Review the three clinical vignettes found in Chapters 12-14 of our textbook and distinguish which service package you would recommend given the clinical presentation of each client.
In 250 words, discuss the treatment goals and objectives you would propose to help with each client’s distress level, including details about motivation.
In an additional 250 words, discuss how you would create a plan to keep these clients safe.
Prepare this assignment according to the guidelines found in the APA Style Guide
[Textbook]
Kathol, R. G., Perez, R., & Cohen, J. S. (2010). The integrated case management manual: Assisting complex patients regain physical and mental health. New York, NY: Springer. ISBN-13: 9780826106339
Expert Solution Preview
Introduction:
Clinical vignettes are a valuable tool for medical college students to gain practical knowledge on how to design a service package for patients and help them achieve their treatment goals. As a medical professor, I would recommend a service package based on the clinical presentation of the clients in each vignette. Additionally, I would propose treatment goals and objectives to help alleviate the clients’ distress level and create a plan to keep them safe.
Answer 1:
For the client in Chapter 12, who presents with depression and suicidal ideation, I would recommend a service package that includes medication management, cognitive-behavioral therapy, and regular follow-up consultations. The client’s depression and suicidal ideation indicate a need for immediate intervention, and medication management can help control their symptoms. Cognitive-behavioral therapy can provide the client with the necessary coping skills to deal with their depressive symptoms. Regular follow-up consultations can help monitor the client’s progress and provide adjustments to their treatment plan as needed.
Treatment goals and objectives for this client would focus on reducing depressive symptoms and suicidal ideation. Additionally, it is important to motivate the client to seek help and comply with their treatment plan. Providing psychoeducation on the benefits of medication and therapy, along with behavioral activation techniques, can help foster motivation in the client.
To keep this client safe, the treatment plan should include a safety plan that outlines steps the client can take if they experience suicidal ideation. This plan should include crisis hotlines or emergency contacts and a list of coping skills that the client can engage in during times of distress.
Answer 2:
For the client in Chapter 13, who presents with chronic pain and a history of substance abuse, I would recommend a service package that includes pain management, substance abuse counseling, and regular follow-up consultations. The client’s chronic pain and history of substance abuse indicate a need for a comprehensive treatment plan that addresses both issues. Pain management can help reduce the client’s physical discomfort, whereas substance abuse counseling can provide the client with the necessary skills to manage their addiction.
The treatment goals and objectives for this client would focus on improving pain management, reducing substance abuse, and improving overall physical and mental health. It is important to motivate the client to actively participate in their treatment plan and make positive changes in their lifestyle.
To keep this client safe, the treatment plan should include monitoring for drug abuse and regular follow-up consultations to ensure the client’s progress. Additionally, providing education on the risks of opioid abuse and alternative pain management techniques can help motivate the client to seek treatment for their chronic pain and avoid relapse.
Answer 3:
For the client in Chapter 14, who presents with bipolar disorder and a history of non-compliance with medication, I would recommend a service package that includes medication management, psychoeducation, and regular follow-up consultations. The client’s bipolar disorder and history of non-compliance with medication indicate a need for a collaborative treatment plan that addresses their needs and preferences. Medication management can help control the client’s symptoms, whereas psychoeducation can provide the client with a better understanding of their illness and the importance of adhering to their treatment plan.
The treatment goals and objectives for this client would focus on reducing manic and depressive symptoms, improving medication compliance, and enhancing overall functioning. It is essential to motivate the client to actively participate in their treatment plan and foster a strong therapeutic alliance.
To keep this client safe, the treatment plan should include monitoring for manic and depressive symptoms and regular follow-up consultations to ensure medication compliance. Additionally, providing education on the risks of medication non-compliance and the importance of adhering to their treatment plan can help motivate the client and prevent relapse.
