Know Your Agency The community agency that I have been assigned to work with for this clinical rotation is the Early Psychosis Intervention (EPI) Program. Community mental health programs such as EPI, are coordinated and governed under provincial and regional health authorities. EPI in particular falls within Fraser Health’s geographic region. Regional health authorities such as Fraser Health are the governing bodies that are responsible for identifying the population’s health care needs, planning corresponding programs and services, overseeing that said programs are receiving adequate funding and management, as well as meeting performance objectives (Government of British Columbia, n.d.). With special consideration to the mental health …show more content…
The EPI mandate is to provide services to individuals that have been affected by psychosis, with a focus on early recognition, assessment and intervention that is age and phase specific (Davis, 2014). Accordingly, eligibility for EPI programs include persons between the ages of 13-30 years who have either experienced first episode psychosis, or have exhibited signs suggestive of psychosis. The latter may include but are not restricted to; significant alterations in behaviors, thoughts and emotions, a recent decline in daily functioning, or a family history of psychosis (Early Psychosis Intervention, n.d.). Becoming involved in the EPI program is a simple process as any individual is able to refer, including self-referral. After a referral is made, an appointment is arranged with both the psychiatrist and then the intake team. These actions are usually carried out in a timely manner as there is not a waitlist involved in program admission and the capacity of placement is open. Generally, if the program has an excess of clients at one time, an alternate member of the team (youth care worker, intake nurse etc.), will take on the client until a case manager is able to accept a new admission. Appointments are made during agency hours, which include 0830-1630 hours, Monday through Friday. After hours services are listed on the EPI website and include the Kids Help Phone line, the Youth in BC online chat link,
“The Canadian Mental Health Association estimates that 1 in 5 Canadians will develop a mental illness at some time in their lives.” Mental illness is defined as a mental pattern that causes an impaired ability to function normally in ordinary life. Mental illnesses can affect persons of any age, race, religion, or income and are not the result of personal weakness, lack of character or poor upbringing. A number of factors can contribute to whether an individual will develop a mental illness, with these factors being present individually or in multiples. A number of factors have been identified that contribute towards initiating mental illness, but no individual factor has been definitively identified as ‘the’ factor that causes a mental illness. Symptoms of mental illness can range from mild to severe and are classified into two main categories as being either organic disorders or functional disorders. Organic disorders cause a decrease in the mental function of the brain due to a medical disease; while functional disorders cause a derangement of the mind. The type and severity of the disorder determines if it will be short-term and treatable or if it will be permanent or degenerative and untreatable. There are a variety of community and medical services available to assist those who are affected by mental illness. These services are available on an in-patient or out-patient basis depending on the level of severity, with the general trend towards
Schizophrenia is a mental health condition that places considerable burden on the individuals who have it, their families, and society (Eack 2012). Someone who has schizophrenia may have the following symptoms, but not all: faulty perceptions, inappropriate actions and feelings, withdrawal from reality and personal relationships into fantasy and delusion, and a sense of mental fragmentation (Oxford Dictionary). The two most commonly used interventions are drug and family intervention. Often times patients with a
As responsible advocates for the health and well-being of our clients, it is pertinent for counselors to remain knowledgeable of the warning signs for potentially dangerous behavior. This awareness pertains to clients who have yet to be prescribed medication for psychosis of a diagnosed disorder, as well as the side effects elicited from antipsychotic pharmaceutical interventions. When the signs have been validated, it is imperative for the morally ethical and competent counselor to take the appropriate actions on behalf of the client in order to prevent harm from ensuing. In this paper, I will attempt to identify and explain the presenting signs of danger by examining the case of Junior, a 14 year-old
Every day, schizophrenia not only disrupts the lives of hundreds of thousands of Canadians, but it also places a significant strain on our society. This disorder affects approximately 300,000 Canadians, and places a burden on not only the patient, but their families, the clinicians and other health care professionals. Deinstitutionalization, importance on legal rights, ineffective policy, and community based treatment all contribute to the way services for schizophrenia are delivered in Canada. Symptoms of Schizophrenia can affect daily functions of which people rely on. These symptoms can vary in severity which creates obstacles such as being able to maintain employment, relationships, and engage in social network; which results in a lower standard of living among these individuals.
Cognitive Behavioural Therapy and Family Interventions for Psychosis Psychosocial treatments for schizophrenia are not new in the research literature. Psychological treatments have been previously used in the treatment of schizophrenia. For example in terms of behaviour therapy, operant approaches such as token economy programmes were used in the 1960s and 1970s to improve the behaviour of patients in long stay hospitals. However, the evidence suggests that the clinical gains were limited and did not generalise beyond the therapeutic setting and also did not address delusional convictions (Alford 1986; Himadi et al 1991).
It is important to note, that Patrick McGorry, ‘Leading mental health expert’ is also the pioneer of Early Intervention in Psychiatry, namely the Early Psychosis Intervention Prevention Model. The is the evidence-based model, to which the hYEPP has been constructed on. Patrick
FSH will have the Director of the program who will operate as the staff who attends all the meetings with the state regarding the movement of all eligible individuals for the program. The director is also in the position of holding the vouchers and monitoring the slots the state has issued for the program. The director will also monitor the referrals and forward eligible referrals to the Program Manager. The Program Manager is to follow up with each referral to FSH program and perform the initial assessment. Once the assessment is complete and it is determined the individual is eligible, the Program Manager will assign the individual to a Psychiatric Rehabilitation Counselor (PRC) who will then engage the individual in Brief Visit(s) (BV) to assist the individual in familiarizing them with the community and assist them in the process in finding housing. The process is 21 days and the individual will become a consumer within the program and be assigned a
The agency I am doing my practicum hours at is a nonprofit mental health agency that serves over 800 adults with mental illness across 28 locations in the Portland Metro Area. Their comprehensive support system includes outpatient clinics, group homes, semi-independent housing, homeless outreach, and peer-delivered programs. I focus on the care of adults, age 18 and over, with serious mental illness, such as Psychotic disorders & Mood disorders in one of the residential settings. Within the home, we are currently serving 17 individuals, who are receiving independent case-management dependent upon individual needs, interrelated with the challenges prevalent in those with mental illness including co-occurring substance abuse and
UCM:CPSW received a text from Ms. Borkovec reporting that she has scheduled an appoitnemtns with Phyllis Wheatley and her first intake appointment is on11/29/16 at 3pm. Also, CPSW reminded Ms. Borkovec to schedule with her mental health assessment and let this worker know time and date for her 1st session. Goal 1-2
HASI was evaluated in order to determine if the program: enables clients with a mental health illness to participate in the community, sustains tenancies, and improves their mental health; has governance arrangements that support the program; and provides supportive services to
Outcomes are highly variable in those with an adult onset of the condition. Psychological disorders such as psychosis are observed in some by 20. However, some live into theiir
Throughout this semester I completed an internship in psychology at Jefferson Center for Mental Health. Specifically I spent my time in a short term Hospital Alternative Facility (HAF). HAF is a residential facility that aids in transitioning home from the hospital, another Jefferson Center for Mental Health facility or a crisis situation. All of our clients have current mental health diagnoses, the most common of which are depression, anxiety, bipolar disorder, personality disorders, and schizophrenia. Clients stay for only a short time and the main objectives for their stay normally revolve around stabilizing meds and finalizing housing and living plans for the future. HAF provides services that are vital in that clients can have a stable residence so they can focus on managing symptoms and figuring out the best strategy to integrate themselves, with new goals back into their life. However, with all of HAF’s outstanding and vital qualities, there are also areas that I would suggest for improvement given what I have learned through my undergraduate education in psychology.
Therapy for psychosis often works best when combined with medication, although this is not always
population in the United States and typically presents in early adult life. It is commonly associated with social and psychological deficits, erratic behavior, and hallucinations. It is not known what actually causes schizophrenia in adolescents, however it is believed that brain neurotransmitters, genetics, and the environment contributes to the development of this disorder. Early diagnosis of schizophrenia in adolescence is an intriguing topic that has been researched for numerous years, but further research is needed. Early intervention is extremely critical, not only because the disease becomes harder to treat
I have decided to use just three main components that are, in my view integral for the success of, the 8-to-10 session care plan. In my opinion First contact, trust building, and life enhancing goals, should be considered as one component. To me this is essential because, it is the foundation to start an effective treatment plan. No one will truly trust or confide in you as a counselor, if you don’t make a good impression. This is important to me since how can you as a counselor expect someone to really, and I mean really open up to you aren’t warm and inviting, trustworthy, and willing to be goal oriented in their treatment plan. Secondly, the BECHRISTLIKE example set forth in out text book is an imperative step. Think of it this way you are meeting a stranger whom you may know nothing about.