Mental Health 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.

: Met with client before IOP group this date for ISP review, and to address overall treatment progress. Presented a good attitude and engaged well in the conversation. Reported no use of Methamphetamine or other substances, C/S date as 2/28/2018, although UA on 03/21/18 was positive for methamphetamine. Client reported he is excited that he is in treatment, stating “I never been to treatment before. I would like to learn about the addiction, but I am also affair of treatment because I am worried that I won’t make it.” Client reported main arears of concern is “staying clean and sober and complete treatment”. Stated “My ex-girlfriend is not supportive, and she drives me crazy. I work and pay the bills, but she never happy. She asked me to do this to do

Pt.'s urine drug screen results at the time of discharge reflect a pattern of heavy opiates use since his admission to the program. Pt. is heading down an unhealthy path likely to lead to legal issues and serious emotional and physical complications due to sudden discontinuation of treatment services. At the present time Patient is aware of some pros and cons of substance abuse but feels ambivalent about change unless he has entered another substance abuse program. Pt. also failed to deal with the stress that occurs due to his financial difficulties. Pt. discontinued attending without warning or

Robbins and Judge define "attitudes" as “evaluative statements or judgments concerning objects, people, or events.” Jessica’s attitudes towards her job switched from favorable to unfavorable after a change in policy. Henceforth, she was less productive in her job and expressed signs of low job satisfaction. After leaving her Mental Health Technician position for a job in Counseling, she was able to return to her normal, happy and productive self. This case study illuminates the direct correlation between job performance, job satisfaction, and attitude.

MR has unlimited access to group and individual counseling at New Beginnings. It was recommended MR visit a psychiatrist to be assessed for medication. MR does not believe he needs to be on medication, however resources were still given. MR would benefit from medication immensely. He would be able to think clearer and communicate better. It was also recommended MR attend Narcotics Anonymous (NA) meetings daily. After a group session at New Beginnings, all of the clients attended an NA meeting. MR stayed in at the NA meeting for two minutes and then went home. MR does not want to attend NA meetings because he believes he is getting enough help at New Beginnings. It would benefit MR to hear others stories about how drug use affected

Pt. has been participating in the AMS program since 6/17/14. As the Pt. has participated in the AMS Program, he has maintained his full commitment to abstinence and his last 34 UDS results indicated no evidence of ongoing opiate abuse. Pt. demonstrated treatment maturity and high sense of responsibility by reporting weekly to receive health sustaining medication services, achieving dosing stabilization, sustaining pattern of abstinence, supporting his family. Patient remains an active participant in group discussion and has found the birth of his new daughter an intrinsic motivator for sustained recovery plan. He maintains a 0 balance and remains off of administrative taper for financial non-compliance. Pt. has been able to maintain full-time

I: CM used open ended questions to inquire about the client’s missed appointments with LAMP VASH. CM questioned client regarding updates with his social security payment. CM discussed a plan with the client that will help the client prioritized all of his housing appointments. CM explained to the client the importance of keeping all of his housing options available by attending all of his appointments and meeting all of the requirements.

Monica is forty-eight years old white female who has experienced mental health concern for the last eight years. Monica also reported that she had nine years sober at the onset of her diagnosis of Bipolar disorder and had a professional job as a legal secretary. Monica report being in a committed relationship with her partner of three years. Monica report being bisexual and had been married and had been divorced from husband about seven years. Monica said she was going through a lot of change and highly stressed, with her family about her lifestyle and them being not accepting of her choices.

She expressed about how much she does not like the substance; however, she struggle stopping her use. Alternatives were discussed in the past and clearly, the patient knows the answer to resolving her triggers point, but still uses. Please note, the patient discussed about pleasure point of which she learned from the Cocaine Group as an explanation to her addiction. Then this writer questioned the patient about who she was as a person before her addiction and what she will need to do be that person again, but better as a recovery addict. This conversation led the patient to get emotional during the counseling session as she discussed the risk factor for her ongoing use, referring to losing her child again to DCF. This writer validated the patient's feeling, but again and as always, advised the patient to take her recovery seriously for the sake of herself and her daughter.

Counselor met with Pt. for a monthly individual session. Counselor and Pt. discussed his recovery progress and his treatment plan update on 2/24/16. Counselor started the session greeting him and his one year old daughter, and asking whether he has used any illicit drugs since the last session. Pt. indicated that he used marijuana yesterday, 1/12/16. P. verbalized that the last time he used cocaine was 2 weeks ago. Counselor asked about how he is responding to his current methadone dosage (55 mg). Pt. reported that he has been taking his presribed medications as instructed by AMS Doctor without any negativeside effects, behaviors or resistance. Participant denied having any medication problems at this current time. Counselor encouraged him

Psych/Mental Health: On 6/30/17Jy’Nir diagnosis by Dr. Sharief Rubina with F31.9-Bipolar Disorder, Unspecified; F90-Attention-Deficit hyperactivity Disorder; F91.3-Oppostional Defiant Disorder. He is currently on the following medications Abilify 10 mg, Clonidine 0.1 mg and Depakote 125 mg and 250 mg. On 6/14/17 Jy’Nir was placed on the CCIS unit for due to aggression and expression of suicidal ideation. This is Jy’Nir third hospitalization since May 2017. Jy’Nir has an extensive history of trauma related to multiple foster placements and biological mother broken promises she makes to youth. Jy’Nir has had extensive community based treatments that have created minimal progress. It has been clinically recommended that youth is needs a higher level of care. OOH was recommended by Beth DuVall, LSW and her clinical team at Trinitas Hospital CCIS Unit. CFT is in agreement with clinical recommendations. Jy’Nir

D-According to the patient she hasn't used any illicit drugs for the past three days, at which this writer commends the patient. This writer discussed the patient 4 months of UDS result as she continues to test positive for heroin and cocaine and her reasoning for her use is due to her anxiety attack. The patient reports that her PCP conducted a referral for the patient to be seen at Brownstone Behavioral Health on 05/05/2016.The patient was advised about the concerns surrounding her footwear as the patient is not wearing proper footwear to help her with her walking. The patient reports that the program director of the clinic spoke with her again about the matter. In addition, the patient reports she is going to see her PCP on 04/5/2016 to

On October 22, 2015, David P. Gersch, Stephen E. Fenn, Victoria Killion, and Nicole B. Neumann (Arnold & Porter LLP) Washington Law Firm; and Witold Walczak & Paloma Wu (ACLU) of Pennsylvania filed a federal class action lawsuit J.H. v. Dallas, on behalf of hundreds of individual with severe mental illness against The Department of Health and Human Services. These individuals were deemed unfit to stand trial, and awaiting “competency restoration treatment” in jails and solitary confinement. In these circumstances individuals would normally be placed in two state hospitals, Norristown in East Pennsylvania and Torrance in West Pennsylvania to receive needed mental health care, then for most cases to stand trial (ACLU, 2016) (Smith, 2016). However, due to the lack of treatment resources and accessibility, these newly categorized

The ARC recognized your strong leadership and MHA of NorCal for its “Mental Health Matters” monthly television show that educates the community about mental health services and supports in Sacramento. MHA of NorCal was also acknowledged for its statewide coordinated efforts for peer support training and technical assistance and the ability to manage 50 peer support groups. The ARC did note that MHA of NorCal could benefit from board development

Counselor met with the client for his 1x1 session to discuss his new treatment plan. The client will be working on regarding complying with his obligations . Client to complete his program for starts. he then begin to understand the danger his had placed his child while doing and cooking meth. Client will process his thoughts in the group with his peers and get feedback. A) Client at this time seemed to be okay with his treatment and had agreed to process his thoughts in a group setting with his peers. P) Client will meet back with his counselor next week to discuss the outcome of his sharing with the group and what are his plan regarding becoming a productive member of society. CADC Yolanda Smith