Assignment 2: Practicum – Week 6 Journal Entry Learning Objectives Students will: - Develop diagnoses for clients receiving psychotherapy*
- Evaluate the efficacy of motivational interviewing techniques for clients*
- Analyze legal and ethical implications of counseling clients with psychiatric disorders*
* The Assignment related to this Learning Objective is introduced this week and submitted in Week 7.
Select a client whom you observed or counseled this week. Then, address the following in your Practicum Journal:
- Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
- Using the DSM-5, explain and justify your diagnosis for this client.
- Explain whether motivational interviewing would be effective with this client. Include expected outcomes based on this therapeutic approach. Support your approach with evidence-based literature.
- Explain any legal and/or ethical implications related to counseling this client.
Assignment 1: Supportive Psychotherapy Versus Interpersonal Psychotherapy Although supportive psychotherapy and interpersonal psychotherapy share some similarities, these therapeutic approaches have many differences. When assessing clients and selecting therapies, it is important to recognize these differences and how they may impact your clients. For this Assignment, as you compare supportive and interpersonal psychotherapy, consider which therapeutic approach you might use with your clients.
Learning Objectives
Students will:
- Compare supportive psychotherapy and interpersonal psychotherapy
- Recommend therapeutic approaches for clients presenting for psychotherapy
To prepare:
- Review the media in this week’s Learning Resources.
- Reflect on supportive and interpersonal psychotherapeutic approaches.
The Assignment
In a 1- to 2-page paper, address the following:
- Briefly describe how supportive and interpersonal psychotherapies are similar.
- Explain at least three differences between these therapies. Include how these differences might impact your practice as a mental health counselor.
- Explain which therapeutic approach you might use with clients and why. Support your approach with evidence-based literature.
Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at
http://academicguides.waldenu.edu/writingcenter/templates ). All papers submitted must use this formatting.
Assignment 2: Practicum – Assessing Client Progress Learning Objectives
Students will:
- Assess progress for clients receiving psychotherapy
- Differentiate progress notes from privileged notes
- Analyze preceptor’s use of privileged notes
To prepare: - Reflect on the client you selected for the Week 3 Practicum Assignment.
- Review the Cameron and Turtle-Song (2002) article in this week’s Learning Resources for guidance on writing case notes using the SOAP format.
The Assignment
Part 1: Progress Note Using the client from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):
- Treatment modality used and efficacy of approach
- Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment plan—progress toward goals)
- Modification(s) of the treatment plan that were made based on progress/lack of progress
- Clinical impressions regarding diagnosis and/or symptoms
- Relevant psychosocial information or changes from original assessment (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.)
- Safety issues
- Clinical emergencies/actions taken
- Medications used by the patient (even if the nurse psychotherapist was not the one prescribing them)
- Treatment compliance/lack of compliance
- Clinical consultations
- Collaboration with other professionals (i.e., phone consultations with physicians, psychiatrists, marriage/family therapists, etc.)
- Therapist’s recommendations, including whether the client agreed to the recommendations
- Referrals made/reasons for making referrals
- Termination/issues that are relevant to the termination process (i.e., client informed of loss of insurance or refusal of insurance company to pay for continued sessions)
- Issues related to consent and/or informed consent for treatment
- Information concerning child abuse, and/or elder or dependent adult abuse, including documentation as to where the abuse was reported
- Information reflecting the therapist’s exercise of clinical judgment
Note: Be sure to exclude any information that should not be found in a discoverable progress note.
Part 2: Privileged Note Based on this week’s readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client from the Week 3 Practicum Assignment.
- The privileged note should include items that you would not typically include in a note as part of the clinical record.
- Explain why the items you included in the privileged note would not be included in the client’s progress note.
- Explain whether your preceptor uses privileged notes, and if so, describe the type of information he or she might include. If not, explain why.
Assignment 1: Practicum – Week 8 Journal Entry This week, you complete a two-part journal entry.
Learning Objectives
Students will:
- Develop diagnoses for clients receiving psychotherapy*
- Evaluate efficacy of existential-humanistic therapy for clients*
- Analyze legal and ethical implications of counseling clients with psychiatric disorders*
- Analyze clinical supervision experiences*
* The Assignment related to this Learning Objective is introduced this week and submitted in Week 10.
For
Part 1, select a client whom you observed or counseled this week (other than the client used for this week’s Discussion). Then, address the following in your Practicum Journal:
- Describe the client and identify any pertinent history or medical information, including prescribed medications.
- Using the DSM-5, explain and justify your diagnosis for this client.
- Explain whether existential-humanistic therapy would be beneficial with this client. Include expected outcomes based on this therapeutic approach.
- Explain any legal and/or ethical implications related to counseling this client.
- Support your approach with evidence-based literature.
For
Part 2, reflect on your clinical supervision experiences. Then, address the following in your Practicum Journal:
- How often are you receiving clinical supervision from your preceptor?
- What are the sessions like?
- What is the preceptor bringing to your attention?
- How are you translating these sessions to your clinical practice?
Assignment 1: Practicum – Week 9 Journal Entry Learning Objectives
Students will:
- Develop diagnoses for clients receiving psychotherapy*
- Analyze legal and ethical implications of counseling clients with psychiatric disorders*
* The Assignment related to this Learning Objective is introduced this week and submitted in Week 10.
Select a child or adolescent client whom you observed or counseled this week. Then, address the following in your Practicum Journal:
- Describe the client (without violating HIPAA regulations) and identify any pertinent history or medical information, including prescribed medications.
- Using the DSM-5, explain and justify your diagnosis for this client.
- Explain any legal and/or ethical implications related to counseling this client.
- Support your position with evidence-based literature
Assignment 1: Practicum – Client Termination Summary Learning Objectives
Students will:
- Develop client termination summaries
To prepare: - For guidance on writing a Client Termination Summary, review pages 693–712 of the Wheeler text in this week’s Learning Resources.
- Identify a client who may be ready to complete therapy.
The Assignment
With the client you selected in mind, address the following in a client termination summary (without violating HIPAA regulations):
- Identifying information of client (i.e., hypothetical name, age, etc.)
- Date initially contacted therapist, date therapy began, duration of therapy, and date therapy will end
- Total number of sessions, including number of missed sessions
- Termination planned or unplanned
- Presenting problem
- Major psychosocial issues
- Types of services rendered (i.e., individual, couple/family therapy, group therapy, etc.)
- Overview of treatment process
- Goal status (goals met, partially met, unmet)
- Treatment limitations (if any)
- Remaining difficulties and/or concerns
- Recommendations
- Follow-up plan (if indicated)
- Instructions for future contact
- Signatures
Assignment 4: Practicum – Week 10 Journal Entry - Learning Objectives
- Students will:
- Analyze how nursing and counseling theories guided personal practice in psychotherapy*
- Analyze goals and objectives for personal practicum experiences*
- Analyze the impact of psychotherapy on social change*
- Reflect on your overall practicum experience in this course. Then, address the following in your Practicum Journal:
- Explain whether your therapeutic theory has changed as a result of your practicum experiences. Recall the theories you selected in Week 1.
- Explain how you integrated the therapeutic approaches from this course in your clinical practice. Include how this helped you achieve the goals and objectives you developed in Week 1.
- Explain how you might impact social change through your work with clients who have mental health issues.
- Support your approach with evidence-based literature
