Treatment Planning Case Study
CYMH 5331 Treatment Plan: Diagnosis of Client by Physician/Psychiatrist.
Clinical impression by therapist
Client Diagnosis (Gary): Gary’s diagnosis is insufficient sleep resulting in a circadian rhythm sleep-wake disorder. In addition, Gary’s situation means that he is suffering from other factors that may need clinical attention. Certain environment and psychology events because he living in a single-parent family where the sole parent works night shift and is absent for the majority of Gary’s waking time. This negative effect on Gary’s functioning are associated with the way that Emily and Gary interact (lack of communication, little connection, and adult neglect), resulting in a parent-child relational problem.
Client (Gary) Rationale …show more content…
It is likely that she is unable afford daycare for Grace, and that is the reason that she keeps Grace at home with her during the day even though Emily should be sleeping. Financial limitations are likely the reason behind the need for Gary to take care of Grace when Emily is working. Emily does not recognize that her work schedule contributes greatly to the problems associated with Gary’s behaviour and Grace’s delayed development. In moving forward, Emily would benefit from identifying and accessing community supports that can mitigate the negatives of shift work. She must also monitor her own health to ensure she does not succumb to long term circadian rhythm sleep disorders (DMS-5). Her personal health and wellness is key to the successful treatment of her …show more content…
No information has been shared about Gary’s opinion or attitude about this referral but is likely that Gary could be resistant to treatment. His mom, Emily is motivated to improve Gary’s situation (that is, to minimize his aggressive behaviours), but she does not realize the extent to which Grace’s caregiver and developmental needs contribute to Gary problems.
Financial
Gary is 13 years old and does not have a job. His mom, Emily, is a single parent raising two children. She works full time, night shift. It is likely that there exists a lack of disposable income within this family.
Transportation
No information provided. Due to Gary’s age, he would be limited to public transportation or walking to get from place to place.
Lack of caregiver availability
Gary is at school during the day and responsible for looking after his sister, Grace at night. Emily works night and both Emily and Grace’s sleep during the day as a way to reduce the need for child care during the day.
Other
Emily does not indicate any other family members are involved.
Custody
Emily - The children have different fathers but neither fathers are involved in their care. Emily has
Clinical impression by therapist
Client Diagnosis (Gary): Gary’s diagnosis is insufficient sleep resulting in a circadian rhythm sleep-wake disorder. In addition, Gary’s situation means that he is suffering from other factors that may need clinical attention. Certain environment and psychology events because he living in a single-parent family where the sole parent works night shift and is absent for the majority of Gary’s waking time. This negative effect on Gary’s functioning are associated with the way that Emily and Gary interact (lack of communication, little connection, and adult neglect), resulting in a parent-child relational problem.
Client (Gary) Rationale …show more content…
It is likely that she is unable afford daycare for Grace, and that is the reason that she keeps Grace at home with her during the day even though Emily should be sleeping. Financial limitations are likely the reason behind the need for Gary to take care of Grace when Emily is working. Emily does not recognize that her work schedule contributes greatly to the problems associated with Gary’s behaviour and Grace’s delayed development. In moving forward, Emily would benefit from identifying and accessing community supports that can mitigate the negatives of shift work. She must also monitor her own health to ensure she does not succumb to long term circadian rhythm sleep disorders (DMS-5). Her personal health and wellness is key to the successful treatment of her …show more content…
No information has been shared about Gary’s opinion or attitude about this referral but is likely that Gary could be resistant to treatment. His mom, Emily is motivated to improve Gary’s situation (that is, to minimize his aggressive behaviours), but she does not realize the extent to which Grace’s caregiver and developmental needs contribute to Gary problems.
Financial
Gary is 13 years old and does not have a job. His mom, Emily, is a single parent raising two children. She works full time, night shift. It is likely that there exists a lack of disposable income within this family.
Transportation
No information provided. Due to Gary’s age, he would be limited to public transportation or walking to get from place to place.
Lack of caregiver availability
Gary is at school during the day and responsible for looking after his sister, Grace at night. Emily works night and both Emily and Grace’s sleep during the day as a way to reduce the need for child care during the day.
Other
Emily does not indicate any other family members are involved.
Custody
Emily - The children have different fathers but neither fathers are involved in their care. Emily has