PRAC 6650 Assignment Assessing Client Family Progress (Due in Week 8)

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PRAC 6650 Assignment Assessing Client Family Progress (Due in Week 8)

PRAC 6650 Assignment  Assessing Client Family Progress (Due in Week 8)

Learning Objectives
Students will:
 Create progress notes
 Create privileged notes
 Justify the inclusion or exclusion of information in progress and privileged notes
 Evaluate preceptor notes
To prepare:
 Reflect on the client family you selected for the Week 3 Practicum Assignment.
Assignment
Part 1: Progress Note

Using the client family from your Week 3 Practicum Assignment, address in a progress
note (without violating HIPAA regulations) the following:
 Treatment modality used and efficacy of approach
 Progress and/or lack of progress toward the mutually agreed-upon client goals
(reference the treatment plan for progress toward goals)
 Modification(s) of the treatment plan that were made based on progress/lack of
progress
 Clinical impressions regarding diagnosis and or symptoms
 Relevant psychosocial information or changes from original assessment (e.g.,
marriage, separation/divorce, new relationships, move to a new house/apartment,
change of job)
 Safety issues
 Clinical emergencies/actions taken
 Medications used by the patient, even if the nurse psychotherapist was not the one
prescribing them
 Treatment compliance/lack of compliance
 Clinical consultations
 Collaboration with other professionals (e.g., phone consultations with physicians,
psychiatrists, marriage/family therapists)
 The therapist’s recommendations, including whether the client agreed to the
recommendations
 Referrals made/reasons for making referrals
 Termination/issues that are relevant to the termination process (e.g., client informed
of loss of insurance or refusal of insurance company to pay for continued sessions)
 Issues related to consent and/or informed consent for treatment
 Information concerning child abuse and/or elder or dependent adult abuse,
including documentation as to where the abuse was reported
 Information reflecting the therapist’s exercise of clinical judgment
Note: Be sure to exclude any information that should not be found in a discoverable progress
note.
Part 2: Privileged Note

Based on this week’s readings, prepare a privileged psychotherapy note that you would use
to document your impressions of therapeutic progress/therapy sessions for your client
family from the Week 3 Practicum Assignment.
In your progress note, address the following:
 Include items that you would not typically include in a note as part of the clinical
record.
 Explain why the items you included in the privileged note would not be included in
the client family’s progress note.
 Explain whether your preceptor uses privileged notes. If so, describe the type of
information he or she might include. If not, explain why.
No Assignment due this week.

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Submit Assignment By Day 7 of Week 8.

Assignment 2: Practicum – Week 5 Journal Entry (Continued–Submit This Week)
By Day 7
Submit your Assignment. Refer to Week 5 for additional guidance.

PRAC 6650 Assignment Assessing Client Family Progress (Due in Week 8)

PRAC 6650 Assignment Assessing Client Family Progress (Due in Week 8)

Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
 Please save your Assignment using the naming convention “WK7Assgn2+last
name+first initial.(extension)” as the name.
 Click the Week 7 Assignment 2 Rubric to review the Grading Criteria for the
Assignment.
 Click the Week 7 Assignment 2 link. You will also be able to “View Rubric” for
grading criteria from this area.
 Next, from the Attach File area, click on the Browse My Computer button. Find the
document you saved as “WK7Assgn2+last name+first initial.(extension)” and
click Open.
 If applicable: From the Plagiarism Tools area, click the checkbox for I agree to
submit my paper(s) to the Global Reference Database.
 Click on the Submit button to complete your submission.
Grading Criteria

To access your rubric:
Week 7 Assignment 2 Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:
Submit your Week 7 Assignment 2 draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:
Week 7 Assignment 2

Practicum Reminder
Time Logs
You are required to keep a log of the time you spend related to your practicum
experience and enter every patient you see each day. You can access your time log from the
Welcome Page in your Meditrek account. You will track time individually for each patient
you work with. Please make sure to continuously input your hours throughout the term.

Making Connections
 This week, you assessed progress for a client family receiving psychotherapy and
developed progress and privileged psychotherapy notes for the family
Next week, you will:
 Develop diagnoses for clients receiving group psychotherapy and consider legal and
ethical implications of counseling these clients

To go to the next week:
Week 8

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