Target Problem: Lou Assess level of grief and function of hallucinations about mother ? What are the limitations of your design?

 

Single System Design Proposal

 

Date Due: 11/8/22

 

Group Members: Desiree Edwards, Jennifer Messina, Lou Sorrells, Aminat Adebayo-Lateef, Jonathan Pritchard

 

Stated Problems – Jennifer

Jennifer-

1. mom died when patient was three, grief issues, trauma, ACE indicator,

2. Patient hallucinating, -child, female age 10, “sees her mother”

3. experience fear (alone a lot), sees things

4. Home alone unsupervised

5. Thinks brother also sees mom some

 

Target Problem: – Lou

Assess level of grief and function of hallucinations about mother

 

 

How did you prioritize? – Desiree

Of Sakura’s stated problems, she does not understand why she is seeing her mom; her mom is not real; she stated her mom is a ghost. The problem can be measured by using Cognitive behavior therapy to help her identify ways to manage emotions ( https://www.mayoclinic.org .

 

· Hogan bereavement short form for adolescents

· https://pedpsych.org/fact_sheets/grief-children-and-adolescents/

 

Target Goal: – Aminat

Discover function of hallucinations

 

What dimensions will you measure? (Circle: behaviors, thoughts, feelings , attitudes, intensity, frequency , duration) – Jonathan

Choosing what dimensions to measure and how to measure them is difficult given the fact that Sakura is so young (10 years old) and is alone so much of the day, particularly when has the hallucinations of her mother. Behavior observation would be ideal by her father or brother, but we have chosen to create a kid-friendly measurement tool for Sakura to do on her own. Additionally, Sakura did not really report significant gaps in functioning, quality of life (for herself; there were concerning issues in her family life, namely how much she is left alone at home), or persistent troubling feelings, so really, we are still very much in the assessment phase.

We will begin by measuring the intervals in which Sakura feels that she sees her mother (this is a type of frequency recording, which we chose in order to try to make the measurement tool age-appropriate) and the feelings Sakura has when she sees her mother. We are asking Sakura to report each day whether she saw her mother during the morning, afternoon, and/or evening, and whether she felt happy, sad, angry, and/or scared when she saw her mother. Hopefully, this will help us see if there are any patterns to see what behavioral function the hallucinations may serve and what interventions are necessary, in addition to or instead of those spelled out below.

 

Intervention (Describe Briefly): – Jennifer

The recommendations for intervention with the patient, Sakura, age 10 would be to process grief through play therapy and cbt. At this point, the therapist is more concerned with dealing with the hallucinations and identifying outside support strengths of the patient with includes her family unit. The patient expresses that she is happy, and enjoys schools and her activities. The therapist would like to build on her strengths in order to build resilience within the patient. Family therapy will be essential for the patient as she works through her hallucinations. Changing a few routines in the home

Attachment based family therapy-check if evidence based cbt for restructuring any thought patterns that are maladaptive (working with a child)

 

 

What forces, other than the intervention, could cause change in the client system’s goal? – Desiree, Aminat

1. Sakura may decide she wants to stop recording her responses on bereavement short form of how many times she sees her mom in a day.

2. Sakura may feel overwhelmed having to circle her thoughts, feelings, and behaviors

 

 

Single System Design: Please provide a visual of your study design using notation and time intervals. – Jonathan

 

	When during the day? (circle all that apply)	How did you feel? (circle all that apply)
Monday	🌄 Morning ☀️ Afternoon 🌆 Evening/Nighttime	😄 😥 Happy Sad   😨 😠 Scared Angry
Tuesday	🌄 Morning ☀️ Afternoon 🌆 Evening/Nighttime	😄 😥 Happy Sad   😨 😠 Scared Angry
Wednesday	🌄 Morning ☀️ Afternoon 🌆 Evening/Nighttime	😄 😥 Happy Sad   😨 😠 Scared Angry
Thursday	🌄 Morning ☀️ Afternoon 🌆 Evening/Nighttime	😄 😥 Happy Sad   😨 😠 Scared Angry
Friday	🌄 Morning ☀️ Afternoon 🌆 Evening/Nighttime	😄 😥 Happy Sad   😨 😠 Scared Angry
Saturday	🌄 Morning ☀️ Afternoon 🌆 Evening/Nighttime	😄 😥 Happy Sad   😨 😠 Scared Angry
Sunday	🌄 Morning ☀️ Afternoon 🌆 Evening/Nighttime	😄 😥 Happy Sad   😨 😠 Scared Angry

 

 

What are the limitations of your design? – Lou

 

 

,

10 yrs. Old little girl whose mother passed away when she was 3yrs now at the age of 10 she has begun talking to her older brother recommended that she talk with someone. The client seems to be a young lady that is suffering loneliness of the passing away. Client also spends a lot of time alone. Skari, states when asked about who all sees the ghost and she replied no one. So, she needs to have more

SAMPLE ANSWER

Assess level of grief and function of hallucinations about mother

Introduction

It is important to assess for suicidality when a patient is having hallucinations about a lost loved one and is distressed by them. If you suspect that there may be some risk of suicidality, make sure your patient gets help right away.

Assess whether the hallucinations are more of a comfort, or a focus of distress.

Are the hallucinations more of a comfort, or a focus of distress?

How do you think the patient is feeling about these situations?

What other symptoms are present at these times (e.g., insomnia)?

Assess the level of grief.

The first step towards assessing the level of grief is to assess how long a person has been grieving. The longer they’ve been grieving, the more likely it is that they will be dealing with some level of depression and anxiety.

In addition to this, you can also start thinking about how well your loved one is functioning in daily life. If they’re not doing well at work or school (or if they have lost their job due to lack of productivity), then there might be another issue at hand: depression or anxiety. This can be difficult to diagnose without seeing them in person but sometimes these symptoms start showing up before anyone else realizes what’s happening!

Assess if there is any avoidance of reminders of the deceased person.

If you are experiencing hallucinations about your mother, it is important to assess whether or not there is any avoidance of reminders of her. This may be an indication that the hallucinations are more of a comfort than a symptom of depression or other mental health issues.

It is also possible that these thoughts and feelings are being generated by yourself rather than coming from outside sources. If this is the case, then you may want to seek professional help from a therapist who specializes in grief counseling or meditation techniques such as mindfulness meditation

Assess for any depressed or suicidal ideation or plans.

If the patient is having hallucinations about a lost loved one and is distressed by them, it is important to assess for suicidality.

If the patient is having hallucinations about a lost loved one and is not distressed by them, it is also important to assess for suicidality.

If a patient is having hallucinations about a lost loved one and is distressed by them, it is important to assess for suicidality

If a patient is having hallucinations about a lost loved one and is distressed by them, it is important to assess for suicidality. This can be done with clinical judgment and observation. Ask if the person has suicidal ideation or plans; avoid reminders of the deceased person if possible; assess for avoidance of any intense emotions related to your assessment (such as sadness).

If you observe that your patient is experiencing more comfort from their hallucinations than distress, then this may suggest that they are experiencing grief.[1]

Conclusion

We’ve only scratched the surface of what grief hallucinations can tell us about patients and their care. Grief hallucinations are not a cause for concern, but they are a sign that the person is working through a very difficult time in their life. If you have any questions regarding grief hallucinations or would like to speak with one of our experts, please do not hesitate to contact us!