SC placed call to Pa and spoke with Bill Pa’s spouse who reported that doing ok. But she has come combative lately and verbal abusive. Bill spoke at length about her behavior and the impact it has on him. Bill is offended when Pa makes disparaging remarks about him and calls him out of his name. Bill reported that he believes Pa needs a medication review and a change in meds.
Pamela takes her medicine and is seen by Warren Yazoo Mental Health on a regular. However, I have concerns regarding her treatment. It doesn’t appear to be effective. Pamela often makes up stories. In her mind, the stories are true but after investigating, I find out the stories are not true.
Dr. Keith requested a mental health evaluation on a Mr. Alewine. He is a 28 year old male who presented to the ED via EMS for chest pains, suicidal ideation, and symptoms of psychosis. Mr. Alewine reported arriving in Siler City from Tennessee after a 16 hour bus trip. He reports after his 16 hour trip, he went to a mechanic shop to call 911 for chest pain and suicidal ideation without a plan after stressing about having a place to stake for a few days. Per documentation Mr. Alewine was asked about current chest pain on a scale of 1 to 10, he reports a 1.
Pt has history of drug abuse and numerous admission to substance abuse program for heroine and crack/cocaine abuse. She was able to maintain abstinence for certain period of times only during incarceration. Pt has recently arrested after fighting with a woman, whom pt perceived as threatening. Pt was arrested since pt's attack led to the other woman's injury. Pt is currently on probation for 4 1/2 years for second degree assault and theft.
As a result of the abuse, Rita has thought about suicide numerous times. She has even fantasized about killing her husband. Although she does not have a plan for either, her thoughts are potential legal concerns. Rita engages in illegal drugs and large amounts of alcohol, which significantly interferes with her social, occupational, and other important areas of functioning. These substances may impair her judgment while on the job and can be a legal concern; she is a business owner in charge of making decisions which require her to be in sound mind.
Stephanie and Tabitha If you receive the referral for the new eval and patient has a PCP at the Hope Drive please send the message in power chart to Catherine Dibblee and Rachelle Jones (copied on this message) and pt should be scheduled with Dr Garcia or Petrovic at the Hope Drive if family agrees after MOAs from the Hope Drive call them. Only patient with acute suicidal ideation severe autism and schizophrenia should be schedule at the NE Drive. Wait lists are short at the Hope Drive and longer at the NE Drive. Dr Fogel please let Stephanie and Tabitha know if this start applying to the Camphill and Elizabethtown referrals .
The female patient was irate, uncooperative, and exhibiting violent behavior with the nursing staff and Physician. She wanted to leave the hospital and refuse to talk to the staff. The patient throws her SCID card in the trash and I pulled it out of the trash can and place it with her paper work. The female patient received
She lived with her father and his wife with her three older step sisters. Her step mother was verbally, emotionally, and physically abusive on more than one occasion. She was diagnosed with ADD at the age of seven and was medicated with Ritalin since that time. She has attended weekly therapy sessions without change in behavior or demeanor for nearly four years in an attempt to make her work through the abuse she could not recall. This included showing her pictures of her beaten lifeless body and court reports.
Patient is a 51 year old Caucasian female living alone in her own home. The patient has a history and current syntoms of geralized anxity disorder, social phoina and panic attacks, which she takes madications for and sees a psychrist 2-3 times per month in Havasu. Patinets lives with six cats and the house environment is somewhat cluttered. The patinet is orinally from Glendale, CA., has a brother in Palmdale, CA, who is stays in contact with sometimes. Pt has a daughter in Big River, who is not supportive of her, but has three grandchildren who visit her.
The patient is a 53 year old male who presented to the ED via EMS intoxicated and reporting suicidal thoughts. The patient denies homicidal ideations and symptoms of psychosis. The patient endorses depressive symptoms including: tearfulness, isolation, and insomnia. During the time of the assessment the patient is awake, alert, cooperative, and clam. the patient reports that he had been drinking to 2 pints of alcohol earlier during the day.
The mandates treatment consists of adherence to medications, attendance at treatment groups, reporting to a probation office, having firearm restrictions and abiding by them, and absolute abstinence from all drugs and alcohol (Vitacco 1). This mandated treatment is put in place to reduce the risk of patients being violent again and “general recidivism” (Vitacco 1). If the patient fails to be apart of the mandated treatment then he or she will be revoked of their conditional release and be returned to hospitalization and receive mandatory treatment there. In a 2005 case, State v. Klein, the Washington Supreme Court ruled “diagnoses of polysubstance dependence and personality disorder met the definition of a mental disorder for the purpose of continued confinement of an insanity acquittee” (Vitacco 2). The Georgia Supreme Court also agreed on the same ruling in Dupree vs. Shwarzkoph in 2011.
He is scheduled to be discharged today, but still needs some reinforcement of diabetes education. He does not speak English very well. • Scheduled admission is Mrs. Mary Smith, a 75-year old black female admitted with change in mental status. ER calls to give report at 0800.
Like many mentally ill Kentuckians, Morton was neither dangerous enough to be kept in a hospital for long nor healthy enough to care for himself in the community. If successful, House Bill 94 would "keep people out of the revolving door of the hospital," Sheila Schuster of the Kentucky Mental Health Coalition told the committee. Most states have adopted some version of "assisted outpatient treatment" since the 1980s, when families of the mentally ill began to lobby for it. Police or family members can have the mentally ill involuntarily committed to a hospital for treatment once they deteriorate to the point that they pose a threat to themselves or others. First, at a hearing, a judge would decide if the individual met various criteria, including having a severe mental illness, symptoms of anosognosia, a likelihood that he would be a danger to others and a determination that outpatient treatment was the least restrictive alternative available.
The evidence in file shows the claimant has a history of anxiety and depression. At the MSE on 11/13/15, she alleges a history of anxiety over the death of her mother and she was prescribed Xanax. During the exam, her thoughts were well organized and she appeared to be to functioning in at least the average intelligence
Ms. Lewis was referred by Maricopa county correctional health services to receive an evaluation for potential to transfer to the mental health unit. She was serving a 10-year sentence for manufacturing and possession of illegal substances. She had served 1-year of her sentence and reported symptoms of anxiety, obsessive rumination, and sleep disturbances. Notification of Purpose and Limits of Confidentiality Upon arriving for her appointment, the Informed Consent and confidentiality agreement was discussed both verbally and in writing with Ms. Lewis. The purpose of evaluation was reviewed along with mandated reporting laws and danger to self (DTS) and danger to others (DTO).
