The Case Of An Explosive Ordinance Disposal Personnel

SOCIAL HISTORY: Patient admits alcohol ingestion nightly and on weekends. Denies tobacco use and illicit drug us. He is married.

For example, a medic, Doc Krebbs noticed that he was having psychological problems while deployed. He reported himself as a danger to his unit and went to talk a psychiatrist on base. He stated that he did not feel that he should be allowed back on the field. However, the psychiatrist declared him fit for duty that same day after the appointment. An additional health disparity in veteran’s health is that there is limited access to psychiatric medications in the field, which can lead to withdrawal

Claire: 33 year old female lives with sister and second cousin. client was terminated from last job for

The client is identified as Kevin, a 14-year-old male from Honduras. Kevin left his family

He has been diagnosed with Persistent Depression Disorder, which is self-reported to have gotten worse since the TBI. The veteran has attempted to make appointments with a psychologist at the VA, but he reports that those appointments have been canceled. He wears hearing aids and has a knee injury, which he will have surgery on in the future.

CM was out on vacation for the period of 5/2/2016 to 5/9/2016. On 5/19/2016, CM met with the client to update Assessment and to complete Other ILP Review. In the meeting client appears to be friendly and cooperative. She appears to have some cognitive impairment. Client reported WECARE/Wellness referred the client to see Dr. Larissa Lempert/Neurology. Next upcoming appointment is scheduled for 5/26/2016. During the meeting session, client was dressed appropriately for the weather and had good hygiene. She ambulates with a cane due to leg problem. Client affect was flat. Client denied suicidal or homicidal ideation.

On 12/22/2015, CM normally meets with the client every Wednesday but client walking in the social services office stating tomorrow she will not be available to meet for face to face meeting because she will be going apartment hunting. CM completed Bi-Weekly ILP Review and provided client with a list of broker name and telephone numbers. In the meeting client was dressed appropriately for weather. She appears cooperative and friendly.

P- CM will continue to provide emotional support to client and monitor him for any increase in depression or anxiety. CM will address the sleep apnea machine dilemma to his supervisors, and look into getting dental assistance through the VA for the client. Client has agreed to continue participating in art group and Monday Night Football to help him cope with depression and anxiety. Client also agreed to return to the Bob Hop Patriotic Hall to start his application for getting “Veteran” status on his driver’s license, within the following week. Client has agreed to return LA Family Housing to schedule his CES assessment

On 8/12/2016, CM met with the client to complete Bi-Weekly ILP Review. In the meeting CM observed that the client was wearing the same clothes from last session. She was hostile in the meeting. Client was wearing a yellow skirt and black blouse. Client was wearing summer hat, reading glasses and a mask covering her nose and mouth. CM also observed client had foul body odors. During the interview session client continues to be loquacious complaining that “People are out to get client and how residents are using Marijuana on her foot. Client continues to reports some of the residents here at the shelter are part of the “Russian Mafia” and when they used Marijuana on both leg it triggered the open wound ulcer and it cause it to discharge foul odor.

Client presents as a 34-year-old, Caucasian (Italian) male. He is well kept and in good physical health at 6’1’’, 185 lbs. Client is a former high school teacher, although, he is currently unemployed. He is single (divorced) and he identifies as Roman Catholic. Client’s referral was court ordered.

When the client sat down, he appeared to be nervous. I observed that his hands were shaking as he reached out to shake my hand when we were making our introductions. I also noticed that he appeared to be very uncomfortable. He had his arms crossed and his heels were dug in. I tried to act calm, as to not make him more nervous. He told me that he had completed his fifth tour of duty a year ago and had witnessed several traumatic events. He said that he had just been diagnosed with PTSD, but did not really understand what a diagnoses meant and was nervous about receiving treatment. I partialized his concerns and asked him where he wanted to begin. He said that he wanted to begin with getting more information on PTSD. I felt discouraged

The client is a 26 year old, single, male, African American. He is an active duty ship’s serviceman seaman serving in the United States Navy, aboard the USS Belleau Wood (LHA-3). Seaman (SN) Fisher is residing on board the USS Belleau Wood (LHA-3) that is permanently stationed at San Diego Naval Base, 32nd Street in California. SN Fisher was given orders to report to Navy Mental Health Services Department on base as Involuntary Command Referral for diagnosis and treatments, to get an evaluation and expert psychiatric recommendation about whether the service member is mentally fit to stay in the United States Navy. SN Fisher is unwilling to begin counseling,

The client is a white male in his 30s and was a high school history teacher. He is currently separated from his wife and is living with his parents in the Philadelphia area after being discharged from the Karel Psychiatric Facility in Baltimore. The client spent 8 months in the Psychiatric Facility and claims that he’s “doing a lot better and is eager to get back to his life”. He is charming and intense, but refuses to take his medication because he believes it makes him feel “hazy”. The client seeks to improve his body image by losing weight and getting in shape by running, as well as improve his marriage with his wife (who currently has a

The client, Charlie Kelmeckis, is a 15-year-old teen who lives in Western Pennsylvania. Charlie is a freshman student from a high school in a Pittsburgh suburban. Charlie lives with his mother, his father, older sister, and his older brother. He also used to live with Aunt Helen which is her moms’ sister when she was alive. Charlie was the most attached to his Aunt from all of his family members. However, when he was age 7, Aunt Helen died in a car accident the day of his birthday. Charlie had been previously institutionalized by his family after the death of his aunt with the fear that he will harm himself. He has also been hospitalized for trying to commit suicide. Moreover, he was abused by his aunt when he was at a very young (5 years old). Moreover, his Aunt Helen grew up dependent on drugs and alcohol. Charlie has history of emotional problems; however, he has not been diagnosed with anything yet. Before entering high school, he had a period in his life were things were really rough to him and was shocked by the death of one of his closes friend who committed suicide. By time he gets into high school, he is first described by his classmates as a loner person, and has only few friends in school. Most of the times, Charlie will spend a lot of his days reading, listening, or making tapes. Charlie has also experimented with some drugs such as Marijuana and LSD. Charlie’s mother and his

Practice objectives of John(client) was to find employment, affordable and sustainable housing. John has been having problem with his brothers girlfriend, meaning that it is time for him to move out most likely to the