The Ridge Center 's Day Hospital

Ms. Smith is a 30 year old single, Caucasian female referred for a psychosocial assessment by DOC Parole Officer Ward. She reports she was released from prison 2 months ago after a 3 year sentence for attempted escape due to not notifying her probation officer of her address change. Ms. Smith states due to her past substance use history and trauma experience her referral sources ordered counseling to address complex issues related to her emotional and physical well-being.

Presenting for treatment is a 39 year old single, Caucasian female born in Montreal, Canada. The client identifies as heterosexual with no children and no current intimate relationship. The client was recently released from a psychiatric residential treatment in the U.S. and referred for ongoing outpatient treatment by her doctor at the hospital. The client has a history of suicidal ideation, with her last attempt leading to her hospitalization. The client reported that both her parents died in a car accident when she was an infant. The client stated that she has a twin brother whom she did not meet until much later in life. The client reported being raised in a hyper-religious school in Quebec and it was there, the client stated,

Identification of mental health services that could be utilized as part of Jared’s treatment plan.

Patient is a 35-year-old, single, Native American transgender female (male to female). She prefers to be called "Mariza." She currently lives in a sober home. Presented to CRU 2 via ambo from Scottsdale Osborn, Honor Health. She is NCOT for depression, anxiety and SI. Patient reports being raped on 2/17/17 by an unidentified men. Patient has filed a police report on the incident. Patient states, "I was raped and I just want to kill myself." She is calm and appropriate, but guarded. Patient endorses hx of SI through hanging, cutting her wrist, and OD on her Rx pills. Patient states, she was physically and sexual abused by her father and uncles. Patient has been receiving psychiatry services through Salt River behavioral health services on the

The major theoretical perspectives provide a framework for understanding and conceptualizing client’s current mental health issues and the potential contributory factors in the development of their problems. The present client, Toni Barone, is seeking treatment for her current unhappiness with her life, social isolation, and bereavement issues stemming from her father’s death.

J.C., is a 41 year old female with a history of bipolar disease, who presented to the psychiatric department by EMS activated by shelter staff. She was brought in since she was presenting with manic behavior and psychotic thoughts. She currently lives in uptown Manhattan in an independent home but previously lived in a women’s shelter. She returned to the shelter, where she spoke words of retaliation and guns, and talked about her acquaintances at the shelter and her ex-husband however, she did not speak of any plan. The staff called EMS reporting this behavior and EMS then brought her to the hospital. On admission, she reported walking to and from Manhattan and the Bronx. She also has psychomotor agitation and has difficulty sitting down. She reports not taking her psychotic medication for the past 9 months. In addition, she reports no suicidal ideation, and has no history of violence. She also reports using substances such as marijuana, cocaine, and alcohol. She also smokes ¼ pack of cigarettes a day.

James is a twenty-year-old male who was referred to me after an emergency room visit. James had experienced shaking, sweating, chest pain, and inability to breathe; he went to the emergency room because he was afraid he was having a heart attack (The Louis de la Parte Florida Mental Health Institute, 2002). After exchanging pleasantries, I began an intake interview with James. I found that he was forthcoming with his life history. He was raised in a lower middle class family and was the youngest of two children (The Louis de la Parte Florida Mental Health Institute, 2002). His most vivid childhood memories included violent domestic conflicts between his mother and father, which caused disruption in his daily living. James also admitted his father was a substance user and often came home intoxicated. Subsequently, his father abandoned his family and went to prison for assault and drug charges and James has no contact with him in

Information and support will be provided to assist family members in keeping the family unit intact. This module will help the family in building communication skills, addressing acceptance and understanding of mental illness, facing the feelings of loss, and learning how to support a loved during hospitalization. A staff member, family and/or consumer partner will facilitate the module by educating and sharing their personal

The clinician interviewed is Sara Gavin, Director of Behavioral Health of CommuniCare Health Centers of Yolo County. They provide services in Davis, California; Woodland, California; and West Sacramento, California. CommuniCare Health Centers is a Federally Qualified Health and it has been providing health care since 1972. The goal of the program

Carlos reports during the month of May, Joshua’s participation in individual sessions and family sessions continue to be positive and appropriate. Sessions have emphasized identification of triggers, decision making, issues of accountability and self-esteem. It’s important to note that during this review period, Joshua expressed thoughts of going AWOL from the program to the Mental Health Clinician. During individual sessions with Mrs. Carlos, Joshua addressed feelings of hopelessness and despair, which she believes contributed to his recent thoughts of running away/ going AWOL. The Post Dispositional Treatment Team has applauded Joshua for his trust in the program and willingness to seek support for his struggles and encourages him to continue to consult his therapist with any of his needs. Joshua’s open communication, has allowed for adequate safety planning and reinforcement of positive decision making. As a result, Joshua has successfully completed 4 community (medical transports, program events, etc) outings during this progress

Heritage Oaks Hospital provides a less restrictive step-down treatment environment at three outpatient centers: Harbor Oaks in West Sacramento serves adults and senior adults; Roseville Oaks serves adolescents, adults, and senior adults; and Winding Oaks next to the main hospital serves adults and senior adults. According to course textbook, the goal of outpatient programs is to improve quality of life and to return clients to daily activities among family, peers, and the community (Varcarolis, 2013). The treatments available include psychiatric, emotional, behavioral, and substance abuse. These outpatient centers have partial hospitalization program (PHP) and intensive outpatient program (IOP). According to the hospital website, outpatient services include physician oversight, medication management, group therapies, educational practices such as cognitive behavioral therapy (CBT) and dialectical behavioral therapy (DBT) (heritageoakshospital.com, 2017). I was assigned to Roseville Oaks Outpatient Behavioral Health Center. It was helpful for me to

Terri a 44 year-old African American female present to outpatient counseling for severe anxiety and depression. The client identified current relationship problems with her boyfriend and multiple lapses while in recovery as stressors. Terri began recovery several months prior to seeking additional counseling. She also received services from a substance abuse counselor but wanted a separate counselor for possible couples counseling.

The pioneers of the psychoeducational model of patient care, have conceptualized it by focusing on the plight of people with mental illness, by paying close attention to their higher risk for relapse and rehospitalization. “The treatment team seeks to establish a collaborative relationship with the patient and/or family to share the burden of managing the illness and working toward patient recovery. “The goals and content of the programs, all focus on providing information about the

Building a rapport with every client is the foundation of McGowan’s counseling approach. According to McGowen, building rapport is central in developing a genuine counseling relationship. She also states that it is also helpful in fostering the trust necessary for confronting issues like low-self esteem, homelessness, and even molestation. McGowen is incessant in informing me that while she assures confidentiality for all of her clients, she also informs them of the limitations. She is adamant in stressing to her clients that circumstances like threatening to harm oneself will cause her to disregard her claim for absolute confidentiality. McGowen is truly ethical in ensuring that she protects her clients from harm. As I look around the

The treat serious clinical depression, schizophrenia, and bipolar disorder.  They vary widely in their size and grading.  Some specialize only in short term or outpatient therapy for low risk patients.  Others specialize in temporary or permanent care of residents who require routine assistance, treatment, or a controlled environment.  People are usually admitted on a voluntary basis but those that may pose a significant danger to themselves or others may be admitted on an involuntary basis.  ("Psychiatric Hospital,"