The Source Of Referral Was Referred By An Outpatient Mental Health Provider

Mental Health Care Disparities in Minority Populations Erin Bertelson Denver School of Nursing Mental Health Care Disparities in Minority Populations Across the country, a steady increase has been noted in the number of patients presenting to emergency departments for psychiatric complaints (Zun, 2014). Patients also attempt to use their primary care doctors to treat their mental illnesses. The mental health care options for these patients are extremely limited, especially for minority populations such as African Americans and Hispanics. One out of four adults in America suffers from some form of mental illness, yet only one out of three of those affected receives treatment (Safran, 2009). Furthermore, patients are routinely misdiagnosed, receive poor quality of care, receive care from providers who have no understanding of their cultures and values, or are not even able to receive care in the first place (Sanchez, 2012).

The participant is a 49 year old African American male who began using substances at the age of 13. He was diagnosed with severe alcohol, cocaine, and opioid use. The participant has been incarcerated over the past 32 years. He was recently paroled after completing eight years of a sixteen

The social service agency chosen to profile in this essay is COPE Community Services. They are located in Tucson Arizona and have many locations around town to better service and provide convenience for members. They provide integrated care for members. COPE's services include behavioral health, opioid treatment, medical services, therapy, youth services, and community health services. COPE accepts a wide range of members seeking services from the general mental health to severely mentally ill population. An Intake is completed to identify services for members. COPE accepts insurances from AHCCCS, Medicare, Tricare, and other contracted private insurances.

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,

Regardless of age, life can challenge an individual with complex issues such as mental illness and substance abuse. The Cone Health Behavioral Health Hospital, one of the many

Introduction In the vignette provided Tommy, an 11 yr.-old male Hispanic male is suffering from numerous symptoms such as compulsive behavior, extreme mood swings, difficulty engaging in meaningful conversations and problems with concentration, to name a few. Tommy first started showing signs of disruptive and hyper behavior as early as 18 months. There are numerous factors both environmental and biological that have affected Tommy’s development and care. His mother and maternal grandmother both suffer from bipolar disorder. While pregnant with Tommy his mother had adequate prenatal care however, she may have exposed her son to various harmful substances. Also, prior to becoming pregnant Tommy’s mother had been on numerous medications for substance abuse, severe depression and suicidal ideation.

Identify the Problem: April S is a 30 year old, divorced Afro-American female with one child seeking help to deal with feelings of suicide and depression. Client reports crying daily for the six months, difficulty focusing at work, inability to doing house chores (laundry, cleaning), isolating from family and friends, weight loss of 30 lbs. in the past two weeks without dieting,

The fundamental issue is that the client whom was referred to by her family doctor for depression (the Puerto Rican woman), doesn’t have 100% control over the intake interview making the job of the social worker that much harder to make a proper analysis of the client. According to Mrs.

NCBHS is an agency that provides services to children, adults and families in need of education and counseling to those with mental health and substance abuse issues (NCBHS, 2014). The NCBHS’s team of psychiatrists, counselors, social workers and mental health nurses all offer a supportive and caring treatment processes to achieve a well-rounded recovery (NCBHS, 2014). These services are provided in the form of interventions, groups, and one to one therapy programs as well as online therapy (D. Farrell, Personal Communication, February 24, 2016). NCBHS also offers their client’s permanent supported housing which is a program to teach individuals with mental health issues to learn to live independently (D. Farrell, Personal Communication, February 24, 2016). On the other hand, the

The subject for this developmental profile is my sister’s friend, Bridget. Bridget is from a small town in northeastern Pennsylvania, by the name of Kingston. She only has one sibling, and is the youngest in her family. Bridget is about 5 foot 3 inches in length, and weighs about 105 pounds. She is tall for her age do to her long thin legs. Along with long legs, some distinct features relating to Bridget’s appearance include her strawberry blonde hair and hazel eyes. Her strawberry blonde hair especially sets her apart from all of her other peers. As for her religion, Bridget is Catholic, but is currently non practicing. (Bridget, personal communication, 2016).

I spoke with M. Mateo to reassure that her mental health concerns is a priority for the team at Gateway Foundation. I also share with her the importance of being in compliances with treatment while being hospitalize. That upon her discharge she is to immediately notified us so that she could return to back to the WHO’A treatment facility. She then ask if she could complete West Oaks substance abuse program I informed her that she was stipulated to treatment at WHO’A by her judge, therefore she would have to return back to the facility. Ms. Tubbs witness our conversation.

Current outpatient, Jose Gonsalves, a thirty-five year old Hispanic American male came into therapy due to his anger issues. The client exhibits problems such as having no full-time job, a tumultuous relationship with girlfriend, aggression outside of the home setting, possible alcoholism, a low opinion of himself accompanied by a difficulty picturing a brighter future, and difficulty expressing his feelings. During therapy, the client may participate in the development of an action plan to help him resolve the current issues he is facing. Overall, the client is aware of his problems; however, he struggles to find adequate ways of resolving them.

Riley is a 16- year- old girl, who has grown up living in residential group care since the age of 6. Her mother passed away due to drug overdose when Riley was only 10. She has never known who her father is. Riley has also, disclosed being a victim of sexual assault at the age of 14. Riley has held a relationship with a former foster mom however, it can be difficult to arrange visits at times. Workers have witnessed Riley go through periods of hypo-activity; excessive talking, dancing around the room, increased productivity level as well as, difficulties sleeping. While it appears she can be quite positive at times, Riley also goes through periods where she experiences a serious decline in mood. This decline has caused Riley to skip school, refuse to complete hygiene routines, express negative thoughts about herself and in serious cases, turn to self-harm. While Riley has been prescribed medication to help symptoms of bipolar disorder, Riley had left the home unexpectedly, without any medication or support in managing her symptoms. While on her own, it was discovered Riley took part in dangerous acts such as, excessive drinking and drug use while also, having sex with multiple different men.

Cathy is a 52- year old female who was brought to outpatient services at the Community Service Boards (CSB) due to personal concerns of her sister, Beth. The client has been living with her sister for four months, after she left her fiancée who was emotionally and verbally abusive

Wendy is a 22-year old, heterosexual female. She also identifies as a Christian and practices tradition commonly held in the Southeastern part of the United States. The client is from a family that has lived in the same region for multiple generations. Both parents maintained busy work schedules so the client was in the care of her grandparents during her early childhood. The client is earning a double major in Chemistry and Biology from Western Carolina University and plans on earning a Doctorate of Nurse Anesthesia Practitioner (DNAP). Wendy will begin pursuit of this degree in the fall at Duke University. The client has no legal issues and has no history of illicit substance use or abuse. Currently, Wendy is faced with important life