Clinical Approach And Transition

He waltzed into the ward and introduced himself to every patient as a gambling man with a zest for women and cards. Randle P. McMurphy, a swaggering, gambling, boisterous redheaded con man, arrived at the ward from the Pendleton Work Farm. He was sentenced to six months at the prison work farm, but pretended to be insane in order to obtain a transfer to the hospital because he thought it would be more comfortable than the work farm. Bromden senses that there was something different about this new patient. After his first experience with the excruciating routine of the Group Meeting, McMurphy tells the patients that Nurse Ratchet is a genuine “ball-cutter.” The other patients tell him that

This movement focused on the move from patients predominately with mental illness and disabilities being institutionalised to be treated within community based practise.

The role of the social worker in this setting is to perform duties as an informed clinician based on evidence based practice to provide individualized case management to all clients. The social worker will complete a comprehensive intake assessment which includes demographics of the client, address presenting problem, and a risk assessment. Client’s also receive mental health screenings and individual and group counseling to gain new coping skills and address any triggers to prevent relapse utilizing interventions as CBT and Motivational Interviewing. The social worker will discuss limits of confidentiality and a signed informed consent from the client to receive services.

This paper explores the scenario of a client and looks at the presenting problem from an ecological and strengths perspective. It will also explore advanced clinical skills, intervention strategies and ethical dilemmas encountered. Methods for evaluating progress will be discussed within the social context of the case. Termination and follow-up approaches, and any ethical dilemmas will be included. Any problems with oppressed populations will also be discussed. Finally, the limits of the chosen model and limits of the practitioner, evolution of client and practitioner identities, any ethical or social justice issues for the agency, and an evaluation of the practitioner’s effectiveness will conclude the paper.

Throughout my clinical experiences, there have been quite a few circumstances I have been placed in that have remained with me whether good or bad. All of them have been learning experiences for me whether it is how to improve and to do better next time from a mistake, for me to learn that this is or is not how a patient should be treated, how to handle family situations, and many others. One experience that I was able to participate in that will remain with me because I had not experienced this before was during my critical care rotation in the fall of 2015. This patient was dying and we were implementing comfort care for him.

Florida Assertive Community Treatment (FACT) is a program that provides comprehensive community counseling to individuals diagnosed with a debilitating mental illness. It is federally funded by the State of Florida Department of Children and Families and serves a clientele of 100 adults in the Volusia and Flagler County areas. It is a derivative of the Program of Assertive Treatment (PACT) which was developed in Wisconsin in the 1970s when deinstitutionalization was a major practice in the mental health field. This outpatient program is rehabilitation and recovery oriented. FACT is unique in that it is the only service available that offers a housing, medication, and flexible funding subsidy to enrolled individuals which help to integrate them back into mainstream civilization to be productive members of society—reducing hospitalization, homelessness, and criminal incarceration among the mentally ill.

The city of New Haven, Connecticut has been a long-standing settlement. Established officially by Europeans in March of 1638 (Source 3), New Haven has a detailed history of population declines and growth. The territory that is now New Haven was once inhabited by the Native American group the Quinnipiack (Source 6). The accrual of land was easy for the English settlers in this territory due to the conflicts between the Native American groups. The Quinnipiack tribe occupied the area near the harbor and the Mohawks and Pequots occupied the surrounding area and constantly harassed the Quinnipiack. When the English arrived the Quinnipiack traded their land for protection, which the English agreed to immediately. Through the years the settlement of New Haven has grown and declined in population due to different factors including political, economic and many more.

Florida Assertive Community Treatment (FACT) is a program that provides comprehensive community counseling to individuals diagnosed with a debilitating mental illness. It is federally funded by the State of Florida Department of Children and Families and serves a clientele of 100 clients in the Volusia and Flagler County areas. It is a derivative of the Program of Assertive Treatment (PACT) which was developed in Wisconsin in the 1970s when deinstitutionalization was a major practice in the mental health field. This outpatient program is rehabilitation and recovery oriented. FACT is unique in that it is the only service available that offers a housing, medication, and flexible funding subsidy to enrolled individuals which help to

Transition of care appeals to me the most in my practice as a case manager. When a patient gets admitted, the interdisciplinary team starts working on the discharge planning. I always wonder how can the team know for sure, that the patient is ready to be transitioned and how can we know for sure that the transition of care is safe and it would not be overlook?

Strengths and Weaknesses for Integrated Treatment In a perfect world, integrated treatment approaches for all clients is a thorough, thoughtful, and positive approach to the overall recovery of the individual, especially for those with co-occurring disorders. Currently, through my professional work as a drug and alcohol case manager, both site and field-based, I see the strengths as a collaborative and integrated approach to treatment for these individuals, including a variety of programs and professionals, ranging from drug and alcohol treatment providers, mental health counselors, psychiatrists, and certified recovery and peer specialists. Van Wormer and Davis (2018) highlighted the evidence-based Assertive Community Treatment (ACT) approach

The goal |with the advocacy program ended up being to describe the introduction of someone advocacy program inside the Eastern surrounding suburbs of Sydney (NSW, Australia). This method is made within the connection from the study concerning the after effect of client-focused techniques to community management for clients with schizophrenia and bipolar (O’Donnell, Proberts, & Parker, 1998). Limitation of the presentation on the consumer advocacy program creates restrictions in implementing with the research methodology, the study gave the chance to illustrate

When developing a treatment plan for any complex case, it is critical to consider any factors that contribute to the client’s situation. One must generate a plan of action that will support the client appropriately and yet not be overwhelming. It often takes a long time for a client to come to terms that they need help. For many, seeking mental health services can be both a daunting and intimidating laden with feelings of failure and disappointment.

Social constructionism counters this argument of evolutionary psychology by putting emphasis on environment and nurture. Constructionism focuses on how meaning is created hence when we use the term “socially constructed” we are referring to how society and culture create gender roles which are in turn prescribed as normal and appropriate behavior expected from a person of that particular gender. More radical versions of the social constructionist theory go as far as to argue that the behavioral differences that exist between men and women are entirely social conventions free of any biological or evolutional influence. Other versions of the theory also claim that there are multiple genders aside from the traditionally recognized male and

The three cultures; Ancient Greeks, Romans and Modern Western Christianity share a gradual progression through time that has affected these cultures. My research has primarily focussed on these cultures attitudes to death. Starting with the greeks I will show from the fall of the Greeks, to the Romans and from the Romans to Western Christianity how these attitudes were passed on or eradicated to make room for something new.

There is no better teacher than experience itself. This statement holds true with regards to acquiring knowledge and necessary skills in the nursing profession. Clinical rotation is when theories are actually put in to practice and competencies acquired. Indeed, during this clinical rotation I felt like I gained a whole lot of understanding about the nursing process, the legal and ethical matters surrounding the practice, and the public health nursing as a profession.