Assessing Client Progress
chuks05PLEASE FOLLOW THE INSTRUCTION BELOW
5 REFERENCES
ZERO PLAGIARISM
earning 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
- 3 years ago
- 20
Answer(1)
Purchase the answer to view it
NOT RATED
- Assessing_Client_Family_Progress.docx
other Questions(10)
- 14 questions on webassgin phys
- Understanding Business Research Terms and Concepts: Part 2 Research at least three quantitative data collection instruments and sampling methods available to researchers using the text and additional resources from the University Library. Identify two a
- 2 pages apa format
- ROGERIAN ESSAY ONLY FOR JUST DONE
- for lady hawkins ph.d only
- AED 222 Capstone CheckPoint
- You plan to donate money to charity to help people in need. If you can only choose one type of charitable organization,
- BUS 599 wk8 Assignment4 Case #10 Nucor Corp.
- Answer questions 1, 2, 3 and 4 of the "Japan" case presented on page 199 of your textbook.
- Art research paper