Case Study For Family Mental Health History Assignment

Case Study For Family Mental Health History Assignment

Psychological assessment contributes important information to the understanding of individual characteristics and capabilities, through the collection, integration, and interpretation of information about an individual. Anushka  and colleagues (2017) asserts that mental stress is a serious condition that lead to many health problems affecting the human body indirectly at different levels, work problems, change of environment, an illness, death of a close family member are just a number of life changes that can cause mental stress, based on Kety’s sudden change of environment and her mother’s ailment my provisional diagnosis will be Adjustment disorders based on DSM-5 that characterizes AD with three key diagnostic elements: (1) significant stressor, (2) feeling distressed and  (3) evidencing dysfunction , patients with AD continues to have emotional or behavioral reactions that can contribute to feeling anxious or depressed, her differential could be Trauma- and stressor-related disorders. AD is commonly diagnosed by specialists at any age based on development of clinically emotional or behavioral symptoms like marked distress in response to an identifiable psychosocial stressor occurring within 3 month of the onset of the stressor. Case Study For Family Mental Health History Assignment

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Commonly used screening tools like the Hamilton and Beck Depression Scales do not give an assessment of AD, but according to Ben et al. (2018) a self-report Adjustment Disorder-New Module – 20(ADNM) has been developed and validated, is a long tool with potential problems in clinical use, therefore a brief ADNM-8 and ultra-brief ADNM-4 questionnaire were establishes with a cut-off scores for clinical use, from their findings brief ADNM-8 and the ultra-brief ADNM-4 are scientifically proven as a brief screening tools for assessing AD symptoms according to the ICD-11 definition and DSM-5 Case Study For Family Mental Health History Assignment

Kankaanpää and co (2022) while studying school- and preschool-aged children did show evidence of symptoms differentiation that closely maps onto DSM-IV categories, the typical symptom pattern described ranges from diverse behavioural patterns, like frequent intense temper, tantrums and persistent disobedience to the delinquent’s serious acts of aggression, such as theft, violence and rape later in adolescent stage following a stressor event. Further they describe AD as short-lived, and it resolve with the passage of time. This explain the paucity of studies on the therapy of the disorder, however its shared opinion that, psychotherapy using cognitive behavioral methods remains the goal standard treatment for AD, that focuses to  improve age-appropriate problem-solving skills, communication skills, impulse control, anger management skills and stress management skills, this may be tailored to suit schools which are natural environments where children and adolescent enhance their social & emotional skills, mental health, and contact between diverse groups these psychotherapy bear more effect if it is parent-teacher interventions, other modalities include: peer group therapy; focusing on developing and using social skills and interpersonal skill and family therapy; often focused on making needed changes within the family system, like improving communication skills family interactions and increasing family support among family members, Katy’s mother need to reassure her child that with appropriate treatment she will overcome her illness which will help greatly in Katy’s symptom resolution Case Study For Family Mental Health History Assignment.

The World Psychiatric Association’s (WPA) guidance on community mental health care characterizes community-oriented care as having a population and public health focus, community-based case finding, services available within half a day’s travel, participatory decision making, self-help and peer support for service users, treatment initiation in primary care facilities and communities, stepped care, specialist supervision, collaboration with non-governmental organizations (NGOs), and networks across services, communities, and traditional and religious healers, Kohrt at el. (2018) shows us that in USA, substance abuse and mental health administration (SHAMHA) is the agency within the Department of Health and Human Services (HHS) that leads public health efforts to advance the behavioral health of the nation, and patient would gather good information from them Case Study For Family Mental Health History Assignment.

References

Anushka P., Alina M.,  Suris, and Carol S. Posttraumatic Stress Disorder in the DSM-5: Controversy, Change, and Conceptual Considerations Behav Sci (Basel). 2017 Mar; 7(1)7.Published online 2017 Feb 13. doi: 10.3390/bs7010007 PMCID: PMC5371751 PMID: 28208816.

Ben E. M, Mahat S.M, Lorenz L, Lavenda O, Maercker A. Screening of adjustment disorder: Scale based on the ICD-11 and the Adjustment Disorder New Module. J Psychiatr Res. 2018 Aug;103:91-96. doi: 10.1016/j.jpsychires.2018.05.011. Epub 2018 May 14. PMID: 29803077.

Kankaanpää R, Aalto S, Vänskä M, Lepistö R, Punamäki RL, Soye E, Watters C, Andersen A, Hilden PK, Derluyn I, Verelst A, Peltonen K. Effectiveness of psychosocial school interventions in Finnish schools for refugee and immigrant children, “Refugees Well School” in Finland (RWS-FI): a protocol for a cluster randomized controlled trial. Trials. 2022 Jan 27;23(1):79. doi: 10.1186/s13063-021-05715-6. PMID: 35086535; PMCID: PMC8793091 Case Study For Family Mental Health History Assignment

Kohrt BA, Asher L, Bhardwaj A, Fazel M, Jordans MJD, Mutamba BB, Nadkarni A, Pedersen GA, Singla DR, Patel V. The Role of Communities in Mental Health Care in Low- and Middle-Income Countries: A Meta-Review of Components and Competencies. Int J Environ Res Public Health. 2018 Jun 16;15(6):1279. doi: 10.3390/ijerph15061279. PMID: 29914185; PMCID: PMC6025474 Case Study For Family Mental Health History Assignment

CASE STUDY

Family mental health history

Mother has a history of panic disorder
Father has a history of treatment with medications for ADHD as a child
Cousin diagnosed with Asperger’s syndrome
Katy is a six-year-old girl, the second of two children of a middle-class family living in a suburban area of a northwest city. Katy has one sister that is two years older than her. Her mother’s pregnancy was normal and Katy’s birth was normal. Katy had colic the first three months, cried extensively and was difficult to comfort. After three months she became passive and cried very little with comfort from her mother. Her growth and development appeared to be normal. She met all the developmental milestones her first three years. She interacted normally with her sister and parents, except that she would become tearful and anxious when her parents would get a babysitter Case Study For Family Mental Health History Assignment.

At age four, she was in nursery school and appeared to function normally except during the first month when Katy had difficulty when her father would drop her off at school. The nursery school was a small private school with a lot of personal attention given to each child. Although shy, she made friends and liked going to nursery school after she became adjusted to the new setting. Her parents liked the school so much that they decided to keep Katy in kindergarten at this school with her same teachers and friends. However, tuition at the school became a problem after Katy’s mother became sick with lupus and was unable to work.

At age six, Katy’s parents enrolled her in first grade at the public elementary school in their neighborhood. For the last two weeks, she has refused to go to school and has missed six school days. She is awake almost all night worrying about going to school. As the start of the school day approaches, she cries and screams that she cannot go, chews holes in her shirt, pulls her hair, digs at her face, punches the wall, throws herself on the floor, as well as experiences headaches, stomachaches, and vomiting. Over the past two weeks, she has become gloomy, has stopped reading for fun, and frequently worries about her mother’s Lupus and that she may die. In addition, Katy is phobic of dogs, avoids speaking and writing in public, and wets the bed every night Case Study For Family Mental Health History Assignment.

Her parents immediately made an appointment to see her PCP. Her doctor conducted a thorough physical exam, found no physical abnormalities and then referred her to you, a Family PMHNP.

Family history of mental health includes the following: mother has a history of panic disorder; her father has a history of treatment with medications for ADHD as a child; and she has a cousin diagnosed with Asperger’s syndrome.

For your assignment, addresses the following prompts using evidence-based references to support your answers:

1. What is your provisional diagnosis, as well as the possible differentials?
2. Justify your answer with DSM-5 criteria (be short, brief and to the point).
3. Is Katy too young to diagnose, or is there a basis for early identification and intervention?
4. What psychiatric scales or assessment tools might you use with this patient? With the parents? List and describe briefly.
5. How would the typical symptom patterns and phases be manifested in children this age? In adolescents?
6. What would be your school-based treatment plan, if any?
7. What would be the implications for the families of children and adolescents with these diagnostic pictures?
8. How does the mother’s health play into the picture of Katy’s diagnosis? What type of therapy would you recommend for Katy (and her family) to work through her issues?

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9. Identify resources for patients/families with this diagnosis in the form of community groups, web-sites, advocacy, as well as treatment resources available in your service area.
10. What are you worried about (if anything)? Consider this question in terms of treatment, assessment, alliance, compliance, effectiveness, safety, and other factors Case Study For Family Mental Health History Assignment.

Guidelines:
Review the case study and analyze the data to determine the health status of the patient.
Answer the questions
Apply recent APA standards Case Study For Family Mental Health History Assignment

Create a Log Frame for your own Capstone Project, using the “Log Frame template” tab in the Excel worksheet. Make sure to follow these key steps…

Start with the ultimate goal of the project (e.g., reduce maternal mortality in your hospital’s catchment area).
Work backwards from that goal to think through the long-term objectives and key systems that need to be in place to ensure that goal, to the more process-oriented steps needed to achieve those objectives.
For the Inputs column, list the major types of “staff, stuff, and space” that will be needed to fulfill the program.
Finally, think through the risks or key assumptions that your logic model is making.
2. Using information pulled together for your log frame, create a project plan of up to 20 individual tasks describing your project’s intervention and data collection plans. Assign a team member for each task, estimate the timeframe for the task. Also identify at least one constraint and one dependency for the entire project.
3.Please draft a monitoring and evaluation plan for your Capstone Project, using the Excel template provided