Client Profile : Employee Profile

During my psychiatric clinical rotation at Carney Hospital I had the opportunity to help run group therapy’s where I was able to understand some of the patients better. During this time I was also able to learn more about my patient F.S. The patient is a fifty-two-year-old divorced Chinese woman with a lengthy history of bipolar disorder and a persistent associative history of schizophrenia and attempts at suicide. The patient has one daughter that is 24 years old who noticed F.S. was throwing her pills down the toilet and hiding them in her pockets so she didn’t have to take them. . During her admission, the patient displayed increased levels of incredible energy and mood activities, an approach that was thought to have been instigated by the worsening of her health condition.

Presenting Problem: Pt is 16 y/o female who is currently at Tuckers Pavilion Acute facility. 8/7/16 Kelly refused to take her medication, and was generally noncompliant to staff directions. She communicated AWOL intent; she also broke a lightbulb to make a number of superficial cuts to her arm, but refused to turn in the glass an dstated that she had flushed it down the toilet. She refused first aid and refused to cooperate with staff directions. She also communicated that she was going to do worse things to herself, Intercept contacted crisis stabilization which transitioned the child to Tuckers Psychiatric at 6am. 8/12/16, Pt was upset to find out she was not getting discharged from Tuckers. Require hydroxyzine 50mg at 1530 medication

D.D. is a 50-year-old, African American male presenting with a number of anxiety and depressive symptoms. The client reports that he came to counseling for “extra support and someone to talk to.” D.D. has been struggling with mental health issues since he was young. Since the age of 15 he has been hospitalized on and off for “hearing voices.” In the early 1980’s he was diagnosed with schizophrenia and prescribed Risperdal to treat the symptoms. Since then, D.D. has been in a variety of mental health settings, including hospitals, day programs, and outpatient treatment. The client has an extensive alcohol and drug use history that he believes impacted his Schizophrenia. In the early 1980’s the client would use alcohol every day “to avoid the voices,” drinking “anything he could get his hands on.” He was also heavily involved with drugs at that time and regularly used marijuana, PCP, cocaine, and heroine. In 2000, the client was sentenced to eight years in jail for four bank robberies. While in jail, D.D. received mental health treatment and alcohol and drug treatment, which was greatly beneficial. When the client was released from jail in 2008, he was drug and alcohol free and was taken off of Risperdal.

History of Present Illness: The patient has been seen in this clinic since 2016. She is diagnosed to have ADHD, Bipolar II disorder, Generalized Anxiety disorder, Alcohol and Cannabis use dependence. The patient has struggled with separation from an abusive ex-husband, who is currently

Morris told me that she hasn’t been diagnosed with any type of psychological disorders. Morris has never attempted to commit suicide in the past. Based on Morris’ statements made to me, I formed the opinion that she was a danger to herself. I placed Morris on a WIC 5585-Mental Health Hold. I informed Social Worker Lauren of the circumstances.

She met with the on-site psychiatrist on 10/28/2015 and psychiatric evaluation was completed. Client was diagnosed with Axis 1: Learning Disability & F81.9 (Primary), Alcohol use Disorder, moderate, in early remission, dependence – F10.21, Major Depression, single episode, in complete remission; F 32.5 rule out vs. complicated grief in remission and Dysomnia; G47.9. CM tries to refer client to mental counseling and substance abuse program. Client declines referral.

Sara is in need of residential treatment due to her history of self-injurious behaviors, and multiple attempts of suicidal gestures. Sara requires a higher level of care which outpatient care is currently failing to provide her at this time. Sara continues to have depressive symptoms and anxious feelings for the last few months. The patient has had two acute inpatient admissions within the last 3 months and requires long term stabilization. At this time Sara requires 24 hour supervision and ongoing intervention and treatment.

Mr. Scott is a 34 year old male who presented to the ED via LEO. Mr. Scott reported to nursing staff he has not been taking medication for schizophrenia for the past 8 days because he believes the medication has not helping him with his hallucinations. Mr. Scott reports cocaine use yesterday to nurse staff. At the time of the assessment Mr. Scott is found pacing the floor of his room, However he is calm and cooperative. Mr. Scott reports he was released from a mental health facility in Chatham county. Mr. Scott mention previous hospitalization at Coastal Plains and Holly Hill. He reports a history of Bipolar, PTSD, and manic depression. Mr. Scott reports currently having suicidal thoughts of overdosing on unknown medication he has at his place of residence. Mr. Scott appears guarded and very anxious when talking to this clinician. He reports poor sleep (2-3 hours daily), experiencing flash backs of past traumas from growing up in his previous community, and visual hallucinations. Mr. Scott reports recently he would see dead bodies in the room and doors opening when he knows they are closed. Mr. Scott reports a history of suicidal ideation and attempts, the last being a month ago

The reporting party (RP) stated resident Juanita Knee was placed in the facility by Dignity Healthy on 11/23/16. While present in the facility the resident was hit by a caregiver during the night (name of caregiver was not provided). Subsequently the resident is currently terrified. Additionally the resident has not been given her medications and her oxygen has not been set up. According to the RP the resident has not been able to make her own medical decisions. Consequently the Dignity Health worker (Marguerite, (916) 631-3753) who placed the resident in the facility is contacting law enforcement on the caregiver. CCIB Intake LPA McGaskey contacted APS Pam Ng for additional information will be unavailable until December 5, 2016; contacted

Mental Health/medication: Youth was admitted to Hoboken CCIS from Bayonne Medical Center on 1/26/17. Youth was transferred by police after she expressed S/I and stated that she was going to kill mother’s cat. Youth denied S/I and saying that she wants to kill mother’s cat. CM was informed that youth was missing for two weeks and went to Virginia Beach; youth denied going to Virginia Beach. Youth has

She was hospitalized multiple times in psychiatric facilities (2001-2002) for suicidal ideations and attempt, severe depression and anxiety, and hallucinations for self-harm. She was under “aggressive psychiatric and psychological treatment” (2004-2012) without improvement. She had a below average intellectual functioning and was unable of managing money.

This week through my employment, I had to seek out emergency respite options for an individual receiving services through the County Board. I realize that my employment is not related to my field placement, however the tasks I was engaged in this week at work others may be experiencing similar situations through field placement. Plus it has been awhile since I have been involved in a situation where emergency housing or respite was needed, so this experience was a break from my routine. The individual, KB, is a 20 year old female currently residing with her parents. KB’s diagnoses includes: schizophrenia, mild intellectual disorder and oppositional defiant disorder. Due to episodes of both verbal and physical aggression, amongst all family members, I was charged with seeking respite services with the likelihood of long term residential services if respite is successful.

CM was on vacation for the period of 11/25/2016 to 12/12/2016. On 12/17/2016, CM met with the client to complete Bi-weekly ILP Review and to obtain information concerning TPS (“Temporary Protective Status”). Client was dressed appropriately for the weather. She was well-mannered and groomed. In the meeting client appears to be cooperative, friendly and forthcoming with information. Client speech was spontaneous and soft. During the meeting client become emotionally teary when CM inquiries about client TPS status. Client provided CM with a brief history how she came into the shelter system. Client continues to report her most important means of support passed away recently, which is part of the reason she came into shelter. Client continues to denied suicidal or homicidal ideation.

Maria is 44 yrs old female, with Dx schizoaffective disorder (bipolar type), PTSD, agoraphobia, borderline personality disorder, hypothyroidism and Hx non compliance with med's leading to psychiatric hospitalizations.pt has ongoing difficulties managing her own medication d/t mental issues.pt have poor family supported she living in the shelter prior to now in group home , patient have been complaining about other resident in the group home she has poor coping skills and tolerance of other people.she doesn't understand the importance of treating people with kindness and respect . always c/o of annoyance with little things that people around her do.Pt is unable to handle her medications independently due to multiple suicide attempts in the

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