Case Study: Gary
When developing a treatment plan for any complex case, it is critical to consider any factors that contribute to the client’s situation. One must generate a plan of action that will support the client appropriately and yet not be overwhelming. It often takes a long time for a client to come to terms that they need help. For many, seeking mental health services can be both a daunting and intimidating laden with feelings of failure and disappointment.
In this case, a detailed one-year treatment plan was created to support Gary, a 13-year old boy who has been brought to mental health services by his mother, Emily (a single parent). Emily feels Gary needs help with his hostility toward his three-year old sister, Grace.
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Using measurable goals, the treatment plan sets out specific times for review and considerations for monitoring progress.
During the creation of the treatment plan, the clinician identified potential problems, recorded DSM-5 clinical impressions, and determined what mental health treatment steps could be taken to help stabilize this family. To ensure success, the treatment plan offers a logical flow of potential mental health treatment issues, identifies potential barriers, and provided possible strategies to mitigated these barriers. The treatment plan includes specific measurable qualitative and quantitative objective outcomes over a year-long treatment. Although success requires the involvement of other professionals, the focus of the treatment plan is on the work of the clinician with the family and only non-specific suggestions for outside support are listed. Had the case provided more details about the family’s residence, increased details about community resources might have been added (like the contact information for the Health Center, a Big-Brother organization, a single-parent support group, a subsided day-care resource, etc.).
The treatment plan resembles a clients’ treatment plan in a mental health agency using the Child and Youth Mental Health (CYMH) 5331 treatment
The victim was court ordered to be admitted at the Specialized Treatment Facility by Harrison County Youth Court on 04/27/16; he will be admitted for six months and the expected discharge date is 10/27/16. The reporter stated John was has been diagnosed with bipolar disorder, ADHD, marijuana abuse, mood disorder, severe mood swings, disruptive behavior, border line dyslectual disorder, basic personality disorder, mental incompetance; John is unable to function on his age level and has a very low IQ; John is unable to read, write, and count. Mr. Young stated John will never be able to live on his own and will always need assistance. During a session with John on 04/28/16, he disclosed that his father punched him in the face but that the details
CM conducted a CFT meeting for Alexia Taylor (youth) at Daytop Treatment. In attendance were Jasmine Alexander (CM), Alexia (youth), Kelly Hennebry (Case Manager), Lisa Marshall (caregiver) and Jaimie Coviello (therapist). The strength and needs assessment was completed. The Family Crisis plan was reviewed and the Family Vision was reviewed. The team discussed transition plan and after care services for youth.
The treatment plan can help the case manager see if what are the needs and what are the strength of the client and also an opportunity to move on.
While implementing the client's treatment plan, I would conduct individual, family, and group therapy sessions that provides various of interventions and strategies to which the client would be able to use when services
Constructing a treatment and service plan for a client involves various components. Prior to starting a treatment plan the professional should carry out a client evaluation. The evaluation should determine the basis of the difficulty or issues and assess the back ground of the client. After the completion of the evaluation, a professional can start constructing an agreement to fulfill the needs of the client. The treatment plan should include goals that relate to the difficulties and issues the client is experiencing, this assessment will discuss the components of Mr. McCunes personalized treatment program.
Lasting Change LLC Offers a 15 to 20 bed Residential facility for youth from 12 to 17 years of age with mental health diagnosis, and behavioral issues that disrupt normal life in their homes or other facilities. Using evidence based practices the services that Lasting Change LLC would offer youth and their families is with highly trained staff with multiple programs to provide the best results. Management that would start by shadowing staff on the floor and would also be trained in all the evidence based practices that we offer. We would offer an Individual specialized plan per youth that would include, medication management with a personal psychiatrist, behavior modification plan, a therapy plan, a three month reintegration plan and aftercare option so families won’t feel that they have no back up plan. During the first six months of behavior modification using our evidence based practices the youths guardians have the option to get certified in our evidence based practices. The following 3 months would be a time where the guardians could shadow the staff working with their youth. They would switch roles in the last 3
Regarding the treatment of mental illness, there are two effective forms that have caused considerable debates in the field of psychology: the medical and the recovery models. While there are significant differences between these two models, they are both effective when used concurrently. The efficacy of the medical model alone is diminishing as it focuses too narrowly on treatment goals, and may ignore the needs of the client. On the other hand, the recovery model focuses on the client and allows them to take control of their treatment and rehabilitation, which helps promote positive change. Recovery is often seen as a lifelong journey that requires the client to be wholly involved in the recovery process. This is why the recovery model values
A clinical assessment is then conducted for treatment needs. Different treatment plans are made for each client. Individualized treatment plans are used to make referrals and they are updated periodically.”
Approaches to Family Therapy: Minuchin, Haley, Bowen, & Whitaker Treating families in therapy can be a complex undertaking for a therapist, as they are dealing not only with a group of individuals but also with an overall system. Throughout history several key theorists have attempted to demystify the challenges families face and construct approaches to treatment. However, there have been key similarities and differences among the theoretical orientations along the way. While some have simply broadened or expanded from existing theories, others have stood in stark
For this assignment, two different theoretical approaches will be discussed, Bowenian family therapy and structural family therapy, and they will be used individually to construct a treatment plan to help clients reach their goals. Within each treatment plan discussed, short-term and long-term goals of therapy will be established and the family’s presenting problems will be defined. Two techniques that will be assigned to help them reach their therapeutic goals and any expected outcome from using those techniques will be discussed.
The treatment planning process helps the client select the level and intensity of treatment that works best for them. When planning treatment the counsellor can consider preferences and the services available. The treatment plan may change over time but it provides a focus for ongoing support. The treatment plan comprises of two main functions, it allows for a negotiation between the client and assessor for specific interventions to address the identified problems as well as allows them to develop a
In the United States the Mental Health Care field is one of the most underserved areas of healthcare. The mental healthcare field faces many challenges to the proper treatment of patients from both a societal and professional standpoint. From a societal perspective a negative stereotype is associated with patients seeking psychiatric care. Patients seeking care are often labeled as defective or damaged. Add in the complication that most patients with mental illness appear to be normal, accepting that someone is ill without outward symptoms can also be difficult for a society to understand. From a professional perspective the challenges within the mental health care industry include personal prejudice, staffing issues, and problems with coordinating care. The combination of these factors has a direct negative impact on the willingness of individuals suffering from mental illness in seeking the care needed to treat the symptoms of mental illness.
This agency specializes in treating children and adolescents with significant psychiatric illness and impairment in behavioral, cognitive, emotional, familial, and /or social functioning. The age range of the clients served is 6-21 years old.
Reflecting on the choices made in treatment planning, there are some I am satisfied with and others I am not. In the model I chose, I feel it is an appropriate framework when assisting with the Smith family. It helps to establish a relationship but works on the individual person as each person will speak to the family therapist, rather than speaking directly to one and other. The problem areas that were chosen, I feel is an accurate representation of the overall family dynamic and how it is affecting Stewart. It is a difficult case, especially when the client expresses hearing voices at such an early age; I felt I addressed it correctly. In the goals and objectives, I am not completely satisfied with the areas chosen. I believe it is
Every person involved in the situation needs individual “game plans”. One treatment does not fit all. Each individual person has a specific plan to help them with the problem he or she may have. This may include medicine, medical attention, schooling, or even jail. For the child this might include schooling, medical attention, or even foster homes.