Kimmy Case Study

Presenting Problem: She has a hx of multiple failed placements and relates being placed in the programs for her substance abuse, anger and aggression. She has 2 past suicide attempmts one from an attempted hanging and the other from attempting to jump off a building. She reported feeling homicidal 7-8 times against her stepfather. Rhonda reported physical and emotional abuse from maternal uncle and incidents of sexual assault btwn the ages of 6 and 12.

Mr. Davis is a 33 year old male who presented to the ED with homicidal ideation with a plan. Mr. Davis states he has a plan to go out in his yard with a machete and kill someone. Per documentation he states, "I'm going out into the yard with my machete and I am afraid I am going to kill someone. I feel really crazy." He states he has these thoughts towards anyone that does him wrong. At the time of the assessment Mr. Davis is asleep, however becomes awaken and 4x oriented by hearing his name called. He has a history of Bipolar. He denies current suicidal ideation, homicidal ideation, and visual hallucinations. He does endorse auditory hallucination. Mr. Davis reports hearing several people telling him things. He reports his outpatient provider is DayMark and he usually go there twice a month for his Depakote injections, however has not been there since

Susan is an 11 year old Latina/ Caucasian female who currently has been referred due many issues inside and outside the home. Susan is a victim of sexual abuse by her father. Susan is being put in adult situations of caring extensively for younger siblings, caring for the mother, and being a partner for the alcoholic father. Susan witnesses a great deal of violent behavior between her parents. The violence leads to the father becoming sexual with Susan. He looks to her for consoling and support. As a result, Susan is experiencing feelings of depression to the extent where she has attempted suicide and she reports that she cuts herself with safety pins when she witnesses her parents fighting. Susan has not learned appropriate interaction cues and due to the violent nature in the household,

He reports the patient’s roommate was subsequently evicted from his home after the landlord inquired about the ambulance visiting. He reports he contacted her father concerning the patient residing within the family home, but the father has said no. In addition, he reports he has attempted to contact her uncle but has been unable to make contact with him. He reports he has attempted to make contact with her said friend who is considering allowing her the opportunity to reside with her but she has not answered her phone and he has been unable to leave a voice message. He reports no one wants her in their home, and the patient has “burned her bridges” with family members. He reports her family would benefit from counseling. In addition, he reports her family has high expectations of CPS. He reports her current case was not going to close within 12 days of 06/30/2017. In addition, the case will not

Neveah reports a history of physical and sexual abuse starting at age “three or four,” with the most recent sexual abuse occurring approximately two years ago. She reports distressing dreams about the most recent trauma and difficulty falling and/or staying asleep six out of seven nights per week. Neveah displays avoidance in discussing details related to the trauma and reports blocking thoughts and memories of the most recent event. She reports the inability to remember aspect of the most recent trauma and reports remembering “small pieces” of her childhood trauma. Neveah makes statements such as “I will always be crazy,” “This will never fully go away,” and “I bring this on myself” when discussing herself and her symptoms. Neveah displays irritable behavior and angry outbursts when a peer or family member causes her to feel “mad”. Her behaviors include yelling, throwing objects, and making threats. These symptoms have been present for more than one month and are affecting the relationships with her

Presenting Problem: He has 2 Kempsville Acute visits, endorses anger and thoughts of suicides. Reported hx of Neurodevelopmental problems most recently as consistent with Autistic Spectrum Symptoms. He reported having intense anger toeards his parents but denies homicidal thoughts, acknowledges suicidal thinking. On May 27, 215 he pulled a knife on his mother, no injury occurred. Mother states he has been increasingly agitated. He has been posturing at his mother yeling clinching his fist at her as well as sneaking out and lying. Mother states he obtained the knife from his room and threatene her life. He states his mother swas chasing him around with a broom which is why he grabbed the kife. He states he is depressed all the time. He a Hx of suspensions for fighting while in school and he was the aggressor.

The client has high motivation for treatment within MRFH. The client was diagnosed with Alcohol Use Disorder: Severe and Cocaine Use Disorder (crack): Moderate. The client sought treatment at MRFH when he realized he had lost control of using alcohol and crack cocaine. The client stated he attended the MRFH program in the 1980 's but does not remember the exact date of attendance. The client stated he was diagnosed with Mild Depression by a primary care physician when he was 56-years-old. The client reports he has no history of suicidal or homicidal attempts, and currently denies having any suicidal ideations or homicidal ideations. The client stated one to two times per week he experiences muscle tension and worrying about things that he often realizes have no significance. The client stated prior to the age of 18-years-old, "I would knock over my neighbors mailboxes and destroy their gardens, because they would make my parents aware of my wrong doings and that was way of getting them back." The client stated, there was one time that I started a fire and blamed it on my brother. I would break things as well and blame someone else. The client stated if there was an event taking place that he wanted to participate in, he would rush and complete what he was doing so he could become involved in other events taking place around him. The client stated, "I started using drugs and alcohol without thinking about what the consequences. The client appeared to be oriented to the

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

Presenting Problem: Pt is 16 y/o female who is currently at Tuckers Pavilion Acute facility. 8/7/16 Kelly refused to take her medication, and was generally noncompliant to staff directions. She communicated AWOL intent; she also broke a lightbulb to make a number of superficial cuts to her arm, but refused to turn in the glass an dstated that she had flushed it down the toilet. She refused first aid and refused to cooperate with staff directions. She also communicated that she was going to do worse things to herself, Intercept contacted crisis stabilization which transitioned the child to Tuckers Psychiatric at 6am. 8/12/16, Pt was upset to find out she was not getting discharged from Tuckers. Require hydroxyzine 50mg at 1530 medication

She has two little sisters that she loves very much. Their ages are 17 & 18 years old. They are very close and all of them are on the praise and worship team. Kenia said that she tries to be a good example for her sisters.

On January 25, 2018, Police Officer Cory Stayton, DSN 11620 and I (Probationary Police Officer James Harris III, DSN 0513) received a call for “Attempt Holdup” at 3620 North Grand Boulevard (Egg Roll Kitchen). Upon our arrival, we were met by victim, Terence Kimbrough, who advised us of the following:

Client is experiencing symptoms congruent with Bipolar I Disorder. Client has experienced delusions and has a tendency to engage in all or nothing thinking. Client is attempting to move forward following an assault charge, arrest, and prolonged 8-month stay in a psychiatric hospital where he obtained long-term inpatient care. Client reports intensity and tension at home due to his dichotomous

Ms. Jeffries is a sixteen-year-old Africa American male who is being referred for intensive in home services by his biological mother. Ms. Jeffries mother reported within the last thirty days he has exhibited the following psychiatric problems: often loses temper (3-5x weekly); easily annoyed (Daily); often argues with authority figures and adults (daily); and refuses to comply with simple rules and request (3-5x weekly). The above-mentioned symptoms are present in the home and school setting and have impacted Mr. Jeffries’s level of functioning at as evidenced by not being able to receive the necessary allotted hour in the classroom setting and impacted his ability to recognize personal danger which has resulted in pending legal charges. When

Client while living in his current foster home displayed inappropriate behaviors which include him becoming aggressive towards other, property destruction and cruelty towards animals. The client behaviors were a result of him not living with his bio parents and the process of him being adopted by another family. As the client’s behaviors started at the age of 4, his most recent behaviors suggested that he receive IOP therapy. During the summer of 2015, the client took forks from the house and threw them over a fence towards neighbors having a BBQ. The client has history of taking knife and trying to stab a neighborhood kid outside and his brother while in their home. In addition to the incident within the summer of 2015, the clients took rocks

Addie is a new sixth grader who lives with her mother in upstate New York. Addie's life has been filled with suffering, but Addie seems to have survived the hard times with a good attitude and a generous heart. Addie and Mommers (her mother) have just been moved into an old trailer by Mommer's ex-husband, Dwight. Dwight and Mommers have been divorced for some time and share two daughters between them, Brynna and Katie. Addie is Mommers' daughter from a previous marriage. Mommers has finished the money Dwight gave her and their house has been foreclosed on as a result. Brynna and Katie now live with Dwight while Addie lives with