Solution 1: IMPACT (Improving Mood-Promoting Access to Collaborative Treatment) This is a program for older adults suffering from depression and chronic forms of mood disorders. The intervention, a stepped and collaborative approach, is designed such that each participant’s primary care provider is working with a nurse, social worker or psychologist to generate a course of treatment. Prospective participants are selected either from referrals made by the primary care provider or via routine screening of patients. The initial visit involves the completion of an assessment by a depression care manager (DCM) followed by education of participants about depression and existing treatment options. The participants are also asked about their treatment
How do the issues facing those doing strategic planning differ from those doing tactical planning? Can the two really be
A 38-year-old single woman, Gracie, was referred for treatment of depressed mood. She spoke of being stressed out due to conflicts at work, and took a bunch of unknown pills. She reported feeling a little depressed prior to this event following having ovarian surgery and other glandular medical problems. She appeared mildly anxious and agitated. She is frequently tearful, but says she does not have any significant sleep or appetite disturbance. She does, however, endorse occasional suicidal ideation, but no perceptual disturbances and her thoughts are logical and goal-directed.
Depression is a mood disorder affecting the way an individual feels, thinks, behaves and can affect social and occupational functioning (Canadian Medical Association CMA, 2013). Public Health Agency of Canada (PHAC), 2002 reports approximately 8% of Canadian adults will experience major depression at some time in their lives and that it is the leading cause of years lived with disability worldwide. The Patient Health Questionnaire-9 (PHQ-9) was chosen for this critique to improve knowledge and understanding of this tool for practicing and new clinicians working in Primary Care. The goal is to increase confidence in utilizing the PHQ-9, increase diagnostic and monitoring accuracy, and ultimately to improve health outcomes.
In order to collect data a counselor must first decide on which symptom and functioning domain to assess on. Many measures are used to assess treatment outcome focus from one particular symptom or diagnosis such as depression and to which these measures only apply to one subset of clients. In response, many clinical settings that see a wide range of clients tend to measure a broader range of symptoms to provide a more complete assessment of each client. The researcher must then decide what source of dates should be used as well as whom perspective should be assessed. As a result of the complexities of measuring clinical outcomes clinicians have begun to integrate an increased number of brief, standardized, and validated measures that are provided at the beginning of treatment and throughout in intervals.
For this assignment we are asked to research the chosen diagnosis that was selected back in Module 1 for this course. For the paper the chosen diagnosis was Major Depressive Disorder. By utilizing a minimum of five sources we are asked to answer the following questions. We are asked to describe the selected disorder, we also need to identify the DSM-IV-TR diagnostic category and as well as distinguish diagnostic and commonly used terminology. We then are asked to give the causative factors, the diagnosis, and the treatment of the disorder. Last we are asked to provide a survey of current research on this chosen disorder. (Argosy University, Module 3, 2014)
The Beck Depression Inventory-II (BDI-II) is the latest version of one of the most extensively used assessments of depression that utilizes a self-report method to measure depression severity in individuals aged thirteen and older (Beck, Steer & Brown, 1996). The BDI-II proves to be an effective measure of depression as evidenced by its prevalent use in both clinical and counseling settings, as well as its use in studies of psychotherapy and antidepressant treatment (Beck, Steer & Brown, 1996). Even though the BDI-II is meant to be administered individually, the test administration time is only 5 to 10 minutes and Beck, Steer & Brown (1996) remark that the interpretive guidelines presented in the test manual are straightforward, making the 21 item Likert-type measure an enticing option to measure depression in appropriate educational settings. However it is important to remember that even though the BDI-II may be easy to administer and interpret, doing so should be left to highly trained individuals who plan to use the results in correlation with other assessments and client specific data when diagnosing a client with depression. An additional consideration is the response bias that can occur in any self-report instrument; Beck, Steer & Brown (1996, pg. 1) posit that clinicians are often “faced with clients who alter their presentation to forward a personal agenda that may not be shared.” This serves as an additional reminder that self-report assessments should not be the only assessment used in the diagnoses process.
In Canada, 1 in 7 people suffer from poverty, this is translated to about 4.8 million people (Just the Facts, 2015). When living in poverty, people are faced with hardships that make it challenging for them to live a proper, healthy life. Living in poverty does correlate with the fact that these families will suffer from a low income. Families that have a low income are more likely to suffer from poor physical and mental health because they are unable to support themselves when it comes to nutrition and cleanly living conditions. Fresh, nutritious, organic foods typically cost much more than freezer and fast foods, charities that help these families do not provide enough fresh foods to maintain a healthy diet, unsanitary living conditions
This paper introduces a 35-year-old female who is exhibiting signs of sadness, lack of interest in daily activities and suicidal tendencies. She has no interest in hobbies, which have been very important to her in the past. Her lack of ambition and her suicidal tendencies are causing great concern for her family members. She is also exhibiting signs of hypersomnia, which will put her in dangerous situations if left untreated. The family has great concern about her leaving the hospital at this time, fearing that she may be a danger to herself. A treatment plan and ethical considerations will be discussed.
Eack, S. M., Singer, J. B., & Greeno, C. G. (2008). Screening for Anxiety and Depression in Community Mental Health: The Beck Anxiety and Depression Inventories. Community Mental Health Journal, 44(6), 465-474.
Whooly MA & Simon GE (2000) “Managing Depression in Medical Outpatients” New England Journal of Medicine, 343 (26) page 1942-1949
Darby, S. Marr, J. Crump, A Scurfield, M (1999) Older People, Nursing & Mental Health. Oxford: Buterworth-Heinemann.
Depression is the most common mental health problem in the United States. It affects people of all ages, races and economic backgrounds. In adolescents, as many as one in eight teens suffers with this condition. It can interfere with day-to-day functioning. Many times adolescents feel lost or hopeless and may not know who to turn to for help. This therapeutic environment uses specific objectives and goals to give adolescents the tools and skills they need to cope and function more successfully. This is a positive, caring environment so that each member will feel ready to share and cope with their problems. Currently, there is a lack of support and resources for adolescents with this mental illness and this group fulfills that need. This group is different from other groups of this nature, as members are carefully screened to make sure only those who can truly benefit from it are included.
Muñoz, RF & Miranda, J 1998, Group therapy for cognitive-behavioural treatment of depression, San Francisco General Hospital, San Francisco.
The intended approach to the health plan that is being discussed is to offer a holistic plan of health for the older adult. People of any generation tend to relate the words physicians, and medications with the word health. However being healthy is much more than any physician can offer by giving prescription. Holistic health looks at a person’s whole being. So to offer a holistic health plan for the older adult the plan should include physical activity, healthy nutrition and mental health components. The mental health component often times get neglected in today’s society and often health personnel do not remember to include mental health in the planning. Some would state that mental health needs to be considered
Simpson, C. (2007) ‘Mental Health part3: Assessment and Treatment of Depression’ British Journal of Healthcare assistants. pp 167-171.