Patient's Orientation Summary
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1. Have began the process of updating the forms for Psychiatric Evaluations as well as the forms to document follow-ups visits (Medication Management). The purpose is to improve the flow of information, simplify its use, assure the appropriate content, and facilitate arriving to the appropriate billing codes. 2. Met with all extended providers, as well as doctors to continue to ensure consistency in the delivery of quality care and the utilization of best practices, Participation in the MACRA/MIPS on a weekly basis 3.
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Prior to the interview, I was informed by Supt. Walsh that detainee Hargrow had just received another disciplinary infraction. I interviewed detainee Hargrow on wing 1A privately. I questioned Hargrow if he was on any medication and he said “Haldol and Klonopin, but did not know his diagnosis’s.
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I: CM guided client through ISP goals. CM inquired about client’s upcoming LAMP VASH appointments. CM discussed and encouraged client to get his driver’s license. CM praised client for being honest regarding drug use but also encourage sobriety. CM administered Beck Depression Inventory and review results.
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She was disoriented to time, place or time. Client appears to be decompensating. Client missed two scheduled appointments at Woodhull Hospital one for the podiatrist and the other one with the Geriatric doctor, due to client foot deformity she required onsite transportation and an escort back and forth to every doctor’s appointments. Unfortunately due to residents move out and housing tours, client transportation request was cancel.
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Phase One (Sessions 1 through 3) • The session 1 and 2 consists of the assessment of the client’s clinical problems and background information. Questions relate to her clinical problems, including (a) the nature of her problems (depression and difficulty with making decisions), (b) reason of seeking psychotherapy, and (c) previous attempts to deal with the problems. For the background information, the client’s histories are assessed in the areas of intimate/family relationship, educational/vocational activities, past history of psychological treatment, and physical condition. Session 3 primarily consists on the further functional assessment around her coping skills (e.g., avoidance) in the areas of interpersonal relationships. Phase Two
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Counselors comprehends they are placed with the responsibilities ensuring the rights of each participants and completely well-versed of the approach and directions of their treatment. This will include that all information’s shall be provided in a flawless and comprehensive language as it contains to the limitations, risks and financial costs of all treatment services being render, along with providing realistic substitutions, and most importance the clients rights to decline services and their right to withdraw consent within time frames delineated in the
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P: Mack will recognize existing feelings of anger, discover the origins of such feelings, and find alternative ways to ease, express, and resolve such feelings. A: MHP educated Mack about anxiety and depression. MHP taught Mack strategies for anxiety management. MHP provided information on anxiety and depression. MHP taught Mack calming skills.
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The treatment will cover the abandonment and abuse Megan has endured. Megan will be involved in group discussion, and be required to attend Narcotic Anonymous (NA) meetings. Another one of parole’s stipulations is for her to obtain the General Education Diploma (GED) while in this program. This will help with stability of finding employment upon Megan’s
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Co-occurring disorders are common with most client cases that are presenting with a substance use disorder. Rosa is presenting with a history of several suicide attempts, alcohol use disorder, Post traumatic Stress Disorder (PTSD), and Borderline Personality Disorder (BPD). The client’s most severe symptoms are anger, fear, and shame. It is these symptoms that are complicating her life, causing distress, and self harming behaviors. Additionally, her treatment history is limited since she does not finish her therapy sessions.
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Limitations recognised throughout the SDM process were related to risk of further deterioration in the Consumer’s mental state. As the Consumer was slowly taken off his medications, in a safe clinical manner, his presentation deteriorated. The Consumer’s sleep pattern worsened due to the elevation in his mood, there was a noted increase in impulsivity and poor boundaries with others on the inpatient unit, leading to the Consumer becoming vulnerable. There was a prominent increase in erratic and aggressive towards others, leading to the assault of a staff member on the inpatient unit and subsequently required the use of restrictive interventions. The decline in mental state resulted in the Consumer’s father, case manager and treating team coming together for a family meeting with the Consumer present in which the previous medications the Consumer had been previously prescribed were recommenced in an attempt to re-stabilise his presentation, unfortunately this was a substituted decision made by the consumer’s father and treating tream.
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Triggers, warning signs, and crisis planning are the components of the process, and require interdisciplinary work from the patient, nurse, doctor, counselor and other support staff. As with every human being, stress is a normal part of life. How we cope with those stressors is the difference between mental illness and mental wellness. With patients with substance-abuse issues, their coping mechanism is their substance of choice. So it is important to identify those stressors early on, identify early warning signs, look for inevitable situations where the patient feels like everything is falling apart, and most of all, prevent them from using.
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Assignment Wk. 7: Interview Subject The purpose of this paper is to introduce the Mental health counselor I have chosen to interview for my final project. In this paper I will include the specialties, the age groups and the modality of clients she services. Further I will explain, why I chose to interview Ms. T Licensed Mental Health Counselor Interviewee
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She also received weekly counseling and case management for her depression and anxiety. As a part of MHMR program requirements all counseling she received followed the “Seeking Safety Curriculum” which is based on trauma informed care. The intervention chosen was empowering to the client because she was able to take control of her recovery and sobriety. Cheryl was able to build up her confidence as it relates to her ability to maintain sobriety.
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He had some PTSD issues from his childhood relating to his mother. He had had so much counseling that he knew what to say and how to say it. He wanted help with the issues of abuse from his mother so I decided to use Seeking Safety techniques with him (Najavitis, L.M., 2002). I had taught Seeking Safety when I worked at the women’s prison.
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I was recently informed that my clinical orientation has been changed to Friday, 9/2/16 and I was wondering if you would please allow me to switch days or possible have both days off since we do not have a provider for either day. Also, I have the clinical orientation date in writing this time if you would like to see it.
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