Clinical evaluation and treatment planning in counseling

1. Clinical evaluation – identify presenting problems, psychosocial history and mental status exam and collect information to assess clinical issues and formulate a diagnostic impression within the clients interpersonal and cultural context. What assessment tools/tests are you using and are referrals for adjunctive therapies being made. 2. Crisis management – ability to identify, evaluate, and manage crisis situations within the clients interpersonal and cultural context 3. Treatment planning – develop a comprehensive, measurable treatment plan and prioritize treatment goals based on assessment, diagnoses, and a theoretical model within the clients interpersonal and cultural context. Include treatment goals, clinical factors that take the clients values, beliefs, culture etc into consideration. Be sure to briefly summarize the theory your treatment is based on and then in the next section is how this theory will be implemented 4. Course of Treatment – implement, evaluate, and modify clinical interventions consistent with the treatment plan and theoretical orientation including outcome-based models and diversity factor. Consider the therapeutic relationship, the interventions you provided based on your theoretical orientation, clinical factors (such as: treatment consistent with developmental stage or use of substances, provide psychoeducation etc.) and termination 5. Diversity – the impact of culture, acculturation, economic (SES), political, gender, social and spiritual status and environment on the clients psychological problems and treatment. Consider how your treatment may change based on these diversity issues. 6. Laws and Ethics – identify, apply, and manage legal mandates and ethical standards and principles in clinical practice. Focus on issues of confidentiality / privilege, exceptions to confidentiality, professional conduct etc. (laws) and consider informed consent, therapeutic boundaries, management of ethical issues etc. (ethics). The written Capstone case study will be approximately 25 pages in length (not including cover page or reference page), have at least 15 appropriate references (no more than 5 references can come from textbooks), and adhere to APA style. Since this is not a research paper the MSMU guidelines should be used to organize your paper. The six areas (clinical evaluation, crisis management, treatment planning, course of treatment, diversity, law and ethics) should be used as main headings rather than method, results, and so on. The final paper will be submitted via Canvas on the date noted in the syllabus. Students must receive a passing grade (B- or better) on the written case study before they will be allowed to orally present their case. If the student does not pass the written portion of the Capstone, they will have one opportunity to rewrite their paper and when passed will then present the case to a panel of selected faculty members.

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