Forensic Assessment Cases

Forensic Assessment Cases

(Forensic Assessment Cases)

Prior to beginning work on this discussion, read Chapter 12 in the textbook and the required articles for this week. For this discussion you will take on the role of a psychologist assigned a case in which the client has a legal concern. For your initial post, select one of the three forensic case scenarios below and follow the instructions.

Forensic Scenario One: Mr. W (Attempting to Obtain Legal Guardianship Over an Elderly Parent): Attorney Mr. X referred Mr. W for an evaluation of his decision-making capacity. Mr. W’s children do not agree with the findings from a prior evaluation and have requested a second opinion. Review the PSY640 Week Six Clinical Neuropsychological Report for Mr. W (Links to an external site.)Links to an external site., and begin your post with a one-paragraph summary of the test data you deem most significant. Utilize assigned readings and any additional scholarly and/or peer-reviewed sources needed to develop a list of additional assessment instruments and evaluation procedures to administer to the client. Justify your assessment choices by providing an evaluation of the ethical and professional practice standards and an analysis of the reliability and validity of the instruments.

Forensic Scenario Two, Mr. M (Not Guilty Plea): Your client, Mr. M., was referred by the court for an evaluation of his mental condition after his attorney entered a plea of not guilty on his behalf. Review the Case Description: Mr. M—Forensic, Pre-trial Criminal Score Report (Links to an external site.)Links to an external site., and begin your post with a one-paragraph summary of the test data you deem most significant. Utilize assigned readings and any additional scholarly and/or peer-reviewed sources needed to develop a list of additional assessment instruments and evaluation procedures to administer to the client. Justify your assessment choices by providing an evaluation of the ethical and professional practice standards and an analysis of the reliability and validity of the instruments.

Forensic Scenario Three, Ms. X (Personal Injury Lawsuit): Ms. X was referred for a forensic neuropsychological evaluation in connection with a personal injury lawsuit she had filed. Review the Case Description: Ms. X—Forensic, Neuropsychological Score Report (Links to an external site.)Links to an external site., and begin your post with a one-paragraph summary of the test data you deem most significant. Utilize assigned readings and any additional scholarly and/or peer-reviewed sources needed to develop a list of additional assessment instruments and evaluation procedures to administer to the client. Justify your assessment choices by providing an evaluation of the ethical and professional practice standards and an analysis of the reliability and validity of the instruments.

 
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Nursing Technology

Nursing Technology

(Nursing Technology)

Nursing technology, a dynamic and evolving field within healthcare, encompasses the integration of technological innovations to enhance nursing practice, improve patient care, and optimize healthcare delivery. As healthcare systems worldwide transition to digital platforms, nursing technology plays a pivotal role in shaping the future of nursing. Electronic Health Records (EHRs) stand at the forefront, streamlining patient information management and fostering seamless communication among healthcare providers.

Telehealth and telemedicine technologies have emerged as transformative tools, enabling nurses to deliver care remotely. Virtual consultations, remote monitoring, and telemedicine platforms extend healthcare access, particularly in underserved areas, while also promoting timely interventions. Mobile Health (mHealth) applications further empower patients by providing tools for self-management, medication adherence, and real-time health tracking. These apps facilitate patient engagement and contribute to a more participatory approach to healthcare.

Clinical Decision Support Systems (CDSS) leverage data analytics to assist nurses in making evidence-based decisions, ultimately improving the quality and safety of patient care. Barcode Medication Administration (BCMA) is another critical advancement, enhancing medication safety through the use of barcode scanning to ensure accurate administration.

Wearable devices and sensors have gained prominence, allowing nurses to monitor patients’ vital signs and activities remotely. These technologies provide valuable real-time data, enabling early detection of health issues and facilitating personalized care plans. Simulation and training technologies, including virtual reality (VR) and augmented reality (AR), revolutionize nursing education by providing immersive, realistic scenarios for skill development and training.

While robotics in healthcare is still emerging, some applications, such as robotic-assisted surgery and automated medication delivery, showcase the potential to improve efficiency and reduce the physical burden on nurses.

In essence, nursing technology continues to evolve, empowering nurses to deliver patient-centered care in an increasingly digital healthcare landscape. These technological innovations not only streamline processes and enhance efficiency but also contribute to improved patient outcomes, safety, and overall healthcare quality. As the field advances, nurses will play a central role in embracing and leveraging these technologies to navigate the complexities of modern healthcare delivery.

 

Each student will select one technology application and describe its use within nursing in general or in patient education. Address the significance of the selected technology, attributes of the selected technology (i.e., accuracy, cost, accessibility, etc.), and provide specific examples with rationale of situations in which the technology application as an educational tool would provide advantages as well as disadvantages. In addition, relate the use of the selected technology application to the appropriate professional standards and competencies.

This assignment may be completed in one of the following formats (with quantitative criteria) listed below:

APA-formatted paper (1,000-1,250 words)

OR

PowerPoint presentation with comprehensive speakers’ notes (12-15 slides)

In addition to the course materials, you are required to use a minimum of three current scholarly, peer-reviewed sources for references (less than 5 years old).

 
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Practicum SOAP Note And Time Log

Assignment: Practicum –SOAP Note And Time Log

(Practicum SOAP Note And Time Log)

Patient has to be less than 18 years old

In addition to Journal Entries, SOAP Note submissions are a way to reflect on your Practicum experiences and connect these experiences to your classroom experience. SOAP Notes, such as the ones required in this course, are often used in clinical settings to document patient care. Please refer to this week’s Learning Resources for guidance on writing SOAP Notes.

Select a patient who you examined during the last 3 weeks. With this patient in mind, address the following in a SOAP Note:(Practicum SOAP Note And Time Log)

  • Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies.
  • Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.
  • Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
  • Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
  • Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?
    (Practicum SOAP Note And Time Log)

Read more

 
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Final Proposal Project

Social Psychology Final Proposal Project

(Final Proposal Project)

Spring 2017 | Craig Fredin

This handout helps explain your class project. Your task is to develop a creative project that demonstrates/comments on one of the social psychological phenomena we have covered in class (attitudes, attitude change, conformity, obedience, compliance). I encourage to you to scan through the chapters and explore different social theories, concepts, famous experiments, etc. Find some area of social psychology you have an interest in and further explore that area (i.e. Milgram’s experiment, cognitive dissonance, implicit bias, altruism, Prisoner’s Dilemma, etc). Projects that bring together multiple phenomena are especially encouraged.

You should use any artistic medium you wish (photography, video, graphic design, prose, poetry, electronic art/design, visual art, etc). The goal is to have you merge your creative side with your scholarly side and integrate social psychology into your everyday life.(Final Proposal Project)

PROPOSAL (Due 2/12): Post/submit in the “Project Proposal” area of canvas a 1-2 page paper describing your project in detail. Address the medium you will be using, the phenomena you will be examining and the general concept of the project. You may submit your proposal early to get a jump start on the project. 

I will be keeping track of your progress via gentle prying, prodding and nagging. Please make a good effort to begin your work early. Contact me with any questions, comments or concerns.

FINAL PROJECT (Due 4/3): Final projects must be submitted before or on this date by 11:59pm. Projects submitted late will be docked 10 points; projects not handed in before April 10th will be given a 0.

Grading Breakdown: 

Portion Criteria Point Value 

Proposal: Is it in on time? How thought out is it? 10pts

Creativity:  How innovative and creative is it? 10pts

Topic: Is this a topic that is appropriate to Social Psychology / this course?   Were multiple topics integrated? 20pts

Accuracy: Does your project accurately depict the psychological    phenomenon you chose?  30pts

Appearance: Is it presented nicely / well put-together? 5pts

OVERALL: 75pt

Sample Acceptable / Unacceptable Project Ideas:

These are simply guidelines. The general idea is that, no matter what specific type of project you are doing, its main focus must be on social psychology. It must be clear that you are meeting the goals of the project listed on the previous page.(Final Proposal Project)

Acceptable: 

Create an online scrapbook of 15-20 advertisements that use specific influence techniques and describe exactly how they use them. Or, create your own advertising campaign that employs influence/attitude change techniques. Or write a play wherein the characters are affected by some social psychological phenomenon.

Unacceptable: 

Pictures of yourself reading the textbook

Projects that are irrelevant to social psychology

Projects in poor taste (e.g. extremely violent or obscene material)

Projects that involve breaking the law, cheating, harming others, or placing others at ri

More ideas will be posted in the next week. Contact Instructor with ideas to discuss. Remember, you must get approval for your topic by instructor and the project proposal must be completed before due day/time before proceeding with project.

 
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Personal and Professional Development Plan

Personal and Professional Development Plan

(Personal and Professional Development Plan)

[U06a1] Unit 06 Assignment 1 To Structure You Action Plan, Divide It Into Two Sections:  For The Personal Development Section, Clearly Indicate In Detail The Fol

[u06a1] Unit 06 Assignment 1

My Personal and Professional Development Plan focuses on enhancing interpersonal skills, time management, and adaptability to foster a positive work-life balance. Through continuous learning and networking, I aim to deepen industry knowledge and stay abreast of emerging trends. I prioritize self-reflection and seek constructive feedback to refine my communication and leadership abilities. Balancing short-term goals like completing relevant courses with long-term aspirations, such as pursuing advanced certifications, ensures a holistic approach to personal and professional growth.

To structure you action plan, divide it into two sections:

For the Personal Development section, clearly indicate in detail the following:

Activities designed to facilitate continued cultural competence. Explain how these activities will enhance professional practice.

A plan to incorporate self-care techniques for maintaining personal and professional health. Explain why the techniques were chosen and the anticipated results.

For the Professional Development section, clearly indicate in detail the following:

Identify requirements and processes for obtaining licensure.

Identify professional organizations and activities selected to facilitate progress towards personal and professional development goals. Explains why these organizations and activities were selected, and describe the anticipated results of participation.

Identify activities designed to maintain knowledge regarding the application of ethical principles in professional interactions.

Project Requirements

To achieve a successful project experience and outcome, you are expected to meet the following requirements.

Written communication: Written communication is free of errors that detract from the overall message.

APA formatting: Resources and citations are formatted according to APA Style and Format.

Length of paper: 3–5 typed double-spaced pages.

Font and font size: Times New Roman, 12-point.

Resources

Scoring Guide.

APA Style and Format.

ACA Code of Ethics [PDF].

ePortfolio.

University Catalogs.

Professional Licensure Research Assistance Form.

Licensure.

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HealthIT Impact Analysis Paper

HealthIT Impact Analysis Paper

(HealthIT Impact Analysis Paper)

INSTRUCTIONS – NO PLAIGARISM!

Students will login to FierceEMR and FierceHealthIT using the link provided in the reading assignment module for Week 5 and select a “current/popular” topic of the week that may impact their practice.

————— > HERE ARE SOME CHOICES. (Choose 1 article)

1. https://www.fiercehealthcare.com/privacy-security/cybersecurity-medical-devices-internet-things-wannacry-patient-harm-quality

2. https://www.fiercehealthcare.com/ehr/oscar-cleveland-clinic-use-fhir-to-streamline-data-exchange

3. https://www.fiercehealthcare.com/practices/imperfect-system-ohio-state-unaware-doctor-s-past-sexual-assault-allegations-cleveland

Continued…….

Students, in a professionally developed paper,

· will discuss the rationale for choosing the topic,

· how it will impact practice in a positive or negative manner,

· citing pros and cons.

· Include a discussion of how informatics skills and knowledge were used in the process relevance to developing the assignment.

· In the conclusion, provide recommendations for the future

……………………………………………………………………….

GRADING RUBRIC

……………………………………………………………………….

(HealthIT Impact Analysis Paper)

Category:    Description

 

Introduction

-Introduction:     presents a brief  overview of the parts of the paper.

-Selects relevant HealthIT Topic to discuss; provides rationale for selecting topic:

Provides convincing rationale for topic selection

 

-Convincing arguments of how topic will impact practice in  a positive or negative manner citing pros and cons: Convincing arguments of how topic impacts practice in a   positive or negative manner; pros and cons are presented

 

-Discussion of how informatics skills and knowledge were used   in the process relevance to developing the assignment:  Provides a discussion of how informatics skills and   knowledge were used in the process to develop the assignment

 

-Conclusion:   Concluding statements   summarize insights about the key elements of the paper gained during the   assignment.   Recommendations for the future are provided

 

APA Style:   Text, title page, body of   paper, summary and reference page(s) are completely consistent with APA   format.

 

-Citations:    Ideas and information from   sources are cited correctly. There are a minimum of three scholarly, current   (5 years or less) references.

 

-Writing Mechanics:     Rules of grammar, spelling,   word usage, and punctuation are consistent with formal written work,

 

-Pages: At least 2 1/2 pages, not including title or reference page.

A quality   assignment will meet or exceed all of the above requirements.

 
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Effect of Adult Day Care

Effect of Adult Day Care

( Effect of Adult Day Care)

research question for this Single Subject Design (SSD) Study is that how does Adult Day Care Service (ADC) affect the mood

Question description

The research question for this Single Subject Design (SSD) Study is that how does Adult Day Care Service (ADC) affect the mood and the social engagement of the isolated senior clients who have only received In-home service?

Task Summary

In this paper, you should identify and outline specific themes in the literature review for the study. As you critically review and synthesize the research literature, you should also discuss the rationale and the theoretical significance of the study. You make an argument based on the research literature, to support the need for the study. The paper should include an assessment of the theoretical, conceptual frameworks, evidence based practices, and controversial issues of the research. An abstract is NOT required. However an APA reference page is required. There is a five page maximum for the literature review.( Effect of Adult Day Care)

According to the APA manual, literature reviews are ‘critical evaluations of material that has already been published” (p. 10). In a literature the author:

  • Defines and clarifies the problem
  • Summarizes previous investigations to inform the reader of the state of research
  • Identifies relations, contradictions, gaps, and inconsistencies in the literature
  • Suggest the next step or steps in solving the problem (APA, 2009, p. 10).
  • Please read page 28 in the APA manual for further information on how to write a literature review.

You may organize the content of the literature review in any way but be sure to include the following content:( Effect of Adult Day Care)

  1. Introduction – Have an introductory paragraph to provide an overview of the literature review, for example, you could discuss the problem or issue that is focus of the intervention. You may also discuss the macro perspective or significance of the issue, i.e., number of people that are affected by the problem, effects of the problem on the client’s well being, while highlighting the need for the intervention. Discuss the importance of your research topic. Develop these ideas further in subsequent paragraphs. What are the controversies in the field? Make clear which studies fall on either side of the controversy. If there are no controversies, you should describe the research themes in your area of research. (6 points)
  1. Evidence Based Practices – Survey, discuss, and analyze the evidence based interventions and its effect on the identified behavior. You should make a direct connection of the research literature to the proposed intervention and outcome measures. (12 points)
  2. Critical Analysis & Synthesis – As you survey and analyze the research literature, be sure to integrate, synthesize and critically evaluate the current literature. What are the gaps in the research and how will your research contribute to the conceptual and clinical literature? What is the importance of your research question? Your research focus should be justified from a theoretical and clinical perspective. (12 points)
  3. Theory & Practice Model – What is the specific theory that your intervention uses? What specific practice model guides the selection of the a) assessment procedures and intervention; b) your dependent variables? Demonstrate the relationship of the theory to assessment procedures and intervention steps. How does the theory help us understand your client’s problem? Analyze the problem using the tenets of the theory by integrating specific concepts of the theory into your explanation. (12 points)
  1. Research Question & Hypothesis – Identify your research question (based on the protocol that we had discussed in class), and hypothesis/hypothesis in your concluding paragraph. (6 points)

Formatting & Presentation – Coherence, flow of arguments, minimal grammatical, syntax, formatting, or punctuation errors. Students are strongly encouraged to use subheadings for this paper. All research should be included in a fresh references page after the literature review. All prose should be written in APA style (third person) and references should be in accordance with APA format. 1-point deduction per APA formatting error (12 points)

Reflection Paper

In a brief paragraph after the references page, assess the strengths of your paper and areas for remediation. Explain what you thought were the challenges of this assignment and how you worked through them. You may use the first person in the reflection paper. (10 points)

 
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Ethnography Assignment Sheet

Ethnography Assignment Sheet

(Ethnography Assignment Sheet)

Question description

    • An ethnography is a specific discussion & description of cultural practices.Because this course was designed as a prerequisite into OC’s nursing program, along with other health science and service programs, the capstone assignment for module three is designed to fulfill the last stage in becoming culturally competent: acquiring knowledge about other cultures. While it is not possible in the span of just eight weeks to learn everything about every culture an individual is likely to encounter, it is possible to lay out the sorts of things one must understand about another culture in order to understand the people within that culture.Larry Purnell is a nurse educator who developed a system for breaking down cultures into twelve different domains after having spent time as an educator in a hospital setting trying to help young nurses understand how to care for patients coming from cultures different than theirs with values, beliefs, and behaviors different from theirs. The purpose of this ethnographic assignment is not to teach every student about every culture but rather to give a student the basis for understanding the many different areas in another person’s culture, which may influence that person to act in ways that seem strange to us.Purnell’s system can be adapted for students who are not health-related majors. For an education major, for example, the teacher can replace the health practices and health practitioner domains by asking the student to research the culture’s attitude about education and the barriers within that culture that might affect a student’s success in educationYou will create an ethnography about an assigned culture using Purnell’s domains & Hofstede’s dimensions (see the Lectures & Materials folder) to
    • Typed –Times New Roman, size 12
    • Spacing – double-spaced between sections, but single-spaced is allowed within the paragraphs
    • Complete sentences in paragraphs, with some bulleted material as appropriate
    • Edited for clarity & grammatical correctness
    • Properly formatted citations in either APA or MLA format both in-text & in a reference/Work Cited page at the end of the document.
      • Minimum of FIVE sources (Wikipedia is NOT allowed).(Ethnography Assignment Sheet)

    Assignment – create an ethnography/cultural report over an assigned culture based on a set list of common criteria to get a greater sense of understanding about how this information affects cultural relations & why people in public relations (such as medical fields) should be familiar with it. You will create this ethnography using five of Purnell’s domains & 1 of Hofstede’s dimensions.Criteria to Choose From: create your ethnography from the following:

    • Purnell’s Cultural Domains List
      • You will select five domains from Purnell’s list to cover in your ethnography
      • One of the domains chosen MUST be either Health Care Practices OR Health Care Practitioners; the other four are your choice.
      • You may NOT choose the first domain (Heritage/overview) as it is already being used in the Intro of your ethnography.
    • Hofstede’s Dimensions
      • You will select 1 of Hofstede’s dimensions to focus on in your Ethnography.
      • THIS IS WHAT CULTURE YOU ARE TALKING ABOUT
  • Guatemalan
  • THIS IS THE EXAMPLES OF WHAT YOU NEED TO DO

Assignment Format:(Ethnography Assignment Sheet)

  • Typed –Times New Roman, size 12
  • Spacing – double-spaced between sections, but single-spaced is allowed within the paragraphs
  • Complete sentences in paragraphs, with some bulleted material as appropriate
  • Edited for clarity & grammatical correctness
  • Properly formatted citations in either APA or MLA format both in-text & in a reference/Work Cited page at the end of the document.
    • Minimum of FIVE sources (Wikipedia is NOT allowed).

Assignment – create an ethnography/cultural report over an assigned culture based on a set list of common criteria to get a greater sense of understanding about how this information affects cultural relations & why people in public relations (such as medical fields) should be familiar with it. You will create this ethnography using five of Purnell’s domains & 1 of Hofstede’s dimensions (see pg 2 for more details).(Ethnography Assignment Sheet)

Required Sections of Ethnography:

  • Introduction of the work as a whole (roughly 200-300 words) in which you explain what cultural humility is, along with a brief overview & identification of the assigned culture & it’s heritage (see Purnell’s first domain for a guideline as to what material to include here).
  • Presentation of Criteria – tell which domains & dimensions (see pg2 for more detail) you have chosen for the Ethnography & present a brief discussion of why these items are important and relevant to healthcare/other professionals using paragraphs/complete sentences & bulleted points as necessary.
  • Domains/Dimensions – write a brief summary (1-3 sentences) of each domain & dimension, explaining what it is, what it covers, & how it impacts cultural understanding. Then, using paragraphs/complete sentences & bulleted points as necessary, offer examples of each domain & dimension as they appear in your assigned culture.
    • Cite where your information is gathered from, using either MLA or APA style (be consistent, please).
    • Cite the information in-text as you use it & then cite the source again at the end of the document in a properly formatted citations page.
  • Top 10 List – a list of the Top 10 suggestions you would offer healthcare or other professionals on how to have the best interactions with members of your assigned culture.
    • This material may have some repetition from earlier discussions of domains & dimensions.
  • Conclusion of the work as a whole (roughly 250-350 words) in which you offer a final wrap up of your findings, including a discussion of why cultural humility matters in regards to dealing with not just your assigned culture, but all cultures.(Ethnography Assignment Sheet)
  • References – a reference page in which all citations for the entire project are listed, formatted correctly in either APA or MLA style.
    • Use the SuperSearch on the OC Library website for help with sources.
    • Wikipedia should not be on your sources list; find credible, trustworthy sources.

Criteria to Choose From: create your ethnography from the following:

  • Purnell’s Cultural Domains List
  • Hofstede’s Dimensions
    • You will select 1 of Hofstede’s dimensions to focus on in your Ethnography.
  • Please read the materials & assignment sheet thoroughly.
  • Please read/look at the example ethnography given in the assignment folder in Module 3. (Ethnography Assignment Sheet)

Grading: The grade for this final project will be divided into 2 sections. The entire project is worth 25% of your semester grade. You will be graded on:

  • Wiki/Report Materials (20%) – the thoroughness and complexity of your gathered material, as well as how well you fulfilled the assignment requirements.
  • Details (5%) – the nit-picky details that affect understanding (spelling, grammatical issues), readability (flow of the material, sentence structure, etc.), & credibility (types of source used, ways sources are listed, etc).

Tips/Guidelines:

Use OWL at Purdue website for help with citation format/sty

 
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Drug Use & Abuse:Hallucinogens

Drug Use & Abuse:Hallucinogens

(Drug Use & Abuse:Hallucinogens)

hi dear,

I just need to response to this assignment,

responses should be complete paragraph  and should further the conversation using personal experience, information from the textbook or other outside sources, asking questions, and more.  Think about how your classmates answered differently or similarly to you. What did you learn from their post?  What was most surprising or interesting?  What do you agree with or disagree with? Your responses might spark some comments and feedback for one another.

 

Substance: Hallucinogens

2.  Time Period: 1960s

3.  Attitudes

The use of psychedelic and hallucinogenic drugs during the 1960s in America was sparked by the culmination of various major world events, political attitudes, and a populous with a desire to break social norms. Characterized as the “drug renaissance” (Wesson, 2011) this movement is most notably recognized as building its foundations in the city of San Francisco, CA during the mid-sixties when thousands of people were moving to the Bay Area in search of change and new ideologies. Historically referred to as the “hippie movement”, the world saw the advent and boom of the creation and widespread recreational use of psychedelics. Although this movement evoked a massive change in social attitudes toward psychedelics, the establishment as it were, of American society and authority was openly in opposition of this psychedelic drug counterculture. The mainstream media popularized hippies as rebellious youth, anti-Vietnam activists, and psychedelically crazed advocates of free love and rock and roll. America’s youth (in opposition of the mainstream media and society) flocked by the tens of thousands from all over the country to the San Francisco Bay Area to partake in the hippie movement (Wesson, 2011).(Drug Use & Abuse:Hallucinogens)

4.  Availability

During the 1960s specifically, there was a far higher rate of availability and use of psychedelics as legal and political enforcement had yet to ramp up and regulate these drugs. Today, most hallucinogens are still classified by the DEA as scheduled drugs and are therefore illegal and meticulously controlled and regulated. According to the National Institute on Drug Abuse (2016), roughly 15.4% of people ages 12 and older reported using some form of hallucinogenic drug, a small number when compared to the production and use during the 1960s (NIH, 2016).

5.  Widespread Use

Psychedelics during their height in the 1960s were most readily available as little was known about them in present-day society and therefore drug enforcement laws were scarce. First synthesized by Albert Hoffman in 1943, lysergic acid diethylamide would be the fuel that would ignite the hippie movement of the 1960s. The drug itself was manufactured by the company Hoffman worked for, Sandoz Pharmaceuticals of Switzerland. Although Sandoz let their patent expire in 1966, the drug itself was manufactured until that point and flowed into the United States (Levinthal, 2016, p.113-118). Perhaps two of the biggest key players in the domestic synthesis of LSD during the 1960s were underground chemists Tim Scully and Owsley Stanley. The two with the later inclusion of Nicholas Sand, had several underground labs in the San Francisco Bay Area and Denver, Colorado. In 1964, Owsley was given 400 micrograms of pure LSD that had been manufactured by Sandoz Pharmaceuticals. With this prized batch of pure LSD, Owsley and chemistry undergrad Melissa Cargill set out to synthesize an even purer form of the drug by the end of that year. Their combined efforts would of course be the stepping stone that would lead to the grandeur of the LSD production during the 1960s (Greenfield, 2007). Although the number of individual doses of LSD produced during this timeline is incalculable, combined estimates purport that the combined efforts of LSD producers in the United States (underground chemists, pharmaceutical companies, the CIA) alone may have produced anywhere from many hundreds of millions to potentially a billion doses of LSD (NSDUH, 2002).(Drug Use & Abuse:Hallucinogens)

6.  Groups Affected

There is little data regarding racial/group demographics of hallucinogen use during this time period seeing as a majority of the drugs themselves were in their infancy stage of social use and introduction and it was not until 1972 that the National Household Survey on Drug Abuse was formed. However, some percentages and estimates do exist. In a survey conducted by the National Household Survey on Drug Abuse (1997) it is estimated that approximately 17% of all Americans reported taking some form of hallucinogenic drug between 1960 and 1970. By the time of the first NHSDA survey conducted in 1972, at least 5% of Americans under the age of 18 had reported trying some sort of psychedelic. In terms of race, the same survey also purports that Whites used hallucinogens at the highest rates, followed by Hispanics, and then Blacks (Hunt, 1997).

7.  Regulations/Laws

Almost all known natural and synthetic hallucinogens are presently considered ‘Scheduled’ drugs by the Drug Enforcement Agency (DEA) in the United States currently (DEA, 2018). On October 24, 1968, Congress amended the Federal Food, Drug, and Cosmetic Act to include banning the use and possession of specifically lysergic acid diethylamide and any other drug (OLRC, 1968). Presently, administering and consuming psychedelics is illegal, however, the Food and Drug Administration has granted use of clinical trial psychedelic testing to a select few physicians. Dr. Michael C. Mithoefer, a psychiatrist in the department of psychiatry and behavioral sciences at the Medical University of South Carolina is one of those few physicians. Dr. Mithoefer has been researching the effects of 3,4-methylenedioxymethamphetamine (MDMA), a Schedule I class hallucinogen since 2001. In his study, Dr. Mithoefer and his team were approved and conducted a randomized, double-blind, dose-response, phase 2 clinical trial that shows promising results of MDMA’s effectiveness in the treatment of post-traumatic stress disorder and other psychotherapies (Mithoefer, 2011).(Drug Use & Abuse:Hallucinogens)

8.  What Has/Hasn’t Improved

The query of if American society as a whole improved or deteriorated in regard to the use of hallucinogenic drugs is most definitely a complex qualm. After the hippie movement, Americans moved into the age of disco in the 1970s and with disco came cocaine. Although psychedelics were still somewhat popularized, the era of the “Summer of ‘69” had surely passed. In 1971 after President Richard Nixon had declared a “war on drugs” in light of the widespread use of LSD, harsher penalties were enforced on recreational drugs as a whole and deterred such activities to a certain extent (DPA, 2018). It would seem that since the widespread use of psychedelics in the 1960s, the focus has moved to other far more harmful drugs, such as highly addictive pharmaceutical drugs and opiates/opioids. I have read many books from authors such as Michael Pollan, Dr. Richard Strassman, and Timothy Leary and truly believe that psychedelics hold much more than just a “trip”. However, I do not believe it has ever been in the interest of any government in the history of mankind to expand the consciousness of the general populous. Therefore, these drugs remain regulated, restricted, and punishable upon use. My hope is that the archaic mindset of the previous generations of man will come to an end and further use and research (such as Dr. Mithoefer’s) of psychedelics will continue and become more mainstream.(Drug Use & Abuse:Hallucinogens)

9.  What surprised me most

The most surprising finding in my research is most definitely that some psychedelics (despite being federally illegal) are today being used in clinical research to treat a variety of mental disorders. This is proof that psychedelics still may yet have a chance to reveal some secrets of the human brain and humanity as a whole. I also had a personal realization that I was surprised I had not thought about previously. If the 1960s counter-culture had perhaps operated with a bit more discretion, LSD and other psychedelics may have had a chance to gain social acceptance and even further medical use. Another surprising fact is that our own government admittedly used psychedelics on unsuspecting victims to observe their effects and in fact had their own scientists synthesize LSD and disperse it amongst the American public. This, of course, means that a percentage of the LSD produced during the 1960s, was produced by the United States government.

10.  Harm Reduction vs. Zero Tolerance Laws(Drug Use & Abuse:Hallucinogens)

Zero Tolerance laws are another perfect example of the archaic mindsets of our American politicians still in office. The only thing that these laws have proven to do are increase the number of Americans currently incarcerated, which in turn costs our entire country more money in prison related costs. Drug addictions, abuse, and mental illness are just a few of the most overlooked issues in the United States presently. Instead of tackling these issues head-on, we have instead tried to find a “quick fix” for these problems with overprescribing and incarceration. At this point, America and her citizens know full well that our government’s tactics in rectifying these issues has and are currently failing at an embarrassing rate. I believe we need to focus more energy on drug abuse/addiction and mental rehabilitation via psychopharmacology and psychiatry. Also, adopting legislation similar to that enacted in 2001 in Portugal with decriminalization of all drugs (to a certain degree) may benefit those in serious need of help (Ferreira, 2017). The key to solving our current drug epidemic does not lie with punishment; it simply lies with helping one another overcome and combat addiction.

thanks,

 
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Collaborating with Outside Providers

Case Analysis – Collaborating with Outside Providers

(Collaborating with Outside Providers)

Week 3 – Assignment

Case Analysis – Collaborating with Outside Providers

Prior to beginning work on this assignment, read the PSY650 Week Three Treatment Plan Preview the document and Case 9: Bulimia Nervosa in Gorenstein and Comer (2014). Please also read the Waller, Gray, Hinrichsen, Mounford, Lawson, and Patient (2014) “Cognitive-Behavioral Therapy for Bulimia Nervosa and Atypical Bulimic Nervosa: Effectiveness in Clinical Settings,”Halmi (2013) “Perplexities of Treatment Resistance in Eating Disorders,” and DeJesse and Zelman (2013) “Promoting Optimal Collaboration Between Mental Health Providers and Nutritionists in the Treatment of Eating Disorders” articles.

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Assess the evidence-based practices implemented in this case study. In your paper, please include the following.

  • Explain the connection between each theoretical orientation used by Dr. Heston and the treatment intervention plans utilized in the case.
  • Describe the cognitive-behavioral model of the maintenance of bulimia nervosa.
  • Explain why Rita was reluctant to participate in Dr. Heston’s request for her to keep a record of her eating behaviors. Use information from the Halmi (2013) article “Perplexities of Treatment Resistance in Eating Disorders” to help support your statements.
  • Recommend outside providers (psychiatrists, medical doctors, nutritionists, social workers, holistic practitioners, etc.) to the assist Rita in achieving her treatment goals. Use information from the DeJesse and Zelman (2013) “Promoting Optimal Collaboration between Mental Health Providers and Nutritionists in the Treatment of Eating Disorders” article to help support your recommendations.
  • Describe some of the challenges and ethical issues that Dr. Heston may encounter when working collaboratively with the professionals that you recommended.  Apply ethical principles and standards of psychology relevant to your description of Dr. Heston’s potential collaboration with outside providers.
  • Evaluate the effectiveness of the treatment interventions implemented by Dr. Heston, supporting your statements with information from the case and two to three peer-reviewed articles from the Ashford University Library.
  • Recommend three additional treatment interventions that would be appropriate in this case. The recommended articles for this week may be useful in generating your response to this criterion. Justify your selections with information from the case.(Collaborating with Outside Providers)

The Case Analysis – Collaborating with Outside Providers

  • Must be 4 to 5 double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center
  • Must include a separate title page with the following:
    • Title of paper
    • Student’s name
    • Course name and number
    • Instructor’s name
    • Date submitted
  • Must use at least two peer-reviewed sources from in the Ashford University Library.
  • Must document all sources in APA style as outlined in the Ashford Writing Center.
  • Must include a separate references page that is formatted according to APA style as outlined in the Ashford Writing Center.

Carefully review the Grading Rubric (Links to an external site.)Links to an external site. for the criteria that will be used to evaluate your assignment.

 
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