COUN6321: CASE STUDY TREATMENT PLAN: STELLA
Instructions: Please type directly into this template as you develop your treatment plan. Your submitted assignments in Unit 5 and Unit 9 must be completed within this template in order for you to receive credit for your paper.
Unit 5 Assignment: Complete the first six sections of the template, plus your reference list, for the Unit 5 assignment. After you have completed the final draft of these sections, save the template as a Word document with your name (for example, Smith Unit 5 assignment) and submit it to the courseroom assignment area by the deadline for the Unit 5 assignment.
Unit 9 Assignment: Complete the last five sections of the template, plus your reference list, for the Unit 9 assignment. Although your instructor will only review the last five sections to score your paper for Unit 9, please retain the information you have already written in the first sections within the template so your instructor can refer back to this when reading your Unit 9 assignment. When the full template is completed, save it as a Word document with your name (for example, Smith Unit 9 assignment) and submit it to the courseroom assignment area by the deadline for the Unit 9 assignment.
Case Study Treatment Plan
Unit 5 assignment sections: The Assessment Process (4–5 pages, plus references)
Section 1: Identifying Client Information
Describe this client in your own words. Do not copy and paste information directly from the case study here. Include demographic data and relevant context, such as living situation, employment, school, relevant history, current functioning, et cetera. Your description should be concise – it does not need to include every detail about the client — and should be no longer than three paragraphs.
Section 2: Presenting Issues and Concerns
Describe the key concerns that have brought the client to counseling at this time. Include a brief description of any relevant history or other critical events that are related to the current issues.
Section 3: Previous Treatments
Summarize the client’s previous experience in therapy. Include hospitalizations as well as any community resources or other medical or mental health services the client has used. Include the degree to which previous treatments were successful; has the client had any experiences with previous treatments that may have an impact on the current counseling process?
Section 4: Strengths and Challenges
· Describe the client’s areas of strength and resilience.
· Describe the client’s limitations, challenges, or areas in which the client lacks knowledge, awareness, or specific skills.
· List the support systems the client currently has access to, such as family, friends, community groups, et cetera, and the extent to which the client is currently able to utilize these supports.
· Identify the key factors that may impact this client’s successful progress in counseling, how and why these factors may have an impact on treatment success, and how you will take these factors into account as you develop your treatment plan and interact with the client in sessions.
Section 5: Assessment Processes
Describe the process you will use to complete a comprehensive assessment of this client. If you intend to use specific instruments (such as self-report instruments, structured interviews, or psychological tests), state what they are and why you have selected them. Discuss any issues you will need to address regarding the relevance and biases of certain assessment tools with multicultural populations. Also discuss the methods you will use to arrive at an accurate DSM diagnosis for this client, including specific questions you will ask the client as well as others with whom you might consult about the client, such as previous counselors or doctors; family members; et cetera, with the client’s permission.
Section 6: Diagnosis
Present a full DSM-5 diagnosis for the client. Provide a description of your rationale for making this diagnosis. For example, what information was influential in arriving at this diagnosis? Discuss other possible diagnoses that you ruled out or will need to rule out once you have additional information.
References for Unit 5 Assignment
Support your decisions and ideas for the Unit 5 assignment with a minimum of two references to articles from current professional journals in the field of counseling. Use correct APA format.
Unit 9 assignment sections: Treatment Goals (4–6 pages, plus references)
Section 1: Treatment Plan Literature Review
Review the current research and best practices presented in the professional literature that relate to types of clients and presenting issues that are similar to the case you have selected. What does the literature have to say about the most effective types of counseling approaches used with clients who are similar in age, gender, stage of development, and share similar social-cultural backgrounds, history, current situations, symptoms, and/or presenting problems? Be sure to address the impact of diversity (age, gender, social-cultural background, et cetera) on the choice of counseling approaches and interventions, and include reference to clients who have addictions or co-occurring disorders. Summarize your review of the literature so it provides clear support for your choice of counseling approach, goals, and interventions that you will be presenting in the sections below. Keep direct quotes to a minimum; you should paraphrase the information you have reviewed in your own words. Remember to use correct APA format for all citations. This section should be a minimum of one page in length.
Section 2: Goals and Interventions
Based on the information you have reviewed about the client’s history and presenting issues, list four possible goals that you will work on with this client during the first three months of counseling. Your goals should include reference to the client’s addiction or co-occurring disorder, as well as to other issues the client has presented. Present these goals in concrete and specific terms. In other words, how will you and the client know when progress is being made toward a goal, or when a goal has been reached? What will be evident in the client’s thoughts, emotions, behaviors, interactions with others, et cetera?
For each goal, list two specific interventions that you will use during counseling sessions to assist the client in making progress towards that goal. Describe your rationale for selecting these interventions and what changes would you expect to see in the client during sessions if the interventions were effective. Be sure your interventions reflect the effective practices that you described in your treatment plan literature review; address how your approaches will also take the client’s sociocultural background into account and their appropriateness for addressing addiction and co-occurring disorders.
Section 3: Communication with Other Professionals
How will you develop and maintain a collaborative relationship with other professionals who are engaged in your client’s treatment? Describe with whom you will consult with as you develop your client’s treatment plan and begin to work with him or her in therapy (for this segment, assume that you have a written consent from the client to do so). This might include other medical or mental health professionals currently working with the client, as well as previous therapists; it could also include experts in the field with whom you may want to consult about the client’s presenting issues. You may also decide to consult with members of the client’s family. What is your rationale for consulting with these persons and how might this information inform your work with the client?
Section 4: Medications
Discuss in the section any medications your client is currently taking or has taken in the past. What impact might these medications have on the client, such as side effects, improvement in symptoms, interactions with other substances, et cetera? What additional information will you need to obtain about the client’s use of medication and with whom will you consult about this? What information do you want to provide to the client about these medications and how might you need to continue addressing the issue of medication in your work with this client over time?
Section 5: Legal, Ethical, and Other Considerations
Describe any potential legal or ethical issues that may arise as you work with this client and how you will address them. Refer to the specific state laws or ACA ethical standards in your discussion. Also list any other potential red flag issues that you have identified and the ways in which you may need to address these issues with the client.
References for Unit 9 Assignment
Support your decisions and ideas for the Unit 9 assignment with a minimum of four references from current professional journals in the field of counseling. Use correct APA format.