Posted: March 12th, 2023
Treatment Plan
Instructions, templates, additonal resource included
COUC667
COUC 667
Case Presentation Treatment Plan (CP-TP) Assignment Instructions
Overview
This is the third part of your Case Presentation assignment that will be due formally in Module 7: Week 7 of the course. This is called a formative assignment in that you will get to “practice” developing a treatment plan. The treatment plan is a guide for your clinical work. You will use the Inverted Pyramid Model (IPM) step 2 (Organize Concerns Into Logical Thematic Groupings) to generate your behavioral definitions of the problem for your treatment plan (step 1). After you craft these problems, you will develop goals based on the severity of the problems. Some are necessary goals (client is suicidal), some are an improvement (attending to underlying factors driving the depression) and others are more long-term goals called potentiality (p. 109 of Schwitzer and Rubin textbook). After the goals, you will create theory-based/evidence-based inventions. Finally, one of the most important steps is the generation of outcome measurements to know when you have achieved the goals you have created.
Instructions
For this assignment, you will create a treatment plan based on your client (e.g., George, Clare, Jack, etc) using the Case Presentation: Penny CP-TP example as a guide. Additionally, as you work through this assignment, you may “consult” with your clinical team via Microsoft Teams.
Below you will find step-by-step instructions to complete this assignment.
This assignment is 3-6 pages in length in the current APA format. It requires a title page, headings, subheadings, in-text citations, and a reference section as found in the CP-TP template. The assignment requires at least 2 citations, e.g., Switzer and Rubin, peer-reviewed journals, and other theoretical textbooks. If other sources are used they are to be scholarly articles published within the last five years unless there are considered seminal works in the field of study.
To complete this assignment, do the following:
1) Review the Case Presentation: Penny CP-TP Example
2) Review the Case Presentation Treatment Plan (CP-TP) Template. Follow the APA format as provided in the template. It is developed to help you stay aligned with assignment expectations based on the assignment instructions and grading rubric.
3) Review your textbook and other readings on treatment planning and review theory-specific examples.
4) Review your IPM step 2 from your CP-CC assignment.
5) Then offer measurable behavioral definition problems (signs, symptoms). These are the exact problems you have in step 2 of your IPM from the CP-CC assignment. This is exampled in the Penny CP-TP Example.
6) Develop goals that are triaged based on the severity of client problems you identified – necessity, improvement, potentiality as noted in the Switzer and Rubin textbook. The top problems are a necessity and should be first in your treatment (tx) plan. Put in bullet format as found in Penny CP-TP Example.
7) For each goal, develop interventions that are based on the theory you used in the IPM, the CP-CC assignment. Put in bullet format as found in Penny CP-TP Example.
8) Review your interventions. Are they complete enough to achieve the goal? You do not want to have interventions that only incorporate psychoeducation and assessment, but do not have the client learning and doing the skills to overcome the major depressive disorder.
9) The final step is to develop outcome measures, so you know when each goal is achieved. This could be informal (e.g., client report, clinician observation) or formal (e.g., Beck’s Anxiety or Depression scores over time). Format this as found in Penny CP-TP Example.
10) After completing the draft, you can review examples in the textbook and reach out to your clinical team for feedback (edits, comments, etc).
Note: Your assignment will be checked for originality via the Turnitin plagiarism tool.
Page 2 of 2
F43.23 Adjustment disorder, with mixed anxiety and depressed mood, acute (principal)
Z56.9 Other problem related to employment—Job change, job reduction, threat of job loss; Family discord
Z60.3 Acculturation difficulty
Z63.1 Problems in relationship with parents and in-laws
CP-TP OF PENNY 1
Case Presentation Treatment Plan (CP-TP) of Penny
John Doe
School of Behavioral Sciences, Liberty University
Author Note
Name
I have no known conflict of interest to disclose.
Correspondence concerning this article should be addressed to John Doe.
Email:
john.doe@liberty.edu
Case Presentation Treatment Plan (CP-TP) of Penny
Treatment Plan
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Problems |
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1. Major depressive disorder– feeling sad, fatigue, avolition, hypersomnia, low self-worth, avoidance, helplessness, and false guilt
2. Disruption of family by separation or divorce – parental divorce 2 months ago, high conflict, affair, joint custody 3. Target of (perceived) adverse discrimination and persecution (provisional) – “Black kids can’t get a break.” |
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Goals for Change |
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1. Major Depressive Disorder (CBT) · Understand the relationship between cognitive errors, maladaptive core beliefs, and depression. · Decrease and potentially eliminate negative automatic thoughts of self and others. · Increase engagement in non-depressed activities to reduce avoidance behaviors. · Increase realistic relational schemas within the family system to reduce conflict and depression symptoms. 2. Disruption of family by separation or divorce · Understand the impact of divorce on the perception of self, others, and the world. · Eliminate the faulty core beliefs around the guilt of divorce. · Decrease family dysfunction to reduce the negative impact on the client’s relationship with parents. 4. Target of (perceived) adverse discrimination and persecution (provisional) · Understand how discrimination may influence negative thoughts of self, others, and the world. · Eliminate faculty core beliefs associated with adverse discrimination and persecution. · Increase resiliency to cope with perceived discrimination. |
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Therapeutic Interventions |
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The client will engage in 10 to 15 weekly, individual sessions of CBT (Beck Institute, n.d.; Schwitzer and Rubin, 2015; Murdock, 2017). 1. Major depressive disorder · The counselor will provide psychoeducation about the relationship between negative self-talk, avoidance behaviors, and mood. · The counselor will provide psychoeducation on good sleep hygiene. · The client will identify and engage in good sleep hygiene activities. · The client will write down “therapy notes” of each session and read them daily between sessions. · The client will identify her maladaptive assumptions, poor coping strategies, and maladaptive core beliefs in session with the counselor using the cognitive conceptualization diagram. · The client will identify adaptive behaviors by using the pleasure/mastery scale in the session. · The client will challenge negative automatic thoughts connected with core beliefs by completing a weekly thought record and using coping cards. · The client will use behavioral experiments for cognitive restructuring of maladaptive thoughts and core beliefs. · The client will engage in activity scheduling such as self-care, exercise, and social events every week. · The client will call the counselor weekly to report on the success of identified actions for that week. · The client will identify and engage in actions to prevent relapse. · The counselor will provide boosters sessions as needed to prevent and recover from relapse. 2. Disruption of family by separation or divorce · The counselor will provide psychoeducation on divorce. · The counselor will offer Bibliotherapy, · The client will engage in the cognitive restructuring of “guilt” via a thought log. · The client will process grief/loss of family system through Socratic questioning. · The counselor will refer the client to family therapy to conjointly process the divorce. · The counselor will refer the client to grief “teen” group counseling. 3. The target of (perceived) adverse discrimination and persecution (provisional) · The counselor will provide psychoeducation of the CBT triad (feelings, thoughts, behaviors) to perceived discrimination. · The counselor will conduct a cognitive conceptualization of perceived discriminatory events to assist the client in understanding the antecedents, behaviors, and consequences. · The counselor will assist the client in identifying “normative” discriminatory perceptions leading to problem-solving actions through Socratic questions. · The counselor will assist the client in the identification of maladaptive automatic thoughts and core beliefs about self, others, and the world through Socratic questions. · Counselor and client will engage in the cognitive restructuring of maladaptive thoughts and core beliefs as needed via thought log. · The client will use behavioral experiments for cognitive restructuring of maladaptive thoughts and core beliefs. · The counselor will provide psychoeducation on distress tolerance and mindfulness, progressive muscle relaxation, and mastery/pleasure activities. · The client will identify and engage in distress tolerance tools. |
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Outcome Measures of Change |
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Improved self-worth, improved mood, increased engagement in pleasurable activities, and increased support seeking. · The client reported reduced maladaptive thoughts and behaviors along with increased pleasure and mastery activities. · Pre-post measures on the Beck Depression II Inventory. · The Counselor observation of improved mood via signs, symptoms reduction, and change talk around automatic thoughts, assumptions, and core beliefs. · The Client reported reduced family disruption. · The Client reported increased distress tolerance of perceived adverse discrimination. |
References
Beck, J. (n.d.).
Essentials of CBT: The Beck approach. Course Manual. Beck Institute.
Murdock, H. L. (2017).
Theories of counseling and psychotherapy: A case approach (4th ed.). Pearson.
Rubin, A. M., & Switzer, L. C. (2015).
Diagnosis & treatment planning skills: A popular culture casebook approach (2nd edition)
. Sage.
CP-TP 1
Case Presentation Treatment Plan (CP-TP) Template
Student Name
School of Behavioral Sciences, Liberty University
Author Note
I have no known conflict of interest to disclose.
Correspondence concerning this article should be addressed to . Email:
Case Presentation Treatment Plan (CP-TP) Template
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Problems |
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1. From Step 2 of your inverted pyramid (IPM) (the CP-CC assignment), write out your problems behaviorally by order of problem (1. GAD – anxiety, etc, etc. 2. Major depressive disorder – sadness, etc). See the CP-TP example of Penny. 2. You may have more than 1 problem to write out. For example, if you used the Descriptive-Diagnostic Approach (p. 91) with major depressive disorder, generalized anxiety disorder, and Z62.820 parent-child relational problem then write out these three problems (1, 2, 3). |
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Goals for Change |
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1. First problem here · Write up specific, measurable (e.g., reduce, eliminate, etc) outcome goals. 2. Second problem here · Write up the next set of specific, measurable outcome goals for this problem. |
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Therapeutic Interventions |
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Offer your theory here and estimate treatment length based on the severity of the problems. For example, minor depression may be resolving in 5 to 10 weeks but personality disorder in 5 to 10 years. If the client was depressed and had a personality disorder you would treat the depression first and then the personality disorder. Also, within each problem you would tier the approach, e.g., you would not attempt to do cognitive restructuring without first offering education on the cognitive model, identifying the problematic situation, and conditional assumptions. Offer citations here that are used to support the interventions used (e.g., Jones, and Jones, 2020) and offer full citations in references below. 1. Offer the first problem here. · Write up theoretically based interventions that will walk through the clinical process. For example, you don’t want to start with ego analysis without first offering psychoeducation. 2. Second problem as needed · Write up the next step of tiered theoretically based interventions. |
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Outcome Measures of Change |
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Offer what the changes would look like for the client (increased euphoric moods, attentiveness, prosocial behaviors) as measured by · Offer how you will measure when the outcomes have been met. |
References
Offer any references here that are used. There need to be at least 2 citations for the assignment.
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