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Health Science

Follow the instructions below to complete your assignment. Select the Course Schedule on the Course Menu for the
due date.

The goal of this assignment is to Prepare you for crisis intervention practice with those experiencing depression
,»mania, and suicidal ideation. After reviewing treatment approaches through the trainings and other suicide
resources, you will be asked to decide what you might do as a clinician based on the cases presented. Points will be
removed for poor writing and spelling. Follow the instructions below to complete your assignment. Write no more
than a one page paper and include the following:

1. Review the Case 1 Chapter 6: Ms Catherine. Determine her risk and protective factors for suicide and list them
below. As the social worker working with her discuss what you would do to assess suicidal thoughts and
intervene with the problems she presents with.

2. Review the following case and answer the questions that follow based on your review of the client, trainings,
and suicide resources. You should develop a step-by-step cohesive approach to ensure the client's safety for
the next month.

A 23-year-old white male, self-referred. He has signed a confidentiality agreement and requests thafyou not
inform anyone about what he is going to tell you. Patient bought a gun 2 months ago to kill himself-and claims
to have the gun and four shells in his car (police found the gun but no shells). Patient reports having planned a
time and place for suicide several times in the past. States that he cannot live any more with his “emotional
pain” since his wife left him 3 years ago. He has lost all hope of reconciliation with her. If she refuses to get
back with him next week, he is planning to take her down with him because he is tired of living alone without
her. This emotional pain has increased during the last week, but the patient cannot pinpoint any precipitant.
Patient has a history of chemical dependency, but has been sober for 20 months and currently goes to AA. He
lives alone.

Patient has a history of chemical dependency, but has been sober for 20 months and currently goes to AA. He
. lives alone.
3. Review the Case Analysis Rubric [DOCX].
4. In a 2-3 page double-spaced Word document, answer the following questions:
a. What are the risk and protective factors for suicide? h
b. Is there a duty to warn? Based on information on your state, what are your responsibilities?

c. Is there a plan? Is it immediate or later? Is it lethal? What is the risk (Go through the VaDod Risk
Decision Tree)? What should be your action plan?
d. Review the NASW Code of Ethics. What ethical issues are involved in this case? How would you address
5. Submit your assignment. To do this:
a. Save vour document as LastName FirstName A3.DOCX.

Case Analysis Rubric
There are 4 case analysis this term, each is worth 10 points. While the content for each analysis is
different, all should respond to the posed questions, highlight important information for effective social
work practice, and note implications for practice. Each analysis should be approximately 2 - 3 pages in

7 points
Grammar | |
Case analysis should be clearly written with no grammar or spelling errors.

3 points

Total: 10 points

. isorder
B ip olar D
GEC SUN a La ae bee laa
Catherine, a 38-year-old married Mexican-American female with no children, lives in a rural county
She was court-ordered to attend an outpatient mental health clinic for individual and group ange,
management services. Two months ago, her husband charged her with assault after she Stabbeq him
in the shoulder with a steak knife during an argument at a local restaurant. Catherine is also aWaitin
incarceration as the result of an arrest for recklessly driving a vehicle without a license. She hac in fag
been jailed on five occasions for offenses ranging from disturbing the peace to assault. Catherine js Sepa-
rated from her husband but is open to possibly reuniting with him after she receives Professional help
Catherine is in generally good physical health and reports that she is in regular contact with
her family physician. She broke her arm 2 years ago in a saloon fight, however, and has diminished
strength in that arm. She also reports having ankle pain due to possible arthritis, which moderately
decreases her mobility. Still, Catherine has kept a full-time job at the Post office for the last 15 years,
working primarily as a mail sorter and occasionally as a deliverer.
Catherine reports that she has had irritable and “up and down” moods for most of her adult life
She describes extended periods of time when she becomes " hyperactive” and easily annoyed by peo-
ple around her. Catherine says she has incredible energy at those times and gets a lot done. At those
times she likes delivering the mail, working out at the local recreation center, eating out in restaurants,
and going to bars. She rests primarily with short naps during her energy bursts. Catherine drinks alco-
hol (only beer) regularly and makes no apologies for it. “It’s fun. Who says girls can’t hold their liquor
like the guys?” Upon further questioning, she admits that she drinks only “enough to get drunk’ when
she is in a high-energy phase. Otherwise she limits herself to a few beers on the weekends.
Catherine admits that she wears herself out after about a month of this hyperactivity, becoming
“shaky” and “disoriented" from the lack of sleep. When in a manic episode, she is apt to lose her temper
and argue with anyone who gets in the way of her activities. She gets into physical fights frequently,
often with strangers, but sees this as acceptable behavior. “| was raised to take care of myself.Noone
Is going to push me around” Despite her erratic behaviors, Catherine is “accepted for who | am’ in her
small community. The culture of her Mexican-American family of origin features high levels of emo
tional expressiveness and Catherine is comfortable behaving this way. She is usually released from jaila
few days after her arrests to the custody of her husband, with the charges dropped.
; | | anic of HYP"
Bipolar disorder is a mood disorder in which a person experiences one or more ™ peychiatt®
manic episodes that usually alternate with episodes of major depression see epi ys
Association [APA], 2013). Depressive episodes are described in Chapter 7. A manit

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