Requirements for Clinical Case Assessment Assignment<\/p>\n
PART ONE: BACKGROUND INFORMATION ON CLIENT (client should have primary SUD)<\/p>\n
Briefly, provide the most relevant facts to the following areas:<\/p>\n
1. General Information- Fictional name, age, sex, marital status, ethnicity, education, occupation,<\/p>\n
residence, and referral source.<\/p>\n
2. Mental Status Exam- Cognitive functioning, appearance, dress, mood, orientation, contact with reality, affect.<\/p>\n
3. Chief Complaint\/Presenting Problem- Conditions and situation precipitating admission\/visit.<\/p>\n
4. History of Presenting Problem and Treatment Episodes- Comprehensive substance use history and<\/p>\n
symptoms. Include time spent obtaining substance, route of administration, presence of withdrawal<\/p>\n
symptoms, and level of current use.<\/p>\n
5. Medical, Physical & Mental Health History- Hospitalizations, emergency room visits, treatment,<\/p>\n
diseases, preventive health care and high-risk potentials.<\/p>\n
6. Social Assessmenta. Family of Origin: Description of family, functionality, ACOA, and generational issues.<\/p>\n
b. Marriage: History, current, spouse\u2019s chemical use, and functionality.<\/p>\n
c. Sexual History\/Development: Development, preference, function, abused or abuser, HIV\/STD risk.<\/p>\n
d. Trauma and Losses: Emotional, physical, and other.<\/p>\n
e. Social\/Peer Relations: Support network, degree of social involvement and skills.<\/p>\n
f. Religion\/Spiritual Orientation: Attitude, involvement, attendance, values, beliefs.<\/p>\n
g. Financial status: Problems, impact of chemical use and socioeconomic status<\/p>\n
7. Legal Problems- History, current status and pending charges.<\/p>\n
8. Vocation and\/or Education- Problems, performance, attitudes and plans.<\/p>\n
9. Collateral Information- All information from sources other than the client and past treatment records.<\/p>\n
PART TWO: SUMMARY OF DIAGNOSIS, TREATMENT RECOMMENDATTION<\/p>\n
Based on the data from your biopsychosocial assessment presented in Part One:<\/p>\n
1. Assessment Summary- Identify and substantiate your assessment by including rationale for each<\/p>\n
element of the diagnosis.<\/p>\n
a. DSM-V diagnosis presented in narrative format (include all aspect of diagnosis)<\/p>\n
2. Discussion of assessment data provided (was the client trustworthy? Do you believe the information to<\/p>\n
be accurate? What collateral information did you use? Was there a dynamic between therapist and client<\/p>\n
that may have affected assessment process? How did you or could you have overcome this?)<\/p>\n
3. Identification of additional data needed by the counselor to plan treatment for the client, including<\/p>\n
use of any standardized screening measures that could have been used<\/p>\n
4. Discussion of differential diagnosis: identify the diagnoses that are confirmed and the diagnosesthat<\/p>\n
must be ruled out<\/p>\n
5. Identification of stage of change and defenses used by the client, with rationaleprovided<\/p>\n
6. Identification of 3 short-term goals for the client<\/p>\n
7. Identification of 3 long-term goals for the client<\/p>\n
21<\/p>\n
8. Detailed and specific treatment plan for the client<\/p>\n
9. Discussion of ethical and cultural issues that may influence counseling of the client<\/p>\n
10. Discussion of potential countertransference issues that might arise if the student were to counsel this<\/p>\n
client<\/p>\n
11. Based on your assessment and treatment recommendations, locate a treatment center within Maryland<\/p>\n
which you believe fit the treatment recommendations you provided for the client. Discuss why you<\/p>\n
chose the treatment center and the necessary steps needs to gain admission into the treatment program<\/p>\n
and level of care. Provide the detailed contact information for this referral.<\/p>\n","protected":false},"excerpt":{"rendered":"
Requirements for Clinical Case Assessment Assignment PART ONE: BACKGROUND INFORMATION ON CLIENT (client should have primary SUD) Briefly, provide the most relevant facts to the following areas: 1. General Information- Fictional name, age, sex, marital status, ethnicity, education, occupation, residence, and referral source. 2. Mental Status Exam- Cognitive functioning, appearance, dress, mood, orientation, contact with […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[10],"class_list":["post-107407","post","type-post","status-publish","format-standard","hentry","category-research-paper-writing","tag-writing"],"_links":{"self":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/107407","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/comments?post=107407"}],"version-history":[{"count":0,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/107407\/revisions"}],"wp:attachment":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/media?parent=107407"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/categories?post=107407"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/tags?post=107407"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}