Where are you now? Client reported continuing with his sobriety and feeling contempt without the use of illicit substances or alcohol. Where would like to be? Client reported being “done” with drugs and alcohol, and he also stated having a “good grip “on his sobrierity. N/A Mental health Client denied having PTSD symptom. Client stated feeling good mentally and not having any goals related to his mental health. Client denied S/I,H/I. N/A N/A Housing Client completed background check and Hacla portion of the intake for LA Family Housing. Client reported meeting with case manager Erica Magridal, in where he was informed that he was a good candidate for housing at one of their sites in the San Fernando Valley. Although the client had
How do the issues facing those doing strategic planning differ from those doing tactical planning? Can the two really be
The investigators sought out potential subjects through referrals from psychiatric hospitals, counseling centers, and psychotherapists. All potential subjects were screened with a scripted interview and if they met all the inclusion criteria they met with an investigator who administered the Clinical-Administered PTSD Scale(CAPS) to provide an accurate diagnosis. In the end the study ended up with 12 subject, 10 females and 2 males with a mean age of 41.4, that met the criteria for PTSD with treatment resistant symptoms, which were shown with a CAPS score of greater than or equal to 50.
Gorski, T. T., & Miller, M. (1986). Staying Sober: A Guide for Relapse Prevention. New
On January 30, 2018, the Office of Inspector General’s Office (OIG) received a hotline report alleging Dr. Katrina Alexander committed abuse, fraud, mismanagement and waste against the VA by purposely lying and manipulating scheduling to receive un-deserved overtime pay, misleading providers, clerks and patients about availability in her schedule. Further, the Psychologist doubled billed for groups, misused the billing codes for psychological testing getting her higher Relative Value Units (RVU), possibly overcharging patients, then allowing her to appear as working more than any other provider. The claimant alleges that this is causing significant access issues for the Mental Health Center (MHC). Additionally, leadership at the facility permitted the Psychologist sole control of her schedule (only Mental Health provider in MHC with this permission) that led to her ability to mask the improper activity, and no action taken by the Texas Veterans Health Care System’s leadership to rectify the alleged improper activity.
The current criteria for assessment of PTSD is only suitable if criterion A is met. Every symptom must be bound to the traumatic event through temporal and/or contextual evidence. The DSM-5 stipulates that to qualify, the symptoms must begin (criterion B or C) or worsen (symptom D and E) after the traumatic event. Even though symptoms must be linked to a traumatic event, this linking does not imply causality or etiology (Pai, 2017, p.4). The changes made with the DSM-5 included increasing the number of symptom groups from three to four and the number of symptoms from 17 to 20. The symptom groups are intrusion, avoidance, negative alterations in cognition and mood, and alterations in arousal and
On 10/28, Clients Shantae HOH and Jennifer co-applicant reported and completed the assessment & this Initial ILP. The clients returned back to Auburn on 10/25 after being cited for curfew violation. The clients are currently eligible for full shelter services including housing assistance. Both clients are aware and understands they must seek and accept first suitable housing. HOH inquired about eligibility for the LINC and SEPS Rental assistance Subsidies. CW explained the criteria for both programs and provided them with information on SEPS. Both clients reported being employed, HOH states she has two jobs, Client works at Superdry Clothing Store & Macys Dept. Stores as a Sales Associates Co-applicant Jennifer reported she is employed
Posttraumatic Stress Disorder is defined by our book, Abnormal Psychology, as “an extreme response to a severe stressor, including increased anxiety, avoidance of stimuli associated with the trauma, and symptoms of increased arousal.” In the diagnosis of PTSD, a person must have experienced an serious trauma; including “actual or threatened death, serious injury, or sexual violation.” In the DSM-5, symptoms for PTSD are grouped in four categories. First being intrusively reexperiencing the traumatic event. The person may have recurring memories of the event and may be intensely upset by reminders of the event. Secondly, avoidance of stimuli associated with the event, either internally or externally. Third, signs of mood and cognitive change after the trauma. This includes blaming the self or others for the event and feeling detached from others. The last category is symptoms of increased arousal and reactivity. The person may experience self-destructive behavior and sleep disturbance. The person must have 1 symptom from the first category, 1 from the second, at least 2 from the third, and at least 2 from the fourth. The symptoms began or worsened after the trauma(s) and continued for at least one
Wilkes, E, Gray, D, Saggesr, S, Casey, W & Stearne, A 2010, ‘Substance Misuse and Mental Health
The ego surrogate assures the client on a continuing basis of the importance of not drinking and
It was not until 1980 when the DSM- III was published that PTSD was officially recognized as an anxiety disorder for victims of traumatic incidents (TIs) and not until 1994 when DSM- IV was published it included the witnesses as well. For psychological traits to be classified as PTSD they must satisfy the following: exposure to TI directly causes peritraumatic distress not long after the event, currently re-experiencing TI, avoiding triggers to memories of the scenario with general unresponsiveness, and hyperactivity (Lavoie et al., 2016). With the TI, memories of the event are intruding upon the daily function of the individual through images, thoughts, tastes, sounds, and smells with the flashbacks correlating
During my time in the ward, I recently had a patient with alcohol dependency in my care. My patient, Mr Grey was a 51 year old male patient who was admitted with a fractured neck of femur and consistent hypertension. Mr Grey required a vast amount of medical treatment for his injuries. As well as Mr Grey’s physiological problems he also had poor mental health problems such as depression and anxiety. We later discovered my patient had some social issues and that he was homeless.
Liehr, P, Marcus, M, Carroll, D, Granmayeh, K L, Cron, S, Pennebaker, J ;( Apr-Jun 2010). Substance Abuse; Vol. 31 (2); 79-85. Doi: 10.1080/08897071003641271
Mental health illness affects 26.2 % of the United states adults ages 18 and up. That is 1 in 4 people as of 2004 ("The Number"). Mental health illness does affect over a quarter of the United states population to include me as one of the people who suffer from it. This has affected me and changed my life drastically. Aside from the difficulties of having a mental health illness is how people react to me once they find out. This is widely due to mass media creating a stigma for the mental health ill people that most of the general population tend to believe in the United states.
Furthermore, each alternative has its advantages and disadvantages. Trying to solve this problem completely alone is probably the worst solution. A person receives no outside support or help. A rehabilitation/recovery center is expensive but provides strict daily routine and continuous professional guidance and support. The patient is away from family and his normal life; therefore, he may resort back to alcohol when he is back in the "real world".
The next stage, after the client make decisions to stop drinking, then he should set tangible and personal goals, that are practical, achievable and clear about drinking behavior. Moreover, Mark needs to establish goals such as; I will stop drinking, get sober and find employment and set date to accomplish. His set goals should be clear; for example, do I want to quit drinking and be with friends who do not drinks alcoholic? After setting a clear and realistic goal on how and when to stop drinking, Mark should set standards that he will work towards. For example, avoid places and things that will pull into drinking with his friends. Recovering addicts must stay away from the people and places that remind them of their past. It is important for individuals to establish a substance-free area for socialization and stay clear of places that will cause temptations (Wagner, D et al,