Assignment: Trauma-Causing Event

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Using the Triage Assessment Form  After reading the case examples in the Myer and Conte (2006) article, you have a better understanding of how to use one type of assessment tool. A Microsoft Word copy of the Triage Assessment Form (TAF) is included in the assignment Resources. The most current version of this form is also shown in your James and Gilliland (2017) text, pages 60–64. Use the form to analyze one of the cases, either Ariadne or Jordan, described below. You can save the form as you have completed it as a MS Word document or as a PDF document, and attach the form to your written paper as an appendix.  Rate the client in each of the three domains (Affective, Behavioral, and Cognitive) using the Severity Scale included with each domain on the Triage Assessment Form (TAF) and total the scores. Describe, in detail, the rationale for your ratings, including your judgment about how intense and directive the treatment should be based upon the total score. In your discussion of the rationale, summarize diagnostic skills and techniques that can be used to screen for addiction, aggression, and danger to self and others, as you note these risks in your client. Similarly, a possible co-occurring mental disorder (such as substance abuse) may become apparent during a crisis, disaster, or other trauma-causing event that ties in with your assessment during the client’s crisis. Note this in your rationale to address the impact of crisis and trauma on individuals with mental health diagnoses.  Project Objectives  To successfully complete this project, you will be expected to: •Complete the Triage Assessment Form appropriately for the selected case, including all three domains, with clinical descriptions to guide the course of treatment by evaluating the domain ratings with a logical and articulate rationale of key elements of the crisis, disaster, or trauma-causing events, including the nature of the crisis and associated risks, and client and counselor safety. •Summarize diagnostic skills and techniques that can be used to screen for addiction, aggression, and danger to self and others, as you note these risks in your client. •Note a co-occurring mental disorder (such as substance abuse or depression), which may become apparent during a crisis, disaster, or other trauma-causing event that ties in with your assessment during the client’s crisis. •Differentiate characteristics of crisis states versus developmentally appropriate reactions to life obstacles and crisis assessment and intervention strategies for diverse populations. •Exhibit proficiency in effective, credible academic writing, and critical thinking skills.  Note: A template for your APA formatted paper is included in the assignment Resources. Please use the template to present the assignment criteria in an organized way. The headings guide you to the criteria, and the details that are included describe what is necessary to complete the assignment to a Distinguished degree.

Case  

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Assignment: Trauma-Causing Event
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Ariadne   Ariadne, a 17-year-old Hispanic female, ran away from home. The police returned her to her home, but within a week Ariadne had attempted suicide by taking her father’s prescription medication for high blood pressure. Ariadne had been showing signs of depression and was seen for mental health counseling a year previously for eight sessions. After receiving counseling, Ariadne stated that she felt unuseful at home and unwelcome at school. Feelings of worthlessness and anger arose periodically when her parents tried to engage her about school events. Ariadne had several close friends and one young man she called her “beau,” though she claimed there was no serious intimacy between them. She refused to return to counseling sessions, saying that the time was better spent talking with her friends. She complained that her parents were too strict with curfew times and asked too many questions. In the past week, Ariadne was discovered to skip school two days and refused to tell her parents where she had been. Ariadne’s mother found a bottle of pills and a bottle of vodka in her room.

THIS FORM HAS TO BE FILLED OUT ALONG WITH THE ASSIGNMENT

Triage Assessment Form: Crisis Intervention  © by R. A. Myer, R. C. Williams, A. J. Ottens, & A. E. Schmidt Crisis Event  Identify and describe briefly the crisis situation: ______________________________________________________________________________________________________________________________________________________________________________________________________________________________ Affective Domain Identify and describe briefly the affect that is present. (If more than one affect is experienced, rate with number 1 being primary, number 2 secondary, number 3 tertiary.) Anger/Hostility ____________________________________________________________________________________________________________________________________________________ Anxiety/Fear ____________________________________________________________________________________________________________________________________________________ Sadness/Melancholy ____________________________________________________________________________________________________________________________________________________ Affective Severity Scale Highlight the number that most closely corresponds with client’s reaction to crisis. 1 2        3 4        5 6        7 8        9 10 No Impairment Minimal Impairment Low Impairment Moderate Impairment Marked Impairment Severe Impairment Stable mood with normal variation of affect appropriate to daily functioning. Affect appropriate to situation. Brief periods during which negative mood is experienced slightly more intensely than situation warrants. Emotions are substantially under client control. Affect appropriate to situation but increasingly longer periods during which negative mood is experienced slightly more intensely than situation warrants. Client perceives emotions as being substantially under control. Affect may be incongruent with situation. Extended periods of intense negative moods. Mood is experienced noticeably more intensely than situation warrants. Liability of affect may be present. Effort required to control emotions. Negative affect experienced at markedly higher level than situation warrants. Affects may be obviously incongruent with situation. Mood swings, if occurring, are pronounced. Onset of negative moods are perceived by client as not being under volitional control. Decompensation or depersonalization evident. Behavioral Domain Identify and describe briefly which behavior is currently being used. (If more than one behavior is used, rate with number 1 being primary, number 2 secondary, number 3 tertiary.) Approach ____________________________________________________________________________________________________________________________________________________ Avoidance ____________________________________________________________________________________________________________________________________________________ Immobility ____________________________________________________________________________________________________________________________________________________ Behavioral Severity Scale Highlight the number that most closely corresponds with client’s reaction to crisis. 1 2        3 4        5 6        7 8        9 10 No Impairment Minimal Impairment Low Impairment Moderate Impairment Marked Impairment Severe Impairment Coping behavior appropriate to crisis event. Client performs those tasks necessary for daily functioning. Occasional use of ineffective coping behaviors. Client performs those tasks necessary for daily functioning, but does so with noticeable effort. Occasional use of ineffective coping behaviors. Client neglects some tasks necessary for daily functioning. Client displays coping behaviors that may be ineffective and maladaptive. Ability to perform tasks necessary for daily functioning is noticeably compromised. Client displays coping behaviors that are likely to exacerbate crisis situation. Ability to perform tasks necessary for daily functioning is markedly absent. Behavior is erratic, unpredictable. Client’s behaviors are harmful to self and/or others. Cognitive Domain Identify whether a transgression, threat, or loss has occurred in the following areas and describe briefly. (If more than one cognitive response occurs, rate with number 1 being primary, number 2 secondary, number 3 tertiary.) PHYSICAL (food, water, safety, shelter, et cetera):

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