Prepare and record treatment and continuing care plans that are consistent with agency standards and comply with applicable administrative rules.

 

In Topic 5, you submitted a treatment plan for your client Eliza. Since the initial treatment plan, several changes have taken place within Eliza’s case. Since the mandatory assessment two weeks ago, you have discovered that Eliza is again on your client listing for the day due to a mandatory evaluation, with the incident report indicating that campus public safety, due to a tip from a concerned resident, found the client passed out and alone in her dorm, smelling of alcohol.

Part 1: Review the initial Treatment Plan submitted in Topic 5.

Reassess your treatment plan diagnoses, goals, and objectives based on the new information provided.

Fill out and submit a new treatment plan evidencing the changes made in treatment utilizing the treatment plan template provided.

Part 2: In a 1,000-word essay, answer the questions presented in a separate Word document, addressing the following:

Examine the case and propose why the changes occurred.

Reassess the effectiveness and validity of the treatment plan.

Discuss how the treatment plan needs to be adjusted to address the changes in the situation.

Justify the changes both ethically and legally.

Determine what the changes (obstacles) mean to the treatment plan.

Discuss how you would evaluate the resources available for you to make a referral.

Discuss how you would communicate to the client the need for referrals to other providers.

Determine which referrals you would make and which you might suggest to the client.

Include any instruments you would use to assess the client.

Submit the revised treatment plan and essay to your instructor.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

This assignment meets the following NASAC Standards:

48) Reassess the treatment plan at regular intervals, and/or when indicated by changing circumstances.

50) Continuously assess and evaluate referral resources to determine their appropriateness.

51) Differentiate between situations in which it is most appropriate for the client to self-refer to a resource, and instances requiring counselor referral.

62) Summarize the client’s background, treatment plan, recovery progress, and problems inhibiting progress for the purpose of assuring quality of care, gaining feedback, and planning changes in the course of treatment.

67) Maintain ongoing contact with the client, and involved significant others, to ensure adherence to the treatment plan.

69) Assess treatment/recovery progress and, in consultation with the client and significant others, make appropriate changes to the treatment plan to ensure progress toward treatment objectives.

71) Apply generally accepted measures of treatment outcome.

72) Utilize referral skills, as described in Section 3.

77) Facilitate the client’s engagement in the treatment/recovery process.

78) Work with the client to establish realistic, achievable goals consistent with achieving and maintaining recovery.

112) Prepare and record treatment and continuing care plans that are consistent with agency standards and comply with applicable administrative rules.

113) Record progress of the client in relation to treatment goals and objectives.

115) Document the treatment outcome, using accepted methods and instruments.

Chapters 9 and 10 in your text analyze topics on neurotransmitters, receptors, and neurotransmitter systems, their role in feeding behaviors and satiety, and the impact of the pathology of selected eating disorders.

In this discussion, you will choose one eating disorder and analyze the treatment options available for that disorder as well as the rationale for their use based on the current understanding of the biological aspects of these conditions. Chapters 9 and 10 in your text analyze topics on neurotransmitters, receptors, and neurotransmitter systems, their role in feeding behaviors and satiety, and the impact of the pathology of selected eating disorders. The “Psychological Treatment of Eating Disorders (Links to an external site.)Links to an external site.”, article and the Nutrition and Eating Disorders video expand upon these topics to assist your integration of these concepts as applied to neuropsychological function and dysfunction. Include information on brain structures, nervous system pathways, neurotransmitters/receptors, and psychological, genetic, familial, lifestyle, and environmental factors when analyzing the etiologic theories. Additional emphasis should be placed on relating the proposed etiologic mechanism(s) of the disorder and the recommended treatment(s), as well as providing rationale(s) for treatment success or failure.  Include treatments that are based on psychological, medical, pharmacologic (drug), and other available interventions.
You must use a minimum of one peer-reviewed source that was published within the last five years, documented in APA style, as outlined in the Ashford Writing Center.  Your post should be a minimum of 250 words.

Article

1. Wilson, G. T., Grilo, C. M., & Vitousek, K. M. (2007). Psychological treatment of eating disorders (Links to an external site.)Links to an external site..  American psychologist, 62(3), 199-216.  Retrieved from http://coping.us/images/Wilson_et_al-Psych_Treatment_of_Eating_DIsorders.pdf

  • This article       provides a discussion of some of the psychological treatment options in       the management of selected eating disorders.

Multimedia

1. Kloza, B. ( Executive producer). (2011). Nutrition and eating disorders [Video file].  Retrieved from the Films On Demand database.

  • This video       provides an overview of nutrition in the context of selected eating       disorders.

What ethical issues associated with client treatment would mental health professionals need to address? Why would a release of information be needed?

 

Assignment 1:

Application: Considering Alternative Treatment Options for Anxiety Disorders

Imagine that you have been seeing a client for 4 months. During treatment, you learn that he has been 5 years sober but lately has felt an intense sense of anxiety and has requested a referral to a psychiatrist. Upon returning to his counseling sessions, you learn that the psychiatrist has prescribed diazepam, a benzodiazepine. You are aware of the fact that the benzodiazepine functions similarly to alcohol in the body. You are concerned about a relapse because of this newly prescribed medication for the anxiety disorder.

Sometimes the medication a doctor chooses to treat a client’s symptoms is ineffective or inappropriate, or it may not create the desired effect without intolerable side effects. Under what circumstances does it become necessary for a mental health professional to advocate for an alternative treatment for a client? What ethical issues associated with client treatment would mental health professionals need to address? Why would a release of information be needed?

 

For this Assignment, view the media case study titled “Anxiety Disorder Case Study: Mary.” Assume the role of a mental health professional to respond to the client call. Review the medication that the psychiatrist prescribed and explain the expected effects and side effects of its use. Plan a treatment strategy.

In a 2- to 3-page, APA-formatted paper, include the following:

o   An explanation of any concerns, ethical or otherwise, you may have regarding the client’s generalized anxiety disorder treatment

o   An explanation of the factors you would take into consideration in developing a strategy to treat the client’s generalized anxiety disorder

o   An explanation of a treatment strategy for the client’s generalized anxiety disorder along with a justification for your strategy

o   An explanation of how you would advocate for your treatment strategy

 

References (use 3 or more)

 

Laureate Education (Producer). (2012b). Anxiety disorder case study: Mary: Generalized anxiety disorder[Video file]. Baltimore, MD: Author.

 

Caputo, F., & Bernardi, M. (2010). Medications acting on the GABA system in the treatment of alcoholic patients. Current Pharmaceutical Design16(19), 2118–2125.

 

Lichtblau, L. (2011). Psychopharmacology demystified. Clifton Park, NY: Delmar, Cengage Learning.

 

Preston, J. D., O’Neal, J. H., & Talaga, M. C. (2017). Handbook of clinical psychopharmacology for therapists (8th ed.). Oakland, CA: New Harbinger.

 

American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing. Retrieved from the Walden Library databases.

 

American Psychiatric Association. (2013). Highlights of changes from DSM IV-TR to DSM-5. Retrieved from http://www.dsm5.org/Documents/changes%20from%20dsm-iv-tr%20to%20dsm-5.pdf

What should Lucy conclude about Monica’s reading comprehension score in comparison to the population?

Scenario: Lucy wants to know how her fourth-grade daughter, Monica, scored on a test of reading comprehension compared to the population of other fourth graders in the school district. Luckily, Lucy has taken this course and knows that a z-score will help her understand Monica’s reading score in relation to the population. You can find the data for this Assignment in the Weekly Data Set forum found on the course navigation menu.

By Day 7

  1. State the dependent variable.
  2. Explain whether Lucy should use a one-tailed or a two-tailed z-test and explain why.
  3. State the null hypothesis in words (not formulas).
  4. State the alternative hypothesis in words (not formulas).
  5. Calculate the obtained z-score by hand. Describe your calculations (i.e., show your work).
  6. When alpha is set at .05, the critical value is ± 1.96. Should the null hypothesis be retained or rejected? Explain why.
  7. Are the results statistically significant? How do you know?
  8. What should Lucy conclude about Monica’s reading comprehension score in comparison to the population?
  9. Lucy is excited that she remembers how to compute a z-score and does some additional computations to find Monica’s z-score in math. You can find the information you need in the Weekly Data Set forum. Use it to calculate Monica’s raw math score by hand. Provide your calculations in your Assignment submission (i.e., explain your work).

Submit responses to the following:

Be sure to fully explain the rationale for your answer to each question, including evidence from the text and Learning Resources.

Provide an APA reference list.