Setting My internship site is a group mental health practice. There are more than 20 clinicians with various specialties at 2 office locations, providing services to community clients. Among the providers, there are psychologists, master’s level mental health counselors, and nurse practitioners. Psychologists and counselors see people for psychotherapy and nurse practitioners primary see people for mediation management. The majority of clients are insurance clients. There are a small number of private pay clients who are seen at this site. The clinicians at this site work with people of all ages and with a wide variety of concerns.
Identifying Information The client is a 13 year-old, Caucasian, female, who I will call “Steffani”. She is
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They asked whether they could come in on the same day. I agreed to see her. Steffani was tearful and indicated a sense of confusion. She stated that she did not know why she was feeling that she wished to be “gone”. She credibly denied having plan or intention. She also expressed a wish to not feel what she was feeling. Her mother was visibly distraught. She was worried about her daughter. At the same time, she presented with a wish to deny that her daughter was having an extraordinarily challenging feelings. I recommended that they would make regular therapy appointment with me for Steffani. Furthermore, I recommended her to be seen by a prescriber. Pharmacotherapy was actually proposed by Steffani; however, she did not wished her mother to know that it was her idea. Thus, I presented as my recommendation. I did so because agreed with Steffani that a medication, concurrent with psychotherapy, can be helpful for her mood. Her mother expressed ambivalence toward the idea of medication. Nevertheless, Laura made ongoing appointment with me as well as an appointment with a nurse practitioner at the site. Approximately 2 months later, Steffani reported feeling irritable. Then, a week later she reported having a depressed mood. She was worry that she would feel suicidal again. Her mother reported me that she gave Steffani an SSRI, which was
issues with behavioral as well as not being punctual for her arrival to work. client was diagnosed with
PRESENTING ISSUES: Sue resides with her mother and they are having problems in the home.
D- The patient arrived on time for her session and reports being stable on dose and haven't used any illicit drugs. This writer advised the patient that this writer was in fact in receipt of missed phone call about coming to the session at 10:30 am rather than 10 am due to her mother in the process of selling the house. This writer addressed with the patient about letter from CHR from her counselor, Jade Bray stating about the patient non-compliance with her appointment due transportation barrier. According to the patient, she is going through hardship as her mother is no longer taking her to her appointment as the patient says, " She's tired of bringing me everyone, Charlene. She complains about bringing me here and does not understand why I can't even get a bottle...:Like c'mon. What do I have to do?" This writer explained to the patient about TEAM decision, at which the patient disagree with the decision. This writer asked the patient about her "judgement." According to the patient, she feels she is making judgement by not engaging any further altercation with patient at the clinic, dosing daily, coming to her counseling session, and trying to get help from Chrysalis for
The consumer will be discharge once he has been link to New Center Community Mental Health and meet with is treatment team. The consumer will stay in compliance by attending all his appointment at New Center and address any concern regarding any medication to his doctor and therapist. The consumer will also discuss his current situation with his treatment team so that they can help provide him with the resources he need regarding housing and
Mr. May arrives tardy to his weekly check-in appointments despite constant reminders to show up on time. He is enrolled in GED classes at Malcolm-X College and states he is attending daily. Mr. May meets with his mentor at Bridges to Pathways on Monday for continued employment and support services. He expresses that he wants to be a supportive father to his newborn child and is focused on obtaining employment. Mr. May is not attending his 12-step support group meetings regularly and continues to struggle with following his
The practice setting I am currently interning at is the Community Mental Health for Ingham, Clinton, and Eaton counties (CEICMH), specifically within the Families Forward department. This department within the CEICMH works closely with children who are experiencing serious emotional disturbances and behavioral concerns, as well as offering needed support to their family. The services provided include inpatient and outpatient therapy, emergency services and urgent care, early intervention services, and wraparound services. My role within Families Forward is as an intern in the Wraparound program. Wraparound facilitators provide service to families by creating a plan to help the family navigate through the child’s treatment process to assure
A meet-and-greet and tour with State Representative Tana Senn of the 41st Legislative District on Thursday, November 17 at 10:00 am at the ICHS Bellevue Clinic. Rep.Senn, Vice Chair of General Government and Information Technology, and a committee member of the Appropriations Committee, and Early Learning and Human Services Committee.
My area of specialization will be on individuals and families that are suffering from depression, Posttraumatic Stress Disorder (PTSD), and are in risk of suicide. There is a strong link between depression, PTSD and suicide (PTSD: National Center for PTSD, n.d.). According to William (2012), 90% of individuals who commit suicide suffered from some type of mental illness. Many individuals who suffer from depression and have not been treated are at high risk of committing suicide (Caruso, n.d.). According to Caruso (n.d.), the number one cause of suicide is depression. According to Sher, Braquehais, and Casas (2012), “suicide can be viewed as a process that begins with suicidal ideation, followed by planning and then by a suicidal act, and suicidal ideation can be prompted by depression and PTSD” (p. 92). Moreover, “the coexistence of PTSD and depression increases the risk of suicidal ideation more than PTSD or depression alone. Therefore, I will be developing a depression mutual aid group using Psychoeducational and CBT models to educate and to help consumers supporting one another with issues related to depression, PTSD and suicide.
Depression or Major Depressive Disorder as well as several other spectrum level diagnoses related to depression is one of the most common mental disorders seen today. Depression seems to be a pervasive social and community problem that effects millions of people on a daily basis, sometimes associated with environmental events and other times presenting out of what would seem to be nowhere. One of the most significant problems with depression is the variety of effective treatments that can be tried often present as effective in some and non-affective in others, depending on a great number of factors all of which are individualized. Recent research is seeking a greater understanding of the efficacy of various types of group therapy as it is associated with individual treatment plans for those suffering with depression. The importance of appropriate diagnosis as well as individualized understanding of possible environmental and or source issues associated with depression is paramount to a better understanding of what types of multi-treatment plans an individual would be most helped by. In general those who experience depression as a result of or in conjunction with a post traumatic event or those who experience social isolation as a result of or leading up to a depressive cycle can often be helped by appropriate group therapy in conjunction with individual therapy, cognitive behavioral
The company I’ve selected is a non-profit organization and due to confidentiality I will refer to this company as the XYZ Corporation. This company receives funding for the State to provide mental health services to clients both adolescents and adults who are less fortunate because of the limited services provided in their communities within the Atlanta area. The XYZ Corporation has a team of mental healthcare professionals that serves those clients. Their clientele is built through referral and/or consumers sources. Their staffing consists of Adolescent/Adult Counselors, who are responsible for conducting assessments, facilitating the group and individual counseling components of the XYZ program, and crisis intervention. In addition, there
The client is identified as Kevin, a 14-year-old male from Honduras. Kevin left his family
I went to a National Alliance on Mental Illness meeting on Thursday, March 3st 2016. I went to the meeting located at the First Evangelical Free Church on 2904 N Brea Blvd., Fullerton CA 92835. The meeting was a family support group for loved ones that had mental illnesses.
There’re therapeutic factors and underlying forces mutually shared by the different categories of different group treatments. From a realistic aspect, effective after plan care such as continuum of care, group dynamics, group treatment, and origins of group work. Each are components which exist from experience, and /or a different expression. For example: the continuum treatment focus on the populace, and the existing challenges, Group treatments evolves around inpatient/outpatient and outpatient’s settings, prevention, residential, day, and after care settings. The four phases consist of, stabilizing and engaging, early recovery, middle recovery and late recovery. Each phase assist with a client making up their mind to recover, reducing challenges,
Mental health is a global and national public health concerns. One in 25 Americans lived with a serious mental illness, such as schizophrenia, bipolar disorder, or major depression ( ). Globally, there is one death every 40 seconds as a result of a mental illness ( ). People with mental illness could experience discrimination, harassment or abuse as a result of their illness. Financially, it may be more of a burden on individual with lower income, lack of medical insurance and a burden on states or countries to care for its mental health population. Despite such burden, one of the lowest intervention for people with mental illness and their family is a support group ( ). Mental health support groups like most support groups provide
By controlling cost, improving access for patients and improving satisfaction of patients improved the odds of success. They focused on knowledge and skills with Pharmacologic/non-pharmacologic treatments making sure it was easily understood of the principles of drug-drug interactions, affects of medications on co-morbid medical disorders (2.3, 3.2, 3.3, 3.4). By brainstorming they came up with five ways to assist the primary care physicians to help with the burden and promote psychiatry to assistance with other team members as in: consults, e-consults, telehealth, assisting providers to monitor the symptoms of the psychiatric disorder, follow the progression of the illness and monitor response to treatments (Goldsmith, Martinez, & Vidal, 2017). This opportunity of attending the meeting will advance my outlook on mental health and for me to be able to be proactive in care (4.3, 5.4). Experience will allow you to grow, knowledge will allow you to perform far beyond expectations and education will allow you advance