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CASE STUDY 13:   Mary, a 17-year-old African American female, has a history of depression and a suicide attempt a year ago. She also has been self-abusive at times. Recently, she was observed picking at scabs on her arms until they bled on several occasions. Sandra is a youth worker, also African American, who has spent extra time with Mary over the past several days. One afternoon, Antoinette, another youth, approached Sandra to inform her that Mary had told Antoinette that she wanted to kill herself. Antoinette said that Mary was depressed about her relationship with her mother and that Antoinette was worried about whether Mary was going to give up on life. Sandra asked Mary to help her prepare snacks. While they were working together in the kitchen, Sandra asked Mary if she was doing okay. Mary said she was fine. When Sandra asked Mary if she had made the statement about wanting to kill herself, Mary strongly denied it. Sandra asked Mary if she wanted to hurt herself, and Mary said, “No, not at all.”

33. The case study does not discuss the involvement of the young people in design of the space.  Given the nature of the renovations and the rationale provided, which of the decisions might the youth have been involved in?

14. Over the week the group has been in camp, you noticed an increase in the depth of information that group members revealed about themselves in meetings.  Members were more willing to ask for special consideration during events that were particularly difficult for them (“This is really scary for me,” “I don’t swim well,” etc.). During activities there was a smooth sharing of leadership between members. You also noticed that during program breaks the group members often stayed together and organized volleyball games.  Sometimes they sat together in various sub-groupings at the swings. This leads you to believe that the group is in the _____ stage of development.

Name one population/group that has special health needs (is vulnerable or underserved) and briefly describe one unique challenge they face. 

Based on what you have learned in this class, has your opinion on the market vs social justice debate changed at all? What do you think is the best system for structuring healthcare in the U.S.? Why? (I am not looking for a correct answer here. I want your opinion which evidence from what you’ve learned.)

Assume Mr. Jenkins does go home. If he has a skilled health care provider coming into his home to provide therapy to address his issues with balance and walking, (1) what kind of provider is treating him and (2) who is paying for these services?

Describe the impact of an aging population on healthcare in the U.S. (List at least 2).

Which federal organization is tasked with oversight of pharmaceuticals, medical devices, and biologics in the U.S.?

Several weeks later, Mr. Jenkins’ sees a cardiologist who recommends a minor surgical procedure, which is scheduled at a hospital-owned ambulatory surgery center. He will have surgery at 9am and will be home by that same evening.  The ambulatory surgery center where he will have his procedures is best described as which type of healthcare provider?

What is the maternal mortality rate in the U.S. compared to other high-income countries?