Vignette

Vignette

For this assignment you are to:

Select a Case Vignette and Create Interview and Referral Questions

First, select one of the three case vignettes to use for this assignment (download the case vignettes from the Doc Sharing option in your on-line course).

Next, create and document a set of mock interview questions and potential referral questions to ask your client and yourself. You can determine the questions in relation to the case vignette that you choose.

You might also want to consider some of the following example referral questions listed below.

Analyze all the information provided in the case vignette and begin to formulate a hypotheses as to why the individual needs the referral.
Example Referral Questions:

As a forensic mental health professional what factors need to be considered in your psychological testing for the forensic assessment report?
What behavioral observations do you make about the client by reading the case vignette?
What are your assessment options in working with the client?
What standard and accepted psychological tests might you apply to your client in forensic settings? Please select from the instruments you researched in LASA #1.
How will you recognize and evaluate your client’s offender behaviors associated with malingering and deception?
What theoretical orientation do you want to use in this case for your treatment recommendations?
What is the case scenario you have selected?
What is the reason for referral?
What is the purpose of the forensic assessment and report?
What is the nature of the problem presented in your selected case vignette?
What is the context in which the forensic assessment report will be used?
What is the background of your client? What are the symptoms displayed by your client, and the significance they have in this case?
What is the mental status of your client? Be sure to elaborate on every major component addressed in the mental status examination.
What Interview Type and approach you used with your client?
What tests are appropriate to use in your forensic assessment report? Identify one intelligence test, one objective personality test, and one projective test.
What collateral information will you use in the process of the evaluation?
How will you present your impressions of the client?
Write a Forensic Mental Health Professional Individual Assessment Report.
Use the Forensic Mental Health Professional Individual Assessment Template (you can download the template from this link).

Evaluate and interpret the information provided to you in the case vignette that you have selected. Synthesize the information you collected to create a Forensic Mental Health Professional Individual Assessment Report. Your findings should be in a report format.

In your report complete only the following components (10-12 pages):

Reason for Referral: Explain the objective of your case vignette analysis, clearly bringing out the aspects or reasons that motivated you to carry out the study.
Presentation: Create mock interview data and collateral information (you are to identify the questions to ask in the interview). Provide a synopsis of the interview. Provide data to support the mental status of your client, based on your forensic assessment report and the mental status components you have identified.
Current Life Situation and Background Information: Explain the problem provided in your selected case vignette using the interview and mental status data. How does the data relate to the background of your client and your behavioral observations?
Objective Testing: Identify the assessment instruments you would recommend to evaluate the client and explain the rationale for your recommendations. Describe the objective tests you have selected and their use. How did you apply these tests to your selected case vignette? Based on your study, what is your analysis of the symptoms displayed by your client? What ethical and multicultural issues do you need to address? You will apply what you have learned from your LASA1 into this section.
Summary of Findings/Recommendations: What is your hypothesis based on the mental status examination, the interview, personality tests, and symptom analysis? Explain your hypothesis and substantiate it, using instances from your case study. Discuss your results with conclusions and recommendations. Provide your diagnostic impressions based on DSM-IV-TR criteria.
The final Forensic Mental Health Professional Individual Assessment Report should contain all the assigned components and the corresponding information.

Synthesize data and write a Reflection Statement (2-3 pages) You are to utilize outside resources in your reflection statement only.
In a separate third document, address the following:

Describe your professional role and relationship with the court and the third party requesting the assessment or evaluation.
Explain the hypothesis(es) you have formulated.
Explain why you chose the tests for the assessment of the client.
Discuss potential ethical dilemmas that might arise in your assessment of the client.
Explain how you would prepare yourself to defend your evaluation in the court setting or to relevant third parties. Be sure to support your explanation with the professional literature.
If you recommended treatment for your client, discuss the evidence based approaches used with the disorder you diagnosed.
Discuss the influence of cultural factors on the assessment process.
Your final deliverables are:

Selected Case Vignette
List of Interview/Referral Questions
Assessment Template
Final Assessment Report
Reflection Statement.

 

 

Selected case vignettes

Ms. G is a 46 year old, Caucasian female charged with burglary. She was arrested for the offense after she was found by the police with her neighbor?s property. She was intoxicated and in possession of drugs at the time of the arrest. She also was belligerent, combative, and surprised that she was being accused of a crime. She initiated a physical altercation with the police and was immediately taken into custody with the highest level of constraint to protect her and the officers from potential harm. The officers? report indicated that Ms. G was irritable, assaultive, hyperactive, and irrational when they approached her. She also was unable to engage in conversation and believed the officers were attempting to poison her. Her energy level was excessively high and she emphatically stated that she knew the mayor personally, and would have the officers and prosecutor incarcerated for accusing her of this crime. She refused defense counsel and insisted on speaking to the judge before her pretrial. While incarcerated, she rallied the other inmates to protest the rules and initiated a hunger strike. She became more paranoid while in the holding cell, suggesting that the police planted drugs on her and were attempting to locate and kill her only remaining family member. They were, in fact, attempting to contact her brother to gather information on her mental health. Her brother provided them with relevant family history. He indicated that Ms. G lost her parents at an early age and was separated from her brother when they went into foster care. Her brother had minimal contact with her from age 4 years old until she was 18 and found him with the help of a private investigator. They maintained contact intermittently only because Ms. G was transient, moving around the country on a regular basis. She held odd jobs, sold drugs, and lived with boyfriends to survive. To her brother?s knowledge, Ms. G had never received any mental health treatment. She also denied a history treatment. She refused to speak with the police about her charges and personal history.
Ms. G faces a trial for her offense because she refused a plea bargain. She also refused defense counsel when it was offered.
Determine what type of Forensic Assessment would be most appropriate for this case and discuss the rationale for your decision.
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