Mrs. Jones is a 67 year old female who presented to the ED via LEO under IVC through DayMark Recovery Services. Per documentation Mrs. Jones has been non compliant with medications and has been experiencing symptoms of psychosis. At the time of the assessment Mrs. Jones appears calm and cooperative. She does present with tangential speech and vaguely answers questions. She recently was discharged from Novant health 1/3/17 and followed up with DayMark 1/11/17 with new changes in medications. Per documentation she has not been taking medications, answering the phone when called, not eating, and bathing. Mrs. Jones has a history of non compliance. Mrs. Jones reports denies suicidal ideation, homicidal ideation, and symptoms of psychosis. She reports
SC placed call to Pa and spoke with Bill Pa’s spouse who reported that doing ok. But she has come combative lately and verbal abusive. Bill spoke at length about her behavior and the impact it has on him. Bill is offended when Pa makes disparaging remarks about him and calls him out of his name. Bill reported that he believes Pa needs a medication review and a change in meds.
The female patient was irate, uncooperative, and exhibiting violent behavior with the nursing staff and Physician. She wanted to leave the hospital and refuse to talk to the staff. The patient throws her SCID card in the trash and I pulled it out of the trash can and place it with her paper work. The female patient received
Pt has history of drug abuse and numerous admission to substance abuse program for heroine and crack/cocaine abuse. She was able to maintain abstinence for certain period of times only during incarceration. Pt has recently arrested after fighting with a woman, whom pt perceived as threatening. Pt was arrested since pt's attack led to the other woman's injury. Pt is currently on probation for 4 1/2 years for second degree assault and theft.
Stephanie and Tabitha If you receive the referral for the new eval and patient has a PCP at the Hope Drive please send the message in power chart to Catherine Dibblee and Rachelle Jones (copied on this message) and pt should be scheduled with Dr Garcia or Petrovic at the Hope Drive if family agrees after MOAs from the Hope Drive call them. Only patient with acute suicidal ideation severe autism and schizophrenia should be schedule at the NE Drive. Wait lists are short at the Hope Drive and longer at the NE Drive. Dr Fogel please let Stephanie and Tabitha know if this start applying to the Camphill and Elizabethtown referrals .
As a result of the abuse, Rita has thought about suicide numerous times. She has even fantasized about killing her husband. Although she does not have a plan for either, her thoughts are potential legal concerns. Rita engages in illegal drugs and large amounts of alcohol, which significantly interferes with her social, occupational, and other important areas of functioning. These substances may impair her judgment while on the job and can be a legal concern; she is a business owner in charge of making decisions which require her to be in sound mind.
Describe your client and what you believe are their current presenting issues. The client is s a nine year old male in the third grade. He lived with his mother Carol and stepfather for a period of time. He currently is living in a foster home as result of his emotionally disturbed behavior. Jason presenting problem is whether he should stay in his current placement, move to an alternative setting, or return home.
The mother has four priors the two prior adult intakes with physical injury by Paramour. She was listed as a victim with mild retardation. Shaquana states at the time of the two adult priors in 2006 and 2009 the play fighting she did with the paramour at that time sometimes have gotten a little rough. Another prior the mother was a HM during family violence investigation in 2012. One last prior she was the AP with no indicators in environmental hazards, substance misuse alcohol, and substance misuse-illicit drugs.
He is scheduled to be discharged today, but still needs some reinforcement of diabetes education. He does not speak English very well. • Scheduled admission is Mrs. Mary Smith, a 75-year old black female admitted with change in mental status. ER calls to give report at 0800.
Like many mentally ill Kentuckians, Morton was neither dangerous enough to be kept in a hospital for long nor healthy enough to care for himself in the community. If successful, House Bill 94 would "keep people out of the revolving door of the hospital," Sheila Schuster of the Kentucky Mental Health Coalition told the committee. Most states have adopted some version of "assisted outpatient treatment" since the 1980s, when families of the mentally ill began to lobby for it. Police or family members can have the mentally ill involuntarily committed to a hospital for treatment once they deteriorate to the point that they pose a threat to themselves or others. First, at a hearing, a judge would decide if the individual met various criteria, including having a severe mental illness, symptoms of anosognosia, a likelihood that he would be a danger to others and a determination that outpatient treatment was the least restrictive alternative available.
The patient is a 52 year old female who presented to the ED via EMS with bizarre behaviors. Per documentation neighbors found the patient screaming in her house. Per documentation LEO found the patient attempting to drink a closed bottle of alcohol hand sanitizer fluid. Patient presents with disorganized thoughts and irrelevant subject matter when asked questions about behavior upon arrival. Nursing staff was asked about status before the assessment and reports improvements in the patient bizarre behavior.
Ms. Lewis was referred by Maricopa county correctional health services to receive an evaluation for potential to transfer to the mental health unit. She was serving a 10-year sentence for manufacturing and possession of illegal substances. She had served 1-year of her sentence and reported symptoms of anxiety, obsessive rumination, and sleep disturbances. Notification of Purpose and Limits of Confidentiality Upon arriving for her appointment, the Informed Consent and confidentiality agreement was discussed both verbally and in writing with Ms. Lewis. The purpose of evaluation was reviewed along with mandated reporting laws and danger to self (DTS) and danger to others (DTO).
The patient is a 53 year old male who presented to the ED via EMS intoxicated and reporting suicidal thoughts. The patient denies homicidal ideations and symptoms of psychosis. The patient endorses depressive symptoms including: tearfulness, isolation, and insomnia. During the time of the assessment the patient is awake, alert, cooperative, and clam. the patient reports that he had been drinking to 2 pints of alcohol earlier during the day.
Pamela takes her medicine and is seen by Warren Yazoo Mental Health on a regular. However, I have concerns regarding her treatment. It doesn’t appear to be effective. Pamela often makes up stories. In her mind, the stories are true but after investigating, I find out the stories are not true.
She lived with her father and his wife with her three older step sisters. Her step mother was verbally, emotionally, and physically abusive on more than one occasion. She was diagnosed with ADD at the age of seven and was medicated with Ritalin since that time. She has attended weekly therapy sessions without change in behavior or demeanor for nearly four years in an attempt to make her work through the abuse she could not recall. This included showing her pictures of her beaten lifeless body and court reports.
Grandma reports, low socioeconomic status and has difficulty providing shoes and clothing desired by client. Grandma reports onset of ADHD symptoms around 12. No academic problems in school and is above grade average in math. The client stopped taking medication for about six months and had several violent outburst which concluded to felony charges of assault and grand larceny. Client does not present remorse for his actions and affect is flat, which may be due to medication side affects.