In-Service Scenario Analysis

Directions: In 750-1,000 words:  On the scenario below, write an essay that answers the reflection questions. Use a minimum of three scholarly references to support your analysis.

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.

Answer the Following Questions:

1. As an administrator of the facility, does the primary diagnosis via the current DSM play a factor in what you would do?

2. What steps would ensure the safety of the client within a community/mental health care
setting? What other community resources could be used to help to support the client in this scenario?

3. Given the strict rules regarding HIPAA, privacy, and confidentiality of mental health records, would communication be a concern for the agency? How would you, as the administrator, address training to ensure the 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 at least ten (10) 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.

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