Unsuccessful Closure Case Study

Crazy by Pete Earley and a series of class videos highlight the tension between access to care and the right of refusal for mental illness patients. Core themes and patterns in the material show the difficulties between state governments and local resources. Each film and book explores the availability of voluntary community-based treatments; personal and professional ethics regarding the individual choice to refuse treatment; and community demands for consumer safety and others.

The concept of what is in the best interest of a person may be new or difficult to appreciate and operationalize. There will be occasions when the decision-maker might be faced with strong opposition from other members of the family whose interests may not be aligned. When multiple clients are involved, the same question arises: who is the primary client, and therein, whose goals should be identified, clarified, and pursued? This question is especially poignant when differing goals appear to conflict, as in some cases. There is a need to know whether it is the client’s best interests or her rights and freedoms that ought to be given greater weight and so which ought to act as a constraint on the other (Herissone-Kelly, 2010). And even when a primary client can be identified, an important consideration is whether the client’s desired decision can be considered when she is mentally ill and who should be socially responsible for such decision?

Felicia Allen is a 32 year old woman, who was initially brought into therapy after an attempt to steal a bus. Due to her reported “emotionally disturbed” nature, this consult became a priority. The police report states that Ms. Allen pulled out a knife, and threatened the driver after the driver declined her dollar bills. She then took control of the bus, and crashed it across the street. Upon our meeting, Ms. Allen was fidgety, and swayed back and forth all the while mumbling to herself. If she were questioned, she would look up and say “Sorry, sorry.” As far as patient history goes, Ms. Allen started hearing voices when she was 5 years old. These auditory hallucinations were mostly composed of critical, disparaging voices that made comments on her actions and behaviors. Her severe symptoms led her to be hospitalized fairly consistently since she was 11. Ever since she was young, she has been driven to please, and has a strong desire to be independent. Felicia has been prescribed clozapine for 1 calendar year, which helped her auditory hallucinations a great deal. Given the above symptoms and information, I have diagnosed Felicia Allen with schizophrenia.

Throughout the many years, there have been many negative public perceptions of Schizophrenia, which is known by majority of the public as an indication of mental illness. This disorder is most of the time perceived by the public as caused by psychological factors. People with this mental illness are considered to be unpredictable and threatening (Angermeyer & Matschinger, 2003, p. 526). Most patients have a behavioural dysfunction. Victims, families and society carry a substantial burden due to this illness (Wood & Freedman, 2003).

Ms. Shakelia Jones is a 31 years old Female African American that attended the scheduled appointment for Situational Evaluation on this day. The customer has been diagnosed with Other Specified Bipolar Disorder, Attention Deficit Hyperactivity Disorder, Predominantly Inattentive and Specific Learning Disorder with Impairment in Written Expression. The customer described a pattern of life events that led her to make decisions resulting on criminal charges against the customer. She presented information about the employments she has held since her graduation from High School indicating a difficulty maintaining employment for over one year. The customer stated that she wanted to obtain vocational training to become a Certified Nurse Assistant

Every day, schizophrenia not only disrupts the lives of hundreds of thousands of Canadians, but it also places a significant strain on our society. This disorder affects approximately 300,000 Canadians, and places a burden on not only the patient, but their families, the clinicians and other health care professionals. Deinstitutionalization, importance on legal rights, ineffective policy, and community based treatment all contribute to the way services for schizophrenia are delivered in Canada. Symptoms of Schizophrenia can affect daily functions of which people rely on. These symptoms can vary in severity which creates obstacles such as being able to maintain employment, relationships, and engage in social network; which results in a lower standard of living among these individuals.

The writer met with 5 y/o AAM brought to Sinai Grace by EMS due to suicide attempt drinking and took overdose of pills. The consumer also admits to prior suicide attempt three weeks ago. The consumer live with family and has income. The consumer present with flat affect, depressed, agaited and has limited insight into the need for treatment. The writer ask the consumer about what was going on in his life to make him attempt suicide. The consumer states it was life stressor and report that he was in a car accident a few weeks ago. The consumer admits depression, anxiety, limited insight into the need for treatment and impaired judgment and he has some desire to improve on his current situation. The consumer admits to drinking alcohol daily

N.G. was a 43-year-old Russian female who was admitted to Palomar’s Downtown Behavioral Unit (BHU) on Monday 10/10/16. The patient’s reason for admission was that she was brought in by the San Diego Police Department on a 5150. She was being held on a 72-hour psychiatric hold for being a danger to others where she was making threats to hurt her mom. She has had a long history of treatment for her Schizophrenia that she was diagnosed with as a child. When she arrived to the BHU she had symptoms of a mood disturbances, including decreased sleep, increased energy, agitation, anxiety, and aggression.

The goal |with the advocacy program ended up being to describe the introduction of someone advocacy program inside the Eastern surrounding suburbs of Sydney (NSW, Australia). This method is made within the connection from the study concerning the after effect of client-focused techniques to community management for clients with schizophrenia and bipolar (O’Donnell, Proberts, & Parker, 1998). Limitation of the presentation on the consumer advocacy program creates restrictions in implementing with the research methodology, the study gave the chance to illustrate

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Kate is the owner of a successful business, selling women’s shoes. Her business is expanding fast and she wants to upgrade her business structure to a more appropriate one. What would be your recommendation to Kate and why? What are the factors that influence you with this advice?

Business leaders among a wide range of industries agree that an organization’s success is determined by attracting and retaining a quality workforce. However, many organization’s hire employees based on a certain set of skills the employees possess, or acquaintances they have within the organization. Many organizations fail to consider if the prospective employee fits the organizational culture. In the case of Two Tough Calls, the Program Manager, Susan, was faced with a managerial dilemma; retain or terminate two underachieving employees.

This paper, broken into two sections, includes a mock case study of a young woman, from the movie Black Swan, who meets criteria for a Schizophrenia spectrum disorder, followed by current research on schizophrenia and recommended treatment. Because specific temporal information is unavailable and the key difference between schizophreniform disorder and schizophrenia is duration, the diagnosis made for the purpose of this paper is schizophrenia. The research portion will cover current research and treatment of schizophrenia. Schizophrenia is a disorder defined by a heterogeneous set of irregularities across multiple modalities, including “cognitive, behavioral, and emotional dysfunctions” (American Psychiatric Association, 2013, p.100). This mock case study is an important reminder for counseling students: Client symptoms may not always be transparent to clinicians. Clients may purposefully withhold information, lack insight to report, or may have sufficient factual insight to avoid the perceived stigma of reporting.

This essay examines the management case "A Governing Board Considers Closure: A Narrative in Three Acts" and answers Questions for Discussion.

87). Bigelow Teas’ would not want their suppliers or resellers to know about their strategic business decisions. (Haag & Cummings, 2009). There might be a person who is a supplier or reseller who might take this information and use it for themselves and/or sell the information for a profit. The suppliers and resellers should only have information that will help Bigelow Teas in regards to implementing cost reduction, and be helpful with their resources.