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.

Mr. Joshua Sledge is a client of MTR Treatment. The client self-referred because of problematic substance use. He has been receiving treatment since February 27, 2017. In order to improve treatment outcomes Mr. Sledge was assessed for possible psychopathology using the Personality Assessment Inventory (PAI). The PAI was administered in conjunction with clinical and family interview. These assessments were completed on May 18, 2017 and May 22, 2017. Interview and psychometric testing were completed by Michael C. Thompson, MA, LPC, Brooke Martin, MA LPC, LMFT-A and Holley Elam, MA, LPC-Intern.

D.D. is a 50-year-old, African American male presenting with a number of anxiety and depressive symptoms. The client reports that he came to counseling for “extra support and someone to talk to.” D.D. has been struggling with mental health issues since he was young. Since the age of 15 he has been hospitalized on and off for “hearing voices.” In the early 1980’s he was diagnosed with schizophrenia and prescribed Risperdal to treat the symptoms. Since then, D.D. has been in a variety of mental health settings, including hospitals, day programs, and outpatient treatment. The client has an extensive alcohol and drug use history that he believes impacted his Schizophrenia. In the early 1980’s the client would use alcohol every day “to avoid the voices,” drinking “anything he could get his hands on.” He was also heavily involved with drugs at that time and regularly used marijuana, PCP, cocaine, and heroine. In 2000, the client was sentenced to eight years in jail for four bank robberies. While in jail, D.D. received mental health treatment and alcohol and drug treatment, which was greatly beneficial. When the client was released from jail in 2008, he was drug and alcohol free and was taken off of Risperdal.

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

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

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

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.

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.

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,

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 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

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.

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 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,"

On October 26, I had the pleasure of interviewing Heather Smith a clinical mental health counselor. Heather Smith is a licensed clinical mental health counselor in Alexandria Virginia. She specializes in PTSD, Anxiety, Trauma, Marital and Premarital counseling. In addition to these specialties, she also treats disorders such as Dissociative Disorders, Impulse Control disorders, and personality disorders. Ms. Smith also works closely with Women’s issues that include coping skills, sexual abuse, depression, and suicidal ideation. Ms. Smith services a population of clients ranging from adolescents (14-19), to adults as well.