Intro and Assess- SWK 6511

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Aurora University *

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6511

Subject

Medicine

Date

Dec 6, 2023

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docx

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Uploaded by HighnessHeatGull40

1 Introduction In the ED of Advocate Illinois Masonic Medical Center, there are a variety of services that are offered. I specifically worked /interned in psychiatric services which mainly included the Crisis Team. The crisis team often evaluated psychiatric patients that were admitted or referred to the emergency room. The evaluation usually consists of whether the patient has had previous psychiatric diagnosis or admissions, what symptoms they are experiencing, what kind of support system they have, any sort of AVH or SI/HI, etc. Throughout my time here there was definitely a variety of patients who had different symptoms, different stories, and different coping mechanisms. A 28-year-old Latino male presented to the ER presenting as very physically aggressive with a BAL of 545. This particular patient was brought in by his mother and sister due to a rising concern that the patient will hurt himself or others. The patient originally grew up with his mother and father and his younger sister. When the patient was around 9 or 10 years old, his father left the family. The patient's collateral contact, his mother, explained that this abandonment has taken a toll on the patient as he was growing up. Due to this, the patient his mother and sister live in a single household. Growing up, the patient struggled with unhealthy coping mechanisms such as self- harming and substance use. When the patient was seven years old, one of his father's friends sexually abused him. This life event took a significant toll on the patient, and this was a secret that he kept from his mother up until a few days before he was brought into the ED. The patient's mother was the one who brought the patient into the Ed because she believed that he needed treatment and needed to be evaluated. The patient's mother reported that the patient

2 had a significant increase in suicidal ideation and behaviors. This included trying to overdose on multiple substances as well as being physically aggressive. The patient's mother endorse that she was very scared and worried about the patient actually “going through” with his suicidal ideation. Upon arrival to the ED, the patient was combative, had slurred speech, and was making incoherent statements. Bringing the patient to the ED was difficult for the patient's mother because there was an underlying fear that because she was undocumented, there would be issues with her son receiving the treatment that he needed. The patient's mother knew her son needed help and was willing to overcome that fear in order to have him receive the treatment he needs. Growing up as a Latina and also within Latino culture, mental health is something that Is never often discussed. A mentality that is often seen is if an injury or an illness cannot be seen then it does not exist. Based on the systems the systems theory, an individual is not the way they are because of themselves. They act or behave a certain way due to a variety of factors such as, their environment, social settings, family, friends, etc. This specific theory can be used to treat depression. Being able to identify how certain systems influence the patient can help eventually break down where these systemic breakdowns are affecting behavior. Another theory that can be applied to this situation can be the psychodynamic theory. Using this theory, it can help explain the internal processes in the patient. The traumatic experiences the patient had can, and is, affecting the patient subconsciously. This can help truly see how childhood experiences affect patients today as adults.

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