Impulsive Behavior Report

I: CM guided client through ISP goals. CM inquired about updates related to the client’s housing goals. CM used open ended questions to inquired about the client most recent drug use. CM reminded client that starting Monday the 2nd he would have to meet with CCM for weekly case management going forward. CM continued to assess for PTSD symptoms, substance abuse, and medication compliance.

Intervention: MHS reviewed the previous session. MHS discussed with client about her disrespectful behavior at school. The client’s teacher reported the client has not been doing her work and she has been being very disrespect to adults at school. MHS explained to the client that she will have to learn how to have respect adult at home and at school. MHS discussed listening and obeying and following the rules without any negative behaviors like talking back to teachers and school workers. MHS explained how people don't like to be around rude and disrespectful children and her behavior can be affecting her grades

The clients involved in this case study is an African-American 12-year-old boy ,30-year-old mother and 33-year-old father. I have been assigned to work with the 12-year-old regarding his issues with attention deficit hyperactivity disorder, anger issues, mood disorder, and oppositional defiance disorder. My agency has created several goals for the client to achieve while receiving services such as mastering three coping skills to improve his ability to effectively deal with losses in his life (i.e. the absence of his biological father); identifying seven ways he can respect authority figures in the home and community; and mastering five

Session 1: During this face to face session on 8/8/16, MHS addressed the following ADLs: Medication Monitoring, Community Involvement, and Functional Skills. MHS asked the client if he had taken his medication today. The client reported that he did take his medication. The client mood was cheerful and inviting. The stated he is still looking forward to working when he can. The client stated he gets bored sometimes just sitting at home. The client requested to be accompanied to the library. MHS praised the client in making progress for independent living (20 mins). MHS accompanied the client to the library to view educational videos on how to display appropriate social skills in the workplace (25 mins). MHS suggested visiting the library gives

|The duration of this behavior is exhibited daily in 3 out of 6 class periods. |

I have reviewed your notes and attached my thoughts. Your intervention are documented well, I just need you to put more emphasis in the behavior, response and plan sections. Again, my thoughts are attached. Should you have any questions, feel free to contact or we can talk about them Thursday afternoon.

Intervention: Ms. Smalls (MHP), Santonias and Ms. Givens (MHS) discussed Santonias complying with the rules of the home. MHP and Santonias had a discussing about his NFL football team as a way to build rapport. MHP requests feedback on possible goals from Santonias and MHS for Individual Plan of Care. MHP, Santonias and MHS discuss and process an incident that happened at the school’s gym.

Interventions provided during this service: WYP patiently waited for the client to walk out of class to the parking lot, but did not see the client for about 25 minutes. WYP proceed to call the client's foster father. The foster father attempted to contact the school to get an update on the client. The foster father called the WYP back and informed him, the youth just walked up to the home. WYP proceed to drive to the client's home. WYP discussed with the client about the meeting. The client informed the WYP he waited for a while, but did not see the WYP and left. The client informed the WYP he got to school at 8:30AM and stayed for an hour. WYP informed the client, if that is true, then the time, as of now, should not be 9:40AM. It takes the client about 25 to 30 minutes to walk home. WYP encouraged the client to be honest. WYP will assist the client to get a watch, in order for the client to keep track of time. WYP dropped off a sleeping for the client (the client is going camping in mid July).

Meet client at the clinic and worked on community outing. Hilario did a great job following instructions given by DI. Hilario enjoyed coloring pictures of horses printed by DI. Hilario need it echoic prompt, directive prompt, indirect verbal and model promot during the session to ask for a break and practice strategies to used when he is upset or frustrated. No tantrums presented during session.

Yuma did not respond well to the intervention. Yuma could not or did not want to explain what he has learned from the intervention. Yuma continues to have difficulty responding in sessions. Yuma is making minimal progress towards his goals. Yuma was provided verbal assistance during the session. Yuma was given chooses on how he can respond to the intervention. Yuma body language and his demean indicated that he did not want to participate in the session. Yuma responded by shaking his head, to indicate a yes to the question asked. Yuma was given examples of situation to choose from on how he may have used time-out during a conflict situation. Yuma was able to choose walking away and listening to music. Yuma was given choices of the answer to

2) Client reported that he wants to call his baby sister that has cancer and let her know that he is need a program in Fresno CA, 3)Client reported that he wanted to work stabilizing his efforts in staying clean. Client reported that he had 14 clean and sober and what he feels that caused him relapse. A) Client during the time of his 1x1 session became emotional and teared up for several. Client appeared and stated that wants to stabilize his recovery and not have to relapse again regarding

The most helpful feedback was that a behavioral intervention may not be the most useful model for this client. When I first heard this piece of feedback, my reaction was one of frustration. I was under the impression that I was supposed to following a specific intervention for the program I was working in, however after asking the

Impulse control disorder (ICD) is a class of psychiatric disorders characterized by impulsivity – failure to resist a temptation, urge or impulse that may harm oneself or others. This could included substance-related disorders, behavioral addictions, attention deficit hyperactivity disorder, antisocial personality disorder, borderline personality disorder, conduct disorder and some mood disorders. Substance abuse is something that we see taking over the US and especially in Georgia. When you have an impulse disorder, it is hard for you to refrain from temptations which is why it can become a substance abuse issue. When you are hooked on a drug/alcohol you crave it and if you can not or have trouble controlling you actions, you wont be able

Ms. Key remains at The Lighthouse. She will continue to need direct supervision for impulsive behavior. She is a contact assist with ambulation. Her left leg and arm hand continue to need bracing. She is ambulating using a cane with staff using a cane belt due to balance issue. Her speaking voice remains weak and a whisper. Ms. Key is waiting for a bed opening in an adult home now that she is over 18 years old. She continues to go to school and work with therapies.

Inexorably we can detect there being many disadvantages with acting impulsively such as Macbeth did when he eradicated Macduff’s family and servants but there are also many advantages to acting impulsively as well. When we as wights act impulsively we act solely based on our truest emotions and deepest beliefs. The reason I say this is because if we always calculate every action we take we may not make the proper decision in time. A paragon of such would be when the twenty four year old american soldier known as Kyle Carpenter jumped on a live grenade to protect his colleague and fellow patriot without thinking about the possible dangers. Luckily they both survived, but without this impulsive act of courage to save someone else’s life there