STUDENT INFORMATION:
Name: Team: Assigned Role:
_______________________________________________________________________________________________________________
ASSESSMENT AND TREATMENT PLAN
Client Name:
Purpose of Service: (Example: Assist the client to find secure housing. Note: the Purpose of Service should fall within the mission of the agency)
Client Goal/Outcome: (Example: Mr. Brown’s goal is to find affordable, secure housing within six weeks)
Activities/Services to Reach Goal/Outcome
· State what the client will do to reach the goal/outcome
· State what the worker will do to reach the goal/outcome
· Describe how the activities/services are intended to reach the goal/outcome
Services Provided by Agency Staff – Underline the services provided
· Direct service – consultation
· Refe
al (describe)
Resources to Help Client Reach Goal/Outcome
Strengths that Will Help Client to Reach Goal/Outcome
Describe what it will look like for the client when the goal/outcome is reached. What will be different in the client’s life?
M5 #2 - Assessment and Treatment Plans (wk 12)
Now that you have identified Ms. Moore's needs and strengths, you are ready to work individually with her in your role as a member of the staff of the Wallace Stevens Community Center.
Continue to include direct quotes from your client. Your creativity can shine here as you imagine a meeting or call or Zoom with Ms. Moore to create the assessment and treatment plan.
Post a draft of the assessment and treatment plan that you and Ms. Moore completed together, using the form below. Use as much space as you need in the form, save it to your computer.
I will Provide the below:
1. I provided the clients strength and needs.
2. I also provide separate document of the form you have to fill out. Remember my role of the agency is a Nurse practitioner.
3. I also provided below what is the agency.
4. Sara Moore Case
5. ASSESSMENT AND TREATMENT PLAN FORM
Client Description of Situation:
"My name is Sara Moore. I am 36 years old and single. I’ve struggled with depression most of my life. I’ve tried more treatments and more medications than you could believe... Finally, I found a therapist who was willing to take the time to help me find a combination of therapy and medication that worked... Then the bottom fell out of my world. The bank downsized and I was laid off... I’ve been living on my savings and they are almost gone. I can feel myself sinking into depression again... I’ve started to drink to help me sleep." Sara has a long history of battling depression but has found a treatment plan that worked for her, showing her ability to engage with therapeutic interventions positively. The loss of her job has significantly impacted her mental health, demonstrating the close link between her employment status and psychological well-being.
Client Needs:
"I lost my health care and couldn’t afford to see my therapist or pay for my medication." Sara urgently needs access to mental health services and medication management, which are critical for her to maintain the progress she has previously made in managing her depression. "I am having trouble getting employment... Sometimes, it is too hard to make eye contact or I start to sweat." Sara is experiencing significant anxiety during job interviews, which is hindering her ability to secure employment. Support for developing coping strategies and confidence-building measures could be beneficial. "I have no health care and no way to get my medication." Immediate assistance is needed to re-establish her access to healthcare services and medication, essential for her mental health stability. "If I can’t get a job as a loan officer, I’d like to explore other job options. Maybe I could take some courses at a community college." Sara has shown interest in seeking out new job prospects and possibly pursuing additional education. She is willing to adjust her career trajectory, demonstrating resilience and a proactive attitude toward addressing her cu
ent obstacles.
Client Strengths:
-Sara's self-awareness and proactive approach to seeking help indicate a high level of motivation to improve her situation. Her previous success in managing depression with a combination of therapy and medication reflects her ability to engage with and benefit from mental health treatment.
- Holding a college degree and having professional experience as a loan officer demonstrate her intellectual capability and work ethic.
- Sara's openness to exploring new career paths and further education suggests adaptability and a willingness to grow and learn, despite cu
ent hardships.
- Openness to change and learning: Expressed interest in exploring new job opportunities and further education.
In my capacity as a Nurse Practitioner at the WSCC, I will be responsible for collaborating closely with Sara to evaluate her physical health requirements, facilitating her access to essential medication, and coordinating with mental health services to ensure a holistic approach to her well-being. It will be crucial to formulate a wellness plan that encompasses monitoring Sara's mental health condition, providing support for her employment endeavors, and exploring educational prospects. This will play a pivotal role in helping her attain stability and happiness, which are her ultimate goals.
The Wallace Stevens Community Center* Agency
Agency Mission: The Wallace Stevens Community Center (WSCC) seeks to support, strengthen, and empower adults in the north country by providing them with access to a wide variety of services including medical, mental health, continuing education, housing, career counseling, and temporary financial assistance.
Agency Outcome Goals: The adults who are served by the Wallace Stevens Community Center will achieve ongoing stability as evidenced by:
· Completing client education goals within 2 years from the initiation of service
· Obtaining stable employment within 1 year from the initiation of service
· Obtaining stable housing within 3 months from the initiation of service
· Achieving physical and psychological wellness or management of chronic medical conditions within 1 year from the initiation of service
Agency Description: The Wallace Stevens Community Center (WSCC) provides a
oad a
ay of services through its multi-disciplinary staff and its community-based network of agencies and programs. The central office of the WSCC is located in Glens Falls with satellite offices throughout the north country to provide access to services to individuals in remote rural areas.
Agency Operations
Each office is staffed with a case coordinator, nurse practitioner, caree
adult education specialist, financial specialist, mental health counselor and substance abuse counselor. Each office will use the same management information system to demonstrate accountability to its executive board, its funders, its clients and other community stakeholders; to evaluate the efficacy of service delivery at the individual practitioner and organizational levels (whether services enabled clients to reach outcome goals), and to communicate within the agency and externally with key stakeholders and the community.
Agency Treatment Approach
As a staff member of WSCC, you are expected to work with clients and each other according to the principles of a strengths-based, solution-focused practice. When employing a solution-focused practice:
· Clients are given an opportunity to describe their needs and problems.
· The service provider assists the client to identify their strengths and resources.
· The service provider works with clients to develop well formed goals as soon as possible inviting the client to consider “What will be different in your life when your needs are met and your problems are solved?”
· The service provider asks clients to consider a time when their needs were met and their problems were not present.
· The service provider assists clients to consider how they can use their strengths and supports to solve their problems.
· At the end of each meeting, the service provider summarizes agreements and next steps, including activities to reach goals, and who is responsible for doing what.
Agency Treatment Teams
Throughout agency involvement, service providers and clients evaluate the progress being made toward reaching satisfactory solutions and meeting needs.
As a staff member of WSCC, you are expected to collaborate with your colleagues as a member of a treatment team. Each member of the treatment team will serve the client according to his or her role and specialty. Each member of the treatment team will collaborate with the team and client to identify client needs and strengths. Each team member will work with the client to identify outcomes and activities to achieve them and communicate the goals and progress toward them to the team. Each member of the team will refer clients to community-based agencies as needed.
Agency Refe
al Network
The staff of WSCC will supplement the direct service that they provide with refe
als to a variety of community-based services including, but not limited to the Adirondack Food Pantry and Fresh Food Network, the Lewis, Washington, St. Lawrence, Wa
en, Essex, Clinton, Herkimer Counties of Departments of Social Services and Health and Mental Health, Adirondack Community College, United Churches and Synagogues Community Services Center, Volunteers for North Country Wellness, the North County YMCA and YWCA, Volunteers in Service to America, Supporting Our Greatest Resource: Our Neighbors, the North Country Business Association’s not for profit public service agency and Pro Bono Legal Services.
This is my role in the agency is a
Nurse Practitioner – Responsible for refe
ing patients to a physician for initial diagnosis and treatment. With the client, develop and monitoring a wellness plan to reduce/manage symptoms and to achieve wellness goals
Case Scenario: Sara Moore
Thanks for seeing me today. I watched a story about your agency on TV. The reporter said that your agency helped a lot of people in the community.
My name is Sara Moore. I am 36 years old and single. I’ve struggled with depression most of my life. I’ve tried more treatments and more medications than you could believe. Some medications actually made me feel worse. Other medications worked for a while. I’d start to feel better but it never seemed to last. Finally, I found a therapist who was willing to take the time to help me find a combination of therapy and medication that worked. And, she helped me to adjust the dosage over time as needed to stay on track emotionally. My life seemed to take off. I found a job working as a loan officer at a bank. I liked the people I worked with and I liked my job. I had hope for the future for the first time in a long time. Then the bottom fell out of my world. The bank downsized and I was laid off. I lost my health care and couldn’t afford to see my therapist or pay for my medication. I was scared that I would lose all the gains I made. I heard that there were job opportunities out of state and decided to move and take my chances.
Things aren’t so great. Even though I have a college degree and experience as a loan officer, I am having trouble getting employment. I get jumpy during interviews. Sometimes, it is too hard to make eye contact or I start to sweat, not a great way to inspire confidence in an employer. I’ve been living on my savings and they are almost gone. I can feel myself sinking into depression again. I am having a lot of trouble sleeping and I don’t have much of an appetite. I have no health care and no way to get my medication. I’ve started to drink to help me sleep. I know that isn’t a great idea but I don’t know what else to do.
If I can’t get a job as a loan officer, I’d like to explore other job options. Maybe I could take some courses at a community college. I want to get my life back. I want to feel calm and happy. Can you help?
Additional Information:
Ms. Moore’s date of birth is 3/16/1988. She lives on 115 Th. St. in East Hartford, CT XXXXXXXXXXHer cell phone number is XXXXXXXXXXThe last four digits of her social security number are 9781. She signed a form authorizing your agency to release information as needed. Agency staff explained the circumstances under which information can be released with her consent. Staff also explained the circumstances under which information can be released without her consent. The release expires on 8/28/24.