Out Patient Mental Health Facility Essay

Thank you for giving me your insight on working in an outpatient facility. I really appreciate getting other's opinions about careers in the different available medical areas. I'm unsure right now which area that I'm more interested in working, but the outpatient facility and payer facility areas both seem intriguing to me. I like the idea that you stated of getting to know the patients on a more personable level and seeing them improving daily in their condition. It sounds very interesting and rewarding.

Why do you believe you are a good candidate for the Clinical Mental Health Counseling Program at Argosy University?

In 1955, over 559,000 individuals resided in inpatient psychiatric hospitals. By 1995, however, the number had drastically diminished to 69,000, (National Health Policy Forum, 2000). This drastic reduction was largely due to the discovery of antipsychotic medications in the 1950s, and the deinstitutionalization movement of the 1960s, wherein several thousands of mentally ill individuals were released from psychiatric institutions to return to their communities for treatment. Mental health centers (MHCs) were conceptualized during deinstitutionalization to provide treatment to these newly-released mentally ill persons in their communities. Although efforts were well-intended, the MHCs failed to serve the

As I conducted my interview with Andrea Williams, I learned that she has been working at this particular Psychiatric Residential Treatment Facility by the name of Pecan Grove Therapeutic Group Home for Girls about a year in a half. This facility is located in Lyon, Mississippi. There are a total of ten people working there including herself. I asked series of questions to familiarize myself about the importance of her job as a director.

FSH will have the Director of the program who will operate as the staff who attends all the meetings with the state regarding the movement of all eligible individuals for the program. The director is also in the position of holding the vouchers and monitoring the slots the state has issued for the program. The director will also monitor the referrals and forward eligible referrals to the Program Manager. The Program Manager is to follow up with each referral to FSH program and perform the initial assessment. Once the assessment is complete and it is determined the individual is eligible, the Program Manager will assign the individual to a Psychiatric Rehabilitation Counselor (PRC) who will then engage the individual in Brief Visit(s) (BV) to assist the individual in familiarizing them with the community and assist them in the process in finding housing. The process is 21 days and the individual will become a consumer within the program and be assigned a

The role of a correctional treatment specialist is to help convicts successfully reintegrate into society, according to the Bureau of Labor Statistics. Typically, correctional treatment specialists, also known as case managers or correctional counselors, evaluate probationers and convicts to determine how to best rehabilitate them into society. They evaluate clients via psychological testing and questionnaires to develop release plans for clients to follow. These plans often include job training and or psychological treatment based on the client’s needs. However, correctional treatment specialists also connect clients with basic social services such as housing. In addition, these specialists keep written accounts of the progress of each client and has the responsibility of explaining the terms and conditions of a prisoners release

What comes to mind when you hear the words “insane asylum”? Do such terms as lunatic, crazy, scary, or even haunted come to mind? More than likely these are the terminology that most of us would use to describe our perception of insane asylums. However, those in history that had a heart’s desire to treat the mentally ill compassionately and humanely had a different viewpoint. Insane asylums were known for their horrendous treatment of the mentally ill, but the ultimate purpose in the reformation of insane asylums in the nineteenth century was to improve the treatment for the mentally ill by providing a humane and caring environment for them to reside.

Secondly, the DD provider will conduct behavioral assessments on the disabled persons assessing the number of staff and supports needed to serve people with disabilities across the state, in Day Service Centers, Extended family Homes, and Group Homes (dhhs.ne.gov). Then, the DHHS Service Coordinator reviews and approves assessments completed by the DD Provider. Depending on the disabled persons community employment needs, the DHHS Service Coordinator will send a referral to Vocational Rehabilitation (Voc Rehab) for community employment opportunities (S. Jones, personal communication, August, 7th, 2017).

On the micro level Johnny is dealing with individuals inside and outside of the residential treatment center. On the outside Johnny has his mother and father. Johnny’s mother has been a source of stress as well as support. She cares about his wellbeing and is a willing participant in family sessions. Johnny’s father has refused to come to family sessions, which is very upsetting to Johnny. Johnny’s father is an active substance user. Also outside of the treatment center is Johnny’s probation officer, Joe. Joe is supportive of Johnny being in treatment and keeps a close watch on the progress notes and any incident reports he receives.

Tri-County Regional Hospital is becoming the cornerstone of the community as the hospital has shown growth and opportunity specifically as it relates to Behavioral Health. Pat has demonstrated great management skills and success by being promoted from manager of Tri-County Regional inpatient behavioral health unit to fill the role of Director of Behavioral Health Services as well as becoming the new Director in the Allied Health Services Division of the hospital within a year timeframe. More importantly, while Pat served as manager, he made several key improvements such as improved patient care, increased average utilizations, increased repeated referral rates and improved employee satisfaction and retention. Most recently, Pat was recognized for having a successful first quarter 2018 rollout of a treatment program in the Behavioral Health Intensive Outpatient Program. These are indeed great accomplishments and it appears that Pat is not done as he is interested in opening a local psychotherapy group practice which will provide a therapy option for current and former patients that received mental health treatment from the unit as well as referrals from the community.

As previously mentioned in my introduction post, I work for a state agency department called BHDDH. The program is for Adults with Mental Disabilities and Special Health Care Needs (Clients), division of RICLAS. The health and safety of the clients should never be compromised for any reason. Unfortunately, due to insufficient staffing as well as lack of policy and procedure, the functionality of the homes have not been operating properly and has been effecting the health of the clients.

On February 22, 2017, I woke up to my sister. Claiming she felt no sensation in her legs. I assumed it was one of her other excuses in order to not go to school. I continued getting prepared for school thinking she was messing around. Next thing I know, she's on the floor, dragging herself to the bathroom. Then is when I realized she was being serious. I called my mom to get out of work as soon as possible while I was at school.

The first step in her treatment is to get her to process the migration change and the loss of her friend. I would do this is by doing intense case management doing home and school visits to check in with Kay. The next step would be getting her to disclose if she is doing drugs, and if she is which is likely I would place her in a residential treatment center. If the family resist I would explain to her the benefits of she being placed in a residential versus out patient, and the best part is that none their family members would know, they can tell them she is going to boarding school.

Analyzing the journey of a hospitalized patient is imperative in nursing practice in order to produce holistic, strengths based care (Gottlieb, 2014). When examining the patient and his or her journey, it is crucial for the nurse to explore many factors including the patient’s personal history leading up to admission, the unique and individualized care plan, impacting strengths and gaps within the healthcare system, as well as the factors affecting discharge care and planning. For the purpose of this paper, a patient by the name of Anna will be explored in order to highlight essential aspects associated with providing holistic care.

Belinda is a 17 year old European female that has been referred to youth mental health outpatient service by her general practitioner due to concerns that her parents have expressed. Over the past six months Belinda has started to isolate herself from her parents and friends and has been observed talking to and at times becoming quite aggravated at herself. Belinda believes that her parents are trying to poison her and therefore will no longer eat their cooking and has got a BMI of 16.85 (BMI calculator, n.d.). Apart from a low BMI Belinda’s observations appear to be in the normal ranges with a pulse of 86 and blood pressure of 125/75. She has gone from doing extremely well at school to showing little interest and her grades have decreased greatly. This essay will discuss possible diagnoses for Belinda’s behavior. Although there is insufficient information to make a definite diagnosis for Belinda at this time. These three possible diagnosis will need further investigating and time spent with Belinda monitoring her actions, behavior and thinking processes before a definite diagnosis is given.