Capstone - Patient Assessment; Evaluation

Table of Contents

PART I: CLIENT INFORMATION2

Brief Summary of the Case2

Agency Information, Your Role, Source of Referral, And Whether Services Were Sought, Offered or Mandated2

Patient's Background3

Sessions3

Presenting Problem and/or Diagnosis3

Medical Issues4

Patient's Current Situation4

Patient History4

Patient's History with Mental Health and Social Service Systems5

Family History5

PART II: THEORETICAL UNDERSTANDING7

Environment Theory7

Life Stressors8

Interpersonal8

Trauma9

Patient's Strengths and Limitations10

Environmental Resources and Limitations11

Fit Between the Strengths and Limitations of the Patient and Those of the Environment12

Impact of Oppression and Discrimination on the Patient12

Cognitive Theory13

PART III: EVIDENCE-BASED INFORMATION16

Evidenced-Based Literature about Working with this Issue16

Situational Factors16

Family Factors17

Emotional Disorders17

Evidence-Based Literature about Working with this Population18

PART IV: PRACTICE21

Engagement21

Working Phase/Intervention21

Suicide Prevention Program Objectives22

Advantages and Disadvantages of Plan23

Termination24

Evaluation24

Oppression, Power and Privilege as they Pertain to the Work24

Ethical Dilemma25

Confidentiality25

Giving Respect25

Moral Courage25

Capstone - Patient Assessment; Evaluation

Part I: Client information

Brief Summary of the Case

The patient is suffering from major depressive disorder and is also a victim of alcohol use disorder. The patient has attempted suicide a couple of times, but has failed. He has intense suicidal thoughts that lead to the behavior of suicide and that encourage him to end his life. He also has proper access to the lethal means of ending life. He has used carbon monoxide as a means to end his life and has attempted suicide twice in the same manner. While investigating, it was found that the patient gets these thoughts when he is drinking i.e. the suicidal thoughts come to him when he is drinking. This habit is the major motivator in this case as it encourages the patient to attempt suicide. He has reported that he gets these thoughts whenever he is drinking. In addition to this, he has also reported that with the consumption of alcohol, he feels happy. The patient has reported that he has thought of killing himself in a number of ways such as hanging himself to death and for this he has thought of using a rope. He has also thought of using the carbon monoxide way of poisoning. In fact he has used this technique twice, but has not been successful in ending his life. His only reason for living is his brother who lives in Pennsylvania.

Agency Information, Your Role, Source of Referral, And Whether Services Were Sought, Offered or Mandated

The patient has been admitted in a private hospital by the rescue officials. After his first suicide attempt, he was on the priority list of the rescue officials through which they came to know about his condition and admitted him in the hospital. Services were sought by the rescue officials. My role in this case was of a primary therapist.

Patient's Background

The patient is a male, aged 52 years. He is Caucasian, heterosexual and is divorced, which is the major reason behind his suicidal attempts.

Sessions

I started working with the patient on 25th of May. I started with the initial sessions of the patient and made sure that relief is provided to him in the best manner. I took steps that would help him recover from his condition and that he gets rid of ...