Question

Turn to page 580 of Chapter 16 “Life Care Planning for Depressive Disorders, Obsessive-Compulsive Disorder, and Schizophrenia” in your Life Care Planning and Case Management Handbook (3rd edition). Read the information provided under the heading “Case Study” and assume that you collected this information during your clinical interview.

First, note the patient’s diagnosis and current psychological functioning.

Next, provide recommendations that may be included in the life care plan for John.

Answer

You should have identified several key issues:

  • John currently lives independently, and previously lived in a group home
  • He has been hospitalized five times and attempted suicide at age 20
  • Primary symptoms include auditory hallucinations and delusions
  • John sometimes has difficulty with taking his medications
  • His work history is sporadic

Review pages 581-584 to evaluate your recommendations and note how the example presents the patient’s potential complications (p. 583) and future medical care (p. 580).

Due to the patient’s psychiatric condition, he will require medication management (this example recommends through life expectancy due to his diagnosed disorder) as well as individual and group counseling.

Because of his past hospitalizations, additional hospitalizations were recommended. Options for residential and day treatment were also recommended.

To address the patient’s sporadic work history, vocational counseling, testing, and supported employment were recommended.

Possible complications and future interventions are noted as a way to educate those involved in the case; however, because they cannot be predicted with a reasonable degree of certainty (51% or more), they are designated only as possibilities.

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