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. Whichever way of dispensing the initial 5RS is the basic for individual to familiarize. This worksheet (ARIES Master Data Collection Form) can be used to remind Medical Case Managers of the . Residents will demonstrate knowledge of evidence-based treatment approaches to addictive behaviors. Setting goals in a treatment plan helps patients: Feel motivated. As for private hospital we do practice cost saving and by recommending this system my organization would be able to achieve cost saving as well as incentives and improved efficiency in delivering high quality and safe care for our patients. Residents will gain experience in liaising with community based (IBD support groups) and web-based resources. The resident will learn to coordinate care and treatment plans with the patients, primary care doctors, psychotherapists, and social workers. Step 4 - Introduce Medication Management Materials to patients. On the other hand, I need to have that self-awareness of which patient is in the medication room and know how to talk, Staff work with the same residents day after day, and the CMs know what the residents take for medications every day. These medications should be prescribed for a maximum of seven to 10 days. 1 Healthy People 2030 focuses on the prevention, screening, assessment, and treatment of mental disorders and behavioral conditions. They both affect dopamine and norepinephrine reuptake in certain parts of the brain and, as a result, increase the amount of these neuro - transmitters to facilitate brain functioning. View a general overview on medication treatments for ADHD and how the medications work. xZ6)("JdE"(c :6Nt$JEEJpa>:Q"Qe]IW%Ue955'JO'MB|? i=6|H8W The Clinic is composed of one faculty psychiatrist, 1-2 resident psychiatrist(s), one faculty clinical psychologist with cognitive-behavioral therapy expertise, 1-2 clinical psychology interns, and 2 clinical psychology externs. All the terrific treatment your organization provides to a patient may be for naught if that patient fails to adhere to the medication regimen determined by your clinicians. Referrals are received from all Medical Center Oncology Services (solid organ and hematological malignancies) and from local as well as regional geographic areas. Since medication error can kill, there is the need to be vigilant at all time in dispensing under supervision. Interactions between drugs used in anxiety disorders treatment, as well as interactions with drugs used for medical illnesses; side effects, indications and contraindications of the various treatments, and expected treatment response. And yet thousands of deaths every year are attributable to adverse drug events (ADEs). endstream endobj 389 0 obj <> endobj 390 0 obj <> endobj 391 0 obj <>stream { Ql{Ont~UTgc/B/}rp6O^c:v+Fh, Microsoft Word - T019_ProgramGoalsObjectives_MAT.doc. Be familiar with the various diagnostic conditions seen during childhood and adolescence including ADHD, Conduct Disorder, Anxiety Disorders, Substance Abuse Disorders, and Learning Disabilities, Understand the difference in symptomatology between children, adolescent, and adults, Understand the occurrence of commonalities in children and adolescents, Develop competency and appropriately prescribe and manage stimulant medication for ADHD including Ritalin, Dexedrine, and Adderal, Develop competency and appropriately prescribe and manage non-stimulant medication for ADHD including Wellbutrin, Clonidine, and Strattera, Develop competency and appropriately prescribe and manage SSRI medications for depression and anxiety, Be aware of the various structured diagnostic tests (CBCL, Conners, CDI, etc. There is no research looking at exercise and adults with ADHD, but there is some research showing improvement of ADHD with exercise on children and adolescents. SHORT-TERM GOALS 1. (fY'Sx Overview of Treatment Recommendations for Adults ADHD, FDA-Approved Stimulant Medications for Adult ADHD, Clinical Guidelines for Withdrawal Management and Treatment of Drug Dependence in Closed Settings, Stratification by ADHD with and without co-existing mental health conditions, Psychoeducation and effective coping strategies for the patient and family, Vocational and/or educational accommodations, Family therapy for adults with ADHD who are parents or have difficulties in relationships, Drug contracts for patients at high risk of substance abuse, Treatment response monitoring Vigilance for any patterns of medication misuse as a necessary part of stimulant prescribing, Review medication use and effects, considering any dose or time of administration modifications (inquire about how long the effects last and any changes in symptoms or medications effects during a day), Monitor for treatment adherence and side effects, Review information from informants (when available), Monitor for signs of substance abuse/dependence. First, the medication administration record (MAR), could become computerized. Ability to complete in-depth assessments to determine the correct diagnosis while attending to possible co-morbid medical and neuropsychiatric diagnoses. But they also suggested that if a patient is presented with a condition in which they are competent to prescribe, then non-medical prescribers should be confident and competent to treat patient. become familiar with means of preventing life-threatening complications of clozapine. Knowledge of the types and indications for various neuropsychological tests and their interpretation. A Journal of Hospital Medicine study showed that "patients lacking timely PCP followup were 10 times more likely to be readmitted for the same condition within 30 days of hospital discharge and nearly seven times as likely to be readmitted for the same condition or receive other care.". Organizations should set a goal of zero medication errors and ADEs, including those associated with modifying patient regimens. . There is not enough research to conclude what type, intensity, or duration is best. I have noticed some errors that needs to back up all the time. Technologies are making it easier for organizations to schedule such follow-up appointments for patients, which will improve the likelihood of patients actually making it in to see their PCP in a timely manner. 0Sb , C%aaC71I8]N#EXBX2:z~r. Identify the preceding activity, specific location, and support needed for taking medication. https://www.ahrq.gov/patient-safety/reports/engage/interventions/medmanage.html. While providing education cannot ensure a patient will adhere to a regimen, organizations should do all they can to help make adherence easier. Six months after the introduction of medication aides, error rates were as follows: RN (2.75%), LPN (7.25%) and medication aides (6.06%) with a mean error rate of 6.6% Randolph & Scott-Calwiezell (2010) as cited in Budden (2011). This way it makes it difficult for the CM to sign off all the medications at once for the residents when setting them up. A PCP should review a patient's medication regimen and hopefully catch any signs and symptoms indicative of non-adherence. 388 0 obj <> endobj show concern and compassion with being either patronizing or overly-involved. Patients awaiting lung, liver, heart, and kidney transplant make up the initial patient population, but the clinic population includes many patients who are post-transplant. Changing ones own patterns or style of thinking could have a broad impact on how one manages their life. The factors of workload, ineffective communication, and distraction all contribute to medication errors (Sears et al., 2013). Consider assertive outreach (including telephone calls and home visits) for patients who consistently do not appear for appointments or are nonadherent in other . interact with patients, their families, referral agencies and support staff in developing long term treatment plans. Handout 9 - Medication Therapy Management (MTM) and Part D What do MTM pharmacists do? Prepare a complete and accurate medication list with the patient. Clinical Guidelines for Withdrawal Management and Treatment of Drug Dependence in Closed Settings. Treatments fall into four categories, based on their potential outcomes: Preventive. This would alert the nurse that all the residents were getting their medication at the same time, which is impossible. endstream endobj 3 0 obj <> endobj 2 0 obj <> endobj 14 0 obj <> endobj 15 0 obj <>stream uuid:9fefe832-e4df-8949-ba01-4aae37089cab Remind patients to bring all their medications to their appointments. While achieving this goal may seem unrealistic, any goal other than zero would suggest a willingness to accept some medication errors. 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. Menstruation IEP Goals. define target symptoms and then choose an appropriate intervention (e.g. By using this system it eliminates mistakes or errors due to illegibility, dosage and frequency as this system would alert the prescribers for attention. Agency for Healthcare Research and Quality, Rockville, MD. Telephone: (301) 427-1364. Focus their efforts. %PDF-1.5 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. Residents will communicate with multidisciplinary treatment teams effectively and will incorporate feedback from them. 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