Dr. Haviland Case Summary

Middleboro Community Hospital is a non-profit hospital founded in 1890 with state licensure, The Joint Commission accreditation, and American College of Surgeons approval. Over 120+ year history, Middleboro has grown to be a respectable facility in the eyes of the medical community as well as its immediate population of patients in Middleboro. Still, Middleboro must continue to fight to remain relevant and up-to-date with the latest medical technology and changing patient demographics and needs. In order to this, Middleboro Community Hospital has set these three goals as part of their corporate strategy:

31 y/o AA male patient seen today for psychiatric-mental health assessment. He is awake, alert and oriented x4. He is calm, cooperative and follows commands during assessment. The patient reports he is depressed, difficulty sleeping and nightmares at night. The patient explained his depression is as a result of deep thinking from a news he received two days ago from his elder brother that his mother is ill. Stressors identified by the patient include losing his job a week ago before the news about his mother; his wife is 6-months pregnant with their first child, who currently works part-time at her present job; patient relates difficulty paying monthly bills and inability to provide adequately for his family as a man. The patient denies mood swings, suicidal/homicidal thoughts and ideation. Patient reports his spouse is at work at the moment and he does not want to put stress on his wife due to her current condition. Patient denies been hospitalized for depression or psychiatric illness; and denies family history of mental illness. Patient reports he is seeking help because he does not like feeling this way using terms of “helpless and loss of worth from his spouse”. Patient reports he needs help with his depression and nightmares before his current condition get out of hands and ruined his marriage.

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.

Caroline Collins is a 38-year-old white female of average height and weight, appearing her stated age, who referred herself for a mental health assessment through the recommendation of her husband to go for counseling regarding her situation. Caroline wore a blue hospital scrubs and she appears exhausted. The client has been married for 15 years to her husband Alex. She has two children, a girl named Josephine, age 14, and a boy, Carter, age 12. Caroline works a rotating shift at the hospital on the surgical floor. She begins the sessions by explaining that she has trouble with certain fears such as, driving, dark places, and standing in line also stressed and worried. She feels

Hakeim Macklin is a fourteen year old African-American male before the Portsmouth Juvenile and Domestic Relations Court on charges of trespassing on school property and two counts of destruction of property. On December 21, 2016, Hakeim appeared in Portsmouth Juvenile and Domestic Relations Court with his mother and attorney before the Honorable Substitute Judge first name Nicola. After all evidence was heard, Hakeim was found guilty of destruction of property and trespassing on school property. A social history report was ordered and the case was continued until January 25, 2017. His charge of burglary was continued for trial on the same date.

The undersigned attended the Lien Conference held at the Fresno Workers’ Compensation Appeals Board on May 11, 2017. The undersigned appeared on behalf of Mr. Rod McClelland. Mr. McClelland had an unavoidable calendar conflict on the day of the hearing. If you have any questions regarding this Lien Conference, please do not hesitate to contact either myself or Mr. McClelland.

Pt is a 14 y/o African American male presented to NNBHC with his mother with a dx of ADHD, ODD, PTSD and Depressive D/O. Pt states that he had an episode of enuresis last night when he had a nightmare about killing his family. Pt states that when he woke up he began to have intrusive thoughts of wanting to kill his family and himself so he wouldn’t have to go jail. Pt states that recently he have been blamed for everything in the home that is missing, or goes wrong. Pt states that he has taken ownership over all the negative things in the home, so none of the his sibilings wont get in trouble. Pt states “I am pretending to be happy, this is not my family”. Pt states when he cam home from residential that his biological

In 2003, Peggy Sue Thomas learned from her boss, Brenna Douglas, that her husband was abusive. After hearing this, Thomas told this information to her boyfriend James Huden, who then decided that he was going to kill Russell Douglas. It was speculated that Huden wanted to kill Douglas because he was abused as a child and was taking out his anger on Douglas (Sullivan, 2013). The two decided to come up with a plan and kill Russell. Then, on December 26, 2003, Thomas lured Douglas into a remote area on Whidbey Island saying that she wanted to meet him because she had a gift for his wife Brenna. Little did Russell know that Thomas’s boyfriend Huden was waiting for him. After arriving, Russell was confronted by Huden, who then proceeded to shoot Russell in the head with a .380-caliber

His patient is young 21-year-old girl. She has three children from three different fathers. The first father impregnated her at the age of 16. He openly cheated on her and would beat her during his drunken rages. She left him and met her second child’s father. This man was an addict with a criminal history. He died in an accident while driving a stolen car. The father of her third told her to have his child or he would leave her. She lived with him and had his child. A week after giving birth he left her. She went to Dalrymple claiming to be depressed.

Pt is a 12 y/o Caucasian female presenting to NNBHC due to self-harming behaviors. The pt stated that she had an “episode” last night stating she was crying and inconsolable making SI statements and self-harmed. Pt showed assessor about 10 superficial slashes from a razor she used to her left forearm. The pt stated she had it in her room for almost 5 months just in case if she felt she was needed to feel the pain. Mother reports she was there during the episode and the left the pt for less than 2 minutes when she engaged in self-harming behaviors. The pt stated this episode went on for almost a 1.5hr, and there was an unknown trigger. Per mother report there have been some stressors in regards of the mother and father

Mr. Blevins is a 22 year old male who presented to the ED with suicidal ideation with a plan to shoot himself. At the time of the assessment Mr. Blevins was calm and cooperative. He reports substance abuse and symptoms of depression as stressor contributing to his distress. Mr. Blevins expressed depressive symptoms as feelings of hopelessness, worthlessness, tearfulness, isolation, and insomnia, and guilt. Mr. Blevins stated, "I was at the coastal and was going to off myself with my friends 38." Mr. Blevins reports stealing his friends gun to end his life. He expressed drug use has become overwhelming for him and his thoughts were to end his life. Per documentation Mr. Blevins reports a history of suicidal ideation, however never before yesterday

D-Met with the patient upon request. Upon meeting with the patient, the patient appeared upset and addressed her frustration in this writer's office. According to the patient, she's upset with her PCP forcing the patient to admit herself to the psych. ward to get on medication. Failure to do so, her PCP will complete the medication protection for her electricity. The patient owes over $3000 and with the protection, her light company cannot turn off her lights. Please note, the patient was pacing back and forth and getting emotional. This writer consolet he patient and validated her feelings. According to the patient, she reports that CMHA informed her that she in order to get into their clinic, an evaluation is needed whereas the evaluation can be completed at a hospital; however, the patient is worried about being admitted. Please note, the patient denies any suicidal or homocidal ideation when questioned.

A 76 years old woman who was described as a healthy and active for her age Helena Lambert, from Ceston, BC was killed by an adverse interaction between two prescription drugs which was overlooked by health professionals she trusted, according to CBC. Helena’s doctor prescribed allopurinol to treat her gout however, Helena was also on mecartopurine, an immunosuppressant for colitis. After six weeks starting her new medication, she developed a blister on her foot. Her son took her to Creston Valley Hospital, where doctors found out the interaction between the two drugs causing Helena immune system to shut down. Her son said his mom suffered before dying from the infection and respiratory failure.

In this week’s assignment we are to evaluate the case study which involved Dr. Jones and determine what ethical violations may have experienced. We are then asked to specifically explain which guideline or guidelines can be applied to the case study. Finally we are to draw a conclusion of the case study. To summarize the case study Dr. Jones who is a forensic psychologist for the state psychiatric hospital was asked by the courts to complete a 30 day assessment evaluation on a 27 year old gentleman named Mr. Smith who has been detained and accused of murdering his girlfriend’s 3 year old child. When tried to do an evaluation Mr. Smith would act very difficult and be very abusive towards Dr. Jones. Due to these behaviors from Mr. Smith only

Client Rationale and Clinical Impression (Sarah): Child Protection completed an investigation that concluded that Sarah’s uncle sexually abused her over a period of time. Certain environment and psychology events impact Sarah, including but not limited to the fact that her mom has a history of abuse by the same uncle but she never reported to authorities, her family experiences low income, and her father’s family have a confirmed history of both depression and anxiety. Her family as a whole has been referred to core mental health but it is Sarah’s behaviour that are the most overt at this time. Sarah is fighting with others at school and dominating her younger brother. She has become oppositional and unwilling to participate in family activities. Sarah fluctuates between blaming her parents and tormenting her brother. She isolates when others try to get her to take responsibility for her behaviour