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.

Hector is a 35-year-old Hispanic male. Hector was seriously injured   in an auto accident 5 months ago. He spent 4 months in the hospital.   One leg and hip suffered permanent damage. He will probably always   need a cane and walk with a limp. He also has limited mobility in his   right arm and shoulder and cannot lift anything heavy.

Hector grew up in a family with a construction business. He has been   working in construction since high school. Social work at the rehab   hospital referred Hector to counseling because he is not adjusting   well to his injuries. He is very depressed and angry because he cannot   continue to work in his chosen occupation. Hector says, “What   use am I now? I am the man in the family. I should be strong. I need   to support the family. I don’t want my wife to work. I   don’t know what I am going to do to make a living.”

Hector still experiences severe pain in his shoulder and his leg. He   spends a lot of time watching TV and drinking. At this point, he is   not looking for work. His family has reached out to him but he avoids   interaction with his siblings and his parents because they remind him   of what he no longer can do. He feels shame when he is around family   members because of his disability. His relationship with his wife is   tense because he is often angry and withdrawn.

You are meeting with Hector for the first time and want to get the story.

As we meet with a new client we develop some hypotheses to   explore, as well as listening to what the client says about himself.

Write a 750-1,000-word paper addressing the following:

1. What are some of primary issues that Hector is   addressing?
2. What are some of Hector’s feelings?
3. What are Hector’s behaviors and how are these impacting     his adjustment?
4. How might Hector’s cultural heritage     be impacting his adjustment to his injury?
5. What are some     beliefs that may be impacting Hector’s adjustment?
6. How might Hector’s family background be impacting his   adjustment?
7. What might be some issues that will need to be     addressed in counseling?
8. What are the stages of change the     counselor will help Hector through? Provide a brief definition     of each stage.
9. What steps can a counselor take to help     Hector explore his problems?
10. Consider the following     counselor skills: eye contact, closed and open-ended questions,     paraphrasing and summarizing, reflection, body language, tone,     listening, empathy, genuineness, unconditional positive regard,     interpretation, tracking, reflecting emotion, active presence,     structuring sessions, encouragement, questioning and clarifying,     counselor self-awareness, tolerating intensity, validating,     challenging, multicultural awareness/acceptance, probing and     questioning, posture. Pick one skill and discuss how a counselor     should use this in their sessions with Hector.

Include at three scholarly references in your paper. At least two   resources should identify issues that need to be addressed when you   are working with someone who is being rehabilitated from a serious injury.

Prepare this assignment according to the guidelines found in the APA   Style Guide, located in the Student Success Center. An abstract is not required.

MUT PASS TURN IT IN WITH LESS THAN 5{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119}