Pt. As A Role Model

I had all of the diagnosis. The only thing that I did not have was increasing the medication from 10mg to 20mg. I just decided to go up to 15mg. AAP guidelines state that all criterial of DSM-IV are met and all other causes are ruled out. Information should be collected from parents, teachers and possibly other mental health professionals. If the patient has multiple teachers, then at least 2 teachers should fill out paper work. Evaluation should include possible coexisting conditions. These conditions include anxiety, depressive disorders, tics, and sleep disturbances. This is a chronic condition and patients should receive behavior therapy with medication administration (Hauk, 2013). I would ask about any sleep issues. He could be suffering from insomnia.

A: MHP discussed with Ty’Kevinyon the importance of interacting with his peers. MHP advised Ty’Kevinyon to verbalize how his behavior impacts others. MHP advised Ty’Kevinyon to verbalize connections between thoughts/feelings and behavior. MHP recommended that Ty’Kevinyon increase positive social interactions at home and in his community. MHP advised Ty’Kevinyon to make two positive self-statements each session. MHP advised Ty’Kevinyon to increase the times he makes self-affirming statements. MHP recommended that Ty’Kevinyon identify and discuss personal strengths each month in the sessions. MHP provided reinforcements for positive behavior and better social skills.

PO was on time and moderately participated in the group activities. PO demonstrated an understanding of the topic by sharing some of his personal maladaptive thinking with peers, such as “Putting people down, blaming other people, and unconcerned about how other people are affected.” PO was engaged well in the group process today. PO had a positive response to treatment.

Per report from mother pt have demonstrated erratic behaviors and unstable emotions since the change in living arrangments. Per report from mother the Pt have been demonstrated violent behaviors (e.g. kicking, hitting, spitting, throwing items) towards mother and (13) sister. Per report from mother pt have been demonstrating self injurious behaviors (hitting self in the head, pulling hair out). Per report from ther pt have been demonstrated property destruction in the home where she has thrown items and taken them apart. Per report from mother pt does not have any triggers for maldaptive behaviors or mood swings. Pt reports her anger

PO attended group on time and had a moderate level of participation in the group activity. PO shared personal experiences about how to switch negative thoughts to a positive one, stated “it’s hard to change the way I react to my thoughts, but I know it is possible. I have to replace my negative thoughts with more productive ones”. PO demonstrated an understanding the connection between thoughts, feelings, and behaviors. Good treatment progress.

McCoy Group topic: Coping with High Risk Situations Group activity was focused on learning skills necessary to cope with high risk situations. Group members were to discuss how to plan ahead to avoid/prevent relapse. PO had a moderate level of participation as evidenced by completing the worksheet, and

2. Goals for the intervention: Check-in with the clt about his participation in the program, as well as build a rapport

P: Ty’Kevinyon will be open to weekly meetings with the MHP. A: MHP educated Ty’Kevinyon on why meeting with the MHP was important and valuable. MHP defined engagement and the engagement process. MHP provided information to illustrate the benefits of engagement and socialization. MHP instructed Ty’Kevinyon on the importance of being

Case management services were provided through an FTM (family team meting) in the youth’s home. Present at the meeting were WYP (Wraparound Youth Partner) Andy Ngo, WYP Vicky Tran, WPP (Wraparound Parent Partner) Shannon Ortiz, WCC (Wraparound care Coordinator) Jody Taylor, SSW (Social Services Worker) Stacey Padilla, the youth’s grandfather, the siblings, and the youth. The team went around sharing about the successes and the positives (what is working well), The youth is getting tutoring at school and in the home. The kids are doing their chores. The sisters look up to the youth as a role model. The youth does not have any behavior issue with WYP Ngo. The grandfather was at court on October 12th, 2016 to adopt the kids. The next court date

Counselor met with Pt. for his reschedules individual session and to discuss his current recovery issues and plan dealing with Relapse Prevention Strategies. Pt. reported that he is currently taking 40 mg of methadone and he is responding well. Counselor inquired if he has used any drugs since the last session, which he replied no. Pt. denied having any suicidal ideation and no mental health issues. Pt. reviewed his TX plans without objections. During this week, Pt. has been violating program rules and receiving several verbal intervention form AMS staff especially nurse. Pt. explained his struggles trying to provide a urine analysis because he is sick. Pt. indicated that he is dehydrated and he couldn’t urine when ask to do so. Pt. claimed

I want to serve as a Resident Assistant because I value the importance of making a difference in the Saint Mary’s community, as well as serving as a peer leader who builds community and serves as a voice for their residence. Building an inclusive and cohesive community is very important. I want to ensure that the college living experience is a positive one and serve as a positive role model, just as my resident assistant has. Building healthy relationships with your residence, hall director, and fellow residence staff is very important. It is important to show others that you are approachable and a person who can deal and trust with during diverse situations. I will exemplify the Lasallian Core Traditions, by demonstrating a sense of belongingness

Relator – Building strong customer relationships has helped me to overachieve my professional goals. Understanding and working with a customer on a project to achieve a common objective has been a practice that has strengthened my negotiation and empathy skills in my professional career.

Counselor met with Pt. for an individual session. Counselor and Pt. discussed her progress in treatment and description of her medication compliance. Pt. reported wanting a higher dosage of methadone to side effects (cold). Pt. mentioned that she would like to switch to Vivitrol medication because she is going to move with her mother house in Lewes, DE and she cant come to the clinic everyday. Pt. requested, discussed and completed an AMS Modality Switch form. Counselor encouraged Pt. to talk about her current triggers and possible solutions she can plan ahead of time. Pt. stated, "I have no triggers." Counselor elicited the client’s perceptions on her several positive urine analysis. Pt. indicated that she use crack cocaine when she is depressed.

Response: Ty’Kevinyon appeared to be in Rapport was established and adequately maintained during the session. His grooming was adequate, and he was cooperative during the session. He made good eye contact and his affect was normal. No S/H ideations. Ty’Kevinyon stated that his day was going well. He mentioned that he still deals with problems at school. He noted that his peers try to provoke him to do wrong and get in trouble. Ty’Kevinyon reported that he was involved in an argument last week. His mother stated that his behavior was still a concern. She mentioned that he gets angry extremely fast. Ty’Kevinyon agreed to use the strategies provided by the MHP. He seemed to enjoy the strategies for anger management. He stated that his family has been supportive. No at-risk indicators noted. His overall progress with this treatment was good. Ty’Kevinyon stated that he will exhibit positive behavior this

Lace began her PSAV career in 2013 at the Hilton Austin in Austin, Texas. Starting off as a Night Lead and lighting technician, she soon moved on to Sales and has flourished ever since. Her favorite part about sales is collaborating and getting creative with the client. Before PSAV, she worked as a lighting designer and technician for theatre in San Diego, for 15