Primary Clinical Intervention: A Case Study

Lauren Smith is a five year old Caucasian girl who is demonstrating anxiety when separated from her mother. The family was referred to this service by their pediatrician. Over the past few months, Mr. and Mrs. Smith report Lauren has become increasingly troubled when being separated from her mother. She cries while clinging to her each morning before school and her father describes having to “pry her off” and carry her to the car. Lauren’s parents are also concerned with regressive behavior; she is speaking more often in third person when referring to herself, and she has also begun wetting the bed nearly every night. Mr. and Mrs. Smith had a conference with Lauren’s teacher two weeks ago at which time she told them Lauren was having difficulty concentrating and completing her work. The teacher also voiced concerns about her lack of interest in participating in group activities; she appears to prefer to play by herself. The parents report that Lauren is otherwise healthy and has been meeting age appropriate developmental milestones.

Tier II: Everyone at the meeting signs and agrees with Tier II intervention. Teacher does progress monitoring. Teacher will use a program to help the student more effectively, it will be more formal.

This pilot program is required to be implemented in not less than five Veterans Integrated Service Networks (VISNs). The program includes community oriented veteran peer support networks that will provide peer-support training guidelines and the development of a network of veteran peer-support counselors that are trained and readily available to veterans. Also creation of community outreach team for each medical facility that will assist veterans transitioning into communities, establishment of an veteran transition advisory group to facilitate outreach activities, collaboration with community and government organization to help provide thorough services to veterans, and coordination with the VISNs to carry out an annual mental health summit to assess the veteran mental health programs an care and to develop new means to providing services (Clay Hunt Suicide Prevention Act, 2015). Evaluation of the community outreach pilot program is required 18 months after its initial inception and the final report is required 90 days before the dissolution. The pilot program is for a term of 3 years (Clay Hunt Suicide Prevention Act, 2015).

Therefore, Spelman, Hunt, Seal, & Burgo-Black (2012) recommend that the best practices for care should consist of an interdisciplinary approach involving integrated teams of primary care, mental health, and social work providers which can normalize and de-stigmatize mental health treatment. Recognizing that co-located, interdisciplinary care may not be feasible for many providers, they suggest utilizing local resources and facilitating interagency collaboration with local Veteran Centers or with the VA (Spelman et al., 2012).

The National Council is an organization helping people with addictions to veterans with behavior health issues such as PTSD as well as spreading awareness and educating on mental first aid. The National Council for Behavioral Health prides itself on being the unifying voice of America’s mental health and addictions treatment organizations. Partnered with approximately 2,500 member organizations, the National Council claims to be committed to all Americans having access to high-quality, comprehensive, care that explores unlimited opportunities for recovery. The National Council brought Mental Health First Aid to America and has documented that more than 500,000 individuals have been trained as a mental health first aider. The National

Overview of the Assumptions of the Intervention (This Includes Limitations): The research is inconsistent, researchers have failed to acknowledge numerous issues, the lack of advocacy at the state and federal levels, which leads to lack of funding, therefore leading to a low number of these systems being implemented, which leads to disparities in services/treatment/interventions, which overall leads to poor quality of patient care. There is currently an issue with getting veterans to seek these services because they have a whole other added element to their illness (es)…

Integrating mental health services into the PC setting is believed to: increase the likelihood people in need of mental health services will receive treatment, improve the health of the entire patient, and reduce the overall use of healthcare services resulting in a cost reduction. (Brawer, Martielli, Pye, Manwaring, & Tierney, 2010) These benefits have been of particular interest amongst the veteran population, where the rates of mental illness are increasing steadily. (Seal et al., 2011) Goals of integrated healthcare systems include identification and management of mental illness, such as substance abuse, post-traumatic stress disorder (PTSD), and depression. (Bohnert, Pfeiffer, Szymanski, & McCarthy, 2013) Large trials

Intervention/Response: CM received a called from Corporal Williams on Prichard Police Department stating she needs to meet with consumer. CM informed Corporal Williams she will give her a call once she makes it to consumer home. CM traveled to consumer home for the purpose of monitoring and assessing needs. CM was accompanied with CM Shamaiya Williams. CM arrived at consumer home and knocked on the front door. Consumer answered door and met with CM on the front porch. CM contacted Corporal Williams and informed her she was at Consumer home. While waiting for Corporal Williams to arrive CM and consumer discussed consumer medications regimen. Consumer has been taking her morning medications. CM educated consumer on the importance of her taking

The term integrated interventions refers to specific types of treatment strategies, or specific therapeutic techniques that address interventions of two disorders which is usually combined into one interaction, or single session, and sometimes into multiple sessions. First it must start off with an integrated screening by a substance abuse counselor, and if a co-occurring disorder is identified by a mental health counselor. This would offer the client the proper assessment and process for the best level of care needed. There is also the dual recovery, mutual aid self-help groups and meetings. This is usually an independent, twelve step, and self-help type organization. Helping those with a combined alcohol dependence and an emotional or psychiatric

According to Friedman (2014), the quality and productiveness of clinical care have become most important in many Western countries as the cost of health care continues to rise. Public facilities such as clinics are advice to assess and improve their treatment services as well as tools to target evidence-based practice interventions (Levy et al., 2014). On the other hand, treatment effectiveness, clinical accountability, higher standardization, and cost-effectiveness is another important factor to the administrators, policymakers’, clinicians, and patients alike, complexities comes when controlling what evidence is contemplate acceptable. Some researchers in the field of psychotherapy have suggested that clinicians are not well-enough trained

According to Hah et al. (2017), several studies have shown that nerve blockade of the central nervous system (neuraxial anesthesia) or peripheral nerves (regional anesthesia) reduce the need for opioids in the immediate postoperative phase. There are two mechanisms through which nerve blockade reduces persistent opioid use. First, nerve blockade works by impeding the transmission of pain during the perioperative phase and thereby stopping central sensitization and chronic neuropathic pain. Second, nerve blocks are effective in treating postoperative pain and are good predictor of persistent opioid use. Similarly, studies found that intravenous local anesthetic such as lidocaine reduces perioperative opioid

“Encourage the patient to drink as much as possible and reduce drinking in the afternoon.

Does using the chlorhexidine-impregnated (CHG) dressings for coverage of the central venous catheters (CVCs) insertion site prevent catheter colonization and reduce the rate of central line-associated bloodstream infections (CLABSIs)?

The global population is divided into different sections that have special needs and in the same way they need to be supported and assisted in a unique way. From the perspective of the health care worker, the idea of needs varies significantly based on location and principal factors associated with the individual in the society. The needs can be addressed by understanding the primary cause related to a particular issue rather than generalized interventions. The nursing interventions are critical in offering the unique support required by the individuals requiring the interventions (Westphal & Convoy, 2015). The veterans have been identified as a special needs population. Therefore, the method used for intervention should be special considering

In regards to patients that are resistant to the first dose of IVIG, in the video Dr. Bookstaver agreed to giving the patient a second dose, but this might not be an appropriate option for some patients due to cost restraints.