Identifying Information
Kali Campbell is the client who will be examined in this paper to develop a suitable treatment plan that addresses her underlying health issues. Kali is the first born in the family of four and is a 17-year-old mixed-race teenager, who loves her space. Her quiet nature is often misinterpreted and she is always agitated and disengaged from other people in her immediate environment. I chose Kali because of her parent’s inability to acknowledge her sexual orientation, which has become a primary cause of conflict in their household. Besides, she has lost interest in learning and has been arrested twice for marijuana possession.
Present Problem
Kali is mostly agitated and disengaged from other people, a behavior that hinders individuals from developing healthy relationships with her. At 17, she has already been arrested twice for drug use and marijuana possession, an outcome that is uncommon amongst girls her age. Her lack of interest in school is a cause for concern because of the lack of ambition in life. Her girlfriend, whom she claims to love, has already graduated from school, a move that Kali uses to explain her lack of interest in attending school. Notably, Kali does not admit that she relies on drugs to calm her emotional issues, a move that compels her to disassociate from the treatment approach recommended by her counsellor.
Other Assessments
Kali should be assessed for depression using the verbal screening tools to identify the extent of her mental issue. Some of the medical approaches that can be used in this case include Functional Analysis Screening Tool (FAST) because of her increased and random agitation. During her interactions with the nursing practitioners, she can be presented with a questionnaire that will identify any developmental delays in Kali. In the same vein, the questionnaires will enquire about her condition and enable the physicians draw valid conclusions that guide them in the development of a feasible treatment approach. After the screening session, Kali’s depression status will be examined to identify the impact on her mental health and the best approach that can be used to contain the issue.
Short Term Goals
The short-term goals that will used on Kali include exposing her to Cognitive Behavioral Therapy (CBT). In this regard, the treatment approach will introduce Kali to a hands-on mechanism that will demonstrate the best techniques that can be used to solve her mental issues. Likewise, the CBT method will focus on changing Kali’s thought process and influencing her behavioral patterns when exposed to different situations. Importantly, the nursing practitioners will focus more on urging Kali to stop getting embarrassed and recommend certain tactics that she can use to strengthen the relationship with her mother. By focusing on the consequences of drug abuse, the CBT approach will influence Kali’s perspectives towards life.
Long Term Goals
The long-term goals that will be used to respond to Kali’s health status revolve around cutting her reliance on drugs to overcome her emotional issues. Unfortunately, Kali relies heavily on marijuana to calm her down whenever she is exposed to stressful situations such as the domestic conflicts between her parents. While the drug has a relaxing effect on her emotional stability, the treatment approach will focus on exposing Kali to alternative methods that can accomplish the desired goals and objectives. Besides, the intervention plan will train Kali on acknowledging her self-worth and recognizing the recommended behavior changes she should introduce to claim control over her life.
Treatment Plan Interventions
Stein, M. D., Caviness, C. M., Morse, E. F., Grimone, K. R., Audet, D., Herman, D. S., … & Anderson, B. J. (2018). A developmental‐based motivational intervention to reduce alcohol and marijuana use among non‐treatment‐seeking young adults: a randomized controlled trial. Addiction, 113(3), 440-453.
Motivational intervention is commonly used to discourage young adults from relying on drug and substance abuse when they encounter stressful situations. Given Kali’s heavy reliance on marijuana, this intervention approach will largely influence her perspectives towards life.
Maslowsky, J., Whelan Capell, J., Moberg, D. P., & Brown, R. L. (2017). Universal school-based implementation of screening brief intervention and referral to treatment to reduce and prevent alcohol, marijuana, tobacco, and other drug use: process and feasibility. Substance abuse: research and treatment, 11, 1178221817746668.
Screening brief intervention is a proactive approach that can be used to reduce and discourage adolescents from partaking alcohol and smoking marijuana among other substances. The counsellor diagnosing Kali should use this intervention plan to reduce her marijuana uptake and enable her to regain control over her life.
Zuckerbrot, R. A., Cheung, A., Jensen, P. S., Stein, R. E., Laraque, D., & Glad-PC Steering Group. (2018). Guidelines for Adolescent Depression in Primary Care (GLAD-PC): part I. Practice preparation, identification, assessment, and initial management. Pediatrics, 141(3).
This study demonstrates the importance of identifying the appropriate primary care before exposing adolescents to different treatment approaches in response to their mental health status. In this regard, the regular screening is important to the adoption of effective approaches that are aligned with the objectives of primary care due to the need to enhance the quality of outcomes in young adolescents such as Kali.
Gerson, R., Malas, N., & Mroczkowski, M. M. (2018). Crisis in the emergency department: the evaluation and management of acute agitation in children and adolescents. Child and Adolescent Psychiatric Clinics, 27(3), 367-386.
When interacting with young patients suffering from acute agitation in the emergency department, nursing practitioners should be sensitive to avoid triggering any outbursts that may affect their overall health status. In this regard, nursing professionals are expected to utilize their skills and experience to manage the volatile young patients before exposing them to a viable treatment method that addresses their underlying medical issues. Observation and multidisciplinary collaboration is critical to the development of proactive medical solutions.
Mascayano, F., van der Ven, E., Martinez-Ales, G., Henao, A. R., Zambrano, J., Jones, N., … & Dixon, L. B. (2021). Disengagement from early intervention services for psychosis: a systematic review. Psychiatric Services, 72(1), 49-60.
Analyzing the disengagement rates among adolescents and the willingness of young patients to participate in treatment approaches is the basis of this study. The scholars identify the factors that cause disengagement among the young population and the best approaches that should be used to resolve the issues. The research identified enabling and need factors to be among the key stressors for disengagement among young individuals.
Treatment Plan Intervention
I believe motivational intervention, screening brief intervention, and embracing early intervention for disengagement among adolescents are some of the treatment plans that should be adopted to respond to Kali’s health issues. The approaches demonstrate a high degree of effectiveness when used to respond to young adolescents manifesting issues such as those affecting Kali. Besides, family therapy will enable Kali resolve her issues with her parents.
Leadership Skills
Self-development, ethical practice and civic mindedness, and innovation are some of the leadership skills that will come in handy in addressing Kali’s underlying health issues. Manifesting these skills during the clinical intervention will demonstrate to Kali the importance of reviewing her personality and perspectives towards life.
Communication with Other Professionals
Developing an effective communication plan with other health professionals will play an important role in resolving Kali’s health issues. Planning for prior diagnoses and sharing her health information with other medical practitioners will help in the development of a viable treatment approach that responds directly to her needs.
Legal, Ethical, and Other Considerations
Access to care, patient-doctor confidentiality, and malpractice are some of the ethical issues that should be considered during the interactions with Kali. In this regard, Kali should be exposed to an enabling medical environment that exposes her to quality care without any bias. The treatment approaches should be carefully selected after examining the appropriate medical recommendations that fully address her underlying medical problems.
