Immediate Psychiatric Evaluation Case Study

Patients are often unsure what to expect in a Mental Health (MH) clinic. We encourage you to consider the following points regarding MH care and to discuss them with your MH provider if you wish. You can expect attention, respect, and the best professional efforts from your MH provider. Your MH provider will treat you as a responsible individual and they will expect you to take an active role in your treatment. You should also expect to take part in treatment decisions.

There are several ethical dilemmas that the mental health professionals that are working as a team will face including “ensuring that the client has given informed consent, maintaining client confidentiality, and involving professionals, paraprofessionals, and family in appropriate coordinated processes that benefit the client” (Paproski & Haverkamp, 2000, p.96).

T.R. is a 69 year old, Caucasian female with a history of schizophrenia who presented to University Hospital Medical Center Emergency Room under Baker Act for recent suicidal attempt. According to the Baker Act report, she ran out of her retirement facility, trying to be hit by vehicles. She suffered a slight injury to her right ankle, as the slightly slightly hit her in an effort to abruptly stop the vehicle. She verbalized to police officers she wanted to die. She reported that peers in her retirement community learned about her history and had been gossiping about her. She reported increased paranoia due to this. She was hospitalized in the same psychiatric unit two months ago, after she was diagnosed with depression. Patient states the reason she was diagnosed with depression is because her two sons are not willing to talk to her. She states that she is separated and living without her family in an Assisted Living Facility. As per patient and chart review, the patient was born and raised in New Jersey and moved to South Florida. The patient currently lives in a retirement home and had to move several times to the different Assisted Living Facility, due to her paranoia and delusional behavior. She is currently retired and reports that she used to work from home as a home health aide. She has two sons and tries to maintain a good relationship with them, but denies any contact with them. She reports the biggest stressor is basically a relationship with her

One obstacle in the case presented in the “vignette” is that the reader is not informed of the referral source. It can be extrapolated that this was a family visit by choice, as opposed to a mandated visit, and while this is unclear, the following paper will reflect this; the family has initiated the counselling visit.

Kerri entered her county’s Community Mental Health (CMH) to be assessed after visiting her Primary Care Physician (PCP) for an annual physical last week. The PCP noted extreme signs of depression and anxiety, and referred Kerri to the CMH to be assessed for services. This is the first time Kerri has sought any mental health services. CMH offers mental health services to all ages and levels of care, but Kerri was referred to the Families Forward department which will allow her family to be involved in her treatment as well. Kerri voluntarily agreed to treatment, and her mother made her an appointment right away. Kerri came in to CMH today at 3pm for an intake, which was held in my office. Although her mother brought her to the intake,

Broad historical, political, and cultural forces have influenced social problems and concerns addressed in my practicum setting. Examples of this would be the lack of affordable healthcare, poverty, and crime and violence. There are more than just these barriers that the population we serve is struggling through including the societal values and attitudes towards mental illness and the stigma and stereotypes that come along with it. However, my agency Alliance Healthcare Services have done a tremendous job to ingrained themselves so deep into the community that they are changing everything from lack of affordable healthcare to the way community members approach and handle mental health crisis through education. Alliance works with every major hospital, jail, police force, school, etc. throughout the city. We teach about mental health and what to do if someone is in crisis, we are open 24 hours a day 7 days a week year round. We will send our unit out, have you come to us, or call CIT police officers to help transport you to us. We try to go above and beyond for our community and we try to break down all of those barriers, stigmas, and stereotypes in the meantime.

Client did not came to the schedule appointment. Therapist received a phone call from client's mother. Mother reported that client was in the hospital as of last night. Mother explained that has been out of control since the weekend; going out with man, provoking mother and sister by cursing, calling them name. Tuesday (7/04/17) night after getting in to an argument with sister, client called the police. The police called EMS but client reported that she would be spending the night at a friend house so client was not taken to the hospital. On 7/5/17 client went back home and it was upset coursing and telling mother that she always take sister side. Client then took a knife an threaten to kill mother and sister and after jumping out of the building.

In relatively recent American history one could be civilly committed to a psychiatric placement without legal intervention. Prior to the 1970s persons with mental illness were often subject to gross negligence when they were committed to a psychiatric placement. Furthermore, individuals who were committed to these institutions lost their civil rights. Before the 1950s persons in the United States of America could be held without legal jurisdiction in psychiatric asylums. The 1950s had some changes to these laws. However, the practices at these institutions were often abusive. Overcrowding, lack of funding, and theory all contributed to the inhumane treatment of the mentally ill. However, since the 1970s those persons who require a civil commitment have not only gained additional rights, but they have also been given the ability to challenge their committal. Further, those who have been institutionalized are offered treatment. Finally, the emphasis in the United States has been on deinstitutionalization which requires that a commitment occurs at the least restrictive level of care. In the United States of America, the changes to the mental health system have provided persons with mental illness not only a chance at restoration but also dignity.

Involve in Interviews of psychiatric patients and learn different clinical approaches regarding diagnosis and treatment. As a Research assistant involved in long-term, observational, multi-center patient outcome Registry to collect data in patients with treatment resistant depression (TRD Registry). Review Forensic cases files and actively involved in discussion.Discussed Diagnostic assessment, psychiatric evaluation, medication and management protocol. Offered psychiatric opinion on criminal responsibility, Depositions and Trial Testimony

The therapist met with the client and the mother in person. The client was anxious aeb reporting that she is afraid to have a fight with her mother during the conjoint session as she stated, “Every time I meet my mother, I fight with her.” The client reported that she wants my mother to communicate with me as a 14 years old not as a young child. The mother stated, “I understand your feelings , but sometimes I do not understand what you mean because you are angry and you cannot control your emotion.” The mother shared that she will listen to the client attentively to be able to understand what she needs and try to understand her thoughts and affirm her emotion. The client listed the goals that she wants to work on with her mother are; positive

You bring up some interesting and valid points, I agree with you that the therapeutic relationship need to be maintained and protected as well as Marcie’s confidentiality. Once again, I agree that Marcie needs to be involved with the decision making process of breaching confidentiality, and if she agrees to disclose to her mother, only disclose what she has agrees upon. As you stated, her mother brought her in, so it would seem that her mother is part of her support system, and informing her of what her daughter is going through would be wise and could help minimize harm to the client. Although, with that being said, she is a functioning adult and does not follow under the ACA codes A.2.d. or B.5.a., thus we are not obligated to inform her

Careers" symposia presented by Jean Ann Lambert. She is the community resource director of MHA (Mental Health America of South Carolina). During the symposia, she talks about the different mental health disorders, suicide prevention and children/teen issues through a program she introduced to us called "I.C. Hope". What I found interesting was the fact that there is a class similar to CPR/first aid training class but instead it is a mental health first aid. The mental health first aid is a training program that teaches the public on how to help a person developing a mental health problem or in a mental health crisis. Some of the different mental health disorders she

Miriam is a new hire at the community mental health center. Since she is a new hire, she will be working closely with her clinical supervisor Kim. This includes sharing case information with Kim while Miriam is receiving in-house supervision. The state law does allows for information sharing between professionals. Miriam’s client is a 17-year-old boy named Sam. She thoroughly discussed with Sam his confidentiality rights. Sam’s main concern was that information he shares will not get released to his probation officer or his parents. Initially, there did not appear to be any concern with information sharing to Kim. However, it was discovered that Kim is directly counseling Sam’s parents.

The most interesting section of the hospital I think is interesting is Diagnostic and Therapeutic Services. In order to work in these fields, you must have specialized education and training, along with the proper certifications. Which means the allied health professional who is working on you while you are in the hospital, is very important. It is interesting because there are so many people running different kinds of tests just to find out what is wrong with one person. A single person may need blood work done, as well as urine analysis, and possibly even a spinal tap to gain access to the spinal fluids for testing. With the therapeutic side of this, there are also so many allied health professionals that work with people to help them regain

Primary Counselor will meet with Pt. to discuss her living arrangement situation at her mother' s house and what she plan to do to make that a safe housing. Pt. will report any changes in her recovery and emotional status (negative or positive) to Primary Counselor. Counselor will encourage Pt. to attend a minimum of one group and/or individual counseling session