Comprehensive Stages of Treatment Assignment/clinical psychology

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Comprehensive Stages of Treatment Assignment/clinical psychology

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10/17/2019 2:01:19 PM

Due Date:

10/17/2019 18:00



Number Of Pages:

3     Double-spaced (900 words)

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Course Work

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Answer all of these questions as they pertain to your practicum site. Make sure at the top of your page you indicate what kind of site you are at: (Ex. Residential Substance Abuse, Outpatient Mental Health, Crisis Center, etc.). You do not need to use APA format for this paper. You may simply use the Stage Heading (ex. Screening) and then answer the questions by number. SCREENING: The process by which a client is determined appropriate for admission to a particular program 1. What factors made this person appropriate and eligible for treatment at your agency? 2. For substance abuse clients, how does the screening process take into consideration that the client may be in denial (particularly if it is a court-ordered referral)? 3. What factors would make a client inappropriate for treatment in your agency, and what would your next step be? INTAKE: The administrative and initial assessment procedures for admission to a program 1. What client characteristics are important to evaluate on intake? 2. What methods do you use to deal effectively with the client’s fears, anxieties and/or anger and frustration during intake? 3. What kinds of problems might you encounter in conducting an intake? 4. How might you handle an uncooperative client in the intake process? ORIENTATION: Describing to the client: – General nature and goals of the program – Rules governing client conduct and infractions that can lead to disciplinary action or discharge from the program – In a non-residential program, the hours which services are available – Treatment cost the client is responsible for (if any) – Client’s rights (and recipient rights form with updated contact persons information). 1. What information does a client need to know before they can understand and appropriately participate in your program? 2. What are the client’s rights to confidentiality and how do you explain them? 3. What other rights do clients have while in treatment? 4. Breaking what rules would result in termination from your program? ASSESSMENT: The procedures by which a therapist/program identifies and evaluates an individual’s strengths, problems, and needs for the development of their treatment plan 1. What strengths do you see in the clients and how do you identify them? 2. Explain the methods and procedures to assess a client, and explain the results of those assessments. 3. How are significant others involved in the assessment process, and why are they involved? 4. How are aspects of dual diagnosis addressed? TREATMENT PLANNING: Process by which the therapist and client: – Identify and rank problems needing resolution – Establish agreed upon immediate and long-term goals – Decide on a treatment process and the resources to be utilized 1. Who is involved in establishing the goals and objectives of the treatment plan and how is this done? 2. How is the concept of treatment planning explained to the client? 3. What factors might indicate a need for a treatment plan update or revision? 4. How do you negotiate with a client who refuses to accept part of a treatment plan? CLIENT EDUCATION: Provision of information to individual and groups concerning their diagnosis and the available services and resources. 1. Describe the process used to educate clients and who is responsible for providing the information. 2. How is the effectiveness of client education evaluated at your agency? 3. How is client education individualized? 4. In terms of substance abuse, how do you educate a client who knows little about alcohol/drugs/recovery vs. one who is knowledgeable? THERAPY( Individual, Group, or Family): the utilization of interpersonal skills to assist an individual, family, or group in achieving objectives through: – Exploration of a problem and its ramifications – Examinations of attitudes, thoughts, feelings, and behavior – Consideration/generation of (alternative) solutions 1. Are there standard exercises or homework you assign to clients? What is the rationale for this and how are they explained to the client(s)? 2. What factors would lead you to refer a client to group therapy as opposed to individual, and how is this explained to the client? 3. How do you evaluate the effectiveness of individual therapy? 4. In what instances would you not recommend _______ (group, family, or individual) therapy with a client? 5. How do you evaluate whether the group process is working? 6. Are there any special consideration when working with men/women? • CASE MANAGEMENT: Activities which bring services, agencies, resources, or people together within a planned framework or action toward the achievement of established goals. 1. What staff or other agencies are typically involved in the treatment process that requires coordination of services? 2. What factors indicate good coordination of a client’s treatment when other agencies are involved? 3. Does your agency use self-help groups (or individuals from them) in the course of treatment? If so, why? If not, why not? 4. What would your agency do if a urinalysis indicated that a client was currently using/abusing drugs? 5. What problems might be encountered in coordinating services and how are these typically resolved? CRISIS INTERVENTION: the services which respond to a client’s needs during a time of acute physical and/or psychological distress. 1. What action would be taken if a client was experiencing a psychotic episode? 2. What action would be taken if a client is arrested while being in treatment? 3. What immediate and long-term action is taken if a client threatens or attempts suicide? 4. For a substance abuse client, what do you do if they have a relapse during treatment? REFERRAL: Identifying the needs of the client that cannot be met by the therapist or the agency and assisting the client to utilize the support systems and the community resources available. 1. How do you refer a client and what factors do you consider to be important? 2. How do you handle confidentiality in making a referral? 3. How do you evaluate the effectiveness of a referral? 4. How does a referral to a self-help group differ from a referral to another professional? REPORTS AND RECORD KEEPING: Charting the results of the assessment, treatment plan and writing reports, progress notes, discharge summaries, and other client-related data. 1. Give an example of how progress notes relate to the treatment plan. 2. How does record keeping assist in treatment? 3. What policies does your agency have with regard to client’s access to his/her case file (i.e. chart/medical record)? Do you agree or disagree with this and why? 4. Describe how you personally protect client confidentiality in your approach to record keeping. CONSULTATION AND SUPERVISION: Relating with our own and other professionals to assure comprehensive, quality care for the client. 1. Describe the process, frequency, and use of consultation with the staff at the agency as well as your supervisors. 2. If the resources were available, what kind of consultations would you use more frequently and why? 3. What options do you have for seeking consultations within and outside your agency? 4. How does consultation affect future therapy sessions

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