Case Study On Mr Hurtado

If there is risk of harm to self and others than it is the clinician’s duty of care to disclose it. Thorough and systematic evaluation of risk for suicide and self harm is imperative for safety planning and decision making for treatment. Harm minimisation responses must be specific to the client’s unmet needs. It is important to educate the client about online help forums in case of emergency and for later support. Liaison with other health practitioners and follow-up are part of management plans. If the clinician sees the need for referral than that must be addressed with the client’s consent.

The first client is Romeo. Romeo is a 19-year-old Hispanic male. He has numerous visible tattoos, piercings, and puckered scars. Romeo discloses that he attempted suicide twice during high school and lately has been feeling like he might try again. The last two times he tried, he bought some prescription drugs off of a local dealer in his neighborhood.

Goal : To assess for suicidal, homicidal intent, to gather psychological history, family, educational and developmental history, to assess client and family needs and strengths, to formulate a clinical diagnosis and complete all necessary assessments tools in order to assist the family in developing and reaching the goals that have been identified.

Past Hx of Treatment: Client reports an extensive episode of major depressive symptoms about two years ago, a year prior to the actual attempt of suicide, which he sought help through religious organizations, family and friends with a strong faith based counseling service. But no report of seeking medical help from professionals.

R/s yesterday Jakeem was very upset and aggressive about returning home to his father. R/s Jakeem stated that he wants to live with his sister. R/s on February 18th, Jakeem was admitted for suicidal ideation. R/s Jakeem reported to his school’s counselor that he wanted to kill himself. R/s Jakeem had a plan to overdose. R/s according to Jakeem, the abuse has been occurring for two years. R/s Jakeem’s therapist is Kesha T. at Pee Dee Mental Health. R/s Jakeem is quiet and withdrawn, so his behavior yesterday was very shocking.

During the initial assessment, Mr. Jose Rodriguez, a 36 year old Hispanic male, asked to be evaluated for stress and anxiety. He was accompanied by his sister, Adriana Barrera, and his wife Rosy Rodriguez. Mr. Rodriguez has a prior military history with little or no combat engagements. The initial assessment revealed that Mr. Rodriguez father whom he had a close relationship had passed away about a year ago. Mr. Rodriguez has been married for 16 years and has three children. On February 20, 2017 an initial assessment was conducted from 3:00 to 4:00 p.m. Instruments used were the Juhnke-Balkin Life Balance Inventory,and the Beck Anxiety Inventory.

Sergio Gonzalez moved from Mexico to Nova Scotia five years ago and got a job at a McDonald’s restaurant. Since then, he’s worked his way up to manager and handles all aspects of the business, from making burgers to managing inventory to scheduling employees.

This week has been a short and busy week for me. I had an interesting case where one of my in-home therapy clients (5-year-old) mentioned that he wanted to “cut his head off”. While I have heard things like this from clients before, It was difficult for the grandmother and legal guardian of the client to hear these statements. He slapped himself and started to bang his head onto walls and the ground. His behavior started right after grandmother set a limit of not using her cellphone to play games during therapy. His grandmother, mentioned that this behavior is relatively new and it scares her every time he slaps himself. when the client started the self harming behavior, the grandmother could not stand it and even walked out of the room. She

The patient expressed she has no current suicidal ideation or homicidal ideation. However, she admitted to suicidal ideation in the past, right after her breakup, approximately two months ago. She expressed that she wanted to hurt herself and had a plan on how to do so, but did not think she could go through with it. Her plan was to overdose by taking her mother’s

Mrs. Nance is a 64 year old female who presented to the ED via LEO due to suicidal ideation with a plan to use scissors to end her life. At the time of the assessment Mrs. Nance denies current suicidal ideation, homicidal ideation, and symptoms of psychosis. Mrs. Nance reported she pick up some scissors in her home after an argument with her grandson and was planning on using the scissors to end her life. She states, "I don't want to live anymore." Per documentation from MCM Mrs. Nance reports in 2014 attempted suicide. She reports experiencing child abuse at a young age by her mother, verbal and physical abuse throughout her life by her husbands and mother, and family conflict as stressors contributing to her distress. Mrs. Nance was seen

You see, clinically speaking this young man was interested in self harm. You and I would commonly say he was suicidal. He was hurting, and tired, and confused. He was serious and he was strangely complacent. Our time together was tense and focused, and the memory lingers with clarity.

As we read through the case of Robin Henderson, we can easily understand that this woman had a rough childhood where both parents were abusive against her, both mentally and physically. Various methods of abuse from her family members led Robin’s psychical health to a few disorders, like dependency on alcohol and bulimia nervosa. Together with these disorders she had a suicidal mind and urge for hurting herself. Numerous instances of suicidal gestures and self-inflicting multiple cuts and burns made Robin’s consider her being “too dangerous” to public and herself. Hopefully, her family and husband were supportive and wanted Robin to get well as soon as possible, so Robin’s husband accompanied her to her first meeting

At approximately 1750hrs, while conducting BD, LBDO Hurtado was positioned behind the TDC, who appeared to have a selectee passenger. Following protocol, the TDC asked for STSO assistance. Upon arrival to the TDC, the STSO determined that the selectee passenger needed a Spanish translator. LBDO Hurtado understanding the dynamics of the selectee process and being the only bilingual officer present, he volunteered to translate pertinent information about the selectee process to the passenger. From my perspective, it appeared that LBDO Hurtado was able to build rapport with the selectee, while maintaining close observation of any behaviors that deviated from the environmental baseline. This was completed in a seamless process, without causing

While conducting BD, Hurtado and Bonanno displayed excellent command presence while engaging passengers; they both rotated positions every 15 to 20 minutes. In addition, both Hurtado and Bonanno appear to be seamless in their engagement with passengers, as they led with a security related question to open up the engagement. This was followed with constant communications between Hurtado and Bonanno, as they conferred and concurred, while acknowledging the changing environmental baseline. Overall, Hurtado and Bonanno did a good job engaging passengers.

Scenario: Angela is a 16-year-old sophomore referred by a teacher who states that she is not functioning well in class and appears to be depressed. During the initial session with Angela, there was an assessment of Angela’s suicidal thoughts. Angela admits that she has had suicidal feelings off and on for the last few months since she broke up with her boyfriend. She said that they had sex and that she is now feeling remorse and guilt, because it is against her family values. She also believes it is her fault that they broke up.