Case Study June

Social worker conduct bio-psycho-sociocultural-spiritual assessments to gather information regarding all of the different dimensions of a client. This will allow the social worker to examine every factor that may or may not be contributing to the presenting problem the client is being treated for. For the purpose of this assignment, I will use the provided case study “Peter” as if I were conducting a bio-psycho-sociocultural-spiritual assessment.

The purpose of this paper is to introduce the Mental health counselor I have chosen to interview for my final project. In this paper I will include the specialties, the age groups and the modality of clients she services. Further I will explain, why I chose to interview Ms. T

If I were to complete an assessment I would also look for other anxiety or conduct disorders. I

Her most severe symptoms of anger, fear, and shame are leading her to self harming behaviors such as suicide, burning, and overdosing on prescription medication and alcohol. I believe that treating these symptoms to include fear of abandonment, rejection, and being alone would minimize her self-harming behavior. These symptoms are complex due to her early sexual abuse and rape. She has been diagnosed with BPD, PTSD, and Alcohol Use Disorder. Furthermore, she has many symptoms under the criteria of PTSD such as: Intrusive memories; dissociative reactions; recurrent distressing dreams; avoidance of external reminders; inability to remember parts of the traumatic event; persistent negative emotional state (depression, anger, and anxiety); feeling detached; self destructive behaviors; problems with concentration; sleep difficulties; significant distress and impairment in relationships (American Psychiatric Association, 2013). Secondly, Rosa’s symptoms associated with BPD are: instable relationships; impulsivity; frantic efforts to avoid abandonment; unstable and intense interpersonal relationships; unstable sense of self; self harming behaviors (over spending, burning, suicide, sex, substance use, and binge eating); chronic feelings of emptiness; transient, stress-related paranoid ideation; and affective instability (panic, anger, and despair) (American Psychiatric Association,

In the movie Short Term 12, a drama about a foster-care facility for troubled teenagers portrays the emotional journey of the teenagers and the staff running the facility. A troubled teenage girl named Jayden is brought into Short Term 12 because her father is not able to deal with her. Jayden has a past of self-harm and upon arrival is disinterested in befriending the other adolescents as she is not interested in “wasting time on short-term relationships.” Jayden displays symptoms of oppositional defiant disorder as she defies authority figures and throws tantrums. Using the illness prospective, Jayden can be diagnosed as having oppositional defiant disorder as well as depression. Antisocial behaviour such as rule breaking, running away and destroying property are actions Jayden engages in, she cusses when she's told not to,

I am employed as an on-going social worker by the MA Department of Children and Families (DCF). DCF is a child protection agency, which is responsible for protecting children from abuse and neglect and strengthening families. The Department has offices throughout the Commonwealth; I am located at the New Bedford area office. As an on-going social worker I am assigned families after a report of abuse or neglect has been reported, investigated and supported. It is the on-going social worker’s responsibility to provide professional child welfare social work services, through home visits, to the family. This is done by assessing the family’s strengths and needs, developing

According to the world health organisation 50 percent of mental illnesses begin by the age of 14, that’s why there are organisation such as the kids helpline dedicated to helping and counselling young people(Kids Helpline, 2016). The Kids Helpline is a free, 24 hour counselling service for young individuals between the age the 5-25, within this organisation 's kids are able to talk to experienced and trained counsellors who offer sessions though the phone, email and over the web (Kids Helpline, 2016) (appendix 1). These experienced counsellors all together respond to 4,500 calls a day, in regards to a range of issues that young people are having (kids helpline, 2016). The organisation 's main aim is to “empower young people by assisting them to develop and create positive relationships” they have helped millions of children and is a critical organisation in relation to kids physical, mental and social well being (Kids Helpline, 2016).

Please respond to the discussion questions below. Leave the question in bold and respond in regular 12size font.

Pt is 43 years old AA female who decided to return to OMHC after the program that she attended, Universal Counseling, was closed down. Initial admission to OMHC was around 2012. Pt has been diagnosed with PTSD, Bipolar, and Anxiety Disorder in the past. Her depressive episodes started at the age of 13 and after she was sexually assaulted by distant uncle. She later developed aggressive behavior around late teen and was involved in numerous arrests, starting the age of 18. Pt grew up in violence environment. "I used to watch my father beating up my mother." In 2003, pt was involved with a man, who later became her husband. The relationship was abusive. "He was verbally and emotionally abusive." The instability in the relationship has also led to numerous arrests for both pt and ex-husband. "He got arrested but he always got away with it. I was the one who would usually stay in jail." At times, her husband would change the stories of their verbal and physical altercation, leading to pt being arrested.

Karta is a 12 year old African American girl, who has experienced a long history of trauma. She was referred to me by her school social worker Ms. Johnson who reports that she has academic problems, severe inattention, hyperactivity, physical violent tantrums and is disrespectful to her peers and teachers.

During the evaluation period at St. Mary's, the triggers that caused her to relapse were not discovered. Upon arrival at home, TL became very focused on finding objects to self-harm. This behavior lasted approximately 30 minutes before she found a glass that was left in the kitchen sink and broke it. She was immediately removed from the location and restrained. While being restrained, a phone call was placed to Mind Springs and we were advised to call an ambulance or the Police Department for pick up and have her taken to their facility for assistance. The Police arrived at approximately 15:40, secured her and drove her to Mind Springs. I arrived at Mind Springs at 16:00 and advised that she was under observation and were exploring options

The Doe family lack family resilience and seek destructive behaviors to cope with stress. Like mentioned before, Nina dealt with her stress by trying to commit suicide and Adam started binge drinking. One priority nursing diagnosis for the Doe family is ineffective coping related to destructive behavior toward self. This is a priority because harming themselves can cause them to lose their life. One nursing intervention that I would initiate is to provide chances to express concerns, fears, feelings and expectations. The rationale for this is that verbalization of actual or perceived threats can help reduce anxiety and open doors for ongoing communication (Ackley,2014). Accuracy is the evaluation criteria I would use to make sure the family’s

To meet the needs of the client, more information is needed that was not outlined in the assessment. Additional information is needed regarding the seven year break between noticeable depression symptoms since her first diagnoses/episode to her current episode. A questioning assessment would be completed in order to see if client had recurring symptoms that went unnoticed during the last seven years or did she use coping skills to assist with any symptoms. It would be important to gather more information on her use of learned coping skills during recent depressive episode. I would also gather more information from Suzy, why she decided to not start back on her medication after the birth of her child. The assessment alludes to issues with Suzy

In the Assignment 2: Loads of Fun I have an opportunity to apply leadership concepts and ideas to a real-world situation to design a personal leadership plan for Joan Salmon. She is about to take over the family business, to expand it and keep her business moving forward. Invitations Inc. produces and sells a variety of invitation styles at different price points but her most popular items seem to be either the “budget” invitations or the “high end” expensive paper products. As a consequence, being able to satisfy and inspire clients is an essential part for the company. There are already some aspects that Joan wants to pay attention such as to take stock of the company, to explore the online market for future growth potential,

Her medical history shows obvious signs of parasuicidal activity. She has instable interpersonal relationships and affect. She is very impulsive and has an intense fear of abandonment. All of these features have caused great impairment in her daily