Case study review 15
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Shandra is a student close to graduating with a 4.0 GPA who hopes to become a HIPAA compliance specialist. She broke into a patient's personal files to check if rumors about Mr. Pioche were true, putting her job and fiancé's job at risk by breaking confidentiality. The document discusses implementing the least intrusive intervention by having a face to face meeting, respecting confidentiality by not spreading rumors or accessing private files without permission, and considering cultural differences that may influence perspectives on privacy.
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Grand Rounds Hi, and thanks for attending this case presen.docx
Grand Rounds
Hi, and thanks for attending this case presentation. My name is Dr. Stephen Brewer and I am a licensed
clinical psychologist in San Diego, California and Assistant Professor of Psychology and Applied
Behavioral Sciences at Ashford University. Today, I will be sharing with you the story of Bob.
Presenting problem
Bob Smith is a 36-year-old man who came to me approximately six months ago with concerns about his
career choice and life direction. He did not have any significant psychiatric symptoms, besides some
understandable existential anxiety regarding his future. Bob was cooperative, friendly, open, and
knowledgeable about psychology during our first few sessions together. I noticed that he seemed
guarded only when talking about his family and childhood experiences. To confirm his identity, I checked
his driver’s license to ensure his name was indeed Bob Smith and that he lived close by in a mobile home
in Spring Valley. Given his relatively mild symptoms, we decided to meet once a week for supportive
psychotherapy so he could work through his anxieties. I gave him a diagnosis of adjustment disorder
with anxiety.
History
Here’s some background on Bob to give you a sense of who he is.
Family
Bob grew up as an only child in Edmonton, Canada, in a low-income, conservative, and very religious
household.
He shared that his father was largely absent during his childhood, as he spent most of the week residing
north of Edmonton, where he worked as a mechanic in the oil fields near Fort McMurray. On weekends,
Bob’s father would return home and spend as much time as possible with his family. Bob described his
father as warm, caring, and a hard worker. His father reportedly died one year ago.
Bob’s mother was described as a strict, rule-based woman who had a short temper and was prone to
furious outbursts over trivial matters. She worked in Bob’s junior high as a janitor, which meant that Bob
often crossed paths with his mother at school, where she would often check up on him. During Bob’s
high school years, Bob’s mother got a new job as a high school librarian.
At 18, Bob moved to San Diego to study psychology at San Diego State University. He lived in the dorms
for his first few years, where he easily made friends and joined a fraternity. Bob maintained contact with
his parents, but ceased all contact when his mother suggested she would move to San Diego to be closer
to him. He graduated with a 3.2 GPA and began working for the county as a psychiatric technician. He
worked as a psych tech for 14 years and described it as “fun at first, but it got boring and predictable
after a while.”
Treatment
Bob shared that he has a medical doctor that he visits once every few years for his routine physical. He
denied having any significant medical problems. Additionally, he denied using any illicit substances and
reported drinking only on occasion with friends from his fratern.
1COUNSELING, RELATIONSHIP BUILDINGWrite a mock dialogue wi.docx
1
COUNSELING, RELATIONSHIP BUILDING
Write a mock dialogue with a suicidal client. You may create a new scenario.
In your dialogue, demonstrate basic counseling skills, including reflective listening, empathy, and summarizing, as well as advanced skills like problem solving and goal setting. You will also need to demonstrate your sensitivity to the diversity characteristics of your client. Once you have agreed on a safety plan with your client, you will go on to develop goals and a treatment plan for future therapy sessions in collaboration with your client.
The dialogue portion of your project should be approximately half of the total length of your final paper. The rest of the paper should explain why you did what you did in the session based on empirical evidence from at least 20 references.
Abstract
Illustrated in this final assignment is a mock dialogue with a client expressing suicidal behaviors. Within the report, writer aims to demonstrate basic counseling skill like summarizing, empathy, reflective listening, problem solving, goal setting and cultural competency for diverse clients. Also included in the report will be treatment planning, goal setting and therapeutic plan developed with the client’s participation.
Counseling, Relationship Building, Goals, Treatment Planning
Introduction
Psychotherapeutic processes are in a constant level of flux across all aspects of psychological study. Amongst the most consistent questions posed by practitioners involves psychotherapeutic efficacy and efficiency. Through this constant intrigue a plethora of therapeutic processes has emerged. Theories rooted in the perspective of common factors to evidence based medical philosophies were being developed. The dimensions of the treatment setting were the only common factor across the varied processes. More specifically contributing procedures like therapist confidence, expectation for improvement and a therapeutic relationship rooted in warmth, understanding acceptance, kindness, trust and human wisdom (Castelnuovo, 2010).
Suicide is a constant concern when conducting psychological assessment for therapeutic considerations. Psychological practitioners should always include a risk assessment that allows them to gauge client’s potential for self-harm. An effectual suicide assessment consists of the following: 1) Mustering information related to the risk factors, protective factors and warning signs of suicide. 2) Amassing information on the patient’s suicide ideation, planning, desire, intent and behaviors. 3) Formulating a clinical resolution of risk with the information collected (Shea, 2009). The suicide rate is something that will also assist the practitioner in developing a sound suicide assessment. Suicide rate differs across all cultural factors. Females are more likely to attempt suicide than males although males are more likely to succeed. Native Americans report the highest suicide rate followed by white males but suicide among African-Ameri.
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Assignment ComponentProficientMaximum PointsIdentify a princ.docx
Assignment Component
Proficient
Maximum Points
Identify a principal and secondary diagnosis for the assigned case study with rationale for each diagnosis.
Identifies at least one principal and one secondary diagnosis that are rationally linked to the case provided. Provides detailed information about how diagnoses were reached and how the client’s symptoms fit the diagnostic criteria. Evidence is presented in a logical manner that builds a solid case which supports diagnostic impressions.
48
Describe multiple elements of the etiology for the principal and secondary diagnoses. Explain how the etiology contributed to each (principal & secondary) diagnosis.
Presents a clear understanding of the possible origins of the principal and secondary diagnoses. Demonstrates ability to integrate and conceptualize all of the information presented. Clearly states how the diagnoses/ presenting issue began (ETIOLOGY) and what may be maintaining them.
48
Identify a specific therapeutic modality for each principal and secondary diagnoses.
Chooses a viable therapeutic modality that has applications to the principal and secondary diagnoses and is appropriate for the client.
48
Apply therapeutic modality to treat each of the principal and secondary diagnoses in the case study.
Demonstrates a clear application of the selected therapeutic modality for treatment of the principal and secondary diagnoses of the person in the vignette.
48
Identify at least one differential (alternate) diagnosis for the primary and secondary diagnosis.
Clearly discusses other diagnoses (differential diagnoses) that were ruled-out as well as specific reasons for eliminating these diagnoses.
32
Discussed key cultural factors that may influence diagnosis and treatment.
Describes cultural factors that may influence the diagnoses and identifies cultural issues that may require additional exploration. Outlines how the cultural factors influence treatment options.
48
Academic Writing
Writing is generally clear and in an organized manner. It demonstrates ethical scholarship in accurate representation and attribution of sources; and generally displays accurate spelling, grammar, punctuation. Errors are few, isolated, and do not interfere with reader’s comprehension.
Citations in text and at the end of the document are in correct APA format.
Writing is generally clear and in an organized manner. It demonstrates ethical scholarship in accurate representation and attribution of sources; and generally displays accurate spelling, grammar, punctuation. Errors are few, isolated, and do not interfere with reader’s comprehension.
Citations in text and at the end of the document are in correct APA format.
28
Total:
300
Page 1 of 4
Maladaptive Behavior and Psychopathology
© 2013 Argosy University
Psychological Evaluation
Confidential: For Professional Use Only
Name: Homer Brine
Date of Birth: 1-11-65
Date of Evaluation: 7-30-08
Clinician: A. Adler, PhD
Reason for Refe.
INITIAL CASE CONCEPTUALIZATION8Initial Case Conceptua.docx
INITIAL CASE CONCEPTUALIZATION 8
Initial Case Conceptualization
Nichole Hairston-Purvis
Dr. Stephanie Warren
COUN6332
Capella University
February 12, 2018
PSYCHOLOGY
Part One: Client Information
This paper focuses on S. H., a client that the therapist has been speaking with in counselling sessions over a couple of weeks since they met during an internship program in the field. S.H. is 25 years of age. The client resides in Detroit City in Michigan, United States of America as a first generation immigrant, her country of origin being Nigeria in Africa. Having migrated into the U.S with her parents, 2 brothers and a sister when she was 11 years old, she is an African American citizen. She speaks both fluent English and Spanish. The client is a staunch Muslim and her wealthy parents live in New Jersey, U.S. S.H. has been working as a credit officer at a locally based bank until she was dimissed a few months ago .She rarely asks for financial support from her parents despite the fact that she is out of job.
The client does not portray any signs of physical disability and appears physically healthy. S.H. did not complete her college education after she got pregnant, arguing that she could not properly manage college, full time job and raising a baby. S.H.’s siblings are graduates having professional careers. The client has a son who is 2 years old and she claims that sometimes she feels ‘overwhelmed’ because of raising him all alone as her husband serves in the military and has been away for nine months. Client reveals that it has now been two years since she saw her family. Furthermore, she states that her relationship with her parents is ‘close’ despite mentioning that her father is an excessive drinker. Her father and mother are a banker and an educator respectively.
While presenting her concerns and problems the client said, “I lost my job a few months ago which has brought a feeling of hopelessness. I am having sleepless nights and I have lost my appetite.” Over the past two months, the client reported having lost eight pounds. Despite worrying about being a solo parent, she also fears that she might become homeless. S.H stated, “I am always worried. I am completely stressed out. My husband has been away for nine months serving in the military .I am always worried about him.” During her various appointments, S.H. has been arriving thirty minutes earlier. She also reported that she had never attended any counselling in the past. The client appeared to be suffering from depression and anxiety due to the fact that the client presented with shaky hands and was tearful during while completing her intake paperwork. During the description of her problems and her decision to seek out therapy, she made limited eye contact .She had a halting speech. The client seemed pretty willing and commitment to the nine treatment sessions recommended by her insurance company.
Part 2: Theoretical Framework
.
Please select ONE of the following case scenarios and answer t.docx
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• What information or circumstances might move your decision in one direction or another?
• What options are available to practice ethically and honor Mr. Jones’s wishes?
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• Is it ethical to support Jim’s self-determination in this case?
• Would Juan be violating the Code of Ethics? If so, how:
• What information or circumstances might move your decision one direction or another?
• What steps could Juan take to resolve his ethical dilemma?
.
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Discrimination & Stigma
OBJECTIVES:
To define Stigma & Discrimination
Combating Stigma
How to - 4 Case Studies
HIV Speak
Dignity in Death
Grand Rounds Hi, and thanks for attending this case presen.docx
Grand Rounds
Hi, and thanks for attending this case presentation. My name is Dr. Stephen Brewer and I am a licensed
clinical psychologist in San Diego, California and Assistant Professor of Psychology and Applied
Behavioral Sciences at Ashford University. Today, I will be sharing with you the story of Bob.
Presenting problem
Bob Smith is a 36-year-old man who came to me approximately six months ago with concerns about his
career choice and life direction. He did not have any significant psychiatric symptoms, besides some
understandable existential anxiety regarding his future. Bob was cooperative, friendly, open, and
knowledgeable about psychology during our first few sessions together. I noticed that he seemed
guarded only when talking about his family and childhood experiences. To confirm his identity, I checked
his driver’s license to ensure his name was indeed Bob Smith and that he lived close by in a mobile home
in Spring Valley. Given his relatively mild symptoms, we decided to meet once a week for supportive
psychotherapy so he could work through his anxieties. I gave him a diagnosis of adjustment disorder
with anxiety.
History
Here’s some background on Bob to give you a sense of who he is.
Family
Bob grew up as an only child in Edmonton, Canada, in a low-income, conservative, and very religious
household.
He shared that his father was largely absent during his childhood, as he spent most of the week residing
north of Edmonton, where he worked as a mechanic in the oil fields near Fort McMurray. On weekends,
Bob’s father would return home and spend as much time as possible with his family. Bob described his
father as warm, caring, and a hard worker. His father reportedly died one year ago.
Bob’s mother was described as a strict, rule-based woman who had a short temper and was prone to
furious outbursts over trivial matters. She worked in Bob’s junior high as a janitor, which meant that Bob
often crossed paths with his mother at school, where she would often check up on him. During Bob’s
high school years, Bob’s mother got a new job as a high school librarian.
At 18, Bob moved to San Diego to study psychology at San Diego State University. He lived in the dorms
for his first few years, where he easily made friends and joined a fraternity. Bob maintained contact with
his parents, but ceased all contact when his mother suggested she would move to San Diego to be closer
to him. He graduated with a 3.2 GPA and began working for the county as a psychiatric technician. He
worked as a psych tech for 14 years and described it as “fun at first, but it got boring and predictable
after a while.”
Treatment
Bob shared that he has a medical doctor that he visits once every few years for his routine physical. He
denied having any significant medical problems. Additionally, he denied using any illicit substances and
reported drinking only on occasion with friends from his fratern.
1COUNSELING, RELATIONSHIP BUILDINGWrite a mock dialogue wi.docx
1
COUNSELING, RELATIONSHIP BUILDING
Write a mock dialogue with a suicidal client. You may create a new scenario.
In your dialogue, demonstrate basic counseling skills, including reflective listening, empathy, and summarizing, as well as advanced skills like problem solving and goal setting. You will also need to demonstrate your sensitivity to the diversity characteristics of your client. Once you have agreed on a safety plan with your client, you will go on to develop goals and a treatment plan for future therapy sessions in collaboration with your client.
The dialogue portion of your project should be approximately half of the total length of your final paper. The rest of the paper should explain why you did what you did in the session based on empirical evidence from at least 20 references.
Abstract
Illustrated in this final assignment is a mock dialogue with a client expressing suicidal behaviors. Within the report, writer aims to demonstrate basic counseling skill like summarizing, empathy, reflective listening, problem solving, goal setting and cultural competency for diverse clients. Also included in the report will be treatment planning, goal setting and therapeutic plan developed with the client’s participation.
Counseling, Relationship Building, Goals, Treatment Planning
Introduction
Psychotherapeutic processes are in a constant level of flux across all aspects of psychological study. Amongst the most consistent questions posed by practitioners involves psychotherapeutic efficacy and efficiency. Through this constant intrigue a plethora of therapeutic processes has emerged. Theories rooted in the perspective of common factors to evidence based medical philosophies were being developed. The dimensions of the treatment setting were the only common factor across the varied processes. More specifically contributing procedures like therapist confidence, expectation for improvement and a therapeutic relationship rooted in warmth, understanding acceptance, kindness, trust and human wisdom (Castelnuovo, 2010).
Suicide is a constant concern when conducting psychological assessment for therapeutic considerations. Psychological practitioners should always include a risk assessment that allows them to gauge client’s potential for self-harm. An effectual suicide assessment consists of the following: 1) Mustering information related to the risk factors, protective factors and warning signs of suicide. 2) Amassing information on the patient’s suicide ideation, planning, desire, intent and behaviors. 3) Formulating a clinical resolution of risk with the information collected (Shea, 2009). The suicide rate is something that will also assist the practitioner in developing a sound suicide assessment. Suicide rate differs across all cultural factors. Females are more likely to attempt suicide than males although males are more likely to succeed. Native Americans report the highest suicide rate followed by white males but suicide among African-Ameri.
Nefesh 2017 Clinical Collaboration
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Critical Care & Religion: Liz Crowe
Liz Crowe delves into the deeper issues surrounding critical care and religion. She explores how religion influences patients and their families, why doctors can push against faith, and how the healthcare community can integrate an acceptance of faith into their care.
Assignment ComponentProficientMaximum PointsIdentify a princ.docx
Assignment Component
Proficient
Maximum Points
Identify a principal and secondary diagnosis for the assigned case study with rationale for each diagnosis.
Identifies at least one principal and one secondary diagnosis that are rationally linked to the case provided. Provides detailed information about how diagnoses were reached and how the client’s symptoms fit the diagnostic criteria. Evidence is presented in a logical manner that builds a solid case which supports diagnostic impressions.
48
Describe multiple elements of the etiology for the principal and secondary diagnoses. Explain how the etiology contributed to each (principal & secondary) diagnosis.
Presents a clear understanding of the possible origins of the principal and secondary diagnoses. Demonstrates ability to integrate and conceptualize all of the information presented. Clearly states how the diagnoses/ presenting issue began (ETIOLOGY) and what may be maintaining them.
48
Identify a specific therapeutic modality for each principal and secondary diagnoses.
Chooses a viable therapeutic modality that has applications to the principal and secondary diagnoses and is appropriate for the client.
48
Apply therapeutic modality to treat each of the principal and secondary diagnoses in the case study.
Demonstrates a clear application of the selected therapeutic modality for treatment of the principal and secondary diagnoses of the person in the vignette.
48
Identify at least one differential (alternate) diagnosis for the primary and secondary diagnosis.
Clearly discusses other diagnoses (differential diagnoses) that were ruled-out as well as specific reasons for eliminating these diagnoses.
32
Discussed key cultural factors that may influence diagnosis and treatment.
Describes cultural factors that may influence the diagnoses and identifies cultural issues that may require additional exploration. Outlines how the cultural factors influence treatment options.
48
Academic Writing
Writing is generally clear and in an organized manner. It demonstrates ethical scholarship in accurate representation and attribution of sources; and generally displays accurate spelling, grammar, punctuation. Errors are few, isolated, and do not interfere with reader’s comprehension.
Citations in text and at the end of the document are in correct APA format.
Writing is generally clear and in an organized manner. It demonstrates ethical scholarship in accurate representation and attribution of sources; and generally displays accurate spelling, grammar, punctuation. Errors are few, isolated, and do not interfere with reader’s comprehension.
Citations in text and at the end of the document are in correct APA format.
28
Total:
300
Page 1 of 4
Maladaptive Behavior and Psychopathology
© 2013 Argosy University
Psychological Evaluation
Confidential: For Professional Use Only
Name: Homer Brine
Date of Birth: 1-11-65
Date of Evaluation: 7-30-08
Clinician: A. Adler, PhD
Reason for Refe.
INITIAL CASE CONCEPTUALIZATION8Initial Case Conceptua.docx
INITIAL CASE CONCEPTUALIZATION 8
Initial Case Conceptualization
Nichole Hairston-Purvis
Dr. Stephanie Warren
COUN6332
Capella University
February 12, 2018
PSYCHOLOGY
Part One: Client Information
This paper focuses on S. H., a client that the therapist has been speaking with in counselling sessions over a couple of weeks since they met during an internship program in the field. S.H. is 25 years of age. The client resides in Detroit City in Michigan, United States of America as a first generation immigrant, her country of origin being Nigeria in Africa. Having migrated into the U.S with her parents, 2 brothers and a sister when she was 11 years old, she is an African American citizen. She speaks both fluent English and Spanish. The client is a staunch Muslim and her wealthy parents live in New Jersey, U.S. S.H. has been working as a credit officer at a locally based bank until she was dimissed a few months ago .She rarely asks for financial support from her parents despite the fact that she is out of job.
The client does not portray any signs of physical disability and appears physically healthy. S.H. did not complete her college education after she got pregnant, arguing that she could not properly manage college, full time job and raising a baby. S.H.’s siblings are graduates having professional careers. The client has a son who is 2 years old and she claims that sometimes she feels ‘overwhelmed’ because of raising him all alone as her husband serves in the military and has been away for nine months. Client reveals that it has now been two years since she saw her family. Furthermore, she states that her relationship with her parents is ‘close’ despite mentioning that her father is an excessive drinker. Her father and mother are a banker and an educator respectively.
While presenting her concerns and problems the client said, “I lost my job a few months ago which has brought a feeling of hopelessness. I am having sleepless nights and I have lost my appetite.” Over the past two months, the client reported having lost eight pounds. Despite worrying about being a solo parent, she also fears that she might become homeless. S.H stated, “I am always worried. I am completely stressed out. My husband has been away for nine months serving in the military .I am always worried about him.” During her various appointments, S.H. has been arriving thirty minutes earlier. She also reported that she had never attended any counselling in the past. The client appeared to be suffering from depression and anxiety due to the fact that the client presented with shaky hands and was tearful during while completing her intake paperwork. During the description of her problems and her decision to seek out therapy, she made limited eye contact .She had a halting speech. The client seemed pretty willing and commitment to the nine treatment sessions recommended by her insurance company.
Part 2: Theoretical Framework
.
Please select ONE of the following case scenarios and answer t.docx
Please select ONE of the following case scenarios and answer the related questions. Be sure to reference DuBois & Miley and lecture regarding social work values, principles and ethics in answering the following questions.
• Linda is a home health care manager. She has been seeing Mr. and Mrs. Jones for over a year. Mrs. Hones is suffering from advanced stages of dementia, and her husband, age 82, is committed to caring for their at home. Their son lives in another state; they have few friends still living, and Mr. Hones refuses respite services due to his wife’s extreme fear of change and of strangers. Due to Mrs. Jones’s frail condition. Linda has become increasingly concerned about his capacity to care for his wife, yet he has consistently refused to consider other options.
• What issues must Linda consider as she attempts to meet her ethical responsibility in this case?
• Would Linda be violating the code if she arranged respite care or a placement for Mrs. Jones?
• What information or circumstances might move your decision in one direction or another?
• What options are available to practice ethically and honor Mr. Jones’s wishes?
• Juan is a social worker in a program for street kids. He has been working with Jim for several months, encouraging Jim to find stable housing and a less self-destructive lifestyle. Jim has told Juan that he is HIV+ and feels his life is, for all intents and purposes, over. Recently, Jim brought his new girlfriend, Karen, in with him for a meal at the shelter. The following day, Juan spoke with Jim about his HIV+ status and Karen’s safety. Jim rejected Juan’s advice that he tell Karen about his status, but now Juan wonders if he should tell her himself or respect Jim’s choice.
• Is it ethical to support Jim’s self-determination in this case?
• Would Juan be violating the Code of Ethics? If so, how:
• What information or circumstances might move your decision one direction or another?
• What steps could Juan take to resolve his ethical dilemma?
.
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Case study review 15
- 1. Case study 15 Chris bobadilla February 11, 2014 BSHS/335 Beatriz Zayas
- 2. Agenda • Implementing the least intrusive intervention • Respecting confidentiality • Recognizing the client’s multicultural ethical behavior
- 3. Summary • Shandra has one semester to complete before graduating. Shandra is engaged to Andre who works for St. James Medical Center. They plan to marry after graduation. Shandra is doing exceptionally well at her school keeping a 4.00 GPA and hopes to become a HIPAA compliance specialist after graduation. She broke into personal files to check if the rumors on Mr. Pioche were true.
- 4. Implementing least intrusive intervention • Shandra has put no one in harm. • There is no sign of anyone being in danger. • Best plan is to just come face to face about the situation
- 5. Confidentiality • Shandra overheard a rumor • So she went to put not only her job in jeopardy but her fiancés as well • She broke confidentiality by breaking into personal files.
- 6. Cultural differences • Does not specify cultural beliefs • Shandra probably did not stop to think about the consequences. • Mr. Pioche maybe came from a culture where they are taught to not disclose personal information
- 7. Reference • Corey, G., Schneider Corey, M., & Patrick, C. (2011). Issues and ethics in the helping professions (8th ed.). Mason, OH: Cengage. • Grebner, L. A. (2009). Ethics case studies for health information management. Mason, OH: Cengage.
Editor's Notes
- Hipaa - Health Insurance Portability and Accountability Act