This is Tim Cason’s final treatment report. Tim’s progress in treatment overall was considered satisfactory. His progress was truly akin to the temperature we experience here in the Pacific Northwest, sun and smiles when the weather is great, followed by frowns and sadness when the weather becomes turbulent. Tim had one known incident of viewing pornography over a two week period, snuck out of his home to meet his then girlfriend, and several unexcused absence from both individual and treatment groups over the 24 months he was in treatment with this provider, and all of these incidents were considered treatment violations. Tim did not have approval to view pornography at anytime while in treatment. Tim was not approved to be in a relationship and kept hidden from this provider and the treatment group his outings and late night conversations with his then girlfriend. It should be noted that Tim would have most likely been approved to engage in a girlfriend boyfriend relationship had he followed the protocol in place for cultivating such relationship, but he chose to usurp the procedure citing fear of disclosing his sex offense. Tim also struggled with breaking old habits of behavior that existed prior to entering into treatment with this provider. Namely, using his medical condition, diabetes type 1, to gain sympathy, excuse his lethargy when it came to treatment work and attendance, as well as his reluctance to discuss his inner most secrets as it related to his
SOCIAL HISTORY: Patient admits alcohol ingestion nightly and on weekends. Denies tobacco use and illicit drug us. He is married.
Patient lives with her husband of 10 years and 3 children in Denver, Colorado. Patient denies any spousal abuse. She also denies smoking, alcohol, or drug use during her pregnancy. Patient completed middle school, and currently works as a house wife. Patient is of low economic status.
Living with a chronic condition not only effects the individual, but it effects the entire family. An adolescent living with a chronic health condition not only depends on their family for support, but also on support from their friends, classmates, and healthcare team (Rostami, Parsa-Yekta, Najafi Ghezeljeh, & Vanaki, 2014). Supporting an individual with a chronic disease leaves an emotional impact and can be financially straining as well. Families living with a sick child must find strategies to cope. Whether the coping strategies utilized are positive or negative, they leave a lasting effect on the entire family, as well as the child living with the condition (Woodson, Thakkar, Burbage, Kichler, & Nabors, 2015). Involvement of the parents in this situation is vital to the child’s future success in managing their illness (Landers, Friedrich, Jawad, & Miller, 2016). This paper will explore one family’s story of living with, and coping with, a child who has recently been diagnosed with Type 1 Diabetes (T1D).
Attended all treatment group as scheduled and actively participated in the group discussion and provided supportive feedback to others group members. Client is in compliance with treatment and all his legal mandates, and appears to be in the action stage of change. Overall, client is making steady progress in treatment.
Treatments are a huge part of getting back on the right track. Some treatments are harder than others but in the end, many will get to the right place. One of the
And lastly, an example that reveals Tim’s struggle is evident when he says, “For more than twenty years I've had to live with it, feeling the shame,[...].” (page 1) and “I survived, but it's not a
Dale Gordon has been a patient in the ICU for 6 days after developing complications after open heart surgery. He is an 82-year-old African American who is disoriented to place and time. He lives with his daughter Claudia in her home. Claudia and her two brothers visit Mr. Gordon daily since he has been hospitalized. Mr. Gordon has not been eating well since the surgery and has lost 3 pounds. Mr. Gordon has type 2 diabetes and is on oral antihyperglycemic medication. Before he came to the hospital, Mr. Gordon was able to only ambulate for short distances. He has orders to get up in a chair twice a day. Joan, a student nurse, is caring for Mr. Gordon this morning. She has reviewed his medical record and is now ready to start caring for him.
What chronic diseases do you see most often in your patients? What is the prevalence rate for the chronic disease you have identified in your practice? What illness behaviors do you see in your patients? Is this typical behavior according to your text? How do their family members react?
Dr. Ronald M. Boggio, Ph.D., a licensed clinical psychologist, was the one that Allen (the client) was referred to by the Virginia Department of Corrections (as required by Code 37.1-70.4 (C)), for an evaluation report in which he conducted and completed. Dr. Boggio, was also an expert witness testifying for the Commonwealth of Virginia. Under Multiple Relationships which both covered by APA code of ethics sub-category 3.05 and Specialty Guidelines code 4.02; that he should have refrain from entering into multiple relationship if it could reasonably be expected to impair his objectivity, in performing his duty as a psychologist. Dr. Boggio is involved in a personal or other relationship with an adverse party; at the same time is in a professional relationship with his client. Furthermore, he should be careful to observe his professional relationship with his patient and how it will affect the case as well as his professional relationship with his patient that he will testify against.
Potential ethical issues with this case is the sexuality of the clients but Human service professionals provide services without discrimination or preference based on age, ethnicity, culture, race, disability, gender, religion, sexual orientation or socioeconomic status. Also obtaining or sharing information with Todd’s psychiatrist Human service professionals protect the integrity, safety, and security of client records. All written client information that is shared with other professionals, except in the course of professional supervision, must have the client 's prior written consent. A legal issue is the fact that Reggie is physical with Todd and although it was the past, if it happened again I must keep in mind If it is suspected that danger or harm may occur to the client or to others as a result of a client 's behavior, the human service professional acts in an appropriate and professional manner to protect the safety of those individuals. This may involve seeking consultation, supervision, and/or breaking the confidentiality of the relationship. Also Reggie smokes marijuana which is not good for urine tests with his parole officer along with Todd’s cocaine use. Human service professionals protect the client 's right to
The patient is a 34 year old black male. The patient reports he is single with 3 daughter ages 3, 11, and 13. The 3 year old live with him. He reports currently live with his mother and brother. The patient reports he has 14 years of education however has not received his degree. The patient reports being on probation for Injury to a child for the next two years. The patient is scheduled to be complete his probation in September 2016. The patient reports Cannabis is primary substances and his last use July 20, 2015. He stated on that day he smoked about 5 joint. The patient also report that he tried Xanax . The patient denies any issues with HI/SI. Patient also reports he is taking his medication as prescribed. The patient appear to be in the pre-contemplation stage of change. The patient next scheduled individual session with the counselor is on Thursday, July 30, 2015 at
met this patient, it would be incorrect to fit him into a one patient fits all category, not being aware of his personal, social, and physical environment to which he lives within. This would be defined as making a professional judgement and a normative need, which could differ from those of the patient’s perception of needs.
Residential treatment (RT), which is currently recommended, actually places the substance abuser in a facility where care staff and experts who oversee their treatment monitor them. For Levi, this is a combination of medication, psychotherapy, physical activities, social activities, and counseling. The target is to support, guide, and monitor the client in completing this treatment plan, wherein the target is for the client to be rid of said addiction through the course of the plan. The continuum of care for addictive and compulsive behavior will be an important element in the plan. Additionally, the plan will take consideration of the particulars of the client to fit the plan to the client 's needs, situation, and personality. Wenzel, Brown and Beck (2009) suggest that "in the first session of counseling with suicidal patients, the following strategies should be used: (1) discuss structure and process of treatment, (2) emphasize compliance by the
Throughout my 13-year career in the Human Services field, spending the majority of that time working with adolescent girls in residential treatment facilities, I am very much aware of the risks that exist with regard to sexual relationships between professionals and clients. In that time, it came to my attention that at least three employees at programs where I was employed had sexual relationships with clients. In addition to the ethical issues that arose from these situations, all of the clients were under 18 years of age so the actions of these employees had legal ramifications. Many of our clients had been victims of sexual abuse prior to admission into our program. I always viewed our programs as safe places where clients would be treated with respect and could develop strong therapeutic relationships with both their counselors and program staff members. Unfortunately, the actions of a few had a detrimental effect on our programs and also the lives of our clients. Having dealt with these issues and focusing on ethical decision-making throughout my education and professional career, the ethical dilemma of
I had always loved breakfast. That’s one of the reasons I felt that my wife was so perfect for me. She was the best breakfast chef in the world. Eggs, bacon, pancakes, french toast, anything I could possibly ask for, she could make better than anybody else. And for that reason, Timothy was a huge fan of breakfast as well. However, after his mother passed, his obsession over breakfast had quickly went away. He never really ate breakfast anymore. Even when I tried to make breakfast for him, he wouldn’t touch it. He claimed he wasn’t hungry, but that was only because he didn’t want me to be upset, or to realize that he was upset. But I knew the truth. That was the thing about Timothy. Although in reality he was actually a criminal, he was a very kind person. He was always trying to make others feel better. However, he also never let anybody talk to him about his emotions. At least not after his mother passed. His mother was a very emotional person. She was always talking about feelings. After all, it was her job as a therapist. I think that is what made him so emotional. His mother. And after she died, he tried to hide that emotion as much as possible. That is when he started to become lazy in school, and started to