Marian, a 14-year-old girl from a poor, single parent family appears for an interview with the school social worker to discuss excessive school absences. Recently, she has withdrawn from friends and her school grades have dramatically declined. The school social worker learns that she recently lost several front teeth in an auto accident. As a result, her upper lip appears to have partially collapsed, giving her somewhat a odd appearance. She seems to have withdrawn and shy and says that other students make fun of her appearance. How should the social worker focus initial intervention?

A. Address Marian's feelings about her appearance and suggest that she join a school friendship group to help her find better social outlets.
B. Discuss Marian's school absences with her parents and try to obtain their cooperation in urging her to attend.
C. Work with Marian and her family to arrange a prosthetic replacement for her teeth.
D. Encourage Marian to disregard the insensitivity of others and encourage her to return to school.


C. Work with Marian and her family to arrange a prosthetic replacement for her teeth.

A girl of 14 is preoccupied with her appearance and the acceptance of her peers. Without addressing her appearance and her premature tooth loss, there is little hope of helping her with the school problems. Simply discussing her absences and encouraging her or placing her in a group is unlikely to have significant impact on her feelings about herself, or on her behavior.

Social Work & Human Services

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