Aggressive and Oppositional-acting Children Practicum

Aggressive and Oppositional-acting Children Practicum

Assignment: Practicum – Week 5 Journal Entry

Select two clients you observed or counselled 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. (ALSO SEE ATTACHED Group Therapy Progress Note)

· 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 whether solution-focused or cognitive behavioural therapy would be more effective with this family. Include expected outcomes based on these therapeutic approaches.

· Explain any legal and/or ethical implications related to counselling each client.

· Support your approach with evidence-based literature.

Resources for Aggressive and Oppositional-acting Children Practicum

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Bond, C., Woods, K., Humphrey, N., Symes, W., & Green, L. (2013). Practitioner review: The effectiveness of solution-focused brief therapy with children and families: A systematic and critical evaluation of the literature from 1990–2010. Journal of Child Psychology & Psychiatry, 54(7), 707–723. doi:10.1111/jcpp.12058

Conoley, C., Graham, J., Neu, T., Craig, M., O’Pry, A., Cardin, S., & … Parker, R. (2003). Solution-focused family therapy with three aggressive and oppositional-acting children: An N=1 empirical study. Family Process, 42(3), 361–374. doi:10.1111/j.1545-5300.2003.00361.x

de Castro, S., & Guterman, J. (2008). Solution-focused therapy for families coping with suicide. Journal of Marital & Family Therapy, 34(1), 93–106. doi:10.111/j.1752-0606.2008.00055.x

Patterson, T. (2014). A cognitive behavioural systems approach to family therapy. Journal of Family Psychotherapy, 25(2), 132–144. doi:10.1080/08975353.2014.910023

Perry, A. (2014). Cognitive behavioural therapy with couples and families. Sexual & Relationship Therapy, 29(3), 366–367. doi:10.1080/14681994.2014.909024.

Ramisch, J., McVicker, M., & Sahin, Z. (2009). Helping low-conflict divorced parents establish appropriate boundaries using a variation of the miracle question: An integration of solution-focused therapy and structural family therapy. Journal of Divorce & Remarriage, 50(7), 481–495. doi:10.1080/10502550902970587

Washington, K. T., Wittenberg-Lyles, E., Oliver, D. P., Baldwin, P. K., Tappan, J., Wright, J. H., & Demiris, G. (2014). Rethinking family caregiving: Tailoring cognitive-behavioural therapies to the hospice experience. Health & Social Work, 39(4), 244–250. doi:10.1093/hsw/hlu031

Also Check it out: Integrated Delivery System Strategic Financial Plan Research

Group Therapy Progress Note

American Psychological Association | Division 12 http://www.div12.org/ 1

Client: __________________________________________________ Date: ___________ Group name:________________________________________________ Minutes:________ Group session # ______ Meeting attended is #:______ for this client. Number present in group _____ of _____ scheduled Start time:________ End time: ________

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

7. Change in stressors: ? Less severe/fewer ? Different stressors ? More/more severe ? Chronic

8. Change in coping ability/skills: ? No change ? Improved ? Less able ? Much less able

9. Change in symptoms: ? Same ? Less severe ? Resolved ? More severe ? Much worse

10. Other observations/evaluations:________________________________________________________

In-session procedures: ? _______________________________________________________________________________

? _______________________________________________________________________________

? _______________________________________________________________________________

? _______________________________________________________________________________

? __________ _____________________________________________________________________

Homework: 1.

2.

3.

Other Comments: _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ Signatures Date