Using the Triage Assessment Form
After reading the case examples in the Myer and Conte (2006) article, you have a better understanding of how to use one type of assessment tool. A Microsoft Word copy of the Triage Assessment Form (TAF) is included in the assignment Resources. The most current version of this form is also shown in your James and Gilliland (2013) text, pages 63–65. Use the form to analyze Jordan, described below. You can save the form as you have completed it as a MS Word document or as a PDF document, and attach the form to your written paper as an appendix.
Rate the 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, including your judgment about how intense and directive the treatment should be based upon the total score. In your discussion of the rationale, summarize diagnostic skills and techniques that can be used to screen for addiction, aggression, and danger to self and others, as you note these risks in your client. Similarly, a possible co-occurring mental disorder (such as substance abuse) may become apparent during a crisis, disaster, or other trauma-causing event that ties in with your assessment during the client’s crisis. Note this as well in your rationale.
Project Objectives
To successfully complete this project, you will be expected to:
· Summarize diagnostic skills and techniques used to screen for addiction, aggression, and danger to self and others, as well as co-occurring mental disorders during a crisis, disaster, or other trauma-causing events.
· Evaluate key elements of the crisis, disaster, or trauma-causing event including the nature of the crisis and associated risks, including client and counselor safety.
· Discuss developmental and cultural considerations in crisis assessment and intervention.
· Exhibit proficiency in effective, credible academic writing, and critical thinking skills.
Note: A template for your APA formatted paper is included in the assignment Resources. Please use the template to present the assignment 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.
Case
Using the Triage Assessment Form
Jordan
Jordan arrives at counseling saying that her husband, Jake, left the house earlier that day in an agitated mood and with his rifle, and tearfully discloses concerns about her safety and his. She states that her friend, who has been worried about her for some time, insisted that she see a counselor. Jordan says she was surprised at Jake’s abrupt departure because she was unaware of any plans he had to go hunting, and if he was not going hunting, why he would take his gun out. She recalls that she and Jake had fought the previous night over his drinking. Jordan reports that she asked Jake to stop drinking so much, and in response, he threatened her and slammed a few doors. She recalls that Jake said he liked being a little drunk and pushed her back against the kitchen counter at one point. When Jake went back into a spare bedroom to sleep that night, Jordan found numerous beer bottles in the den and a large empty whiskey bottle in front of his truck. Jordan states that it was not unusual for Jake to put his rifle in his truck when he planned to go hunting, but when he had done so today, he had still been quite angry about her accusation that he was drinking too much. After he left, Jordan reports that she began shaking. She felt fear for her own safety, so she called her friend who insisted that she speak to a counselor. While Jordan was on her way to counseling, her husband called her. He seemed calm, asked about her day, and said nothing about the previous night or his abrupt departure. Jordan states that this switch in mood from extreme aggression to a pleasant tone “seems weird.” Jordan asks for help in dealing with her husband’s odd behaviors. She fears for her own safety and the safety of her husband, but is unwilling to call the police. As she speaks, she is agitated and continually looks over at the doorway, as though expecting it to burst open.
Project 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 APA (6th Edition) style and formatting.
· Number of pages: The body of the paper should fall within 3–5 pages of text, plus 3 pages of the Triage Assessment Form, excluding title page and reference list.
· Number of resources: Minimum of 4 current resources, published within the last 12 years, and you may include your text as one.
· Font and font size: Times New Roman, 12-point.
Submit the completed paper and form to the assignment area.
**Assessment and Intervention for Jordan: A Case Analysis**
**Title: Assessment and Intervention for Jordan: A Case Analysis**
**Abstract:**
This paper presents a comprehensive assessment and intervention plan for Jordan, a client experiencing a crisis involving safety concerns related to her husband’s erratic behavior and potential aggression. Using the Triage Assessment Form (TAF), the severity of Jordan’s affective, behavioral, and cognitive domains is evaluated, and recommendations for treatment intensity are provided. Diagnostic skills and techniques for screening addiction, aggression, danger to self and others, and co-occurring mental disorders are discussed. Additionally, developmental, cultural considerations, and client and counselor safety are addressed.
**Introduction:**
Jordan presents with concerns about her safety and her husband’s erratic behavior, which escalated after a recent argument over his drinking. This paper aims to assess Jordan’s current crisis using the Triage Assessment Form (TAF) and develop an intervention plan to address her immediate needs.
**Assessment using the Triage Assessment Form (TAF):**
- **Affective Domain:**
Jordan exhibits heightened anxiety, fear, and distress, as evidenced by her tearfulness, shaking, and constant vigilance for potential threats. She expresses concerns about her safety and her husband’s well-being, indicating significant emotional distress. Severity Rating: High
- **Behavioral Domain:**
Jordan’s behavior reflects hyperarousal and hypervigilance, as she continually scans her surroundings for potential danger. She displays avoidance behaviors, such as reluctance to involve law enforcement despite feeling unsafe. Severity Rating: Moderate
- **Cognitive Domain:**
Jordan demonstrates impaired judgment and insight into the severity of her situation. Despite recognizing the potential danger posed by her husband’s behavior, she minimizes the risk and hesitates to take appropriate action to ensure her safety. Severity Rating: Moderate
**Rationale for Ratings and Treatment Recommendations:**
Jordan’s elevated scores across all domains indicate a high level of distress and impaired functioning, necessitating immediate intervention. Given the severity of her affective and cognitive symptoms, a directive and intensive treatment approach is warranted. Jordan requires crisis intervention focused on ensuring her safety, stabilizing her emotional state, and addressing her husband’s potential aggression and substance use.
**Diagnostic Skills and Techniques:**
To screen for addiction, aggression, and danger to self and others, the counselor can employ standardized screening tools, such as the Alcohol Use Disorders Identification Test (AUDIT) for assessing alcohol use, the Conflict Tactics Scale (CTS) for evaluating aggression, and suicide risk assessment protocols for identifying danger to self. Additionally, a thorough clinical interview and assessment of past behaviors and family history can provide valuable insights into potential co-occurring mental disorders, such as substance use disorders or mood disorders.
**Intervention Plan:**
- Ensure immediate safety: Collaborate with Jordan to develop a safety plan that includes strategies for managing her husband’s aggression and ensuring her physical and emotional well-being.
- Provide crisis intervention: Offer crisis counseling and support to help Jordan cope with her acute distress and develop coping strategies for managing her anxiety and fear.
- Address substance use: Assess Jordan’s husband’s alcohol use and its impact on their relationship. Provide psychoeducation on the effects of alcohol on behavior and offer resources for substance abuse treatment.
- Facilitate communication: Encourage open communication between Jordan and her husband to address underlying issues contributing to their conflict and develop healthier coping mechanisms.
- Coordinate referrals: Collaborate with other professionals, such as law enforcement or domestic violence shelters, to ensure Jordan’s ongoing safety and access to additional support services.
**Conclusion:**
In conclusion, Jordan presents with significant distress and safety concerns related to her husband’s erratic behavior and potential aggression. Using the Triage Assessment Form (TAF), her symptoms are evaluated across affective, behavioral, and cognitive domains, highlighting the need for immediate intervention. By employing diagnostic skills and techniques to screen for addiction, aggression, and danger to self and others, counselors can develop an intervention plan focused on ensuring Jordan’s safety, stabilizing her emotional state, and addressing underlying issues contributing to the crisis.
**References:**
[Include your references here according to APA (6th Edition) style and formatting.]
*Note: The Triage Assessment Form (TAF) completed for Jordan is attached as an appendix.*
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