Problem:
Athena's hallucinations are always telling her to attempt suicide; however, she never actually attempted suicide until she was rejected by a young man that she liked about 2 months ago. After her suicide attempt, Athena was briefly hospitalized and began receiving services at an intensive case management program. She reports that she attempted suicide because she was so depressed that she could not take it anymore. Treatment staff recognize that this behavior is a coping mechanism developed after Athena's abuse, which has been impacting how she connects with people, especially when it comes to romantic relationships.
Athena has expressed an interest in music history and the treatment staff has helped her enroll in a community college class, which they hoped would help her find common ground and begin to connect with her peers; however, she tended to walk out of class at odd times and wander the streets. When asked about this behavior, Athena reported that she just cannot sit still in the class. At the ICM program, treatment staff felt that treatment was proceeding well. Athena was medication compliant and attending sessions regularly; however, 2 days ago Athena set up another meeting with the young man, which also went badly, resulting in another suicide attempt this morning, and Athena was re-hospitalized. Hospital and treatment staff recommended that she be treated at a residential placement, but Athena and her family declined; instead, she preferred to have very high frequency of meetings at the ICM program after inpatient discharge. Treatment staff hopes that she will reconsider and accept placement at a higher level of care. Need Assignment Help?
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
Use Chart above to rate/grade below
1. Language
2. Identity
3. Ritual
4. Cultural Stress