Topic
6: In-Service Scenario Analysis
Directions: In 750-1,000 words, select one
of the scenarios below to write an essay that answers the reflection questions.
Use a minimum of three scholarly references to support your analysis.
Scenario
1:
Marcie is a new client and a 22-year-old
female who works as a receptionist in a doctor’s office. She has just revealed
to you during the intake session that she has recently lost interest in most activities,
has been sleeping a great deal yet feels tired all the time, and sometimes
wishes she could cease to exist. She mentioned feeling as though she has been
“on an emotional roller coaster” during the past year, throughout her
on-again/off-again relationship with a 35-year-old married man. The last
breakup with him seemed final, and Marcie has felt herself sinking deeper and
deeper into depression ever since. When probed further about suicidal
ideations, Marcie admitted that she has considered killing herself, although
she is uncertain whether or not she would actually do it.
Scenario
2:
A managed care clinician completed a
utilization review and has just denied authorization for you to continue
treating a client. You believe that the client could benefit from four
additional sessions. At the same time, you understand that the managed care
clinician must apply criteria of medical necessity to justify continued
treatment, and you are aware that many of your agency’s clients have problems
much more severe than your client’s problems.
Reflection
Questions:
2.
What steps would ensure the
safety of the client within a community/mental health care setting?
3.
Would communication be a
concern within the agency? How would you, as the administrator address training
to ensure privacy of the client? What could be included within the informed
consent process to ensure emergency notification for the client?
4.
Make a
list of all of the ways that you could try to ensure that the managed care
system does not prevent you from giving your client the type and duration of
treatment services that he or she needs.
5.
Categorize
each of the items from question 4 into two groups reflecting those that would
be considered professionally appropriate and ethical, and those that would be
considered a violation of professional ethical standards.
