The writer accompanied the consumer to her intake appointment at Northeast Guidance Center. The consumer came to the appointment in the clothes she slept in and did not wash her face or shower. The consumer was defensive during the intake appointment with one of the therapist. The consumer would not speak up and often time would have the therapist repeat the questions. The writer spoke to the consumer about her behavior and explain that it is necessary for them to asks questions because they want to make sure she get the best services possible. The consumer did aplolize for her behavior. The consumer next appointment is on 8/11/16 at
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the client met with his counselor for his 1x1 session to discuss his progress in the program and regarding his treatment plan. Client has shown a lot progress sine he has been in the program. However the has been 13 other program so, the client could be telling the counselor what she wants to hear. on the other hand the client has can to his counselor and reported that he had an doctor appointment on 2/03/2017 for bur his was canceled. the really show some growth. The client also made up own treatment plan an area that he needs to work on . but the thing that is wrong with this is client is not focusing on humoring his self or even thing about learning to applying what he has learn to his life. CADC-1 Yolanda Smith
The patient asked this writer if this writer cannot talk to her mother and advocate for the patient to the clinic's TEAM about the urgency of getting her bottles. This writer was willing to talk to the patient mother and will try again, to advocate on the patient behalf to get her bottles. However, addressing the mental health portion, the patient stated she has to figure something out about the transportation barrier as no scheduled has been made with CHR due to her barrier. Please note, the patient is no longer seeing Dr. Kuru as the psychiatrist no longer works for CHR. The patient prescriber for her medication is her
I believe that the intake form reviewed all necessary questions needed to determine the client’s social and medical history to develop personalized goals for the client’s individualized treatment plan. I will begin to discuss the areas that the intake form reviews in order to obtain the necessary information to develop a treatment plan for the client.
to request that she meet with this writer to discuss her current counseling non-compliance status and how she is refusing to schedule an individual session. Counselor told her that she signed a notice of counseling non-compliance letter and if she failed to schedule an individual session by 1/22/16, she faces possible a discharge from the AMS program. Pt. agreed to schedule an individual session by stating, “I’m going to schedule something tomorrow. I’m sorry. I got a lot on my mind.”
At 0824 this clinician met with the patient who reports her weekend was not unpleasant. She reports she is continuing to have problems locating housing. She reports her family members continue to refuse to allow her to live with them specifically her father and her uncle. She reports she has one friend who is considering allotting her the capability to reside with her under the condition that she speak with her Child Protective Services (CPS) caseworker first. She reports she does not want to reside in a homeless shelter with her son as she has done this before and the experience was not up to her standards.
Bensalih reported that she has completed her rule 25 assessment at Tubman and has upcoming treatment sessions with her therapist and with her group. Also, CPSW asked Ms. Bensalih her process regarding Associate clinic psychology. Ms. Bensalih reported that she has not seen her therapist lately and planning to go back and schedule appointment with Associate clinic associate asap. Ms. Bensalih reported that she will let this writer know her up coming appointments with tubman and ASC. CPSW encouraged Ms Bensalih to go back at Associate Clinic Associate for the mental health assessment. CPSW asked about her supervision and needing to schedule appointment asap. Ms. Bensalih stated that she has been busy and stressed about all the work she needs to complete regarding the
The patient was placed on HOLD to see the writer to address his non-compliance with treatment. The patient was reminded about his Step 3 of the patient engagement. According to the patient as the writer reviewed the patient case history of his no show for counseling, group attendance, and continuously AWOL, the patient only response was, " I, know." The writer then inquired of the patient efforts to engage in mental health services through ICRC. The patient admits that he haven't done the intake when the deadline was extended for the third time. The writer discussed with the patient about the risk of facing an intent to discharge due to his non-compliance and addressed alternatives such as suboxone and transferring to a clinic in Massachusetts to accommodate the work location. The patient declines the writer's suggestion as he wants to remain with HCRC-Hartford due to the positive treatment and said. " You guys really care....I do not want to be discharge.....I, mean what is the process of the intent of discharge?" The writer explained to the patient about the appeal process as his record will be reviewed by the Practice Manager to determine as to whether or not to forward with the discharge or the discharge to be overturn.
D-The patient was advised that her bottles are in fact suspended due to the incident that occurred on 02/08/2017 of which the patient needs to accountability of taking a second dose of her methadone even though she has taken her methadone at home. The patient admits her accountability of her actions of taking the second dose. The patient then asked about how she can regained her take home bottles of which this writer explained the policy of take home bottles, referring to the reinstatement process. The patient is referred to attend the Take Home Bottle Group on 03/9/2017 to have her bottles reinstated. Then the patient shared that she wrote a grievance letter and still plans to submit it for the Program Director to review. Furthermore, this
Assignment: Why is the initial consultation so important? What factors will an ethical therapist cover at this time?
First, we will examine my initial clinical note on 8/15/16 with client, Rhonda Smith, session one. During this first session, I collected Rhonda’s demographic and intake information (Murphy & Dillon, 2015; Reamer, 2001). This included a signed consent for treatment, which we reviewed and all her questions were answered, as well as signed medical releases for previous therapy and agency records, i.e., DVIS, CPS, CASA, that will be requested (Murphy & Dillon, 2015; Reamer, 2001). Additionally, she was informed about HIPAA, patient privacy rights, billing practices, professional boundaries and expectations, and how to contact me during business hours, and after-hours crisis lines, and on-call assistance phone numbers for resources if it is outside of my business hours (Murphy & Dillon, 2015).
Patient didn't call or show up for his scheduled individual counseling session today at 7 am; however, he received his dose of methadone at the Clinic around 9 :30 am. This writer called pt.’s phone number on file to reschedule a mandatory individual session. Counselor will be flag pt. in the system to see counselor before dosing tomorrow, 12/15/16 to discuss his recovery progress, what the program expects of him at this stage and how to get the most of out
In this essay I am going to look at the importance and purpose of the initial consultation between the client and the therapist and what happens during this preliminary session. I will also cover the ethical definitions that will need to be explored and established, to ensure the safety and wellbeing of both the client and therapist.
As it pertains to the accusation that the staff member does not tailor their interventions to the client according to his behavior on a specific day, please name one example where the staff member did not tailor their interventions to fit the client’s needs? How was the staff member approached about this incident? Did the staff member give reasoning for continued their planned treatment? Was this incident documented and if so how was it documented? Were the client’s needs met? Was the client unsatisfied with their services provided?
The client has every right to choose whether or not they receive the treatment that they are recommended by a counselor. By providing the client with any information that can contribute to them making an informed decision on their treatment plan, we can be sure that we have