Mental Health Case Study - 1261 Words

Reliability The reliability of this instrument was exceptional. The PHQ-9 scored a 0.89 Cronbach’s Alpha within the Primary care setting and a Cronbach’s Alpha of 0.86 in the Obstetrics and Gynecology setting. To test reliability a test-retest was done using follow up phone interviews with a Mental Health professional in a trial of 580 patients. This test was performed within 48 hours of the original PHQ-9. The Cronbach’s Aplha was 0.84 for the test-retest. The means score for the clinic samples was 5.08 and 5.03 for the telephone interviews. The reliability appears to be great for this instrument and has similar results in different settings. Validity The validity of the PHQ-9 instrument appeared to be great. Out of the 41 patients†¦show more content†¦Asking an individual with cognitive impairments like Dementia or Alzheimer’s does not make for reliability. I have used this instrument within that population and at times the answers given by the patient are disorganized or no answer is given. In this case another instrument called PHQ-9(OV) is used. That instrument uses staff members who work closely with the resident to answer the questions if the resident appears depressed. Cross-Cultural Skills There are two questions on the PHQ-9 that I feel particularly do not work across all cultures and does not take into account possible triggers for the individual. Question 6 on the PHQ-9 (1999), â€Å" Feeling bad about yourself-or that you are a failure or have let yourself or family down† is not appropriate for cognitively impaired individuals. Dementia is a difficult disease for both the individual and their family. I feel that asking this question for someone with Dementia that is in a facility is upsetting and cause behaviors within the person. Many times when I ask a resident with dementia this question they begin to get upset and tearful. It causes them to feel emotions in regards to missing their families and it causes the interview to take longer because the social worker needs to be empathetic to the patient. When asking patients in a long term care facility this question it triggers negative responses. Most people in a long term care facility wish to be home with th eir families. I feel that it makesShow MoreRelatedMental Health Case Study7435 Words   |  30 PagesRunning head: CASE STUDY LS Mental Health Case Study LS Nicole Castro College of Southern Nevada Division of Nursing Mental Health Nursing Clinical NURS 243C-S10 Micki Lin Mongogna-Alarcon, MA, BSN, RN October 18, 2010 Mental Health Case Study DM Demographic Data: LS is a 44 year-old female of African and Hispanic decent. She was born in California but moved to Las Vegas as a teenager. She stated that she attended Clark High School and went to a â€Å"stewardess college† inRead MoreMental Health Case Study1499 Words   |  6 PagesThere are many mental health facilities around the state and the country, being able to attend and observed in one was very difficult because of confidentially purposes. Many agencies I visited such as Catholic Charities, St. Mary Hospital behavioral health services, covenant house had turned me down not allowing me to have that exposure and visit in their organization. The agencies policies were strict, they had mentioned they will have to do a series of background checks and had to be enroll inRead MoreMental Health Case Study709 Words   |  3 PagesAccording to The Free Dictionary, mental illness is defined as, â€Å"Any of various psychiatric conditions, usually characterized by impairment of an indiv idual s normal cognitive, emotional, or behavioral functioning, and caused by physiological or psychosocial factors â€Å"(The Free Dictionary, 2007). Mental illness can certainly be a physical illness, but is not as easily diagnosed like a disease such as diabetes. In a disease like diabetes, physicians can run tests to look for certain indicators ofRead MoreMental Health Case Study800 Words   |  4 PagesEvidence of effectiveness- A study conducted in Brisbane State high school as cohort based randomized control trial with 134 participants in grade 9-year students, the previous year 9 (n=126) acted as control group with 10 months follow up. Results reveals that students with intervention conditions of hopelessness reported significantly lower level of depressive symptoms and improved mental health and well-being. [20] Another place control trial study conducted in New Zealand, reports a positiveRead MoreMental Health Disorder Case Study1524 Words   |  6 Pagesthe Diagnostic and Statistical Manual of Mental Disorders. This Manual is basically published by the American Psychiatric Association and it goes on to recognize all the major health disorders. The Substance related disorders are either substance use disorders or substance induce disorders. The Substance use disorders basically consist of dependence and abuse. On the other hand, substance induced disorders include withdrawal, intoxication and other mental states such as psychosis, dementia and moodRead MoreMaternal Mental Health Case Study801 Words   |  4 PagesPurpose Maternal mental health (MMH) disorders occurs in one out of 10 women during pregnancy and within the first year after birth (Maternal Health, 2016). Current law in California states no requirement for perinatal or postpartum screening. AB 244 proposes to create a pilot program to increase the healthcare providers capacity and training to manage MMH conditions to serve pregnant and postpartum women up to one year after delivery (California Legislative Information, 2017). The purpose of thisRead MoreCase Study : Client Mental Health Characteristics Essay1617 Words   |  7 PagesCase Study: Client Mental Health Characteristics During the initial phase of therapy, Jane exhibited characteristics that I considered mentally unhealthy in CBT. She had little insight into her maladaptive information processing; she could identify that she was anxious, but was unable to trace the source of this anxiety. I identified two types of cognitive distortions that were problematic for the client: arbitrary inference and mislabeling. Arbitrary inference became particularly obvious asRead MoreCase Study : Clinical Mental Health Counseling Essay2484 Words   |  10 PagesDenielle Aldridge M.S. in Clinical Mental Health Counseling Personal, Academic, and Professional Qualities/Personal Qualities My primary goal in applying to Walden University s M.S. program in Clinical Mental Health Counseling is to prepare myself for a future career in helping a wide range of individuals in my community to find happiness and to develop healthy relationships with their family and to find camaraderie within their community. I am greatly interested in working withRead MoreMental Health And Mental Illness1314 Words   |  6 PagesUnderstanding mental health is a very complex concept. The antiquity of mental illness and madness tells two common and defective definitions of mental health. The first, that mental health is the absence of mental illness, while the second that mental health is a state of well-being (Tudor, 1995). The fact that both definitions are reductive and the same word mental health is used to mean mental illness added more confusion to such term. However, it is important to know what really is mental health and mentalRead MoreMaking Meaning When A Child Has Mental Illness1 222 Words   |  5 PagesSummary of the Article The case study entitled, â€Å"Making Meaning When a Child Has Mental Illness: Four Mothers Share Their Experiences† by Ahmann (2013) is essentially where Ahmann interviews four mothers whose children have been given a mental health diagnosis and she documents in anecdotal form how each of them were able to cope, and even escape the feelings of grief, isolation, loneliness, helplessness, and depression by reaching out to others and â€Å"making meaning† in their lives by being mentors