Assignment 1: Practicum Journal: Voluntary and Involuntary Commitment

Please avoid plagiarism, professor is very exigent with this issue. Authomatic Zero is graded plus the integrity academic implications. Use additional not listed scholastic references not older than 5 years.Thank you.

PMHNPs may find themselves working in a wide variety of settings—each having their own unique challenges and inherent legal issues. For instance, what do you do in your state of practice when you are providing a therapy/treatment session and a client reports active suicidal ideation? What do you do if you are covering inpatient psychiatric consults and are called to see a patient in the ICU who overdosed on prescription medication requiring intubation? What do you do if you are a PMHNP on an inpatient unit and a client who admitted themselves on a voluntary basis suddenly states that they have decided to sign themselves out of the hospital so that they can go home to kill themselves? These are just some of the legal questions that PMHNPs must know the answers to specific to their state of licensure/practice.

In this Assignment, you investigate your state’s laws concerning voluntary and involuntary commitment. You also analyze a case to determine if the client is eligible for involuntary commitment.

Scenario for Week 7 Case:

You are a PMHNP working in a large intercity hospital. You receive a call from the answering service informing you that a “stat” consult has been ordered by one of the hospitalists in the ICU. Upon arriving in the ICU, you learn that your consult is a 14 year old male who overdosed on approximately 50 Benadryl (diphenhydramine hydrochloride) tablets in an apparent suicide attempt. At the scene, a suicide note was found indicating that he wanted to die because his girlfriend’s parents felt that their daughter was too young to be “dating.” The client stated in the suicide note that he could not “live without her” and decided to take his own life. Although he has been medically stabilized and admitted to the ICU, he has been refusing to talk with the doctors or nurses. The hospital staff was finally able to get in touch with the clients parents (using contact information retrieved from the 14 year old’s cell phone). Unbeknown to the hospital staff, the parents are divorced, and both showed up at the hospital at approximately the same time, each offering their own perspectives on what ought to be done. The client’s father is demanding that the client be hospitalized because of the suicide, but his mother points out that he does not have “physical custody” of the child. The client’s mother demands that the client be discharged to home with her stating that her son’s actions were nothing more than a “stunt” and “an attempt at manipulating the situation that he didn’t like.” The client’s mother then becomes “nasty” and informs you that she works as a member of the clerical staff for the state board of nursing, and if you fail to discharge her child “right now” she will make you “sorry.” How would you proceed?

To Prepare for this Practicum:

  • Review the Learning Resources concerning voluntary and involuntary commitment.
  • Read the Week 7 Scenario in your Learning Resources.
  • Research your state’s laws concerning voluntary and involuntary commitment.

The Assignment (2–3 pages):

  • Based on the scenario, would you recommend that the client be voluntarily committed? Why or why not?
  • Based on the laws in your state(Florida), would the client be eligible for involuntary commitment? Explain why or why not.(Florida state).
  • Did understanding the state laws confirm or challenge your initial recommendation regarding involuntarily committing the client? Explain.
  • If the client were not eligible for involuntary commitment, explain what actions you may be able to take to support the parents for or against voluntary commitment.
  • If the client were not eligible for involuntary commitment, explain what initial actions you may be able to take to begin treating the client.
  • References/required reading

Required Readings

American Nurses Association. (2014). Psychiatric-mental health nursing: Scope and standards of practice (2nd ed.). Washington, DC: Author.

  • Standard 9 “Evidence-Based Practice and Research” (pages 71-72)

Sadock, B. J., Sadock, V. A., & Ruiz, P. (2014). Kaplan & Sadock’s synopsis of psychiatry: Behavioral sciences/clinical psychiatry (11th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter 4, “Theories of Personality and Psychopathology” (pp. 151–191)
  • Chapter 31, “Child Psychiatry” (pp. 1181–1205)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

  • “Neurodevelopmental Disorders”
  • “Specific Learning Disorder”
  • “Motor Disorders”

Murphy, T. K., Lewin, A. B., Storch, E. A., Stock, S. (2013). Practice parameter for the assessment and treatment of children and adolescents with tic disorders. Journal of the American Academy of Child & Adolescent Psychiatry, 52(12), 1341–1359. Retrieved from http://www.jaacap.com/article/S0890-8567(13)00695-3/pdf

McGavey, E. L., Leon-Verdin, M., Wancheck, T. N., & Bonnie, R. J. (2013). Decisions to initiate involuntary commitment: The role of intensive community services and other factors. Psychiatric Services, 64(2), 120-126.

Kaltiala-Heino, R. (2010). Involuntary commitment and detainment in adolescent psychiatric inpatient care. Social Psychiatry Epidemiology, 45, 785-793. doi: 10.1007/s00127-009-0116-3.

Lindsey, M. A., Joe, S., Muroff, J., & Ford, B. E. (2010). Social and clinical factors associated with psychiatric emergency service use and civil commitment among African-American youth. General Hospital Psychiatry, 32, 300-309. doi:10.1016/j.genhosppsych.2010.01.007

 

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Historical Issue in Criminal Justice

Explain the historical issue in criminal justice that you identified in Week 2.
Explain historical data regarding the issue and explain laws or policies that historically addressed the issue.

Sample Solution

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Dorothea Dix’s nursing theory presentation

Dorothea Dix’s nursing theory presentation

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Dorothea Dix’s nursing theory presentation

Dorothea Dix’s nursing theory presentation

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Streetcar Named Desire

A streetcar named desire is a heartbreaking story about balance Dubos. Blank chew is a woman In her ass.

She was a highchairs lady who’s class is now fading and is her beauty. She tries to hide from artificial light as much as she can. You SE light in the stage direction. You also see music in the stage direction. Music is very important because it describes the mood. Light and music in Streetcar named desire assembles it to be more dramatic while adding depth to the characters.You see in the very beginning of the play how the stage direction says she must avoid Light.

“Her delicate beauty must avoid a strong Light”(Tennessee William 5). She must avoid the light because it shows her real age. She tells everyone she is in her late ass. She really is in her ass. She is always seem trying to stay high class.

So because of that she tried her hardest to avoid artificial light. Light also shows a very mysterious and dark side about her.

In scene 3 there are men playing poker, and Balance goes up near the window and starts removing her clothes in a streak of light. “she takes off the blouse and stands in her pink silk brasserie and white skirt in the light through the portières”( Tennessee Williams). There is nothing normal about what she is doing. It is mysterious because she is a high class person. Later in the play you also learn that see would sleep with men for money.

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SOCW 6351

Discussion 2: Emerging Issues in Mental Health Care

Like so many areas of practice in social work, mental health is dynamic and ever-evolving. Research continues to provide new information about how the brain functions, the role of genetics in mental health, and evidence to support new possibilities for treatment. Keeping up with these developments might seem impossible. However, being aware of and responsive to these developments and incorporating them into both your practice and social policy is essential to changing the lives of individuals and families who live with a mental health diagnosis and the impact it brings to their daily lives.

For this Discussion, review this week’s resources. Search the Walden Library and other reputable online sources for emerging issues in the mental health care arena. Think about the issues that are being addressed by social policy and those that are in need of policy advocacy and why that might be the case. Then, consider what social workers can do to ensure that clients/populations receive necessary mental health services. Also, think about the ethical responsibility related to mental health care social workers must uphold in host settings when they encounter conflicts in administration and home values. Finally, search your state government sites for the mental health commitment standards in your state and reflect on the mental health services covered under your state’s Medicaid program.

By Day 4

Post an explanation of those emerging issues in the mental health care arena that the policymakers address and those that are in need of policy advocacy and why. Then, explain what strategies social workers might use to ensure that clients/populations receive necessary mental health services. Finally, explain the mental health commitment standards and mental health services in your state. In your explanation, refer to the services covered under your state’s Medicaid program.

Support your post with specific references to the resources. Be sure to provide full APA citations for your references.

 

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Describe the pay structure of the company, and discuss whether or not you feel it is/was fair to the employees.

Consider the company that you currently work for or one for which you have been employed previously. Describe the pay structure of the company, and discuss whether or not you feel it is/was fair to the employees. What, if anything, could be or could have been improved about the pay structure?

Your journal entry must be at least 200 words. No references or citations are necessary.

 Textbook:

Martocchio, J. J. (2017). Strategic compensation: A human resource management approach (9th ed.). Hoboken, NJ: Pearson.

 

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Analyze the subjective portion of the note. List additional information that should be included in the documentation.

The Assignment

1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.

2. Analyze the objective portion of the note. List additional information that should be included in the documentation.

3. Is the assessment supported by the subjective and objective information? Why or why not?

4. What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?

5. Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.

 

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Dr. Sidney please Answers 1Bids 1Other questions 10

In this section of your project you will break down your project tasks into the knowledge areas studied in this and previous units and provide the following:A budget with cost breakdowns (You may prefer to use the templates for Budget Plan provided)Excel Budget Plan TemplateA schedule to include any critical paths that might exist and/or any dependencies between specific tasks. (You may prefer to use the templates for Project Schedule provided)Excel Project Schedule TemplateProvide the instructor with a resource plan for your project. (You may use the templates for Resource Plan provided)Excel Resource Plan TemplateIn a paper that is a minimum of 3 pages long, based on your calculations found using the provided templates, what is the total budget for this project? According to this analysis, identify clearly and concisely at least three areas where you see potential cost savings.For each of these areas of opportunity using your understanding of the project, explain a potential change in plan to reduce costs in the project. When making recommendations for cost reductions how can you ensure these cost reductions are in the best interest of the company, i.e. you aren’t sacrificing quality in order to cut costs.Your submission should follow the essentials of APA (i.e., cover page, double-spaced, 12 pt. font, reference section at the end, in-text citations, etc.).Would you like information about how to format in APA? Click here.Papers should be spell-checked and submitted to Grammarly prior to submitting your paper to the drop box.*Grammarly instructions can be accessed by clicking on this linkGrammarly handoutGrammarly Student User Guide

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SOCW 6111

Tools for Practice

As an intern, even in your concentration year, it is common and expected to be nervous and unsure when you begin to work with clients. Working one-on-one with a client requires many skills that take years to learn and a feeling of mastery over these skills is a misguided goal. As a social work professional, even after you graduate, you will learn many lessons from your clients. You will consistently be challenged to obtain new skills and knowledge to best assist your clientele. Further, you will constantly be asked to look at yourself and your own reactions when providing care to your clients. The use of self-reflection and self-awareness is required of a good social worker who recognizes his or her own potential biases and personal experiences in and out of the room. This week you will consider some potential barriers to successfully working with a client and some potential strategies to address them.

Learning Objectives

Students will:
  • Explain the importance of identifying internal and external barriers
  • Analyze barriers to a therapeutic relationship
  • Apply self-disclosure as an intervention strategy

Learning Resources

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings

Drinane, J. M., Owen, J., & Tao, K. W. (2018). Cultural concealment and therapy outcomes. Journal Of Counseling Psychology, 65(2), 239-246.

Geller, S. M., & Greenberg, L. S. (2012). Challenges to therapeutic presence. In Therapeutic presence: A mindful approach to effective therapy (pp. 143–159). Washington, DC: American Psychological Association.

McTighe, J. P. (2011). Teaching the use of self through the process of clinical supervision. Clinical Social Work Journal, 39(3), 301–307.

Plummer, S.-B., Makris, S., & Brocksen, S. M. (Eds.). (2014a). Sessions: case histories. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].
The Petrakis Family (pp. 20–22)

Required Media

Laureate Education (Producer). (2013c). Petrakis family: Episode 3 [Video file]. Retrieved from https://class.waldenu.edu
Accessible player –Downloads–Download Video w/CCDownload AudioDownload TranscriptCredit: Provided courtesy of the Laureate International Network of Universities.

Singer, J. B. (Host). (2007, March 1). Developing treatment plans: The basics [Episode 10]. Social Work Podcast. Podcast retrieved from http://socialworkpodcast.com/2007/03/developing-treatment-plans-basics.html

Optional Resources

Use this link to access the MSW home page, which provides resources for your social work program.

Discussion 1: Self-Reflection and Awareness

Exploring the reasons for wanting to be in social work and examining your motives for choosing a career of helping others is very important. Your background, including childhood experiences, may be instrumental in bringing you into the field of social work. Understanding the possible connection and working to resolve any underlying unresolved issues is essential to becoming an effective social worker. While working with a client, you must strive to be objective, but in the end we are all human with past hurtful experiences that can impact our ability to effectively work with clients. While complete objectivity is impossible and not expected, it is necessary to self-reflect and become aware of when a situation or a certain personality type causes you to react in an unprofessional manner. Understanding potential internal and external barriers you and your client bring to the room will assist you in balancing an appropriate empathetic response with proper objectivity.

For this Discussion, review the Geller & Greenberg (2012) article and the program case study for the Petrakis family, and view the corresponding video.

By Day 3

Post your explanation of the importance of identifying internal and external barriers of the client and social worker. Then describe the barriers experienced by Helen and the social work intern. Finally, suggest ways the intern could overcome these barriers.

Support your posts with specific references to the Learning Resources. Be sure to provide full APA citations for your references.

By Day 5

Respond to at least two colleagues and suggest alternate ways the intern might overcome barriers.

Support your responses with specific references to the Learning Resources. Be sure to provide full APA citations for your references.

Submission and Grading Information
Grading Criteria

To access your rubric:
Week 7 Discussion 1 Rubric

Post by Day 3 and Respond by Day 5

To participate in this Discussion:
Week 7 Discussion 1

Discussion 2: Self-Disclosure

Knowing that clients might react negatively to your work with them may cause anxiety, frustration, and even anger. It is inevitable that you will work with a client who expresses anger or disappointment over working with you. This does happen in the social work field and is to be expected over time. Understanding how you might react to allegations of incompetence or anger over incomplete goals is essential to managing this type of exchange. While a negative interaction may be justified if either person did not fulfill responsibilities, often it is a result of the client’s personal reaction to the situation. The best response is to use these interactions to build the therapeutic bond and to assist clients in learning more about themselves. Stepping back to analyze why the client is reacting and addressing the concern will help you and the client learn from the experience.

For this Discussion, review the program case study for the Petrakis family.

By Day 4

Post a description of ways, as Helen’s social worker, you might address Helen’s anger and accusations against you. How might you feel at that moment, and how would you maintain a professional demeanor? Finally, how might you use self-disclosure as a strategy in working with Helen?

Support your posts with specific references to the Learning Resources. Be sure to provide full APA citations for your references.

 

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SOCW 6111 was first posted on January 2, 2020 at 6:56 pm.

 

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