Case management, post-discharge, is an integral part of working with clients who suffer from severe mental illnesses. Post-discharge is when the real opportunity to recover begins. Being able to recover and learn how to cope, is a very real option for those who struggle with mental illness if they have the proper supports and plans in place. Recovery can be defined in social work, as the clients new found, self-defined success within the community (Kondrat &Early, 2010). It is therefore, our job as social workers, to create and develop post-discharge plans for our clients that will help them strive and learn how to navigate their communities successfully, while living with a mental illness. This paper will examine the importance of case management
Objective 1: develop a no harm to self or others contract for client to sign, and to obey while in treatment (Perkinson, Arthur, & Bruce, 2014) Intervention 1: request client to sign a no harm contract. Ask client to call staff members or family if feeling of self-harm should occur. Objective 2: refer for medical evaluation Intervention 2: refer patient to be examined by physician and psychiatrist for full workup of mental stability, and medical conditions.
Case Study Robbie J., a 19-year-old white male and first-year college student, suffered a significant brain injury 6 months ago as a result of a car accident. Robbie had been partying at a friend's house and left about 1:00 a. m. Driving home, he missed a curve in the road and rolled his car. Robbie's parents knew that their son drank "occasionally," but they never thought he had a "problem. " They had purchased a car for him and warned him of the dangers of drinking and driving.
“There is growing recognition that health services must move beyond the responsibility of simply providing clinical and curative services to increasing attention on the benefits of promoting mental health and well-being” (Wand and White, 2007, p. 404). The focus of this
D: Client was on time for intake appointment. Together, discussed the assessment recommendation and barriers to successful treatment outcomes. Client reviewed and signed of all treatment admission paperwork, including treatment agreement, ROIs, THS treatment policies, THS alcohol drug Services patient rights, THS patient responsibilities, THS health and safety information, THS counselor disclosure information, patient grievance procedures, THS HIV/AIDS information, THS notice of privacy practices, referral to Quit smoking, and marijuana policy. Treatment plan was developed, which was focused on Dim 4, 5, and 6; focusing on developing readiness to change, identifying relapse potential, and building a strong family and social support system.
Serious Mental Illness (SMI) and Substance Use Disorders (SUD) each involve symptoms that can be rather debilitating. Approximately one half of the individuals diagnosed with a severe mental illness such as schizophrenia or bipolar disorder experience co-occurring substance use issues (Brunette et al., 2008). Individuals with a dual diagnosis of SMI and substance use are particularly vulnerable with complex service needs (Tsai et al., 2009). As a result of the high prevalence and serious consequences of these disorders, there is an increasing need for comprehensive treatment options to simultaneously address both issues.
Dr. Michael Hogan discusses his research on approaches which would allow adult with serious mental illness and children with severe emotional disturbance to live, work, learn, and participate fully in their community. It is very important to articulate that recovery is possible for individuals. The person in treatment has to have a strong belief that things are possible, in order to change. Another strength is for the counselor to focus on the positive aspect of the person in treatment for a better outcome.
Co-occurring disorders are common with most client cases that are presenting with a substance use disorder. Rosa is presenting with a history of several suicide attempts, alcohol use disorder, Post traumatic Stress Disorder (PTSD), and Borderline Personality Disorder (BPD). The client’s most severe symptoms are anger, fear, and shame. It is these symptoms that are complicating her life, causing distress, and self harming behaviors. Additionally, her treatment history is limited since she does not finish her therapy sessions.
When long-term sobriety is a challenge, for support and guidance, many people turn to 12-step programs by Alcoholics Anonymous and other organizations. Although there are numerous reasons to embrace the principles for 12-step recovery in St. George and throughout the world, there are still many lingering rumors and misunderstandings that surround this effective program.
Wellness coaching is growing rapid over the years to help improve the quality of life and breaking old habits. It is becoming an active strategy in many therapeutic fields to be used to help with prevention, health promotion, and encouraging individuals to make a change for the better (Clark, 2013). Wellness coaching is based off positive psychology to help motivate and help people to reach their goals in their health (Collins, 2009). Wellness coaching focuses on the individual’s well-being and overall health by giving the individual support, motivation, and goals to get to where the individual wants to be (Grodzki & Allen, 2005). Wellness coaches are trained to help individuals to work towards his her goals that are focused on wellness and physical health (Nelson & Shckley, 2013). The wellness coach is able to narrow their field by focusing on prevention or helping people with existing health concerns (Grodzki & Allen, 2005). With narrowing it down with prevention or existing health illness, a wellness coach can focus on another topic with step-by-step programs, weight loss, and
Resilience is known as bouncing back from the adversities and bringing in strength to cope to difficulties. Adversities happen at personal, community and organisational level. Resilience allows the person to come out of the adversity, rather than staying with it and to move forward further. This is a way of maintaining positive mental health and maintaining one’s own well being in the midst of adverse conditions. It enables a person to maintain positive health in the midst of challenges (Mowbray, 2011). It is the way of mobilising one’s own personal and community resources in a way to prevent, control or tolerate the adversity and be enhanced by it. It allows for a good performance in the presence of debilitating factors and risks and exploits
For the last six years, I have been working in the substance abuse industry in both inpatient and outpatient settings. It would be fair to say that most people that are in need of substance abuse treatment have a co-occurring disorder such as depression, bipolar disorder, schizophrenia, and anxiety. These people are diagnosed by a psychiatrist or medical doctor and are typically given medication to help the patient. However, the problem can be that if a person sees a psychiatrist and is not honest about their substance abuse history the mental diagnosis can be deceiving.
Nurse Management of Alcohol Withdrawal Syndrome Seynor Massalee Kennedy Oakland University Alcoholism is a chronic, progressive, potentially fatal disease, which is characterized by a persons’ inability to discontinue use despite it resulting into emotional, social, legal or physical problems (Powell, 1999). Alcoholism is a common problem in United States, and an estimated 15%-20% of hospitalized patients are dependent on alcohol. These hospitalized patients are suddenly force to stop drinking, which placed them at a risk for alcohol withdrawal syndrome (AWS). AWS complicates these patients’ treatment and recovery and sometimes causes death (Lussier-Cushing et al., 2007). Regular and excessive use of alcohol leads to tolerance and dependence.
The mental health status of a patient is very important when you are dealing with drug abuse and suicidality. Knowing if there is co-morbidity in the diagnosis will help determine the best treatment plan for the patient. However, not all hospitals are required to run mental health screening on their patients. Often this test is left up to the desecration of the medical staff on duty at the time of the patients intake. Data Analysis Plan
Both internal and external conflict can take an emotional toll on a patient who is dealing with the psychological and physiological effects of addiction. Also, these patients lose their able to function normally, and some healthcare personnel perceive their behaviors as deliberately preformed causing an excessive amount of stigma. Addiction leaves patients having to manage the pain and suffering of not being in control of their own bodies without much guidance of healthcare personnel. However, patients would not have to persevere through addition consequences of addiction if professionals – especially pharmacists – had enhanced education of addiction which would possibly alleviate