The Suicide and Homicide Risk Assessment and Prevention Treatment Planner, with DSM-5 Updates

David J. Berghuis, Jack Klott

• Publisher: Wiley
• Year: 2015
• ISBN:
  9781119074885
• Edition: 1
• Topic: Psicologia
• Subtopic: Psicologia clinica

This timesaving resource features:

• Treatment plan components for 27 behaviorally based presenting problems
• Over 1, 000 prewritten treatment goals, objectives, and interventions—plus space to record your own treatment plan options
• A step-by-step guide to writing treatment plans that meet the requirements of most insurance companies and third-party payors

The Suicide and Homicide Risk Assesment & Prevention Treatment Planner provides all the elements necessary to quickly and easily develop formal treatment plans that satisfy the demands of HMOs, managed care companies, third-party payors, and state and federal review agencies.

• A critical tool for assessing suicidal and homicidal risks in a wide range of treatment populations
• Saves you hours of time-consuming paperwork, yet offers the freedom to develop customized treatment plans for your adult, adolescent, and child clients
• Organized around 27 main presenting problems and covering all client populations (suicidal adults, adolescents, and children) as well as homicidal personality types and risk factors including antisocial, psychotic, PTSD, and manipulative
• Over 1, 000 well-crafted, clear statements describe the behavioral manifestations of each relational problem, long-term goals, short-term objectives, and clinically tested treatment options
• Easy-to-use reference format helps locate treatment plan components by behavioral problem
• Includes a sample treatment plan that conforms to the requirements of most third-party payors and accrediting agencies (including HCFA, JCAHO, and NCQA)

I. SUICIDAL POPULATIONS

AFRICAN AMERICAN MALE

BEHAVIORAL DEFINITIONS

1. Verbalizes a wish to die.
2. Reacts to the homicidal death (especially by stabbing) of a friend with a diminished fear of death and a lowered value of life.
3. Is involved in serious patterns of drug dependence (especially cocaine and injectable drugs) to escape reality or cope with life.
4. Reacts to community violence with an attitude of a diminished value of life.
5. Reacts to community poverty or lowered socioeconomic condition with an attitude of hopelessness and helplessness.
6. Demonstrates behaviors positively correlated with the diagnosis of depression (e.g., agitation, sleep disorder, anhedonia, or dysphoria).
7. Distances himself from cultural, family, social, and religious support systems because of negative and hopeless attitudes about their value.
8. Has a history of serious, near-lethal suicide attempts and gestures needing medical attention.
9. Has established a pattern of behavior best described as self-destructive (e.g., joins violent peer groups, is involved in criminal and combative behavior).
10. Has possession of and/or quick and easy access to firearms coupled with a verbalized attitude of “I am ready to die.”
11. Exhibits an undiagnosed and untreated paranoid psychosis (either schizophrenia or substance related) coupled with carrying a firearm.

LONG-TERM GOALS

1. Embrace the wish to live and establish futuristic, hopeful thinking.
2. Reestablish involvement with nurturing, supportive community, social, religious, and family systems.
3. Manage community and socioeconomic stressors with positive, healthy coping skills.
4. Have personal pride in cultural history.
5. Integrate traditional African American value system with an increased sense of ethnic identification and social cohesion.
6. Manage perturbation caused by thought or mood disorder.
7. Manage rage caused by acts of racism or discrimination in a resilient, validating fashion.

SHORT-TERM OBJECTIVES	THERAPEUTIC INTERVENTIONS
1. Identify any high-risk characteristics associated with previous suicide activity. (1)	1. Assess for high-risk characteristics inherent in any of the client's previous suicide activities (e.g., did the activity result in medical attention; was it performed with a firearm; was the client under the influence of alcohol or drugs at the time of the incident; was the client motivated at the time by feelings of hopelessness and helplessness connected to current social, economic, or neighborhood stressors; was the activity calculated for rescue, self-interrupted, or was it accidentally stopped against the client's wishes).
2. Identify specifics of current suicide ideation and/or intent. (2, 3, 4)	2. Explore the motivation or goal for the current suicide intent with the client (e.g., escape from hopeless economic, social, or environmental stressors; a passivity toward life because of consistent experiences with poverty, violence, or death; an expressed method of curing rampant chemical dependence). 3. Explore whether the client has any formalized plan for the suicide intent (e.g., will a firearm be used and is it currently or readily available, has a time or place been chosen, has he written a suicide note). 4. Explore whether the client has shared his intent with anyone in his social environment (e.g., wife, minister, or friend) or if he has no identified resource and currently is in social isolation.
3. Provide information on personal experiences with high-risk behavioral markers for suicide in African American males. (5, 6, 7)	5. Assess the client for the high-risk African American male suicide marker of cocaine/crack, heroin, and injectable drug abuse; examine for age of onset, current usage, readiness to change, supportive environment, losses because of dependency, or concurrent disorders. 6. Assess the client for the high-risk African American male suicide marker of firearm possession; examine for consistency of possession, motivational factors (e.g., unrealistically high levels of distrust, suspiciousness, or realistic fears of neighborhood violence), and whether the weapon has been used in violent activity. 7. Assess the client for the high-risk African American male suicide marker of adopting a self-destructive lifestyle in a deprived living environment (e.g., carries an attitude of “I am ready to die”; has witnessed death by homicide; lives in an environment marked by underemployment, nonnurturing social institutions, impoverished and/or segregated conditions; easily engages in fatalistic behaviors, which may include acts of victim-provoked suicide).
4. Provide information on personal experiences with high-risk emotional markers for suicide in African American males. (8)	8. Assess the client for the high-risk African American male suicide marker of depression (e.g., low self-esteem, social withdrawal, anhedonia, sleep disturbance, increase in anger/hostility, or low energy levels).
5. Provide information on personal experiences with high-risk social markers for suicide in African American males. (9, 10, 11)	9. Assess the client for the high-risk African American male suicide marker of isolation from traditional community institutions (e.g., no sense of family cohesion or nurturing from religious organizations or a demonstrated sense of “being out on the streets”). 10. Assess the client for the high-risk African American male suicide marker of low occupational and economic hopes and realities; evaluate current occupational status, educational level and socioeconomic environment, and hopes and aspirations to improve current socioeconomic status. 11. Assess the client for the high-risk African American male suicide marker of being raised in a highly dysfunctional family; examine for a history of physical abuse, incest, extrafamilial sexual abuse, or marital conflicts within the current family or the family of origin.
6. Cooperate with psychological testing designed to evaluate conditions correlated to elevated suicide risk in African American males. (12)	12. Assess the client's risk factors for completed suicide by administering psychological tests most commonly used for this purpose (e.g., MMPI-2, Suicide Probability Scale, Beck Hopelessness Inventory, Reasons for Living Inventory).
7. Designated community resource individuals agree to support the client in his recovery from hopelessness. (13, 14)	13. Develop a list of citizens with knowledge of the current crisis and with whom the client may agree to involve in the treatment plan (e.g., minister, personal physician, community outreach professional,...