Presenter: Jennifer D. Street, LCSW Class Meeting Week Six Welcome Agenda Agenda Announcements Learning Goals Resource of the Week Is it ethical?? Practice Behaviors Review Questions Chapter 6 Learning Activities Questions Wrap-Up Announcements Mid-Term Exam next week 90 minutes to complete Opens on Monday, closes on Sunday 45 multiple choice questions worth 2 pts each 3 short answer questions for 2 pts each 1 case study question worth 4 pts Learning Goals By the end of class today, students will be able to: Effectively use a treatment planning form Demonstrate competence in ethical decision making Locate local and state laws related to mental health services Collect, organize, and interpret client data Develop mutually agreed-on intervention goals and objectives Select appropriate intervention strategies Practice Behaviors 32. Collect, organize, and interpret client data 34. Develop mutually agreed-on intervention goals and objectives 35. Select appropriate intervention strategies Resource of the Week Sample Treatment Plans Treatment Plan Life Renewal Counseling Identifying Information Client Name: Axis I: Axis II: Axis III: Axis IV: Current GAF/GARF: Date: Admitting Diagnosis Description: Description: Description: Description: Goal Statement #1: Goal # 1 Objectives (Must be observable and measurable) Objectives: Goals and Objectives Intervention(s) & Discharge Criteria Intervention(s): Status Reviewed on:____________ Continue Dropped Add Revised – see new objective # Reviewed on:____________ Continue Dropped Add Revised – see new objective # Reviewed on:____________ Continue Dropped Add Current GAF/GARF: Goal Statement #1: Goal # 1 Objectives (Must be observable and measurable) Objectives: Goals and Objectives Intervention(s) & Discharge Criteria Intervention(s): Status Reviewed on:____________ Continue Dropped Add Revised – see new objective # Reviewed on:____________ Continue Dropped Add Revised – see new objective # Reviewed on:____________ Continue Dropped Add Revised – see new objective # Completion Criteria: Reviewed on:____________ Continue Dropped Add Revised – see new objective # Reviewed on:____________ Continue Dropped Add Revised – see new objective # Goal Statement #2: Goal # 2 Objectives (Must be observable and measurable) Objectives: Repeat for 3-4 Goals Goals and Objectives Intervention(s) & Discharge Criteria Intervention(s): Status Reviewed on:____________ Continue Dropped Add Revised – see new objective # Reviewed on:____________ Revised – see new objective # Completion Criteria: Reviewed on:____________ Continue Dropped Add Revised – see new objective # Reviewed on:____________ Continue Dropped Add Revised – see new objective # Client Participation and Signature I have participated in the development of this plan and have been offered a copy of the plan. Available options have been explained to me, as have been the benefits, alternatives, and risks or consequences of the planned services. Print Name: Signature: If client does not sign plan give a brief explanation of the reason: Date: Signature of Therapist Print Name: Signature & Title: Date: Is It Ethical???? Is it ethical??? Scenario 2: “Fatima is self-employed with her own private practice. She has recently gone on a marketing blitz, with new ads in the phone book and on the internet. She has developed her own website that describes her services and promotes her work. Fatima has many satisfied clients and has asked them some of them to provide testimonials for her great service so she can include them on her website.” Taken from Horn, Thomas © 2011 “Is it ethical?: 101 Scenarios in everyday social work practice, a discussion workbook” Is it ethical???, cont’d Is Fatima advertising in an ethical manner? If it is ethical, explain your position. What must she do to ensure informed consent and privacy? If it is unethical, explain your position. Describe all possible breaches of the code of ethics. Could there be any pressure felt by these previous/current clients to agree to provide testimonials, even if they are not comfortable doing so? Explain. Taken from Horn, Thomas © 2011 “Is it ethical?: 101 Scenarios in everyday social work practice, a discussion workbook” For Further Review: Chapter 491 Chapter 39 Chapter 90 Chapter 120 Chapter 394 Chapter 397 Chapter 415 Online at: http://www.doh.state.fl.us/mqa/491/soc_statutes.html Title XXXII Chapter 491 491.002 491.003 491.004 491.0045 491.0046 491.005 491.0057 491.006 491.0065 491.007 491.008 491.0085 491.009 491.0111 491.0112 491.012 491.014 491.0141 491.0143 491.0144 491.0145 491.0147 491.0148 491.0149 491.015 491.016 2012 Florida Statutes REGULATION OF PROFESSIONS AND OCCUPATIONS CLINICAL, COUNSELING, AND PSYCHOTHERAPY SERVICES Intent. Definitions. Board of Clinical Social Work, Marriage and Family Therapy, and Mental Health Counseling. Intern registration; requirements. Provisional license; requirements. Licensure by examination. Dual licensure as a marriage and family therapist. Licensure or certification by endorsement. Requirement for instruction on HIV and AIDS. Renewal of license, registration, or certificate. Inactive status; reactivation of licenses; fees. Continuing education and laws and rules courses; approval of providers, programs, and courses; proof of completion. Discipline. Sexual misconduct. Sexual misconduct by a psychotherapist; penalties. Violations; penalty; injunction. Exemptions. Practice of hypnosis. Practice of sex therapy. The practice of juvenile sexual offender therapy. Certified master social worker. Confidentiality and privileged communications. Records. Display of license; use of professional title on promotional materials. Duties of the department as to certified master social workers. Social work; use of title. ONLINE AT http://www.leg.state.fl.us/statutes/index.cfm?App_mode=Display_Statute&URL=0400-0499/0491/0491ContentsIndex.html Chapter Six Highlights Take one minute to share the most important point of chapter 6 and how you felt about that point with your partner. Then your partner will use the engagement skill of empathic response to show empathy with how that point made you feel. Review Questions Question 1 1)Three characteristics concerning counseling agreements were listed in the text. Which of the following is NOT one of the aspects of a counseling agreement? A) Harmony of opinion B) Agreement regarding a method of action C) Problem simplification. D) Properly executed, binding compact Question 2 2.) To assist clients in ranking their problems of living, a good guide is to begin with: A) The one the practitioner deems most critical B) The one recognized as being the most significant based on an instrument measuring stress C) The one the client identifies as creating the most distress D) It would be prejudicial to discriminate among problems of living as they are all important Treatment Planning Let’s Practice… Give an example of a problem statement, goal statement, objective, and intervention for the following clinical issue: ADHD for a 9 year old in 4th grade whose problem behavior is getting out of his seat during class Depression symptom of hypersomnia for 42 year old woman with Dysthymia whose problem behavior is being late to work due to the symptom. Panic disorder in a 19 year old male post a severe car accident whose problem behavior is missing college class due to fear of driving Exercise Role Play Role play a client/counselor interaction where the counselor helps the client identify a personal problem of living, as described by Reid’s Problems of Living, found in figure 6.1 on page 196. It will be easier and faster to use yourself for content, but please be appropriate in the selection of the problem you share Assist the client in identifying one goal they would like to accomplish in overcoming this problem. Set up a contract with the client following the components found in figure 6.2 on page 199. Reverse roles and repeat You have 20 minutes total to complete this exercise Start role play activity by 8:50pm Questions? Did we meet our learning goals??? By the end of class today, students will be able to: Effectively use a treatment planning form Demonstrate competence in ethical decision making Locate local and state laws related to mental health services Collect, organize, and interpret client data Develop mutually agreed-on intervention goals and objectives Select appropriate intervention strategies For Next Week… At this point, you should have completed everything from Modules 1-6 This week, complete: Module 7 Finish and submit treatment plan learning activity Prepare for midterm test Have a great week!