Improve Academic Performance . PATIENT CARE. During assessment and diagnosis process, consider referral to a psychiatrist or mental/behavioral health professionals in the following several presentations and co-conditions: During treatment and monitoring, consider referral to a psychiatrist in the following situations: Most adult patients with ADHD can benefit from education about ADHD, skill building trainings and adjuvant psychotherapy. Step 2 - Develop processes for using Medication Management Tools. Once trust is established, people tend to be more open to discussing their strengths and objectives. Concentrate on their priorities. Residents will gain experience in liaising with community based (IBD support groups) and web-based resources. The resident will learn to work with patients with advanced medical illness and be sensitive to their physical limitations. Education must speak to the importance of following a regimen and the risks of failing to do so. serve in the role as the primary psychiatrist, with attending backup, for 40 patients with chronic severe mental illness. Pediatric - Effective 2016. Ability to complete in-depth assessments to determine the correct diagnosis while attending to possible co-morbid medical and neuropsychiatric diagnoses. Techniques used in the evaluation of adults with anxiety disorders including evaluation of previous pharmacologic, somatic, and psychotherapeutic treatments. SHORT-TERM GOALS 1. ), Recognize and make therapeutic use of transference, Integrate biological and psychological aspects of a patient's history, Provide psychoeducation about psychiatric illness and the risks/benefits of commonly prescribed psychotropics, Understand how the meaning of a medication to a patient can have a significant impact on its efficacy and learn how to explore what medications mean to a patient, Use the placebo effect to more successfully prescribe medications, Demonstrate a basic understanding of diagnosis-specific psychotherapy and medication management, Have a basic understanding of medico-legal and psychotherapeutic issues in the context of one person prescribing medication and another person providing psychotherapy: confidentiality, informed consent, and collaboration, Use the concepts of transference and countertransference in prescribing medications in a therapeutic manner, Recognize the ways that prescribing mediation can enhance or hinder psychotherapy and ways that psychotherapy can enhance or hinder medication management, Identify the psychological aspects of non-adherence, Use structured cognitive-behavioral model including mood check, bridging to prior session, agenda setting, and review of homework, capsule summaries, and patient feedback, Use Dysfunctional Thought Records as a tool in therapy, Use Activity Scheduling as a tool in therapy, Identify common cognitive errors in thinking, Use behavioral techniques as a tool in therapy, Plan booster session's, follow-up, and self help sessions appropriately with patients when terminating active therapy, Assess regressive and adaptive shifts in ego functioning, Make interventions specifically in support of a patient's ego functions, including defensive operations, Deliberately take a non-interpretative stance in relation to a defensive operation in a patient, Recognize internal conflict and help a patient contain it without an emphasis on interpretation, Be directive: give advice set limits, and educate when appropriate with a patient. Residents rotate through this clinic for 6-month blocks and see one new diagnostic evaluation and three follow-up patients per clinic. Acrobat PDFMaker 15 for Word An official website of the Department of Health and Human Services, Latest available findings on quality of and access to health care. Residents participate in diagnostic evaluations, treatment recommendations, and ongoing management. Refer to Nurse Case Management Program for attendant care services . Treatment plan is a specifically tailored plan which is used as a powerful tool for the planning and management of a person's health condition. This worksheet (ARIES Master Data Collection Form) can be used to remind Medical Case Managers of the . 1 Healthy People 2030 focuses on the prevention, screening, assessment, and treatment of mental disorders and behavioral conditions. prepare relevant legal documents for purposes of involuntary admission and treatment. Polypharmacy, which is generally defined as taking more than 5 medications, is a growing trend as the world population ages. Verbalize feelings of anger in a controlled, assertive way. It includes guidance on an extensive range of medication management-related matters and provides valuable tips and tools that can elevate the performance of medication management programs. Respect for the patients and the family's' stress during evaluation and treatment, Willingness to seek supervision for all treatments, especially those which engender strong countertransference responses, Respect for the members of the treatment team and their differing roles. project a sense of optimism, and promote independence without unnecessarily placing patients at risk of further disappointment. Since medication error can kill, there is the need to be vigilant at all time in dispensing under supervision. Knowledge of the various types of genetic and acquired cognitive disorders, such as Alzheimer's disease, vascular dementia, frontotemporal dementia and others, their etiology, pathology and clinical presentations. While providing education cannot ensure a patient will adhere to a regimen, organizations should do all they can to help make adherence easier. Whether through a call, email, or use of an automated system that provides instructions, condition- and medication-specific questions, and/or information from their clinician(s), such proactive follow up can help identify regimen adherence issues early and keep patients on a road to recovery. This can start within a few hours to several days of stopping use of the stimulant, in addition to at least two of the following symptoms: Psychotic symptoms may emerge during the first one to two weeks, particularly if they were present during times of use. Ability to educate patients and families regarding psychiatric and cognitive disorders in the older adult population. Population Health Management and Data Analytics - Effective 2020 Pharmacotherapy - Effective 2017 . The Anxiety Disorders Clinic provides consultation and treatment on treatment-refractory cases that are often referred from the Department, Hospital, and community. PGY-3 residents spend twelve months in the General Clinics. Program Goals & Objectives T0019_MAT 4-1-2016 4-1-2016 4-15-2016 Originated By: Approved By: Jonathan Ciampi David Kan, MD Purpose: This document outlines the program goals and objectives. Besides resident physicians and the attending, the clinic is staffed by a clinical nurse practitioner. These tools will also help to identify patient behaviors that may be putting patients at risk for an adverse drug event, such as overdosing, underdosing, or missing medications, or other important contextual factors limiting adherence. Be able to relate clinical information (e.g., medical records, psychological testing, clinical interview) to a specific question in the legal context (e.g. Provide a job aid for staff for creating a medication list with a patient or family member. 1. The resident will understand and provide the psychiatric care of cancer patients before, during and upon completion of cancer treatment. With that said, another goal should be to reduce the number of medication errors month over month, quarter over quarter, year over year, always keeping that zero goal as motivation for improvement. Knowledge of the various psychotherapeutic components of supportive psychotherapy with treatment-resistant mood disorders patients, including teaching the patient self-observation, dealing with suicidal impulses, and recognition of mood swings and their impact on judgment and impulsivity. - Moderate caloric deficits - Weight loss 1 to 2 lb/week The initial target goal of weight loss therapy is to decrease body weight by 10 percent. 400 0 obj <>/Filter/FlateDecode/ID[<38AE6961186DAC41A255D329ADBB4926>]/Index[388 29]/Info 387 0 R/Length 73/Prev 426904/Root 389 0 R/Size 417/Type/XRef/W[1 2 1]>>stream Knowledge of psychopharmacology as it applies and pertains to the college and graduate student population. At the end of the twelve-month rotation, the resident will have acquired: The resident will be conversant with standards for metabolic screenings, assessment of movement disorders, Depression and Anxiety written inventories, and other standards of care, and will incorporate these measurements into patients' medical records. For most people, the ultimate long-term goal of treatment is to overcome depression symptoms and achieve a state of remission (an end to serious, noticeable symptoms). Essential Functions and duties of position included: Provide Medication Therapy Management Review to patients (COA-Care for . % Ability to deal effectively with the issues and concerns that the college and graduate student population present to psychopharmacological management. Improve patient education There are many reasons why so many patients fail to adhere to a regimen. 3 Medication Management Goals to Set for Your Organization, HEDIS is a registered trademark of the National Committee for Quality Assurance. Recognize and tolerate one's uncertainties as a trainee in psychotherapy, Recognize, contain and make therapeutic use of countertransference, Maintain a therapeutic alliance in the face of transference distortions, using concepts of neutrality, abstinence, empathy, and support in an appropriate manner, Manage termination issues within the context of a psychodynamic psychotherapy, Understand and develop a therapeutic alliance with the patient, Recognize a variety of forms of therapeutic alliances including negativistic ones, Recognize and attempt to repair disturbances in the alliance, Listen to nonjudgmentally and with openness, Facilitate the patient talking openly and freely, Empathize with the patient's feeling states, Communicate appropriately with others treaters within the Department of Psychiatry, Communicate appropriately with the patient's permission with referring physicians, and others outside the Department of Psychiatry, Recognize and describe (to the supervisor) one's own affective response to the patient, Establish an educational alliance with the supervisor, Incorporate material discussed in supervision into the psychotherapy, Establish a therapeutic alliance with the patient, Identify the precipitating event (stressor) and the patient's reactions to, Identify history of the patient's usual coping mechanisms facilitate the patient's expression of emotions, Normalize the patient's emotional reactions to the event in the setting of crisis, when appropriate, Focus the therapy on the precipitating crisis, Actively listen to the patient to enhance understanding, Help the patient develop adaptive coping mechanisms and identify additional sources of support, Identify patient strengths and to reflect these back to the patient, Establish achievable therapeutic goals with the patient, Rapidly obtain collateral information where appropriate, Know community resources and be able to make timely and safe dispositions, Identify and effectively begin treatment with a suitable patient for psychodynamic psychotherapy, Link present to past as demonstrated by understanding the patient's present pattern of thought, feelings, action, and relationship in terms of his or her past personal experience, Identify and respond appropriately and flexibly to a variety of defenses in the clinical setting, Effectively confront, clarify and interpret previously preconscious and unconscious material in the therapeutic setting, Facilitate the discovery of latent meaning of clinical material (e.g. Residents will communicate with multidisciplinary cancer treatment teams effectively and will incorporate feedback from them. This procedure may be customized to be practice specific. 18 0 obj <> endobj 37 0 obj <>stream It includes training in skills to promote relaxation and quiet the mind; communication skills training and exposure therapy, which helps a patient, overcome certain fears and avoidance. Sep 2022 - Present7 months. Since nurses are the largest subgroup of healthcare professionals, their ability to make strides towards improved medication administration is undeniable. Checklist for staff to provide a quick reference for the steps to creating a medication list with a patient or family member. In care settings the currently legislations, guidelines policies and protocols relevant to the administration of medication would be: To create an environment where these errors are a rare occurrence, all healthcare professionals must dedicate themselves to implementing QSEN's six core competencies each and every day. The resident will be observed in many patient interactions by the attending and will receive feedback on those observations including issues of rapport, adherence, patient education and formulation of a treatment plan shared with the patient. Residents will become aware of the range of services for patients with addictive behaviors including inpatient and outpatient substance use programs, self-help groups, and other available resources. Goals and Objectives: Provide quality behavioral health and basic medical services including, but not limited to: therapeutic interventions; mental status exams; intervention and management; coordination of patient's medication regime. A treatment plan will include the patient or client's personal information, the diagnosis (or diagnoses, as is often the case with mental illness), a general outline of the treatment prescribed, and space to measure outcomes as the client progresses through treatment. Not all symptoms can be resolved with treatment; it is important to manage expectations of treatment and to promote a sense of responsibility and personal agency in patients. Objectives help your team understand what needs to be done in order to achieve the intended outcome (goal). Regardless of the healthcare setting or demographic of patients, safe outcomes are the purpose of providing patient-centered care. Exercise is an important part of a healthy lifestyle, and should be recommended for both health and possible ADHD benefits. Comorbid conditions such as mood and anxiety disorders are also highly treatable. No matter which goal you choose, you'll want to consider the pros and cons of each treatment approach. uuid:3bfb92e7-2a9b-5745-a0a7-80ed3c9c0d7e the pharmacologic management of these disorders, and the complications attendant to the use of SSRI's TCA's, MAOI's, mood stabilizers, stimulants, and atypical antipsychotics, the treatment of refractory mood and anxiety disorders. 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