{"id":1265,"date":"2015-06-03T21:43:55","date_gmt":"2015-06-03T21:43:55","guid":{"rendered":"https:\/\/treatmentmaps.net\/?page_id=1265"},"modified":"2015-08-09T10:58:00","modified_gmt":"2015-08-09T10:58:00","slug":"new-patient-section-14","status":"publish","type":"page","link":"https:\/\/treatmentmaps.net\/?page_id=1265","title":{"rendered":"New Patient Section 14"},"content":{"rendered":"<div style=\"overflow: auto; width: 482px; height: 680px; float: left;\">\n<div style=\"height:680px;\">\n<a id=\"newpatientmap1\"><\/a><strong>NEW PATIENT MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=133\" title=\"New Patient Map 1\">1<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=135\" title=\"New Patient Map 2\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=137\" title=\"New Patient Map 3\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=139\" title=\"New Patient Map 4\">4<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt1a.jpg\" alt=\"newpt1a\" width=\"450\" height=\"482\" class=\"alignleft size-full wp-image-1223\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt1a.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt1a-280x300.jpg 280w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1211\/#newpatientmap1\">1<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1241\/#newpatientmap1\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1243\/#newpatientmap1\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1245\/#newpatientmap1\">4<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1247\/#newpatientmap1\">5<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1249\/#newpatientmap1\">6<\/a>\n<\/div>\n<div style=\"height:680px;\">\n<a id=\"newpatientmap2\"><\/a><strong>NEW PATIENT MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=133\" title=\"New Patient Map 1\">1<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=135\" title=\"New Patient Map 2\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=137\" title=\"New Patient Map 3\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=139\" title=\"New Patient Map 4\">4<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt2b.jpg\" alt=\"newpt2b\" width=\"450\" height=\"619\" class=\"alignleft size-full wp-image-1229\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt2b.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt2b-218x300.jpg 218w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1251\/#newpatientmap2\">7<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1253\/#newpatientmap2\">8<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1255\/#newpatientmap2\">9<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1257\/#newpatientmap2\">10<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1259\/#newpatientmap2\">11<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1261\/#newpatientmap2\">12<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1263\/#newpatientmap2\">13<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1265\/#newpatientmap2\">14<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1267\/#newpatientmap2\">15<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1269\/#newpatientmap2\">16<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1271\/#newpatientmap2\">17<\/a>\n<\/div>\n<div style=\"height:680px;\">\n<a id=\"newpatientmap3\"><\/a><strong>NEW PATIENT MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=133\" title=\"New Patient Map 1\">1<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=135\" title=\"New Patient Map 2\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=137\" title=\"New Patient Map 3\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=139\" title=\"New Patient Map 4\">4<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt3a.jpg\" alt=\"newpt3a\" width=\"450\" height=\"613\" class=\"alignleft size-full wp-image-1234\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt3a.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt3a-220x300.jpg 220w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1255\/#newpatientmap3\">9<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1259\/#newpatientmap3\">11<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1273\/#newpatientmap3\">18<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1275\/#newpatientmap3\">19<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1277\/#newpatientmap3\">20<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1277\/#newpatientmap3\">21<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1281\/#newpatientmap3\">22<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1283\/#newpatientmap3\">23<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1285\/#newpatientmap3\">24<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1287\/#newpatientmap3\">25<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1289\/#newpatientmap3\">26<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1291\/#newpatientmap3\">27<\/a>\n<\/div>\n<div style=\"height:680px;\">\n<a id=\"newpatientmap4\"><\/a><strong>NEW PATIENT MAPS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=133\" title=\"New Patient Map 1\">1<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=135\" title=\"New Patient Map 2\">2<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=137\" title=\"New Patient Map 3\">3<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=139\" title=\"New Patient Map 4\">4<\/a><br \/>\n<img loading=\"lazy\" decoding=\"async\" style=\"border: solid 1px black;\" src=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt4a.jpg\" alt=\"newpt4a\" width=\"450\" height=\"539\" class=\"alignleft size-full wp-image-1235\" srcset=\"https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt4a.jpg 450w, https:\/\/treatmentmaps.net\/wp-content\/uploads\/2015\/05\/newpt4a-250x300.jpg 250w\" sizes=\"auto, (max-width: 450px) 100vw, 450px\" \/><br \/>\n<strong>SECTIONS:<\/strong> <a href=\"https:\/\/treatmentmaps.net\/?page_id=1255\/#newpatientmap4\">9<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1259\/#newpatientmap4\">11<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1293\/#newpatientmap4\">28<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1295\/#newpatientmap4\">29<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1297\/#newpatientmap4\">30<\/a> | <a href=\"https:\/\/treatmentmaps.net\/?page_id=1299\/#newpatientmap4\">31<\/a>\n<\/div>\n<\/div>\n<div style=\"overflow: auto;width: 458px; height: 680px; float: right;\">\n<strong>14. LEVEL OF CARE DECISION<\/strong><\/p>\n<ul>\n<em>Follows <a href=\"https:\/\/treatmentmaps.net\/?page_id=1263\/#newpatientmap2\">Section 13<\/a> on Map 2<br \/>\n<\/em><\/ul>\n<p><strong>14a. Initial Decision<\/strong><br \/>\nHere we must decide on the overall level of care that the patient needs, based on information already collected. Several levels of care are possible, differing in the amount of support and control, and intensity of treatment that they offer:<\/p>\n<ul>\n<li>\nhospitalization [ <a href=\"https:\/\/treatmentmaps.net\/?page_id=1267\/#newpatientmap2\">Section 15<\/a> ]<\/li>\n<li>\nday treatment [ <a href=\"https:\/\/treatmentmaps.net\/?page_id=1269\/#newpatientmap2\">Section 16<\/a> ]<\/li>\n<li>\noutpatient therapy [ <a href=\"https:\/\/treatmentmaps.net\/?page_id=1271\/#newpatientmap2\">Section 17<\/a> ], possibly supplemented by external supervision or participation in a self-help group<\/li>\n<li>\noutpatient therapy alone<\/li>\n<li>\ncounseling<\/li>\n<li>\nno treatment<\/li>\n<\/ul>\n<p>At this point in the treatment process, our primary basis of choosing level of care is the safety of the patient and others close to the patient. [See <a href=\"https:\/\/treatmentmaps.net\/?page_id=1525\/#depressionmap1b\">Section 9<\/a> for dangers.]\nSecond is the probable effectiveness of the treatment for overall patient stabilization and relief of the patient&#8217;s symptoms.<\/p>\n<p>Other considerations:<\/p>\n<ul>\n<li>\nthe patient&#8217;s mental status.<\/li>\n<li>\nthe amount of available support.<\/li>\n<li>\na need to detox the patient.<\/li>\n<li>\nthe patient&#8217;s motivation and willingness to continue.<\/li>\n<li>\ndiagnostic considerations, which may lead you to see some people as unable to benefit from treatment.<\/li>\n<\/ul>\n<p><u>Levels of need<\/u> may be classified:<\/p>\n<ul>\n<li>\nemergency, when the patient is at such risk that he\/she can&#8217;t be trusted to survive without substantial care<\/li>\n<li>\nvery serious, when hospitalization is needed to stabilize or to avoid self destructive behavior in case of slight additional stress<\/li>\n<li>\nsubstantial, day care is needed to give an adequate amount of treatment and help avoid self-destructive behavior<\/li>\n<li>\nless urgent, if the patient can reasonably be treated by outpatient psychotherapy<\/li>\n<li>\nminimal. We generally assume that most people can benefit from some form of psychotherapy, especially if they present to a therapist for treatment. However, some people may be doing fine without it, and the benefits may be outweighed by other considerations. We need to be cautious here, because some people may present themselves and then deny the need defensively, so we probably wouldn&#8217;t send anyone away after a single session.<\/li>\n<\/ul>\n<p><strong>14b. Review Level of Care Decision<\/strong><br \/>\nAs you work with a patient over time, you will learn more about the severity of his\/her issues. You may decide, as you learn more about the patient, that a different level of care is necessary. It is a condition of the work that we need to modify our understanding as we learn more, and that can lead to a change to more appropriate forms of treatment.\n<\/div>\n<div style=\"overflow: auto; width: 458px; float: right;\">\n<div class=\"divider\" style=\"margin-bottom:10px;border-bottom-width:1px\"><\/div>\n<a href=\"http:\/\/www.treatmentmaps.com\/topics\/new-patient\/\" target=\"_blank\"><strong>CLICK HERE TO MAKE COMMENTS OR SUGGESTIONS<\/strong><\/a>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>NEW PATIENT MAPS: 1 | 2 | 3 | 4 SECTIONS: 1 | 2 | 3 | 4 | 5 | 6 NEW PATIENT MAPS: 1 | 2 | 3 | 4 SECTIONS: 7 | 8 | 9 | 10 | 11 | 12 | 13 | 14 | 15 | 16 | 17 NEW &#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":633,"menu_order":14,"comment_status":"open","ping_status":"open","template":"","meta":{"footnotes":""},"class_list":["post-1265","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1265","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=1265"}],"version-history":[{"count":9,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1265\/revisions"}],"predecessor-version":[{"id":2335,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/1265\/revisions\/2335"}],"up":[{"embeddable":true,"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=\/wp\/v2\/pages\/633"}],"wp:attachment":[{"href":"https:\/\/treatmentmaps.net\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=1265"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}