Question 1). Read the following brief vignette about Wendy and answer both Questions 1a, and 1b:
Wendy is 40 years old and has a diagnosis of Major Depressive Disorder. She has spent a lot of the past five years in hospital due to her illness’ symptoms and since her prescribed medications produced limited benefit / control of her mood. Now, for the past 3 months Wendy has lived in a room and board home in the community.
1a). Name and then explain in detail how any 2 of the roles of the case manager described by Frankel and Gelman might be applied / practiced by you to support Wendy if you were Wendy’s generic CM at a MHA agency. You must also give examples specific to Wendy for full marks, to ensure it is clear what performing the role entails.
Role 1 Name:
Role 2 Name:
1b). If Wendy (above) was instead only 17 years old (not 40 as above) and was referred by her high school guidance teacher to a Wrap-around service with her parents and two sisters, how might the services she ultimately receives and experienced by her, be the same or different, than if she had services from an ACT team? (comment on 3 similarities between the two types of CM services and 3 differences between the two; 6 marks)
(NOTE/ TIP: Do not use any bullet points or be overly brief, do not be overly basic and say they are both a type of case management (for similarities). Be sure it is clear how each team is similar on your concept/ comment or different and do not just refer to only one team for a point you are making and assume I will understand what you think you are implying about the other team. You may choose to re-watch the related videos and related archived lectures to understand the two approaches).
3 Similarities between both:
3 Differences between both:
Question 2). Read the Ahmed case below. Imagining you are the client’s new generic Case Manager from a new local community mental health and addictions agency, complete 2a, 2b and 2c.
2a) Of all the information I have provided about your client in the case summary, describe in 5-6 sentences (minimum) what you think are the key 2 issues that you think are key issues to work on with the client and why; assuming the client would wish to work on them with you. Be sure to indicate why the issues that you choose to identify are key issues (e.g., do not just summarize the case; I know it well). Do not identify more than 2 issues as key. (2 marks)
2b). Write 1 Goal (plus 2 objectives for it) that you think is a top priority based on 2a above, AND that your client would likely endorse working on with you? (3 marks)
NOTE: You must answer using the format of Goals and Objectives partially modified from the format from the Summers chapter and practiced and discussed extensively in classes 4 and 5. Your answers below will be assessed as to the degree they relate to key issues, are following the format, logic / ‘realisticness’, and for evidence of clear understanding of empowerment / recovery principles.
2c). Suppose as you prepare to finalize the initial Planning phase while working with your client, you invite some people to a case conference (discussed in Unit 3). This is obviously with your client’s approval. In one long paragraph cover the following: a) Who specifically do you think it makes most sense to invite and why? b) For anyone you invite be sure to clearly state if they would be seen as a formal or informal support and why. (3 marks)
The Case of Ahmed
Ahmed is a 36-year-old man who resides in a detached house with his father and mother. He has an older sister and brother who also live in the same city as he and his parents. Both parents immigrated to Canada in 1975 and proceeded to have and raise their three offspring. Ahmed was diagnosed, by a psychiatrist, as a child with the diagnosis of Autism Spectrum Disorder (ASD) of the high functioning or mild type that used to be labeled Asperger’s Disorder. Ahmed’s father is now in his late 70s. Ahmed’s mother struggles with her chronic mental illness that keeps her housebound and needing her husband’s help. Ahmed has high anxiety and repetitive thoughts on topics of extreme interest to him. Ahmed craves social friendships and at times experiences intense romantic interest in women. Due to his ASD, he often forgets that other people like their personal space respected. He often walks up to young women that he finds attractive and tries to speak with them. Such women have reported that his large physical size, his lack of respecting common understandings of personal space and his repeated and personal questions (e.g., Where do you live? Do you live near here? Is it nice there?) often make them feel uncomfortable or afraid of him. He has often accidently frightened other people he tries to greet or speak with as well and he is sad that he has never made a true friend.
Ahmed wishes to live in his own apartment and earn his own money. He does not currently know how to pay his bills on his own though his ODSP cheque provides the funds. He frequently angers his parents because at night he randomly calls people on the telephone “just to chat” and this behaviour has resulted in costly long-distance telephone charges for his parents. He has never received any case management services or significant ongoing day supports, or respite staff supports. Up until recent years his parents could help him with many things but their involvement has decreased, and their frustrations with his frequent social conflicts have increased. While Ahmed intermittently has had the help of staff from a local developmental services agency he still frequently breaks rules, can seldom sit still for more than 15 minutes at a time, and has many times been suspended from attending day programs for various reasons. He has never been physically violent toward others however. He often expresses his loneliness and distress for not fitting in anywhere by keeping busy walking or at times breaking bottles he finds in the parking lot behind a strip mall near his home.
Most afternoons Ahmed takes city buses and subways for hours at a time, often out of boredom. Due to his sometimes repetitive questioning (and the personal nature of his questions) of commuters Ahmed has been ordered off of buses by drivers and suspended from using public transportation services and the public library at times. Mental health clinicians have assessed him in the past and even prescribed medicines for anxiety, which he refuses, due to his dislike of previously-experienced side effects. In the past (i.e., about 4 years ago), clinicians at one local agency had provided various therapies and at times they had intervened with authorities to advocate for him on his behalf.
*Completed in APA formatting, double spaced, 2.5 centimetres margins on all sides*
Videos on ACT.
Video On Wraparound.
My previous written assignments are also included as example and for your reference. See below.
Art is finding it hard to adjust to the new place. Therefore, it is imperative to make an arrangement to help him settle down. For this to happen, he will have to attain optimal mental health. As Ant is suffering from schizophrenia, the best treatment, as evidenced by research, is an antipsychotic medication. However, Ant is not taking his medications, making his mental condition worse. Therefore, the primary goal is to motivate Art to take medication.
Ant needs to see a good psychiatrist who can positively intervene to motivate him to take his medications. Therefore, I will arrange an appointment with the psychiatrist for Ant in our next session. A psychiatrist can assess the mental condition of Ant after diagnosing the severity of his illness. After a complete diagnosis, the psychiatrist can suggest an effective medication. In addition, a psychiatrist can develop a positive therapeutic relationship necessary for Ant’s positive mental health.
Ant will be referred to a psychiatrist having expertise in Cognitive Behavioral Therapy (CBT). This strategy has been proven effective intervention for a patient who has schizophrenia.
Treatment and Recommendation
Ant must start taking his medication. Thus to gain optimum mental health, he must adhere to antipsychotic medications. For this purpose, it is recommended that the psychiatrist develop a positive therapeutic alliance with Ant to motivate him for taking medication. Additionally, it is recommended that the psychiatrist a healthy communication with Ant to ensure adherence to medication.
NOTE. THIS EXAM PAPER WILL SUBMITTED TO TURNITIN.
Included ALL sources. Including article names and authors. Please see attachments below.
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