When Completing Vignettes Assignment Help: How to Answer This Question

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Break the problem into smaller parts and analyze each logically.

Key Explanation

This topic involves when completing vignettes. A strong answer should include explanation, application, and examples.

Original Question

When completing the vignettes, there is a vignette assumption. That is, when reading assume that a full assessment has been done and no mention means ‘no evidence’. This is the standard quality assurance if it is not documented it does not exist assumption. What that means, then if there is no mention of a need, the rating should be a ‘0’. If there is no mention of a strength, then the rating should be a ‘3’. So, no mention of any suicidality would result in a rating of ‘0’ on Suicide Risk. No mention of any talents or interests would result in a rating of ‘3’ on Talents/Interests. Another way to think about it is that you start the assessment with all 0 ratings on the Needs and all 3 ratings on the Child/Youth Strength and then you look for evidence to adjust your scores accordingly using the action levels. Caregiver ratings use the Need action levels for the vignettes. Ordinarily certain items would have an N/A option (for example Job Functioning for an underage child, or Foster Caregiver for a child not in foster care). For the purposes of this test please rate such items as ‘0’ for needs and as ‘3’ for strengths. Good luck! Rick is a 37-year-old male who presented for outpatient treatment stating, “I never feel happy.” Rick has diabetes and a profound hearing loss. He reports that things seem to have “gone badly” shortly after he got married a few years ago. Prior to his marriage Rick had a very close relationship with his family, particularly his mother and grandmother. He was highly involved in his church community as well as the deaf community. Despite his handicap Rick excelled at playing the piano and seemed to have a natural gift with computer technology. He had a job working for a community newspaper where he formatted the pages of each edition prior to publication. Since his marriage, he reports that “things have to go her way.” Rick is no longer involved in most of the things that once brought him much joy. His wife convinced him to quit his job at the newspaper in order to move to her home town, which is an hour and a half drive from the community Rick was connected to and where all his friends and family live. They have recently been forced to declare bankruptcy and have moved in with her father until they can get back on their feet. Rick is now stocking shelves the local grocery store. His wife visits him there often. He has gotten into trouble on more than one occasion for his wife’s frequent visits. Rick’s wife allows him very limited contact with his family. Rick and his wife have a strained relationship and he reports spending much of his time and energy trying to keep her from getting mad. Rick reports that he has not been able to feel at home in his new community. He has no deaf friends or connection with that culture. Rick has difficulty communicating with others due to his deafness and limited verbal abilities. Rick reports that all of his free time is spent either with his wife’s family or doing whatever she wants. Rick’s mother and grandmother worry about him constantly and feel that his wife is manipulating him and/or taking advantage of him. His family would love to be involved in his life more but are only able to have limited contact with him. Rick has a history of becoming explosive when he is angry and even though he has not had such an outburst in quite some time his family worries that his stress will reach a point where this will become an issue again. Risk Behaviors 0. No evidence of need. No action needed 1. Significant history or possible need that is not interfering with functioning. Watchful waiting/prevention/additional assessment 2. Need interferes with functioning. Action/intervention required 3. Need is dangerous or disabling. Immediate action/intensive action required 0 1 2 3 1. Suicide Risk 2. Danger to Self or Others 3. Self-Injurious Behavior 4. Other Self-Harm 5. Exploitation 6. Gambling 7. Sexual Aggression 8. Criminal Behavior Behavioral Health Needs 0. No evidence of need. No action needed 1. Significant history or possible need that is not interfering with functioning. Watchful waiting/prevention/additional assessment 2. Need interferes with functioning. Action/intervention required 3. Need is dangerous or disabling. Immediate action/intensive action required 0 1 2 3 1. Psychosis/Thought Disturbance 2. Cognition 3. Depression 4. Anxiety 5. Mania 6. Impulse Control 7. Interpersonal Problems 8. Antisocial Behaviour (Compliance With Society’s Rules) 9. Adjustment to Trauma 10. Anger Control 11. Substance Abuse 12. Eating Disturbances Functioning 0. No evidence of need. No action needed 1. Significant history or possible need that is not interfering with functioning. Watchful waiting/prevention/additional assessment 2. Need interferes with functioning. Action/intervention required 3. Need is dangerous or disabling. Immediate action/intensive action required 0 1 2 3 1. Physical/Medical 2. Family Functioning 3. Employment Functioning 4. Social Functioning 5. Recreational 6. Intellectual/Developmental 7. Sexuality 8. Living Skills 9. Residential Stability 10. Legal 11. Sleep 12. Self-Care 13. Decision Making 14. Involvement in Recovery 15. Transportation Strengths 0. Centerpiece strength. Central to planning 1. Strength present. Useful in planning 2. Identified strength. Build or develop strength 3. No strength identified. Strength creation or identification may be indicated 0 1 2 3 1. Family 2. Social Connectedness 3. Optimism 4. Talents/Interests 5. Educational 6. Volunteering 7. Job History 8. Spiritual/Religious 9. Community Connection 10. Natural Supports 11. Resiliency 12. Resourcefulness Culture 0. No evidence of need. No action needed 1. Significant history or possible need that is not interfering with functioning. Watchful waiting/prevention/additional assessment 2. Need interferes with functioning. Action/intervention required 3. Need is dangerous or disabling. Immediate action/intensive action required 0 1 2 3 1. Language 2. Identity 3. Ritual 4. Cultural Stress

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