Tutorial 2 Activity: SDoH Case Study.

In this whānau, the mother is a sole parent who is in part-time/casual employment. She receives additional social assistance to supplement her income but finds it very hard to make ends meet. She moved away from her whānau during her teens and has had very little contact with them since. She has three children:• Her 16-year-old son has repeatedly been caught driving without a licence. He worked for five months as a builder’s labourer but stopped going to work three weeks ago as he did not want his employer to know that he did not have a licence and had been to court for these offences.• Her 12-year-old daughter has just been referred to Strengthening Families as a result of repeated school absence.• Her 8-year-old son is repeatedly noted by the Police for roaming the streets late at night. Often when the Police return him home, there is no adult present. This has led to a notification to Child, Youth and Family.This whānau has lived in a Housing New Zealand Corporation home for the past 11 years. In recent times the neighbourhood has become unsafe, with increased youth gang activity. The mother is continually focused on trying to provide for her whānau – often working late into the evening or the morning, leaving the children unsupervised. She relies on the 16-year old to get the younger ones off to school. If the older boy goes to work, the 12- and 8-year olds get themselves off to school. The mother doesn’t know that, because the 12-year-old is being bullied on the way to school, she often does not get to school. This has led to the Strengthening Families referral. Quite often when the mother is working late, the 8-year-old wanders from the house. He has begun hanging out with the local youth gang for companionship, hence the police intervention.This mother is so focused on providing a living for her family that she has neglected her own health. She does not have a regular doctor and has never had a breast or cervical screen.