Real Cases Assessment and Intervention
Farkhanda Wajibul
Brandman University Presenting Problem
Andrea is a 27 year old single unemployed female referred by Elmhurst Hospital due to a suicide attempt by overdosing on Zoloft. Client has ongoing mental health symptoms which impair her ability to function and adequately care for her 9 year old son who has been diagnosed with autism, and is currently in foster care. Client has a history of mental illness, has had frequent hospitalizations, received prior mental health treatment. Client presents with depression, feelings of sadness, difficulty communicating and difficulty maintaining positive relationships. Client has been diagnosed with Major Depression with psychotic features, Schizophrenia, …show more content…
A summary of current sources of Evidence- Based Assessment for Individuals include back ground information on clients from case records, verbal reports from clients, direct observation of nonverbal behavior, observatioin of intearaction with family members and others, collateral information from families, relatives, physicians, teachers, employers, and other professionals, and tests or other instruments(Holosko, Dulmus, & Sowers, 2013, p.132-133). Conducting a through Evidence- Based Assessment this writer would educate the client on the informed consent and mandated reporting practices, listen empathetically while expressing genuine concern with presenting issues. Writer would inform the client that the primary purpose is to assist the client with obtaining her treatment goals. Writer would provide full attention to client while obtaining information. Writer would listen attentively while observing client’s nonverbal behavior. Writer will validate client’s concerns and feelings appropriately. Writer would ask questions and requests clarity to ensure writer understands and accurately obtains information. Writer would engage the client during interview to build rapport and set the tone for open and honest …show more content…
Family is available x□ Yes □No Client consents to family participation? □Yes x□No □N/A Family agrees to participate? □Yes x□No (If yes, please specify)
Objective # 4 Assigning Date: _10/16/16_______
Client will be linked to supportive in order to comply with court mandated/CPS obligations 2xs per month.
Clinical Interventions: Must be related to the objective and achievable within the time frame of this Plan. Describe proposed intervention and duration (specify if time frame is less than 1 yr).
Team will assist client with targeted case management needs and court mandated/CPS obligations by providing linkages, community referrals, health care providers, and social support groups such as parenting and substance abuse classes.
Type of Service: □MHS* x□TCM □ Med Sup □ Crisis Res □Trans Res □Long-Term Res □ TBS □ DTI
Farkhanda Wajibul
Brandman University Presenting Problem
Andrea is a 27 year old single unemployed female referred by Elmhurst Hospital due to a suicide attempt by overdosing on Zoloft. Client has ongoing mental health symptoms which impair her ability to function and adequately care for her 9 year old son who has been diagnosed with autism, and is currently in foster care. Client has a history of mental illness, has had frequent hospitalizations, received prior mental health treatment. Client presents with depression, feelings of sadness, difficulty communicating and difficulty maintaining positive relationships. Client has been diagnosed with Major Depression with psychotic features, Schizophrenia, …show more content…
A summary of current sources of Evidence- Based Assessment for Individuals include back ground information on clients from case records, verbal reports from clients, direct observation of nonverbal behavior, observatioin of intearaction with family members and others, collateral information from families, relatives, physicians, teachers, employers, and other professionals, and tests or other instruments(Holosko, Dulmus, & Sowers, 2013, p.132-133). Conducting a through Evidence- Based Assessment this writer would educate the client on the informed consent and mandated reporting practices, listen empathetically while expressing genuine concern with presenting issues. Writer would inform the client that the primary purpose is to assist the client with obtaining her treatment goals. Writer would provide full attention to client while obtaining information. Writer would listen attentively while observing client’s nonverbal behavior. Writer will validate client’s concerns and feelings appropriately. Writer would ask questions and requests clarity to ensure writer understands and accurately obtains information. Writer would engage the client during interview to build rapport and set the tone for open and honest …show more content…
Family is available x□ Yes □No Client consents to family participation? □Yes x□No □N/A Family agrees to participate? □Yes x□No (If yes, please specify)
Objective # 4 Assigning Date: _10/16/16_______
Client will be linked to supportive in order to comply with court mandated/CPS obligations 2xs per month.
Clinical Interventions: Must be related to the objective and achievable within the time frame of this Plan. Describe proposed intervention and duration (specify if time frame is less than 1 yr).
Team will assist client with targeted case management needs and court mandated/CPS obligations by providing linkages, community referrals, health care providers, and social support groups such as parenting and substance abuse classes.
Type of Service: □MHS* x□TCM □ Med Sup □ Crisis Res □Trans Res □Long-Term Res □ TBS □ DTI