Treating Anxiety From an Integrated Approach A Collaborative Approach to Care April 6, 2019 * Tex-CHIP Training Series Role of Case Management in Treating Anxiety Understanding Provider Role in Treating Anxiety Supportive role Education for client and support system Diagnosis education Enabling coping skills vs positive coping skills
Real-time applications of the skills learned in therapy Symptoms tracking and reporting Encouraging self-reporting Effective documentation from case manager to team Considerations when Interacting with Clients Similarities across Anxiety Disorder diagnoses Fear, Anxiety, &/or Avoidance Current coping skills and patterns of learned behaviors Separating appropriate coping skills may be difficult depending on
how the skills effect anxiety symptoms Case Manager as a potential primary enabler? Potential difficulties of comorbidity with other diagnoses Maintaining compassionate curiosity with difficult symptoms and potential for slow/selective progress Our Treatment Plan Healthcare Domain: Behavioral Health Provider: Case Manager Objective: Decrease in symptoms as indicated by
client report of: (a) Reduction always on edge feeling (b) Reduction in exposed and vulnerable feelings (c) Increase outings (d) Improve reports of worry Goals: Interventions: a) Resume daytime activities
a) Deep breathing techniques b) Purchase food/groceries in person at a brick & mortar location b) Desensitization of anxiety symptoms c) Resume enjoyable activities outside her home c) Normalization of anxiety symptoms across scenarios
Measuring Outcomes/Success Increased positive/desired behaviors Engaging in the (formerly) anxiety provoking situation without using current enabling coping skills Decreased negative/unwanted behaviors Engaging in the (formerly) anxiety provoking situation without or with decreased anxiety symptoms Communication Needed from Counselors Specifics of the needs as related to the presenting symptomology
Identification of successes and challenges reported in session(s) Concrete identification of skills to build or strengths to utilize in case management planning Any positive or negative influence from primary support group or natural supports Risk factors, or triggers for increased risk Include related safety plan and emergency procedures
Nitrazine paper testing Vaginal pH (3.5-4.5) Turns blue in presence of alkaline Amniotic fluid 93.3% sensitivity False positive (1-17%) for urine, blood, semen, BV, Trichomonas Fern slide Must allow slide to dry thoroughly prior to examination under microscope.
* a multi-dimensional concept, where biographical traits shall coexist alongside historical and cultural ones, and where age group belonging is connected to specific historical experiences, to the development of peculiar consumption habits or to the occupation of certain positions in...
Task 4 - P6 - Produce updated documentation for the modification . ... You can register your product online by just simply going on to the product's manufacture website, there will be a option that will ask you to 'register...
Decision Trees and Decision Tables. Often our problem solutions require decisions to be made according to two or more conditions or combinations of conditions. Decision trees represent such decision as a sequence of steps. Decision tables describe . all possible...
Induction-Motor Starting Connect directly across full-voltage using a contactor for each phase. Full-Voltage Starting Major disadvantage is the high in-rush current. Large voltage drops occur, dimming lights and forcing computers off-line.