Counselor met with Pt. for his monthly individual session. Counselor and Pt. discussed his new treatment plan update objectives and interventions. Pt. agreed to sign the AMS Record of Services sheet. Counselor helped Pt.…
AMS Counselor met with Pt. for the first individual session. Pt. transferred to this counselor caseload on the above date. Counselor introduced himself with name, sharing his cultural background and counseling work experience in order to develop a heathy therapeutic alliance. Counselor requested that Pt. provide an honest description of his medication effectiveness and any medication issues.…
Clinical social workers conduct psychosocial assessments to better understand the complex lives of clients. It is a guiding tool that aid social workers in obtaining relevant information such as demographics, identifying the problems and concerns, past and present experiences in order to give meaning to the client’s life. While this process is relevant to social workers, one can encounter challenging or difficult clients who will test the expertise of a social worker. This paper will discuss such client who was court ordered to complete parenting classes, individual therapy, random drug screening and has been non-compliant with treatment. Background Information: Salina is a 39-year-old Guyanese American female.…
D: Therapist and Adriano met for an individual therapy session. Adriano wanted to talk about other peers behaviors at the start of the session assured Adriano that his concerns would be looked into. Therapist asked Adriano how his behaviors have been since the last time therapist and Adriano met, Adriano got quite and took a deep breath and leaned back in his chair. Therapist provided Adriano a little time to process what he was feeling and then attempted to restate the question. Adriano reveled that his week was good he just got upset a few times and punched a hole in his bedroom wall.…
Client “MDC” is a 44 year old who has been living with her boyfriend for the past two years in the streets, shelter, and motel. They have no children together; however the client has three children from a previous marriage. Client presented with multiple concerns related domestic violence abuse, depression, employment, and concerns over alcohol/drug abuse from her current ex-boyfriend. Client is diagnosis with major depression (DSM-5 Diagnosis: Major Depression-F32.9) due to the fact her ex-boyfriend sexual, emotional, mental and physical abuse by pulling her hair, unwilling and forceful sexual abuse while staying a motel for couple days. Abuser took the client psychiatry medications and use force and gave the client cocaine all day/night while during sexual intercourse.…
Robin reports feeling very anxious and irritable much of the time and would like to gain a better understanding of her problems. Robin’s affective and emotional state appeared sad and crying. Robin denies any suicidal and homicidal ideation. The main themes of the session were coping with feelings of anxiety, depression and substance use. Robin reported that she is struggling with depression and anxiety for more than ten years now mostly without treatment.…
Summary Mr. Smith was referred for a complete battery of tests to help determine his cognitive and psychiatric functioning, treatment recommendations, and his suicide risk level. The patient is currently hospitalized at a locked inpatient psychiatric institute for new onset psychosis in the wake of excessive alcohol and cocaine use. He was found stumbling outside of a large fraternity party on the local college campus yelling loudly and walking into traffic. Witnesses to this event described Mr. Smith incoherent, speaking nonsensically, and aggressive.…
Case Conceptualization 1. This client is seeking help at this point in time because she seems to be going through a hard time after leaving her husband. Feelings of anger, sadness, and guilt have resulted from this. She had moved herself and her daughter to her mother’s. Not long after did she find out that her ex husband had found someone else.…
Presenting Problem The Nebraska Juvenile Justice System Probation Officer (NJJS) and the Jefferson County Juvenile Court referred this client to OMNI for violating the conditions of his probation. This client has a significant history of emotional and behavioral problems, including frequent mood changes, oppositional and defiance toward authority figures, and extremely impulsive physical aggression both at home and at school, these behavioral issues have become so significant he needs placement outside of the home. Family/Social History The client has resided with his adopted family since he was approximately 2 years old. His biological mother has a substantial history of alcohol and substance abuse and this client, as well as…
Goal: Learn to be respectful to adults and others in the home and community settings. Intervention: MHS started the session with a check back for the last session. MHS asked the client about her behavior at school and at home. MHS asked the client asked any concerns she may be having. MHS asked the client to talk about what is causing her to talk back at school and at home.…
There are three goals I have selected for my client in order to prevent another hospitalization: Client will participate in medical and psychological assessments at least two days prior to discharge, client will create a safety plan in the event of a medical emergency at least one day prior to discharge, and the client will build a healthy support system containing at least five individuals within six months after discharge. Goal 1 The first goal is for the client to participate in medical and psychological assessments at least two days prior to discharge. The purpose of this goal is to pinpoint the cause of the dizziness, forgetfulness, and diminishing eyesight Rose is experiencing.…
The clinical supervision is really a very beneficial experience. In the past two weeks, I was with my preceptor at the clinical site (supervising students) and also in the simulation lab at the University of Tampa. On 10/02/15, I went to St. Joseph`s Behavioral Center with my preceptor for supervising the student`s clinical rotation. In the morning, students gathered together in the front lobby and the preceptor discussed with the students their plan for the day.…
On 11/10/17 I met with Ms. Perez at the Chesaning rehab center for a team meeting. Ms. Perez was in her hospital bed. She continues to have weeping edema to her right arm and the lower extremities. She had a recent appointment with, Dr. Malik wound doctor. He was very happy with the progress of the abdominal fold wound.…
1. Develops a therapeutic relationship with clients Therapeutic relationship is the special connection between the nurse and client that is based on trust, empathy, respect, and professional intimacy. On the afternoon shift the certified nursing assistant (CNA) reported to me that a client did not have dinner.…
This paper will conclude on the case study’s life and how it will influence the subject in becoming the best professional social worker they can be. Biological My subject in this case study has no apparent physical disabilities. However, she does have other biological factors that…