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Psy 270 Week 9 Substance Abuse Case Studies

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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. Because the medication that supposed to help with her outbursts and combative behavior is not as effective anymore. He reported that Pa fell on 11/11/15 but did not need medical treatment because she did not sustain any injuries (just soreness). The SC inquired about Bill handle his frustration and when Pa becomes abuse or combative and he state he just deals with it because he loves her “and no matter what that’s his wife and he’s going to do right by her” so he talks to …show more content…

SC offered to mail pamphlets for caregiver support groups but Bill said he don’t have the time to go. He prefers to call SC if he really needs someone to talk with so says ok. Pa reported that the workers at the residence just took their statements of what happened. The SC asked Pa about his services. Pa stated that he is satisfied with his services and feels that it meets his current needs. Bill confirms that Pa is receiving services as specified in the ISP in the following type, scope, amount, frequency and duration: Pa receives Agency Model PAS 2 hours x 7 days per week (9:00am - 11:00am) via Aurora Home Care the personal care aide will provide assistance when needed and supervision with bathing, dressing, grooming, and light cleaning. The SC discussed Self-Directed service, Bill and he declined as he reports that both him and Pa prefers Agency Model PAS (they can’t handle the paper work). Bill confirmed that there is no duplication of services. Waiver is the payer of last resort for services. Pa reported that his back-up plan is, the agency will send a replacement aide in the event of a no show this has not been

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Medication issue: The CP addressed with Mrs. Navarro about the CP conversation with Dr. Freddie Marton with regards to Tyler’s medication regimen. The CP asked Mrs. Navarro if she is providing Tyler’s with his medication and her response was that she needs to do a refill and then she says, “Oh, I cannot find them since we are packing.” However, Tyler intervenes and stated that he knows where the medication is and based on Mrs. Navarro reaction, she appeared stunned. Tyler left the living room and returned with the bottle at which appears to be full. The CP glazed at Mrs. Navarro reaction and she immediately stated that she will start giving him his medication and will also considered the school nurse providing Tyler with his medication at the school.

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I agree. In some cases, knowing that you have a mutation and will be affected with the disease could be very emotional for an individual. One never knows how they will respond to the result and pretesting counseling may not fully prepare the individual for the result. One question that has been raised is should genetic counseling be allowed for diseases that are not treatable? It is thought that if an individual knows they will develop a condition that has no treatment it could cause psychological harm, stigmatization, and possible discrimination.

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MHP took the member home once his prescription was filed. The member states he forget to make follow up appointment with the doctor for next month. MHP told the member she will schedule follow up appointment and will let him know the date and time. The member report that he still want to find a senior citizen apartment. MHP told the member that he will be responsible for paying for the first month rent and security deposit.

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Later in the interview she reported that she had been experiencing fear and anxiety that the worst could happen to her. Ms. NS elaborated on the response that there would be always a possibility that unthinkable events could happen, especially after she had already encounter events like losing her home, getting kicked out from her Godmother’s house, and losing her grandmother and friend around the same time. Precipitating Factors and History of the Problem Ms. NS reported that she and her family lost her grandmother around two years ago. Upon the loss of her grandmother, Ms. NS stated that the house she had lived in as long as she could remember had to be sold.

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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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