Jackson (née Reed, 35), an elementary school teacher, in 2018, and in 2022 they adopted Elijah Jackson (11), a 5th grader, from foster care; the three make up the Jackson–Reed household. Loretta's parents are Willie Johnson (1941–1999), a sanitation worker who died of lung cancer, and Hattie Johnson (80), a retired domestic worker; they married in 1964, Hattie was widowed in 1999, and she takes the grandchildren to church every Sunday. DeShawn's parents, Darnell Miller (1961–2004), a bus mechanic, and Bernice Miller (63), a school custodian, married in 1984; Darnell died of a gunshot wound in 2004, when DeShawn was 19, leaving Bernice widowed. Bernice petitioned for custody in 2023 and takes the children to visit their father monthly. Patterns: Aaliyah is Zoe's caretaker; she parented her while their mother was using. Loretta, Tasha and Jamal form a triangle: Loretta and Tasha are close but hostile, Loretta is focused negatively on Jamal, and Tasha is distant from him. Jamal is close to his father and speaks to him every Sunday. Tasha and Keisha are hostile. Curtis was physically abusive to Terrence, who cut Tasha off in 2024 to protect his sobriety. The two grandmothers, Bernice and Loretta, are hostile, and Hattie is close to Loretta.
