In-Service Scenario Analysis: Addressing Depression and Ethical Care

This essay presents an in-service scenario analysis centered around a 22-year-old female client, Marie, experiencing depression following a difficult breakup. The analysis explores the steps an administrator in a community health care setting can take to ensure Marie's safety, including comprehensive assessments, suicide risk evaluation, and psychiatric evaluation. It emphasizes the importance of inter-professional collaboration, respecting client privacy, and adhering to ethical standards. The essay also addresses how to navigate managed care systems to provide appropriate treatment based on DSM-V criteria, highlighting the necessity of informed consent, clear delegation, and upholding patient rights. Ultimately, the analysis underscores the significance of communication, ethical practice, and thorough assessment in delivering optimal care to patients with mental disorders.

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

3IN-SERVICE SCENARIO ANALYSIS
Marcie. To prevent any error while providing care, collaboration and regular discussion with
other team members will also be essential to ensure that no errors occurs during the procedure
and patient received care in a timely manner. Informed consent, delegation and fulfilling rights
of patient during care is also essential (Kroenke & Unutzer, 2017). All these are considered as
professionally appropriate and ethical care for patient. On the other hand, avoiding
communication with patients, providing client’s private information to others, not taking
informed consent and discussing personal needs with client will be a violation of professional
ethical standards
The essay gave an insight into process used by an administrator in medical facility to
ensure that patients with mental disorders like depression are provided appropriate and safe care.
By the analysis of the case scenario of Marcie, the essay gave an insight into the importance of
primary diagnosis via the DSM criteria and the need to maintain ethical standards of care.
Communication and proper delegation is also regarded as a necessary care requirement to
provide optimal care to patient.

4IN-SERVICE SCENARIO ANALYSIS
References:
Brown, S. M., Aboumatar, H. J., Francis, L., Halamka, J., Rozenblum, R., Rubin, E., ... &
Frosch, D. L. (2016). Balancing digital information-sharing and patient privacy when
engaging families in the intensive care unit. Journal of the American Medical Informatics
Association, 23(5), 995-1000.
Davoudi, N., Nayeri, N. D., Zokaei, M. S., & Fazeli, N. (2017). Challenges of Obtaining
Informed Consent in Emergency Ward: A Qualitative Study in One Iranian Hospital. The
Open Nursing Journal, 11, 263–276. http://doi.org/10.2174/1874434601711010263
Keller, K. B., Eggenberger, T. L., Belkowitz, J., Sarsekeyeva, M., & Zito, A. R. (2013).
Implementing successful interprofessional communication opportunities in health care
education: a qualitative analysis. International Journal of Medical Education, 4, 253–
259. http://doi.org/10.5116/ijme.5290.bca6
Koukopoulos, A., & Sani, G. (2014). DSM‐5 criteria for depression with mixed features: a
farewell to mixed depression. Acta Psychiatrica Scandinavica, 129(1), 4-16.
Kroenke, K., & Unutzer, J. (2017). Closing the false divide: sustainable approaches to
integrating mental health services into primary care. Journal of general internal
medicine, 32(4), 404-410.
Unützer, J., & Park, M. (2012). Strategies to Improve the Management of Depression in Primary
Care. Primary Care, 39(2), 415–431.

5IN-SERVICE SCENARIO ANALYSIS
Vuorilehto, M., Valtonen, H. M., Melartin, T., Sokero, P., Suominen, K., & Isometsä, E. T.
(2014). Method of assessment determines prevalence of suicidal ideation among patients
with depression. European psychiatry, 29(6), 338-344.