In-Service Scenario Analysis for Depression Patient - Desklib

Running head: IN-SERVICE SCENARIO ANALYSIS
In-service scenario analysis
Name of the student:
Name of the University:
Author’s note

1IN-SERVICE SCENARIO ANALYSIS
The essay provides an in-service case scenario analysis for a new client Marie, a 22 year
old female who came to the intake session complaining about loss of interest in activities. She
feels tired all the time and the main reason for her depression is the last break from a 35 year
married man. She has become more depressive since then. The essay provides an insight into the
steps that can be taken by the administrator of the facility to ensure the safety of the client and
ways to ensure privacy of the client. It also provides idea regarding actions that are ethical and
professionally appropriate as per professional ethical standards.
As Marcie’s symptoms reveal that she is a patient with depression, primary diagnosis via
the current DSM will play a crucial role in deciding the best treatment service for her. This is
because her symptom clearly reveals that she has mental disorder and DSM-V criteria for mental
disorder can help in determining whether Marcie is suffering from major depression or minor
depression. It may also help to classify her condition into moderate, severe or mild type of
depression (Koukopoulos & Sani, 2014). Appropriate treatment and service for Marcie can be
planned accordingly.
To ensure the safety of Marcie within a community health care setting, the administrator
of the setting can take the step to first arrange for comprehensive assessment of client to
determine the severity of depression symptoms. Assessment regarding suicidal behaviour will
also be important as Marcie also reported that she had developed thoughts about killing herself.
Psychiatric evaluation is a part of the suicide assessment process and this mainly involves
collecting data from patient related to psychiatric history, medical history and current medical
history. This may help to identify factors that increase risk of suicide, identify patient’s
immediate safety needs and determine the most appropriate treatment for patients like Marcie
(Vuorilehto et al., 2014). Identifying individual strengths and weakness of patient and their

2IN-SERVICE SCENARIO ANALYSIS
psychosocial situation also helps to understand risk and implement appropriate safety measures
to protect patients (Unützer & Park, 2012).
Communication related issue may arise if inter-professional team caring for Marcie do
not collaborate with each other in an effective manner. Collaborative practice is essential for
shared accountability, decision making and to optimize patient care. Delegation regarding patient
safety needs and care priority would help to promote efficiency in care and increase patient’s
satisfaction with care (Keller et al., 2013). During interaction with patient and during assessment
process, health care staffs should also be sensitive of privacy needs of clients. Respecting
patient’s privacy and dignity is part of therapeutic care. The administrator can ensure privacy of
the client by providing training to health care staffs related to privacy needs. During the training
session, the health care staffs need to be made aware about the privacy and confidentiality
policy. Maintaining privacy and confidentiality of client’s information throughout the assessment
and care process will be essential as part of ethical values of care. In addition, other values
needed to promote privacy and dignity of patient include respecting culture and beliefs of patient
and engaging in frequent communication with patient to discuss sensitive information of clients
(Brown et al., 2016). Informed consent is also a crucial part of care and the administrator can
include information regarding taking action without patient’s consent during emergency
situation. This may help to provide emergency notification related to the care process (Davoudi
et al., 2017).
To ensure that the managed care system does not prevents from giving Marcie the type of
treatment that she needs, it will be essential to diagnose patient according to DSM-V criteria for
mental disorder. After identifying the severity of disorder, consultation with mental health care
professionals will be essential to determine the need for type and duration of treatment needed by