Evaluation Of A Psychiatric Treatment

emotionally capable of making an informed decision regarding participation in this study. Of the participants, 250 were male and 300 were female. Participants were selected from general

The loss of control experienced by Ann may have had an impact on the time it took to progress through the stages. Involving Ann in the decision making, discussing options and offering continuity of care would help make the transition from her home environment easier.

There are different therapies that are used to help treat those who have suicidal ideation, behaviors, and attempts. For individuals to be successful in recovery one or more treatments may be necessary. Succession of recovery is a group effort and wiliness between individuals, family, friends, psychiatrists, and therapists. A traditional anti-depressive medication treatment is started to help reduce negative thoughts (Rovick, 2016). These medications increase serotonin levels in the brain to increase happier thoughts. However; depending on the individual, multiple medications are prescribed to target each symptom displayed. In some cases mood stabilizers or anti-psychotics are needed in correlation with the anti-depressants. Individuals with depression and PTSD are prescribed a SSRI and a medication to target the PTSD. Medications do not work quickly, the average time for depressive

Within this essay, I will reflect and critically analyse an OSCE which has increased my awareness, or challenged my understanding, in assessing the holistic needs of a service user (John), referred by his GP, whilst incorporating a care plan using the Care Programme Approach (CPA). By utilising this programme and other sources of current literature, I hope to demonstrate my knowledge and understanding in relation to this skill as well as identifying areas with scope for learning.

B. At St. Jude’s she had three years of intense chemotherapy. But what she remembers the most was how the staff treated her like their own family, daughter, son, sister or brother. She also said when she arrived Danny

The shutdown of state mental hospitals and lack of available financial and institutional resources force mentally ill people to the United States Judicial System for mental health. Every year thousands of people are arrested for various crimes and they are sent to jail. Sixteen percent of these people have some type of mental health problem (Public Broadcasting System , 2001). When we consider that the United States has the largest incarcerated population in the world at 2.2 million, this number is staggering (Anasseril E. Daniel, 2007). This is about 1% of the entire population of the United States. There are many reasons as to why the situation has taken such a bad turn and when the history of the treatment of mental illness is examined one can see how the situation developed into the inhumane disaster it is today.

2. The patient are mentally healthy and that they understand the alternatives are provided (e.g. continue receiving treatments) yet still want to commit suicide by doctors’ assistance. In addition, further observation should be applied if the patient is diagnosed with depression.

Pt has x5 hx of IP hospitalizations, most recent was April 2015 due to SI. Pt currently receive intensive in home therapy x2 week through integrated helath services. She also receives outpatient psychiatry thorugh Dr. Burk Seigle. Pt is currently prescrived Vyvanse 50 mg daily, Abilify 5mg daily, Clonidine .01mg daily. Pt has not been compliant with Vyvanse or Clonidine due to pt mother does not want medication to be come addicted to medication. Per report from mother she is trying to wean pt off her medication to help stabilize

She also has a family history of depression. Her marriege is unhealthy and she reported that she thought of asking for a divorce. Furthermore, she was frightened of her father who had abusive tendencies towards

The first thing the therapist needs to do in this situation, beyond the obvious need to form a therapeutic alliance, is determine the lethality Allison’s suicidal intent. This could perhaps be accomplished by administering the Children’s Global Assessment Scale, or CGAS. This is an assessment tool that rates the general mental functioning of minor children, on a scale from 1-100 (Shaffer, 1983). This would have to be the first step, as it poses risk to the client and carries an obvious urgency prohibit lengthy therapeutic visits, depending on the severity of the crisis situation. On the surface, it appears that Allison’s score is within the 40-31 range, due to the history of suicidal attempts and self-cutting. However, a determination is made that Allison did not have “clear lethal intent” (Shaffer, 1983), placing her in the 50-41 range. Because there is no immediate risk of harm, therapy can commence.

Has a suicidal ideation, and thoughts of death, including suicide attempts and specific plans for committing the suicide.

The Sarah self-referred for assessment at am outpatient clinic. She subsequently requested a referral to a psychologist in Chicago, IL. Sarah is a 24-year-old adult Caucasian female who identified as a lesbian. She reported a history of depressive symptoms that have worsened in the last few months. She is seeking treatment for these intensified depressive symptoms. She described having “depression” many years ago, but became evasive when asked to clarify. In addition, she noted a concern with experiencing anger and hostility towards others; she stated that these emotions are “uncomfortable” for her. She clarified that in the past three months she has perceived herself as “grumpier than usual.” She reported having experienced anhedonia, fatigue, and insomnia.

This week clinical I felt better prepared than I did with my first week. I was able to focus a lot more on interpersonal skills and develop therapeutic relationship with my patients. In terms of Mental Status Examination (MSE), this assessment provided me with a helpful base of information from which to observe changes, progress, and monitor risks. Especially, suicide risk assessment is a gateway to patient treatment and management. The purpose of suicide risk assessment is to identify treatable and modifiable risks and protective factors that inform the patient’s treatment and safety management requirements. I got insight into how important it is to document suicide risk assessments with sufficient information. Documentation of suicide risk assessments facilitates continuity of care and promotes communication between staff members across changing shifts. It is easy for suicidal patients to “fall through the cracks” of a busy psychiatric unit that has rapid patient turnover of admissions and discharges, and mostly during shift change. Asking question such as “What is your view of the future?” or “Do you think things will get better or worse?” helped me to elicit important information regarding patients suicidal ideation. Additionally, how my patients expressed their hope about the future assisted me to identify, prioritize, and integrate risk and protective factors into an overall assessment of the patient’s suicide risk and include in MSE.

The patient expressed she has no current suicidal ideation or homicidal ideation. However, she admitted to suicidal ideation in the past, right after her breakup, approximately two months ago. She expressed that she wanted to hurt herself and had a plan on how to do so, but did not think she could go through with it. Her plan was to overdose by taking her mother’s

There is an ethical duty to report a client of any age when there are reports of suicidal attempts or ideation. Confidentiality is a consideration, but the safety of Angela is the first priority. There is a legal and ethical duty to report if there is a foreseeable harm (Remley, T. P., & Herlihy, B., 2010). A counselor must be knowledgeable of the proper assessments and tools, and should consult other