I used to be surprised by the number of clients who would share stories about the ways in which grade school peers (including siblings) would taunt, tease, and torture them, but now it's one of the first questions I ask when a client presents with the fear of intimacy.
The current study was designed to evaluate a screening process for alcohol and other drug (AOD) problems with clients presenting with mental health (MH) issues at an emergency department (ED) at an urban hospital.
Psychoanalytic techniques are used by some practitioners to treat clients presenting with major depression.
Due to the small number of clients presenting with cardiorespiratory issues, a formal χ test was invalid.
The model extension provides a guide for the treatment of clients presenting with uncertainty in the context of either a single disorder or several comorbid disorders.
There was a statistically significantly (p<0.001) lower completion amongst clients presenting with mental health issues (25.5%) compared to cardiorespiratory (33.9%), musculoskeletal (33.2%) or other issues (35.5%).
Only 27% of the projects report that they provide free condoms to male clients presenting with STD symptoms, 14% provide condoms to female clients with STD symptoms, and 32% to female clients attending MCH/FP clinics, as contraception possibility.
A significantly higher proportion of clients presenting with mental-health issues were considered anxious (80.5%) (χ=74.8, df=3, p<0.001) and depressed (52.4%) (χ=32.4, df=3, p<0.001), than all other health conditions.
Access in this setting was measured by whether facilities routinely deferred clients (i.e. turned clients away without assessment because the facility was deemed to be too busy to cope with the workload), whether they offered each programme component daily and whether assessment of clients presenting with symptoms suggestive of TB and STIs were prioritised.
In this evaluation, although most facilities offered all the programme components, access was found to be limited in that 50% of facilities reported routinely deferring clients, only 44% prioritised the assessment of clients with STIs and 63% prioritised the assessment of clients presenting with a chronic cough.
That diversity, in addition to our own experience with such referrals, suggests a different, if somewhat obvious, idea: There is more than one clinical phenomenon in play, and no single model applies to all clients presenting with or complaining of hypersexuality.
