Adult Diagnostic Assessment Since the adult diagnostic assessment (ADA, Argosy University, 2016) is a written narrative that documents the clinical and functional face-to-face evaluation of a client’s mental health, nature, severity and impact of behavioral difficulties, possible impairment, subjective distress and strength, and resources. I was a little uncomfortable in filling out the ADA. Discovering I was uncertain of how to answer some areas, placing ‘not discussed’ in vital areas that should have been obtained during an intake evaluation. Dr. Beam did miss a couple of important events in the session with Nan. The areas that warranted more attending, for instance, Dr. Beam mentioned gathering family history background at the start of the session. He never accomplished that task, leaving out essential information, if there is a family history of depression, or mental disorders (Beam, 2010). Another issue left unattended, Nan talked about sharing “deep dark personal issues” with her boyfriend and he understood her difficulties in dealing with the gloomy darkness” (Beam, 2010, Sec. 15:45). Without him to listen she is feeling isolated and has no support or friends to rely on. If Dr. Beam would have continued on track with the issues that Nan came in for he could …show more content…
Contemplating suicide, not knowing what illusory fulfillment Nan is seeking, can be mentally hectic; purpose and determination will soothe her. This procedure could help Nan in recognizing the sense of being alone and isolated in the world, facilitating her to find a new-found grasp or appreciation of her life. That her life has a purpose and apparent meaning, gaining awareness of her freedom and the consequences of accepting or rejecting that
One factor influencing Nana’s desperate suicide is her harrowing life from the past and present. Before her life with her only child Mariam, Nana took a job as a maid
The Client: Zola is a 53 year old unemployed woman from a Carib bean background. She has a history of depression going back many years and has been referred to the IAPT service by her GP. The IAPT assessment form indicat es that she suffers from behavioural and emotional problems, as well as havi ng memory and concentration difficulties. She has long term health problems and is on several medications. She suffers from osteoarthritis and a bad back as well as heart and kidney problems.
Suicide is the eleventh most common cause of death in the United States. According to the American Foundation for Suicide Prevention, a person takes their own life once every fourteen minutes in the United States (American Foundation for Suicide Prevention [AFSP], 2011). Still, with suicide rates so high, suicide is a taboo topic in our society. Though suicide is intended to end one person’s pain, it causes an immeasurable amount of pain and suffering to loved ones close to the deceased.
Changes in the National Health Service and Community Care Act 1990 emphasised that people with learning difficulties should be helped and supported to become ‘integrated in to the community’ rather than being institutionalised. This aim has been partially successful with the help of care assessments. This gives the service user the opportunity to speak out with confidence stating what they feel is the right type of support for them, at the end of this process the service user will ‘have their own individual care plan’ documenting all that has been discussed and the support they will be receiving. (http://pb.rcpsych.org/content/24/10/368.full).
for too long, they can stop us from doing the things we want to and
The sample generalist assessment used focuses on the client’s: living skills; health and disability; educationemployment; legal issues; housing; significant relationships; understanding of the issue; demographics; and crisis management (National Council of Social Service, 2006). The social worker has the opportunity to delve further into those areas if deemed necessary by their agency (National Council of Social Services, 2006). The competency-based assessment is a complex assessment tool developed for use in mental health settings. Gray and Zide (2007) wrote the book to foster and build on the human focus of social workers and to provide a counterbalance to the deficit focused Diagnostic and Statistical Manual of Mental Disorder (DSM) when working in mental health settings. Several theoretical frameworks are evident in the competency-based assessment and clearly articulated in the provided excerpt from Gray and Zide (2007).
First, anxieties revolving around death or hospitals that have impacted the client’s chosen career path in Nursing. This anxiety stems from unresolved issues that the client indicates first presenting after the death of her mother. Further, mother’s history of incarceration in childhood has had a significant impact on the client own choices, self-aware that substance abuse and incarceration is almost normalized in her family due to this. Additional barriers are with the client’s husband’s substance abuse and acknowledges the conflict between the desire to maintain the relationship and her own recovery needs. Presently, the client has committed to the change process and separated herself physically and socially from her husband. Further, the client indicates a desire to “find herself” this indicates a loss or absence of identity. When the client describes her relationship with her brother at 16 years of age, she indicates confusion of what this looks like and is self-aware that this experience plays into the choices in relationships she had made. per Erikson’s theory the client struggles with the development of an ego identity, she finds distress in no longer able to pursue a career in Nursing and when stating this there is observed distressing and the irrational fear of being in hospitals or around people who have an illness. Per Maslow’s hierarchy of needs the client will need to find employment and
Regina Geis is a ten-year old female who is diagnosed with celiac disease. No one in her immediate family has been diagnosed, including her parents and her younger sister. Celiac disease is an autoimmune disease of the digestive system that is usually indicated by long-lasting inflammation in the small intestine that occurs when a protein from the plant called gluten, which is usually found in grains such as wheat, barley, and rye, is consumed, resulting in an interference of absorption of nutrients from food (Calvo, Soriano del Castillo, & Vinuesa, 2012.) Regina was diagnosed with celiac disease when she was five. After she was diagnosed, she was put on a gluten-free diet.
Dr. Shneidman concludes that the best way to understanding suicide is not through the study of the brain structure, nor study of social statistics and mental disease, but through the study of human emotions. Dr. Shneidman believes that those persons who commit suicide do so to either put a side or to stop unbearable psychological pain, due to the constant frustration for important psychological needs. The psychological needs that Dr. Shneidam mentions, were first described by Henry A Murray in Explorations in Personality (1938). According to Dr. Shneidman, suicides are partially part to one of the five number of frustrated psychological needs: (1) prevented love, acceptance, and belonging: (2) fractured control, and predictability: (3) assaulted self-image and avoidance or shame: (4) ruptured key relationships and attendant grief: (5) excessive anger, rage and hostility. Suicide isn’t so much a factor of the psychological needs but frustration caused by basic needs for that person to function. In general a therapist’s or psychotherapist’s goal. Is to recognize a suicidal patients needs. So the therapist can help the patient see the other alternatives instead of suicide.
Psychologist Lisa Firestone had come to a conclusion that the main driving factor behind suicide and suicide attempts was an inner voice which disconnected the individual from the real world and from selflessness. The voice centers around the ego and weakens the conscience of the individual, leading them to believe they are unworthy of living and undeserving of human love. She believes that human beings who have suicidal attempts do not do it out of their own accor...
There are five types of residential setting. The first one is children who need diagnostic services. The purpose of diagnostic service is it not always clear on what is causing a child behavior, depression, suicide attempt and more. The center observe children closely while getting them to do different types of test. It depend on the child on how long he or she stay. Second, children who need intense therapeutic services because they have been neglected, abandon, or abused. When children are open to life-threatening suffering in their families, they probably need treatment before they are able to respond to another family experience like a foster home. Third, emotionally disturbed children who require residential treatment. The centers are
The clinical and statistical approaches have both proven to be successful methods in clinical psychology. Each approach has its pros and cons depending on the type of situation that is being dealt with. Clinical judgment can be a complex process because it requires a patient’s data which are composed of samples, observations, signs of underlying states and the clinician’s responses. According to Sundberg, Tyler and Taplin (1973) clinical interpretation may consist of 3 different levels: Level 1 deals with clinicians being familiar with certain experiences, and therefore, making a prediction based off of that. An example of this would be the SAT or GRE assessments. Level 2 is comprised of clinicians carefully observing a patient’s behaviors and coming up with a conclusion based off of the behavior characteristics that the patient displays. In level 3, based off of the individual’s determinants in a specific situation, the clinician seeks a consistent understanding. For example, blood responses on the Rorschach test can be a determinant of hidden aggression, which would then lead to future impulsive outbursts or losing control of oneself (Sundverg, Tyler and Taplin 1973). Although both the clinical and statistical approaches have proven to be beneficial, I believe that clinical psychologists should not rely more on statistical predictions and prepackaged treatments than clinical judgment and individual patients.
New Haven: Yale University Press, 2004. Print. The. Suicide and Suicidal Behaviors. Suicide : Medline Plus.
A young, teenage girl sits with her friends, talking, laughing, and making jokes. She seems completely normal and happy, even. What people don’t know is that this is nothing but a mask covering the loneliness that seems to run through her veins, and the unexplainable sadness that never goes away. She fears speaking of it, of admitting the uncontrollable hatred she feels for everything about herself, so much that she contemplates ending it all. The fact is, suicide is the third leading cause for death in people under the age of twenty-five. Our country needs to stop seeing this as a casual thing. Depression, anxiety, and suicide in youth are real and serious issues that we need to be more aware of in today’s society.
...ate services for older people and have to carefully consider the planning to meet the needs for them. It is important that the needs for older people are met and that the focus is on them throughout the intervention. It is important to fully inform them. The national standards framework for older people sets standards to ensure that services should respond effectively to individuals needs in social work practice. This is done through appropriate planning, assessment, intervention, monitoring and review. Historically, the process off assessment has not really been clear in social work, this can cause lack of precision. Therefore social work concentrates more on explaining methods of intervention instead of model of assessments. Sinclair et al (1995) explained that assessment was usually when a problem is identified, the purpose of which a solution is found.