Outpatient Setting Analysis

Wisconsin has a number of serious drug threats affecting state residents. Illegal drugs such as crack and meth are readily available in many areas of Wisconsin, and responsible for a number of drug rehab enrollments. Wisconsin drug rehab programs in the eastern region have experienced an influx of methamphetamine-related admissions. However, cocaine addiction enrollments are reported to be a statewide problem. Additionally, the illegal use of prescription drugs has sent a number of residents into the E.R. as well as Wisconsin drug rehab treatment. Also, younger residents struggle with underage drinking.

Inpatient and outpatient are two different healthcare setting. Outpatient medical coding involves coding medical charts for patients who are discharged from the medical facility within 24 hours.

Objective A: After 5/2/17, the consumer has missed two appointments with outpatient therapy. The consumer has stated that he wanted to hang out with his friends at the barber shop in lieu of going to his outpatient appointment with the MHSS. The MHSS has discussed the importance of outpatient therapy with the consumer and the consumer acknowledges that he needs outpatient therapy but he refuses to go or makes excuses not to go. Objective B: The consumer and the MHSS reviewed the consumer’s appointments with outpatient therapy and a PCP check up. The consumer was able to review the paper work for the PCP (Dr. Chinnery of Divine Health Group) however he declined help from the MHSS in reviewing the intake packet. The consumer stated that

In the case of Jared, he is seeking treatment after being in an inpatient alcohol treatment center. In patient services helped him focus on addressing his addiction to alcohol and what triggers him to drink. Jared can benefit by using outpatient services. Outpatient services will help Jared by giving him more freedom to allow his commitment to family responsibilities at the same time attend his sessions (Erford, 2013). Jared must abstain from alcohol which requires a lot of willpower but outpatient can offer him support groups, individual counseling, and family counseling, so Jared will never feel like he is alone in his recovery.

No signs or symptoms of intoxication or withdrawal are present upon admitting to the Intensive Outpatient treatment. Client reported Methamphetamine, Marijuana, and alcohol as his drug of choices. Client provided random UA on 04/16/18, 04/23/18, and 05/07/18, results were positive for Methamphetamine. Last attended treatment on 05/07/2018.

Hi Erica, I totally agree, that the most positive action that came out of assisted outpatient treatment (AOT), is that patient got the treatment they needed. I don't know if you remember the case with Senator  Creigh Deeds in Virginia, he was stabbed multiple timed by his mentally ill son. Moreover, the son was admitted to the hospital the day before the stabbing for treatment of mental illness. The senator son was release the next day in custody of his family because there was no beds available, where he could be treated." In Virginia, mental-health authorities can hold people for four to six hours after a magistrate judge issues an emergency custody order. After that, a magistrate must issue a temporary detention order, or TDO, to allow an

Alice has just come out of an intensive inpatient treatment program and due to her home life with her husband having a job that requires him to be away a lot, leaving her alone with their two young daughters, I would recommend that Alice be a part of an intensive outpatient treatment program (IOP) (Brooks & McHenry, 2015). One of the reasons that I recommend a IOP for Alice is due to the structure that an IOP will give her and potentially her daughters that are living with her as well. Within the IOP she will be receiving continuum care that was similar what she was receiving in her inpatient facility. The goal would be within three months to reevaluate where she is with her goals to see if she could go to a level of care that is not so intensive.

The clients in this intervention will be women who have recently given birth. The intervention would occur at a hospital or medical setting during the six week check-up. The clients that would participate in this intervention would be women that a doctor, midwife or healthcare professional have identified as showing symptoms of postpartum depression/ anxiety.

Postpartum depression (PPD) affects about eighty-five percent of new mothers and persists as long as a year after childbirth (Texas Medical Association, 2015). In spite of the scope of this problem and the benefits of screening women, it’s not standard procedure (New York State Department Of Health, 2016). This policy brief was written for healthcare providers that treat new mothers at risk for PPD with the goal of improving screening and the number of women receiving appropriate treatment. The recommendations address measures to improve early identification and follow-up care for women found to have PPD.

Of those women, 1053 completed both the initial assessment as well as the follow-up 6-8 weeks after giving birth. The patients self-reported their “height, pre pregnancy weight, and pregnancy weight gain immediately postpartum; their body mass index (BMI) before pregnancy was also calculated.”7 Six to eight weeks later and using the Edinburgh Postnatal Depression Scale (EPDS), patients again self-reported their postpartum weight along with their answers to the questionnaire. The well validated standard for the EPDS is a score of ≥12 to predict PPD. Those that screened positive were referred to other support services and more information regarding whether or not they had support services for PPD was also

According to the National Institute on Drug Abuse (NIDA), individual treatment results will always vary, due to the nature of the addiction and the quality of treatment services and interaction between patient and treatment professional. However, the majority of drug addicts, who remain in treatment, are able to overcome their addiction and improve their work, social and personal functioning. However, there are actually two very different types of drug treatment centers.

Post-partum depression and psychosis can be one of the more challenging situations I encounter on my unit. I think it is because it is supposed to be a joyful time, celebrating the birth of a baby; but then the mom ends up in a hospital. The Edinburgh Postnatal Depression Scale (EPDS) can be valuable tool to identify moms at risk. It takes less than 5 minutes to complete, is available in 12 languages and is written at a low reading level (ACOG, 2017). The problem I see is families not following up with recommendation to seek psychiatric counseling until symptoms worsen.

Beck, C.T., Gable, R.K., (2001), Further Validation of the Postpartum Depression Screening Scale , Nurse Res; 50-155-164.

Many Americans have participated in combat operations over the years, especially since the start of the Iraq war, then the Afghanistan war, the Syrian war and other military commitments in various parts of the world, in the global war on terror. The American military has bases in more than one hundred countries spread all over the world. Before 2015, women could not serve in some combat roles like the Army Rangers, Green Berets, Navy Seals, etc., but all that changed and now all combat roles are open to women. Impairments in mental health experienced by returning soldiers has received attention from policy makers because it has been linked to greater disability payments in some of veterans as well as higher rates in violence and crime. Depression

Thank you for giving me your insight on working in an outpatient facility. I really appreciate getting other's opinions about careers in the different available medical areas. I'm unsure right now which area that I'm more interested in working, but the outpatient facility and payer facility areas both seem intriguing to me. I like the idea that you stated of getting to know the patients on a more personable level and seeing them improving daily in their condition. It sounds very interesting and rewarding.