Sophia Rizera is a 19 year old female who self referred herself to Mobile Crisis Management (MCM) at 8:37pm. Dispatcher reported to Qualified Professional (QP), Ms. Rizera expressed suicidal ideation without a plan, feeling overwhelmed, and a history of PTSD. Before arrival to Ms. Rizera residence QP contacted Sandhills Center (SHC) at 8:57pm. QP spoke with licensed professional Margret who informed QP, Ms. Rizera was not currently in SHC system. QP contacted Ms .Rizera at 9:01 pm and left a voicemail in regards to estimated time of arrival (ETA) time to her residence at 600 Eagle Rd. Greensboro, NC 27410. QP was able to get into contact with Ms. Rizera before arrival to communicate with her of ETA. At the time of the assessment Ms. Rizera wanted to meet on her porch. Her grandfather was present in the home …show more content…
watching baseball with many of her other family members.
Ms. Rizera was calm and cooperative throughout the assessment. Ms. Rizera reported her father is currently in jail and has been for a while and one of her sibling sent him a letter. Ms. Rizera reported she became up-set with her step-mother informing her of this because of the attention her sibling was receiving from her father as a response. It appear to trouble her that her father has not been in her life much due to serving several sentences for past charges. Ms. Rizera denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reported one previous hospitalization while in New York for reporting suicidal ideation to her mother. Ms. Rizera reported at the time her father was in jail and she was staying with her mother. She expressed attempting to find way to leave her mother's home due to relational
issues with her mother at the time. Ms. Rizera reported during this time her father told her to threaten to kill herself to get the case worker from the department of social services to remove her from the her mother's home. Ms. Rizera reported her mother committed her to a mental health facility for the thereat. Ms Rizera reported she has no history of suicidal thoughts. She stated to QP, "I will not go through with something like that because I'm scared of death." Ms. Rizera reported today she just felt overwhelmed and need someone to talk to someone. Ms. Rizera stated, "I feel like giving up on life." She expressed these thoughts as feelings of hopelessness due her father not being in most of her life. Ms. Rizera reported a history of smoking marijuana to cope with stress. She reported smoking 1 gram of marijuana daily since the age of 11 years old. Ms. Rizera reported last use was 5/30/18/ Disposition: QP staffed case with Andrew Holts, LCSW who consulted with Dr. Armstrong recommended Ms. Rizera contract for safety, stay in the community and follow up with outpatient services as soon as possible. QP spoke with Ms. Rizera who reported 6/5/18 around 12 pm she will be able to follow up with Monarch on 201 N. Eugene St. Greensboro, NC 27401. QP informed dispatcher outreach is needed to ensure Ms. Rizera followed up and if any aid from MCM is need during the process.
As the EAI team was discussing Molly’s case, one of the ED Residents made a few telephone calls. Molly’s PCP reported that during her last visit about 2 weeks ago, Mollie was alert and able to respond to questions appropriately. He confirmed that Mollie’s daughter and son in law have experienced psychiatric problems, adding that the son in law has expressed anger regarding Mollie’s living arrangements. The home health care agency was contacted. The RN and aide both report they have never met the son in law and have had very limited contact with Mollie’s daughter. When contacted by telephone, the daughter provided no explanation for Mollie’s extensive bruises noted on admission to the hospital. The daughter stated that Mollie did not fall, but in fact lowered herself to the floor in an effort to draw
The paternal grandfather discussed the living pattern which they had with Stuart. He indicated, when his son was single, they had a key to his apartment. The paternal grandfather stated that he and his wife also had a key to the apartment with Danielle. He indicated that they did not go over unannounced.
In the video, Whose Records, the client demonstrated frustration with her current counselor and made a request for her medical records in order to transfer to another counselor. During the conversation, the counselor remained calm and respectful to the client regardless of the clients’ disrespectful approach. I do not agree with the challenge approach made by the counselor regarding the client seeing a different counselor every three to four weeks. That seemed to increase the level of tension on behalf of the client. I feel a better approach would have been to allow the client to express her concerns regarding her current treatment. After which, the counselor could explain the process of obtaining her medical records along with requesting the client to sign the appropriate release of information to acquire her records.
As previously presented, a psychiatric report states that Mary Maloney is not suffering, or has not suffered in the past, any form of mental disorder or illness. Mrs. Maloney did not have schizophrenia, and she was not bipolar, she was not insane. Given the fact that she was not insane still does not mean that it was impossible for her to have “snapped” and done something irrational at that moment. Yet the likely hood of this even occurring is very slim, in fact the chance of it happening is a 0.1 out of 100 chance. It is known that some mental illnesses are hereditary and may have not showed up on current files therefore; we also brought in psychiatric reports from Mary Maloney’s parents and 3 grandparents. All these reports are clean from any mental disorders. Mary Maloney not having a mental disorder was not the only significant evidence in this report. T...
IDENTIFYING INFORMATION: Raven Wright is a 13-year-old eighth-grader who was initially scheduled to be seen at the Psychiatric Consultation clinic at the outpatient pediatrics. The clinic staff was contacted by patient 's the therapist, who brought up a number of concerns. Per review of the chart, Dr. Sandra Shocket was concerned that the child is having thoughts of harming self and others without a plan and that child hears a voice telling her to do things. Raven was described as, anxious and depressed. At the time of appointment
Major current stressors in patient H’s life are normal for a girl of her age; attending college at a prestigious university, a new puppy, and friends. Patient H also is suffering from a variety of mental illnesses (this will be discussed later), and her family majorly stresses her. Patient H is an only child and therefore has had her parents
Tanyia is a 13-year-old African American female who currently resides at Vista Maria after being adjudicated on a Domestic Violence offense and being placed on Level 2 probation. She presents with a multitude of problems that will be the focus of her treatment needs of: verbal and physical aggression, fluctuating moods including irritability and anger, defiance, truancy from school, running away from home, associating with older males, substance use, traumas including physical abuse and rape, other sexual behaviors not appropriate for her age, and limited intellectual functioning. Her relationships within her family are very strained and lack adequate support, excluding her great grandparents. The goals in the therapeutic process are to facilitate
These ethical concerns must be addressed with every client. This is where closed ended questions may be considered, the best approach is to intertwine these questions into the normal flow of conversation so that the client does not feel like they are being judged. One of the ethical concerns the clinician needs to address is suicide, since those dealing with the crisis have no ability to cope and are vulnerable and overwhelmed, suicide may feel like their only option to end the crisis (Kanel, 2007). The clinician needs this information to keep the client safe. Another ethical concern the clinician must address is the possibility of abuse towards a child or the elderly or any harm to others. It is always a counselor or mental health workers ' duty to report any suspicion of this kind of activity to the proper authorities (Kanel, 2007). Organic or medical concerns are one of the other ethical considerations which must be addressed in the second stage. This includes making evaluations about any mental health or behavioral disorders as well as making any necessary referrals (Kanel, 2007). Substance abuse is another ethical concern that must be addressed by the clinician. Since substance abuse is commonly used to treat stress for those in crisis the clinician must be assertive in gathering information about drug use (Kanel, 2007). This information will direct the clinician in the
After doing an intake, I would like to refer Juna case to your facility for the services that she needs. I would like to give you a brief history of Juna and the challenges that she is dealing with. Both of Juna’s parents survived abusive childhoods and became alcoholics as adults. Juna has two other sisters with the same parents. She has witnessed domestic violence on all accounts in her childhood during her parents’ alcohol binges. There was a well-documented history of domestic violence in the marriage. When Juna was four, her father sexually molested her and before she turns six her maternal grandfather also began to sexual abuse her. Her mother was aware of these abuses but did nothing to protect her.
Furthermore, there are around 10 million individuals booked through the jail systems in a year. Of these 10 million individuals, around 700,000 of these individuals have symptoms of serious mental illness. However, though already high numbers, these numbers are expected to be lower than the actual due to individuals not wanting to report or not knowing to report thei...
...overtaken her body and the family know how much care Deana will need. By placing Deana in a nursing home where she can get the care she needed, I could only imagine that the decisions from the family were very challenging. Caring for Deana probably was a lot on some or most of the family member. So being honest about the care she needed, the decision made about placement in the nursing home was the best decision they made and in her best interest.
Andrea Yates’ life started out completely normal. She graduated number one in her high school class, became a registered nurse for the Anderson Cancer Center in Houston, and met the love of her life and got married. Her life sounds as normal as anyone’s does. Four months after she gave birth to her fourth child, something changed. She tried her first suicide attempt by swallowing 40-50 sleeping pills. She was hospitalized to a psychiatric facility and diagnosed with major depressive disorder. Her doctor’s attempt to medicate her was unsuccessful. She was discharged due to insurance restrictions and according to Charles Patrick Ewing, a forensic psychologist and attorney who wrote the book Insanity, Murder, Madness, and the Law “her family contracted to keep a close eye on the patient.” Several months following her hospitalization, her mental health declined. She lost 13 pounds, had no energy, slept all day, and had memory and conce...
Michael Hanson is a 77-year-old Caucasian male with a 60 year history of smoking. He has severe hypertension and benign prostatic hypertrophy. He has been prescribed Prazosin (Minipress) starting with 1 mg at bedtime and then increasing the dose to 10 mg BID in 2 weeks.
Necessary Behavioral Mental Health intervention does not end at the point first responders have successfully contained the actual crisis. The ongoing need for Behavioral Mental Health services will continue for an extended length of time when a traumatic event such as that depicted in the scenario occur. A copious number of individuals will have ...
Unfortunately, I struggled with this specific capacity. BP explained to me that since his problem with alcohol, his family had distanced themselves from him. Coming from a close-knit family, I found it difficult to accept that BP had not tried harder to reach out to his family in time of need. However, I did not take into consideration that his values differed from mine or that his family was any different than from what I had known them to be. In hindsight, I would have first assessed how his individual relationships with his family have evolved over the years and how he feels he should be treated in his current situation. This could also be recognized as a failure in re-imaging (Doane & Varcoe, 2005). Although, I have a basic understanding of BP’s current state of health and family life, I failed to recognize the differences that set him apart from the rest of his family or how his family may be contributing to the way in which he chooses to live his