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Week 8 Mental Health Case Study
Joe, a recently divorced, 56-year-old Caucasian man presents to you, his primary-care provider,
with complaints of insomnia and fatigue. He denies any recent injury or specific pain and was
last seen in your office 11 months ago. Joe has taken an antihypertensive medication to control
his blood pressure for 3 years and does not report any adverse side effects. Joe has worked in law
enforcement for 14 years. He recently discharged his firearm for the first time. Even though no
one was injured, Joe has been attending mandated appointments with the department
psychologist. Joe reports that he does not have a regular exercise regimen. To relax he typically
goes fishing or has a few beers after his shift. Other than the mandated appointments with the
department psychologist, Joe has not sought any mental health treatment.
Case Study Questions
1. What factors in the scenario demonstrate an increased risk for suicide?
2. What should you include in a suicide risk assessment?
3. During the appointment, Joe states that it’s hard for him to talk about how he is feeling
and begins to cry. Taking the opportunity to ask Joe about his intentions, what specific
questions could you ask?
4. You understand that the best predictor of suicide risk is a history of a previous suicide
attempt. When asked, Joe admits to placing one of his firearms in his mouth a few times,
indicating that the likelihood of Joe attempting suicide is very high. How should you
proceed?
5. Could Joe benefit from a no-suicide contract?
**Answer all questions and post to the discussion board by the 4th day of the week. Respond to one other student
post by the 6th day of the week.
Discussion Board Rubric
Grading Elements
2
1
0
Initial Post Requirements
Post by due date at 2359
CST. This is respectful
behavior to allow fellow
students in the course
time to read your initial
Posted one day late at
2359 CST.
Posted two days late at
2359.
post and formulate a
highly synthesized
response and meet the
reply post due date/time.
Initial Post Content
Demonstrates synthesis of
issues/content presented
for the discussion week by
significantly contributing
to the quality of discerning
ideas, and/or provides
insightful interpretations
and analyses of the
content presented for the
week, and/or stimulates
further discussion by
providing a new
perspective.
Demonstrates in depth
understanding of
issues/content presented
for the discussion week
by providing a summary
of the content presented
for the week.
Demonstrates minimal
understanding of
issues/content presented
for the discussion week
by providing a brief
answer to the discussion
board question.
Initial Post Support
Provides support for
discussions with at least 2
current scholarly
references, one of which
may include the assigned
text. Uses APA 7th edition
format for citations and
references within last 5
years.
Provides support for
discussions with at least
1 current scholarly
references, one of which
may include the assigned
texts. Uses APA 7th
edition format for
citations and references
within last 5 years.
NO support.
Initial Peer Response
Requirements
Posted by due date at
2359 CST.
Posted one day late at
2359 CST.
Posted two days late at
2359 CST.
Initial Peer Response
Content
Significantly adds to the
discussion demonstrated
by synthesizing key
elements and adds further
analysis of peer’s post.
Respectfully adds a
different
perspective/critique of the
peer’s post for healthy
debate of the content
presented for the week.
Uses scholarly references
in APA 7th edition format
where applicable.
Adds to the discussion
with in depth summary
of key elements of peer’s
post and highlights key
elements of the post.
Does not add a new
perspective/critique.
Uses scholarly references
in APA 7th edition format
where applicable.
Provides only a brief
summary of peer’s post.
Spelling/Grammar/APA
Less than 10
spelling/grammar/APA
errors.
Less than 15
spelling/grammar/APA
errors
Follow-up to peer
responses (purpose is to
maintain some dialogue
on the topic during the
week)
Significant response to
either peer or faculty with
referencing optional but
the post needs to continue
adding new
perspective/critique to
maintain open discussion
of topic. Uses scholarly
references in APA 7th
edition format where
applicable.
Response to peer is a
summary with no new
perspective/critique.
Uses scholarly references
in APA 7th edition format
where applicable.
More than 15
spelling/grammar/APA
errors
Examples of postings that demonstrate higher levels of thinking:



“Some common themes I see between your experiences and our textbook are….” (analysis)
“These newer trends are significant if we consider the relationship between ….” (synthesis)
“The body of literature should be assessed by these standards ….” (evaluation)
Adapted from University of Delaware online resources (2006)
Total DB Points=14 points
Week 8 Mental Health Case Study
Joe, a recently divorced, 56-year-old Caucasian man presents to you, his primary-care provider,
with complaints of insomnia and fatigue. He denies any recent injury or specific pain and was
last seen in your office 11 months ago. Joe has taken an antihypertensive medication to control
his blood pressure for 3 years and does not report any adverse side effects. Joe has worked in law
enforcement for 14 years. He recently discharged his firearm for the first time. Even though no
one was injured, Joe has been attending mandated appointments with the department
psychologist. Joe reports that he does not have a regular exercise regimen. To relax he typically
goes fishing or has a few beers after his shift. Other than the mandated appointments with the
department psychologist, Joe has not sought any mental health treatment.
Case Study Questions
1. What factors in the scenario demonstrate an increased risk for suicide?
2. What should you include in a suicide risk assessment?
3. During the appointment, Joe states that it’s hard for him to talk about how he is feeling
and begins to cry. Taking the opportunity to ask Joe about his intentions, what specific
questions could you ask?
4. You understand that the best predictor of suicide risk is a history of a previous suicide
attempt. When asked, Joe admits to placing one of his firearms in his mouth a few times,
indicating that the likelihood of Joe attempting suicide is very high. How should you
proceed?
5. Could Joe benefit from a no-suicide contract?
**Answer all questions and post to the discussion board by the 4th day of the week. Respond to one other student
post by the 6th day of the week.
Discussion Board Rubric
Grading Elements
2
1
0
Initial Post Requirements
Post by due date at 2359
CST. This is respectful
behavior to allow fellow
students in the course
time to read your initial
Posted one day late at
2359 CST.
Posted two days late at
2359.
post and formulate a
highly synthesized
response and meet the
reply post due date/time.
Initial Post Content
Demonstrates synthesis of
issues/content presented
for the discussion week by
significantly contributing
to the quality of discerning
ideas, and/or provides
insightful interpretations
and analyses of the
content presented for the
week, and/or stimulates
further discussion by
providing a new
perspective.
Demonstrates in depth
understanding of
issues/content presented
for the discussion week
by providing a summary
of the content presented
for the week.
Demonstrates minimal
understanding of
issues/content presented
for the discussion week
by providing a brief
answer to the discussion
board question.
Initial Post Support
Provides support for
discussions with at least 2
current scholarly
references, one of which
may include the assigned
text. Uses APA 7th edition
format for citations and
references within last 5
years.
Provides support for
discussions with at least
1 current scholarly
references, one of which
may include the assigned
texts. Uses APA 7th
edition format for
citations and references
within last 5 years.
NO support.
Initial Peer Response
Requirements
Posted by due date at
2359 CST.
Posted one day late at
2359 CST.
Posted two days late at
2359 CST.
Initial Peer Response
Content
Significantly adds to the
discussion demonstrated
by synthesizing key
elements and adds further
analysis of peer’s post.
Respectfully adds a
different
perspective/critique of the
peer’s post for healthy
debate of the content
presented for the week.
Uses scholarly references
in APA 7th edition format
where applicable.
Adds to the discussion
with in depth summary
of key elements of peer’s
post and highlights key
elements of the post.
Does not add a new
perspective/critique.
Uses scholarly references
in APA 7th edition format
where applicable.
Provides only a brief
summary of peer’s post.
Spelling/Grammar/APA
Less than 10
spelling/grammar/APA
errors.
Less than 15
spelling/grammar/APA
errors
Follow-up to peer
responses (purpose is to
maintain some dialogue
on the topic during the
week)
Significant response to
either peer or faculty with
referencing optional but
the post needs to continue
adding new
perspective/critique to
maintain open discussion
of topic. Uses scholarly
references in APA 7th
edition format where
applicable.
Response to peer is a
summary with no new
perspective/critique.
Uses scholarly references
in APA 7th edition format
where applicable.
More than 15
spelling/grammar/APA
errors
Examples of postings that demonstrate higher levels of thinking:



“Some common themes I see between your experiences and our textbook are….” (analysis)
“These newer trends are significant if we consider the relationship between ….” (synthesis)
“The body of literature should be assessed by these standards ….” (evaluation)
Adapted from University of Delaware online resources (2006)
Total DB Points=14 points

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