Patient: Marla a 42- year old Hispanic female who comes to the mental health clinic complaining of having trouble sleeping, feeling” jumpy all the time,” and experiencing an inability to concentrate. These symptoms are causing problems for her at work, where she is an accountant.…
CM conducted a phone conference with Alison Scarpignato (CMS), Rossana McElroy (CMO Clinical Consultant), Beverley Watson (DCP&P Team Lead) and Phillip High (DCP&P worker) in regards to a follow-up on treatment recommendations for Sinai (youth). The team discussed youth recent f/f meeting at Bergen Regional Medical Center on Tuesday, 4/4/17. CM explained to the team that youth is requesting to be placed on medication in order to cope with her father. Phillip reported he have not finish reading Sinai’s evaluation, however, the recommendations are for youth to live with her mother, Tanya Austin Maccagno. Phillip will discuss this matter with the Division attorney and will keep CM updated. CMS provided Phillip with the team…
In this essay I will identify and explain Mr. A’s symptoms and devise a course of treatment for him which is grounded in recognised techniques and theory. I will attach a screed suitable for the client which will include relevant questions that the therapist would ask Mr A during the session.…
In conclusion, it is vital to stick to the ethical guidelines to ensure that Matt is getting the best service that can be provided to him. By following the treatment plan and keeping accurate data, Matt can continue to make progress and stay on the right…
I: Timothy seemed excited about having another session with the MHP. He was cooperative throughout the session. He stated that he still struggles with anxiety. Timothy noted that he has been better controlling his anger. He stated that he still has back pain. Timothy reported that he has little energy to anything. He stated that his parents and son have been supportive. He communicated an understanding of negative consequences caused by anxiety. He agreed to continue using the relaxation techniques. Timothy stated that he will continue to work on his anxiety this…
Intervention Guidelines: Effective intervention requires a discussion of expectations and agreement by James. James seems to respond well to being validated for appropriate behaviors as well as having a part in decision-making processes involving his welfare. Simple and gentle redirection with reasonable explanations appears to produce results with James. It is best to intervene with James once he has had time to consider options and choices. When stressed, James needs to have the opportunity to process his frustrations with a neutral party; as previously noted, pitch and tone are triggers for James, effective de-escalation must include monitoring ones pitch and tone. He needs support around being assertive in communicating his needs and wants. James appreciates staff that are pleasant and kind to him and who motivate him with a cheery voice and a sweet…
Mr. Thomas is depressed because of Mrs. Thomas’s condition and he is not managing it very well and this is making Mrs. Thomas very sad. I think that getting a behavioral health specialist involved and providing the family with counseling with also improve the quality of life for Mrs. Thomas. I think that it would put Mrs. Thomas’s mind at ease knowing that Mr. Thomas is dealing with his depression professionally. Talking…
Today, MSC visited Jeffrey at his residence for a face to face visit, Jeffrey was in his room relaxing, when MSC arrived. MSC greeted his Residential Staff Marie Rose, who stated that he was doing well. He continues to attended Day Program and goes on his medical appointment. He had a follow-up medical appointment and his stitches heal up from his previous surgery. He remained healthy and there are no changes with his medication. He independently comes to the medicine room when it is time to take medication.…
Involvement of the multidisciplinary team – have you shown who and how the MDT is involved with the patient /…
Medical or mental improvement are not expected; would a 7 year diary be more appropriate in this…
Furthermore, the patient has 30 days from 8/15/2017 by medical recommendation to engage in mental health services. The patient again admits to not doing anything to seek enrollment due to his busy schedule and ensure this writer that he plans to call ICRC or Wheeler Clinic to engage in treatment today. Due to the patient arriving late to his session, the writer was unable to conduct a full session as the patient need to be medicated. The patient was advised that he is scheduled to see the writer tomorrow at 11am and then will have to attend the non-compliance group at…
S: The couple presented with concerns about their ability to communicate after the conclusion of therapy. The couple stated that they felt they were much better with cooperation and understanding, but remained worried about family issues and acceptance. The couple stated that they were still struggling with issues of autonomy vs. togetherness; “me problems versus we problems.” The couple also presented with concerns about the strength of their current support system. O: The topic of the session was about termination of therapy and expanding the couple’s consciousness. The counselors encouraged the couple to share about their strengths, and recall their experience with commitment, cooperation, communication and community. The counselors invited…
MSTT stuggled with clinical engagement with the family. The family struggled to keep appointments with MSTT and when MSTT rescheduled with the family the struggled to keep those appointments as well. Mother is very worried about her son and struggle to control his behaviors but she seem willing to find a way to help him. It seem she just did not find value in working with MSTT services. Youth seem to know he's not living up to his full potential. When he started to act on what his says he has what it takes to turn his life…
Once the patient was admitted a treatment plan was established. When working with a client we make sure our interventions are suitable with the patient’s diagnosis and meet the needs of the patient. He is continuously evaluated every other Wednesday by Amedisys case team. By far the most important part of the treatment plan is keeping the patient comfortable and pain. Making adjustments to medication as needed. Secondly it’s extremely important that we prevent his caregiver from have burn out. We assist her with care, but she does majority of the care. As a social worker in the agency it’s important to remind her about the respite care, when we notice she seems to be getting burnt out or when she informs us she is getting burnt out. Monitoring…
Luis is self-referral and has concerns about his anger and impulsivity. These issues have surfaced since his returning home. Luis also wanted to know why he isn’t himself anymore.…