David presented with a history of fighting in school, lying, and outbursts at inappropriate times. Project Permanence (PP) staff were able to assist the caregiver in getting David assessed for an IEP and attend IEP meetings to ensure the client received appropriate services. PP staff monitored David's school performance and met with school staff as well as David's TBS worker and individual clinician to see where the client was improving, and what difficulties remained. PP staff supported David's work done with his TBS worker and Individual clinician by practicing coping skills he identified as helpful.

The client continued to struggle in his public school classroom by fighting, leaving class without permission, and lying. A recommendation for a higher level school placement was made. The caregiver did not agree with the recommendation. PP staff were able to support the caregiver in exploring alternatives to Day Treatment recommendation and the caregiver decided she was in favor of a counseling-enriched classroom. David was successfully transitioned to a counseling-enriched classroom at a different public school site where he has shown vast improvements in attention during academics, and has not been involved in any fighting. He is able to utilize his coping skills effectively with the support of his school staff. David reports being happier at school and feeling much more supported in his current program. He has already made improvements in the quantity and quality of his schoolwork and homework assignments.