Trauma Study

Trauma Case Study: Military Template

For the Trauma Case Study: Military Assignment, using the “Trauma Case Study: Military Narrative,” you will give an overview of what you have determined via specific assessments of what is happening with this client. Note that each “bullet” below is required to be a minimum of one paragraph! In your write-up, you will need to provide (review the rubric for more detail):

· In the first paragraph, write a short synopsis of this client, expounding on their presenting problem, history, and what issues “jumped out” at you first.

· In the second section (refer to page 2 on how the paper is to be divided up), using the Combat Exposure Scale (CES) found in the Trauma Case Study: Military Resources section. Read the instructions for use/scoring, then scroll to the bottom and download the CES with scoring information (PDF), and circle the appropriate answers based on the information you garnered from the narrative. Then, you will write a good paragraph summarizing your scoring, interview answers, and total score. When you write this paragraph, use the client’s own answers to justify your scoring! You will scan or take a picture and include a copy of just the scored Combat Exposure Scale ( pages 3 and 4 only ) showing how/where you placed your circles when you upload your paper (scroll down and read the note about “CamScanner”).

· The third section will be done using the Primary Care PTSD Screen for DSM-5 (PC-PTSD-5) found in the Trauma Case Study: Military Resources section. Read the instructions for use/scoring, then scroll to the bottom and download the PC-PTSD-5 Screen (PDF), and circle the answers based on the information you collected from the narrative. Then, you will write a good paragraph summarizing your scoring, interview answers, and total score. When you write this paragraph, use the client’s own answers to justify your scoring! You will also scan or take a picture and include a copy of just the scored PC-PTSD-5 ( page 3 only ) showing what you circled.

· Your fourth section will be done using the Clinician-Administered PTSD Scale for DSM-5 (CAPS-5) and the CAPS-5 Past Month Version found in the Trauma Case Study: Military Resources section. Since the CAPS-5 is considered the “gold standard” for assessing clients with a possible PTSD diagnosis, download and print out and then fill it in (freehand) while reading over the client narrative. You will also scan or take a picture and include a copy of just the scored CAPS-5 Summary Table ( pages 19 & 20 only ) showing how you scored each item, total severity and symptoms, and your final conclusion on p. 20. You will then write a good paragraph summarizing your scoring, interview answers, and your totals for symptoms and severity. When you write this paragraph, use the client’s own answers to justify your scoring!

· From the data gathered in sections 2, 3, and 4, in Section 5 answer these questions using the DSM-5: what is the primary diagnosis (use the ICD-10 F-code number [without the parentheses], the name of the diagnosis, the severity, and any appropriate specifiers) for this client, putting your diagnosis in bold, and based on the criteria, show how you were able to come to that conclusion (include any information from the three assessments and client statements to support this diagnosis). Write a few sentences concerning any culture and/or gender-related diagnostic issues that may be present, as well as a few separate sentences regarding any potential suicide/self-harming risks for this particular diagnosis. Does the client have any possible secondary diagnoses (show the same way as the primary and in bold)? If so, which one(s), and what criteria do they meet? Are there any culture and/or gender-related diagnostic issues and suicide risks for this particular diagnosis?

· The final section is writing about recommendations and referrals as well as other resources you would want to put in place for this client (minimum of three, each separated as shown below. Provide your reasoning with each one, as well as cited resources for each one. Note that this section is NOT meant to be a complete treatment plan, but to assist the client towards getting into treatment!

To assist the professor in making sure that all sections/parts are submitted, divide your paper up as shown below using level 1 and level 2 headings (starting on p. 2 – no abstract is needed):

Title of Paper

Brief Summary

Combat Exposure Scale Interpretation

(write a good paragraph here summarizing your answer choices)

Primary Care PTSD Screen for DSM-5 Interpretation

(write a good paragraph here summarizing your answer choices)

Clinician-Administered PTSD Scale for DSM-5 Interpretation

(write a good section here summarizing your answer choices)

Primary and Secondary Diagnostic Impressions

Primary Diagnosis with Culture/Gender Issues, Suicidal Risks

Secondary Diagnosis with Culture/Gender Issues, Suicidal Risks (continue if you find more)

Recommendations

Recommendation 1

Recommendation 2

Recommendation 3

References

Note that your upload will consist of four documents: your paper (saved last name, first name, CaseStudyMilitary), a picture or PDF copy of pp. 3 and 4 of the CES, a picture or PDF copy of p. 3 of the PC-PTSD-5, and a picture or PDF copy of pp. 19 & 20 of the CAPS-5.

CamScanner is an “app” that allows any picture you take of a document be "turned" into a PDF.  You can find the link in the Trauma Case Study: Military Resources section. It is easy to do, and you can email the new PDF to yourself, and then upload into Blackboard.

To see a listing of all the assessments the Veterans Administration has for free download and use, please navigate to the Trauma Case Study: Military Resources section.