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

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 year sentence in the Illinois Department of Corrections for burglary and theft. The participant is on medications to treat HIV/AIDS and has been diagnosed with Major Depressive Disorder. He was referred to Healthcare Alternative Systems residential program through TASC as a condition of his probation.

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 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.

Since Bobby is Hispanic, comes from a poor upbringing, did not finish his education, and is unable to hold a job as an adult; treatment must be dealt with according to his ethics and culture. Information found under the APA Guidelines, Policy Statements, and Resolutions the discussion of proper procedure in ethnic background treatment and diversity (APA, 2010). The recommendation of a Hispanic psychologist will only assist in allowing Bobby to open up to treatment. The cultural similarities will assist in Bobby understanding that his parent’s life style was not appropriate; and if he continues on the same path he will not change the cycle that has caused him so much pain. Any language difference would be more accommodated with a Hispanic psychologist (APA, 2010). At this time Bobby has been able to correspond on an pragmatic level of English that was understandable. The treatment plan laid out for Bobby under Research and Evaluation allows for civil commitment. This will give Bobby time to gain control of the substance abuse and take control of the trauma from his past. The Hispanic intervention will allow for a more comforting environment. This part is important because Bobby suffered from abuse and neglect from his parents (Zalta, et al., 2014). His desire was to please his mother, no matter her requests. Although he now understands that instead of his parent’s protection he was abused and left

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,

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 case identified involves the Mendoza family. Ramon Mendoza has been referred to an agency to obtain a counselor that specializes with clients who have medical issues. Ramon Mendoza is a 32-year old Latino male born in the United States, but his family is from Puerto Rico. Growing up, Ramon was primarily raised by his grandmother, due to his mother being underage and his father not being around. He is currently in a on and off relationship with his girlfriend, Louisa, of 6 years and has a 10 year old son. He now lives with his mother, who is his primary caregiver, his grandmother, and younger siblings. The family has been held together by his maternal grandmother, but due to the accident, there has been tension amongst the household as evidence by the change in his relationship towards his older half brother and his relationship with his younger half brother that looks up to him. On the day of September 30, 2011, Ramon sustained a gunshot wound to his neck that has resulted in C-5 quadriplegia and hearing loss. He is now paralyzed from the chest down and has limited use of his arms and no use to his legs. Ramon had abstained from treatment after being admitted to the hospital and believed that his pain and suffering would improve without the need of therapy. On November 1, 2011, Ramon was admitted to an inpatient rehabilitation center that has given him the urge to become independent. During Ramon’s rehabilitation he experienced depression, feelings of helplessness,

Some of the challenges that agencies face in delivering programs and (Salami et al., 2016) services for temporary foreign workers and their families include the time required to build trust with this population, temporary foreign workers' reluctance to use services due to fear that it will affect their immigration status, and the emotional labor associated with working with temporary foreign workers. Professional and counselors understand that the Latino and Hispanic descent may have some cultural challenges and roadblocks when counseling both the individuals and the families. Although, that may be the case equal treatment for all clients is essential. It’s important to avoid being impersonal, accepting stereotypes, ethnocentric, or assuming that Latino and Hispanic descent clients have similar levels of acculturation, and Catholicism is the norm among Latino, Hispanic, or Spanish groups. When it pertains to offering community resources and assistance or when treating their client addiction and mental health issues. Processional in the healthcare profession realizes the obstacles and risk this population has from a cultural obligation standpoint, economic status, and religion aspect. In addition over

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.

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.

Dr. Camino is associate Professor of psychiatry and training director of the general psychiatric residency program. Previously, Dr. Camino served as clerkship director and associate Dean for diversity and inclusion at Mercer University prior to joining us at Augusta University. He has a bachelor in pharmaceutical sciences from the University of Puerto Rico, he is a graduate from the University that centered that got even school of medicine in Puerto Rico, and did his general psychiatry and child fellowship at the University of Puerto Rico school of medicine. Moreover, Dr. Camino obtain a Masters in Arts in Theology from the University of Notre Dame. He holds board certification in general psychiatry, addiction psychiatry, and child and adolescent

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 toward her. Beth brought her sister to the CSB because Cathy has been cutting herself, which is a longstanding pattern for her. Additionally, in the past week, Cathy has made suicidal ideations. Cathy admits to using more Xanax then her psychiatrist prescribed; as well as, her daily use of marijuana. Beth, the client’s sister, stated her use of marijuana has alienated her from her children and family. The client also states she struggles with boredom on most days.

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