Jenny Davis Case Study
Progress Review- Cheyenne Davis
Please list outcomes of any/all drug screens. Please include the date, type, results, and substance (if applicable)
Not applicable
Progress in treatment: (please choose either moderate-significant-slight improvement, or moderate-significant-slight deterioration, or no change) ISSUE PROGRESS
Anger Outburst Regression. Client continues to have behaviors in her school setting which resulted in her hours being increased.
Night Terrors Slight Deterioration- Client had an incident in which she was climb into the bed with her mother and start to display inappropriate sexual behaviors towards her mother.
Please include any/all changes or updates in diagnosis:
Current diagnosis:
AXIS I:
296.90 Mood Disorder
307.46 Sleep Terror Disorder
AXIS II: Deferred
AXIS III: None
AXIS IV:
Limited peer interactions, inconsistent parenting and multiple family members providing care/discipline
GAF: …show more content…
If yes, what steps are being taken to treat this problem? There are no changes in client’s health.
Please explain why this client cannot be treated at a less restrictive level of care including barriers to step-down.
Client hours were increased from 6 to 10 due to her erratic outburst behaviors in her classroom setting. The client works better in a smaller environment where she is able to receive down-time and attention when she has an outburst. Therefore, the client is in need of an IEP/504 plan with a Behavioral Intervention Plan to provide supported intervention in the classroom setting. This will also allow the Therapeutic for Support worker to help client improve her social skills ability in the community.
Describe the current discharge plan: None
Please include a brief summary of the client’s progress in treatment, including any barriers to treatment and/or
Please list outcomes of any/all drug screens. Please include the date, type, results, and substance (if applicable)
Not applicable
Progress in treatment: (please choose either moderate-significant-slight improvement, or moderate-significant-slight deterioration, or no change) ISSUE PROGRESS
Anger Outburst Regression. Client continues to have behaviors in her school setting which resulted in her hours being increased.
Night Terrors Slight Deterioration- Client had an incident in which she was climb into the bed with her mother and start to display inappropriate sexual behaviors towards her mother.
Please include any/all changes or updates in diagnosis:
Current diagnosis:
AXIS I:
296.90 Mood Disorder
307.46 Sleep Terror Disorder
AXIS II: Deferred
AXIS III: None
AXIS IV:
Limited peer interactions, inconsistent parenting and multiple family members providing care/discipline
GAF: …show more content…
If yes, what steps are being taken to treat this problem? There are no changes in client’s health.
Please explain why this client cannot be treated at a less restrictive level of care including barriers to step-down.
Client hours were increased from 6 to 10 due to her erratic outburst behaviors in her classroom setting. The client works better in a smaller environment where she is able to receive down-time and attention when she has an outburst. Therefore, the client is in need of an IEP/504 plan with a Behavioral Intervention Plan to provide supported intervention in the classroom setting. This will also allow the Therapeutic for Support worker to help client improve her social skills ability in the community.
Describe the current discharge plan: None
Please include a brief summary of the client’s progress in treatment, including any barriers to treatment and/or