Using the Triage Assessment Form Assignment | Get Paper Help
After reading the case examples in the Myer and Conte (2006) article in Unit 3, you have a better understanding of how to use one type of assessment tool. The Triage Assessment system is a widely effective tool to use for a crisis intake session to determine the presenting issue and impact on the client’s life. For this assignment, use the Unit 5 Assessment Template [DOCX], which is linked in the assignment Resources. (The Triage Assessment Form is included in the Template.) The most current version of this form is also shown in your James and Gilliland (2017) text, Chapter 3. Use the form to analyze one of the following cases, either Alexa or Jordan. Rate the selected client in each of the three domains (affective, behavioral, and cognitive) using the Severity Scale included with each domain on the Triage Assessment Form (TAF) and total the scores. Describe, in detail, the rationale for your ratings in each domain, including your judgment about how intense and directive the treatment should be based upon the total score. Consider the client’s age and culture in your assessment, as well. In your discussion of your rationale, summarize diagnostic skills and techniques that can be used to screen for addiction, aggression, abuse, and danger to self and others, as you note these risks in your selected client. Similarly, a possible co-occurring mental disorder (such as substance abuse) may become apparent during a crisis or other trauma-causing event that ties in with your assessment during the client’s intake. Note this in your rationale to address the impact of possible crisis and trauma on individuals with mental health diagnoses. Assignment Objectives To successfully complete this assignment, you will be expected to: Complete the Triage Assessment Form appropriately for the selected case (reminder: the form is included in the assignment template), including all three domains and the total score, with clinical descriptions to guide the course of treatment by evaluating the domain ratings with a logical and articulate rationale of key elements of the crisis, disaster, or trauma-causing events, including the nature of the crisis and associated risks, and client and counselor safety. Summarize diagnostic skills and techniques that can be used to screen for addiction, aggression, abuse, and danger to self and others, as you describe these risks in your client. Note a co-occurring mental disorder (such as substance abuse, anxiety, or depression), which may become apparent during a crisis, disaster, or other trauma-causing event that ties in with your assessment during the selected client’s crisis. Differentiate characteristics of crisis states versus developmentally appropriate reactions to life obstacles and crisis assessment and intervention strategies for diverse populations. Exhibit proficiency in effective, credible academic writing, and critical thinking skills. Reminder: Use the Unit 5 Assignment Template [DOCX] to complete this assignment. This template, which includes the Triage Assessment Form, will help you to present criteria in an organized way. The headings guide you to the criteria, and the details that are included describe what is necessary to complete the assignment to a Distinguished degree. Cases Alexa Alexa, a 17-year-old Hispanic female, ran away from home. The police returned her to her home, but within a week Alexa had attempted suicide by taking her father’s prescription medication for high blood pressure. Alexa had been showing signs of depression and was seen for mental health counseling a year previously for eight sessions. After receiving counseling, Alexa withdrew and stated that she felt unuseful at home and unwelcome at school. Feelings of worthlessness and anger arose periodically when her parents tried to engage her about school events. Alexa had several close friends and one young man she called her “beau,” though she claimed there was no serious intimacy between them. She refused to return to counseling sessions, saying that the time was better spent talking with her friends. She complained that her parents were too strict with curfew times and asked too many questions. In the past week, Alexa was discovered to have skipped two days of school and refused to tell her parents where she had been. Alexa’s mother found a bottle of pills and a bottle of vodka in her room. Requirements Content: Prepare a comprehensive paper that includes all elements described. Components: The paper must include a title page, abstract, and reference list. Written communication: Develop accurate written communication and thoughts that convey the overall goals of the project and do not detract from the overall message. APA formatting: Resources and citations must be formatted according to current APA style and formatting guidelines. Number of pages: Use the Unit 5 Assignment Template [DOCX] in the Resources. The body of the paper should fall within 3–5 pages of text, excluding title page and reference list. Be sure to include the pages of the Triage Assessment Form. Number of resources: Minimum of 4 current resources, published within the last 10 years, and you may include your text as one. Font and font size: Times New Roman, 12-point
Triage Assessment Form: Crisis Intervention
© by R. A. Myer, R. C. Williams, A. J. Ottens, & A. E. Schmidt
Crisis Event
Identify and describe briefly the crisis situation:
______________________________________________________________________________________________________________________________________________________________________________________________________________________________
Affective Domain
Identify and describe briefly the affect that is present. (If more than one affect is experienced, rate with number 1 being primary, number 2 secondary, number 3 tertiary.)
Anger/Hostility
____________________________________________________________________________________________________________________________________________________
Anxiety/Fear
____________________________________________________________________________________________________________________________________________________
Sadness/Melancholy
____________________________________________________________________________________________________________________________________________________
Affective Severity Scale
Highlight the number that most closely corresponds with client’s reaction to crisis.
| 1 | 2 3 | 4 5 | 6 7 | 8 9 | 10 |
| No Impairment | Minimal Impairment | Low Impairment | Moderate Impairment | Marked Impairment | Severe Impairment |
| Stable mood with normal variation of affect appropriate to daily functioning. | Affect appropriate to situation. Brief periods during which negative mood is experienced slightly more intensely than situation warrants. Emotions are substantially under client control. | Affect appropriate to situation but increasingly longer periods during which negative mood is experienced slightly more intensely than situation warrants. Client perceives emotions as being substantially under control. | Affect may be incongruent with situation. Extended periods of intense negative moods. Mood is experienced noticeably more intensely than situation warrants. Liability of affect may be present. Effort required to control emotions. | Negative affect experienced at markedly higher level than situation warrants. Affects may be obviously incongruent with situation. Mood swings, if occurring, are pronounced. Onset of negative moods are perceived by client as not being under volitional control. | Decompensation or depersonalization evident. |
Behavioral Domain
Identify and describe briefly which behavior is currently being used. (If more than one behavior is used, rate with number 1 being primary, number 2 secondary, number 3 tertiary.)
Approach ____________________________________________________________________________________________________________________________________________________
Avoidance ____________________________________________________________________________________________________________________________________________________
Immobility ____________________________________________________________________________________________________________________________________________________
Behavioral Severity Scale
Highlight the number that most closely corresponds with client’s reaction to crisis.
| 1 | 2 3 | 4 5 | 6 7 | 8 9 | 10 |
| No Impairment | Minimal Impairment | Low Impairment | Moderate Impairment | Marked Impairment | Severe Impairment |
| Coping behavior appropriate to crisis event. Client performs those tasks necessary for daily functioning. | Occasional use of ineffective coping behaviors. Client performs those tasks necessary for daily functioning, but does so with noticeable effort. | Occasional use of ineffective coping behaviors. Client neglects some tasks necessary for daily functioning. | Client displays coping behaviors that may be ineffective and maladaptive. Ability to perform tasks necessary for daily functioning is noticeably compromised. | Client displays coping behaviors that are likely to exacerbate crisis situation. Ability to perform tasks necessary for daily functioning is markedly absent. | Behavior is erratic, unpredictable. Client’s behaviors are harmful to self and/or others. |
Cognitive Domain
Identify whether a transgression, threat, or loss has occurred in the following areas and describe briefly. (If more than one cognitive response occurs, rate with number 1 being primary, number 2 secondary, number 3 tertiary.)
PHYSICAL (food, water, safety, shelter, et cetera):
Transgression _____ Threat _____ Loss _____
____________________________________________________________________________________________________________________________________________________
PSYCHOLOGICAL (self-concept, emotional well-being, identity):
Transgression _____ Threat _____ Loss _____
____________________________________________________________________________________________________________________________________________________
SOCIAL RELATIONSHIPS (family, friends, coworkers, et cetera):
Transgression _____ Threat _____ Loss _____
____________________________________________________________________________________________________________________________________________________
MORAL/SPIRITUAL (personal integrity, values, beliefs):
Transgression _____ Threat _____ Loss _____
____________________________________________________________________________________________________________________________________________________
Cognitive Severity Scale
Highlight the number that most closely corresponds with client’s reaction to crisis.
| 1 | 2 3 | 4 5 | 6 7 | 8 9 | 10 |
| No Impairment | Minimal Impairment | Low Impairment | Moderate Impairment | Marked Impairment | Severe Impairment |
| Concentration intact. Client displays normal problem-solving and decision-making abilities. Client’s perception and interpretation of crisis event match reality of situation. | Client’s thoughts may drift to crisis event but focus of thoughts is under volitional control. Problem-solving and decision-making abilities minimally affected. Client’s perception and interpretation of crisis event substantially match reality of situation. | Occasional disturbance of concentration. Client perceives diminished control over thoughts of crisis event. Client experiences recurrent difficulties with problem-solving and decision-making abilities. Client’s perception and interpretation of crisis event may differ in some respects from reality of situation. | Frequent disturbance of concentration. Intrusive thoughts of crisis event with limited control. Problem-solving and decision-making abilities adversely affected by obsessiveness, self-doubt, confusion. Client’s perception and interpretation of crisis event may differ noticeably from reality of situation. | Client plagued by intrusiveness of thoughts regarding crisis event. The appropriateness of client’s problem-solving and decision-making abilities likely adversely affected by obsessiveness, self-doubt, confusion. Client’s perception and interpretation of crisis event may differ substantially from reality of situation. | Gross inability to concentrate on anything except crisis event. Client so afflicted by obsessiveness, self-doubt, and confusion that problem-solving and decision-making abilities have “shut down.” Client’s perception and interpretation of crisis event may differ so substantially from reality of situation as to constitute threat to client’s welfare. |
Domain Severity Scale Summary
Affective _____ Cognitive _____ Behavioral _____ = Total _____
