Directions: Write an essay that answers the reflection questions. Use a minimum

ID: 3526549 • Letter: D

Question

Directions: Write an essay that answers the reflection questions. Use a minimum of three scholarly references to support your analysis. Scenario 1: Marcie is a new client and a 22-year-old female who works as a receptionist in a doctor's office. She has just revealed to you during the intake session that she has recently lost interest in most activities, has been sleeping a great deal yet feels tired all the time, and sometimes wishes she could cease to exist. She mentioned feeling as though she has been "on an emotional roller coaster" during the past year, throughout her on-again/off-again relationship with a 35-year-old married man. The last breakup with him seemed final, and Marcie has felt herself sinking deeper and deeper into depression ever since. When probed further about suicidal ideations, Marcie admitted that she has considered killing herself, although she is uncertain whether or not she would actually do it. Reflection Questions: 1. Does the primary diagnosis via the current DSM play a factor in what you would do as an administrator of the facility? 2. What steps would ensure the safety of the client within a community/mental health care setting? 3. Would communication be a concern within the agency? How would you, as the administrator address training to ensure privacy of the client? What could be included within the informed consent process to ensure emergency notification for the client? 4. Make a list of all of the ways that you could try to ensure that the managed care system does not prevent you from giving your client the type and duration of treatment services that he or she needs. 5. Categorize each of the items from question 4 into two groups reflecting those that would be considered professionally appropriate and ethical, and those that would be considered a violation of professional ethical standards. Please take special note to the request for scholarly references.

Explanation / Answer

1. Does the primary diagnosis via the current DSM play a factor in what you would do as an administrator of the facility?

The Diagnostic and Statistic Manual (DSM) in the current setting focuses on the various axes for evaluation. In the case of Marcie, the client - The symptoms related to Axis I defined here are lack of interest in general and sleep disorder. Symptoms on Axis II that are due to unchecked Axis I symptoms include the feeling of being on an 'emotional roller coaster' because of a certain relationship. Marcie's evaluation does not cover any parameters under Axis III except for the sleep disorder. A factor in Axis IV has been the last breakup in the said relationship which has made Marcie feel worse over time. With these factors in play, the Axis V of DSM should state that: It is safe to say that as an administrator of the facility proper care system should be put in place ensuring that Marcie is cared for, her concerns are addressed and therapy is started with proper consent. The aim of therapy should be to ensure that Marcie does not feel threatened or exposed and that she is able to undergo treatment at her own place.

2. What steps would ensure the safety of the client within a community/mental health care setting?

Steps that would have to be taken to ensure patient safety in the healthcare setting:

3. Would communication be a concern within the agency? How would you, as the administrator address training to ensure the privacy of the client? What could be included in the informed consent process to ensure emergency notification for the client?

Communication within the agency would or would not be a concern depending upon the patient's stability and the agency's ability. Ideally, it should not be a concern. The privacy of the patient shall be ensured with strict implementation of privacy and patient confidentiality protocols.

Informed consent shall include the following clauses:

4. Make a list of all of the ways that you could try to ensure that the managed care system does not prevent you from giving your client the type and duration of treatment services that he or she needs.

Ways to ensure proper treatment:

A clear understanding and agreement among all parties - the managed care facility, the psychiatrist and the patient.

Proper communication among all parties regarding the following:

5. Categorize each of the items from question 4 into two groups reflecting those that would be considered professionally appropriate and ethical, and those that would be considered a violation of professional ethical standards.

All of the items mentioned in response to question 4 shall come under professionally appropriate and ethical responses, those that are considered normal and expected of an expert psychiatrist.

References:

Essays, UK. (November 2013). Patient Safety Issues In Mental Health Care. Retrieved from https://www.ukessays.com/essays/nursing/patient-safety-issues-in-mental-health-care-nursing-essay.php?vref=1

Randle, K. (2018). Suicidal Tendencies. Psych Central. Retrieved on August 1, 2018, from https://psychcentral.com/ask-the-therapist/2018/02/14/suicidal-tendencies/

G. Scheerder, A. Reynders, K. Andriessen, & C. Van Audenhove (2010). Suicide intervention skills and related factors in community and health professionals. Suicide and Life-Threatening Behavior 40 (2), 115-124.