Group Therapy Progress Note: Documenting Family Session
Assignment: Practicum – Week 2 Journal Entry (Due in Week 4)
Learning Objectives
Students will:
Apply documentation skills to examine family therapy sessions *
Develop diagnoses for clients receiving family psychotherapy *
Analyze legal and ethical implications of counseling clients with psychiatric disorders *
* The Assignment related to this Learning Objective is introduced this week and submitted in Week 3.
Select two clients you observed or counseled this week during a family therapy session. Note: The two clients you select must have attended the same family session.
Then, address in your Practicum Journal the following:
Using the Group Therapy Progress Note in this week’s Learning Resources, document the family session.
Describe (without violating HIPAA regulations) each client, and identify any pertinent history or medical information, including prescribed medications.
Using the Diagnostic and Statistical Manual of Mental Health Disorders, Fifth Edition (DSM-5), explain and justify your diagnosis for each client.
Explain any legal and/or ethical implications related to counseling each client.
Support your approach with evidence-based literature.
Client: _________Alex Richards_________________________________________ Date: _1/7/2021__________
Group name: ______Richards Family__________________________________________ Minutes: __45______
Group session # __3____ Meeting attended is #: _3_____ for this client.
Number present in group ___4__ of __4___ scheduled Start time: ___9:00_____ End time: __9:45______
Assessment of client
1. Participation level: ❑ Active/eager ❑ Variable ❑ Only responsive ❑ Minimal ❑ Withdrawn
2. Participation quality: ❑ Expected ❑ Supportive ❑ Sharing ❑ Attentive❑ Intrusive
Monopolizing ❑ Resistant ❑ Other: _____________________________________
3.
Mood: ❑ Normal
❑ Anxious
❑ Depressed ❑ Angry ❑ Euphoric
❑ Other: _______________
4.
Affect: ❑ Normal
❑ Intense
❑ Blunted ❑ Inappropriate ❑ Labile
❑ Other: _______________
5.
Mental status: ❑ Normal ❑ Lack awareness ❑ Memory problems
❑ Disoriented ❑ Confused
❑ Disorganized ❑ Vigilant ❑ Delusions
❑ Hallucinations
❑ Other: __________________
6. Suicide/violence risk: ❑ Almost none ❑ Ideation
❑ Threat ❑ Rehearsal ❑ Gesture ❑ Attempt
Change in stressors: ❑ Less severe/fewer ❑ Different stressors ❑ More/more severe ❑ Chronic
Change in coping ability/skills: ❑ No change ❑ Improved ❑ Less able ❑ Mu...
👀 Other Visitors are Viewing These APA Other (Not Listed) Samples:
- Critical Thinking: Group Of People And Purpose That Brought Them Together5 pages/≈1375 words | 6 Sources | APA | Health, Medicine, Nursing | Other (Not Listed) |
- Using Statistics to Describe Study Sample1 page/≈550 words | No Sources | APA | Health, Medicine, Nursing | Other (Not Listed) |
- How to keep your apartement clean?1 page/≈275 words | No Sources | APA | Health, Medicine, Nursing | Other (Not Listed) |
- Effective Approaches in Leadership and Management4 pages/≈1100 words | 4 Sources | APA | Health, Medicine, Nursing | Other (Not Listed) |
- TheThe Nurse’s Role in Ethics and Human Rights Essay6 pages/≈1650 words | APA | Health, Medicine, Nursing | Other (Not Listed) |
- Critical Care Nurses’ Roles in Pain Management in the ICU4 pages/≈1100 words | APA | Health, Medicine, Nursing | Other (Not Listed) |
- HCM325 M2-1 Short Assignment: Target Market Profile1 page/≈275 words | 1 Source | APA | Health, Medicine, Nursing | Other (Not Listed) |