Question 1
I would consider referring Janey to another clinician if after the screening, I realize that due to abusive and traumatic experiences, she has suffered or sustained physical injuries, which might require clinical attention (Women’shealth.gov., 2013).
Question 2
The informed consent should include the names and contacts of witnesses as well. Additionally, it should explain the purpose of the consent, and the regulations of the research. Consent should be obtained after the subject has been informed about the potential risks and benefits of the process. Client’s active participation in informed consent demonstrates respect for a client’s autonomy and right to self-determination (Barkley, 2009).
Question 3
The bio-psycho-social history of a client is important in order to ensure that the assessor understands the possible causes of the current behavioral characteristics. It important to understand all of the components of this model because it helps in identifying the interaction between the biological, social, and psychological developmental aspects (Barkley, 2009)
Question 4
OFAID procedure would impact my impression while gathering bio-psycho-social and mental status exam portion positively since the client can have a clear understanding of the process thereby increasing corporation (Barkley, 2009).
Question 5
Have you ever witnessed any drug related problems with Louis?
Why would you wish to detach Lisa from her father?
Has Lisa ever reported abuse from her father?
Can you comfortably take care of the child by yourself?
Why would you wish to consider filling a "dead beat dad?"
These questions would help determine the purpose of Holly’s intentions
Questions retrieved from (Cohen, 2006)
Question 6
Could not tackle this question
Question 7
A treatment plan is important since it records the progression of the therapy, which helps the client to assess achievement of his goals. According to insurance, it helps in planning the time frame for coverage (Cooper & Sosa, 2012).
Question 8
Objective Goal
Reorganizing her life and her children
Subjective Goal
Sending her children to her family living out of state
Understanding these goals is important because it helps the therapist to achieve the best results of the therapy (Gillikin, 2013)
Question 9
It is important for the client to participate in the treatment plan because it helps in reconciling the client’s goals with the therapist. The client owns the treatment plan. If the goals of the treatment plan differ, the therapist’s goals override. For instance, when the client intends to complete the treatment plan within one month, but the therapist sets a goal achievable in 2 months, the therapy will take 2 months (Cooper & Sosa, 2012).
Question 10
The multicultural issues that might present themselves during treatment include racial differences between the client and the therapist. The gender issues that might arise include the differences between the gender of the client and the therapist. In the gender issues, a male or female client might desire to be treated by specific gender. In solving this case, I believe that the client and the therapist should be of the same gender and racial composition (Rockville, 2005).
Question 11
S (subjective)
Tested HIV positive
Past history of drug and substance abuse
O (Objective)
Bruises on then left hand
Seems depressed
A (Assessment)
28-year-old Haitian-American woman
Endured domestic violence
P (Plan)
Refer to a clinician
Recommend for psychosocial counseling
Question 12 (Women’shealth.gov., 2013)
D (Data)
Subjective data – the client has pat history of drug and substance abuse
Objective data – the client seems depressed
The client seems cooperative
The client might have been irresponsible leading to domestic abuse
The client requires clinical treatment for injuries sustained
Screening reveals psychosocial counseling
P (Plan)
Psychosocial counseling requires revision
The goals addressed included reducing client’s exposure to drugs and domestic violence
The counselor requires more time with the client
Next session begins in the next two weeks
Question 13
The red flag in this case is stigma since the client feels belittled due to her HIV status. Additionally, the client has problems revealing domestic problems (Women’shealth.gov., 2013).
Question 14
I would use the reward system for achievements to ensure clients stick to their goals and motivated as well as focused (Rockville, 2005).
Question 15
The first session prepares the client to the whole process and introduces him to the aim of the therapy (Maynard, 1994). The first session is important because it defines the therapy period and the discharge.
Question 16
A client is discharged when the services that the client is receiving have been terminated (Denise & Alison, 2013). This occurs when the client has successfully completed the therapy. However, the discharge date can be extended if the therapist considers the client unfit to leave the facility.
Question 17
PCN-610 Module 1: State’s Rules Review
I have reviewed the Arizona Board of Behavioral Health Examiners Website, the state in which I plan to practice website, and the ACA Code of Ethics Website.
References:
Women’shealth.gov. (October 25, 2013). Screening and counseling fact sheet. Retrieved from http://www.womenshealth.gov/publications/our-publications/fact-sheet/screening-counseling-fact-sheet.html
Barkley J., (November, 2009). Biopsychosocial Assessment: Why the Biopsycho and Rarely the Social? J Can Acad Child Adolesc Psychiatry. 18(4): 344–347
Rockville M. (2005). Substance Abuse Treatment for Adults in the Criminal Justice System. Treatment Improvement Protocol. 44(12): 21-35
Denise M. & Alison E. (January 23/30, 2013). Discharge Planning. Journal of American Medical Association. 309(4):406. doi:10.1001/jama.2012.145192
Maynard C., (February, 1994). Completion rates of clients discharged from drug and alcohol treatment programs in Washington State. American Journal of Public Health. v.84(2); 215–221.
ACA (2005). ACA Code of Ethics As approved by the ACA Governing Council. American Counseling Association. Retrieved from http://www.counseling.org/Resources/aca-code-of-ethics.pdf
North Carolina Code of Professional Conduct. Retrieved from http://reports.oah.state.nc.us/ncac.asp
Cohen J., G., (May 2006). Helping Children and Families Deal with Divorce and Separation The American Academy Of Pediatrics. 117(5) 1846-1847; doi:10.1542/peds.2006-0676
Cooper C., and Sosa E. A., (16 August 2012). Full-Mouth Reconstruction: The Importance of Treatment Planning in Restoring Aesthetics and Function. Destiny Today. Retrieved from http://www.dentistrytoday.com/aesthetics/8009-full-mouth-reconstruction-the-importance-of-treatment-planning-in-restoring-aesthetics-and-function
Gillikin J., (July, 2013). Objective Vs. Subjective Performance Evaluations. The Chrinicles. Retrieved from http://smallbusiness.chron.com/objective-vs-subjective-performance-evaluations-4848.html
