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Discharge planning principles
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The consumer will be discharge once she has had treatment plan, psych evaluation and has been given medications. The consumer will address with her concern regarding being unemployed and homeless with her treatment team at Western Wayne Behavioral Health. The consumer will also follow up with her treatment team once a month for medication review and seeing her therapist/case manager as needed. The consumer will also stay in compliance with taking her medication as prescribed by psych
After that they are never to be seen again by a mental health practitioner. What I will do to make sure no clients fall through the cracks is to make sure that people with co-occurring disorders are served through integrated treatment which can address mental and substance use disorders at the same time. Dually Diagnosed clients need to have a psychiatrist, addictions counselor, and mental health counselor who can work collaboratively to ensure that the client’s needs are
Case conceptualization and treatment planning is used by therapist to assist in determining a client’s diagnosis, goals, and treatment plan that is most effective in determining the issues surrounding the clients diagnosis. It is crucial that the client’s treatment plan is specific to the individual, is relational and appropriate to the needs of the client.
Chemical dependency counseling involves direct interactions with the clients and as such standards need to be set which will promote safe and accountable counseling. Chemical dependency counseling has a set code of ethics, guidelines and regulations that seek to safeguard the interests of everybody involved. Laws and ethics ensure that everyone acts in a way that does not cause harm to others. Laws and ethics also help to give the profession its credibility. The Licensed Professional Counselors Association of Georgia (2014) gives provisions on the conduct of counselors as stipulated by the law. Chapter 135-7-01 provides the various responsibilities of counselors to their clients. Every counselor has a responsibility to their clients. It is their primary duty to promote the welfare of their clients and meet the client’s best interests.
States obtain many services that fall under mental health care, and that treat the mentally ill population. These range from acute and long-term hospital treatment, to supportive housing. Other effective services utilized include crisis intervention teams, case management, Assertive Community Treatment programs, clinic services, and access to psychiatric medications (Honberg at al. 6). These services support the growing population of people living in the...
Rather than preparing graduates in education or consulting as previous graduate nursing programs had done, this program educated psychiatric-mental health nurses as therapists with the ability to assess and diagnose mental health issues as well as psychiatric disorders and treat them via individual, group, and family therapy (ANA, 2014). Thus, the Psychiatric Mental Health Clinical Nurse Specialist (PMH-CNS), one of the initial advanced practice nursing roles (Schmidt, 2013), was born. After Community Mental Health Centers Act of 1963 led to deinstitutionalization of individuals with mental illness, PMH-CNSs played a crucial role in reintegrating formerly institutionalized individuals back into community life (ANA, 2014). PMH-CNSs have been providing care in a wide range of setting and obtaining third-party reimbursement since the late 1960’s. In 1974 a national certification for PMH-CNSs was created (APNA, 2010). Subsequently, PMH-CNSs began to be granted prescriptive privileges in the Pacific Northwest in the late 1970s, that practice has now spread to 37 states and the District of Columbia (APNA,
The Psychiatric Mental Health Nurse Practitioner (PMHNP), role and job description is providing primary mental health care services, to those with mental health problems, or psychiatric disorders. The PMHNP is required to assess, diagnose, provide treatment plans, prescribe medication therapy, and offer counsel across the lifespan. The PMHNP provides care in a wide range of settings to children, adolescents, adults, the elderly, and their families. This mental healthcare takes place in the primary care settings, emergency rooms, hospitals, outpatient mental health clinics, senior living communities and in private practices. Being culturally competent to care for the ever changing demographics of the United States is necessary. The PMHNP assess and treats in a holistic manor and utilizes evidenced based practice. Regardless of race, gender, age, religion, sexual orientation, political persuasion, or socio economic standing the PMHNP is there to treat. The PMHNP role also includes establishing a therapeutic relationship, being sensitive to many abnormal behaviors, and caring for those frequently distressed emotionally. Collaboration and the ability to make referrals are essential for the PMHNP. Patients present with undiagnosed problems and establishing the proper diagnosis by a qualified PMHNP begins with the initial assessment interview (Gilfedder, Barron, & Docherty, 2010).
Discharge planning for these patients into the community does not consider living in shelters and assisted living facilities. The revolving door situation creates negative outcomes for patients and organizations. These organizational alternative housing services do not provide medication supervision, therefore adherence to medication regimen and treatment is not provided to them. Consequently, they return to hospitals seeking follow-up treatment. Unfortunately exacerbation of mental illness symptoms is inevitable reflected from premature discharge and inadequate follow-up care. It is imperative that all patients receive proper treatment and discharge plan. Providing discharge instructions to patients for transitioning to independent living and self-care is not sufficient. Proactive health interventions and planning organizational strategies are needed to improve health outcomes for patients who are living in health care institutions (National Health Care for the Homeless council,
Mary is a client at Maria Sardinas Wellness Recovery Center (MSWRC) an outpatient clinic. MSWRC provides individual and group therapy for those that are diagnosed with a severe mental illness. Clients are seen in individual therapy for up to six sessions then transferred to group therapy. All clients are required to see the psychiatrist and clinician at least once a month. Those that are stable in their symptoms will be considered for group therapy. Clients who have suicidal and homicidal thoughts with a plan are required to see their individual clinician weekly.
Many individuals with co-occurring disorders need additional support services to ensure their long-term recovery. These services include such items as financial aid, housing support, health concerns, employment supports, and spiritual resolution (Hendrickson, p.29).
Federal and state laws, including Public Law 94-142 and the Individuals with Disabilities Act (IDEA), require that children with emotional, behavioral, and learning disorders be given a diagnosis in order to receive the needed services and accommodations (Neukrug & Fawcett, 2015). An clinical diagnosis is also necessary when requesting reimbursement from managed care organizations and insurance companies, as they will base the number of authorized therapy sessions on the diagnosis and treatment plan goals. The DSM -5 is an important tool in determining a client’s diagnosis and should be used in combination with clinical interviews, family assessments, and standardized assessment instruments when developing a treatment plan (Neukrug & Fawcett, 2015).
NASMHPD. (2014, Accessed April 27). Retrieved from NATIONAL ASSOCIATION OF STATE MENTAL HEALTH PROGRAM DIRECTORS: http://www.nasmhpd.org/About/AOMultiStateDisaster.aspx
...row WE, Rae DS, Manderscheid RW, Locke BZ, Goodwin FK. The de facto US mental and addictive disorders service system. Epidemiologic catchment area prospective 1-year prevalence rates of disorders and services. Archives of General Psychiatry. 1993 Feb;50(2):85-94.
Solution Focused Brief Therapy is a unique approach to therapy that neither focuses on the past nor the future but on what is possible now. SFBT is a post modern approach to therapy that became popular in the 1960's and 70s based on the theory that posits small progress can lead to long term change. This approach was created by...creatorsThe clients and the counselor collaborate to establish realistic goals that can be reached in a relatively short period of time. The counselor works to create an environment where clients can be honest. SFBT believe that analyzing problems is not needed in the process of change. Behavior change is seen as an integral part of change in clients therapeutic process. Both the counselor and the client come together to create goals to incite a change in behavior.
An estimated 650,000 offenders are released from prisons each year. Most generally leave with only a few dollars, some clothes, and possibly a bus ticket. Release practices like this are common and can be especially disastrous for mentally ill inmates. If immediately released without access to health care, the mentally ill will suffer from interruption of continuity of care. In prison, they may have been receiving medication, therapy, or other forms of treatment. Interruption of care could lead to excelled deterioration in their mental health. This tends to lead to a higher rate of recidivism among mentally-ill former prisoners. (Hummert, 2011.).
4,500 public psychiatric hospital beds eliminated in the same period. From 2005 and 2010 the number of state psychiatric beds decreased by 14%. Another way to fix the mental health care is to build a stable funding system. Services funded by the Mental Health Block Grant include supported employment, supported housing, rehabilitation services, crisis stabilization, peer specialist and consumer-directed services, wraparound services for children and families, jail diversion programs, and services for special populations (people who are homeless, live in rural and frontier areas, and military families). The majority of these services are currently not broadly covered under private insurance and