It is with great pleasure that I am able to provide Geoff Streeter with a letter of recommendation. Geoff successfully completed his practicum year from September 2016-2017 at Southwest Behavioral & Health Services (SB&HS). Geoff was assigned to a co-occurring 24-hour residential program called Community Transitions Program (CTP). The program provides individuals with respite and treatment to address homelessness, substance abuse, medical issues, and develop skills to manage mental health symptoms. Halfway through the year Geoff transferred to a secure Crisis Recovery Unit (CRU) giving him a well-rounded view of how the behavioral health system stabilizes and transitions individuals from acute to sub-acute settings. He demonstrated the ability …show more content…
Geoff was creative and proactive coming up with group ideas and facilitating activities that were both therapeutically appropriate as well as entertaining for the participants. Geoff’s approachability and genuine interest in others allowed him to quickly establish rapport with others. The need to establish a working alliance was critical in both programs given that the length of stay was less than 25 days at CTP and 5 days at CRU. Geoff made good use of time with clients with solution focused techniques and providing brief interventions. He demonstrated competence in his ability to identify therapeutic goals, treatment approaches, and safety concerns. Geoff applied time management and organizational skills to accomplish his daily tasks that required him to interview and document intakes, complete service and safety plans, and enter progress notes. Geoff collaborated regularly with supervisors, case managers, family members, and the interdisciplinary team at CRU, to coordinate client care. Geoff was a well-liked team member and seemed to be able to adapt to any situation and adjust quickly to new
Designing an interdisciplinary team should be based on techniques and outcomes, rather than a hierarchical status (Lancaster, Kolakowsky-Hayner, Kovacich, & Greer-Williams, 2015). When involving different treatment team members, benefits should outweigh the beliefs of others, especially in a healthcare setting. Having the lack of research to back up the importance of recreational therapy among an interdisciplinary treatment team leads to a weakness in addressing the challenges recreational therapists face. Since recreational therapists address so many different aspects of life when compared to other treatment specialists, it is easy to accept why it is such a benefit to patients receiving the treatment. Recreational therapy engages goals based on activities to include the body, spirit, and mind.
one more technique, and that was that he knew how to use all his options and
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,
Many of the group members were able to point out their strengths as well. Also, we had a good icebreaker activity so that participants could get more comfortable in the group. The participants found the topic for discussion relatable to health care professionals as this added to their knowledge of the importance of Cognitive-Behavioural Therapy in assisting patients to achieve behavioural change. We showed appreciation to the participants for sharing their experiences. In addition to the above strengths, our instructor pointed out that we had a good closure at the end of the discussion.
Intro- Collaboration with the interdisciplinary team plays a big part in the care of a patient.
In conclusion, Leonard, M et al (2004) point out that The complexities of patient care, coupled with the inherent limitations of human performance, make it critically important that the multi-disciplinary teams have standardised communication tools. looking back over Mrs X’s journey along this pathway. It was unquestionably the exemplary teamwork and communication, that were so fundamental in providing the holistic care that Mrs X needed. The responsibility and roles of the multi-disciplinary team were varied and often overlapped within the theatre suite. The team members had differing and varying levels of experience and expertise, but combined these when working together to care for Mrs X.
Growing up in my neighborhood was not hard or challenging at all, just because I live in an outer city area in NC which is more of a country setting where it was nothing but small businesses and fields. I am thankful to say I was blessed with great parents who raised me up in the church and both has great jobs and would have no problem getting whatever my siblings and I needed or wanted to have. My mom graduated college twice with both degrees from Southeastern Community College she was an LPN until I was around the age of twelve and then she went back for another degree and became an RN to get a better job and she currently is Unit Manager at Poplar Heights Nursing Center. For dad he did not attend college he did truck driving until I was around the age of five and then he owned his own construction job called, “Simple Fix”. He continued doing that for about four years and it was successful until workers started relocated so he stopped that job and now he currently is the supervisor over nuclear construction at Duke Power
When dealing with homeless substance abusers; case managers have seen improved outcomes when dealing with high risk behaviors by using a combination of services to help the client. Quality of life can be improved by focusing on living conditions, reducing psychiatric symptoms, improving occupational functions, social stability, and parenting skills (Rapp, 2014). The different approaches that are used to combat these addiction problems with the homeless are low intensity, outreach, clinical, strength based, brokerage, integrated and comprehensive care. These types of models are used and they have been proven to be the most effective; broker, generalist and strengths-based approach (Rapp, 2014). Resources that the substance abuser needs readily available are a safe, stable living environment such as halfway houses, shelter or transitional housing. Peer support groups that involve others that have suffered and worked through addictions by attending Alcoholics Anonymous are important to the client to give hope and support. The case manager 's job is to provide and link the client with needed services, focusing on their strengths and giving solutions to problems that keep them homeless and suffering from addictions. Generalist case management provides the traditional
Pratt, C. W., Gill, K. J., Barret, N. M., & Roberts, M. M. (2013). Psychiatric rehabilitation(3rd ed., pp. 169-171). San Diego, CA: Academic Press.
A patient’s treatment needs may differ widely based on stage of their illness experience. Treatment for a newly diagnosed, moderately ill patient may be very different than the treatment of an end stage, seriously ill patient. In addition, working with patients in various settings as a part of their multi-disciplinary team requires an added consideration of the approach to the staff in the setting. Each patient care setting has a culture of it’s own and requires that a clinician be mindful of how to work with the staff as well as the patient in that particular
Over the past decade, the advancement in technology has allowed the world to become more connected than any other time period throughout history. The world has also become more economically interconnected. Meanwhile, social fragmentation has been on the rise at an alarming rate these past years. Many researchers believe that there is a strong correlation between modernization and fragmentation. A number of sociologist suggest that social fragmentation is influenced by factors such as globalization and capitalism. Social divisions in general can weaken any society. A brief glance into history shows how division among individuals based on race and class can discontent and immobilize societies. During times of financial difficulties and war individuals
Knutson, M. B., Newberry, S. S., & Schaper, A. A. (2013). Recovery Education: a tool for
According to Witkavitch (2010) life is about change and as human beings we’re always changing, growing, transforming and transitioning our lives. Our whole life is made up of change. It is relative to time and a natural component of our everyday life. Things change, they grow, they develop, they die, and something else shows up. There are many changes that can occur during a person’s lifetime. For instance, we all were once kids who changed into adults. With that said, as we age, dreams change. There will always be something new in life and we can’t expect everything to fall in place as we wish because the future is constantly changing. In the age of globalization, information and communication revolution changes are affecting our lifestyles, our ways of thinking, feelings and the way we act. Life changes everyday for a person in some way. Just like we expect the seasons to change and children to grow older. Some changes are very small and can affect your life in an enormous way. However, other events can be very important and could change your whole life such as getting married, getting arrested, having a baby, and even losing a close friend or relative. The important events that altered my life are coming the United States, playing club soccer, becoming a U.S. citizen, going to graduate school and studying abroad. In this in paper, I will discuss how these phases transformed my life physically and mentally.
The transformation of man has long since been a topic of much expanse. Today, the defining of transformation still lingers. Socialization forms the core to many transformations in a student’s life. Since John Lock posited the socialization of man in the Enlightenment period, transformation has become a direct effect often due to life altering experiences – the “liberation of the individual within a dominant, oppressive, technocratic society” (Module 4 Theory and Analysis). Paulo Freire says transformation is essential to relationship with others.
I used to hate community service. I only did it if it was a requirement for graduation or for a program. Even when I did community service, I still waited until the very last opportunity to do it. When I heard the words community service, all I could picture is cleaning Philadelphia parks or streets that were filled with trash in either the cold or heat. My mind always went to that space because that 's what my first few encounters with community service consisted of. My high school always had us cleaning something; one time we re-landscaped the parking lot of a homeless shelter. Another time, we cleaned up the weeds out of the loading docks of the non-profit food bank Philabundance. One time my mom made me volunteer