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Diagnostic Labels as Powerful Communications Discussion Response
Respond to at least two colleagues who had a different position than your own in the following way:
Explain why you agr ...
Diagnostic Labels as Powerful Communications Discussion Response
Respond to at least two colleagues who had a different position than your own in the following way:
Explain why you agree or disagree with whether the client meets diagnostic criteria and should be told about a “tentative” diagnosis, approach to diagnosis, or impact of diagnosis.
Explain how the social worker could have worked with a supervisor to make an initial diagnosis.
Colleague 1: Tiffany Snidarich
RE: Discussion - Week 2
As I was reviewing this case one of the first things that I picked up on was that she was being honorably discharged, but the study did not indicate that this was because of her current behavior. Immediately I assumed there must be more going on that people did not know about. The next thing was that there were reports that “she looked increasingly fearful and was talking about hearing voices telling her that the world was going to be destroyed in 2020” (Roberts and Trockel, 2015). She also stated that she thought she was depressed and her performance had declined. So much so that her commanding officer suggested that she sees a psychologist. Finally “she has a maternal uncle with schizophrenia, and her mother has a diagnosis of bipolar I disorder” (Roberts and Trockel, 2015). We should also address the fact that she was using drugs and could have been contributing to her symptoms.
In regards to the social worker sharing her diagnosis I would say that she should have waited. In my opinion she could have done further testing and or monitored her before jumping to this diagnosis. “The problem with impressionistic diagnosis is that it is particularly prone to cognitive error, such as coming up with the first diagnosis that comes to mind” (Paris, 2015). This diagnosis does tend to run in families so I completely understand why she would jump to this conclusion; however it’s better to give the client the right diagnosis the first time.
In this case if the wrong diagnosis were to be given it could cause a lot of issues. First it could complicate things with her discharge from the military or prevent her from staying if that were an option. Next, she could be prescribed the wrong medications which could have horrible side effects. This could even prevent her from getting a job in the future.
I believe that it’s ok to give a patient a provisional diagnosis when more information is needed. “When the clinician thinks a particular disorder is present but realizes more information is required to be confident of a specific diagnosis”(carpenter and William, 2016). In this case Mrs., Evans can be educated and help the social worker get any necessary information needed.
To diagnose a client with other specified and unspecified disorders it must be proven that the symptoms are due to another medical condition. “For other specified and unspecified mental disorders due to another medical condition, it must be established that the disturbance is caused by the physiological effects of another medical condition” (DSM, 2013).
References
Carpenter, William T., and Darrel Regier.(2016) “Diagnostic Categories: Provisional, Not Otherwise Classified, or Place-Holder?” Schizophrenia Bulletin, vol. 42, no. 6, 1 Nov. 2016, pp. 1305–1306, www.ncbi.nlm.nih.gov/pmc/articles/PMC5049540/, 10.1093/schbul/sbw127.
“Other Mental Disorders.” Diagnostic and Statistical Manual of Mental Disorders, 22 May 2013, 10.1176/appi.books.9780890425596.dsm20. Accessed 10 June 2021.
Joel Paris. (2015). The Intelligent Clinician’s Guide to the DSM-5®: Vol. Second edition. Oxford University Press.
Roberts, L. W., & Trockel, M. (2015). Case example: Importance of refining a diagnostic hypothesis. In L. W. Roberts & A. K. Louie (Eds.), Study guide to DSM-5 (pp. 6–7). Arlington, VA: American Psychiatric Publishing.
Colleague 2: Britney Leverett
Red Flags
The case study of Ms. Evans presented several ed flags. The first red flag would be her drastic behavior change; Her colleagues stated that she was able to take care of herself initially, but her job performance declined due to the lack of personal care. The social worker should gather various information based on her behavior that has been occurring for several months. The next red flag is her increased fearfulness and hallucinations. These red flags indicate more complex issues, and Ms. Evan's pending discharge could be considered a red flag. According to (Neukrug & Fawcett, 2015), "Psychosocial and environmental trigger on negative emotional response.
Suspected Diagnosis
The social worker shared a tentative diagnosis of schizophrenia. Two weeks prior, Ms. Evans received a diagnosis of depression. Different diagnoses may cause an adverse reaction for Ms. Evans. The new diagnosis can have harmful effects such as panic, anxiety, or increased stress. "The result of previous experience with mental health and negative stereotype portrayed in social. (Campbell & Mowbray, 2016). Social work standards assert that social workers must ensure that their actions promote the client's wellbeing (Brasky, 2015). Therefore, it's imperative to consider whether or not a diagnosis is in the client's best interest (Brasky, 2015). In this case, the diagnosis did not service the client in any way. It's essential to understand that a diagnosis "helps an individual understand his or her prognosis and aids in forming reasonable expectations for treatment (Neukrug & Fawcett, 2015).
Provisional Diagnosis
A provisional diagnosis is offered when it is believed that the known symptoms fit a diagnosis, but one does not have ample information to proclaim such without a doubt (Neukrug & Fawcett, 2015). According to (Neukrug &Fawcett, 2015), "The type of diagnosis is utilizing when offering a diagnostic summary and communicating with other clinicians."
Other specific/Unspecific Disorder
Unspecific and another specified diagnosis should be offered when an individual does not meet the full criteria of a specific diagnosis (American Psychiatric Association, 2013). According to the (American Psychiatric Association, 2013), "A diagnosis assets that more information and research should be gathered regarding individual experience symptoms, and severity.
References:
Barsky, A. (2015). DSM-5 and the Ethics of Diagnosis. https://www.socialworker.com/feature-articles/ethics-articles/dsm-5-and-ethics-of-diagnosis/.
Campbell D., & Mowbray, O. (2016). The stigma of depression: Black American experiences. https://eds-a-ebscohost-com.ezp.waldenulibrary.org/eds/detail/detail?vid=5&sid=7e67ac03-3b44-4cb1-912e-bf74dd838479%40sessionmgr4008&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=2016-55729-002&db=psyh.
Neukrug, E., & Fawcett, C. (2015). The essentials of testing and assessment: a practical guide for counselors, social workers, and psychologists. https://www.worldcat.org/title/essentials-of-testing-and-assessment-a-practical-guide-for-counselors-social-workers-and-psychologists/oclc/929953288.
5 pages
Centres For Disease Control And Prevention
Research conducted by Centers for Disease Control and Prevention (CDC) shows that Attention-Deficit/Hyperactivity Disorder ...
Centres For Disease Control And Prevention
Research conducted by Centers for Disease Control and Prevention (CDC) shows that Attention-Deficit/Hyperactivity Disorder (ADHD) is among the most ...
conduct Internet research about a significant person that was or is an advocate against inequality
Choose a person who has had an impact on promoting equality whether through philanthropy, civil rights, teaching ...
conduct Internet research about a significant person that was or is an advocate against inequality
Choose a person who has had an impact on promoting equality whether through philanthropy, civil rights, teaching, or lifestyle
Strengths Perspective Reflection
In order to subscribe to the strengths perspective and focus on applicant/clients’ strengths, one must be able to identi ...
Strengths Perspective Reflection
In order to subscribe to the strengths perspective and focus on applicant/clients’ strengths, one must be able to identify and dwell upon his or her own strengths. Using Dennis Saleebey’s questions to assess strengths (p. 189 of your text), write a Strengths Perspective Reflection about yourself. Choose two questions from each of Saleebey’s first five categories of questions (Survival, Support, Exception, Possibility, and Esteem) and respond to them.
SPD 200 Grand Canyon University Early Childhood Education Template Discussion
Teachers often work with families of different cultures and experiences. Positive, clear collaboration, and support betwee ...
SPD 200 Grand Canyon University Early Childhood Education Template Discussion
Teachers often work with families of different cultures and experiences. Positive, clear collaboration, and support between the home and school environments can provide a more seamless service delivery and help to meet the needs of all students. Confidentiality requirements, respect for diversity, the effect of language learning, stress, and cultural diversity during learning and assessment are important factors to consider as a teacher.As teachers advocate for their students and families, they must find ways to collaborate with staff, caregivers, and the student to meet the needs of students in a variety of situations. Teachers must also consider assistive technologies that can support motor skills, comprehension skills, communication skills, and academic skills for students with learning disabilities. These devices promote access to inclusive classroom settings, community settings, and typically developing peers. The case study used in this assignment presents a situation that requires consideration of these topics.Read the following case study to inform the assignment.Case Study: LarissaGrade: 3rdAge: 8Larissa is a female third grade student with a specific learning disability in written expression, reading comprehension, and executive functioning disorder. In first grade, she was assessed for special education services and was found eligible in the areas of written expression and executive functioning due to a diagnosis of dyslexia and ADHD by an outside psychologist referred by her primary care physician.Larissa did not make the expected progress in reading during her first grade year. When tested by the school psychologist at the end of first grade it was determined that she struggles with phonological awareness and rapid naming. Larissa was below the 16th percentile in word attack skills, word identification and single-word spelling.Larissa’s verbal expression is close to grade level, but when asked to express her thoughts on paper, she often uses lower level vocabulary and fragmented sentences, and lacks organization. This could be due to her inability to focus on longer tasks as well as her difficulty with spelling, written expression, and multiple languages spoken in the home. Larissa also struggles with starting tasks independently, staying on task, and with task completion. She often cannot find her materials when needed such as pencils, paper, assignments, books, etc.She is originally from El Salvador and moved to the U.S. with her mother, father, older sister, and newborn brother when she was 14 months old. Recently, her mother and father separated. Her mom has since moved the children out of their home and in with family friends. The family friends have three children and two adults living in the home already, so the three bedroom, one bath home is very crowded. Their new home is within walking distance of Rosewood Elementary, where Larissa has recently transferred.Larissa’s mother, Rita, has a job in which she works long hours and is currently struggling to establish her own line of credit. At home, Larissa’s family speaks both English and Spanish. Rita considers English her primary language; however, Spanish is her first language and she sometimes has difficulty understanding written English despite speaking it well.At a recent parent-teacher conference with Larissa’s teacher, Mr. Fleming, Rita shared that she obtained an order of protection against her husband after they separated. Because the order of protection extends to the children, she provided Mr. Fleming legal documentation of the order. The day after the conference, Mr. Fleming notified the office and gave them the documentation in the event that Larissa’s father should come to the school. While providing this documentation, office staff and other teachers pressed Mr. Fleming to divulge the details of why the order of protection was issued.Case Study EvaluationImagine the student from the case study, Larissa, is new to your school. As the special education teacher who will be working with this student, your job is to provide all of the teachers who will interact with Larissa appropriate background information in order to meet her needs in the educational setting. Using information from the case study, complete the “New Student Template” so it can be shared with Larissa’s other teachers.
7 pages
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❖HRM involves the effective use of human resources in an ❖Recruiting in Canada is made easier by social networks ❖Em ...
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Diagnostic Labels as Powerful Communications Discussion Response
Respond to at least two colleagues who had a different position than your own in the following way:
Explain why you agr ...
Diagnostic Labels as Powerful Communications Discussion Response
Respond to at least two colleagues who had a different position than your own in the following way:
Explain why you agree or disagree with whether the client meets diagnostic criteria and should be told about a “tentative” diagnosis, approach to diagnosis, or impact of diagnosis.
Explain how the social worker could have worked with a supervisor to make an initial diagnosis.
Colleague 1: Tiffany Snidarich
RE: Discussion - Week 2
As I was reviewing this case one of the first things that I picked up on was that she was being honorably discharged, but the study did not indicate that this was because of her current behavior. Immediately I assumed there must be more going on that people did not know about. The next thing was that there were reports that “she looked increasingly fearful and was talking about hearing voices telling her that the world was going to be destroyed in 2020” (Roberts and Trockel, 2015). She also stated that she thought she was depressed and her performance had declined. So much so that her commanding officer suggested that she sees a psychologist. Finally “she has a maternal uncle with schizophrenia, and her mother has a diagnosis of bipolar I disorder” (Roberts and Trockel, 2015). We should also address the fact that she was using drugs and could have been contributing to her symptoms.
In regards to the social worker sharing her diagnosis I would say that she should have waited. In my opinion she could have done further testing and or monitored her before jumping to this diagnosis. “The problem with impressionistic diagnosis is that it is particularly prone to cognitive error, such as coming up with the first diagnosis that comes to mind” (Paris, 2015). This diagnosis does tend to run in families so I completely understand why she would jump to this conclusion; however it’s better to give the client the right diagnosis the first time.
In this case if the wrong diagnosis were to be given it could cause a lot of issues. First it could complicate things with her discharge from the military or prevent her from staying if that were an option. Next, she could be prescribed the wrong medications which could have horrible side effects. This could even prevent her from getting a job in the future.
I believe that it’s ok to give a patient a provisional diagnosis when more information is needed. “When the clinician thinks a particular disorder is present but realizes more information is required to be confident of a specific diagnosis”(carpenter and William, 2016). In this case Mrs., Evans can be educated and help the social worker get any necessary information needed.
To diagnose a client with other specified and unspecified disorders it must be proven that the symptoms are due to another medical condition. “For other specified and unspecified mental disorders due to another medical condition, it must be established that the disturbance is caused by the physiological effects of another medical condition” (DSM, 2013).
References
Carpenter, William T., and Darrel Regier.(2016) “Diagnostic Categories: Provisional, Not Otherwise Classified, or Place-Holder?” Schizophrenia Bulletin, vol. 42, no. 6, 1 Nov. 2016, pp. 1305–1306, www.ncbi.nlm.nih.gov/pmc/articles/PMC5049540/, 10.1093/schbul/sbw127.
“Other Mental Disorders.” Diagnostic and Statistical Manual of Mental Disorders, 22 May 2013, 10.1176/appi.books.9780890425596.dsm20. Accessed 10 June 2021.
Joel Paris. (2015). The Intelligent Clinician’s Guide to the DSM-5®: Vol. Second edition. Oxford University Press.
Roberts, L. W., & Trockel, M. (2015). Case example: Importance of refining a diagnostic hypothesis. In L. W. Roberts & A. K. Louie (Eds.), Study guide to DSM-5 (pp. 6–7). Arlington, VA: American Psychiatric Publishing.
Colleague 2: Britney Leverett
Red Flags
The case study of Ms. Evans presented several ed flags. The first red flag would be her drastic behavior change; Her colleagues stated that she was able to take care of herself initially, but her job performance declined due to the lack of personal care. The social worker should gather various information based on her behavior that has been occurring for several months. The next red flag is her increased fearfulness and hallucinations. These red flags indicate more complex issues, and Ms. Evan's pending discharge could be considered a red flag. According to (Neukrug & Fawcett, 2015), "Psychosocial and environmental trigger on negative emotional response.
Suspected Diagnosis
The social worker shared a tentative diagnosis of schizophrenia. Two weeks prior, Ms. Evans received a diagnosis of depression. Different diagnoses may cause an adverse reaction for Ms. Evans. The new diagnosis can have harmful effects such as panic, anxiety, or increased stress. "The result of previous experience with mental health and negative stereotype portrayed in social. (Campbell & Mowbray, 2016). Social work standards assert that social workers must ensure that their actions promote the client's wellbeing (Brasky, 2015). Therefore, it's imperative to consider whether or not a diagnosis is in the client's best interest (Brasky, 2015). In this case, the diagnosis did not service the client in any way. It's essential to understand that a diagnosis "helps an individual understand his or her prognosis and aids in forming reasonable expectations for treatment (Neukrug & Fawcett, 2015).
Provisional Diagnosis
A provisional diagnosis is offered when it is believed that the known symptoms fit a diagnosis, but one does not have ample information to proclaim such without a doubt (Neukrug & Fawcett, 2015). According to (Neukrug &Fawcett, 2015), "The type of diagnosis is utilizing when offering a diagnostic summary and communicating with other clinicians."
Other specific/Unspecific Disorder
Unspecific and another specified diagnosis should be offered when an individual does not meet the full criteria of a specific diagnosis (American Psychiatric Association, 2013). According to the (American Psychiatric Association, 2013), "A diagnosis assets that more information and research should be gathered regarding individual experience symptoms, and severity.
References:
Barsky, A. (2015). DSM-5 and the Ethics of Diagnosis. https://www.socialworker.com/feature-articles/ethics-articles/dsm-5-and-ethics-of-diagnosis/.
Campbell D., & Mowbray, O. (2016). The stigma of depression: Black American experiences. https://eds-a-ebscohost-com.ezp.waldenulibrary.org/eds/detail/detail?vid=5&sid=7e67ac03-3b44-4cb1-912e-bf74dd838479%40sessionmgr4008&bdata=JnNpdGU9ZWRzLWxpdmUmc2NvcGU9c2l0ZQ%3d%3d#AN=2016-55729-002&db=psyh.
Neukrug, E., & Fawcett, C. (2015). The essentials of testing and assessment: a practical guide for counselors, social workers, and psychologists. https://www.worldcat.org/title/essentials-of-testing-and-assessment-a-practical-guide-for-counselors-social-workers-and-psychologists/oclc/929953288.
5 pages
Centres For Disease Control And Prevention
Research conducted by Centers for Disease Control and Prevention (CDC) shows that Attention-Deficit/Hyperactivity Disorder ...
Centres For Disease Control And Prevention
Research conducted by Centers for Disease Control and Prevention (CDC) shows that Attention-Deficit/Hyperactivity Disorder (ADHD) is among the most ...
conduct Internet research about a significant person that was or is an advocate against inequality
Choose a person who has had an impact on promoting equality whether through philanthropy, civil rights, teaching ...
conduct Internet research about a significant person that was or is an advocate against inequality
Choose a person who has had an impact on promoting equality whether through philanthropy, civil rights, teaching, or lifestyle
Strengths Perspective Reflection
In order to subscribe to the strengths perspective and focus on applicant/clients’ strengths, one must be able to identi ...
Strengths Perspective Reflection
In order to subscribe to the strengths perspective and focus on applicant/clients’ strengths, one must be able to identify and dwell upon his or her own strengths. Using Dennis Saleebey’s questions to assess strengths (p. 189 of your text), write a Strengths Perspective Reflection about yourself. Choose two questions from each of Saleebey’s first five categories of questions (Survival, Support, Exception, Possibility, and Esteem) and respond to them.
SPD 200 Grand Canyon University Early Childhood Education Template Discussion
Teachers often work with families of different cultures and experiences. Positive, clear collaboration, and support betwee ...
SPD 200 Grand Canyon University Early Childhood Education Template Discussion
Teachers often work with families of different cultures and experiences. Positive, clear collaboration, and support between the home and school environments can provide a more seamless service delivery and help to meet the needs of all students. Confidentiality requirements, respect for diversity, the effect of language learning, stress, and cultural diversity during learning and assessment are important factors to consider as a teacher.As teachers advocate for their students and families, they must find ways to collaborate with staff, caregivers, and the student to meet the needs of students in a variety of situations. Teachers must also consider assistive technologies that can support motor skills, comprehension skills, communication skills, and academic skills for students with learning disabilities. These devices promote access to inclusive classroom settings, community settings, and typically developing peers. The case study used in this assignment presents a situation that requires consideration of these topics.Read the following case study to inform the assignment.Case Study: LarissaGrade: 3rdAge: 8Larissa is a female third grade student with a specific learning disability in written expression, reading comprehension, and executive functioning disorder. In first grade, she was assessed for special education services and was found eligible in the areas of written expression and executive functioning due to a diagnosis of dyslexia and ADHD by an outside psychologist referred by her primary care physician.Larissa did not make the expected progress in reading during her first grade year. When tested by the school psychologist at the end of first grade it was determined that she struggles with phonological awareness and rapid naming. Larissa was below the 16th percentile in word attack skills, word identification and single-word spelling.Larissa’s verbal expression is close to grade level, but when asked to express her thoughts on paper, she often uses lower level vocabulary and fragmented sentences, and lacks organization. This could be due to her inability to focus on longer tasks as well as her difficulty with spelling, written expression, and multiple languages spoken in the home. Larissa also struggles with starting tasks independently, staying on task, and with task completion. She often cannot find her materials when needed such as pencils, paper, assignments, books, etc.She is originally from El Salvador and moved to the U.S. with her mother, father, older sister, and newborn brother when she was 14 months old. Recently, her mother and father separated. Her mom has since moved the children out of their home and in with family friends. The family friends have three children and two adults living in the home already, so the three bedroom, one bath home is very crowded. Their new home is within walking distance of Rosewood Elementary, where Larissa has recently transferred.Larissa’s mother, Rita, has a job in which she works long hours and is currently struggling to establish her own line of credit. At home, Larissa’s family speaks both English and Spanish. Rita considers English her primary language; however, Spanish is her first language and she sometimes has difficulty understanding written English despite speaking it well.At a recent parent-teacher conference with Larissa’s teacher, Mr. Fleming, Rita shared that she obtained an order of protection against her husband after they separated. Because the order of protection extends to the children, she provided Mr. Fleming legal documentation of the order. The day after the conference, Mr. Fleming notified the office and gave them the documentation in the event that Larissa’s father should come to the school. While providing this documentation, office staff and other teachers pressed Mr. Fleming to divulge the details of why the order of protection was issued.Case Study EvaluationImagine the student from the case study, Larissa, is new to your school. As the special education teacher who will be working with this student, your job is to provide all of the teachers who will interact with Larissa appropriate background information in order to meet her needs in the educational setting. Using information from the case study, complete the “New Student Template” so it can be shared with Larissa’s other teachers.
7 pages
Global Human Resource Mgt
❖HRM involves the effective use of human resources in an ❖Recruiting in Canada is made easier by social networks ❖Em ...
Global Human Resource Mgt
❖HRM involves the effective use of human resources in an ❖Recruiting in Canada is made easier by social networks ❖Employment laws must be ...
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