Mentally Ills Case Study

On 12/27/16 I was faxed 26 pages of the initial evaluations and treatment plans, from the Lighthouse, speech, physically therapy and counseling all provided reports.

Travis exhibited no overt evidence of a severe psychological disturbance in need of immediate psychiatric hospitalization as grossly assessed by this examiner’s observations. He did not appear to be suffering from a psychotic illness, as his thought patterns seemed coherent, logical, and goal directed. The youth did not display or report any delusions, preoccupations, or obsessions. During the interview, Travis appeared to have issues with his attention as he was observed fidgeting in his seat and occasionally playing with his toy. Notably, Travis reported he is easily distracted and sometimes has trouble concentrating or staying on track. He further related as a coping strategy he counts to five and practice deep breathing exercises. The youth’s overall mood and affect were euthymic and of normal range and intensity. Travis noted he has experienced sadness once, when he had to put his dog down last year. He noted he tends to worry about natural disasters. Importantly, Travis denied experiencing any prolonged periods of anxiety, sadness, hopelessness, worthlessness, and/or disturbances with his appetite. He also denied symptoms of posttraumatic stress disorder including nightmares, intrusive thoughts, lack of interest in meaningful activities, and/or a sense of detachment from others. The youth denied having suicidal/homicidal ideation plan or

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

She lives in her own home and gets around easily and unassisted. She does wear glasses and can be a little hard of hearing at times but her comprehension is intact and she is very active. She does state that she has shoulder, hip, leg, and foot pain as well as pain caused by arthritis, but for the most part she tries not to let it interfere with her daily life. She had worked as a CNA for 30 years before retiring, so there’s a lot of wear and tear on her body.

husband, who was a doctor, ignores the problem and put her in an isolated house so that she can

On the 19th December the patient was transferred from Daisy Hill Hospital to a specialist Neurosurgical unit in the Royal Victoria Hospital. On admission to the neurosurgical unit the Glasgow Coma Scale (GCS) was 14/15 and she had no neurological deficits with the nerve, spinal cord, or brain function, although she was still complaining of neck stiffness and pain in head. Although the CT scans showed no evidence of subarachnoid haemorrhage, due to her very strong history the patient was referred for further imaging through angiogram techniques. This included use of catheters inserted under the skin to provide a contrast material which was detected through the use of magnetic resonance imaging scans (M.R.I). The results for these again showed no evidence of a recent bleed.

Charlsie is a 20yo, primigravida, who is currently 20 weeks 5 days as dated by LMP consistent with a 9-week scan. She is healthy. She had a complete sequential screen that was screen negative with a risk of Down syndrome of 1:100,000. Her analytes were within normal limits. She had her anatomic survey at your office and was noted to have an echogenic intracardiac focus (EIF) and was sent for further evaluation.

The reliability of this instrument was exceptional. The PHQ-9 scored a 0.89 Cronbach’s Alpha within the Primary care setting and a Cronbach’s Alpha of 0.86 in the Obstetrics and Gynecology setting. To test reliability a test-retest was done using follow up phone interviews with a Mental Health professional in a trial of 580 patients. This test was performed within 48 hours of the original PHQ-9. The Cronbach’s Aplha was 0.84 for the test-retest. The means score for the clinic samples was 5.08 and 5.03 for the telephone interviews. The reliability appears to be great for this instrument and has similar results in different settings.

According to the paper by Rose et al. (2006), an important finding of the study on caregivers of mentally ill family members was the significant amount of grief and sadness expressed by the caregivers, especially the parents (Rose, Mallinson, & Gerson, 2006). The reason for this sadness was the wish that the overall daily functioning of the patients could be improved, in order to better their quality of life. Upon analyzing the research and data from this study, researchers suggested that because of the distressing experiences that were dealt with as a result of their family members acute illness episodes, caregivers were satisfied that these instances were no longer occurring as often, which led researchers to believe that grief and sadness coexist with a sense of acceptance of the past, and a positive outlook on the future.

Mental illness is an important Public Health issue that needs to be addressed immediately. It is an overlooked health problem among many people. According to Henderson et al., (2013), over 70% of people suffering from some type of mental illness across the world do not receive medical treatment or care for it. People with mental illness are more likely to have their treatment and care avoided or delayed. One of the major problems associated with the lack of access to mental health care is discrimination and stigma towards mental illness. Thus, mental health patients often avoid seeking help for the services and care that they need (Henderson et al., 2013).

Deinstitutionalization, which occurred in the latter half of the twentieth century cause adequate mental health services to be insufficient for the mentally ill population. Mentally ill individuals were send back to society despite of their prevailing circumstances. The lack of assistance made mentally ill individuals to commit a high percentage of crimes due to their state of mind. Mentally ill individuals who had committed crimes were being incarcerated instead of forcing them to receive mental health treatment. According to Schneider (2008) the percentage of mentally ill entering the Criminal Justice System has increased 10 percent per year over the last decades. The rapid increase of mentally disorder inmates has caused prisons to obtain the responsibility for mentally ill individuals and provide them with basic mental health services. However, prisons are not providing the adequate mental health treatment which in result causes mentally ill individuals to continue with their insane behavior after prison time. The recidivism rate is higher than 50 percent among the mentally ill prisoners who are released (Collins, 2015). The revolving-door- like fashion system which causes mentally ill inmates to return to prison indicates that the need to provide services outside of those institutions for offenders is necessary. Mentally ill individuals have continuously increased in prison population because courts have been implementing the idea that criminals should receive

The care for the mentally retarded has changed over the years from being housed with the mentally ill to now large for profit companies (Borden & Cooper, 2002). Using Porter’s Five Forces Model to study the care of the mentally retarded may show that for profit companies may be only a small margin better than the conditions found in the mental institutions prior to the 1970’s.

Received a call from Stephanie. She wanted to complain about her son, Evans, who is mentally ill, is not receiving the right services. She stated that she got a court order back in February, to have her son placed with resources and services. She stated what she got so far is a mentor only, and that is not Ok.

1. Neurotransmission can have a great impact on human behavior and this is shown in Caspi et al. done in 2003. He took 1037 26 year old New Zealander participants and he aimed to see the role of 5 HTT in depression after stressful events. He tested the participants to see if they carried the gene 5 HTT or the mutation with short alleles and depression was tested via self-report. They found that the mutation correlated with the onset of depression after a stressful event. This may indicate that genes play a role in behavior like depression. So the 5 HTT gene is correlated with the onset of depression. Neurotransmitters can play a role in the onset of mental illnesses along with environmental factors. They used self-report so the participants

The patient is 75-year-old lady who is brought in by her son for evaluation. He said she was in her usual state of health this morning when she woke up at 7am. Her son described her speech was slurred. She went to the bathroom and heard her fall, but there was no loss of consciousness, it was unwitnessed. When seen in the ED by the admitting physician she said she was feeling well and that she was able followed commands, speech was back to baseline and she denied any chest pain. Laboratory work was completely unremarkable. Past medical history is significant for depression, hypertension, schizophrenia and previous TIA. PT notes are reviewed, which revealed the patient has decreased functional mobility. She states she is mostly wheelchair-bound.