Treatment modality and Practicum Assignment

Assignment Instructions. Please read carefully to the end before starting
 
Assignment 2: Practicum Assessing Client Progress
To prepare:
Reflect on the client you selected for theWeek 3(See the attached case study for client selected in week 3)Practicum Assignment.
Review the Cameron and Turtle-Song (2002) article in this weeks Learning Resources for guidance on writing case notes using the SOAP format(See attached resource).
 
The Assignment
Part 1: Progress Note
Using theclient from your Week 3 Assignment, address the following in a progress note (without violating HIPAA regulations):(See sample paper)
 
 
Treatment modality used and efficacy of approach
 
Progress and/or lack of progress toward the mutually agreed-upon client goals (reference the Treatment planprogress 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 (i.e., marriage, separation/divorce, new relationships, move to a new house/apartment, change of job, etc.)
 
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 (i.e., phone consultations with physicians, psychiatrists, marriage/family therapists, etc.)
 
Therapists recommendations, including whether the client agreed to the recommendations
 
Referrals made/reasons for making referrals
 
Termination/issues that are relevant to the termination process (i.e., 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 therapists 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 weeks readings, prepare a privileged psychotherapy note that you would use to document your impressions of therapeutic progress/therapy sessions for your client from theWeek 3 Practicum Assignment.
The privileged note should 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 clients progress note.
 
Explain whether your preceptor uses privileged notes, and if so, describe the type of information he or she might include. If not, explain why.
 
References
Wheeler, K. (Ed.). (2014).Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice(2nd ed.). New York, NY: Springer Publishing Company.
Chapter 5, Supportive and Psychodynamic Psychotherapy (pp. 238242)
Chapter 9, Interpersonal Psychotherapy (pp. 347368)
American Psychiatric Association. (2013).Diagnostic and statistical manual of mental dis s(5th ed.). Washington, DC: Author.
 
Note:You will access this text from the Walden Library databases.
Abeles, N.,