Week 10 Journal Assignment

Week 10 Journal Entry

Learning Objectives

Students will:

  • Develop effective documentation skills to examine group therapy sessions with children and adolescents *
  • Develop diagnoses for child and adolescent clients receiving group psychotherapy *
  • Analyze legal and ethical implications of counseling child and adolescent clients with psychiatric disorders *

Select two clients you observed or counseled this week during a group therapy session for children and adolescents. Note: The two clients you select must have attended the same group session. If you select the same group you selected for the Week 8 or Week 9 Journal Entries, you must select different clients.

Then, address in your Practicum Journal the following:

  • Using the Group Therapy Progress Note in this week’s Learning Resources, document the group session.
  • Describe each client (without violating HIPAA regulations), and identify any pertinent history or medical information, including prescribed medications.
  • Using the 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.

 

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Psychotherapeutic Approaches to Group Therapy

Assignment: Psychotherapeutic Approaches to Group Therapy for Addiction

When selecting a psychotherapeutic approach for a client, you must consider the unique needs and characteristics of that particular client. The same is true when selecting a psychotherapeutic approach for groups. Not every approach is appropriate for every group, and the group’s unique needs and characteristics must be considered. For this Assignment, you examine psychotherapeutic approaches to group therapy for addiction.

Learning Objectives

Students will:

  • Evaluate psychotherapeutic approaches to group therapy for addiction

To prepare:

  • Review this week’s Learning Resources and reflect on the insights they provide on group therapy for addiction.
  • View the media, Levy Family: Sessions 1-7, and consider the psychotherapeutic approaches being used.

The Assignment

In a 2- to 3-page paper, address the following:

  • Identify the psychotherapeutic approach that the group facilitator is using and explain why she might be using this approach.
  • Determine whether or not you would use the same psychotherapeutic approach if you were the counselor facilitating this group and justify your decision.
  • Identify an alternative approach to group therapy for addiction and explain why it is an appropriate option.
  • Support your position with evidence-based literature.

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Payer-Patient Mix

Search course materials, including your text and the Internet, to find a spreadsheet program that will assist you in completing this assignment. The spreadsheet and calculations are to be attached at the end of the paper as an appendix after the Reference page.

Case Study: You are assessing the payer–patient mix for a health care organization. Currently, your payer mix is 40% Medicare, 10% Medicaid, 25% traditional indemnity insurance, 20% managed care, and 5% self-pay patients. Complete the following:

  • Using the most common office visit, CPT code 99214, determine the reimbursement from the Centers for Medicare and Medicaid Services (online fee schedule available for Medicare).
  • Using the same CPT code, 99214, determine the reimbursement for Medicaid (fee schedules should be available from the individual state).
  • Using the same CPT code, 99214, create at least 3 other traditional indemnity insurance reimbursements. If possible, use the actual reimbursement from the insurance carrier. It may be possible to obtain actual reimbursement information from your personal insurance carrier. If the information is not available, assume reimbursement by traditional indemnity insurance is usually 200% reimbursed more than Medicare and Medicaid, and managed care is usually 133% more than Medicare and Medicaid.
  • Compose an accounts receivable benchmark from this information showing columns for current, 30–60, 61–90, 90–120, and greater than 120 days.
  • Assess the information for areas of improved reimbursement of at least 20% or more.
  • Evaluate the options available to change the payer–patient mix with consideration of related legal and ethical issues.
  • Propose a best strategy with justification and rationale based on effective decision-making tenets.

The body of the resultant paper should be 10–12 pages. Spreadsheets demonstrating the accounts receivable analysis will be attached as appendices, and there will be at least 7 relevant peer-reviewed academic or professional references published within the past 5 years. Also attach appropriate fee schedules.

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Ethical and Legal Considerations for Life support continuation for brain-dead patients

Topic-

  • Life support continuation for brain-dead patients

A health care issue with controversial ethical and legal implications that was at the center of a high visibility case in the public domain

 

Perform research in the University library using at least 8–10 relevant peer-reviewed academic or professional journal articles that were published within the past 5 years, and complete the following to prepare your report:

  • Analyze the ethics of the case from each end of the ethical spectrum (ultraconservative to ultraliberal) from the perspective of 3 of the following stakeholders:
    • Patient,
    • Patient’s immediate family or guardians
    • Emergency medical personnel or first responders
    • Doctors, surgeons, specialists, or other medical providers
    • The hospital or health care facility
    • A pharmaceutical or medical device company
  • Identify policies at the federal, state, and local levels relating to the provision of health care and patient rights that played the following roles in the case:
    • Assesses opposing views of these policies from the perspectives of the provider and patient
    • Analyzes the implications of these policies on the operations of health care organizations
  • Identify at least 3 state or federal laws that are relevant to the case, and complete the following:
    • Evaluate key legal factors that are inherent in the case.
    • Assess various policies and procedures that are inherent in these laws that relate to the provision of health care by providers or patient rights.
  • Differentiate between the demands of legal policies and ethical issues with relevance to the needs of the provider and patient.
  • Formulate an assessment of the potential impact of the case on decision-making options in the future for providers, patients, and administrators.

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Cognitive Behavioral Therapy: Group Settings Versus Family Settings

Discussion: Cognitive Behavioral Therapy: Group Settings Versus Family Settings

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As you might recall from Week 5, there are significant differences in the applications of cognitive behavior therapy (CBT) for families and individuals. The same is true for CBT in group settings and CBT in family settings. In your role, it is essential to understand these differences to appropriately apply this therapeutic approach across multiple settings. For this Discussion, as you compare the use of CBT in group settings and family settings, consider challenges of using this approach with your own groups.

Learning Objectives

Students will:

  • Compare the use of cognitive behavioral therapy for groups to cognitive behavioral therapy for families
  • Analyze challenges of using cognitive behavioral therapy for groups
  • Recommend effective strategies in cognitive behavioral therapy for groups

To prepare:

  • Reflect on your practicum experiences with CBT in group and family settings.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Post to Discussion Question link and then select Create Thread to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking Submit!

By Day 3

Post an explanation of how the use of CBT in groups compares to its use in family settings. Provide specific examples from your own practicum experiences. Then, explain at least two challenges counselors might encounter when using CBT in the group setting. Support your response with specific examples from this week’s media.

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Puberty And Adolescence

Develop a short guide for parent’s outlining developmental tasks in adolescence and puberty. What theorists have discussed this stage and what they have found?  What behavioral signs indicate certain tasks are occurring during this stage? What signs should parents look for that normal development is not on track? What should they do if they are concerned? Are local resources available?

Answer should be in essay form with a minimum of 10 sentences to be considered for full credit.

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In this assignment, you will conduct a discrete and respectful community observation of an Alcoholics Anonymous meeting. Locate and attend a local Alcoholics Anonymous meeting in your area

In this assignment, you will conduct a discrete and respectful community observation of an Alcoholics Anonymous meeting. Locate and attend a local Alcoholics Anonymous meeting in your area. Explain to the meeting leader that you are a nursing student studying community resources. Write a two page summary of your experience describing the clientele (be sure to respect members’ anonymity), meeting, and topics. Apply your nursing knowledge to evaluate the quality and effectiveness of this particular resource.

Assignment Details: 

Perform the following tasks:

• Complete the reading assignment and the interactive lesson before attempting this assignment.

• Attend a local Alcoholics Anonymous meeting in your area o Introduce yourself to the meeting leader and explain to him/her that you are a nursing student who is studying community resources.

o Conduct your community observation and take notes if necessary.

• Write a two-page summary of your experience o Describe the clientele (respecting members’ anonymity), meeting, and topics. o Apply your nursing knowledge to evaluate the quality and effectiveness of this particular resource.

o Use APA format.

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Describe one other epidemiological threat that has been in the news in the past 2 years that is not influenza

Describe one other epidemiological threat that has been in the news in the past 2 years that is not influenza. Discuss how this threat affected the community, including local, state, and federal resources that were brought in to restore normal business and life. Include any media examples that discussed either good or poor reactions by stakeholders and approximately how long the area was directly impacted compared to the previous historical timelines for this type of threat. Provide supporting references for your response. PLEASE ADD IN-TEXT CITATION AND REFERENCE

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Financial Managment

Finance is the study of how businesses allocate money over time. With the implementation of the Affordable Care Act, it is posited that financial management will become more complicated. Do you agree or disagree? Explain the rationale for your response. 

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week 5 assignment 2

o prepare:

  • Select a client family that you have observed or counseled at your practicum site.
  • Review pages 137–142 of Wheeler (2014) and the Hernandez Family Genogram video in this week’s Learning Resources.
  • Reflect on elements of writing a comprehensive client assessment and creating a genogram for the client you selected.

Assignment

Part 1: Comprehensive Client Family Assessment

Create a comprehensive client assessment for your selected client family that addresses (without violating HIPAA regulations) the following:

  • Demographic information
  • Presenting problem
  • History or present illness
  • Past psychiatric history
  • Medical history
  • Substance use history
  • Developmental history
  • Family psychiatric history
  • Psychosocial history
  • History of abuse and/or trauma
  • Review of systems
  • Physical assessment
  • Mental status exam
  • Differential diagnosis
  • Case formulation
  • Treatment plan

Part 2: Family Genogram

Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).

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